JUP stenosis: chomwe chiri, zoyambitsa ndi chithandizo

Zamkati

• Zizindikiro zazikulu
• Zomwe zimayambitsa JUP stenosis
• Momwe mankhwalawa amachitikira
• Kodi ndizotheka kutenga pakati?

Uretero-pelvic junction (JUP) stenosis, yomwe imadziwikanso kuti kutsekeka kwa mphambano ya pyeloureteral, ndikulepheretsa kwamikodzo, komwe chidutswa cha ureter, njira yomwe imanyamula mkodzo kuchokera ku impso kupita ku chikhodzodzo, ndi yopyapyala kuposa zachilendo, kuchititsa kuti mkodzo usayende bwino m'chikhodzodzo, kudzikundikira mu impso.

JUP nthawi zambiri imapezeka ngakhale panthawi yomwe ali ndi pakati kapena atangobadwa kumene chifukwa ndimakhalidwe obadwa nawo, omwe amalola kuti chithandizo choyenera chichitike mwachangu, komanso chimachepetsa mwayi wakuchulukitsa impso, ndipo chifukwa cha kuchepa kwa ntchito ya impso.

Zizindikiro zina za JUP stenosis zimaphatikizira kutupa, kupweteka komanso matenda opitilira mkodzo, omwe angapangitse kuti impso zikhudzidwe kwambiri, ndichifukwa chake chithandizo chovomerezeka ndi opaleshoni.

Zizindikiro zazikulu

Zizindikiro za JUP stenosis zitha kuwonekera paubwana, komabe sizachilendo kuti awonetse unyamata kapena ukalamba. Zizindikiro zofala kwambiri ndi izi:

• Kutupa mbali imodzi yamimba kapena kumbuyo;
• Mapangidwe a impso miyala;
• Matenda obwerezabwereza amikodzo;
• Ululu mbali imodzi kumbuyo;
• Matenda oopsa;
• Magazi mkodzo.

Chitsimikizo chakukayikira kwa JUP chimapangidwa ndi mayeso oyerekeza, monga renal scintigraphy, X-rays ndi ma ultrasound, omwe amagwiritsidwa ntchito kusiyanitsa kutsekeka kwakukulu, pomwe mkodzo sungadutse kuchokera ku impso kupita ku chikhodzodzo komanso zomwe zimafunikira kukonza kwa opaleshoni, kwa Kutsekemera kwaimpso kwapadera, komwe ndi kutupa kwa impso mwachitsanzo, kumene opaleshoni sikunasonyezedwe. Onetsetsani kuti kuchepa kwamatenda ndi momwe mankhwala amathandizira.

Ngati mukukayikira kuti JUP, ndikofunikira kukaonana ndi nephrologist, chifukwa kuchedwa kwa matendawa kumatha kudzetsa impso zomwe zakhudzidwa.

Zomwe zimayambitsa JUP stenosis

Zomwe zimayambitsa JUP stenosis sizikudziwika, koma nthawi zambiri limakhala vuto lobadwa nalo, ndiye kuti munthuyo amabadwa choncho. Komabe, pali zifukwa zina zolepheretsa JUP zomwe zingayambitsenso ndi miyala ya impso, magazi omwe ali mu ureter kapena schistosomiasis, mwachitsanzo.

Nthawi zambiri, chifukwa cha stenosis chitha kukhala chifukwa chakupwetekedwa m'mimba, monga nkhonya, kapena ngozi zomwe zimakhudza kwambiri m'derali.

Momwe mankhwalawa amachitikira

Chithandizo cha JUP stenosis chimachitika ndi opaleshoni yotchedwa pieloplasty, ndipo cholinga chake ndikubwezeretsanso mkodzo pakati pa impso ndi ureter. Kuchita opareshoni kumatenga maola awiri, mankhwala oletsa ululu amagwiritsidwa ntchito, atatha masiku pafupifupi atatu agonekedwa kuchipatala munthuyo amatha kubwerera kwawo, ndipo nthawi zambiri impso zimatha kuchira kuvulala komwe kudavulala.

Kodi ndizotheka kutenga pakati?

JUP stenosis samakhudza kubereka, chifukwa chake ndizotheka kutenga pakati. Komabe, m'pofunika kufufuza kuchuluka kwa impso, ngati mkazi ali ndi kuthamanga kwa magazi kapena ngati proteinuria ndiyokwera. Ngati izi zasinthidwa, pamakhala chiopsezo chachikulu pamavuto, monga kubadwa msanga kapena kufa kwa amayi, ndipo pachifukwa ichi mimba ingakulangizeni motsutsana ndi nephrologist.