Kulephera kwa uropathy

Kulepheretsa uropathy ndi vuto lomwe mkodzo umatsekedwa. Izi zimapangitsa kuti mkodzo ubwerere m'mbuyo ndikuvulaza impso imodzi kapena zonse ziwiri.

Kulephera kwa uropathy kumachitika pamene mkodzo sungathe kupyola mkodzo. Mkodzo umabwerera mu impso ndipo umayambitsa kutupa. Matendawa amadziwika kuti hydronephrosis.

Kulephera kwa uropathy kumatha kukhudza impso imodzi kapena zonse ziwiri. Zitha kuchitika modzidzimutsa, kapena kukhala vuto lalitali.

Zomwe zimayambitsa kusokonekera kwa uropathy ndi monga:

• Miyala ya chikhodzodzo
• Miyala ya impso
• Benign prostatic hyperplasia (prostate wokulitsa)
• Khansa yapamwamba ya prostate
  
• Chikhodzodzo kapena khansa ya m'mimba
• Khansa ya m'matumbo
• Khansara ya chiberekero kapena chiberekero
• Khansara yamchiberekero
• Khansa iliyonse yomwe imafalikira
• Minofu yotupa yomwe imapezeka mkati kapena kunja kwa ureters
• Minofu yotupa yomwe imapezeka mkati mwa urethra
• Mavuto ndi mitsempha yomwe imapereka chikhodzodzo

Zizindikiro zimadalira kuti vuto limayamba pang'onopang'ono kapena modzidzimutsa, ndipo ngati impso imodzi kapena zonse ziwiri zikukhudzidwa. Zizindikiro zimaphatikizapo:

• Kupweteka kochepa mpaka pambali. Ululu ukhoza kumveka mbali imodzi kapena mbali zonse ziwiri.
• Malungo.
• Nseru kapena kusanza.
• Kulemera kapena kutupa (edema) kwa impso.

Muthanso kukhala ndi vuto kudutsa mkodzo, monga:

• Limbikitsani kukodza pafupipafupi
• Kuchepetsa mphamvu yamtsinje kapena kuvuta kukodza
• Kuyendetsa mkodzo
• Osamverera ngati kuti chikhodzodzo chatulutsidwa
• Muyenera kukodza nthawi zambiri usiku
• Kuchepetsa mkodzo
• Kutuluka kwa mkodzo (kusadziletsa)
• Magazi mkodzo

Wothandizira zaumoyo wanu adzaitanitsa maphunziro ogwira ntchito kapena ojambula kuti azindikire kulephera kwamitsempha. Mayesero omwe amagwiritsidwa ntchito nthawi zambiri amaphatikizapo:

• Ultrasound pamimba kapena m'chiuno
• CT scan pamimba kapena m'chiuno
• Mitsempha yotchedwa pyelogram (IVP)
• Kutulutsa cystourethrogram
• Kusintha kwanyukiliya
• MRI
• Mayeso a Urodynamic
• Zojambulajambula

Mankhwala angagwiritsidwe ntchito ngati chifukwa chake ndi chokulitsa prostate.

Kutsekemera kapena zitsime zomwe zimayikidwa mu ureter kapena mu gawo la impso zotchedwa a renal pelvis zimatha kupereka kupumula kwakanthawi kwa zizindikilo.

Machubu a Nephrostomy, omwe amatulutsa mkodzo kuchokera ku impso kudzera kumbuyo, atha kugwiritsidwa ntchito kupyola kutsekeka.

Catheter ya Foley, yoikidwa kudzera mu mtsempha kulowa mu chikhodzodzo, imathandizanso kuti mkodzo utuluke.

Kutha kwakanthawi kochepa kuchokera kutchinga kumatheka popanda opaleshoni. Komabe, chifukwa cha kutsekeka kuyenera kuchotsedwa ndikukonzanso kwamikodzo. Kuchita opaleshoni kungafunike kuti muchepetse vuto la nthawi yayitali.

Impso zingafunike kuchotsedwa ngati kutsekeka kumapangitsa kuti ntchito iwonongeke kwambiri.

Ngati kutsekeka kungachitike modzidzimutsa, kuwonongeka kwa impso kumakhala kovuta ngati vutoli lapezeka ndikukonzedwa nthawi yomweyo. Nthawi zambiri, kuwonongeka kwa impso kumatha. Kuwonongeka kwanthawi yayitali kwa impso kumatha kuchitika ngati kutsekeka kulipo kwanthawi yayitali.

Ngati impso imodzi yokha yawonongeka, mavuto a impso osakhalitsa sakhala ochepa.

Mungafunike dialysis kapena kumuika impso ngati kuli kuwonongeka kwa impso zonse ndipo sizigwira ntchito, ngakhale kutseka kukakonzedwa.

Kulephera kwa uropathy kumatha kuwononga impso mpaka kalekale komanso kuwononga impso, zomwe zimayambitsa impso.

Ngati vutoli lidayamba chifukwa chotseka chikhodzodzo, chikhodzodzo chitha kuwonongeka kwakanthawi. Izi zitha kubweretsa mavuto kutulutsa chikhodzodzo kapena kutuluka kwamkodzo.

Kuletsa kwamitsempha yolumikizana kumalumikizidwa ndi mwayi wapamwamba wopatsirana kwamikodzo.

Itanani omwe akukuthandizani ngati muli ndi zododometsa.

Kulephera kwa uropathy kumatha kupewedwa pochiza zovuta zomwe zingayambitse.

Uropathy - zosokoneza

• Catheterization ya chikhodzodzo - chachikazi
• Catheterization ya chikhodzodzo - wamwamuna
• 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.