Calicoectasia ya impso zolondola ndi zamanzere - ndi chiyani?
Pa zifukwa zina zamatomu, nthawi zambiri matendawa amakhudza impso zolondola. Ngakhale matchalitchi omwe amasintha maonekedwe awo amakhalanso osowa. Kotero, chimachitika ndi ziwalo ndi chiyani - calicoectasia ya impso zolondola ndi zamanzere, - tiyeni tizimvetse. Kuchokera paziphunzitso za anatomy timadziwa kuti impso ndi ziwiri ziwalo, zomwe zimakhala ndi makapu ndi mapepala ozunguliridwa ndi parenchyma. Mu parenchyma ndi maselo akuluakulu a thupi omwe amachititsa kusungunula ndi kuyeretsedwa kwa madzi. Choncho, ndi calicoectasia (kuchipatala matendawa ali ndi dzina lina - hydrocalicosis), calyx imatulutsa ndipo, motero, zimakhala zozungulira. Kuthamangitsidwa kwa chiwalo chonsecho kumawonekera nthawi zambiri. Pamayendedwe apamwamba a matenda a atrophy a papilla wamphongo amapezeka, mphuno yachibadwa ya mkodzo imasokonezeka. Kalyx yokha imatha kutambasula pa zifukwa zosiyanasiyana, nthawi zina izi zimakhala za congenital. Koma, mwazinthu zambiri, zifukwa zokhumudwitsa ndi: urolithiasis, thupi lochepa kwambiri la ureters, kapena kuponderezedwa kwao kunja, kutupa.
Zizindikiro za hydrocalicosis
Kulongosola za chomwe chiri, calicoectasia ya impso zonse, ndi zizindikiro zake, ziyenera kukumbukira kuti malingana ndi momwe amadziwira (mu impso zolondola, atasiya kapena onse awiri), zizindikiro za matendawa zingakhale zosiyana. Zizindikiro zofala za matendawa ndi:
- kukhumudwa ndi kupweteka mmunsi kumbuyo;
- mkodzo wamatope ndi kusakaniza kwa magazi;
- kuwonjezeka kwa kutentha;
- kunyoza ndi kusanza;
- kukodza mobwerezabwereza komanso kosadziwika.
Zizindikiro za calicoectasia ya impso zolondola zingasokonezedwe ndi zochitika zoyamba za kugwilitsika ntchito, mapulogalamu a biliary ndi mavuto ena pantchito ya m'mimba.
Ndi calicoectasia ya impso zamanzere (monga matenda osiyana ndi osowa kwambiri), kuwonjezera pa zizindikirozi zapamwamba zingakhale zomvetsa chisoni pamene mumamva mbali yakumanzere.
Chithunzi cha kliniki ndi hydrocalysis ya impso zonse zimakhala zovuta kwambiri. Pankhaniyi, kupweteka kumapitanso kudera lonse la lumbar ndipo silikudziwika bwino.
Chithandizo cha hydrocalicosis
Palibe ndondomeko yowonjezereka yokhudzana ndi chithandizo cha renal calicoectasia. Monga lamulo, pamene akufotokoza zachipatala, madokotala amatsogoleredwa ndi zifukwa, zomwe zimaphatikizapo kusintha kwa kayendedwe kake, komanso momwe akufotokozera. Zimaganiziranso ubwino wa wodwalayo komanso zotsatira za mayesero. Panthawi imene wodwalayo ali ovuta kwambiri kukodza, opaleshoni ya opaleshoni imachitika. Pa nthawi ya opaleshoni, chotsani zotupa, miyala, kubwezeretsanso kukomoka kwa tubulu. Ndi hydrocalysis ya matenda opatsirana opatsirana, antibacterial therapy akulamulidwa.
Nthawi zina calicoectasia ndi matenda a innate ndipo sizimayambitsa kusintha ndi zosasinthika zomangika - mankhwala sali oyenera. Kwa odwala amenewa, madokotala amalimbikitsa okha kuti matendawa asamalamulire ndikutsatira chakudya chapadera. Mwa njira, zakudya ndi kalikotektazii impso zimatanthauza kukanidwa kwa zakudya zamchere ndi kusuta. Izi zikutanthauza kuti, zakudyazo ziyenera kusankhidwa kuti zichepetse katundu. Analimbikitsa hydrocalicosis mankhwala osokoneza mchere omwe amalimbikitsa kuchotsa madzi kuchokera m'thupi ndi kulimbikitsa chitetezo.