Nephroptosis izinso: izimpawu kanye nokwelashwa. Yikuphi ukudla lufakwa in iziguli nephroptosis kwezinso?

Zonke kwezitho zomzimba eduze ezihlobene nomunye. Lokhu kuqinisekisa homeostasis (ukuqinisela imvelo yangaphakathi) zomzimba, kudingeka kangaka ekusebenzeni kahle wonke amaseli. Ngokuyinhloko izinhlelo asekelayo constants ezibucayi (asidi, izinga lokushisa, lokuhlushwa ion ahlukahlukene) zihlanganisa senhliziyo urinary. Kusukela lokuqala enikeza kwegazi, main isiko amaphakathi, kanti eyesibili - ukwabiwa metabolites ezingadingekile, uketshezi kanye ubuthi.

Indima izinso emzimbeni

Uma uthi nhlá, uhlelo urinary kubonakala kakhulu kangako, okubaluleke kakhulu, bathi, zokuphefumula noma zenhliziyo. Ngemva abantu ngokwanele uhlala ngokuthula futhi nge izinso wodwa kanjani, ngenkathi ukungabi khona iphaphu noma inhliziyo eyodwa ukufakelwa nomthelela ngokucacile isimo lesiguli. Nokho, lokhu kuyinto nje iqiniso ngenxa yokwehluleka kwezinso umuntu efa ngokushesha njengoba kusukela kwemigudu yokuphefumula noma ukumelwa inhliziyo. Futhi kwenzeka ngenxa toksinemii umbani-kuhambisane nesivinini sokufunda komfundi, ngoba izindikimba ezimbili kukhona eyinhloko "ukuhlunga" yomzimba, futhi nsuku zonke basuke akhishwa ngokusebenzisa inqwaba amalitha igazi, zokuyithena eziyingozi awathatha ku imvelo.

imisebenzi umzimba

Ngaphezu kwalokhu, izinso silondoloze blood pressure ukuqinisela evamile futhi igazi ukulahlekelwa, futhi kuzo master Umlawuli we inkomba - uhlelo renin-angiotensin-aldosterone (i-RAAS). Futhi, ngenxa permeability ukukhetha capillary phakathi parenchyma lokhu sitho inikezwa yi ibhalansi secretory of electrolyte ezahlukene futhi izingxenye osmotic e igazi nezicubu: sodium, i-potassium, i-calcium, i-magnesium, i-glucose, amaprotheni, ama-asidi, nabanye abaningi. Basuke zihilelekile erythropoiesis, njengoba kuba babesinyathelisela ngokukhethekile izidakamizwa erythropoietin - a stimulator ka synthesis abomvu egazi ashaye umnkantsha.

izinso nokwakheka

Lezi zitho zibhangqwe futhi lisendaweni lumbar nhlangothi zombili ikholomu umgogodla. Ziyakwazi emabhontjisi-okwenyanga futhi zibheke izingxenye ngilugweda komunye nomunye, futhi lezi ayimigodi "esangweni", bahlanganisa imithambo nezinzwa ophumayo Vienna, ureter kanye lymph. Letakhi hhayi kuphela ukufeza exchange of izinto izinso, kodwa futhi ukukhonza njengengxenye kudivayisi ukukhiya. Ngaphakathi lezi zindikimba akheke eziyinkimbinkimbi: konke siqala nephron glomerular capillary, ngokusebenzisa okuyilokho, eqinisweni, igazi elicwengekileyo. Sawo izinso ingenye million okwengeziwe they nyakazo ku tubule, okuyinto eyenzeka okunye igazi lokuhlushwa reabsorption lamanzi, ama-amino acid, i-glucose kanye nosawoti, lapho ocucuzayo isivele isilungele umchamo yesibili.

ngomgudu womchamo

Ngaphezu kwalokho, kwathi iya elide, ebuthana izinkomishi encane bese esikhulu ukhalo kwezinso, futhi ekugcineni okushiya phakathi ureter, isinye, futhi ekugcineni ngokusebenzisa urethra excreted. Ngakho, ngamunye ohlelweni urinary umnyango lwenza umsebenzi walo ohlukile, neziyaluyalu ethize simo singenzeka kunoma yimuphi kubo, okuholela ukwehluleka umsebenzi. Lokhu, isibonelo, izinso noma nephroptosis hydronephrosis, pyelonephritis, glomerulonephritis, urolithiasis, stricture azalwa naso, urethritis, cystitis, nabanye. Kulesi sihloko sizogxila ngokunembile isifo kuqala, kodwa-ke, ngaphambi kokuqhubeka silihlobanise, kudingeka ufunde ezinye izici ngaphezulu Ukuklanywa komzimba.

Ukubeka izinso

Basuke etholakala the retroperitoneum, futhi ngenxa yalokho nginemibuzo idivayisi kokungathembeki ekhethekile ukusekela ngokwayo ezingeni elifanayo (phezu thoracic 12 kuya 2nd lumbar amathambo). Kuhlanganisa emphethweni peritoneal (izinso kwesokudla - ngenxa izintambo duodenal-hepatic futhi kwezinso hepatic, futhi kwesokunxele - diafragalno-colonic ngenxa) ekhethekile imisipha embhedeni wabo yokwakheka, izitsha (okukhulunywe ngaye ekuqaleni), fascial amafutha apharathasi (limelela sebuningini ngemishayo ezintathu emgodleni fascial, ndawonye ukudala "pad ezithambile" nokusekelwa okuqinile) kanye nokucindezela naphakathi-besisu, ihlinzeka voltage odongeni imisipha besisu. Ngakho, lezi zitho ngokwanele uvalwe ilungiswe esifundeni lumbar. Kulokhu, izinso kwesokudla itholakala kancane ngezansi kwesokunxele, futhi kuseyingxenye ngempela ngamandla: lokhu amplitude ngaleso izenzo zokuphefumula, bangaya phezulu naphansi ngu 1-2 cm, kodwa emphumeleni wokusebenza ezithile sokugembula awanakufundwa 2 cm, bese ziya phansi ngezansi komkhawulo evamile yisimo ngokuthi nephroptosis nezinso.

Etiology futhi engcupheni

ukuhamba okungavamile landile abesifazane ngoba elinesimo esikhulu eqine umsipha apharathasi uma ziqhathaniswa amadoda, futhi lungatholakala yezizathu ezihlukahlukene, ngandlela-thile imbangela ubuthakathaka zedivayisi ukukhiya. Okokuqala nephroptosis izinso kungabangela:

• abukhali kwesisindo, ngenxa lapho capsule fat umzimba iba izacile, futhi kuba uketshezi xaxa;
• ukulimala yesifunda lumbar noma fascia besisu kwephule ubuqotho noma ekuqedeni imisipha embhedeni izinso, isib, nephroptosis kwezinso uvame ukuhamba kuhlasimulise hematoma retroperitoneal;
• abukhali izinsimbi noma ezemidlalo zochwepheshe, lapho kukhona imisipha ukungezwani eqinile futhi ingcindezi ukwandisa naphakathi-besisu, kodwa lokhu yikona njalo elula nemisipha ngaphansi kwethonya okuyinto ihlumela lengashelela esimweni aphansi;
• nobuthakathaka apharathasi kwemisipha, ngakolunye uhlangothi, kwehlisa umfutho wegazi, futhi ukulungisa umsebenzi walo futhi ewa, yingakho nephroptosis nokukhulelwa noma yokuphila hypodynamic kaningi kuyahambisana;
• ngaphezu izimbangela oshiwo ngenhla atholwe extensibility anda nezicubu kungenzeka kube umphumela yofuzo, isibonelo, izifo ezicutshini.

izimpawu

ukubonakaliswa Clinical Nephroptosis zingahlukaniswa izigaba. Ngakho, lapho izinso lokuqala abathintekayo is sehliselwe 4-6 cm ime mpo isiguli kanye ngokuzenzakalela ibuyisela ngesikhathi ushintsho aso ovundlile. Kulesi sigaba, isiguli singase uhlupho kuphela ubuhlungu ukubelesela ohlangothini ethintekile okhalweni nawuphakamisa esindayo, ne ukuthi ukuzikhandla ngokomzimba evelele. Nephroptosis kwesokunxele izinso lingaphansi ezivamile kuka ilungelo, ngoba physiologically ephakeme, ngakho izimpawu iningi kukhona endaweni elungile. Uma ngalesi sigaba isifo uphuthelwe, iqhubeka futhi isitho abanazo bakwazi ukwehla izinga inkaba. sobala Ngakho izinso esigabeni sesibili nephroptosis kwesokudla, izimpawu yobuntu bakhe ayisekho ukunciphisa umzimba, kufanele ube ukunyakaza inhlukano embhedeni wakhe. Ubuhlungu kulesigaba kuthiwa iyakhula futhi barhatjha lonke esiswini kanye kuphela zinyamalale lapho ukuncishiswa izinso nokwenza evundlile.

inqubo egijima

esesabekayo kakhulu kangakanani nephroptosis kokubili izinso, ezingasetshenziswa ukuthuthukisa ngalesi sigaba, njengoba umthetho, ngenxa yofuzo. Ngezinye ngezinga elithile ptosis umzimba ubuhlungu okhalo ke kakade babe njalo, kukhona ngisho uphumule futhi hhayi attenuated e yindawo evundlile, njengoba izinso akakwazi ukubuyela isikhundla salo esivamile lapho izindlela olandelanayo ukudebeselela lezi zinto isifo. Lisongela ukuthuthukiswa yezinkinga ezinzima ezifana hydronephrosis, unomfutho wegazi ophakeme, colic kwezinso ngenxa urolithiasis, kanye isitho onesifo is lula kakhulu wadalula inyuka ukutheleleka, kangangokuba akusekho pyelonephritis.

sitholakele isifo

Uma isiguli sine-Yakha mncane, udokotela nephroptosis umsolwa usengakwazi esekelwe izikhalazo eqoqwe umlando palpation izinso ogangeni besisu.

Nokho, kuyinto cishe engenakwenzeka iziguli ukukhuluphala noma nge esiswini kwemisipha. Ngokulandelayo, ngesisekelo izimpawu isiguli Nephroptosis fed Esigabeni sokuqala inhlolovo - inhlolovo esimweni noma fluoroscopy bakwazi ukukhomba ukuhamba sokugembula izinso abathintekayo. Uma ngalesi sigaba udokotela usola noma yisiphi isifo (urolithiasis, anomalies azalwa naso, hydronephrosis yesibili izinso izinkontileka ngokumelene isizinda isifo sokuqina kwemithambo yegazi noma umfutho wegazi ophakeme), kungenzeka ukuba ukuqhuba urography excretory nge emthanjeni Ngokuphambene impahla. Le ndlela has patency okumbalwa, isibonelo, it is kalula ibukeke ka ngomgudu womchamo, futhi umngcele noma nephroptosis yabo ezinso. Ukwelashwa kulesigaba ukuqala ekuqaleni, kufanele uqale wenze enye ultrasound we lesisu ukuhlolwa ingaphakathi, egazi noma omchamo, kanye izitshalo bacteriological ukuqinisekisa noma wenqabe nguqulo izifo ezithathelwanayo.

yezinkinga eside

Ngakho, siba ukuhlaziya ngokuningiliziwe yini izinso nephroptosis nendlela ukuxilonga lesi sifo. Futhi kokukhuluma kuwufanele yokuthi yezinkinga yalesi sifo ziyabonakala hhayi kuphela ohlelweni urinary. Ngakho, ngenxa yokuntuleka kwezinhlelo ezibanzi ukwelashwa okufanele noma, isibonelo, uma isiguli ayigcini ukuba ukudla izinso Nephroptosis, iziyaluyalu ezikhulayo pheshana emathunjini (ukuqunjelwa / uhudo, sokuzincisha ukudla, isicanucanu), colic kwezinso ayinandaba ngokuya, ngoba lokho eba neurasthenia futhi aphazamise ndima ejwayelekile umchamo, ke licindezele ezizungezile kwezicubu, imizwa nemithambo yegazi. Lokhu kuchubekisela embili ingozi yomfutho ophakeme wegazi kanye nezibhelu ezilandela lokhu noma izinso ukutheleleka, kwaze kwedlulela asathuthuka nokwehluleka ukusebenza kwezinso, okuyinto ngokuvamile iba imbangela yokufa isiguli.

Ukwelapha

Indlela esiphatha ngayo izinso nephroptosis e esigabeni sokuqala? Lo magazini isixazululekile. Kuze kube yimanje, kubalulekile ukugwema ukuzivocavoca, ukugqoka amabhandeshi ekhethekile, ikakhulukazi lezo ezimithi. Esabelwa futhi umzimba ngamanye zokwelapha, okuyinto luhlose ukuqinisa imisipha lumbar. Isiguli uyayalwa ukwandisa amandla, isisindo sayo inzuzo, yebo, silinganisela ngendlela enengqondo. Lokunye lokubaluleke kakhulu ekudleni ezakhelwe Nephroptosis izinso №7 lemali kungagcini kasawoti (okuyinto ungayithola enye ikhumini noma kalamula), amasobho, ukudla okulula, ayi, ukudla okunamafutha, amaswidi kanye legumes. Uma lesi sifo ingena isinyathelo 2 no-3 futhi uzuza ezihambisana yezinkinga, VO kwesokunxele nephropexy - indlela yokuhlinzwa, lapho izinso ebuyiselwa embhedeni walo futhi isilungisiwe. Intuthuko e kwezinso ukwehluleka iziguli hemodialysis ibekwe ngoba ngezikhathi ukuhlanza igazi buthi futhi metabolites lezo ngokuvamile ngakho ngenkuthalo esephetha izinso kanye enempilo.