Impso chotupa: ndi chiyani, zizindikiro ndi momwe mankhwala amathandizira

Zamkati

• Zizindikiro ndi zizindikilo
• Gulu la ma cysts
• Momwe mankhwalawa amachitikira
• Impso chotupa chingakhale khansa?
• Chotupa cha impso cha ana

Chotupa cha impso chimafanana ndi thumba lodzaza madzi lomwe nthawi zambiri limakhala mwa anthu opitilira 40 ndipo, likakhala laling'ono, silimayambitsa matenda ndipo silikhala pachiwopsezo kwa munthuyo. Pankhani ya zotupa zovuta, zokulirapo komanso zingapo, magazi amatha kuwoneka mkodzo ndi kupweteka kwa msana, mwachitsanzo, ndipo amayenera kukakamizidwa kapena kuchotsedwa mwa opaleshoni malinga ndi zomwe a nephrologist adalangiza.

Chifukwa chosowa kwa zizindikilo, makamaka ngati cyst yosavuta, anthu ena amatha zaka zingapo osadziwa kuti ali ndi chotupa cha impso, akungopezeka pamayeso wamba, monga ultrasound kapena computed tomography, mwachitsanzo.

Zizindikiro ndi zizindikilo

Pamene chotupa cha impso chili chochepa, nthawi zambiri sichimayambitsa zizindikiro. Komabe, pankhani ya zotupa zazikulu kapena zovuta, zosintha zina zamankhwala zitha kuzindikirika, monga:

• Ululu wammbuyo;
• Pamaso pa magazi mu mkodzo;
• Kuchuluka kwa magazi;
• Matenda opitilira mkodzo pafupipafupi.

Matenda a impso osavuta nthawi zambiri amakhala oopsa ndipo munthuyo amatha kupyola moyo osadziwa kuti ali nawo chifukwa chosowa kwa zizindikilo, amangopezeka pakuyesedwa kwamayendedwe.

Zizindikiro za zotupa za impso zitha kuwonetsanso zinthu zina zomwe zingayambitse kuwonongeka kwa impso. Yesani kuti muwone ngati mukusintha impso:

1. 1. Kulimbikitsidwa pafupipafupi kukodza
2. 2. Kodzerani pang'ono pokha
3. 3. Kumva kupweteka pansi pamsana kapena m'mbali mwanu
4. 4. Kutupa kwa miyendo, mapazi, mikono kapena nkhope
5. 5. Kuyabwa thupi lonse
6. 6. Kutopa kwambiri popanda chifukwa
7. 7. Zosintha mtundu ndi fungo la mkodzo
8. 8. Pamaso pa thovu mkodzo
9. 9. Kuvuta kugona kapena kugona bwino
10. 10. Kutaya chakudya ndi kukoma kwachitsulo mkamwa
11. 11. Kumva kupsinjika m'mimba mukakodza

Gulu la ma cysts

Chotupa cha impso chitha kusankhidwa malinga ndi kukula kwake ndi zomwe zili mkati:

• Bosniak Woyamba, yomwe imayimira chotupa chosavuta komanso chosaopsa, nthawi zambiri chimakhala chaching'ono;
• Bosniak Wachiwiri, yomwe ndiyabwino, koma ili ndi septa ndi ma calcification mkati;
• Gawo lachiwiri la Bosniak, yomwe imadziwika ndi kupezeka kwa septa yambiri komanso yoposa 3 cm;
• Bosniak III, momwe chotupacho chimakulirakulira, chimakhala ndi makoma akuda, ma septa angapo komanso zinthu zowirira mkati;
• Bosniak Wachinayi, ndi zotupa zomwe zimakhala ndi khansa ndipo ziyenera kuchotsedwa zikangodziwika.

gulu limapangidwa molingana ndi zotsatira za computed tomography ndipo chifukwa chake nephrologist amatha kusankha chithandizo chomwe chiwonetsedwe pamilandu iliyonse. Onani momwe zimachitikira komanso momwe mungakonzekerere kuwerengera tomography.

Momwe mankhwalawa amachitikira

Chithandizo cha aimpso chotupa chimachitika molingana ndi kukula ndi kuuma kwa chotupacho, kuphatikiza pazizindikiro zoperekedwa ndi wodwalayo. Pankhani yama cyst yosavuta, kungotsatira nthawi ndi nthawi kungakhale kofunikira kuti muwone kukula kapena zizindikilo.

Pakakhala kuti ma cyst amakhala akulu ndipo amayambitsa zizindikilo, nephrologist angalimbikitse kuchotsa kapena kuchotsa chotupacho kudzera mu opaleshoni, kuphatikiza pakugwiritsa ntchito zowawa zochepetsera mankhwala ndi maantibayotiki, omwe nthawi zambiri amawonetsedwa asanachitike kapena pambuyo pa opaleshoni.

Impso chotupa chingakhale khansa?

Impso chotupa si khansa, kapena khansa. Zomwe zimachitika ndikuti khansa ya impso imawoneka ngati chotupa chovuta cha impso ndipo imatha kuzindikirika molakwika ndi dokotala. Komabe, mayesero monga computed tomography ndi kujambula kwa maginito angathandize kusiyanitsa chotupa cha impso ndi khansa ya impso, yomwe ndi matenda awiri osiyana. Pezani zomwe ndizizindikiro zodziwika bwino za khansa ya impso.

Chotupa cha impso cha ana

Mitsempha ya impso ya mwana imatha kukhala yachilendo ikawoneka yokha. Koma ngati chotupa chimodzi chimadziwika mu impso za mwana, chitha kukhala chisonyezo cha Matenda a Impso a Polycystic, omwe ndi matenda amtundu ndipo ayenera kuyang'aniridwa ndi nephrologist kuti apewe zovuta zomwe zingachitike. Nthawi zina, matendawa amatha kupezeka ngakhale atakhala ndi pakati kudzera pa ultrasound.