Umdlavuza wesibeletho - izimpawu

Kwabesifazane, umdlavuza wesibeletho ungaphansi kokuphindwe izikhathi ezine kunamadoda. Akuzange kucaciswe ngokugcwele kuze kube manje, okuholela ekuthuthukiseni lesi sifo, kodwa kuye kwaxhunyaniswa nezifo ezithile nemiphumela eyandisa ingozi yesifo. Ezifweni ezingabangela umdlavuza, faka ukuvuvukala okungapheli kwesisu nesipiloma sesikhumba. Imiphumela ehambisana nokuthuthukiswa kwalesi sifo ihlanganisa umsebenzi nge-aniline amade, ukubhema.

Izimpawu zokuqala zomdlavuza wesibeletho

Izimpawu zalesi sifo zixhomeke esiteji senqubo yokwelapha. Ngendlela engahlosiwe yomdlavuza wesinye nesisindo sokuqala senqubo yokuhlasela (umdlavuza in situ), kungenzeka kube khona izimpawu nakancane, ngakho-ke kuyisinselele ukucacisa ukuthi ukuvuza komdlavuza kuqala kangakanani, ngoba izimpawu zingase zivele sezigaba eziphambili.

Ngendlela ehlaselayo yomdlavuza ongenayo emigqeni ejulile yodonga lwawo kanye nezicubu ezizungezile, kuncike ekutheni indawo yenzeke kanjani, futhi izibonakaliso zokuqala zomdlavuza wesisu zizovela ngokushesha uma inqubo iseduze namapulazi e-urethral noma urethral. Kulesi simo, umdlavuza wesibindi ubonakala njengokwephula ukuphuma komchamo kusuka ezinso noma kwesinye.

Izimpawu zomdlavuza wesibeletho

Uphawu oluyinhloko lomdlavuza wesisu luhlala e-hematuria. Igazi emcimbini onomdlavuza uvamise uketshezi, umbala omnyama, ukukhumbuza izintambo zenyama. Igazi kuqala livela ngamanani amancane, kaningi kangako ngendlela engcolile, ama-clots noma igazi elibomvu elisha, kodwa umdlavuza ubonakala ubude be-hematuria, engenakuhlinzekwa ukwelashwa.

Ezinye izimpawu ezivame ukuvela nge-hematuria zivame ukuvuthwa njalo, ngezinye izikhathi eziphuza ubuhlungu, isifiso sokuvuthwa njalo, ngokungena kwezindonga, izimpawu zokunciphisa umthamo wesifiso kungenzeka. Ngesinye isikhathi, kanye negazi, kukhona amaphuphu noma amafulegi anamafu emcinini. Ubuhlungu bomdlavuza abukona kuphela ngesikhathi sokuvuthwa - ngokuvamile ukudweba okuphazamisayo, ubuhlungu obuhlungu ku-pelvis encane, ukunikeza i-perineum, ku-coccyx nemilenze.

Uma umdlavuza ukhula ubukhulu obuningi odongeni nakwezinye izitho, i-fistula ingabonakala phakathi kwesinye isisu nesiswini, isisu noma isikhumba ngaphezu kwe-pubis, okuholela ezinkingeni ezinzima eziphuthumayo, ubuhlungu kanye nezimpawu ezingxenyeni zezitho lapho isikhumba sikhule khona.

Umdlavuza Ukudlulela kwezitho ezikude ahambisana izimpawu futhi kubo: metastases e lesifunda lymph node angase angayithandi indlela okusetshenziswa lymph ukugeleza emilenzeni, nge metastases ukuze kwesibindi Luvela ngezikhathi jaundice, ukusinda elingenhla quadrant kwesokudla futhi ukudakwa sithuthukiswe, metastases ku amashubhu bronchial kanye emaphashini kukhona ukukhwehlela, ukuphefumula kanye ne-hemoptysis.

Umdlavuza ngaso sonke isikhathi sihambisana nokwanda kokungabi izimpawu zokudakwa: kungenzeka lokuqala iyashaqisa ubuthakathaka, ngokuhudula ubuhlungu bemisipha, kukhona imfiva ongaphakeme-ebangeni, zonke ephelezelwa ukulahlekelwa okusheshayo ukudla kanye nesisindo. I kwamazinyo isimila izimpawu zokudakwa kakhulu iyakhula izitsha thromboembolism okungenzeka ezahlukene izitho zomzimba imikhiqizo isimila lysis ne izimpawu elihambisana. Futhi, uma isisu sifika phansi, ukuphuma kwegazi kungenzeka ngokubonakala kwesamba esikhulu segazi elisha kumchamo, ukwanda kwe-anemia nokushaqeka kwe-hypovolemic.

Ngenxa yokwephula ka outflow kusuka izinso ingase iqale ibonakale izimpawu of hydronephrosis (isiyaphuma ubuhlungu izinso), kanye ngekukhula lapho kubhujiswa lesi parenchyma zikhule futhi izimpawu nokwehluleka ukusebenza kwezinso: ukulunywa bese we isikhumba, umzimba zokuzikhukhumeza, ukuhlanza, ehle isamba excreted ngu ezinso umchamo ngelanga ngaphambi kwe-anuria.