I-Hydronephrosis yisifo esibhekene nokukhuliswa kwemvelo kwesistimu yokuqoqa izinso, okuvela kuso ukuphulwa kokuphuma komchamo, ukwanda kwe-hydrostatic pressure. Ngenkcazelo elula, izinso zihlanganisa i-pelvis ne-calyx, edala isimiso sokuqoqa, lapho umchamo uqoqa khona. Uma kwenzeka ukuthi umthamo wesikhewu ukwedlula umkhawulo ovumelekile, i-calyx ne- pelvis izokwelula . Lesi sifo senziwa kokubili izingane kanye nabantu abadala. Sizokhuluma nge-hydronephrosis yezinso ezinsana.
Izimbangela, izinhlobo kanye nezimpawu ze-hydronephrosis ezisanda kuzalwa
Ngokuvamile, i-hydronephrosis izalwa futhi iyazuza. Ngokuphathelene nezingane, ikakhulukazi izingane ezincane, zine-hydronephrosis ngokuvamile ejwayelekile. Izimbangela ze-congenital hydronephrosis ezinsana zingabonakali ngesakhiwo sezinso noma izitsha zabo ngesikhathi sokuthuthukiswa komntwana, okungukuthi:
- indawo engalungile yombukiso;
- Ukunciphisa umfutho;
- ukwakheka kwesinye isikebhe esiphezulu, esicindezelayo, futhi ngaleyo ndlela kuvimbela ukuphuma komchamo.
I-Hydronephrosis inhlangothi eyodwa, lapho izinso zithintekayo, futhi ziphakathi kwamanye amazwe, lapho ukuphuma komchamo kuphazamiseka khona ezingxenyeni zombili. Izinga lokuthuthukiswa kwesifo lihlukile:
- I-hydronephrosis i-degree 1 ebusweni olusanda kuzalwa ibhekene nokukhuliswa kwe-pelvis, ukulondolozwa kobuqotho be-parenchyma nokulondolozwa komsebenzi wezinso;
- nge-hydronephrosis engama-2 degrees enganeni, kukhona ukwanda ngobukhulu bezinso, ukukhula okuphawulekayo kwe-pelvis, ukulimala kwe-parenchyma, nokunciphisa umsebenzi we-renal kuya ku-40%;
- i-hydronephrosis yesilinganiso sesi-3 ezinsana zibonakaliswa yi-atrophy ye-parenchyma, ukunyuka okubonakalayo kwezinso, nokunciphisa umsebenzi wokuqothula ama-80%, noma ngisho nokungabi khona kwayo.
Izimpawu ze-kidney hydronephrosis ezinsana zihlanganisa:
- ukungcola kwegazi emcimbini;
- ukwanda kwama-leukocytes emcinini;
- ukwanda kokushisa;
- ubuhlungu lapho uchama.
I-Hydronephrosis yezinso ekusanaweni: ukwelashwa
Ukuphathwa kokwelapha kuncike ekutheni kuthuthukiswe kanjani. Ezingeni eli-1, i-ultrasound ejwayelekile kanye nokuhlolwa ku-urologist yezingane kuyadingeka. Ezingeni ezimbili zezinso ze-hypronephrosis, ukwelashwa kuxhomeke ekutheni ukuthuthukiswa kwengane - okulungile noma okungalungile. Uma isimo sibhekene nesilinganiso sesithathu sesifo, ukungenelela kokuhlinzwa kuyadingeka.
Ukusebenza kwe-kidney hydronephrosis enganeni esanda kuzalwa kuqhutshwa, njengombuso, ngendlela yokugcina, uma isigaba esikhethekile kungekho sidingo.