Pyelectasia umbungu. Pyelectasia fetus ukwelashwa izinso kanye izimbangela

Ngokwezibalo, pyelectasia umbungu ingekho ngokuvamile kakhulu - cishe 2% amacala ngesikhathi fetus ultrasound odokotela ababukele zokugula ezinjalo. Yiqiniso, omama abakhulelwe ubuta imibuto ngaloko iyisifo kunalokho kuyingozi, futhi yini ukwelashwa yesimanje imithi izipesheli.

Pyelectasia izinso umbungu - kuyini?

Kuyini lokhu sifo? Ngeshwa, lezi zokugula fetus azoya yesimanje kanye umkhuba ezingane lapho, nakuba ayengafiki kakhulu ngokuvamile. Pyelectasia - isimo ukuthi kuhambisana ukunwetshwa ngokweqile ukhalo kwezinso, okuyinto evame kakhulu ezihlobene ne-ukuvimbela ukugeleza umchamo.

Ezimweni eziningi, ukugula kwengane Kutholwe ngisho utero by izindlela ultrasound luhlolo. Ngokuvamile kutholakala ukuthi uphethwe yini pyelectasia kwesokunxele ku-fetus kanye ukunqotshwa izinso kwesokudla noma ukunwetshwa zamazwe amabili ka ukhalo. Ngokocwaningo olwenziwa kwezibalo, abafana zithonywa ukuphulwa komthetho izikhathi 2-3 izikhathi ezingaphezu amantombazane. Empeleni, lesi sifo uma iyekwa ingelashwa, ingaholela yezinkinga eziyingozi.

Ziyini izimbangela eziyinhloko zalokhu yentuthuko isifo

imithi yesimanje, kunezizathu eziningi engaholela ukukhulisa okungavamile ukhalo kanye nokwephula outflow umchamo. Ngokuyinhloko-ke Kuyaphawuleka ukuthi kukhona abanye yofuzo. Ngaphezu kwalokho, kwezinso fetus angagcina kwenzeka ukuthi ngesikhathi sokukhulelwa unina wahlushwa pyeloectasia. Ngakolunye uhlangothi, i-izinto ezandisa le ngozi acute isifo ukuvuvukala kohlelo urinary, owesifazane kuthuthwe ngesikhathi sokukhulelwa. Ngaphezu kwalokho, amathuba ukuphazamiseka ukuthuthukiswa evamile izinso e ingane nge inyuka ezinzima ngesikhathi sokukhulelwa, njengokuba zangaphambi eclampsia, eclampsia, nokunye. D.

Kwezinye izimo, asihole pyeloectasia kombungu ahlukahlukene. Ngokwesibonelo, ezinye izingane ukuthuthukisa valve endaweni inguquko phakathi ukhalo kanye ureter. Ngezinye izikhathi, i-ureter kungenziwa squashed ngu imikhumbi emikhulu igazi noma ezinye iziphathimandla engumakhelwane. Izinto ezibangela futhi zihlanganisa ukukhula engalingani kanye kumiswa izitho phakathi kwengane esiswini. Ezinye izingane ukhalo ukunwetshwa kuwumphumela yobuthakathaka uhlelo kwemisipha, okuyinto sivame ukuba khona prematurity.

Indlela ukucacisa khona isifo?

Ngokuvamile, izinso pyelectasia-fetus sitholakale engxenyeni yokukhulelwa wesibili (ngesikhathi ultrasound isimiso). Yiqiniso, i-ukusazi ngokunembile isifo esikuphethe ngesisekelo test eyodwa kuphela akunakwenzeka, ngoba umzimba wengane sikhulela njalo, ivela nokushintsha. Nokho, kucatshangwa ukuthi ngaphambi 32 th ngesonto yokukhulelwa, usayizi ukhalo kwezinso 4 mm, futhi ngemva - kuze kufinyelele 7-8 mm. Uma ngesikhathi kokuxilongwa ultrasound wathola ukuthi ukhalo kukhulu kunenani 10 mm, kuyafaneleka ukukhuluma mayelana nokuba khona lesi sifo.

Esikhathini esizayo, sasiqhuba ukuhlolwa eyengeziwe ezingaba ukubona imbangela egunjini lokuhlolwa kwezifo. Izibonakaliso ngokomzimba main pyeloectasia avele emva kokuzalwa. Kunoma ikuphi, isiguli ezinqunyiwe izifundo ingane ezifana urography emthanjeni, cystography, radioisotope Ukuhlola nezinso t. D.

Izifo ukuthi ahambisana pyeloectasia

Ngokuvamile pyelectasia-fetus ibonisa khona izifo ezithile, ezinye zazo yilezi:

• Hydronephrosis - isifo esibangelwa khona isimiso at kwalapho phakathi ukhalo kanye ureter. Ngesikhathi esifanayo lokwanuleka ukhalo, kodwa isimo ureter ilungile.
• Megaureter - esinye isifo okwenzeka nge pyeloectasia. Ngesikhathi iziguli ngesikhathi esifanayo babe Reflux vesicoureteral. Ureter iyincane kakhulu engxenyeni engezansi, futhi esinyeni, ukwanda elibukhali ingcindezi.
• Reflux Vesicoureteral kuhambisana Reflux Reflux umchamo ku izinso, ngokumelene okuyinto kukhona ukunwetshwa abalulekile ukhalo kwezinso.
• Ectopia - esinye isifo sokuphazamiseka lapho ureter ongawi esinyeni futhi sangasese (eyamantombazane) noma urethra (kwabesilisa). Ngokuvamile, lokhu zokugula kwenzeka uma izinso ngokuphindwe kabili.
• Pyelectasia umbungu kungenziwa interfaced nge ureteroceles. Lapho zokugula enjalo confluence we ureter ku esinyeni nokuzaca kakhulu, kodwa lapho uphuma khona lincane kakhulu.

Yezinkinga eziyinhloko zesifo

Yiqiniso, i-pathology enjalo umbungu azisenzeki kaningi impela. Futhi abantu abaningi uyazibuza ngendlela eyingozi kungaba sokugembula. Empeleni, usongo kulokhu akuyona ukunwetshwa ukhalo kwezinso, kanye nezizathu eziholela egunjini lokuhlolwa kwezifo.

Uma ukugeleza of umchamo izinso kunzima, ithinta uhlelo urinary. Ikakhulukazi, nge zokugula enjalo waphawula kokucindezelwa ijwabu izinso. Uma kungelashwa izakhiwo yomzimba eqala kancane yoma. Encishisiwe izinso umsebenzi kuyingozi wonke umzimba, futhi ngokuvamile iphela ekulahlekelweni ephelele izinso izakhiwo, okuyinto Yiqiniso, kuyingozi. Ngaphezu kwalokho, sinombono yokujama tsi umchamo angagcina ezihlukahlukene Izifo ukuvuvukala, kuhlanganise pyelonephritis. Kunoma ikuphi of pyeloectasia esolwa kufanele ahlolwe ngokugcwele futhi uthole imbangela zalezi zinkinga.

Indlela esiphatha ngayo pyeloectasia?

Eqinisweni, odokotela abakwazi ukuthi noma ngabe isifo bachubeka emva kokuzalwa. Ngokwesibonelo, kabili Emaceleni pyelectasia-fetus ubhekwa isimo bokuphila okuyinto kubangelwa ngokweqile uketshezi emzimbeni kamama nengane.

Yingakho emavikini ekucala noma izinyanga zokuphila ingane njalo uyagijima nokuvivinywa okuhlukahlukene ukuqinisekisa ukuthi odokotela kungaba ukuthola ukuthi isifo siqhubeka. Kaningi omnene, pyelectasia ngokulinganisela adlulisela kuwona uqobo ngeminyaka. Uma bathuthuke ningagcini, lo Udokotela angase anikeze isiguli imithi yokwelashwa olandelanayo.

Ukwelashwa, kulesi simo incike imbangela egunjini lokuhlolwa kwezifo. Ngokwesibonelo, uma ukhalo ukunwetshwa iphutha ngokumelene urolithiasis, isiguli ezinqunyiwe izidakamizwa ethize ekhuthaza nokonakala kumiswa okuqinile nokususwa okusheshayo isihlabathi uhlelo urinary.

Kwezinye izimo, ukuhlinzwa kuyadingeka?

Ngeshwa, ukuqeda lesi sifo ngokudipha izindlela olandelanayo abakwazi njalo. Umbuzo yokungenela kuhlinzwa ukuzixazulula udokotela e zokuqapha. Ngokwesibonelo, uma ingane kutholakala pyelectasia lesichubekako, okuyinto kuhambisana ukwanda ngokushesha komsebenzi ukhalo kanye nokulahlekelwa kancane kancane umsebenzi izinso, udinga ukuhlinzwa. Ngokwezibalo, mayelana 25-40% of amacala, ukuhlinzwa wenziwa eminyakeni yobungane.

Namuhla, zikhona izindlela eziningi ukwelapha lesi sifo. Ngokuvamile phakathi naleyo nqubo, udokotela kususa isithiyo ukugeleza umchamo. Ezimweni eziningi, ukuhlinzwa wenziwa usebenzisa amathuluzi endoscopic yethulwe ngokusebenzisa urethra. Inqubo besisu liyadingeka kuphela ezimweni ezibucayi kakhulu.

Izibikezelo ngomntwana

Ngeshwa, ukuvimbela leso sifo cishe kungenakwenzeka. Into kuphela ukuncoma kwabesifazane abakhulelwe, ikakhulukazi uma inobuhlobo umlando isifo esifanayo - eduze nokuqapha isimo sempilo, ukuhlonipha ibhalansi amanzi, kanye isikhathi ukuba aphathe bonke abantu izifo kwezinso.

Kepha isibikezelo kuzalwa, avame emva kokuhlinzwa ngokuphumelelayo kwenziwe lesi sifo. Nokho, asikho isiqinisekiso sokuthi izinso pyelectasia makangabuyeli ebuntwaneni noma umuntu omdala. Yingakho izingane ezinjalo kufanele bahlolwe njalo nguchwepheshe - ke kuphela uyonikeza ithuba ukuthola kwezinso ngendlela efanele usaqala.