Pakati pezvirwere zvakasiyana-siyana zve genitourinary system, vesicoureteral reflux muvana inetso yakakomba yemishonga yemazuva ano. Ichi chirwere chinopa kuvhiringidza kukuru kune vanorwara uye pasina kurapa kwakakwana kunogona kutungamirira kukuremara.
Kuonekwa kweDMR mumwana - chii?
Chirwere ureter reflux kana chakafuridzirwa PMR ndiyo nzira iyo urini inopinda muUrea kune imwe chikonzero inodzokera kumusana wemapfudzi kana kuti inowedzera mumushure. Mamiriro ezvinhu akadai akadaro anokonzera utachiona nenzira ye pyelonephritis, uye mumamiriro akaipisisa, kukanganiswa kwepvo. Mune zvimwe zviitiko, vesicoureteral reflux muvana vanogona kupfurikidza ivo pachavo, kunyange munguva ino muinso kune nzira dzinoparadza. Muzviitiko zvakawanda, kurapwa kwenguva refu kana kurapwa kunodiwa.
Bladder-ureteral reflux - zvinokonzera
Insidious disease ye vesicoureteral reflux, izvo zvinokonzera izvo zvingava zvose zvakasununguka uye zvinowanikwa, zvinoratidzirwa nekuputsa kwemagetsi emagetsi anowanikwa mumusere. Denda mu 70% yezviitiko zvinowanikwa mune vana vasati vasvika pagore. Kuvhiringidza kwevhavha iri muusreter kunogona kuva zvose congenital - primary PMR, uye yakawana - yechipiri PMR. Muchiitiko chechipiri, zvikonzero zvinokonzerwa ne- cystitis (chisingararami), zvichiita kuti kuwedzerwa kwemuromo mumugwagwa wevhavha uye kuderedzwa kwekuchengetedza kwayo zvichienderana nekugadzirisa nguva dzose.
Dhigirii re vesicoureteral reflux muvana
Chirwere chirwere che vesicoureteral reflux, dhigirii iyo inokosha zvikuru, inofanirwa kurapwa zvichienderana nesiteji. Zvishoma zviduku zvinoshandiswa zvinosanganisira vesicoureteral reflux muvana vanobatwa, yakawanda mikana yekuti mwana awanezve. Kusiyanisa:
- I degree - urinini inowira chete muchikamu chepakati chechireve, pasina kupfuurira mberi.
- Chikoro chepiri - kubuda kwemuti kunoonekwa muhutachi ureter rose uye chikamu chekudzivirira kwemapapiro.
- III degree - iyi danho rinoratidzwa nekuwedzera mumapapiro, apo urinhi uri kukanda, kunze kwekuwedzera kwechiremba.
- IV degree - renal pelvis uye ureter ine shanduko inokosha mune maitiro ekuwedzera.
- V dhigirii - kudonha kwemasvingo einso nekuda kwekukanganiswa kwemuti uye semigumisiro - kukonzera kwayo nekudzvinyirira mabasa.
Mukuwedzera, kuoma kwechirwere kunotongwa nekuderedza kwepfungwa basa. Kusiyanisa:
- vesicoureteral reflux yediresi yekutanga - apo kuchinja kusina kuwanda uye basa repimpure haritauri;
- 2-degree vesicoureteral reflux muvana inoratidzwa nekuderera kwekushanda kwechikwata chepakati pa 30%
- 3-degree vesicoureteral reflux - kana itsvo dzichishanda pamakumi matanhatu ezana emasimba ezere;
- 4-degree vesicoureteral reflux ndiyo nharaunda yakakomba yechirwere ichi, nokuti basa repvo rakaderedzwa neinopfuura 60%.
Chirwere ureter reflux muvana - zviratidzo
Ureteral reflux muvana ine zviratidzo zvinoratidza zvirwere zvechirwere ichi, izvo dzimwe nguva zvinotorwa kuti zviratidzo zvechirwere zve pyelonephritis . Kuti uite nokukurumidza kuti usununguke mamiriro ezvinhu emwana anorwara, unoda kushanda kuti uongorore kune vanachiremba vanokwanisa. Vabereki vanofanira kungwarira kana mwana achinyunyuta pamusoro:
- headache;
- kuzvimba;
- kunzwa nenyota;
- raspiree munharaunda yechiuno;
- high blood pressure;
- nguva yakawanda yekupisa kusimuka;
- kurwadziwa mushure mekunge uchizora
- rakashandurwa ruvara rwemuti (kushaya, kuora).
Chirwere uye ureter reflux - kuongororwa
Kuti uwane hutano hweMATCT mumwana, unofanira kuwana kliniki yakaisvonaka inonyanya kuonekwa muhuroyi hwehutano hwevana. Vanachiremba vanoita zvakanyanya kuongororwa kweongororo kuti vaone kuwanda kwechirwere ichi:
- kunyanya kuongororwa neurorosi uye kugadzira anamnesis;
- general analysis of urine ;
- bacteriological kuongorora urine (bakopsev);
- Ultrasonography yeitsvo uye nhengo dzomukati dzinoshandisa Doppler;
- kupenya kwe genitourinary system;
- cystoscopy;
- urethrocystography;
- radiography.
Sei vesicoureteral reflux inorapwa?
Chirwere chakadai se vesicoureteral reflux muvana, vane maitiro anokwanisa kugara kwenguva yakareba, ane mhando mbiri - inoshanda uye isingaiti. Muchiitiko chekutanga, kutsvaira kukonzerwa kwemuguta kunoitika chete nekugunzva, uye muchipiri, izvi hazvirevi pane zvinokonzera kunze. Vesicoureteral reflux inobatwa zvakanaka kubudikidza nevana, zvikurukuru pazera remakore. Mushonga anenge anenge 100%. Kune marudzi maviri ekurapa - anochengetedza uye anovhiya. Muzvipfeko zvekunze:
- kudya therapy;
- kurondedzera zvinodhaka kuderedza kushandiswa;
- kutora antibiotics;
- phytotherapy;
- acupuncture;
- catheterization yenguva pfupi yebhanhire;
- electrophoresis.
Kupindira kwokuvhiya kunoratidzwa kana:
- Zvimwe kurapwa kwakasiyana hazvishande;
- Mukuwedzera pakunatswa, kune zvimwe zvinokonzera kusakanganiswa kwechimiro chemugodhi wemuguta;
- Kudzokazve kwehutachiona hwehutachiona husingatauri kuhutano hwema antibacterial.
Chirwere uye ureter reflux muvana - kliniki mazano
Nemhaka yekuti ureteral reflux muvana inofungidzirwa sechinetso chakakomba chemishonga pamwe nehurumende, magetsi ezuva ranhasi pakurapa kwayo anoramba achivandudzwa uye ataurwa. I uye II chirwere chechirwere chinorapwa kwete chekuvhiya, iyo in 65% yematambudziko inopa simba rakasimba. Asi kana kuvhiringidza kusingagoni kumira, kunyange pazvikamu izvi zvinokurudzirwa kuita chirwere chinotambudza chinogona kukanganwa zvachose nezvechinetso.
Endoscopic kururamisa vesicoureteral reflux muvana
Nzira yemazuva ano uye inobudirira, inokwana 97% kukunda vesicoureteral reflux inonzi "endoscopy". Naiye, chigadzirwa chinokosha endoscope, kupindira kwakanyanya-kunetseka, kunotora maminetsi gumi nemashanu chete. Iyo yose nzira iri pasi pe mask anesthesia uye kwemazuva 3-4 murwere muduku anenge atorongedzerwa kumushandi wekuchengetedzwa kwekuchengetedzwa kwepamba kumba.