I-Hydronephrosis yezinso yisifo lapho kukhona ukukhula okuqhubekayo kwe-pelal renal kanye ne-calyx ebangelwa ukuphulwa kokuphuma komchamo, ekugcineni kuholele ekutheni i-atrophy yezinyosi zezinso kanye nokuphazamiseka okukhulu emsebenzini womzimba.
Ukuhlukaniswa kwe-kidney hydronephrosis
Kunezigaba ezintathu ekuthuthukiseni lesi sifo:
- I-stage - kuphela i-renal pelvis ekhulisiwe, imisebenzi yezinso ayiphuli, noma ihlukunyezwa ibe yizinga elingenasidingo.
- Isigaba sesibili - izinso zanda ngo-15-20% uma kuqhathaniswa nokujwayelekile, izindonga ze-pelvis zincipha, futhi imisebenzi ye-muscle iphulwa. Umsebenzi wezintambo unciphile ngokuphawulekayo (ngo-20-40%).
- Isigaba sesithathu - izinso zanda izikhathi ezingu-1.5-2, umsebenzi wayo wehliswa ngamaphesenti angama-50%, kuze kube yilapho inqatshelwe izinso.
Ngokuya ngobukhulu bezilonda, i-parenchyma ye-renal ihlukanisa ama-degree amane wesifo:
- i-renal parenchyma ayithintekile;
- umonakalo omncane;
- umonakalo omkhulu;
- ukuqeda i-atrophy ye-renteryma ye-renal nokuhluleka kwe-renal.
Kuye ngokuthi isifo esisodwa sithintekile noma kokubili, i-hydronephrosis eyodwa-eyisihlangene nesezinhlangothi ezimbili ihlukaniswe.
Futhi, kuye ngokuthi imbangela, i-hydronephrosis ihlukaniswe ibe yi-congenital futhi itholakele. Lokhu kungabangelwa yi-urolithiasis, umonakalo emgqabeni we-urinary, izicubu ezihlukahlukene, i-dyskinesia ye-urinary tract.
Izimpawu ze-kidney hydronephrosis
I-Hydronephrosis ingaba nzima futhi ingapheli.
E-hydronephrosis ephawulekayo, izimpawu zisho kakhulu futhi zikhule ngokushesha. Esikhathini sokuqala sesi sifo (lapho i-parenchyma ingakonakali okwamanje, futhi umsebenzi wezinso awathintekile kakhulu), izimpawu zesifo esivusa i-hydronephrosis zibizwa kakhulu.
Uphawu oluyinhloko lwe-hydronephrosis lubuhlungu obunzima obuhlala bubuhlungu emhlane ongezansi, ubukhulu bawo abuxhomeki esikhathini sosuku. Ubuhlungu bungatholakala endaweni yangakwesokudla noma kwesobunxele, kuye ngokuthi iyiphi izinso ezithintekayo. Ezikhathini zokuqala zesifo, ubuhlungu bungabonakala ukuhlaselwa kwe-renal colic.
Ezinye izimpawu zingabandakanya:
- igazi emcimbini;
- isifiso esiningi sokuvuthwa ;
- ukuhlanzeka nokuhlanza;
- ukwandisa izinga lokushisa (uma kwenzeka ukutheleleka ngemuva kwesizinda se-hydronephrosis).
Ifomu elingapheli lesi sifo likhula kancane kancane futhi lingabonakali kahle. Isiguli singaphazanyiswa ubuhlungu obunzima obuhle ngezikhathi ezingezansi, ukuqinisa emva kokuphuza okuningi ketshezi, ubuthakathaka, ukukhathala, umfutho wegazi ophezulu .
Ezingxenyeni zokugcina zesifo, ukuvuvukala nokukhubazeka esifundeni se-lumbar, esinamahlombe, singabonwa.
Ukwelashwa kwe-hydronephrosis
Ukwelashwa kwe-hydronephrosis kwenziwa kuphela ngendlela yokuhlinzwa. Imithi yokwelashwa e-hydronephrosis yezinso ayisebenzi futhi isetshenziselwa ukunciphisa izimpawu zesifo nokuqinisa isimo sesiguli ngaphambi kokuhlinzwa.
Njengesimo esiphuthumayo, amanzi e-kidney ayenziwa kuleso sifo, lapho ukuqoqwa komchamo kususwe khona kwesikhumba ngesilwane esikhethekile, ngakho-ke ukucindezelwa kwezinso kuyancishiswa.
Ukungenelela kokuhlinzwa esimweni ngasinye kungumuntu ngamunye futhi kuxhomeke kulo
Okokuqala, ukusebenza nge-hydronephrosis kuhloswe ukubuyisela ukuphuma okujwayelekile komchamo nokukhipha isithiyo esibangele. Uma umsebenzi wezinso ungathinteki kakhulu, njengomthetho, ukuhlinzwa kweplastiki ye-renal pelvis (ukubuyiselwa kwesayizi yayo evamile) nokuhleleka kwenziwa, okuvumela umzimba ukuba usebenze kahle esikhathini esizayo. Esikhathini esilandelayo se-hydronephrosis, lapho izinso ziphela ukusebenza, ukwelashwa kwakhe akunakwenzeka, kusetshenziselwa ukususwa, ngoba kunokwenzeka ukuthi kunenkinga enkulu yokuvuvukala.