Ukulimala - izintso kunye ne-ureter

Ukwenzakala kwezintso kunye nokuchaphazeleka komzimba ngumonakalo kumalungu okuphezulu komchamo.

Izintso zikwinqanaba lomlenze. Icala elingasemva ngumqolo wesisu esingaphezulu. Zikhuselwe ngumqolo, ubambo olusezantsi, kunye nezihlunu ezomeleleyo zomqolo. Le ndawo ikhusela izintso kwimikhosi emininzi yangaphandle. Izintso zikwangqongwe ngumaleko wamanqatha. Amafutha ayanceda ukuwaqinisa.

Izintso zinegazi elikhulu. Nakuphi na ukonzakala kubo, kunokukhokelela ekopheni kakhulu. Amacwecwe amaninzi e-padding anceda ukukhusela ukulimala kwezintso.

Izintso zinokwenzakala ngomonakalo kwimithambo yegazi ebonelelayo okanye eyoyikisayo, kubandakanya:

• Unyango
• Ukuvaleka kwemithambo
• I-fterula yentsholongwane
• I-vein vein thrombosis (ukuqina)
• Umonzakalo

Ukulimala kwezintso kunokubangelwa:

• I-Angiomyolipoma, ithumba elingenamhlaza, ukuba lide kakhulu
• Ukuphazamiseka ngokuzenzekelayo
• Isithintelo esivelisa isinyi
• Umhlaza wezintso, amalungu e-pelvic (amaqanda okanye isibeleko kubafazi), okanye ikholoni
• Seswekile
• Ukwakhiwa kweenkunkuma zomzimba ezifana ne-uric acid (enokuthi yenzeke nge-gout okanye unyango lomongo wethambo, i-lymph node, okanye ezinye iingxaki)
• Ukuboniswa kwezinto ezinobuthi ezifana nelothe, iimveliso zokucoca, i-solvents, i-fuels, i-antibiotics ethile, okanye ukusetyenziswa kwexesha elide kwamayeza eentlungu eziphezulu (i-analgesic nephropathy)
• Uxinzelelo lwegazi kunye nezinye iimeko zonyango ezichaphazela izintso
• Ukudumba okubangelwa ziimpendulo zomzimba wokuzikhusela kumayeza, usulelo, okanye ezinye iingxaki
• Iinkqubo zonyango ezinje nge-kidney biopsy, okanye i-nephrostomy tube placement
• Ureteropelvic junction yokuthintelwa
• Ukuphazamiseka kwethambo
• Amatye eentso

I-ureters yimibhobho ehambisa umchamo kwizintso ukuya kwisinyi. Ukulimala okungapheliyo kunokubangelwa ngu:

• Iingxaki ezivela kwiinkqubo zonyango
• Izifo ezinje nge-retroperitoneal fibrosis, i-retroperitoneal sarcomas, okanye umhlaza osasazeka kwii-lymph node kufutshane ne-ureters
• Isifo samatye sezintso
• Imitha yommandla wesisu
• Umonzakalo

Iimpawu ezingxamisekileyo zingabandakanya:

• Iintlungu zesisu kunye nokudumba
• Iintlungu ezinzima zeplanki kunye neentlungu zangasemva
• Igazi kumchamo
• Ukozela, ukunciphisa ukulumkisa, kubandakanya isiqaqa
• Ukunciphisa ukuphuma komchamo okanye ukungakwazi ukuchama
• Ifiva
• Ukunyuka kwentliziyo
• Isicaphucaphu, ukugabha
• Ulusu olumhlophe okanye olupholileyo xa uchukumiseka
• Ukubila

Iimpawu zexesha elide (ezingapheliyo) zinokubandakanya:

• Ukungondleki
• Igazi elonyukayo
• Ukungaphumeleli kwezintso

Ukuba inye kuphela intso echaphazelekayo kwaye ezinye izintso ziphilile, awunakuba nazimpawu.

Umboneleli wezempilo uyakukuvavanya. Bazise ngesigulo esisandula ukwenzeka okanye xa uthe wadibana nezinto eziyityhefu.

Uviwo lunokubonisa:

• Ukopha kakhulu (ukopha)
• Ukuthantamisa okugqithisileyo ngaphezulu kwezintso
• Umothuko, kubandakanya ukubetha kwentliziyo okukhawulezayo okanye uxinzelelo lwegazi
• Iimpawu zokusilela kwezintso

Uvavanyo olunokwenziwa lunokubandakanya:

• Ukuskena kwe-CT esiswini
• I-MRI yesisu
• I-ultrasound yesisu
• I-Angiography yomthambo wezintso okanye umthambo
• Ii-electrolyte zegazi
• Uvavanyo lwegazi ukujonga izinto ezinetyhefu
• Gcwalisa ubalo lwegazi (CBC)
• Ipyramogram efakwa ngaphakathi (IVP)
• Uvavanyo lwezintso
• Phinda ujonge ipyogramme
• I-X-ray yezintso
• Ukuskena ngokutsha
• Uhlalutyo lomchamo
• Isifundo se-Urodynamic
• Ukuhamba ngecystourethrogram

Iinjongo kukunyanga iimpawu zongxamiseko kunye nokuthintela okanye ukunyanga iingxaki. Kuya kufuneka uhlale esibhedlele.

Unyango lokulimala kwezintso lunokubandakanya:

• Ibhedi yokuphumla iiveki ezi-1 ukuya kwezi-2 okanye kude kuncitshiswe ukopha
• Vala ukujongwa kunye nonyango lweempawu zokusilela kwezintso
• Ukutshintsha kokutya
• Amayeza ukunyanga umonakalo obangelwe zizinto ezinetyhefu okanye ukugula (umzekelo, unyango lwe-chelation lwetyhefu okanye i-allopurinol yokunciphisa i-uric acid egazini ngenxa yegawuthi)
• Amayeza entlungu
• Ukuphelisa amayeza okanye ukuvezwa kwezinto ezinokulimaza izintso
• Iziyobisi ezinje nge-corticosteroids okanye ii-immunosuppressants ukuba ukwenzakala kubangelwa kukudumba
• Unyango lokungaphumeleli kwezintso

Ngamanye amaxesha, utyando luyafuneka. Oku kunokubandakanya:

• Ukulungisa "ukuqhekeka" okanye izintso ezikrazukileyo, imithambo yegazi ekrazukileyo, ureter ekrazukileyo, okanye ukwenzakala okufanayo
• Ukususa zonke izintso (nephrectomy), ukukhupha indawo ejikeleze izintso, okanye ukumisa ukuphuma kwegazi ngokusebenzisa i-arterial catheterization (angioembolization)
• Ukubeka i-stent
• Ukususa ukuvaleka okanye ukunciphisa isithintelo

Uqhuba kakuhle kangakanani kuxhomekeke kwisizathu kunye nobukrakra bokwenzakala.

Ngamanye amaxesha, izintso ziqala ukusebenza ngokufanelekileyo kwakhona. Ngamanye amaxesha, ukusilela kwezintso kuyenzeka.

Iingxaki zinokubandakanya:

• Ukusilela kwezintso ngesiquphe, enye okanye zombini izintso
• Ukopha (kunokuba kuncinci okanye kube nzima)
• Ukuqunjelwa kwezintso
• Ukusilela kwezintso okungapheliyo, enye okanye zombini izintso
• Usulelo (peritonitis, sepsis)
• Intlungu
• Umthambo we-renal stenosis
• Uxinzelelo lwegazi
• Umothuko
• Usulelo lwe-Urinary tract

Fowunela umnikezeli wakho ukuba uneempawu zokulimala kwizintso okanye ureter. Fowunela umnikezeli ukuba unembali ye:

• Ukubonakaliswa kwezinto ezinobuthi
• Isigulo
• Usulelo
• Ukwenzakala emzimbeni

Yiya kwigumbi likaxakeka okanye fowunela inombolo yongxamiseko yendawo (enje nge-911) ukuba wehlile ukuphuma komchamo emva kokulimala kwezintso. Oku kunokuba luphawu lokusilela kwezintso.

Unokunceda ukuthintela ukwenzakala kwizintso kunye ne-ureter ngokuthatha la manyathelo:

• Lumka izinto ezinokubangela ityhefu yelothe. Oku kubandakanya iipeyinti ezindala, umphunga ekusebenzeni ngesinyithi esigutyungelwe sisinyithi, kunye notywala obuchithwe kwiiradiyetha zemoto ezisetyenzisiweyo.
• Thatha onke amayeza akho ngokufanelekileyo, kubandakanywa nalawo uwathengayo ngaphandle kokuyalelwa ngugqirha (ekhawuntareni).
• Ukunyanga i-gout kunye nezinye izifo njengoko kuyalelwe ngumboneleli wakho.
• Sebenzisa izixhobo zokhuselo ngexesha lomsebenzi kunye nokudlala.
• Sebenzisa iimveliso zokucoca, izinyibilikisi, kunye namafutha njengoko kuyalelwe. Qiniseka ukuba indawo inomoya owaneleyo, kuba imiphunga nayo inokuba yityhefu.
• Bhinqa amabhanti uze uqhube ngokukhuselekileyo.

Umonakalo sezintso; Ukwenzakala kwezintso; Ukwenzakala kwezintso; Ukwenzakala kwezintso Izintso eziqhekekileyo; Ukwenzakala ukudumba kwezintso; Izintso eziqhekezayo; Ukwenzakala kwesisu; Ukusilela kwangaphambili kwezintso - ukwenzakala; Ukusilela emva kwezintso - ukwenzakala; Ukuphazamiseka kwezintso - ukwenzakala

• I-anatomy yezintso
• Izintso - ukuhamba kwegazi kunye nomchamo

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