Selo likataya mphamvu yodziwika bwino ndikuyamba kugawana mosavuta, mawonekedwe atsopano amawonekera kumalo omwe akukhalamo. Mu impso iwo ndi osowa, koma amaonedwa kuti ndi owopsa. Kuti mupeze chithandizo choyenera cha machitidwe oterowo, nkofunika kulondola komanso panthaŵi yake, kuti mudziwe mtundu wa magulu a maselo.
Mitsempha Yoyalanyaza - Chiwerengero
Pafupifupi 90% ya ziwombankhanga zowoneka m'thupi ili ndi zoipa. Mitundu ya mphuno ya impso ingakhale yopanda phindu, chifukwa imatha kukula ndi kukula. Izi zimapangitsa kuti kupwetekedwa kwa mitsempha ya magazi, kuwonongeka kwa mitsempha m'thupi, kumayambitsa magazi mkati ndi kupweteka kwambiri.
Chotupa china cha impso chimaikidwa malinga ndi chiyambi chake - parenchyma kapena pelvis. Pachiyambi choyamba, zochitika zoipa izi zikudziwika:
- fibroangiosarcoma;
- renal cell carcinoma;
- lipoangiosarcoma;
- kuphatikizapo chotupa cha Wilms;
- myoangiosarcoma.
Benign parenchymatous neoplasms:
- lipoma;
- adenoma;
- hemangioma;
- myxoma;
- fibrom;
- angiomyolipoma;
- myoma;
- oncocytoma;
- dermoid;
- lymphangioma.
Matenda oopsa omwe amachokera kumapiri:
- squamous cell carcinoma;
- khansara yowonongeka;
- sarcoma;
- transitional cell carcinoma.
- Maonekedwe a ziphuphu:
- angioma;
- papilloma;
- leiomyoma.
Kutupa kwa impso - zizindikiro, zizindikiro
Kumayambiriro kwa kukula kwa chiwongoladzanja, mawonetseredwe a chipatala salipo kapena osafunika kwambiri kuti asakhale opanda chidwi. Zimayang'anitsitsa pamene chifuwa cha impso chikukula ndikukula kukula - zizindikiro zikhoza kukhala zosafunikira komanso zimafanana ndi matenda ena. Pomwe mukuoneka kuti mulibe vuto lochepa m'deralo, nkofunika kuti mwamsanga mufunsane ndi wa nephrologist kuti mudziwe.
Chotupa cha impso cha Benin
Gulu lofotokozedwa la ziphuphu zosawerengeka sizimayendetsedwa kawirikawiri ndi zizindikiro zilizonse, makamaka zimapezeka mwadzidzidzi panthawi ya ultrasound. Chithunzi chodziwika bwino chitha kukhalapo ngati chotupa chachikulu cha impso chikula - zizindikiro:
- matenda owopsa;
- magazi mu mkodzo;
- kupweteka kapena kupweteka ululu wammbuyo kumbali imodzi, nthawi zambiri kusiya mu ntchafu kapena kubuula;
- varicocele;
- Kuphwanya mkangano wa mkodzo.
Nthawi zina matumbo a impso amafikira kukula kotero kuti amawonekera. Zikuwoneka ngati chiphuphu chikuyandama pamwamba pa khungu. Mtundu wa epidermis wosasintha umakhala wosasintha. Zikodzo zoterezi zimakhala zosavuta komanso zopanda kupweteka ndi zala, makamaka ngati mumagwadira khungu kapena kugwada m'chiuno.
Matenda osokoneza ubongo a impso
Zonsezi zizindikiro zowonongeka zimatha kuwonetsa chitukuko cha khansa. Kuwonjezera pamenepo, mawonetseredwe otsatirawa angakhale alipo:
- kutopa ndi kufooka;
- kupweteka;
- colic renal;
- kuwonongeka kapena kusowa kwa njala;
- magazi;
- kuwonjezeka kutentha kwa thupi kufika madigiri 37-38;
- mlingo waukulu wa erythrocyte;
- polycythemia;
- kuwonongeka koonekera kwa ziwalo zamkati (chifukwa cha mitsempha yamagulu akuluakulu a maselo).
Popanda kugwiritsidwa ntchito kwa akatswiri, sikutheka kudziwa kuti chifuwa cha impso chimawoneka bwanji-zizindikiro ndi chithandizo cha matenda omwe amatsutsana nawo molingana ndi chikhalidwe cha chotupacho. Kafukufuku ndi mankhwala a mtundu uliwonse wa urinary system akugwiridwa ndi madokotala awiri, urologist ndi nephrologist. Pozindikira kuwonjezereka kwa maselo osadziŵika, munthu ayenera kufunsa katswiri wamagetsi.
Kutupa kwa impso - matenda
Ultrasound ndi computed tomography ndizopambana ndi maphunziro ochuluka omwe akukayikira kuti ndiwopopu. Amathandizira kuti azindikire ngakhale chotupa cha impso chakumayambiriro kwa kukula. Nthaŵi zina nephroscintigraphy imayambanso - kuwonetseratu ziwalo zagudumu pogwiritsa ntchito kamera yamakina yoyamba yokonzekera ma radioactive.
Kuzindikira kansa ya impso kungaphatikizepo maphunziro awa:
- maginito ojambula maginito osiyana nawo;
- kalagrafiya;
- zojambula;
- choyimira;
- chidziwitso cha chiphuphu.
Zopweteka zimapangitsa kuti thupi liwonongeke komanso limayambitsa mavuto, choncho mndandanda wa zizindikirozi ndi monga:
- mafilimu;
- kusanthula magazi ndi mkodzo;
- computed tomography wa chigaza ndi msana.
Kutupa mu impso - chochita chiyani?
Njira zothandizira odwala omwe ali ndi vutoli zimadalira mtundu wa zokopazo. Matenda oopsa omwe sangayambitse zizindikiro zilizonse, sizowonjezera kukula ndi kuchepa, zimangowonongeka ndi kuyesedwa kwa ultrasound nthawi zonse. Mapangidwe akulu omwe amalepheretsa kuti ntchito yamakono ikhale yogwira ntchito kapena angathe kusintha khalidwe lawo ayenera kuchotsedwa opaleshoni.
Vutoli ndi lovuta ngati chotupa choopsa cha impso chipezeka - chithandizo pa nkhaniyi chasankhidwa payekha kuti aliyense aganizire:
- boma lalikulu la zamoyo;
- siteji ya khansa;
- kukhalapo ndi chiwerengero cha metastases;
- kukula ndi malo a chotupa;
- matenda omwe alipo;
- mlingo wa kuwonongeka kwa ziwalo ndi zizindikiro zina.
Mankhwala a chemotherapy ndi ma radiation sizingathandize polimbana ndi khansa ya impso. Amagwiritsidwa ntchito pa matenda osagwiritsidwa ntchito ngati njira zomwe zimathandizira umoyo wa wodwalayo wosachiritsidwa. Kuonjezerapo, makina opatsirana amadzimadzi amatchedwa - immunomodulators (alpha-interferon, interleukin-2 ndi 5-fluorouracil) ndi mankhwala opatsirana (oxyprogesterone).
Opaleshoni kuchotsa impso ndi chotupa
Njira yothandizira opaleshoni ingaphatikizepo kusakanikirana ndi mapangidwe omwe ali ndi ziwalo zochepa za minofu yoyandikana nayo kapena kuchotsa chiwalo chonse. Njira yokha yosankha ntchito yomwe idzachitidwe pa impso ndi chotupa ndi zizindikiro zake. Kupanda mankhwala osokoneza bongo (kuchotsedwa kwathunthu kwa chiwalo ndi nyumba zoyandikana) kumapangidwa ngati chovalacho chiri ndi chimodzi mwa zinthu zotsatirazi:
- malingaliro;
- kukula kwakukulu kwambiri;
- malo amodzi pafupi ndi zotengera zamphongo;
- miyambo yambiri;
- kukula mofulumira.
Chotsatira chomaliza cha kuikidwa kwa mtundu wa opaleshoni ndi chopangidwa ndi katswiri wamagetsi. Kuphatikizana kwapachibale kumapangitsa munthu kukhala wolemala, koma nthawi zina opaleshoni yotseguka ndiyo njira yokhayo yowonjezera moyo wa wodwalayo ndikuletsa kuwonongeka kwakukulu ndi kosasunthika kwa ziwalo zenizeni za khansa - ubongo, msana ndi mapapo.
Laparoscopy ya chotupa cha impso
Kuchita opaleshoni yofatsa kumachitidwa ndi zipangizo zamakono zazikulu pogwiritsa ntchito punctures zing'onozing'ono m'mimba mwa m'mimba. Ndikofunika kuti tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda, ngati kusungunuka kwa maselo sikungatheke kukhala khansara komanso kukula. Kuchita opaleshoni kotereku kumateteza kusunga liwalo ndi kubwerera mwamsanga kwa wodwalayo kumoyo wamba. Panthawi ya opaleshoni, chifuwa cha impso ndi chochepetseratu chazingwe zimachotsedwa. Izi zimathandiza kupewa kupangidwanso kwa nyumba zowonongeka.
Kukonzanso pakatha kuchotsedwa kwa impso ndi chotupa cha khansa
Chifukwa cha njira yosagwiritsira ntchito njira zochotsera zosavomerezeka, kachiwiri kawiri kamene kamatengera mtolo wonse wa urinary system. Ntchito yaikulu ya munthu amene adalandira ndondomekoyi ndikuteteza ntchito za impso zathanzi. Aperekedwa:
- madzi akuwumitsa;
- ulendo woyenda tsiku ndi tsiku;
- kuchotsa supercoolings;
- chitetezo ku matenda aliwonse opatsirana;
- mayesero kawirikawiri ndi wa nephrologist kapena urologist.
Kudyetsa atatha kuchotsedwa kwa impso ndi chotupacho kumaphatikizapo chakudya choperewera ndi mapuloteni otsika. Maziko a zakudya ndi awa:
- Nsomba ndi nyama zochepa;
- mkate;
- zakudya zina za mkaka;
- zipatso ndi ndiwo zamasamba.
Zakudya zonse ndi zowonongeka, zophika, zophika kapena zophika. Ndikofunika kulekanitsa kwathunthu:
- zosuta;
- pickling;
- chakudya chamzitini;
- zakudya zokazinga ndi mafuta.
Kutupa pazitsulo za impso
Mphamvu ya chithandizo imayesedwa mkati mwa zaka zisanu zomwe zikupulumuka. Ngati nthenda yapamwamba imapezeka kumayambiriro, ndi 70-80%. Ngati mitsempha yamphongo inkagwira nawo ntchitoyi, chizindikirocho chicheperapo mpaka 40-60%. Pamene maselo am'deralo amakhudzidwa, 5-20%. M'kupita kwa nthawi kwa chitukuko cha khansara, maulosiwa ndi ovuta kwambiri, odwala 95% amafa pasanathe zaka zisanu pambuyo pake. Kuti muwone bwino, nkofunika kukaonana ndi dokotala ngati chotupa chachikulu cha impso chimawoneka - ndi angati omwe amakhala ndi matenda oterewa, katswiri adzayankha molondola.