Yakabatana hydronephrosis

Bilateral hydronephrosis ndiko kuwedzera kwezvikamu zveitsvo zvinounganidza weti. Bilateral zvinoreva mativi ese.

Bilateral hydronephrosis inoitika kana weti isingakwanise kudhonza kubva kuitsvo ichienda mudundira. Hydronephrosis haisi pachayo chirwere. Izvo zvinoitika semhedzisiro yedambudziko rinotadzisa weti kubuda kunze kwetsvo, ureters, uye bladder.

Kukanganisika kwakabatana nenyika mbiri hydronephrosis inosanganisira:

• Acute bilateral obstructive uropathy - itsvo kuvhara pakarepo
• Bladder nzira yekubuda - kudzivirirwa kwedundira, iyo isingatenderi kubuda kwemvura
• Chirwere chisingaperi chinoita kuti uropathy - kuvharika zvishoma nezvishoma kweitsvo mbiri kazhinji kuve kunowanzo dzivirirwa.
• Neurogenic dundira - isina kushanda chinoshanda dundira
• Posterior urethral mavharuvhu - anorovera pane iyo urethra iyo inokonzeresa kushaya kubviswa kwedundira (muvakomana)
• Prune dumbu chirwere - chisina kukwana kubvisa bladder iyo inokonzeresa kudzika kwedumbu
• Retroperitoneal fibrosis - yakawedzera turu turu inovhara iyo ureters
• Ureteropelvic junction kuvharidzira - kuvhara kwetsvo panguva iyo iyo ureter inopinda muitsvo
• Vesicoureteric reflux - backup yeiyo weti kubva mudundira kusvika kuitsvo
• Uterine prolapse - apo dundira rinodonha uye richimanikidza kupinda munzvimbo yemukadzi. Izvi zvinokonzeresa kink murethra, iyo inodzivirira weti kubva pakubuda mudundira.

Mune mucheche, zviratidzo zvechinetso zvinowanzo kuwanikwa asati aberekwa panguva yekuzvitakura.

Urinary turakiti hutachiona mumwana achangozvarwa inogona kuratidza kuvhara mukati itsvo. Mwana akura anowana anodzokorodza eurinary turakiti hutachiona anofanirawo kuongororwa kuti avharike.

Iyo yakakwira kupfuura yakajairwa nhamba yeiyo weti turakiti hutachiona kazhinji ndiyo chete chiratidzo chechinetso.

Zviratidzo zvakajairika muvakuru zvinogona kusanganisira:

• Kutambudzika shure
• Nausea, kurutsa
• Kupindwa nechando
• Inoda kuita weti kakawanda
• Yakaderera weti kubuda
• Ropa mune weti
• Urinary kusagadzikana

Iyi bvunzo inotevera inogona kuratidza bilateral hydronephrosis:

• CT scan yemudumbu kana itsvo
• IVP (inoshandiswa zvishoma kazhinji)
• Kubata (fetal) ultrasound
• Renal scan
• Ultrasound yemudumbu kana itsvo

Kuisa chubhu muchiropa (Foley catheter) kunogona kuvhura kuvhara. Mimwe mishonga inosanganisira:

• Kudhonza dundira
• Kurerutsa kumanikidza nekuisa machubhu muitsvo kuburikidza neganda
• Kuisa chubhu (stent) kuburikidza nereterter kubvumira weti kuyerera kubva kuitsvo kuenda kudundira

Chikonzero chinokonzera iko kuvharirwa kunofanirwa kuwanikwa nekurapwa kana iko kuwedzerwa kweweti kwasunungurwa.

Kuvhiya kunoitwa mwana achiri mudumbu kana nguva pfupi achangoberekwa kunogona kuva nemhedzisiro yakanaka mukuvandudza itsvo.

Kudzoka kweiyo renal basa kunogona kusiyana, zvinoenderana nekureba iko kuvharirwa kuripo.

Kusakundikana itsvo kukuvara kunogona kukonzerwa nemamiriro ezvinhu anokonzeresa hydronephrosis.

Dambudziko iri rinowanzo kuwanikwa nemupi wezvehutano.

Iyo Ultrasound panguva yekuzvitakura inogona kuratidza kuvharika mumwana weti weti. Izvi zvinobvumira kuti dambudziko ribatwe nekuvhiya kwekutanga.

Zvimwe zvikonzero zvekuvharika, senge itsvo matombo, zvinogona kuonekwa nekukurumidza kana vanhu vakacherekedza zviratidzo zvekunetseka kweitsvo.

Izvo zvakakosha kuti utarise kune akawandisa matambudziko nekuita weti.

Hydronephrosis - mbiri

• Yechikadzi weti turakiti
• Varume urinary turakiti

Mukuru JS. Kuvhiringidzwa kweiyo weti turakiti. Mune: Kliegman RM, Stanton BF, St. Geme JW, Schor NF, eds. Nelson Chinyorwa chePediatrics. 20th ed. Philadelphia, PA: Elsevier; 2016: chitsiko 540.

Frøkiaer J. Urinary nzira yekuvharika. Mune: Skorecki K, Chertow GM, Marsden PA, Taal MW, Yu ASL, eds. Brenner uye Rector Iyo Itsvo. 10th ed. Philadelphia, PA: Elsevier; 2016: chitsiko 38.

Gallagher KM, Hughes J. Urinary nzira yekuvhiringidza. Muna: Feehally J, Floege J, Tonelli M, Johnson RJ, eds. Yakakwana Kliniki Nephrology. 6th ed. Philadelphia, PA: Elsevier; 2019: chitsiko 58.

Nakada SY, Yakanakisa SL. Manejimendi yepamusoro yekuvharira nzira. Mune: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th ed. Philadelphia, PA: Elsevier; 2016: chits. 49.