Hydronephrosis ya impso imodzi

Hydronephrosis ndikutupa kwa impso imodzi chifukwa chobwezera mkodzo. Vutoli limatha kupezeka mu impso imodzi.

Hydronephrosis (kutupa kwa impso) kumachitika chifukwa cha matenda. Si matenda omwewo. Zinthu zomwe zingayambitse hydronephrosis ndi monga:

• Kutsekeka kwa ureter chifukwa cha mabala omwe amayamba chifukwa cha matenda asanafike, maopaleshoni, kapena chithandizo chama radiation
• Kutsekedwa kuchokera pachiberekero chokulitsa panthawi yapakati
• Zolephera zoberekera m'mimba
• Kutuluka kwamkodzo kuchokera ku chikhodzodzo kupita ku impso, wotchedwa vesicoureteral reflux (kumatha kuchitika ngati chilema chobadwa kapena chifukwa cha kukula kwa prostate kapena kuchepa kwa mkodzo)
• Miyala ya impso
• Khansa kapena zotupa zomwe zimachitika mu ureter, chikhodzodzo, m'chiuno kapena pamimba
• Mavuto ndi mitsempha yomwe imapereka chikhodzodzo

Kutsekeka ndi kutupa kwa impso kumatha kuchitika modzidzimutsa kapena kumayamba pang'onopang'ono.

Zizindikiro zodziwika ndizo:

• Kumva kupweteka
• Mimba yam'mimba, makamaka kwa ana
• Nseru ndi kusanza
• Matenda a Urinary tract (UTI)
• Malungo
• Kupweteka kwamadzi (dysuria)
• Kuchulukitsa kwamikodzo
• Kuchulukitsa kwamkodzo

Nthawi zina, sipangakhale zizindikiro.

Vutoli limapezeka pamayeso ojambula monga:

• MRI ya pamimba
• Kujambula kwa CT impso kapena mimba
• Mitsempha yotchedwa pyelogram (IVP)
• Kusanthula impso
• Ultrasound cha impso kapena pamimba

Chithandizo chimadalira chifukwa cha kutupa kwa impso. Chithandizo chingaphatikizepo:

• Kuyika kachubu kudzera mu chikhodzodzo ndi ureter kulola mkodzo kutuluka kuchokera ku impso kupita m'chikhodzodzo
• Kuyika chubu mu impso kudzera pakhungu, kuloleza mkodzo wotsekedwa kutuluka mthupi ndikutenga thumba
• Maantibayotiki opatsirana
• Opaleshoni kuti athetse kutsekeka kapena Reflux
• Kuchotsa mwala uliwonse womwe ukupangitsa kutchinga

Anthu omwe ali ndi impso imodzi, omwe ali ndi vuto la chitetezo cha mthupi monga matenda ashuga kapena kachilombo ka HIV, kapena omwe adamuyika amafunika chithandizo nthawi yomweyo.

Anthu omwe ali ndi hydronephrosis a nthawi yayitali angafunike maantibayotiki kuti athetse ngozi ya UTI.

Kutaya ntchito ya impso, UTI, ndi kupweteka kumatha kuchitika ngati vutoli silingalandiridwe.

Ngati hydronephrosis sichithandizidwa, impso zomwe zakhudzidwa zitha kuwonongekeratu. Kulephera kwa impso ndikosowa ngati impso zina zikugwira ntchito bwino. Komabe, kulephera kwa impso kumachitika ngati pali impso imodzi yokha yogwira ntchito. UTI ndi ululu zitha kuchitika.

Itanani okhudzana ndi zaumoyo wanu ngati mukumva kupweteka m'mbali, kapena malungo, kapena ngati mukuganiza kuti mutha kukhala ndi hydronephrosis.

Kupewa zovuta zomwe zimayambitsa vutoli kuzitchinjiriza kuti zisachitike.

Hydronephrosis; Matenda hydronephrosis; Pachimake hydronephrosis; Kutsekeka kwamikodzo; Hydronephrosis yofanana; Nephrolithiasis - hydronephrosis; Impso mwala - hydronephrosis; Aimpso calculi - hydronephrosis; Chiberekero calculi - hydronephrosis; Reflux ya Vesicoureteral - hydronephrosis; Kulepheretsa uropathy - hydronephrosis

• Thirakiti lachikazi
• Njira yamkodzo wamwamuna

Frøkiaer J. Kutsekeka kwa kwamikodzo. Mu: Yu ASL, Chertow GM, Luyckx VA, Marsden PA, Skorecki K, Taal MW, olemba. Brenner ndi Rector a Impso. 11th ed. Philadelphia, PA: Elsevier; 2020: chap 37.

Gallagher KM, Hughes J. Kutsekeka kwa thirakiti. Mu: Feehally J, Floege J, Tonelli M, Johnson RJ, olemba. Chachikulu Chachipatala Nephrology. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier; 2019: chap 58.