Itsvo hydronephrosis mu neonates: mabatiro acho mishonga

Dzimwe nguva kuberekwa akaisa chirwere akadai "itsvo hydronephrosis" iri achangozvarwa. Chii? chirwere ichi kunoratidzwa blockage pamusoro ureter namamota, calculi, ropa clots, kana kutyora kuerera weti nokuda kukura kukodzera zvomukati, deducing nayo. Vachangoberekwa, zvokurwara ichi kazhinji zvinokanganisa rimwe itsvo, zvikurukuru vasara. With bilateral maronda zvinoda kukurumidzirwa oparesheni, zvimwe mwana aigona kufa.

zvirwere zvakadai vari kubatwa ainyanya ne oparesheni uye kuchinja nzira dzinoshandiswa zvishoma kuderedza murwere mamiriro uye kugadzirira kuvhiyiwa. Medicines anoshandiswa postoperative nguva yekuzvidzivirira yematambudziko.

sei chirwere kuratidza?

Itsvo hydronephrosis mu neonates ndiyo ngozi nokuti zviratidzo zvayo kuonekwa chete Danho rechitatu. Saka, zviratidzo vabereki vokutanga vanofanira cherechedzai. Vanofanira yazivisa kuti mwana akava lethargic, nezvinyamusi, akatanga kudya zvakaipa, vakanetseka hope. Kana kurwadziwa mudumbu mwana Sucitu makumbo uye kuminyuka navo.

Zvakakosha kuti kuteerera mamiriro uye unhu weti. Kana pakarepo kwakaonekwa manapukeni pamusoro ropa, usanonoka kushanya kwachiremba.

The chikuru chepfungwa chirwere - yakawedzera itsvo kuti iri nyore detectable panguva bimanual palpation kudzidza, uye dzinogona kuonekwa ne Ultrasound. The kuwedzera simba mumuviri kuratidza guru Vhoriyamu mudumbu. Kazhinji itsvo achiperekedzwa hydronephrosis neonatal kutapuriranwa kuomesa muwanze tembiricha. Saka weti ine vakawanda leukocytes.

zvinokonzera

Hydronephrosis iri vachiberekwa kana vawana. In Inonyanya vachangoberekwa vachiberekwa chimiro, iyo inozivikanwa nokuva kukura zvisina kunaka itsvo uye kumwoyo panguva fetus. A mwana akaberekwa aine zvemamiriro ureter, izvo zvinogona tapered kana vane zvakaipa nzvimbo, kamwe arterial mudziyo. Iyewo, anorumanya zvikuru muviri, zvichiguma kwakakanganiswa aibuda weti.

A achangoberekwa anogona kuva kukanganisa pamusoro water drainage ose weti kubva rimwe itsvo, uye kubva panguva iyoyo. Panyaya iyi, chirwere chiri - yaitsigira divi kana bilateral hydronephrosis.

Kusvikira zvino, kwete kuchijeka zvakazara, nokuti izvo pane kanganisika intrauterine inotungamirwa itsvo, zvichiita kuti pakuonekwa chirwere. Zviri pachena rimwe - vanotsamwisa zvinobvira zvarakasiya ari mudumbu anogona kushungurudza mukadzi ari chinzvimbo nedoro. Mukuwedzera, yemberi mwana wacho utano huri kumufambira nokusvuta uchirapwa nemimwe mishonga.

Vawana hydronephrosis itsvo chimiro kunoitika nokuda yematambudziko kuti zvinokonzerwa nezvimwe zvirwere itsvo.

mhando

Hydronephrosis itsvo vachangoberekwa vane mufananidzo inoratidza musimboti dambudziko, kakawanda mumwe chete angoramba achitaura. Kubatwa nezvirwere ichi kunyanya vakomana. chirwere ichi rakakamurwa zvitatu marudzi.

Pyelectasia - rinomiririra danho pathologies ichazivikanwa noku kuwedzera chiuno yakafanira kune yakawedzera kuomesa wokutanga. Panguva iyi, iyo parenchyma etsvo zvichigere kukanganiswa, chikuru nhengo basa akaramba, asi iye akatoita zvishoma zvakawedzera. Apo nguva atanga kunokwanisa kudzivisa zvakakomba.

Danho rechipiri hydronephrosis - gidrokalikoz. Kana ichi Nhengo chiuno kunowedzera zvakatowanda nemakapu itsvo. Zvakawandisa weti kuti anounganidza iri renal tubules vanotanga dzvinya parenchyma, nokuda iro kushanda kwayo wakaputsika zvinenge chose.

Danho rechitatu iri pamwe hydronephrosis vanoshingaira atrophy pamusoro renal munyama. Panyaya iyi, itsvo basa rinomira zvachose. Kana munhu anotamba akadaro chete kushanda kurapwa.

Diagnostics

Neonatal itsvo hydronephrosis chirwere kushandisa ultrasonography, computed tomography, excretory urography, rabhoritari zvidzidzo cystogram voiding.

chiremba ane ruzivo anokwanisa rokuongorora zvokurwara ichi munguva kuongororwa yokutanga. With palpation nayo anosarudza rakawedzera itsvo kana kwete, uye ipapo anotuma mwana kuti aongororwe. Achibatsirwa michina yemazuva ano haagoni chete asimbise chokwadi kwechirwere chacho, asiwo kumisa mwero kukuvara nhengo uyewo kuziva zvinoita zvinokonzera zvakazoita kuti kwaita hydronephrosis.

Excretory pyelography yaiitirwa rokuongorora excretory renal basa, apo uchishandisa voiding cystogram rinogona kuona reflux, izvo dzimwe nguva kutsamwisa hydronephrosis.

Kana chirwere hydronephrosis itsvo vachangoberekwa, moms chaivo vanokurudzira kuti kuitisa ultrasonic chirwere ose mitatu chamber kuchinja pamusoro nguva. Muchiitiko ichi zvinokwanisika kudzivirira panowanikwa yematambudziko.

mabatiro

Kana itsvo rwuchiwanzwa zvishoma, mufambiro kuchinja kurapwa zvinobatsira normalize aibuda weti. Apo nguva atanga nomazvo kunokwanisa kuzadzisa yakanaka mugumisiro, kudzorera itsvo basa.

Kana diagnosing danho zvirwere zvakadai renal hydronephrosis mu neonates wechipiri, kurapwa iri kuitwa nenzira kazhinji kwaida mishonga Tracking simba. Kana zvakanaka, ipapo kuramba kuchinja kurapwa vari waakaudzwa muenzaniso. Negative emuchina kunoda fanira kuvhiyiwa.

In danho rechitatu, kuvhiya rinoitwa muna 100% nyaya.

Zvairatidza kuti Step

Nemhaka nzira ano kurapwa kupa rubatsiro kunobudirira vane zvishoma pane kushanda zvakaoma kunzwisisa. Kana chirwere hydronephrosis itsvo ari achangoberekwa, kuvhiyiwa inogona tanzi zvinotevera nyaya:

• kuwedzera muviri in;
• aienda simba pamusoro ureter;
• kuvapo calculi mu itsvo ;
• bundu panowanikwa ari chiuno.

kuitisa kuvhiya

The nzira Kuvhiya chinonyanya munyoro laparoscopic epurasitiki. Its zvinoreva ndechokuti duku cheka zvakananga kuburikidza laparoscope kutaurwa, inova kumicheto pamwe chidzitiro apera. Ane mudziyo yakadaro kuchatsiviwa nhete chikamu ureter vanovhiya akasika remubatanidzwa idzva muviri ichi rakafara uye renal chiuno. Zvinobatsira nokudzosazve chakaipa chokubuda weti.

Kuvhiya kwakadaro rinoitwa chero pavaipfuura chirwere. Pashure paizvozvo, mwana inopedza muchipatara kwevhiki rimwe.

Child hazvo kupfeka nhoroondo kusvika chiremba wezvedundira. Kuzvidzivirira nechiyero mwana vhiki mbiri uchatorei uroseptiki. Mukuwedzera, mugore rokutanga pashure pokuvhiyiwa inokurudzirwa kuti nguva dzose kutora weti bvunzo.

Mabatirwo zvavo mishonga

In pamberi zvirwere zvakadai renal hydronephrosis mu neonates, mabatiro acho mishonga kunosanganisira kugadzirisa zviratidzo zvakajeka chirwere ichi.

Best yemakwenzi:

• 50 g Adonis uswa, O zviyo, horsetail, bearberry, yorukato mashizha, uye 150 g Birch mashizha;
• 100 g Birch namabukira, stonecrops uswa, horsetail, Adonis, O zviyo, Galium uye kusvetuka pasikweya;
• 250 g bearberry uye Birch namabukira, 50 g ungulates, horsetail uye knotweed, 75 g bhinzi ichibhabhamisa uye stigmas chibage;
• 150 g nezvibereko omujunipa, Birch mashizha uye voikukka midzi.

Kugadzirira aizomupa, 100 g chero muunganidzwa akadurura fő mvura iri kufashaira, yakabikwa kwemaminitsi 10, ipapo akadurura kuva Vacuum chinu pamwe girini gobvu uye akabvumira kumira usiku. Filter nekunwa 100 g tincture pamberi kudya. Yawapiwa kunotora 4 months, pamwe yokumbozorora 2 mavhiki, pashure pacho mberi.

Kuti vana kugadzirira tincture kunodikanwa zuva dose pamusoro yemakwenzi tii:

• kusvika 1 egore - H L. 0.5.
• kusvika 3 years - 1 f L;..
• makore 3-6 - 1 dess. l.;
• makore 6-10 - 1 tbsp. l.;
• anopfuura 10 makore - 2 tbsp. l.

Yeuka kuti dzimwe miriwo vangava contraindications.

mhedziso

Saka, kana akabatwa chirwere "itsvo hydronephrosis" iri vacheche, usaora mwoyo. Chikurukuru, kana ukuru zvirwere zvemapapu, zvinokosha kuongorora simba pamusoro kukura chirwere ichi uye kuti kubata mishonga mwana nzira. Kuvhiya kupindira rinoitwa mu zvikuru kwazvo kacho, asi ndinoonga unyanzvi ano nechokwadi refu ndingangokuvara kupora.