Hydronephrosis ntawm lub raum sab laug yog ib yam kab mob uas tshwm sim thaum cov zis tawm ntawm cov zis cuam tshuam thiab yog tus cwj pwm los ntawm kev nthuav dav ntawm pelvicalyceal system. Mob mob hauv plab nrog rov qab mus rau sab nraub qaum yog thawj cov cim qhia ntawm hydronephrosis ntawm lub raum sab laug. Tus kab mob no muab faib ua thawj los yog congenital. Qhov laj thawj tseem ceeb yog urinary tract dyskinesia, txawv txav ntawm lub raum cov hlab ntsha, congenital valvular anomalies, nrog rau cov kab mob thiab kab mob, thiab cov kev mob tshwm sim ntawm cov tshuaj. Qhov ua rau mob ntshav qab zib theem nrab lossis tau txais nephrosis yog cov kab mob urological, qog nqaij hlav hauv plab, kev raug mob ntawm cov zis thiab qaum qaum. Nce intrapelvic siab nce cov ntsiab lus ntawm calyx thiab hloov lawv configuration. Muaj atrophy ntawm cov leeg du, paj hlwb xaus.
Hydronephrosis ntawm lub raum sab laug yog tus cwj pwm los ntawm kev tsim cov ntaub so ntswg sib txuas. Muaj ob hom kab mob - qhib (muaj ib feem ntawm cov parenchyma) thiab kaw (kev cuam tshuam ntawm cov ureters tau pom nyob rau hauv thaj chaw pelvis-ureteric). Tus kab mob kis tau nyob rau hauv peb theem: thawj - muaj expansions tsuas yog nyob rau hauv lub plab mog, lub thib ob - lub khob nthuav, lub thickness ntawm lub parenchyma txo, qhov thib peb - atrophy ntawm lub raum parenchyma.
Hydronephrosis ntawm lub raum sab laug: cov tsos mob
Cov neeg mob yws yws txog qhov hnyav, tawg, mob ib ce ntawm sab laug, pom kev zoo siab thiab kev ntxhov siab, cov zis txo qis. Qee lub sij hawm muaj impurities ntawm hnoos qeev thiab ntshav hauv cov zis. Raws li qhov tshwm sim ntawm kev hloov pauv pathological, ob lub raum pib ua haujlwm tsis zoo, cov khoom lag luam tshuaj lom ntau ntau hauv lub cev. Thaum kawg, txhua yam tuaj yeem xaus rau hauv kev tuag.
Kev kuaj mob ntawm hydronephrosis
Tshuaj ntsuam xyuas hydronephrosis ntawm lub raum sab laug instrumentally, ultrasound thiab radiography. Intravenous urography kuj txheeb xyuas cov theem sib txawv ntawm tus kab mob: los ntawm kev nthuav dav ntawm lub plab hauv lub raum mus rau kev ua haujlwm tsis zoo thiab hydronephrosis.
Y Hydronephrosis thaum cev xeeb tub yog nrog los ntawm qhov mob nyob rau hauv qis rov qab, muaj ib tug dull rub mob nyob rau hauv tus ncej puab thiab puab tais. Hauv kev tshawb fawb ntawm cov zis, micro- thiab macrohematuria tau kuaj pom, nrog rau cov teeb meem ntawm hydronephrosis, muaj pyuria thiab bacteriuria. X-ray diagnostic txoj kev thaum cev xeeb tub yog contraindicated, yog li ntawd, ultrasound yog uakawm. Nrog aseptic unilateral hydronephrosis, kev kwv yees yog qhov zoo, txij li lub raum noj qab haus huv tau them nyiaj rau kev ua haujlwm ntawm tus neeg mob. Yog tias hydronephrosis tshwm sim thaum cev xeeb tub, nws tsis yog qhov qhia txog nws qhov kev txiav tawm. cuam tshuam kev xeeb tub nrog ob tog hydronephrosis, uas tsim ua ntej cev xeeb tub. Tsis tas li ntawd, kev xeeb tub raug txiav nrog kev kuaj mob ntawm "unilateral hydronephrosis", uas yog nrog azotemia thiab pyelonephritis.
YYuav ua li cas kho hydronephrosis?
Nyob rau hauv daim ntawv me me ntawm tus kab mob, kev kho kom zoo yog nqa tawm, lub suab ntawm cov zis tau nce. Thiab tseem nqa tawm kev tiv thaiv cem quav (kev noj haus, laxatives). Hauv cov kab mob hydronephrosis, kev kho tshuaj tua kab mob tau raug sau tseg, cov kab mob tso zis raug saib xyuas. Nyob rau theem tom ntej ntawm tus kab mob, kev phais kev phais yog qhov tseem ceeb. Thaum lub sijhawm ua haujlwm, qhov tseem ceeb tshaj plaws yog tshem tawm cov kev cuam tshuam ntawm cov zis kom tiv thaiv kev hloov pauv ntawm lub raum cov ntaub so ntswg.
