Kotsi - liphio le ureter

Kotsi ho liphio le ureter ke tšenyo ho litho tsa karolo e kaholimo ea ho ntša metsi.

Liphio li ka lehlakoreng le leng la mokokotlo. Lehlakore ke mokokotlo oa mpa e kaholimo. Li sirelelitsoe ke mokokotlo, likhopo tse tlase le mesifa e matla ea mokokotlo. Sebaka sena se sireletsa liphio mabothong a mangata a kantle. Liphio le tsona li pota-potiloe ke lera la mafura. Mafura a thusa ho li sutumetsa.

Liphio li na le phepelo e kholo ea mali. Kotsi efe kapa efe ho tsona, e ka lebisa ho tsoa mali haholo. Likarolo tse ngata tsa padding li thusa ho thibela kotsi ea liphio.

Liphio li ka tsoa likotsi ka tšenyo ea methapo ea mali e li fepang kapa e li tsoelang, ho kenyelletsa:

• Aneurysm
• Thibelo ea methapo
• Fistula ea methapo
• Sefuba sa methapo ea pelo (ho koala)
• Tsietsi

Likotsi tsa liphio le tsona li ka bakoa ke:

• Angiomyolipoma, hlahala e se nang mofetše, haeba hlahala e le kholo haholo
• Mathata a ho itšireletsa mafung
• Tšitiso ea sesebelisoa sa senya
• Kankere ea liphio, litho tsa pelvic (mae a bomme kapa popelo ho basali), kapa colon
• Lefu la tsoekere
• Lihlahisoa tsa litšila tsa 'mele tse kang uric acid (e ka hlahang ka gout kapa kalafo ea moko oa masapo, lymph node, kapa mathata a mang)
• Ho ipeha kotsing ea lintho tse chefo tse kang loto, lihlahisoa tsa ho hloekisa, li-solvents, mafura, lithibela-mafu tse itseng, kapa tšebeliso ea nako e telele ea meriana ea bohloko bo boholo (analgesic nephropathy)
• Khatello ea mali e phahameng le maemo a mang a bongaka a amang liphio
• Ho ruruha ho bakoang ke karabelo ea boits'ireletso meriana, ts'oaetso kapa mathata a mang
• Mekhoa ea bongaka e joalo ka biopsy ea liphio, kapa nephrostomy tube placement
• Tšitiso ea mapheo a Ureteropelvic
• Tšitiso ea mali
• Majoe a liphio

Li-ureters ke methapo e tsamaisang moroto ho tloha liphio ho ea senya. Likotsi tsa 'mele li ka bakoa ke:

• Mathata a tsoang mekhoeng ea bongaka
• Maloetse a kang retroperitoneal fibrosis, retroperitoneal sarcomas, kapa kankere e namelang li-lymph node haufi le li-ureters
• Lefu la liphio
• Mahlaseli a sebakeng sa mpa
• Tsietsi

Matšoao a tšohanyetso a ka kenyelletsa:

• Bohloko ba mpeng le ho ruruha
• Bohloko bo boholo ba lehlakore le bohloko ba mokokotlo
• Mali ka morong
• Ho otsela, ho fokotsa ho falimeha, ho kenyelletsa le ho akheha
• Ho fokotsa ho tsoa hoa moroto kapa ho se khone ho ntša metsi
• Feberu
• Ho eketseha ha lebelo la pelo
• Ho nyekeloa ke pelo, ho hlatsa
• Letlalo le bosoeu kapa le pholileng ha le ka angoa
• Ho fufuleloa

Matšoao a nako e telele (a sa foleng) a ka kenyelletsa:

• Khaello ea phepo e nepahetseng
• Khatello ea mali e phahameng
• Ho hloleha ha liphio

Haeba liphio tse le 'ngoe li amehile' me liphio tse ling li phetse hantle, o kanna oa se be le matšoao.

Mofani oa tlhokomelo ea bophelo o tla u hlahloba. Ba tsebise ka bokuli bofe kapa bofe ba morao-rao kapa haeba u kile ua kopana le lintho tse chefo.

Tlhahlobo e ka bonts'a:

• Ho tsoa mali a mangata (hemorrhage)
• Ho ba bonolo haholo ho feta liphio
• Ho tsosoa, ho kenyelletsa le ho otla ha pelo kapele kapa khatello ea mali e oang
• Matšoao a ho hloleha ha liphio

Liteko tse ka etsoang li kenyelletsa:

• Tlhaloso ea mpa ea mpa
• MRI ea mpeng
• Mpa ea ka mpeng
• Angiography ea methapo ea pelo kapa mothapo
• Li-electrolyte tsa mali
• Liteko tsa mali ho batla lintho tse chefo
• Palo e felletseng ea mali (CBC)
• Pyelogram e kenang ka hare (IVP)
• Liteko tsa ts'ebetso ea liphio
• Khutlisa pyelogram
• X-ray ea liphio
• Sesepa sa renal
• Ho hlahloba urinal
• Boithuto ba Urodynamic
• Ho tlosa cystourethrogram

Morero ke ho alafa matšoao a tšohanyetso le ho thibela kapa ho sebetsana le mathata. U kanna ua hloka ho lula sepetlele.

Kalafo bakeng sa kotsi ea liphio e ka kenyelletsa:

• Phomolo ea boroko libeke tse 1 ho isa ho tse 2 kapa ho fihlela mali a fokotsehile
• Koala tlhokomelo le kalafo ea matšoao a ho hloleha ha liphio
• Liphetoho tsa lijo
• Meriana ea ho phekola tšenyo e bakiloeng ke lintho tse chefo kapa mafu (mohlala, kalafo ea chelation bakeng sa chefo ea lead kapa allopurinol ho theola uric acid maling ka lebaka la gout)
• Meriana ea bohloko
• Ho felisa meriana kapa ho pepesehela lintho tse ka lematsang liphio
• Lithethefatsi tse kang corticosteroids kapa immunosuppressants haeba kotsi e bakiloe ke ho ruruha
• Kalafo ea a hlobaetsang le liphio hloleha

Ka linako tse ling, ho hlokahala opereishene. Sena se ka kenyelletsa:

• Ho lokisa liphio "tse robehileng" kapa tse tabohileng, methapo ea mali e tabohileng, ureter e tabohileng kapa kotsi e tšoanang
• Ho tlosa liphio kaofela (nephrectomy), ho ntša sebaka ho potoloha liphio, kapa ho emisa ho tsoa mali ka arterial catheterization (angioembolization)
• Ho beha stent
• Ho tlosa ho thiba kapa ho fokotsa tšitiso

Hore na o sebetsa hantle hakae ho latela sesosa le ho tiea ha kotsi.

Ka linako tse ling, liphio li qala ho sebetsa hantle hape. Ka linako tse ling, ho hloleha ha liphio ho etsahala.

Mathata a ka kenyelletsa:

• Ho hloleha ha liphio ka tšohanyetso, e le 'ngoe kapa liphio ka bobeli
• Ho tsoa mali (e kanna ea ba nyane kapa e matla)
• Ho longoa ke liphio
• Ho hloleha ha liphio ho sa foleng, liphio tse le 'ngoe kapa ka bobeli
• Tšoaetso (peritonitis, sepsis)
• Bohloko
• Moriana oa renal stenosis
• Matšoao a khatello ea kelello ea renal
• Ho tshoha
• Tšoaetso ea pampitšana ea moroto

Bitsa mofani oa hau haeba u e-na le matšoao a kotsi ea liphio kapa ureter. Letsetsa mofani oa thepa haeba u na le nalane ea:

• Ho pepesehela lintho tse chefo
• Bokudi
• Tšoaetso
• Kotsi ea 'mele

E-ea kamoreng ea maemo a tšohanyetso kapa u letsetse nomoro ea ts'ohanyetso ea lehae (joalo ka 911) haeba u fokolitse tlhahiso ea moroto kamora ho lemala ha liphio. Sena ekaba sesupo sa ho hloleha ha liphio.

U ka thusa ho thibela likotsi liphio le ureter ka ho nka mehato ena:

• Hlokomela lintho tse ka bakang chefo ea loto. Tsena li kenyelletsa lipente tsa khale, mouoane oa ho sebetsa ka tšepe tse tlotsitsoeng ka loto, le joala bo silafalitsoeng ho li-radiator tsa koloi tse sebelisitsoeng bocha.
• Nka meriana eohle ea hau ka nepo, ho kenyelletsa le eo u e rekang ntle le lengolo la ngaka.
• Ho phekola gout le mafu a mang joalo ka ha ho laetsoe ke mofani oa hau.
• Sebelisa lisebelisoa tsa polokeho nakong ea mosebetsi le papali.
• Sebelisa lihlahisoa tsa ho hloekisa, solvents le mafura joalokaha ho laetsoe. Etsa bonnete ba hore sebaka se na le moea o kenang hantle, hobane mosi le ona o ka ba chefo.
• Itlame ka mabanta 'me u khanne ka polokeho.

Tšenyo ea liphio; Kotsi e chefo ea liphio; Kotsi ea liphio; Kotsi e bohloko ea liphio; Liphio tse robehileng; Kotsi ea ho ruruha ea liphio; Liphio tse senyehileng; Kotsi ea 'meleng; Pele ho renal hloleha - kotsi; Post-renal hloleha - kotsi; Tšitiso ea liphio - kotsi

• Anatomy ea liphio
• Liphio - phallo ea mali le moroto

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Okusa MD, Portilla D. Pathophysiology ea kotsi e mpe ea liphio. Ka: Yu ASL, Chertow GM, Luyckx VA, Marsden PA, Skorecki K, Taal MW, li-eds. Brenner le Rector ea Liphio. 11th ed. Philadelphia, PA: Elsevier; 2020: khaolo ea 28.

Shewakramani SN. Sistimi ea genitourinary. Ka: Marako RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Likhopolo le Tloaelo ea Kliniki. La 9th. Philadelphia, PA: Elsevier; 2018: khaolo ea 40.