Hydronephrosis e kopaneng

Bilateral hydronephrosis ke ho holisa likarolo tsa liphio tse bokellang moroto. Likamano li bolela mahlakore ka bobeli.

Hydronephrosis e kopanetsoeng e etsahala ha moroto o sa khone ho tsoa liphio ho ea senya. Hydronephrosis ha se lefu ka bolona. E hlaha ka lebaka la bothata bo thibelang moroto ho tsoa liphio, ureters le senya.

Mathata a amanang le hydronephrosis ea linaha tse peli a kenyelletsa:

• Matšoao a bohloko a thibelang ho ruruha ha mali - ho koala liphio ka tšohanyetso
• Thibelo ea senya ea senya - ho thiba senya, e sa lumelleng drainage
• Matšoao a sa foleng a thibelo ea mali a mabeli - ho koaloa butle ha liphio ka bobeli hangata ho tsoa tšitiso e tloaelehileng e le 'ngoe
• Neurogenic senya - senya hantle tshebetso
• Li-valve tsa morao-rao - li phunyeletsa mokokotlong o bakang ho senyeha ha senya (ka bashanyana)
• Prune belly syndrome - senya e sa fe letho hantle e bakang ho arohana ha mpa
• Retroperitoneal fibrosis - ho eketseha ha lisele tsa 'mele tse thibelang li-ureters
• Tšitiso ea liphapang tsa Ureteropelvic - ho koaloa ha liphio sebakeng seo ureter e kenang liphio
• Reflux ea Vesicoureteric - tšebeliso ea moroto ho tsoa senya ho ea ho liphio
• Ho phatloha ha pōpelo - ha senya e theoha ebe e hatella sebakeng sa botšehaling. Sena se baka kink ka urethra, e thibelang moroto ho tsoa ka senya.

Ho lesea, matšoao a bothata hangata a fumanoa pele ho tsoalo nakong ea bokhachane ba ultrasound.

Tšoaetso ea moroto ho lesea le sa tsoa tsoaloa e ka supa ho koaloa ha liphio. Ngoana ea seng a tsofetse ea fumanang tšoaetso ea methapo ea moroto o lokela ho hlahlojoa hore na o koetsoe joang.

Palo e phahameng ho feta e tloaelehileng ea tšoaetso ea mosese hangata ke lona feela letšoao la bothata.

Matšoao a tloaelehileng ho batho ba baholo a ka kenyelletsa:

• Bohloko ba morao
• Ho nyekeloa ke pelo, ho hlatsa
• Feberu
• U hloka ho ntša metsi khafetsa
• Ho fokotsa tlhahiso ea moroto
• Mali ka morong
• Ho se its'oare ha urinary

Liteko tse latelang li ka bonts'a hydronephrosis ea linaha tse peli:

• CT scan ea mpa kapa liphio
• IVP (e sebelisoa khafetsa)
• Bokhachane (fetal) ultrasound
• Sesepa sa renal
• Ultrasound ea mpa kapa liphio

Ho beha phaephe ka hara senya (Foley catheter) ho ka bula thibelo. Mefuta e meng ea kalafo e kenyelletsa:

• Ho ntša senya
• Ho imolla khatello ka ho kenya methapo ka liphio letlalong
• Ho beha tube (stent) ka ureter ho lumella moroto ho phalla ho tloha liphio ho senya

Sesosa sa thibelo se hloka ho fumanoa le ho alafshoa hang ha moroto o se o lokolohile.

Phekolo e etsoang ha ngoana a le ka popelong kapa nakoana kamora ho hlaha e ka ba le litholoana tse ntle ho ntlafatseng tšebetso ea liphio.

Ho khutla ha ts'ebetso ea renal ho ka fapana, ho latela hore na blockage e teng halelele hakae.

Tšenyo e sa fetoheng ea liphio e ka bakoa ke maemo a bakang hydronephrosis.

Bothata bona hangata bo fumanoa ke mofani oa tlhokomelo ea bophelo.

Ultrasound nakong ea bokhachane e ka bonts'a thibelo ea lesea la mosese. Sena se lumella bothata ho phekoloa ka ts'ebetso ea pele.

Lisosa tse ling tsa ho thiba, joalo ka majoe a liphio, li ka fumanoa kapele haeba batho ba hlokomela matšoao a tlhokomeliso ea mathata a liphio.

Ho bohlokoa ho ela hloko mathata a akaretsang ka ho ntša metsi.

Hydronephrosis - e kopaneng

• Mosali pampitšana ea mosese
• Mokhoa oa banna oa ho ntša metsi

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Frøkiaer J. Thibelo ea pampitšana ea mosese. Ka: Skorecki K, Chertow GM, Marsden PA, Taal MW, Yu ASL, li-eds. Brenner le Rector ea Liphio. 10th ed. Philadelphia, PA: Elsevier; 2016: khaolo ea 38.

Gallagher KM, Hughes J. Thibelo ea mosese oa mosese. Ho: Feehally J, Floege J, Tonelli M, Johnson RJ, bangoli. Kakaretso ea Nephrology ea Kliniki. La 6th. Philadelphia, PA: Elsevier; 2019: khaolo ea 58.

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.