Reflux Vesicoureteral ezinganeni nakubantu abadala. Izimpawu, Ihlahlubo, Ukwelashwa

Ngo Urology engatholakala izifo ezifana Reflux vesicoureteral (Pmr). Lesi isifo ezingavamile ezenzeka ngokuvamile kakhulu izingane. Nokho, zokugula kungatholakala e kwabantu abadala. Ake sibheke nokuthi yini TMR kunalokho kuyingozi futhi yiziphi izindlela ukuze kulwiwe nakho.

pathography

Ukuze siqonde ukuthi zokugula libizwa Reflux vesicoureteral, udinga kancane ujule anatomy womuntu.

Isinye - isitho eziyize kwemisipha. It yenzelwe ekuqongeleleni umchamo kuze kube isikhathi lapho kwakungekho isenzo ukuchama. Ibhamuza has ukuvuleka ezintathu. Ababili babo uxhumeke kwi-ureters. Ngokusebenzisa lezi ziteshi umchamo ogeleza usuka izinso ukuba isinye. Umgodi yesithathu ngenxa bethulula. Le ngxube indawo urethra nge bubble.

I ureters ayimibhobho uphondo emise. Iza phambi ibhamuza engela oyingozi. I ureters unayo eyodwa-indlela uhlelo valve ethize. Lokho-ke kuvimbela ukuhamba reverse umchamo phakathi ureter futhi zibe izinso. Ngakho uhlelo ukusebenza okunempilo.

Uma umuntu sitholakale Reflux vesicoureteral, lo mshini ukuthi ivikela umzimba kusuka umchamo reverse ukunyakaza kodwa angasebenzi. Ngenxa yalokho, umchamo Ungahambisa ngakolunye uhlangothi. Ngakho, ngenxa outflow kahle umchamo ketshezi aqoqana esinyeni, bese iphonswe ureters. Lokhu kuholela ukungezwani, uhlobo lokugcina. Ngo amafomu okunzima Reflux umchamo uyakwazi ukufinyelela ngisho nezinso.

zokugula Izimbangela

Imithombo sifo bengayiqondi ngokugcwele. Odokotela kuchasiselwe Reflux vesicoureteral nezingane azalwa naso ukuthuthukiswa okungavamile kwalesi siqephu. Ngakho-ke, baye njalo kutholakala ukuthi uphethwe yini zokugula eyinhloko. Lesi sifo, uvele isizinda anomalies azalwa naso.

Reflux Vesicoureteral e abadala ezimweni eziningi yesibili. ukuthuthukiswa sifo nje isuke ibangelwa izimo ezikhona.

Ziyakwazi ngezizathu oyinhloko wale:

• kwasendaweni engafanele ureteral orifice;
• diverticulum esinyeni;
• yokungavuthwa smykatelnyh imishini umlomo;
• kunciphisa submucosal Umhubhe ureter intramural;
• ifomu sokugembula emlonyeni;
• a kabili le ureter, okubangela isiteshi engaphandle bubble unxantathu.

Izinto yesibili okuholela ukuthuthukiswa lesi sifo, lapho kwaphazamisa ukugeleza umchamo, zihlanganisa lezi zifo ezilandelayo:

• esinyeni esidayisa isimiso;
• BPH;
• Isinye entanyeni sclerosis;
• cystitis emilonyeni endaweni;
• stenosis noma stricture we urethra;
• izifo ezithathelwanayo valve urethra;
• esinyeni ukungasebenzi.

Ukwahlukaniswa izifo

Pathology uhlukaniswe ezintathu izinhlobo:

1. Pmr okusebenzayo. Khona kanye ukubukeka kwawo is wabizela kuphela nesenzo ukuchama.
2. Azithele ngabandayo. Kubonakaliswa phakathi kwesinye ukugcwaliswa.
3. Mixed-nemphambosi yekwentiwa. Ukuze isifo uthi elinesimo inhlanganisela yalokhu okungenhla.

Ngaphezu kwalokho, eceleni isehlane zokugula njengeyozelwe Reflux ngakanye. Lesi sifo kubonakala njengendlela pyelonephritis yansukuzonke.

degree of zokugula

Lesi sifo angase libhekene izinhlobo ezihlukahlukene zokubusa ngesimiso adonsela phansi.

Ngokwe ukuvuza kukhona degree olandelayo Reflux vesicoureteral:

1. Lolu hlobo libhekene Reflux umchamo phakathi ureter zone okhalo. Ngo idigri yokuqala ukunwetshwa komgudu kwenzeka.
2. outflow obuyela emuva ihlanganisa wonke ureter. Ngaphezu kwalokho, kukhona umlingisi we umchamo enkomishini, ukhalo. Nokho, akekho isiteshi noma izinso izigaba kungukuthi ukunwetshwa.
3. Ngale ndlela elinesimo nokujikijela umchamo uhlelo pyelocaliceal izinso. Kugcine ezinwetshiwe. Kodwa ureter aliguquki. Ubukhulu bayo ilungile.
4. Ngenxa yalesi sinyathelo, libhekene ukuwathuthukisa apharathasi pyelocaliceal, kanye ureter ngenxa luningi umchamo ekusakazeni.
5. Nale degree of encishisiwe izinso umsebenzi. Lokhu umtholampilo is wabizela yilo thinning ye umnyango, esikhiqiza umchamo.

izimpawu

Ngeshwa, kunzima kakhulu ukuthola i-usaqala Reflux vesicoureteral. Izimpawu ze-isifo ngokuvamile ezigugile. Yingakho lesi sifo ngokuvamile kutholakala ukuthi uphethwe yini lapho kakade nezinkinga zempilo.

Nokho, kukhona iqembu izimpawu, okungase kube nentuthuko lesi sifo izingane okusolakala:

• ezacile womntwana umzimba ngesikhathi sokuzalwa;
• uyephuza ukuthuthukiswa ngokomzimba;
• ukuphazamiseka ukusebenza esinyeni.

Kubantu abadala, ngokuhlukile kancane wabonakaliswa Reflux vesicoureteral. Izimpawu agcwele isifo, njengoba umthetho, lokhu okulandelayo:

• ngokushesha futhi ngokuvamile babe nesifiso ukuchamela;
• ubuhlungu kabi esiswini noma ukhalo;
• esincane umchamo;
• umchamo liguqubele nge kunuka kabi;
• ngesikhathi ukuchama livela umuzwa esivuthayo;
• ukugeleza umchamo;
• igazi umchamo;
• njalo awakenings ebusuku ukuya ethoyilethi;
• imfiva, Ukugodola;
• ubuhlungu emuva, ohlangothini uyakuveza.

yezinkinga lesi sifo

Reflux Vesicoureteral kungaholela imiphumela engemihle kakhulu. Lokhu zokugula ngokuvamile kubangela izilonda yesibili izinso. Izinhlaka liyoshwabana, bekulokhu esiya ngokuya siba sibi imisebenzi yawo esemqoka - zokuhlunga.

Ngenxa Reflux kungukuphula ukususwa ejwayelekile umchamo. Umchamo equkethe flora microbial, lingena ngokukhululekile phakathi ureters nezinso. Ngakho-ke, kukhona njalo ngegciwane nokuvuvukala kwezitho.

Ngaphezu kwalokho, phakathi ukuchama ingcindezi ukwenyuka ukhalo ndawo. Lokhu kuholela okwengeziwe kulimaze ukuze izicubu izinso.

Nemibimbi nezinso sclerosis ke zisenza sibe nomfutho wegazi ophezulu yesibili. Lokhu zokugula kunzima kabi ukukwelapha. Lapho lesi simo ngokuvamile ukususa izinso kanye ureter.

sitholakele isifo

Lapho pyelonephritis eziphikelelayo esolwa Reflux vesicoureteral. Sifo kuhlanganisa ukubalwa okwenziwa:

1. US.
2. Ukuhlaziya egazi noma omchamo.
3. CT.
4. Cystourethrography. Through ipayipi oketshezini esinyeni yethulwa. Uma ugcwele, wenze uchungechunge isibhamu. X-ray eyenziwa ngesikhathi ukuchama.
5. pyelogram intravenous. Kulesi ucwaningo, ukubonakala unamanzi x-reyi iphathwa ngemithambo yegazi. Kulokhu, kuzomele ulinde kuze nomongo igazi liya nezinso esinyeni.
6. ukuskena Nuclear. Izinhlobonhlobo zemibhalo enemisebe asetshenziselwa inhlolovo. Zingase esizosingathwa ngokuqondile esinyeni noma emthanjeni. Ucwaningo luyasetshenziswa ukuthola ekusebenzeni kwenqubo urinary.

Imithi

Kuphela udokotela kungacacisa ukuthi isu ukuze ulwe zokugula njengoba Reflux vesicoureteral. Ukwelashwa kuhloswe izimbangela zesifo futhi kuvimbele ukuxakeka.

Umphumela olunzima angakhula ku ngemuva lesi sifo, - a nephropathy Reflux. I zokugula kuyinto ukuvuvukala elimazayo okwenzeka le parenchyma izinso.

Isu ukwelashwa incike izimbangela zesifo namandla aso.

ukwelashwa ngoludala

Leli qhinga siyasebenza kakhulu kusaqalwa lesi sifo. Ikakhulukazi iphathwa ngempumelelo Reflux vesicoureteral ezinganeni. In iziguli omdala, ngo-70% azo zonke ukuqala ukuthuthukisa.

Umsebenzi oyinhloko yokwelapha olandelanayo sidzingeka ukulawula ukutheleleka, esehlanganise uhlelo urinary.

Ukwelashwa kuhlanganisa ukubulawa ezindaweni ezilandelayo:

1. Physiotherapy. Imicimbi ongaqeda kwezinso umzimba ezenzeka esinyeni.
2. Ukuqokwa izidakamizwa elwa namagciwane. Ziyakwazi iziguli liphele ngubani uxilongwe izifo ngomgudu womchamo.
3. Ukudla. Iziguli uyakhuthazwa ukuba unikeze ukulungiswa. Ukudla kusho izivimbelo ukusetshenziswa amaprotheni nosawoti.
4. Catheterization lwesinye.
5. Ukusetshenziswa kwezidakamizwa antihypertensive. Ezifanelekayo imithi uma kwenzeka ukuthi ingcindezi nesineke luyanda ngenxa ye Pmr.
6. Kunconywe ukuchama njalo. Izinyathelo ezinjalo lufanele lwenteke njalo emahoreni 2, kungakhathalekile nesifiso sokufuna usebenzisa indlu yangasese.

Uma kusolakala Reflux vesicoureteral ezinganeni, ukwelashwa kufanele kube esibhedlela. Ekuqaleni, umntwana wahlola. Ngemva ekutholeni imbangela isifo, linqume ukwelashwa okufanele ukuqeda umthombo sifo.

Endabeni isiqinisekiso anomalies azalwa naso izingane Kunconywa ukuhlinzwa.

ukuhlinzwa endoscopic

Lesi sinyathelo Kunconywa uma ukwelashwa ngoludala akukuniki elamukelekile noma nge kwezinso azalwa naso ezinganeni. Nokho ukulungiswa endoscopic of Reflux vesicoureteral Kwenziwa ngokukhethekile ku 1, 2, degree 3-th lesi sifo. Futhi nje uma, uma walondoloza contractile umsebenzi emlonyeni.

Lo msebenzi kuyinto ukuhlinzwa kancane koda. Siqukethe e okulandelayo. Ngaphansi aphansi umlomo umkhumbi ukwethula nolwelwesi ekhethekile. It ikuvumela ukuba uxhumanise i udebe phezulu kanye phansi. Ngenxa yalokho, ingxenye yokwenziwa luphakanyiswa antireflux indlela.

ukwelashwa kuhlinzwa

Ukuvula ukusebenza aye ayisebenzisa kulezi zimo ezilandelayo:

• uma futhi ukwelashwa ngoludala futhi endoscopic ayikazeki imiphumela oyifunayo;
• pathologies 4 th, 5 th degree;
• esimweni anomalies azalwa naso ezinganeni abangakwazi zisuswe endoscopically.

Ukulungisa Reflux vesicoureteral Kwenziwa ezimweni eziningi, bubble evulekile. Umgomo oyinhloko ukuhlinzwa - Ukwakheka kwezitho ulwelwesi lwamafinyila kwesinye lapho ureter itholakala, ukudlula edingekayo.

Ngemva kokuhlinzwa enjalo sidala umgoqo ezithile ukuthi ivikela ureter futhi kwesinye kusukela umchamo anezele kubo.

ukuphathwa Steel inikeza imiphumela emihle kakhulu, ngokusho izibalo, 75-98% azo zonke izimo. Nokho, ukuhlinzwa akuyona ngaphandle nemibi.

Yini embi ngalo iyona inqubo:

• izinzwa isikhathi eside;
• isikhathi nokuvuselelwa eside;
• uma Ukuphinda reoperation luyindida kakhulu ngaphezulu.

izinyathelo

Kungakhathaliseki Reflux zinyamalale endleleni yabo? Uma angahlangani sitholakale ingane ngendlela efanele usaqala, kungaba ngempela hamba ne ukuthuthukiswa kanye nokukhula ingane. Nokho, kudingeka sigcine imvuthu kusukela exacerbations kanye nezifo. Uma nale mibandela, cishe 10-50% izingane zokugula senzeka ngokuzimela. Kodwa uyakwazi ayishiya le nezibazi izicubu.

Lapho TMR 3rd degree noma ngaphezulu akufanele bathembele self-yokuqothulwa. Lezi zingane ziyizisulu abadinga ukwelashwa ezanele, ebekwe udokotela.

Ukuvimbela ukuthuthukiswa futhi ukuqhubeka Pmr, udinga:

1. Isikhathi ukuba aphathe bonke abantu Izifo ukuvuvukala kohlelo urinary.
2. Noma ikuphi ukwephulwa ukuchama kudinga ukuvakashelwa saziso kudokotela.
3. Abesifazane abakhulelwe kufanele qiniseka ukuthi uvakashela udokotela wakho. Ngaphezu kwalokho, owesifazane elinde ingane kumele zithobele ngendlela enempilo futhi efanele ukudla okunempilo nokunomsoco.

Pmr - lena zokugula esinzulu. Lesi sifo kufanele baphathwe kusaqalwa, ekuvimbeleni inchubekelembili yayo. Ngakho-ke, ngempela, ubheke labo skill.