Amatye kwi-ureter: iimpawu kubasetyhini kunye neendlela zokonyango

Isifo esiyinkimbinkimbi, apho amatye awela khona kwi-ureter, ihlala ihamba neentlungu ezinzima. Le ngozi iyingozi kwiingxaki zayo, ukuba unyango olwaneleyo alukwenziwanga ngexesha elifanelekileyo. Oogqirha, ukubiza i-ureterolithiasis yesifo esinjalo, kumnika indawo yesibini kwimisebenzi yobunzima. I-pathology ingabonwa kubantwana. Ininzi kaninzi itholakala kumadoda. Kodwa ngamanye amaxesha afunyenwe ngamatye angcolileyo ngokwesini. Iimpawu kubasetyhini zivame ukubonisa inkqubo enzima yesifo.

Iimpawu zentsholongwane

Urolithiasis isifo esiqhelekileyo. Ukubonakala kwakhe kubangela ezininzi izinto ezahlukeneyo. Ngokuqhelekileyo, ukukhubazeka kwenzeka ngokuchasene nemvelaphi yesondlo esingenasondlo kunye nomgangatho ongenanelisayo wamanzi okusela. Ekuqaleni, amatye akhiwa ezintso.

Uninzi lwezigulane ixesha elide alikhange likhankanye nokuba khona kwezikhonkwane. Emva koko, iimpawu zesifo azibonakali ngokukhawuleza. Okwangoku, amatye "akhula" ezintso. Kwaye ngenxa yezizathu ezithile, amatye e-ureter angavela.

Ziziphi iimpawu zabasetyhini? Oku, kwindawo yokuqala, intlungu enkulu. Kubonisa i- renal colic (ibonisa ukwehla kwe-calculus kwi-ureter). Kwiimeko ezinjalo, kufuneka uqhagamshelane nodolo ngokukhawuleza.

Ukungena kwelitye kwi-ureter

Iingqungquthela, njengomthetho, zenziwa kwi- pelal pelvis. Nangona kunjalo, kukho iimeko xa kwakhiwa amatye e-ureter. Iimpawu kumabhinqa, unyango - ezi zihlandlo ekufuneka zixoxwe ngazo kunye nogqirha. Ukuzithiba kwe-pathology akuvumelekanga ngokupheleleyo.

Ngoko, ukuba i-calculus yenziwa kwizintso, kutheni kungena kwi-ureter? Kukho izinto ezininzi ezahlukahlukeneyo ezinokubangela ukuba uhambe. Ngokuqhelekileyo oku kungenxa yezi zizathu zilandelayo:

• Ukugqoka izixhobo;
• Ukuhamba kwexesha elide;
• Ukukhupha amanzi kunye nokutya;
• Ukugibela ihashe.

Kubaluleke kakhulu ukuba ukhumbule ukuba impawu zibonakala ntoni ukuba amatye e-ureter ayindawo. Iimpawu kumabhinqa, ebonisa inkqubela ye-calculus, ebonakaliswe ngendlela yesifo esibuhlungu besifo. Ukukhathazeka okuqhelekileyo kubonakala kwisisu nasemva. Le meko ibizwa ngokuba yi-coal coal.

Izizathu zokubonakala kwesi sifo

Iingcamango ze-ureter zenziwe kwizinto ezahlukeneyo:

• Uric acid;
• Isiqhelo;
• I-calcium phosphate ;
• Struvite.

Ngokuqhelekileyo, inkqubo yokubunjwa kwamatye ichaphazeleka yizinto ezilandelayo:

1. I-Genetic predisposition. Oogqirha bathi eso sifo sivame ukuxilongwa kwizigulane ezinama-urrolithiasis kwintsapho.
2. Ukuphazamiseka kokuphuma, ukunyuka kwe-urine. Kwintliziyo yokuphuhliswa kwesi sifo kunokubakho ukuzala. Uninzi lwamaxesha amaninzi, ukugula kukubangela ukuba abafazi abancinci kubangabesifazana, ukungaphuhliswa kwabo, ukugqithisa okanye ukuphazamiseka kwebladder.
3. Izifo zephepha lomchamo kwisimo esingapheliyo. Izifo ezithintekayo zingakhokelela ekuphuhlisweni kwezilwanyana. Umzekelo, i-pyelonephritis.
4. Ukuphazamiseka kokutshintshiselwa. Izifo ezitholakalayo okanye ezinokubeleka zingahamba kunye nokungena kumchamo wezinto ze-lithogenic - i-calcium (ukuba i-hyperparathyroidism ifunyenwe), ihamba (kwimeko ye-gout).
5. Izifo zesistim sokutya. Ukuba umsebenzi wokunyuka uphulwa, izithako zingenza.
6. Ukusetyenziswa kweziyobisi. Amanye amayeza angakhokelela ekuphuhlisweni kwesi sifo. Ngokomzekelo, iziphumo ezinjalo zixhaswa ngu-uroseptics ukusuka kwinqanaba le-nitrofurans.

Oogqirha bathi ii-urolith zivame ukubunjwa kwabasetyhini abahlala kwiindawo ezifudumele nezomileyo. Ukuqala indlela yokuphuhliswa kwesi sifo unakho ukutya okuphezulu kweekhalori, ezityebi kwiiprotheni zezilwanyana.

Iimpawu zesifo

Kukho imeko xa intlungu enamandla kakhulu ingabangelwa ngamatye kwi-ureter. Iimpawu kubasetyhini, ezibonisa ukuhamba kwelitye, kuxhomekeke ngokupheleleyo kubukhulu bayo kunye nomlo. Amatye angadluli ngaphezu kwe-2 mm ububanzi anakho ukuhamba ngokungahambi kakuhle ngaphandle kwe-ureter. Kule meko, ayikho na impawu. Ibhinqa aliyi kukwazi malunga nokukhubazeka okungathandekiyo emzimbeni.

Kodwa ngokuqhelekileyo kukho amatye amakhulu kwi-women's ureter. Iimpawu ze-pathology zivusa umxube.

Kule meko, iimpawu zibizwa kwaye zibizwa ngokuba yi-coal colic:

1. I-Sharp, intlungu ebuhlungu kwindawo ephantsi. Unika abafazi kwi-crotch kunye nebibia.
2. Ukucocwa kungabikho. Kodwa uphawu olunjalo lunqabile kakhulu kwaye lubonakalisa ukukhululwa kwamatye kwalawo mabini. Ngokuqhelekileyo, abasetyhini banqwenela ukuvota.
3. Emcinini kukho igazi kunye ne-epithelium yangaphakathi yezintso. Iimpawu ezinjalo zibonakala ngathi zibangelwa umonakalo kwi-ureter ngamacandelo abukhali be-calculus. Ukuba ilitye livalwe ngokupheleleyo, akukho mqondiso, kuba umchamo ungena kuphela kwi-ureter engathintekiyo.
4. Ukuluma ukuthukuma, ukuphosa. Kukho ukwanda kweqondo lokushisa kuma-37-37.5 degrees. I-Pathology iyakunokuhamba kunye neentlanzi, i-flatulence, ukuhlanza rhoqo.

Umncinci, njengomgaqo, ukhuthazwa ngezikhathi ezithile. Oku kubangela ukuba i-symptomatology ebuhlungu yowesifazane ibonakala ivele, iphela iphela. Ezi nkampu ziyakuchukumisa iiyure okanye iintsuku.

I-Symptomatology ye-pathology, kuxhomekeke kwindawo yokubala

Ngokuqhelekileyo inkcenkceshelo itholakala ekunciphiseni kwe-ureter. Le yindawo apho i-pelal pelvis idibanisa khona kumgca. Isayithi elinjalo libizwa ngokuba yi-pyeloureteral. Ummandla olandelayo apho ilitye elinyanzelisiweyo livame ukufunyaniswa ukuba liyindawo yecandelo le-ureter ukusuka kwi-pelvis enkulu ukuya kwincinci. Omnye ummandla "onobungozi" - ukuxhamla kwenzakaloni ene-bladder.

Ukuba i-clock clock kwindawo ephezulu ye-ureter kubasetyhini, iimpawu zilandelayo:

• Intlungu ebonakalayo ibonakala ngasemva;
• Ukungahambi kakuhle kuluhlobo lwe-wavy, emva koko, ukuphucula;
• Ukutshintsha isikhundla somzimba akunciphisi ubunzima beentlungu;
• Ukuxhatshazwa kuhlanganisa indawo ezisemgangathweni zesisu.

Indawo esekelwe kuyo ilitye kummandla ophakathi komdala ibonakaliswa yimpawu:

• Ubunzima buvakalelwa kakhulu kwisisu esisemva (ngaphantsi, ngaphaya kwemida);
• Ukuphazamiseka kuya kufinyelela kwindawo engasisigxina kunye ne-aliac.

Ukuba umncinci wehlela kwinxalenye engezantsi ye-ureter, ngoko i-symptomatology yowesifazane ibonakala ngale ndlela:

• Ubunzima buhlala kwindawo esezantsi kwesisu kunye nendawo yokuphunga;
• Ukukhathazeka okuqinileyo kubandakanya i-labia yangaphandle;
• Ukuhlonywa kuqhubeka rhoqo;
• Kukho uvakalelo lokuzaliseka kwebhola;
• Inkqubo yokucoca ayifaki ukukhulula (iimvakalelo zokukhupha azibonakali).

Iingxaki ezinokwenzeka

Kuyingozi xa amatye agcinwa kwi-ureter ixesha elide. Iimpawu kubasetyhini, unyango lwe-pathology ludinga isimo sengqondo esinzulu kwaye sinoxanduva.

Ngaphandle koko, imiphumo emibi ingenzeka, njengale:

• Hydronephrosis;
• Ukungaqiniseki kwamanzi okungahambi kakuhle;
• I-Fistula kwi-ureter;
• I-pyelonephritis evimbelayo.

Iindlela zokuxilonga

Ukuze uqiniseke ukuba ukuphazamiseka koluhlungu kunqunyanyiswa ngethuba lelitye kwi-ureter, ugqirha uya kwenza uviwo oluphambili. Uthetha ukuthatha.

Emva koko isiguli siya kunikwa izifundo ezichanekileyo ngakumbi:

• Uhlalutyo lwee-Urine, ukuqikelela iprotheni, ityuwa, ipus, iiseli zegazi;
• Bakpos;
• Uhlalutyo lwe-Urine, ukufunda i-asidi yayo;
• Uvavanyo lwe-X-ray;
• Uvavanyo lwegazi;
• Urography;
• I-Ultrasound ye-urinary tract;
• CT yeentso;
• Uxilongo lwe-Radioisotope.

Ubunzima bokuhlola okunjalo kuvumela ukuchonga indawo ekuhlaleni kuyo i-calculus, ukuchonga imithombo yesifo kwaye ukhethe unyango olufanelekileyo.

Izindlela zokonyango

Ukuba ngethuba lokuxilongwa, amatye e-ureter kubasetyhini ayachongwa, indlela yokususa ngayo inokuthi ixazululwe ngugqirha onamandla.

Izindlela zokonyango zixhomekeke kwinkimbinkimbi yimeko, ubungakanani be-calculus. Ngokuxhomekeka kwezi zinto, banokuphuhlisa izikhokelo ezi-2:

1. Unyango olulindelekileyo lwe-Conservative. Isetyenziswe kulezo ziganeko, ikhowudi yetshe ebubanzi ayigqithisi 2-3 mm kwaye ayigcini i-duct. Kule meko, ithuba lokuphuma okuzimeleyo le-calculus liphezulu.
2. Unyango olusebenzayo. Ukusetyenziswa xa unyango olulondolozayo lungenakwenzeka okanye aluzange lube nemiphumo emihle.

Amachiza

Ungasusa njani ilitye kwi-ureter?

Unyango olulindelekileyo lwe-Conservative luquka:

1. Ukutyunjwa kweziyobisi ze-urolithic. Amachiza "uNifedipine" okanye "iTamsulosin" anika ukukhawuleza kokuphepha kwamatye.
2. Ukusetyenziswa kwe-anesthetics, i-antispasmodics. Ngokuqhelekileyo isigulane sinconywa ii-NSAID, ezifana neIbuprofen, Naproxen.
3. Ibhinqa inqunywe i-physiotherapy kunye neyeza ezizodwa.

Ukongeza, ugqirha uncoma isigulane ukuba sihlolisise ukutya kwakhe.

Ukuthotyelwa kokutya

Inzuzo ekhethekileyo iya kuzisa unyango lwezonyango. Isekelwe ekukhunjweni kokutya okukhuthaza ukubunjwa kwamatye emzimbeni, kwaye ikhuthaza ukunyusa ukondla kokutya okukhawuleza ukukhutshwa nokutshatyalaliswa kwamatye.

Ukubonelela ngeengcebiso ezinjalo kubalulekile:

1. Lahla ukutya equkethe i-oxalic acid (iklabishi, isipinashi, iisuthi, i-currants, iimbotyi).
2. Musa ukudibanisa ukutya okukhankanyiweyo ngasentla ngeemveliso zobisi, zityebile nge calcium.
3. Faka into yokutya okuqukethe i-vitamin A (i-broccoli, izaqathi, ithanga).
4. Njalo veki, cwangcisa usuku (i-watermelon okanye ikhukhamba).
5. Misela irejista yokusela. Nsuku zonke kufuneka uphuze malunga neelitha ezimbini zamanzi.

Kutheni ufuna uncedo lwenzululwazi?

Ngamanye amaxesha ulwaphulo oluchazwe ngasentla lungasebenzi, kwaye amatye e-ureter afunyaniswa. Iimpawu kubasetyhini, ukususwa kwe-calculus kubalulekile ukuxoxa nge-urologist engcali. Kuvinjelwe ngokukhawuleza ukulwa nesifo ngokwalo.

Ukuzonyango kunokukhokelela kwimiphumo emibi kakhulu. Phakathi kweengxaki ezinjalo, ukusuleleka kwe-urinary tract often occurs. Yaye yindlela ecacileyo ekuphuhliseni i-sepsis. Ngelishwa, kwiimeko ezingahoywa, isigulane sinokwabiwa kwanokuba kususwe i-ureter, ngamanye amaxesha izintso.

Ukungenelela kokusebenza

Ngokuqhelekileyo, ezi ndlela zilandelayo zisetyenziselwa ukuqeda intsimbi egcinwe kwi-ureter:

1. Lithotripsy. Indlela efanelekileyo kakhulu yokubethelela amatye. Ngexesha elifanayo, unomngcipheko omncinci. I-Lithotripsy iquka ukutyunjwa kwamatye ngoncedo ngamaza. Ubungakanani beminyaka yesiganeko malunga neyure eli-1. Kuqhutyelwa kwiimeko ezininzi ngaphandle kwe-anesthesia.
2. Urethroscopy. Ukutshatyalaliswa okunjalo kwe-calculus kwenziwa ngefowuni ekhethekileyo efakwe kwi-canal ngokusebenzisa inkqubo ye-genito-urinary system. Ngamanye amaxesha ngaphambi kokusungulwa kwe-urethroscope, amatye ahlanjululwa ngethuba laser. Ukungenelela kwenziwa phantsi kwe-anesthesia jikelele okanye inxalenye.
3. Ureterolithotomy. Le ngongenelelo ophathelene nokuhlinzwa, oku kulungelelwa ngamatye amakhulu ngokwaneleyo. Ngethuba lo msebenzi, i-calculus isuswe ngokusasazeka kwodonga olungabonakaliyo. Kakade, le nkqubo ibandakanya i-anesthesia jikelele.

Amatye kwi-ureter yinkathalo enkulu, apho kuyingozi kakhulu ukulibazisa ukutyelela esibhedlele. Esi sifo sibhekisela kwizifo ezinzima, ezingakhokelela kwiziphumo ezimbi. Ngoko ungazenzeki ukukrazula amatye. Qhagamshelana nabasebenzi benkonzo abanekhono ngoncedo.