Retroperitoneal fibrosis

Retroperitoneal fibrosis ke boloetse bo sa tloaelehang bo thibelang li-tubes (ureters) tse tsamaisang moroto ho tloha liphio ho ea senya.

Retroperitoneal fibrosis e hlaha ha mefuta e meng ea masela a likhoele e le teng kamora mpa le mala. Lisele li theha boima (kapa bongata) kapa lisele tse thata tsa fibrotic. E ka thibela li-tubes tse tsamaisang moroto ho tloha liphio ho ea senya.

Lebaka la bothata bona ha le tsejoe hangata. E atile haholo bathong ba lilemo li 40 ho isa ho tse 60. Banna ba na le menyetla e imenneng habeli ea ho ba le boemo boo joaloka basali.

Matšoao a pele:

• Bohloko bo bohloko ka mpeng bo eketsehang ka nako
• Bohloko le phetoho ea 'mala maotong (ka lebaka la phallo ea mali e fokotsehileng)
• Ho ruruha ha leoto le le leng

Matšoao a morao-rao:

• Ho fokotsa tlhahiso ea moroto
• Ha ho na tlhahiso ea moroto (anuria)
• Ho nyekeloa ke pelo, ho hlatsa, ho fetoha hoa boemo ba kelello ho bakoang ke ho hloleha ha liphio le ho aha lik'hemik'hale tse chefo maling
• Mahlaba a bohloko ka mpeng le mali setulong (ka lebaka la lefu la lisele tsa mala)

Sesebelisoa sa mpa sa CT ke tsela e molemohali ea ho fumana boima ba retroperitoneal.

Liteko tse ling tse ka thusang ho fumana boemo bona li kenyelletsa:

• BUN le liteko tsa mali tsa creatinine
• Intravenous pyelogram (IVP), eseng joalo ka ha e sebelisoa hangata
• Liphio tsa ultrasound
• MRI ea mpa
• Tlhatlhobo ea CAT ea mpa le retroperitoneum

Ho ka boela ha etsoa biopsy ea boima ho felisa mofetše.

Li-corticosteroids li lekoa pele. Bafani ba bang ba tlhokomelo ea bophelo le bona ba fana ka sethethefatsi se bitsoang tamoxifen.

Haeba kalafo ea corticosteroid e sa sebetse, biopsy e lokela ho etsoa ho netefatsa tlhahlobo. Ho ka laeloa meriana e meng ho hatella sesole sa 'mele.

Ha moriana o sa sebetse, ho hlokahala opereishene le lisente (ho hula methapo).

Ponahalo e tla latela boholo ba bothata le boholo ba tšenyo ea liphio.

Tšenyo ea liphio e kanna ea ba ea nakoana kapa ea ka mehla.

Boloetse bona bo ka lebisa ho:

• Thibelo e tsoelang pele ea methapo e tsoang liphio lehlakoreng le leng kapa ka mahlakore ka bobeli
• Ho hloleha ha liphio ho sa foleng

Bitsa mofani oa hau haeba u e-na le bohloko bo ka mpeng kapa lehlakore le tlase ha u tsoa moroto.

Leka ho qoba tšebeliso ea nako e telele ea meriana e nang le methysergide. Meriana ena e bontšitsoe e baka retroperitoneal fibrosis. Ka linako tse ling Methysergide e sebelisoa ho phekola hlooho ea migraine.

Idiopathic retroperitoneal fibrosis; Lefu la Ormond

• Tsamaiso ea monna ea ho ntša metsi

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Nakada SY, Molemo ka ho fetisisa SL. Tsamaiso ea tšitiso e kaholimo ea mosese. Ka: Wein AJ, Kavoussi LR, Partin AW, Peters, CA, bahlophisi. Urology ea Campbell-Walsh. 11th ed. Philadelphia, PA: Elsevier; 2016: khaolo ea 49.

O'Connor OJ, Maher MM. Karolo ea ho ntša metsi: kakaretso ea anatomy, mekhoa le litaba tsa radiation. Ka: Adam A, Dixon AK, Gillard JH, Schaefer-Prokop CM, bahlophisi. Grainger & Allison’s Diagnostic Radiology: Buka ea Litšoantšo ea Bongaka ea Bongaka. La 6th. Philadelphia, PA: Elsevier Churchill Livingstone; 2015: khaolo ea 35.

Shanmugam VK. Vasculitis le li-arteriopathies tse ling tse sa tloaelehang. Ka: Sidawy AN, Perler BA, bahlophisi. Rutherford's Vasculry and Endovascular Therapy. La 9th. Philadelphia, PA: Elsevier; 2019: khaolo ea 137.

Phetoho RH, Mizell J, Badgwell B. Lerako la mpa, umbilicus, peritoneum, mesenteries, omentum le retroperitoneum. Ka: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Buka ea Sabiston ea Ngaka ea ho Buoa. 20th, ed. Philadelphia, PA: Elsevier Saunders; 2017: khaolo ea 43.