Pyelectasia mwana wosabadwayo. Pyelectasia yoopsa impso chithandizo ndi zinthu

Malinga ndi kafukufuku, pyelectasia wosabadwa sadzafika nthawi - 2% milandu pa yoopsa ultrasound madokotala kuonera kudwala zimenezi. Kumene, amayi oyembekezera kufunsa mafunso pa zimene ndi matenda kuposa ndi ngozi, ndi zimene mankhwala mankhwala amakono umafuna.

Pyelectasia impso wa mwana wosabadwayo - ndichiyani?

Kodi matenda? Mwatsoka, izi yoopsa kudwala mu obstetric zamakono Dokotala mchitidwe kumeneko, ngakhale kuti nthawi zambiri. Pyelectasia - chikhalidwe kuti limodzi ndi kuwonjezeka kwambiri za mafupa a chiuno ndi aimpso, zomwe nthawi zambiri amagwirizana ndi kutsekeka kwa otaya yachibadwa ya mkodzo.

Nthawi zambiri, matenda a mwanayo wapezeka ngakhale utero mwa njira ultrasound bwino. Kawirikawiri matenda pyelectasia anachoka mu wosabadwa komanso kugonjetsedwa kwa impso lamanja kapena amgwirizano kukula kwa mafupa a chiuno. Malinga ndi maphunziro zowerengera, anyamata anakhudzidwa ndi siudzalandilidwa ngathi lamulo mu 2-3 zambiri kuposa atsikana. Ndipotu, matenda ngati sanalandire chithandizo, kungachititse kuti mavuto oopsa.

Zimayambitsa chachikulu cha chitukuko matenda

mankhwala amakono, pali zifukwa zambiri zimene zingachititse kuti nthenda kukulitsa a mafupa a chiuno ndi kuphwanya outflow ya mkodzo. Choyamba ndi Dziwani kuti pali ena kutengera za kumtundu. Komanso, kuvutika yoopsa angathe kukachitika kuti pa mimba ya mayi anadwala pyeloectasia. Komano, zinthu pangozi pachimake yotupa matenda a dongosolo mkodzo, anasamukira mkazi pa gestation. Komanso, imabwera kusokonezeka kwa chitukuko yachibadwa impso mu mwana ndi ukuwonjezeka aakulu woyembekezera, monga kukhala chisanadze eclampsia, eclampsia, ndi zina zotero. D.

Nthawi zina, kutsogolera kwa pyeloectasia malformations zosiyanasiyana. Mwachitsanzo, ana ena kukhala valavu m'dera kusintha pakati pa mafupa a chiuno ndi ureter. Nthawi zina, ureter akhoza amabvutika ndi ziwiya lalikulu magazi kapena akuluakulu ena oyandikana nawo. Zifukwa mulinso kukula m'goli ndi mapangidwe ziwalo pa chitukuko yoopsa. Ana ena mafupa a chiuno kuwonjezeka chifukwa cha kufooka kwa dongosolo akulu, omwe kaŵirikaŵiri anati mu prematurity.

Kodi kudziwa pamaso pa matenda?

Nthawi zambiri, impso pyelectasia mwana wosabadwayo amawapeza mu theka lachiwiri la mimba (pa ultrasound chizolowezi). Kumene, ndi matenda zolondola pa maziko a mayeso amodzi okha sizingatheke chifukwa thupi mwana ikukula mosalekeza, ikusintha ndiponso kusintha. Komabe, amaganiza kuti pamaso pa 32 TH sabata mimba, kukula kwa mafupa a chiuno ndi aimpso ndi 4 mm, ndi pambuyo - mpaka 7-8 mm. Ngati pa ultrasound Kupenda anapeza kuti mafupa a chiuno ndi lalikulu kuposa 10 mm, ndi kukamba za kukhalapo kwa matenda.

M'tsogolo, tinkachititsa mayesero zina amatha kudziwa chifukwa cha kudwala. Zizindikiro zazikulu thupi pyeloectasia kuonekera pambuyo pa kubadwa. Mulimonsemo, wodwalayo Kwalamulidwa maphunziro mwana monga urography mtsempha, cystography, radioisotope Kupenda impso ndi T. D.

Matenda amene anatsagana ndi pyeloectasia

Nthawi zambiri pyelectasia wa mwana wosabadwayo akusonyeza pamaso pa matenda ena, monga:

• Hydronephrosis - matenda anachititsa ndi kukhalapo cha kutsekeka pamphambano pakati pa mafupa a chiuno ndi ureter. Pa nthawi yomweyo wokulitsa mafupa a chiuno, koma boma la ureter ndi zolondola.
• Megaureter - matenda ena kuti kumachitika ndi pyeloectasia. Pa odwala yemweyo nthawi ndi vesicoureteral Reflux. Ureter kwambiri kuchepera pa mmunsi, ndi chikhodzodzo, nyamuka lakuthwa mu chipsyinjo.
• Vesicoureteral Reflux limodzi ndi Reflux Reflux ya mkodzo mu impso, ndi omwe pali kuwonjezeka kwambiri za mafupa a chiuno ndi aimpso.
• Ectopia - matenda enaake amene ureter asagwe mu chikhodzodzo ndi nyini (atsikana) kapena mkodzo (amuna). Nthawi zambiri, kudwala izi zimachitika pamene impso ndi kawiri.
• Pyelectasia wosabadwa akhoza interfaced ndi ureteroceles. Pamene kudwala ngati pa confluence a ureter mu chikhodzodzo kwambiri kutupa, koma kubwereketsa ndi yopapatiza.

Mavuto chachikulu cha matenda

Kumene, chotero kudwala wa mwana wosabadwayo sanalembedwepo zambiri. Ndipo anthu ambiri akudabwa mmene zoopsa kungakhale pathological. Ndipotu, kuopseza mu nkhani iyi si kukula kwa mafupa a chiuno ndi aimpso, ndipo zifukwa zimene zingachititse kuti kudwala.

Ngati otaya yachibadwa ya mkodzo impso ndi zovuta, sukhala dongosolo mkodzo. Makamaka, ndi amenewa kudwala anati psinjika a minofu impso. Popanda kuchitapo kanthu thupi nyumba anayamba pang'onopang'ono manja. Yafupika impso ntchito ndi owopsa kwa thupi lonse, ndipo nthawi zambiri umatha ndi imfa wathunthu wa nyumba impso, amene, ndithudi, zoopsa. Komanso, ndi maziko a stagnation ya mkodzo angathe zosiyanasiyana matenda yotupa, kuphatikizapo pyelonephritis. Mulimonsemo wa amaganiziridwa pyeloectasia ayenera kukayezetsa kufufuza zonse ndi kupeza chifukwa cha matendawa.

Kodi kuchitira pyeloectasia?

Ndipotu, madokotala simungathe kudziwa ngati matenda idzapambana atabadwa. Mwachitsanzo, awiri kumbali pyelectasia mwana wosabadwayo akuti ndi chikhalidwe thupi chimene chayambitsa ndi muyeso wa madzimadzi mu thupi la mayi ndi mwana.

N'chifukwa chake mu masabata woyamba kapena miyezi ya moyo wa mwanayo pafupipafupi akuthamanga mayesero osiyanasiyana kuonetsetsa kuti madokotala amatha kudziwa ngati matenda ili m'kati. Kaŵirikaŵiri ofatsa zolimbitsa pyelectasia akudutsa yokha ndi zaka. Ngati palibe kusintha, si anati, adokotala akhoza mankhwala mankhwala ndiwofatsa.

Therapy, mu nkhani iyi zimadalira chifukwa cha kudwala kwambiri. Mwachitsanzo, ngati mafupa a chiuno kuwonjezeka zinachitika ndi urolithiasis, wodwalayo Kwalamulidwa mankhwala enieni amene amalimbikitsa yanyumba mapangidwe olimba ndi kuchotsa mofulumira mchenga dongosolo mkodzo.

Nthawi zina, opaleshoni m'pofunika?

Mwatsoka, kuthetsa matenda ndi njira ndiwofatsa simungathe nthawi zonse. Funso za phukusi opaleshoni zochimwazo kumathetsa dokotala polojekiti. Mwachitsanzo, ngati mwana opezeka mwapang'onopang'ono pyelectasia, amene anatsagana ndi kufalikira mofulumira mafupa a chiuno ndi imfa mwapang'onopang'ono ntchito impso, muyenera opaleshoni. Malinga ndi ziwerengero za 25-40% milandu opaleshoni imagwiridwa ana.

Masiku ano, pali njira zambiri zochizira matenda. Nthawi zambiri pa ndondomeko, dokotala amachotsa chopunthwitsa kwa otaya yachibadwa ya mkodzo. Nthawi zambiri, opaleshoni imagwiridwa ntchito zida endoscopic tikuuzidwa kudzera mkodzo ndi. Ndondomeko m'mimba chofunika pokha pokha kwambiri.

Zoneneratu mwanayo

Mwatsoka, kupewa matenda amenewa kuli kovuta. Chinthu chokha amalangiza amayi oyembekezera, makamaka ngati ali ndi mbiri za matenda ofanana - kuwayang'anira mosamala ukupeza, kulemekeza bwino madzi, komanso nthawi pofuna kuchiza matenda onse aimpso.

Koma odziŵa ana akhanda, nthawi zambiri pambuyo opaleshoni mwaluso ikuchitika matenda. Komabe, palibe chitsimikizo kuti impso pyelectasia asadzabwerere ku ubwana kapena mukadzakula. N'chifukwa chake ana ziyenera ndisanabadwe zonse ndi katswiri - yekha adzakhala kupereka mwayi kuti azindikire kuvutika pa siteji oyambirira.