Kukuvadza - itsvo uye ureter

Kukuvadza kune itsvo uye ureter kukuvadza kunhengo dzeuropi yepamusoro.

Itsvo dzinowanikwa mune rimwe divi remusana. Rutivi irwo kuseri kwedumbu repamusoro. Dzinodzivirirwa nemuzongoza, zasi mbabvu keji, uye mhasuru dzakasimba dzemusana. Iyi nzvimbo inodzivirira itsvo kubva kune akawanda ekunze mauto. Itsvo dzakakomberedzwa netaundi yemafuta. Mafuta anobatsira kuvabata.

Itsvo dzine ropa rakakura. Chero kukuvara kwavari, kunogona kukonzera kubuda ropa kwakanyanya. Iwo mazhinji matanda epadding anobatsira kudzivirira kukuvara kweitsvo.

Itsvo dzinogona kukuvadzwa nekukuvara kune tsinga dzeropa dzinozvipa kana kudzidurura, kusanganisira:

• Aneurysm
• Arterial kuvhara
• Arteriovenous fistula
• Renal vein thrombosis (kugwamba)
• Kushungurudzika

Kukuvara kwepvo kunogona kukonzerwa ne:

• Angiomyolipoma, isina noncancerous bundu, kana bundu racho rakakura kwazvo
• Autoimmune kusagadzikana
• Bladder nzira yekubuda
• Kenza yeitsvo, nhengo dzechiuno (mazai kana chibereko mune vakadzi), kana colon
• Chirwere cheshuga
• Kuvaka kwemidziyo yemarara semuviri uric acid (iyo inogona kuitika ne gout kana kurapwa kwemongo wemapfupa, lymph node, kana zvimwe zvinetso)
• Kuratidzira kune zvine chepfu zvakadai semutobvu, zvigadzirwa zvekuchenesa, zvinonyungudutsa, mafuta, mamwe maantibhakitiriya, kana kushandiswa kwenguva refu kwemishonga yekurapa-kwakawanda (analgesic nephropathy)
• Kuwedzera kweropa uye zvimwe zvehutano zvinokanganisa itsvo
• Kuzvimba kunokonzerwa nema immune immune kumishonga, hutachiona, kana zvimwe zvinetso
• Maitiro ekurapa akadai seitsvo biopsy, kana nephrostomy tube kuiswa
• Ureteropelvic junction kuvharidzira
• Ureteral kuvharirwa
• Itsvo matombo

Iyo ureters ndiwo machubhu anotakura weti kubva kuitsvo kuenda kudundira. Kukuvara kwepashure kunogona kukonzerwa ne:

• Matambudziko kubva kunzira dzekurapa
• Zvirwere zvakaita se retroperitoneal fibrosis, retroperitoneal sarcomas, kana cancer dzinopararira kune ma lymph node padyo nema ureters.
• Itsvo ibwe chirwere
• Radiation kune dumbu nzvimbo
• Kushungurudzika

Zviratidzo zveEmergency zvinogona kusanganisira:

• Kutambudzika kwepamuviri uye kuzvimba
• Kurwadziwa kwepadivi uye kurwadziwa musana
• Ropa mune weti
• Kukotsira, kudzikira kwekusvinura, kusanganisira coma
• Yakadzikira weti kubuda kana kutadza kuita weti
• Kupindwa nechando
• Yakawedzera kurova kwemoyo
• Nausea, kurutsa
• Ganda rakachenuruka kana kutonhorera kubata
• Kudikitira

Yenguva refu (isingagumi) zviratidzo zvinogona kusanganisira:

• Kushaya zvokudya zvinovaka muviri
• Kuwedzera kweropa
• Itsvo kutadza

Kana itsvo imwe chete ikabatwa uye imwe itsvo ine hutano, unogona kunge usina kana zviratidzo.

Anokuchengetedza hutano achakuongorora. Vaitei vazive nezve chero chirwere chazvino kana kana makasangana nezvinhu zvine chepfu.

Bvunzo dzinogona kuratidza:

• Kuwedzera kubuda ropa (kubuda ropa)
• Kunyanyisa kupfava pamusoro peitsvo
• Kuvhunduka, kusanganisira nekukurumidza kurova kwemoyo kana kuwira kweropa
• Zviratidzo zveitsvo kutadza

Miedzo inogona kuitwa inosanganisira:

• Abdominal CT scan
• Abdominal MRI
• Abdominal ultrasound
• Angiography yeiyo itsvo tsinga kana tsinga
• Ropa electrolyte
• Ropa bvunzo kutarisa zvinhu zvine chepfu
• Yakazara kuverenga ropa (CBC)
• Intravenous pyelogram (IVP)
• Itsvo basa rekuyedza
• Dzorerazve pyelogram
• Itsvo x-ray
• Renal scan
• Kuongorora urinal
• Urodynamic kudzidza
• Kuongorora cystourethrogram

Zvinangwa ndezvekurapa zviratidzo zvechimbichimbi uye kudzivirira kana kubata matambudziko. Ungangoda kugara muchipatara.

Kurapa kwekukuvara kwetsvo kunogona kusanganisira:

• Kuzorora kwemubhedha kwemavhiki maviri kusvika maviri kana kusvika kubuda ropa kwadzikira
• Vhara kucherechedza uye kurapwa kwezviratidzo zveitsvo kutadza
• Kudya kunochinja
• Mishonga yekurapa kukuvara kunokonzerwa nezvinhu zvine chepfu kana zvirwere (semuenzaniso, chelation kurapa kwehuturu hwehutobvu kana allopurinol kudzikisa uric acid muropa nekuda kwegout)
• Mishonga yemarwadzo
• Kubvisa mishonga kana kuratidzwa nezvinhu zvinogona kunge zvakakuvadza itsvo
• Zvinodhaka zvakadai secorticosteroids kana immunosuppressants kana kukuvara kwakakonzerwa nekuzvimba
• Kurapa kweakanyanya itsvo kutadza

Dzimwe nguva, kuvhiyiwa kunodiwa. Izvi zvinogona kusanganisira:

• Kugadzirisa "yakatsemuka" kana itsvo yakabvaruka, tsinga dzeropa dzakabvaruka, ureter yakabvaruka, kana kukuvara kwakafanana
• Kubvisa itsvo yese (nephrectomy), kudhonza nzvimbo yakatenderedza itsvo, kana kumisa kubuda kweropa kuburikidza nearterial catheterization (angioembolization)
• Kuisa stent
• Kubvisa kuvhara kana kubvisa kuvharika

Kunyatsoita kwaunoita kunoenderana nechikonzero uye kuomarara kwekukuvara.

Dzimwe nguva, itsvo inotanga kushanda nemazvo zvakare. Dzimwe nguva, kukundikana kweitsvo kunoitika.

Zvinetso zvinogona kusanganisira:

• Kungoerekana itsvo kutadza, imwe kana mbiri itsvo
• Kubuda ropa (kungave kudiki kana kwakakomba)
• Kupwanya kwetsvo
• Kusingaperi itsvo kutadza, imwe kana mbiri itsvo
• Utachiona (peritonitis, sepsis)
• Kurwadziwa
• Renal tsinga stenosis
• Kuwedzera kweBP
• Shock
• Urinary turakiti hutachiona

Fonera mupiki wako kana iwe uine zviratidzo zvekukuvara kune itsvo kana ureter. Fonera mupiki kana iwe uine nhoroondo ye:

• Kuratidzirwa kune zvinhu zvine chepfu
• Urwere
• Utachiona
• Kukuvara kwemuviri

Enda kuimba yekukurumidzira kana kufonera iyo yemuno emergency emergency (se911) kana iwe wakadzikisa weti kubuda mushure mekukuvara kwetsvo. Ichi chingave chiratidzo cheitsvo kutadza.

Unogona kubatsira kudzivirira kukuvara kune itsvo uye ureter nekutora matanho aya:

• Ziva zvinhu zvinogona kukonzera huturu hwehutobvu. Izvi zvinosanganisira pendi dzekare, mhute kubva mukushanda nesimbi-yakaputirwa simbi, uye doro rakadonhedzwa mumagetsi emagetsi zvakare.
• Tora mishonga yako yese nemazvo, kusanganisira iya yaunotenga usina tsamba yekunyorerwa (pamusoro-pekutengesa).
• Kurapa gout uye zvimwe zvirwere sekurairwa kwako nemupi wako.
• Shandisa midziyo yekuchengetedza panguva yebasa nekutamba.
• Shandisa zvigadzirwa zvekuchenesa, zvinonyungudutsa, uye mafuta sekurairwa. Ita shuwa kuti nzvimbo yacho inemhepo yakakwana, nekuti utsi hunogona zvakare kuve hune chepfu.
• Pfekai mabhandi uye garai makachengeteka.

Itsvo kukuvara; Kukuvadza kunokanganisa itsvo; Kukuvara kweitsvo; Kukuvara kunorwadza kwetsvo; Itsvo yakatsemuka; Kukuvadza kukuvadza kweitsvo; Itsvo yakakuvara; Kukuvara kwepamuviri; Pre-renal kutadza - kukuvara; Post-itsvo kutadza - kukuvara; Itsvo mhingaidzo - kukuvara

• Itsvo anatomi
• Itsvo - kuyerera kweropa uye weti

MaBrandes SB, Eswara JR. Kumusoro kweurinary turakiti trauma. Mune: Partin AW, Dmochowski RR, Kavoussi LR, Peters CA, eds. Campbell-Walsh-Wein Urology. 12th ed. Philadelphia, PA: Elsevier; 2021: chitsauko 90.

Okusa MD, Portilla D. Pathophysiology yekukuvara kwetsvo kwakanyanya. Mune: Yu ASL, Chertow GM, Luyckx VA, Marsden PA, Skorecki K, Taal MW, eds. Brenner uye Rector Iyo Itsvo. 11th ed. Philadelphia, PA: Elsevier; 2020: chitsiko 28.

Shewakramani SN. Genitourinary maitiro. Mune: Masvingo RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts uye Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: chits. 40.