Yintoni i-pyelocalyal dilation kunye nendlela yokuchonga

Umxholo

• Zintoni izizathu
• Uqinisekisa njani
• Unyango lwenziwa njani

I-Pyelocalyal dilation, ekwabizwa ngokuba yi-ectasia ye-renal chalices okanye eyandisiweyo yezintso, ibonakaliswa ngokwanda kwenxalenye yangaphakathi yezintso. Lo mmandla waziwa njenge-renal pelvis, njengoko ubunjwe ngefaneli kwaye unomsebenzi wokuqokelela umchamo uwuse kwi-ureters nakwisinyi, njengoko kubonisiwe kulo mzobo.

Olu dilation ludla ngokwenzeka ngenxa yoxinzelelo oluphezulu kumchamo ngenxa yokuvaleka kwinqanaba lokuchama, elinokubangelwa kukukhubazeka kulwakhiwo lomchamo, oqheleke kakhulu ebantwaneni, okanye ziimeko ezinje ngamatye, ii-cysts , amathumba okanye usulelo olukhulu lwezintso, olunokuthi lwenzeke nakubantu abadala. Olu tshintsho alusoloko lubangela iimpawu, kodwa iintlungu esiswini okanye utshintsho ekuchameni, umzekelo, lunokuvela.

I-Pyelocalyal dilation, ekwabizwa ngokuba yi-hydronephrosis, inokufunyanwa ngovavanyo lwe-imaging yommandla, njenge-ultrasound, enokubonisa inqanaba lokuthamba, ubungakanani bezintso kwaye nokuba ubungakanani bayo bubangela uxinzelelo kwizicubu zezintso. I-Pyelocalytic dilation ngasekunene ihlala iphindaphindeka, kodwa inokwenzeka nakwintso yasekhohlo, okanye kwizintso zombini, ibe ngamazwe amabini.

Ukunyuka kwePyelocalyal

Zintoni izizathu

Kukho izizathu ezininzi zokuthintela ukuhamba komchamo ngenkqubo ye-pyelocalytic, kwaye ezona ziphambili zezi:

Unobangelai-pyelocalyal dilation kwimveku, akukacaci kwaye, kumaxesha amaninzi, kuye kuthi shwaka emva kokuba umntwana ezelwe. Nangona kunjalo, kukho iimeko ezibangelwa kukhubazeko lwe-anatomical kwindlela yokuchama yomntwana, ezizezona zimbi iimeko.

Inkqubo ye- i-pyelocalyal dilation kubantu abadala oko kwenzeka ngesiqhelo ngenxa yamatyungu, amatye, amaqhuqhuva okanye umhlaza kummandla wezintso okanye kwindawo yokubola, ekhokelela ekuvaleni kokuhamba komchamo kunye nokuqokeleleka kwawo, kubangele ukwanda kwethambo le-renal. Jonga ezinye izizathu kunye nendlela yokuchonga kwi-Hydronephrosis.

Uqinisekisa njani

Ukunyuka kwe-Pyelocalocial kungafunyanwa ngoviwo lwe-ultrasound okanye kwi-ultrasound yenkqubo yezintso. Ngamanye amaxesha, ukuxilongwa kunokufunyanwa kusana ngelixa lisesibelekweni sikanina, kwiimviwo zesiqhelo ze-ultrasound, kodwa kuhlala kuqinisekiswa emva kokuba umntwana ezelwe.

Olunye uvavanyo olunokuthi luboniswe kuvavanyo luchwechwe ngokungaxutywanga, urinary urethrography okanye i-renal scintigraphy, umzekelo, ezinokuthi zivavanye ezinye iinkcukacha ze-anatomy kunye nokuhamba komchamo ngokusebenzisa umchamo. Qonda indlela eyenziwa ngayo kunye nezikhombisi ze-excretory urography.

Unyango lwenziwa njani

Unyango lwe-pyelocalytic dilation kumntwana osanda kuzalwa luxhomekeke kubungakanani bokuthamba. Xa i-dilation ingaphantsi kwe-10 mm, umntwana ufuna kuphela ukuba nee-ultrasound ezininzi kugqirha wabantwana ukulawula uguquko lwayo, njengoko ukwanda kuthambekele ekunyamalaleni ngesiqhelo.

Xa i-dilation ingaphezulu kwe-10 mm, unyango lwenziwa ngamayeza okubulala iintsholongwane amiselwe ngugqirha wabantwana. Kwiimeko ezinzima kakhulu, apho i-dilation ingaphezulu kwe-15 mm, utyando luyacetyiswa ukulungisa unobangela wokwehla.

Kubantu abadala, unyango lwe-pyelocalyal dilation lunokwenziwa ngamayeza amiselwe ngugqirha we-urologist okanye we-nephrologist, kwaye utyando lunokuba yimfuneko, ngokwesifo sezintso esibangele ukwanda.