I-JUP stenosis: yintoni, izizathu kunye nonyango

Umxholo

• Iimpawu eziphambili
• Yintoni ebangela iJUP stenosis
• Unyango lwenziwa njani
• Ngaba kunokwenzeka ukuba ukhulelwe?

Uretero-pelvic junction (JUP) stenosis, ekwabizwa ngokuba kukuphazamiseka kwendlela ye-pyeloureteral junction, kukuphazamiseka kwendlela yokuchama, apho iqhekeza le-ureter, ijelo elithwala umchamo kwizintso ukuya kwisinyi, lincinci kunesiqhelo, ibangela ukuba umchamo ungahambi ngokufanelekileyo kwisinyi, uqokelele kwizintso.

I-JUP ihlala ifunyaniswa nokuba ikhulelwe okanye emva nje kokuzalwa njengemeko yokuzalwa, evumela ukuba unyango olufanelekileyo lwenziwe ngokukhawuleza, kwaye kunciphise amathuba okugcwalisa izintso, kwaye ngenxa yoko ukuphulukana nomsebenzi wezintso.

Ezinye zeempawu ze-JUP stenosis zibandakanya ukudumba, iintlungu kunye nosulelo oluphindaphindeneyo lomchamo, olunokuthi lukhokelele kwiimeko ezimandundu ukulahleka kwezintso ezichaphazelekayo, yiyo loo nto unyango olucetyiswayo lutyando.

Iimpawu eziphambili

Iimpawu zeJUP stenosis zinokubonakala ebuntwaneni, nangona kunjalo akuqhelekanga ukuba bazibonakalise kwinqanaba lokufikisa okanye ebudaleni. Iimpawu eziqhelekileyo zingaba:

• Ukudumba kwelinye icala lesisu okanye ngasemva;
• Ukuyilwa kwamatye ezintso;
• Ukusuleleka kwintsholongwane;
• Ubuhlungu kwelinye icala lomqolo;
• Uxinzelelo lwegazi;
• Igazi kumchamo.

Ukuqinisekiswa kokukrokrelwa kwe-JUP kwenziwa ngovavanyo lwe-imaging, olunje nge-renal scintigraphy, i-X-ray kunye nee-ultrasound, ezisetyenziselwa ukwahlula phakathi kokuphazamiseka okukhulu, xa umchamo ungenakudlula usuke kwizintso uye kwisinyi kwaye ufuna ukulungiswa kotyando, ukunyuka kwe-renal pielocalicial, kukudumba kwezintso umzekelo, apho utyando lungaboniswanga. Khangela ukuba yintoni i-pyelocalyal dilation kunye nendlela unyango olwenziwe ngayo.

Kwimeko yokurhanelwa kweJUP, kubalulekile ukuba ubone ugqirha wezono, njengoko ukulibaziseka ekufumanekeni kunokukhokelela ekuphulukaneni nezintso ezichaphazelekayo.

Yintoni ebangela iJUP stenosis

Oonobangela beJUP stenosis abaziwa, kodwa kwiimeko ezininzi yingxaki yokuzalwa, oko kukuthi, umntu uzalwa enjalo. Nangona kunjalo, zikho izizathu zokuthintelwa kweJUP ezinokubangelwa ngamatye ezintso, amahlwili egazi kwi-ureter okanye kwi-schistosomiasis, umzekelo.

Kwiimeko ezinqabileyo, isizathu se-stenosis sinokubangelwa kukuqaqanjelwa sisisu, njengokuvuthuza, okanye iingozi ezibandakanya ifuthe elikhulu kuloo mmandla.

Unyango lwenziwa njani

Unyango lwe-JUP stenosis lwenziwa ngotyando olubizwa ngokuba yi-pieloplasty, kwaye lujolise ekubuyiseleni kwakhona ukuhamba okuqhelekileyo komchamo phakathi kwezintso kunye ne-ureter. Olu tyando luthatha iiyure ezimbini, kusetyenziswa i-anesthesia ngokubanzi, emva kweentsuku ezintathu zokulaliswa esibhedlele umntu angabuyela ekhaya, kwaye kwiimeko ezininzi izintso ziyakwazi ukuphola kumonzakalo owenzileyo.

Ngaba kunokwenzeka ukuba ukhulelwe?

I-JUP stenosis ayichaphazeli ukuchuma, ngenxa yoko kunokwenzeka ukuba ukhulelwe. Nangona kunjalo, kufuneka ujonge inqanaba lokonzakala kwezintso, ukuba ngaba umfazi unoxinzelelo oluphezulu lwegazi okanye ukuba amanqanaba eproteinuria aphezulu. Ukuba la maxabiso atshintshiwe, kukho umngcipheko omkhulu wokukhulelwa, njengokuzalwa ngaphambi kwexesha okanye ukusweleka komama, kwaye ngenxa yesi sizathu ukukhulelwa kunokucetyiswa ngokuchasene nengcali yezengqondo.