Munenge mumudzimai wese, kunyanya achiri muduku, kamwechete akatarisana nezvirwere zvekuvhenekera. Mushure mekuongorora kwakakwana, hydronephrosis yemafongo inowanzoratidzwa - chii icho, nhamo, vanachiremba vanowanzotsanangurira, vachisiya murwere mukusaziva kwakakwana. Zvisinei, zvakakosha zvikuru kuti uwane ruzivo rwakadaro, sezvo ruzivo rwechokwadi rwehutano uye kunzwisisa kwehutano hwako pachako chikamu chinokosha chekubudirira kwekurapa.
Ndeipi chirwere chepfungwa che hydronephrosis?
Chirwere ichi chiri pasi pekufungisisa, chaizvoizvo, ishanduko yehvo.
Nokuda kwekuputsa kwekubuda kwemuti, uye, nekudaro, kusachengetwa kwayo muzvikamu zvegadziriro yekodzero, pane kuwedzera kwezvinokonzerwa (hydrostatic) mumapanga nemarimisi eitsvo. Nokuda kwechiitiko ichi vanowedzera, iyo, iyo, inotungamirira kukunhira kwemitsipa yeropa, kupererwa kwezvokudya zvezvikamu, kushanda kwavo, kukurudzirwa kwezvinyorwa muparenchyma.
Muzviitiko zvakawanda, kune hydronephrosis yeinso imwe. Izvi zvinokonzerwa nekuti, nehutachiwana huwandu hwemurini mune imwe yezvikamu, yechipiri inotora mutoro wakaviri pakubviswa kwechirwere chemvura, kubhadhara kusakosha.
Bilateral hydronephrosis yeiyo, sekutonga, inopesana nechekare yezvirwere zvekare zvekuvhenekera, izvo zvakagadziridzwawo nhengo mbiri dzakaparadzana.
Nhanho dzeinso hydronephrosis
Inofanana nekuwanda kweiyo mafungiro akaora anogona kuita mabasa ayo akajeka, zvikamu zvitatu zvezvinorondedzwa zvirwere zvakasiyana:
- Ikoko kwakanga kune kuwedzerwa kwechikamu chepachivande chenhengo. Iso pachayo haina kuchinja, kana kuti haina kukosha uye haigadziri kushanda kwayo.
- Mapapiro acho akanyanya kuwedzerwa nekudhenesa pamwe chete pamasvingo aro. Panguva imwecheteyo, ukuru hwehvo hwakawedzerwa (inenge 18-20%). Kukwanisa kwemapapiro kubvisa urinha kunonyanya kusina simba, sekushanda kweputsvo - kubva pa20 kusvika ku40%.
- Kuwedzera kwakanyanya, kufanana neplonde, nemikombe, nekuda kweiyo mafungiro anotaridzika semakamuri emakamuri akawanda. Hukuru hwechirongwa hunowedzera nechikamu che 1.5-2. Ikoko kunopesana kwakanyanya kwebasa remakumbo akaora, ne70-80%. Mumatambudziko akaoma, inowanzorega kushanda.
Nechirwere chetsvo hydronephrosis, mamiriro ezvinhu eparenchyma (mhuka inoputira pamusoro) yechipfu haina kukosha. Zvichienderana nehukuru hwekukuvara kwayo, chirwere chacho chikaita madigiri matatu:
- Iyo parenchyma yakachengetedzwa zvakakwana.
- Zvironda izvi hazvikoshi.
- Yakanyanya kukanda kukanganisa.
- Kusvibiswa kwetsvo, kusabatwa kweperiyma.
Zviratidzo uye zvinokonzera mafungiro hydronephrosis
Congenital pathology inokura nekuda kwezvinhu zvakadai:
- kusvibiswa kweropa remarita uye matavi eitsvo;
- kuvharwa kwemashoko emuguta;
- nzvimbo dzisina kururama dzenharaunda;
- mavheti, zvivako zvekugadzira;
- dyskinesia yemugwagwa.
Zvikonzero zve hydronephrosis yakawanikwa mushure mokuberekwa ndei:
- matumbo emuviri uye chibereko chemuviri wake, maovari;
- urolithiasis;
- kucheneswa kwehutachiona hwekuvhenekera mushure mekukuvara;
- kuvhiringidzika kwezvirwere zvezvikamu zvekuvhenekera nekuberekwa;
- kukanganisa kumutsipa wesipinha;
- Kunyoresa kupindira, maitiro emagetsi maduku kana retroperitoneal space;
- neoplasm yerinary tract.
Sezvo mutemo, kufambira mberi kwe hydronephrosis hakubvumirwi nemurwere. Iyo chete chiratidzo chechirwere chirwere chinorwadza, icho chiripo nguva dzose, pasinei nechinzvimbo chemuviri uye nguva yezuva. Dzimwe nguva kutonhora kwemuviri kunomuka kana utachiona hunobatana. Muzviitiko zvisingawanzoitiki, ropa rakanyanyiswa mumuguta.
Muchikamu chekupedzisira chechirwere, ane zvipatara zvose zvezvirwere zvekushaya.
Ndeipi iyo ngozi yezvirwere zvepfungwa hydronephrosis?
Iyo yakaongororwa chirwere inogona kuva yakaoma nezvimwe zvinetso, izvo zvine ngozi kune utano uye hupenyu:
- sepsis ;
- kidney failure;
- pyelonephritis ;
- urolithiasis;
- kupera kwe hydronephrosis sac;
- hypertension.