I-Hydronephrosis iyisifo esibonakaliswe ukwanda kwetholo lweenkqubo zokuqokelela izintso, apho kukho ukuphulwa komkhuhlane, ukwanda kwe-hydrostatic pressure. Ngcaciso elula, iintso ziquka i-pelvis kunye ne-calyx, eyenza inkqubo yokuqokelela, apho umchamo uqokelela khona. Kwimeko xa umthamo wokwakheka kwamanzi ungaphezu komda ovumelekileyo, i-calyx kunye ne- pelvis iya kwandula . Esi sifo senziwa kubantwana nakubantu abadala. Siza kuthetha nge-hydronephrosis yeentso kwiintsana.
Izizathu, iintlobo kunye neempawu ze-hydronephrosis ezisanda kuzalwa
Ngokuqhelekileyo, i-hydronephrosis inokuzalwa kunye nokufunyanwa. Ngokuphathelele abantwana, ingakumbi abantwana abancinane, banama-hydronephrosis abaqhelekanga. Iimbangela ze-congenital hydronephrosis ezisanda kuzalwa zingabonakaliyo kwisakhiwo seentso okanye neempahla zabo ngexesha lokukhula komntwana, oko kukuthi:
- indawo engafanelekanga ye-ureter;
- ukunciphisa umonakalo;
- ukwakhiwa kwesitya esongezelelweyo sesitya, esenza i-ureter yenzeke, kwaye oko kukuvimbela ukuphuma komchamo.
I-Hydronephrosis enye, xa isifo sinye sithinteka, kwaye i-bilateral, apho ukuphuma komlambo kuphazamiseka kwizitho zombini. Iqondo lokuphuhliswa kwesifo liyahlukana:
- i-hydronephrosis i-1 degree kwiintsana eziza kuzalwa zibonakaliswa ukwandiswa kweengcambu, ukugcinwa kwengqibelelo ye-parenchyma kunye nokugcinwa komsebenzi weentso;
- kunye ne-hydronephrosis ye-2 degrees kwintsana, kukho ukwanda kwindleko yeentso, ukunyuka okubonakalayo kwentsimbi, umonakalo kwi-parenchyma, kunye nokuhla kwe-functional renal kwi-40%;
- i-hydronephrosis yesilinganiselo sesithathu kwiintsana zibonakaliswa yi-atrophy ye-parenchyma, ukunyuka okubonakalayo kwiintso, kunye nokunciphisa umsebenzi we-renal ukuya kuma-80%, nokuba kungabikho.
Iimpawu ze-kidney hydronephrosis ezinsana ziquka:
- ukungcola kwegazi kumchamo;
- ukwanda kweeukocytes kumchamo;
- ukwanda kweqondo lokushisa;
- intlungu xa uchama.
I-Hydronephrosis yeengtso kwiintsana: unyango
Unyango lwezilwanyana luxhomekeke kwinqanaba lokuphuhliswa kwalo. Kwinqanaba eli-1, i-ultrasound rhoqo kunye noviwo kwi-urologist yabantwana kuyimfuneko. Kwii-2 degrees ze-kidney hydronephrosis, unyango luxhomekeke kwiintshukumo zophuhliso lomntwana-ezintle okanye ezimbi. Ukuba imeko ibuhlungu kwaye isilinganiselo sesithathu sesi sifo, kungenelelo olungxamisekileyo.
Ukusebenza kwe-kidneyphroneis yentsana kwintsana izalwa, njengommiselo, ngendlela yokugcina, xa kunecandelo elikhethekileyo akukho mfuneko.