I-Nephroptosis yezinga lesibili

Ingqikithi kunezinyathelo ezintathu zokushiya noma ukugeleza kwezinso. Ngokuhamba ngokuzenzakalelayo kwesilwane esihlotshaniswa nekholomu yomgogodla kuya ezingeni elidlula ubukhulu bemizimba ye-vertebrae engu-2, ukuxilongwa kwe-nephroptosis yesilinganiso sesibili kwenziwa. Njengomthetho, lokhu kuphazamiseka kwembula ngisho nalapho kuqoqwa idatha ye-anamnesis, ngokusekelwe kwezikhalazo nokubona kwesiguli ngokwakhe.

Izimpawu ze-nephroptosis yezinga lesi-2

Lesi sifo sibonakala ngezibonakaliso ezicacile:

• ubuhlungu obuyinkimbinkimbi ngezikhathi ezithile esifundeni se-lumbar esiya esikhwameni, esiswini esingaphansi;
• ukushisa komzimba okwandisiwe;
• ukubonakala kwesincane segazi emcimbini, ikakhulu ekuseni;
• isifo sosizi ezinsebeni ezichaphazelekayo, sikhula esimweni sokuma ekuhlaseleni okunzima;
• ukunyamalala kwemizwelo embi ngemva kokuba umuntu elele.

Lapho uhlola umchamo wesiguli nge-nephroptosis yebanga lesi-2, i- erythrocyte namaprotheni atholakala kulesosiketshezi, futhi ukubonakala kwayo kuphelelwe amandla.

Futhi, ngesikhathi sokuphuza, izinso zizwakala kalula ngaphandle kwemingcele ye-hypochondrium, kokubili ngokuphefumulelwa nokuphefumula, kepha kungenziwa kalula futhi kungenabuhlungu. Izinyathelo zokuxilonga ezengeziwe zithatha i-X-ray yokubuka yonke uhlelo lwe-urinary, u-urography, i-ultrasound yesitho esithintekile.

Ukwelashwa kwe-nephroptosis yezinso yezinga lesi-2

Ukwelashwa okuvamile ngokulondoloza okungajwayelekile akuphumelelanga, ngoba ukuqhubekela phambili kwe-nephroptosis kungaholela ekuhluphekeni okunjalo:

• i-pyelonephritis;
• ukwephulwa kwe-uro- ne-hemodynamics;
• isifo sofuba esingapheli;
• ukucindezeleka komzimba;
• nephrolithiasis;
• i-hydronephrosis .

Ezimweni ezinjalo, kunconywa ukuthi izinso zibuyele endaweni yazo evamile ngokuzilungisela embhedeni we-anatomical ngosizo lokungenelela okuhlinzayo - i-nephropexy. Ukusebenza kuvame ukuqhutshwa ngamasu amancane angenawo ama-percutaneous, retroperitoneoscopic noma laparoscopic ukufinyelela, kodwa ngezinye izikhathi kudingeke ukuba kutholakale ukufakwa kwendabuko evulekile (lumbotomic).

Ukubikezelwa ngemuva kokuhlinzwa kunesibindi - cishe iziguli ezingu-96% ziqinisekisa imiphumela emihle yokusebenza. Kulokhu, amathuba okuphindaphindiwe kwe-pathology akhishwa ngaphandle, kanti isikhathi sokuvuselela akulona nzima.

Kukhona ukungqinelani kokwenza ukungenelela kokuhlinzwa nge-grade 2 nephroptosis:

• isizinda esivamile esinzima;
• isiguli esigulayo;
• splanhoptosis.