6 Zvinokonzera Kurwara Kweitsvo Kwakarurama: Zviratidzo uye Kurapa

Zvemukati

• Urinary turakiti hutachiona (UTI)
• Kurapa
• Itsvo matombo
• Kurapa
• Renal kushungurudzika
• Kurapa
• Polycystic itsvo chirwere (PKD)
• Kurapa
• Renal vein thrombosis (RVT)
• Kurapa
• Kenza yeitsvo
• Kurapa
• Nguva yekuona chiremba
• Kutora

Itsvo dzako dziri munzvimbo yepashure yenzvimbo yako yepamusoro yedumbu iri pasi pembabvu yako chete. Iwe une rimwe kudivi remusana wako. Nekuda kwehukuru uye nzvimbo yechiropa chako, itsvo yako yekurudyi inogara pasi zvishoma pane kuruboshwe.

Mazhinji mamiriro anokonzeresa itsvo (renal) kurwadziwa anokanganisa imwe yeitsvo dzako. Marwadzo munzvimbo yeitsvo yako yekurudyi inogona kuratidza dambudziko reitsvo kana inogona kukonzerwa nenhengo dziri padyo, mhasuru, kana imwe nyama yemuviri.

Pazasi pane zvitanhatu zvinogona kukonzera marwadzo muitsvo yako yekurudyi:

Ramba uchiverenga kuti udzidze nezve izvi zvinokonzeresa zvekurwadziwa neitsvo, pamwe nekuti nyaya idzi dzinowanzoonekwa nekurapwa sei.

Urinary turakiti hutachiona (UTI)

Inowanzo kukonzerwa nehutachiona, asi dzimwe nguva inokonzerwa nefungus kana hutachiona, UTIs chirwere chakajairika.

Kunyangwe vachiwanzo sanganisira wezasi weti urinha (urethra uye dundira), vanogona zvakare kusanganisira iyo yepamusoro turakiti (ureters neitsvo).

Kana itsvo dzako dzakakanganiswa, zviratidzo nezviratidzo zvinogona kusanganisira:

• kupisa muviri
• rutivi uye kumusoro kurwadziwa shure
• kutonhora uye kuzunza
• kugara uchiita weti
• kuramba uchingoda kuita weti
• ropa kana bota weti
• kusvotwa uye kurutsa

Kurapa

Semutsetse wekutanga wekurapa UTI, chiremba angangopa mishonga inorwisa mabhakitiriya.

Kana itsvo dzako dzakatapukirwa (pyelonephritis), dzinogona kupa mushonga wefluoroquinolone. Kana iwe uine UTI yakaoma, chiremba wako anogona kukurudzira kurapwa muchipatara nemishonga inorwisa mabhakitiriya.

Itsvo matombo

Yakagadzirwa muitsvo dzako - kazhinji kubva kune yakanyanyisa weti - itsvo matombo akaomeswa madhipiti esalt nemaminerari.

Zviratidzo zveitsvo mabwe zvinogona kusanganisira:

• divi uye musana kurwadziwa
• kuramba uchingoda kuita weti
• kurwadziwa kana weti
• kuita weti zvishoma
• weti ine ropa kana ine makore
• kusvotwa uye kurutsa

Kurapa

Kana ibwe reitsvo riri diki zvakakwana, rinogona kupfuura roga.

Chiremba wako anogona kukurudzira mushonga wekurwadziwa uye kunwa zvakaringana kuita 2 kusvika ku3 marita emvura pazuva. Ivo vanogona zvakare kukupa iwe alpha blocker, mushonga unozorodza yako ureter kubatsira dombo kupfuura nyore uye zvishoma zvinorwadza.

Kana iro dombo rakakura kana richikonzera kukuvara, chiremba wako anogona kukurudzira imwe nzira inoparadza senge:

• Extracorporeal kuvhunduka wave lithotripsy (ESWL). Maitiro aya anoshandisa masaisai ekurira kupwanya ibwe reitsvo kuita diki, nyore kupasa zvidimbu.
• Percutaneous nephrolithotomy. Mune maitiro aya, chiremba anovhiya achibvisa dombo achishandisa materesikopu madiki uye zviridzwa.
• Makuriro. Munguva iyi maitiro, chiremba anoshandisa akakosha maturusi anovabvumidza kupfuura nemuuri urera yako uye dundira kuti riite musungo kana kutyora dombo.

Renal kushungurudzika

Renal trauma kukuvara kwetsvo kubva kune imwe nzvimbo yekunze.

Kushungurudzika kwakashata kunokonzerwa nekukanganisa kusingapinde paganda, ukuwo kunetseka kunopinda kukuvara kunokonzerwa nechinhu chinopinda mumuviri.

Zviratidzo zvekutambudzika kwakashata ndeye hematuria uye kupwanya munzvimbo yeitsvo. Zviratidzo zvekutambudzika kunopinda ironda.

Renal trauma inoyerwa pachiyero kubva pa1 kusvika pa5, negiredhi 1 iri kukuvara kudiki uye giredhi rechishanu itsvo iyo yakapwanywa nekugurwa kubva mukupa ropa.

Kurapa

Kazhinji kushungurudzika kwetsvo kunogona kutarisirwa pasina kuvhiyiwa, kurapa zvingangoitika mhedzisiro yekutambudzika sekushushikana uye neBP.

Chiremba wako anogona zvakare kuratidza kurapwa kwemuviri uye, kashoma, kuvhiyiwa.

Polycystic itsvo chirwere (PKD)

PKD ihwo hutachiona hwehutachiona hunoratidzwa nemasumbu e-fluid-akazadza cysts ari kukura pane itsvo dzako. Chimiro chechirwere chetsvo chisingaperi, PKD inoderedza kushanda kweitsvo uye ine mukana wekukonzera itsvo kutadza.

Zviratidzo nezviratidzo zvePKD zvinogona kusanganisira:

• musana uye kurwadziwa kwepashure
• hematuria (ropa mumurini)
• itsvo matombo
• mwoyo vharuvhu mwoyo
• BP

Kurapa

Sezvo pasina mushonga wePKD, chiremba wako achakubatsira iwe kubata mamiriro acho nekurapa zviratidzo.

Semuenzaniso, kana chimwe chezviratidzo chiri kukwirira kweropa, vanogona kupa shanduko yekudya, pamwe neangiotensin II receptor blockers (ARBs) kana angiotensin-inoshandura enzyme (ACE) inhibitors.

Nehutachiona hweitsvo vanogona kupa mishonga inorwisa mabhakitiriya.

Mu2018, iyo FDA yakabvumidza tolvaptan, mushonga wekurapa autosomal yakakosha polycystic chirwere cheitsvo (ADPKD), chimiro chePKD iyo inoverengera ingangoita 90 muzana yematambudziko ePKD.

Renal vein thrombosis (RVT)

Tsinga dzako mbiri dzetsvo dzinotora ropa-rakapedza ropa kubva kuitsvo dzako kusvika pamoyo wako. Kana kuvhara kweropa kuchikura mune chero kana zvese zviri zviviri, inonzi renal vein thrombosis (RVT).

Aya mamiriro haana kujairika. Zviratidzo zvinosanganisira:

• kurwadziwa kwepashure
• hematuria
• yakaderera weti kubuda

Kurapa

Zvinoenderana ne, RVT inowanzoonekwa sechiratidzo chechimiro chakakomba, kazhinji nephrotic syndrome.

Nephrotic syndrome chirwere cheitsvo icho chinoonekwa nemuviri wako kuburitsa yakawandisa mapuroteni. Kana yako RVT iri mhedzisiro yephrotic syndrome kurapwa chiremba wako anogona kukurudzira:

• BP
• mapiritsi emvura, cholesterol-inoderedza mishonga
• ropa rinoonda
• immune system-inodzvinyirira mishonga

Kenza yeitsvo

Kenza yeitsvo haiwanzo kuva nezviratidzo kusvika pamatanho ekupedzisira. Gare gare zviratidzo zvematanho zvinosanganisira:

• kuramba uchirarama uye kurwadziwa musana
• hematuria
• kuneta
• kurasikirwa nenzara
• kusanzwisisika kuonda
• kupisa muviri

Kurapa

Kuvhiya ndiko kwekutanga kurapwa kweakawanda maronda ekenza.

• nephrectomy: itsvo yose inobviswa
• kukwana nephrectomy: bundu rinobviswa muitsvo

Chiremba wako anogona kusarudza kuvhiyiwa pachena (imwe incision) kana laparoscopic kuvhiya (yakateedzana yezvidiki zvidiki).

Mimwe mishonga yekurapa kenza inosanganisira:

• immunotherapy nemishonga yakadai saaldesleukin uye nivolumab
• yakanangwa kurapwa nemishonga yakadai sa cabozantinib, sorafenib, everolimus, uye temsirolimus
• radiation kurapwa nemagetsi emagetsi ane simba rakadai seX-ray

Nguva yekuona chiremba

Kana iwe uri kusangana nekurwadziwa kusingagumi mukati mako kusvika kumusoro kumusoro kana mativi, ona chiremba wako. Rinogona kunge riri dambudziko reitsvo iro, kana risingatariswe, rinogona kukuvadza zvachose itsvo dzako.

Mune mamwe mamiriro ezvinhu, sehutachiona hweitsvo, zvinogona kutungamira kumatambudziko ekutyisidzira hupenyu.

Kutora

Kana iwe uine marwadzo munzvimbo yeitsvo yako yekurudyi, inogona kukonzerwa nedambudziko rakajairika reitsvo, senge hutachiona hwehutachiona kana dombo reitsvo.

Marwadzo munzvimbo yeitsvo yako yekurudyi inogona zvakare kukonzerwa neyakajairika mamiriro senge renal vein thrombosis (RVT) kana polycystic itsvo chirwere (PKD).

Kana iwe uchiramba uchirwadziwa munzvimbo yeitsvo, kana kana kurwadziwa kuri kuramba kuchikura, kana kuchikanganisa zviitiko zvako zvezuva nezuva, ona chiremba wako kuti aongorore uye nzira dzekurapa.