Lub zais zis yog lub hauv paus tseem ceeb ntawm lub cev excretory system. Nws lub hom phiaj yog tsub zuj zuj ntawm cov zis rau nws tom ntej excretion. Feem ntau, qhov mob tshwm sim hauv nws, qhia tias muaj cov txheej txheem pathological. Feem ntau, qhov mob ntawm lub zais zis hauv cov txiv neej yog nrog los ntawm cov kab mob xws li urolithiasis, cystitis, qog, prostatitis thiab raug mob.
Ntawm no tsis yog tus tsos mob nkaus xwb. Qhov mob syndrome tuaj yeem ua ke nrog lwm yam mob. Txhawm rau kuaj xyuas kom raug, tus kws kho mob soj ntsuam cov yam ntxwv ntawm qhov mob: lawv qhov chaw nyob, kev siv zog, lub sijhawm tshwm sim. Cia peb sim saib seb yog vim li cas thiab qhov zais zis ua rau cov txiv neej ua li cas. Cov tsos mob thiab kev kho mob ntawm tus mob no tau piav qhia hauv kab lus.
Etiology ntawm lub zais zis mob
Cov txiv neej feem ntau muaj mob hauv plab plab thiab cuam tshuam ntawm cov zis. Qhov no taw qhia raumuaj ntau yam kab mob uas tsuas yog kev kuaj mob pab txheeb xyuas. Nco ntsoov coj mus rau hauv tus account qhov kev siv ntawm qhov mob, qhov ua rau ntawm nws tshwm sim, localization, qhov twg nws muab thiab dab tsi nws nrog. Tsis tas li ntawd, cov kev khiav hauj lwm thiab kev mob ntawm tus neeg mob raug coj mus rau hauv tus account.
Mob hauv lub zais zis hauv cov txiv neej yog conventionally muab faib ua 2 pawg: txuam nrog tso zis thiab tsis txuam nrog xws li ib tug txheej txheem. Thawj pab pawg yog coj los ntawm cystitis, uas yog suav tias yog feem ntau ua rau mob syndrome. Qhov no kuj suav nrog urolithiasis.
Pab pawg thib ob yog sawv cev los ntawm qhov mob uas cuam tshuam ncaj qha rau cov qog, adenoma, mob zais zis. Tsis tas li ntawd, qhov mob tshwm sim nrog urethritis, pathology ntawm txoj hnyuv thiab pubic articulation. Tib lub sijhawm, lawv tawg mus rau qhov chaw ntawm lub zais zis.
Kev mob
Yog cov txiv neej muaj mob hauv lub zais zis, qhov laj thawj ntawm qhov no yuav txawv. Cov kab mob ntev ntawm tus kab mob no tshwm sim los ntawm kev mob hnyav, uas yuav qhia tau tias muaj qhov mob hnyav ntawm cov kab mob ntawm cov kab mob genitourinary. Hauv qhov no, qhov mob tuaj yeem tshwm sim thaum so thiab thaum tso zis. Yog tias tseem muaj o, ces qhov mob mob hnyav zuj zus thaum kawg ntawm kev tso zis tso zis.
Feem ntau ua rau mob zais zis hauv cov txiv neej yog cov kab mob hauv qab no:
- cystitis;
- urolithiasis;
- cov txheej txheem mob hauv lub raum, ureter, prostate;
- txo qis kev tiv thaiv vim kev ua haujlwm dhau, kev ntxhov siab, kab mob sib kis;
- mob qog noj ntshav thiab malignant;
- bruis, raug mob, zais zis ruptures;
- kab mob ntawm qhov quav;
- hypothermia.
Symptoms
Mob zais zis hauv cov txiv neej - cov tsos mob ntawm cov kab mob hauv qab no:
- cystitis;
- urolithiasis;
- tumors;
- mob qog noj ntshav;
- leukoplakia;
- atony;
- exstrophy;
- tuberculosis;
- luag;
- hernia.
Cia peb xav txog cov kab mob uas tshwm sim ntau tshaj plaws uas ua rau mob hauv lub cev, ntsuas kev ntsuas thiab kev kho mob.
mob los ntawm urolithiasis
Mob zais zis syndrome tshwm sim rau ntau yam, thiab urolithiasis yog suav tias yog feem ntau. Kev tsim cov pob zeb tshwm sim los ntawm kev tso dej ntawm cov ntsev hauv qhov ntau thiab tso zis tso zis. Lub zais zis uas muaj qhov cuam tshuam ntawm qhov tso zis tsis tuaj yeem ua rau lub cev tsis muaj zog, uas ua rau cov zis ntau ntxiv, thiab tom qab lub sijhawm tsim cov pob zeb.
Cov pob zeb zoo li no tuaj ntawm cov duab sib txawv, qhov ntau thiab tsawg thiab sib xws (muab thiab tawv). Mob hnyav nyob rau hauv cheeb tsam ntawm lub zais zis nyob rau hauv cov txiv neej tshwm sim yog hais tias lawv pib ua mob rau lub mucous daim nyias nyias ntawm lub cev. Mob syndrome txawv nrog xws li ib tug kab mob nyob rau hauv uasthaum so, nws yog xyaum tsis hnov, thiab nws intensification tshwm sim thaum lub sij hawm nquag txav thiab thaum tso zis. Mob yuav kis mus rau perineum lossis scrotum.
Kev kuaj mob thiab kho urolithiasis
Txhawm rau txiav txim siab qhov ua rau mob zais zis hauv cov txiv neej, tus kws kho mob sau tag nrho cov ntaub ntawv tsim nyog ntawm nws tus neeg mob thiab tshuaj xyuas tus neeg mob. Cov txiv neej cov lus tsis txaus siab kuj tseem ceeb. Txhawm rau kom paub meej qhov kev kuaj mob ntawm urolithiasis, cov kev tshawb fawb tau ua tiav thiab cov kev ntsuam xyuas tsim nyog raug coj mus kuaj. Cov ntaub ntawv tshaj plaws yog kev kuaj zis dav dav, uas yuav pab txheeb xyuas seb cov ntsev npaum li cas. Tsis tas li ntawd, ultrasound, cystoscopy, thiab, yog tias tsim nyog, MRI thiab CT raug ua.
Yog hais tias tus txiv neej lub zais zis mob nrog xws li mob, ces kev kho mob radical pab tshem tawm, uas muaj nyob rau hauv tshem pob zeb. Cov txheej txheem tseem ceeb ntawm kev kho yog cystolithotripsy (pob zeb crushing) thiab cystolithotomy (pob zeb seem). Tsis tas li ntawd, tus neeg mob tau muab tshuaj noj, uas nyob ntawm seb hom pob zeb. Txhawm rau tiv thaiv cov pob zeb rov ua dua, koj yuav tsum haus dej kom ntau. Yog tias tus kws kho mob tau pom zoo rau kev kho mob radical, ces siv cov tshuaj uas yaj cov pob zeb.
Cystitis mob
Ib tug txiv neej lub zais zis mob vim qhov mob. Xws li tus kab mob (cystitis) yog ib yam rau cov poj niam thiab yog vim lub peculiarities ntawm cov qauv ntawm lawv lub cev. Hauv cov txiv neej, tus kab mob no tshwm sim vim kev cuam tshuam thiab stagnation ntawm cov zis. Cystitis tshwm sim nrog cov qog, urolithiasiskab mob, kab mob tshwm sim los ntawm cov kab mob, chlamydia, ntau yam kab mob. Cov kab mob tshwj xeeb tuaj yeem ua rau muaj kab mob sib kis: trichomoniasis, chlamydia, gonorrhea. Tsis tshua muaj ntau zaus, cystitis tshwm sim thaum lub tubercle bacillus cuam tshuam.
Qhov mob tshwm sim los ntawm tus kab mob no tshwm sim hauv plab plab, puab tais, sab nraub qaum lossis perineum. Leukocytes thiab pus tshwm nyob rau hauv cov zis. Cystitis feem ntau ua mob ntev nrog cov tsos mob me. Cov teeb meem ntawm tus kab mob muaj xws li o ntawm cov ntaub so ntswg ib puag ncig, sclerosis ntawm lub cev hlwb, pyelonephritis.
Kev kuaj mob thiab kho cystitis
txhawm rau tsim kom muaj kev kuaj mob kom raug, kab lis kev cai tso zis yog ua, uas tso cai rau cais cov kab lis kev cai ntawm cov kab mob. Qhov no qhia tau hais tias tus kab mob kis tau tus mob. Tsis tas li ntawd, lawv coj cov kev soj ntsuam dav dav ntawm cov zis thiab ntshav. Ib txoj kev kuaj mob zoo heev yog uroflowmetry. Lawv kuj ua ultrasound ntawm lub zais zis, ob lub raum, prostate.
Cystitis yog kho nrog tshuaj tua kab mob, tshuaj ntsuab qhia. Txhawm rau tiv thaiv qhov mob, sau cov tshuaj uas tsis yog-steroidal anti-inflammatory thiab antispasmodics. Muaj tsawg zaus, lub cev raug ntxuav nrog cov tshuaj tua kab mob.
Mob nrog mob ntawm prostate
Kev txhim kho mob ntawm lub zais zis hauv cov txiv neej kuj tau yooj yim los ntawm cov kab mob xws li prostatitis. Feem ntau, qhov mob syndrome nrog rau qhov mob hnyav ntawm tus kab mob, uas tshwm sim vim muaj kab mob. Feem ntau cov pathology tshwm sim thaum muajprostate ntawm ntau yam kab mob, xws li E. coli, Enterobacter, Klebsiella thiab lwm yam.
Mob hauv prostatitis yog nyob rau hauv qis rov qab, hauv plab plab, perineum, qhov quav thiab scrotum. Nrog cov tsos mob - mob thaum tso zis, mob lossis kub hnyiab hauv cov zis, tsis muaj zog, myalgia, mob taub hau.
Kev kuaj mob thiab kho tus mob prostatitis
Cov kev kawm ntev ntawm prostatitis tuaj yeem pab txhawb kev loj hlob tom qab qee lub sijhawm ntawm cov kab mob xws li cystitis, sepsis, pyelonephritis. Kev kuaj mob pib nrog kev ntsuam xyuas sab nraud ntawm tus neeg mob, sau cov anamnesis, tom qab ntawd cov kev tshawb fawb thiab kev sim ntsuas tau ua tiav. Ib tug swab yog muab los ntawm tus neeg mob los ntawm lub urethra rau ntxiv sowing, thiab zis kuj yog kab lis kev cai. Nrog kev pab ntawm palpation, tus kws kho mob tshuaj xyuas cov qog prostate. Tsis tas li ntawd, tus neeg mob tau txais ultrasound ntawm prostate, MRI lossis CT, thiab nws yuav tsum pub ntshav thiab zis rau kev tshuaj ntsuam dav dav.
Kev kho mob ntawm lub zais zis yog hais txog qhov tshwm sim ntawm tus kab mob. Qhov no suav nrog kev noj tshuaj tua kab mob (tetracyclines, macrolides, fluoroquinolones), pw so, thiab haus dej kom ntau. Txo qhov mob nrog tshuaj tua kab mob. Nyob rau hauv cov xwm txheej hnyav, hydration thiab diuretics tau muab.
Thaum cov qog ntawm lub zais zis mob sib quas ntus thiab mob. Nws yog localized feem ntau hauv ib cheeb tsam, nws tuaj yeem tshwm sim thiab ploj mus. Ntshav tshwm nyob rau hauv cov zis, uas hloov nws cov xim, nws uaqias neeg. Cov qog yog kho nyob rau hauv ob txoj kev: conservative thiab phais. Kev saib xyuas kev kho mob muaj kev kho hluav taws xob thiab tshuaj kho mob, tab sis feem ntau cov kws kho mob siv rau kev phais. Tom qab ua haujlwm, cov tshuaj khomob thiab tshuaj tiv thaiv kab mob tau muab tshuaj.
Kev mob rau lub zais zis yog qhov tsawg heev. Nrog rau kev raug mob plab kaw, mob hnyav tshwm sim, uas yuav qhia tau tias lub zais zis rupture. Pelvic fractures feem ntau rupture lub urethra. Yog hais tias qhov kev puas tsuaj rau lub cev yog qhov tsis tseem ceeb, ces kev kho mob yog sau tseg - noj tshuaj tua kab mob, hemostatic, tshuaj tua kab mob thiab tshuaj tiv thaiv kab mob. Tsis tas li ntawd, ib lub raj tso rau hauv lub zais zis rau ob peb hnub kom tso zis. Nyob rau hauv rooj plaub ntawm kev raug mob hnyav, kev phais yog ua.
Zoo kawg
Yog li, peb pom tias yog vim li cas lub zais zis ua rau cov txiv neej. Mob syndrome feem ntau yog cov tsos mob uas muaj ntau yam mob hnyav heev tuaj yeem muab zais uas yuav tsum tau kho tam sim. Nws tshwm sim tias qhov mob ntawm lub zais zis tuaj yeem qhia txog kev puas tsuaj rau lwm lub cev. Hauv qhov no, yuav tsum muaj kev kuaj mob kom raug, uas tseem ceeb heev rau kev kho mob ntxiv.
