Emlonyeni we-fetus, isakhiwo sezinso kusukela ezinyangeni ezine zokukhulelwa kufana nesakhiwo sezinso zesisu esivele sizalwa - kukhona i-parenchyma lapho ama-urine amafomu kanye nesistimu ye-excretory. Uhlelo lwe-urinary excretion luqukethe izinkomishi nekhanda, lapho izinkomishi zivuleka khona. Ngaphezu kwalokho, umchamo ungena ku-ureter kanye nesisindo somntwana, okuyinto efaka izikhathi eziningana ngosuku.
Izinso ebusweni ziqala ukusebenza kusukela emavikini angu-16 okukhulelwa. Futhi ekuhloleni kwesibili ukuhlolwa kwe-ultrasound emasontweni angu-18-21 okukhulelwa, kubalulekile ukuhlola ukuthi kukhona yini izinso zombili nokuthi ngabe kukhona yini izinkinga ezibangelwa ukuzalwa komzimba kwezinso, umchamo we-urinary nesambatho.
Iyini i-hydronephrosis ebusweni?
Phakathi ne-embryogenesis, noma yisiphi isici se-teratogenic singabangela ukungaboni kahle kwezinso zesisu, kodwa futhi kuyisimo esiyinhloko lapho inzalo idlala indima enkulu. Futhi uma kunezifo ezihlukahlukene zesifo sofuzo ezinyangeni, kufanele bakhokhe ngokukhethekile isakhiwo se-fetus.
I-Hydronephrosis yandisa izinkomishi zezinso kanye nesifuba nomchamo. Uma ngabe ingane ikhulisa i-pelvis kusuka ku-5 kuya ku-8 mm esikhathini esingama-20 ukuya kwema-20 sokukhulelwa noma kusuka ku-5 ukuya ku-10 mm ngemva kwamasonto angu-20, lokhu akusiwo i-hydronephrosis, kodwa cishe kungenzeka ukuthi ingane isisiza izinso zomama, okungenzeka zingabhekane nomthwalo futhi Kulokhu, izinso zowesifazane okhulelwe kufanele zihlolwe.
Kodwa uma ukuhlolwa kwe-ultrasound kwamasonto angama-20 kutholakala ukwandisa isikhumba esingaphezu kuka-8 mm, futhi emva kwamasonto angu-20 - ngaphezulu kuka-10 mm, khona-ke lokhu kuyi-hydronephrosis. Ngokuvamile kaningi futhi kuncike ekutheni izinga lokunciphisa i-urinary tract lwenzekile.
Uma i-hydronephrosis yezinso ezinempilo itholakele embuseni, khona-ke isithintelo singase senzeke ezingeni lesikhumba sokudla esifanele singene ngaphakathi kwe-ureter, kunoma iyiphi ingxenye ye-ureter efanele noma ekungeneni kokungena kwesinye. Kungenzeka futhi ukuba u-ureter asuke ezinso ezingalungile noma asebenze ngesikebhe esengeziwe.
I-hydronephrosis yezinso zangakwesobunxele emlonyeni we-fetus yenzeka ngenxa yesithiyo esifanayo ngakwesobunxele.
I-Hydronephrosis iyingozi ngoba ngokunweba, kungenzeka ukucindezela i-parenchyma ngomchamo kuze kube yilapho ibhujiswa ngokuphelele, emva kwalokho i-hydronephrosis ayikhuli, kepha izinso azikwazi ukulondolozwa. Ngakho-ke, ukwelashwa kuvame ukushesha: uma i-hydronephrosis encane - ngemva kokuzalwa kwengane, futhi uma kunesidingo - futhi ngesikhathi sokukhulelwa ezinso ze-fetus (ukuphuma komchamo okwesikhashana, okulandelwa ukuhlinzwa kokuhlinzwa kwe-plastic) kudingekile.