Zvirwere zvetsvo uye urinary tract

Iroyi uye zvirwere zvekuvhenekera zvinotambura kubva kuhuwandu hwevakadzikadzi. Imwe ngozi ndeyekuti zvirwere zvisingaperi zvemuguta wemuguta pasina chirongwa chakakosha uye kugadziriswa kwematambudziko kunotungamirira kukura kwekukurumidza kwekushaya simba. Uye izvi, apo chirwere chacho chinopfuurira, chinoda kusarudzwa kwehemodialysis.

Zvirwere zvose zvekuvhenekera zvinogona kugoverwa mumapoka akawanda:

1. Zvirwere zvinoputika zvetsvo uye urinary tract ndi pyelonephritis, cystitis, urethritis. Zvisiri zvishoma zvinotapukira tuberculosis yeimpso uye urinary tract, mutsauko wayo mukuru ndiko kuonekwa kwe causative agent we tuberculosis mumuguta. Uyewo, hunhu hunochinja mumadziro ezasi ye urinary system inoonekwa.
2. Munguva yekuvandudzwa kwemuti wekuvhenekera, zvinogona kunge zvisina kukanganisa, pakati peizvi zvinotevera:

• hypoplasia, kudzokorora, kuchinja muchimiro kana kusasipo kwakakwana kwetsvo;
• congenital polycystic;
• urethra uye urethra;
• kuparadzaniswa kwechiremba;
• diverticulum nevamwe.

Zviratidzo zvehutano hwekuvhenekera

Zviratidzo zvehutano zvirwere zvakasiyana. Zvichienderana nedzimwe chirwere, izvi kana zvimwe zviratidzo zvicharamba zvichiitika. Zviratidzo zvinowanzozivikanwa zvehutachiona hutachiona zvirwere kuvakadzi ndezvipi zvinotevera zvipatara zviratidzo:

1. Pain syndrome. Nezvipembenene zveinso, marwadzo anowanikwa munzvimbo ye lumbar. Pakuvhara rutivi rwekuvhenekera nemabwe, marwadzo anoyerera kusvika kumucheto nehudyu kune rumwe rutivi rwechirwere. Uye mune ramangwana izvi izvi zvinotungamirira pakuwedzera kwemashure uye mapepa. Ne cystitis, kurwadziwa kunowanikwa kunyanya pamusoro peva pubis.
2. Kuchinja murwizi. Muvara unogona kuchinja nekuda kwekusvibiswa kweropa (somuenzaniso, kana kuvimbika kwemukati mutsara, glomerulonephritis, zvipuka zvine kuora), pus (yakadaro urini inoputika uye inoitika nehutachiona hwehutachiona).
3. Dysuric phenomena, dzakadai sokuramba uchidzoka, nocturia, polyuria, kuchengetedza urinary.
4. Kuwedzerwa kweropa mukati mezvirwere zvisingaperi.
5. Anemia inobata nekukuvara kwakanyanya kwechirwere uye inobatanidza nekuvhiringidzika kwekutengesa kwechikonzero chinopa hematopoiesis.
6. Kuzvikudza pamusoro pechiso.
7. Kuwedzera kwekushisa, semutemo, unhu huripo pamberi pezvikwereti zvishoma-grade ye 37-37.5С. Chimwe chinhu chisina kumira uye chimiro chinonzi acetomus pyelonephritis, pasi pemamiriro ezvinhu aya utsi hwemuviri hunogona kukwira kusvika 39.

Icho chitarisiko chezviratidzo izvo zvinoita kuti isu titeerere kubasa rinoshanda rezvikamu zvekuvhenekera.

Diagnostics

Nzira dzose dzekuongororwa dzinogona kugoverwa kuita shanduro uye laboratory. Kubva pamaitiro e laboratori tinogona kusiyanisa:

• kliniki yekuongorora urine, urine analysis maererano neNechiporenko, maererano naZimnitskiy;
• Kudyara muto pamakiromita, kushandiswa kuziva zvikonzero zvinokonzera utachiona hwehutano;
• iyo tsanangudzo ye creatinine uye urea inoshandiswa pakuona kusakona kwechirwere uye chirwere chekushaya simba renal basa.

Kuziva hutano hwetsvo uye urinary tract anobatsira zvinotevera nzira yekuongorora yekushandisa:

1. Ultrasonography yeinso uye maturakiti emuginho anoita kuti zvive nyore kugona neoplasms, cysts, congenital malformations, deformities.
2. Cystoscopy ye bladder .
3. Urography inobvumira kutsanangura kushanda kwehutano hwekuvhenekera.
4. CT uye MRI yeimpimpiti uye maturakiti emuginho anoita kuti zvibone kuoneka zvakajeka kuumbwa kwetsvo, kupatsanurana kuva zvikamu zvezviputi zvepvo. Kuvimbika kwemigumisiro yakakwirira kudarika ne ultrasound.
5. Mhuka inonzi renal biopsy inoshandiswa kuongororwa glomerulonephritis uye kusimbisa kana kusabvisa tumarara inouraya.