Uthintelo lwe-uropathy

Uthintelo lwe-uropathy yimeko apho kuthintelwe ukuhamba komchamo. Oku kubangela ukuba umchamo ubuye umva kwaye wenzakalise enye okanye zombini izintso.

Uthintelo lwe-uropathy lwenzeka xa umchamo ungenakunkcenkceshela kumchamo wokuchama. Umchamo ubuyela umva kwizintso kwaye ubangele ukuba udumbe. Le meko yaziwa ngokuba yi-hydronephrosis.

Uthintelo lwe-uropathy lunokuchaphazela enye okanye zombini izintso. Inokwenzeka ngesiquphe, okanye ibe yingxaki yexesha elide.

Izizathu eziqhelekileyo zokuthintela i-uropathy zibandakanya:

• Amatye esinyi
• Amatye eentso
• I-Benign prostatic hyperplasia (iprostate eyandisiweyo)
• Umhlaza wedlala lesinyi
  
• Isinyi okanye umhlaza womchamo
• Umhlaza wamathumbu
• Umhlaza womlomo wesibeleko okanye wesibeleko
• Umhlaza we-Ovarian
• Nawuphi na umhlaza osasazekayo
• Izicubu ezinqabileyo ezenzeka ngaphakathi okanye ngaphandle kwe-ureters
• Izicubu ezinqabileyo ezenzeka ngaphakathi kwi-urethra
• Iingxaki zemithambo-luvo ebonelela ngesinyi

Iimpawu zixhomekeke ekubeni ingxaki iqala kancinci okanye ngequbuliso, kwaye ukuba ngaba enye okanye zombini izintso ziyabandakanyeka. Iimpawu zingabandakanya:

• Iintlungu ezinobunzima kwi-flank. Intlungu inokuviwa kwelinye okanye kumacala omabini.
• Ifiva.
• Isihlunu okanye ukugabha.
• Ukutyeba okanye ukudumba (iedema) kwezintso.

Unokuba neengxaki zokudlula umchamo, njengale:

• Khuthaza ukuba uchame rhoqo
• Ukunciphisa amandla okuhamba komchamo okanye ubunzima bokuchama
• Ukuqhuba komchamo
• Andiziva ngathi isinyi ichithwe
• Kufuneka uchame rhoqo ebusuku
• Ukwehla kwenani lomchamo
• Ukuvuza komchamo (ukungasebenzi)
• Igazi kumchamo

Umboneleli wakho wokhathalelo lwempilo uya ku-odola izifundo ezisebenzayo okanye ezomfanekiso-ngqondweni ukuze abone ukuphazamiseka kwemithambo. Uvavanyo oluqhelekileyo olusetyenziswayo lubandakanya:

• I-Ultrasound yesisu okanye isinqe
• Ukuvavanywa kwe-CT kwesisu okanye isinqe
• Ipyramogram efakwa ngaphakathi (IVP)
• Ukuhamba ngecystourethrogram
• Ukuskena kwakhona kwenyukliya
• IMRI
• Uvavanyo lwe-Urodynamic
• ICystoscopy

Amayeza anokusetyenziswa ukuba unobangela yiprostate eyandisiweyo.

I-stents okanye i-drain efakwe kwi-ureter okanye kwinxalenye yezintso ezibizwa ngokuba yi-renal pelvis inokubonelela ngokukhawuleza kweempawu.

Iityhubhu zeNephrostomy, ezikhupha umchamo kwizintso ngasemva, zinokusetyenziselwa ukugqitha ukuvalwa.

I-catheter ye-Foley, efakwe kwi-urethra kwi-bladder, inokukunceda ukuhamba komchamo.

Ukupheliswa kwexesha elifutshane kubhloksi kunokwenzeka ngaphandle kotyando. Nangona kunjalo, unobangela wokuvalelwa kufuneka ususwe kwaye kulungiswe inkqubo yokuchama. Utyando lunokufuneka ukukhululeka kwexesha elide kwingxaki.

Izintso zingadinga ukususwa ukuba ukuvalwa kubangela ukulahleka okukhulu komsebenzi.

Ukuba ukuvalelwa kuza ngesiquphe, umonakalo wezintso awunakufane ukuba ingxaki ifunyenwe kwaye yalungiswa kwangoko. Rhoqo, umonakalo kwizintso uyahamba. Umonakalo wexesha elide kwizintso unokwenzeka ukuba ukubhloka bekukho ixesha elide.

Ukuba inye kuphela intso eyonakeleyo, iingxaki zezintso ezingapheliyo azifane zenzeke.

Unokufuna i-dialysis okanye ukufakelwa kwezintso ukuba kukho umonakalo kwizintso zombini kwaye azisebenzi, nasemva kokuba ukuvalwa kulungisiwe.

Ukuthintela i-uropathy kunokubangela umonakalo ongapheliyo kunye noxinzelelo kwizintso, okukhokelela kukusilela kwezintso.

Ukuba ingxaki ibangelwe kukuvaleka kwesinyi, isinyi sinokuba nomonakalo wexesha elide. Oku kunokukhokelela kwiingxaki zokukhupha isinyi okanye ukuvuza komchamo.

Ukuthintela uropathy kunxulunyaniswa namathuba aphezulu osulelo lomchamo.

Fowunela umboneleli wakho ukuba uneempawu zokuthintelwa kwe-uropathy.

Ukuthintela i-uropathy kuthintelwa ngokunyanga ukuphazamiseka okunokubangela.

Uropathy - isithintelo

• Catheterization yesinyi - libhinqa
• Catheterization yesinyi - eyindoda
• Iphecana lomchamo labasetyhini
• Indoda yokuchama

UFrøkiaer J. Uthintelo lomjelo womchamo. Ku: Yu ASL, Chertow GM, Luyckx VA, Marsden PA, Skorecki K, Taal MW, ii-eds. Brenner kunye noMphathi weZintso. Ngomhla we-11. IPhiladelphia, PA: Elsevier; 2020: isahluko 37.

UGallagher KM, uHughes J.Ukuthintelwa kwendlela yokuchama. Ku: Feehally J, Floege J, Tonelli M, Johnson RJ, ii-eds. I-Clinical Nephrology epheleleyo. Umhla wesi-6. IPhiladelphia, PA: Elsevier; I-2019: isahluko 58.