Zifukwa za 6 Zowawa za Impso Zoyenera: Zizindikiro ndi Chithandizo

Zamkati

• Matenda a Urinary tract (UTI)
• Chithandizo
• Miyala ya impso
• Chithandizo
• Kupwetekedwa mtima
• Chithandizo
• Matenda a impso a Polycystic (PKD)
• Chithandizo
• Matenda a m'mitsempha (RVT)
• Chithandizo
• Khansa ya impso
• Chithandizo
• Nthawi yoti muwonane ndi dokotala
• Kutenga

Impso zanu zili kumbuyo kwa dera lanu lakumtunda pansi pa nthiti zanu. Muli ndi mbali zonse ziwiri za msana wanu. Chifukwa cha kukula komanso chiwindi cha chiwindi chako, impso zako zakumanja zimakhala pansi pang'ono kuposa kumanzere.

Zinthu zambiri zomwe zimayambitsa kupweteka kwa impso (impso) zimakhudza impso imodzi yokha. Zowawa m'dera la impso yanu yakumanja zitha kuwonetsa vuto la impso kapena zingayambitsidwe ndi ziwalo, minofu, kapena ziwalo zina za pafupi.

Pansipa pali zinthu 6 zomwe zimayambitsa kupweteka mu impso zanu zakumanja:

Pitirizani kuwerenga kuti mudziwe zomwe zingayambitse kupweteka kwa impso, komanso momwe nkhanizi zimapezedwera ndikuchiritsidwa.

Matenda a Urinary tract (UTI)

Zomwe zimayambitsidwa ndi mabakiteriya, koma nthawi zina zimayambitsidwa ndi bowa kapena mavairasi, UTI ndimatenda ofala.

Ngakhale nthawi zambiri zimakhudza m'munsi mkodzo (urethra ndi chikhodzodzo), amathanso kuphatikizira gawo lapamwamba (ureters ndi impso).

Ngati impso zanu zakhudzidwa, zizindikilo zimatha kuphatikizira izi:

• malungo akulu
• mbali ndi ululu wakumbuyo
• kuzizira ndi kunjenjemera
• kukodza pafupipafupi
• kulimbikira kukodza
• magazi kapena mafinya mumkodzo
• nseru ndi kusanza

Chithandizo

Monga mzere woyamba wa chithandizo cha UTIs, dokotala akhoza kupereka mankhwala opha tizilombo.

Ngati impso zanu zili ndi kachilombo (pyelonephritis), amatha kukupatsani mankhwala a fluoroquinolone. Ngati muli ndi UTI woopsa, dokotala wanu angakulimbikitseni kuti mupite kuchipatala ndi mankhwala opha tizilombo.

Miyala ya impso

Opangidwa mu impso zanu - nthawi zambiri kuchokera mumikodzo yambiri - miyala ya impso ndi yolimba yamchere ndi mchere.

Zizindikiro za miyala ya impso zitha kuphatikiza:

• ululu wammbali ndi kumbuyo
• kufunika kosalekeza kokodza
• kupweteka pokodza
• kukodza pang'ono
• mkodzo wamagazi kapena wamitambo
• nseru ndi kusanza

Chithandizo

Ngati mwala wa impso ndi wocheperako, ukhoza kudzidutsa wokha.

Dokotala wanu akhoza kupereka mankhwala opweteka komanso kumwa madzi okwanira 2 mpaka 3 patsiku. Angakupatseninso alpha blocker, mankhwala omwe amachepetsa ureter wanu kuti athandize mwalawo kudutsa mosavuta komanso mopweteka.

Ngati mwalawo ndi wokulirapo kapena wowononga, adokotala angakulimbikitseni njira zowopsa monga:

• Extracorporeal shock wave lithotripsy (ESWL). Njirayi imagwiritsa ntchito mafunde akumenyetsa kuphwanya mwala wa impso, wosavuta kudutsa.
• Percutaneous nephrolithotomy. Pochita izi, adotolo amachotsa mwalawo pogwiritsa ntchito ma telescope ang'ono ndi zida.
• Kukula. Munthawi imeneyi, adotolo amagwiritsa ntchito zida zapadera zomwe zimawalola kuti adutse mtsempha wanu ndi chikhodzodzo kuti atseke kapena kuswa mwalawo.

Kupwetekedwa mtima

Matenda a impso ndi kuvulala kwa impso kuchokera kwina.

Kupwetekedwa mwadzidzidzi kumayambitsidwa ndi zovuta zomwe sizilowa pakhungu, pomwe zoopsa zolowera ndikuwonongeka komwe kumachitika chifukwa cha chinthu cholowa m'thupi.

Zizindikiro zakusokonekera ndi hematuria ndi mabala m'dera la impso. Zizindikiro zakupsa koopsa ndi bala.

Zovuta zamkati zimayesedwa pamiyeso kuyambira 1 mpaka 5, pomwe grade 1 imakhala yovulala pang'ono ndipo grade 5 impso yomwe idasweka ndikudulidwa pakupewa magazi.

Chithandizo

Zowopsa zambiri za impso zitha kusamalidwa popanda kuchitidwa opareshoni, kuthana ndi zovuta zina zomwe zingachitike chifukwa chakusokonekera komanso kuthamanga kwa magazi.

Dokotala wanu amathanso kukupatsani chithandizo chamankhwala ndipo, kawirikawiri, kuchitidwa opaleshoni.

Matenda a impso a Polycystic (PKD)

PKD ndi matenda amtundu womwe amadziwika ndi masango amadzimadzi omwe amadzaza impso zanu. Mtundu wa matenda a impso, PKD amachepetsa kugwira kwa impso ndipo amatha kuyambitsa impso.

Zizindikiro za PKD zitha kuphatikiza:

• kupweteka kumbuyo ndi m'mbali
• hematuria (magazi mumkodzo)
• impso miyala
• Zovuta zamatenda amtima
• kuthamanga kwa magazi

Chithandizo

Popeza palibe mankhwala a PKD, dokotala wanu adzakuthandizani kuthana ndi vutoli pochiza zizindikiro.

Mwachitsanzo, ngati chimodzi mwazizindikirozo ndi kuthamanga kwa magazi, atha kupereka kusintha kwa zakudya, pamodzi ndi angiotensin II receptor blockers (ARBs) kapena angiotensin-converting enzyme (ACE) inhibitors.

Pa matenda a impso amatha kupereka mankhwala opha tizilombo.

Mu 2018, a FDA adavomereza tolvaptan, mankhwala ochizira matenda a impso otchedwa autosomal polycystic (ADPKD), mawonekedwe a PKD omwe amakhala pafupifupi 90% ya milandu ya PKD.

Matenda a m'mitsempha (RVT)

Mitsempha yanu iwiri ya impso imatenga magazi omwe ataya mpweya kuchokera ku impso zanu kupita kumtima wanu. Ngati magazi amatuluka m'modzi kapena onse awiri, amatchedwa a renal vein thrombosis (RVT).

Matendawa ndi osowa kwambiri. Zizindikiro zake ndi izi:

• kupweteka kwa msana
• hematuria
• Kuchepetsa mkodzo kutulutsa

Chithandizo

Malinga ndi a, RVT imadziwika kuti ndi chizindikiro cha vuto, makamaka nephrotic syndrome.

Nephrotic syndrome ndimatenda a impso omwe amadziwika kuti thupi lanu limatulutsa mapuloteni ochulukirapo. Ngati RVT yanu ndi zotsatira za mankhwala a nephrotic syndrome dokotala angakulimbikitseni:

• mankhwala a kuthamanga kwa magazi
• mapiritsi amadzi, mankhwala ochepetsa mafuta m'thupi
• oonda magazi
• chitetezo cha mthupi-kupondereza mankhwala

Khansa ya impso

Khansara ya impso nthawi zambiri sakhala ndi zizindikilo mpaka pambuyo pake. Zizindikiro zamtsogolo zimaphatikizapo:

• kupweteka kosalekeza komanso kumbuyo
• hematuria
• kutopa
• kusowa chilakolako
• kuonda kosadziwika
• malungo apakatikati

Chithandizo

Opaleshoni ndiyo njira yoyamba yothandizira khansa zambiri za impso:

• nephrectomy: impso yonse imachotsedwa
• tsankho nephrectomy: chotupacho chimachotsedwa mu impso

Dokotala wanu amatha kusankha opaleshoni yotseguka (kamodzi kokha) kapena opaleshoni ya laparoscopic (zingapo zazing'ono).

Mankhwala ena a khansa ya impso ndi awa:

• chithandizo chamankhwala ndi mankhwala monga aldesleukin ndi nivolumab
• chithandizo chothandizira ndi mankhwala monga cabozantinib, sorafenib, everolimus, ndi temsirolimus
• mankhwala a radiation ndimitengo yamagetsi yamphamvu kwambiri monga X-ray

Nthawi yoti muwonane ndi dokotala

Ngati mukumva kupweteka kosalekeza pakati panu mpaka kumbuyo kapena mbali, onani dokotala wanu. Litha kukhala vuto la impso lomwe, popanda chidwi, lingawononge impso zanu.

Nthawi zina, monga matenda a impso, zimatha kubweretsa zovuta zowopsa pamoyo.

Kutenga

Ngati mukumva kupweteka kwa impso zanu zakumanja, zimatha kuyambitsidwa ndi vuto la impso, monga matenda amkodzo kapena mwala wa impso.

Kupweteka kwa impso zanu zakumanja kungayambitsenso chifukwa cha zachilendo monga renal vein thrombosis (RVT) kapena matenda a impso ya polycystic (PKD).

Ngati mukumva kupweteka kosalekeza m'dera la impso, kapena ngati kupweteka kukukulirakulira, kapena kusokoneza zochitika zanu za tsiku ndi tsiku, pitani kuchipatala kuti akuthandizeni kupeza chithandizo chamankhwala.