Reflux nephropathy

Reflux nephropathy mamiriro ezvinhu umo itsvo dzinokuvadzwa nekudzokera kumashure kwerini muitsvo.

Urini inoyerera kubva kuitsvo yega yega kuburikidza nemachubhu anonzi ureters uye muchidundira. Kana dundira razara, rinosvina uye rinotumira weti kubudikidza nere urethra. Hapana weti inofanira kuyerera ichidzokera mureterter apo dundira riri kusvina. Ureter imwe neimwe ine vharuvhu yekuenda-imwe kwainopinda mudundira inodzivirira weti kubva mukuyerera ichidzosera kumusoro ureter.

Asi kune vamwe vanhu, weti inoyerera ichidzokera kumusoro kuitsvo. Izvi zvinodaidzwa kuti vesicoureteral reflux.

Nekufamba kwenguva, itsvo dzinogona kukuvara kana kupiswa neiyi reflux. Izvi zvinonzi Reflux nephropathy.

Reflux inogona kuitika muvanhu vane ureters avo vasinganamatire zvakanaka kudundira kana vane mavharuvhu asingashande zvakanaka. Vana vanogona kuzvarwa vaine dambudziko iri kana vanogona kunge vaine humwe hurema hwekuzvarwa kweiyo urinary system inokonzeresa reflux nephropathy.

Reflux nephropathy inogona kuitika pamwe nemamwe mamiriro anotungamira kuvharika kwerini kuyerera, kusanganisira:

• Bladder nzira yekubuda, seyakawedzera prostate muvarume
• Matombo edundira
• Neurogenic bladder, iyo inogona kuitika kune vanhu vane multiple sclerosis, kukuvara kwemuzongoza, chirwere cheshuga, kana imwe yehurongwa hwemitsipa (neurological) mamiriro

Reflux nephropathy inogona zvakare kuitika kubva mukuzvimba kweiyo ureters mushure mekuisirwa kweitsvo kana kubva mukukuvara kune iyo ureter.

Njodzi zvinhu zve Reflux nephropathy zvinosanganisira:

• Kusanzwisisika kweturakiti
• Yega kana yemhuri nhoroondo ye vesicoureteral reflux
• Dzokorora hutachiona hwehutachiona

Vamwe vanhu havana zviratidzo zve Reflux nephropathy. Dambudziko rinogona kuwanikwa kana kuongororwa kwetsvo kuchiitwa zvimwe zvikonzero.

Kana zviratidzo zvikaitika, zvinogona kunge zvakafanana neizvi zve:

• Kusingaperi itsvo kutadza
• Nephrotic chirwere
• Urinary turakiti hutachiona

Reflux nephropathy inowanzo kuwanikwa kana mwana akatariswa achidzokororwa hutachiona hwechirwere. Kana vesicoureteral reflux ikawanikwa, vanin'ina vemwana vanogona zvakare kuongororwa, nekuti Reflux inogona kumhanya mumhuri.

Kuwedzera kweropa kunogona kunge kwakakwira, uye panogona kunge paine zviratidzo nezviratidzo zverefu-zvenguva refu (zvisingaperi) chirwere cheitsvo.

Kuongororwa kweropa uye weti kuchaitwa, uye kunogona kusanganisira:

• BUN - ropa
• Creatinine - ropa
• Kubvumwa kweCreatinine - weti uye ropa
• Urinalysis kana 24-awa weti weti zvidzidzo
• Urine tsika

Kufungidzira bvunzo dzinogona kuitwa dzinosanganisira:

• Abdominal CT scan
• Bladder Ultrasound
• Intravenous pyelogram (IVP)
• Itsvo Ultrasound
• Radionuclide cystogram
• Dzorerazve pyelogram
• Kuongorora cystourethrogram

Vesicoureteral reflux yakakamurwa kuita mashanu akasiyana mamakisi. Rakareruka kana hunyoro Reflux inowanzo kuwira mugiredhi I kana II. Kuomarara kweiyo reflux uye huwandu hwekukuvara kune itsvo kunobatsira kuona kurapwa.

Nyore, isina kuomarara vesicoureteral reflux (inonzi primary reflux) inogona kurapwa ne:

• Mishonga inorwisa mabhakitiriya inotorwa mazuva ese kudzivirira hutachiona hwehutachiona
• Kuchenjerera kutarisa kweitsvo basa
• Kudzokorora weti tsika
• Yegore ultrasound yeitsvo

Kudzora kukanganiswa kweropa ndiyo yakanyanya kukosha nzira yekudzora kukuvara kweitsvo. Anopa hutano anogona kupa mishonga yekudzora kukwira kweropa. Angiotensin-inoshandura enzyme (ACE) inhibitors uye angiotensin receptor blockers (ARBs) anowanzo shandiswa.

Kuvhiya kunowanzo shandiswa chete muvana vasina kupindura kurapwa.

Kunyanya kuomarara vesicoureteral reflux kungangoda kuvhiyiwa, kunyanya muvana vasingapindure pakurapwa. Kuvhiya kuti uise ureter zvakare mudundira (ureteral reimplantation) inogona kumisa reflux nephropathy mune dzimwe nguva.

Kuwedzera kwakanyanya reflux kungangoda kuvhiya kwekuvakazve. Rudzi urwu rwekuvhiya runogona kudzikisa huwandu uye kuomarara kwehutachiona hutachiona hutachiona.

Kana zvichidikanwa, vanhu vacharapwa chirwere chisingaperi cheitsvo.

Mhedzisiro inosiyana, zvinoenderana nekuoma kweiyo reflux. Vamwe vanhu vane Reflux nephropathy havazorasikirwe neitsvo nekufamba kwenguva, kunyangwe hazvo itsvo dzadzo dzakakuvara. Nekudaro, kukuvara kweitsvo kunogona kuve kwechigarire. Kana itsvo imwe chete ichibatanidzwa, imwe itsvo inofanira kuramba ichishanda zvakajairika.

Reflux nephropathy inogona kukonzera itsvo kutadza muvana nevakuru.

Matambudziko anogona kukonzerwa nemamiriro aya kana kurapwa kwawo anosanganisira:

• Kuvharwa kweiyo ureter mushure mekuvhiyiwa
• Chirwere chetsvo chisingaperi
• Zvirwere kana kudzokorora hutachiona hutachiona
• Kusingaperi itsvo kutadza kana itsvo mbiri dzichibatanidzwa (dzinogona kufambira mberi kusvika kumagumo-padanho chirwere cheitsvo)
• Utachiona hweitsvo
• Kuwedzera kweropa
• Nephrotic chirwere
• Kuramba uchiramba
• Kuora kweitsvo

Fonera mupiki wako kana iwe:

• Iva nezviratidzo zve Reflux nephropathy
• Iva nezvimwe zviratidzo zvitsva
• Vari kuburitsa weti shoma pane zvakajairwa

Kurumidza kurapa mamiriro anokonzeresa weti kupinda muitsvo kunogona kudzivirira Reflux nephropathy.

Chisingaperi atrophic pyelonephritis; Vesicoureteric reflux; Nephropathy - Reflux; Ureteral Reflux

• Yechikadzi weti turakiti
• Varume urinary turakiti
• Kuongorora cystourethrogram
• Vesicoureteral Reflux

Bakkaloglu SA, Schaefer F. Zvirwere zveitsvo uye weti nzira muvana. Mune: Skorecki K, Chertow GM, Marsden PA, Taal MW, Yu ASL, eds. Brenner uye Rector Iyo Itsvo. 10th ed. Philadelphia, PA: Elsevier; 2016: chits. 74.

Mathews R, Mattoo TK. Yekutanga vesicoureteral Reflux uye Reflux nephropathy. Muna: Feehally J, Floege J, Tonelli M, Johnson RJ, eds. Yakakwana Kliniki Nephrology. 6th ed. Philadelphia, PA: Elsevier; 2019: chits. 61.