Hydronephrosis chirwere chinoratidzirwa nekuwedzera kwechirwere chekuunganidza hutsvo hwetsvo, uko kune kutyora kwekubuda kwemuti, kuwedzera kwehydrostatic pressure. Mutsanangudzo yakajeka, itsvo dzinosanganisira pelvis uye calyx, iyo inoumba urongwa hwekuunganidza, uko urini inowedzera. Kana zvikaitika kana dutu remvura iri kupfuura chikamu chinogamuchirwa, maryx uye mapepa achazununguka . Chirwere ichi chinoitika kune vose nevakuru. Tichataura nezve hydronephrosis yeitsvo muzvitsva.
Zvinokonzera, zviratidzo uye zviratidzo zve hydronephrosis muzvitsva
Mukati, hydronephrosis is congenital uye inowanikwa. Kana vari vana, zvikurukuru vana vaduku, vane hydronephrosis kazhinji innate. Zvinokonzerwa ne congenital hydronephrosis mumucheche zvinokanganisa muurongwa hwetsvo kana midziyo yavo panguva yekukura kwekuberekwa, kureva:
- nzvimbo isina kunaka ye ureter;
- kuderera kwemuviri;
- kuumbwa kwechimwe chigadzirwa chemvura, chinoputira ureter, uye nokudaro chinodzivirira kubuda kwemuti.
Hydronephrosis imwe-yakatarisana, apo imwe tsvudzi inokanganiswa, uye inowirirana, iyo inobuda mumuguta inoputika munhengo mbiri. Chiyero chekuvandudzwa kwechirwere chinoparadzaniswa:
- hydronephrosis 1 degree muchechecheche inoratidzirwa nekuwedzera kwemafuro, kuchengetedzwa kwehutendeka hweparenchyma nekuchengetedzwa kwepfungwa yepimpure;
- ne hydronephrosis ye2 degrees muchecheche, pane kuwedzera kwehukuru hwetsvo, kuwedzera kukuru kwemapapiro, kukuvadza kweparenchyma, uye kuderera kwekuita basa rekuita 40%;
- hydronephrosis ye 3rd degree muzvitsva zvinoratidzwa neatrophy ye parenchyma, kuwedzera kunoonekwa mukati meitsvo, uye kuderera kwemaitiro ekudemba kunosvika 80%, kana kunyange kusavapo kwayo.
Zviratidzo zveyiyo hydronephrosis muzvitsva zvinosanganisira:
- kusvibiswa kweropa mumuguta;
- kuwedzera kweeukocytes mumugini;
- kuwedzera mukushisa;
- kurwadziwa kana uchibhururuka.
Hydronephrosis yeinso muchechecheche: kurapwa
Kurapwa kwehutano kunoenderana nehuwandu hwekuvandudzwa kwayo. Pa 1 degree, nguva dzose ultrasound uye kuongororwa mune urologist yevana zvinodiwa. Pa2 digiro yepimpure hydronephrosis, kurapwa kunobva pane simba rekukura kwomwana - rakanaka kana risina kunaka. Kana chirwere chikazara uye chetatu chechirwere, kupindira kwekuvhiya kunokosha.
Kushandisa kwepimpure hydronephrosis mumucheche kunoitwa, sekutonga, nenzira yekupedzisira, apo mune chikamu chakanaka hapana chidikanwi.