Nephroptosis itsvo: Zviratidzo uye kurapwa. Izvo zvokudya chinoiswa varwere renal nephroptosis?

All dzevanhu nhengo chaizvo dyidzana pamwe nemumwe. Izvi zvinoita kuti homeostasis (nguva dzose pamusoro womukati kwezvakatipoteredza) muviri, saka zvakakodzera kuti zvakakodzera kushanda masero ose. Zvikurukuru hurongwa kutsigira kutsoropodza constants (acidity, tembiricha, Kuwanda ions siyana) zvinosanganisira zvemwoyo uye Urinary. Sezvo rokutanga iro rinopa akaparadzirwa ropa, chikuru tsika svikiro, uye wechipiri - ari hurumende ichiisa basa metabolites, Urume uye muchetura.

Basa itsvo mumuviri

Pakutanga, Urinary hurongwa hwatiri kumboderera pane, muti, kufema kana zvemwoyo. Pashure vanhu zvakakwana anorarama chinyararire uye ane woga itsvo, apo pasina munhu zvemapapu kana mwoyo nokuisazve tinzwe zvakajeka pamusoro murwere ezvinhu. Zvisinei, iyi inongova zvisizvo pamusana renal kutadza munhu akafa nokukurumidza kubva kufema kana cardiac. Zvoitika nokuda toksinemii mheni-aifamba, nekuti miviri vaviri ndivo "Sefa" muviri, uye zuva nezuva vari pumped kuburikidza vakawanda marita ropa, neutralizing zvinhu zvinokuvadza uye kupinza zvakatipoteredza.

metabolic mabasa

Kuwedzera ichi, itsvo kuramba BP mukuita kuipa uye ropa kurasikirwa, uye maari ndiye tenzi regulator of chinoratidza - the renin-angiotensin-aldosterone hurongwa (neRAAS). Uyewo, nokuda permeability kusarudza pakati capillaries kupinda parenchyma kuti nhengo iyi inopiwa secretory pakuenzanisa dzakasiyana electrolytes uye osmotic zvinoumba muropa uye nyama: yavaibvisa, potassium, calcium, magnesium, shuga, mapuroteni, acids, uye vamwe vakawanda. Ivo dzinoitawo erythropoiesis, sezvazviri avaindipa rinokosha fuma erythropoietin - munhu stimulator pamusoro kwetunhu matsvuku masero mumwongo.

itsvo anatomi

nhengo aya matsva aiwanzopiwa wokushanda uye dziri munzvimbo lumbar nharaunda iri kana divi musana mbiru. Ndivo bhinzi serin'i uye akatarisana migove concave kune mumwe, uye dzegirini izvi "suo", ivo vanosanganisira arteries uye tsinga mbudo Vienna, ureter uye nhengo dzinobudisa nemidziyo. zvivako izvi kwete chete kuti vaite kupanana zvinhu itsvo, asi kushumira senhengo nokukiya mudziyo. Inside miviri ava kunzwisisa maumbirwo: zvose rinotanga nephron glomerular rirambe richibvira, kuburikidza iyo, chokwadi, ropa yakasvinwa. Zvavo itsvo ndiye miriyoni imwe, uye zvakare vachifambira vari tubule, kunoitika mamwe ropa wevasungwa reabsorption mvura, amino acids, shuga uye munyu, kwamakadarika kuerera ratova kugadzirira yechipiri weti.

Urinary turakiti

Uyezve, zvazvinoita refu nzira, dzakaungana diki uye ipapo makuru nemikombe uye renal chiuno, uye pakupedzisira drains the mukati ureter, dundira, uye pakupedzisira kuburikidza urethra yabudiswa. Saka, mumwe nomumwe nezvezvimwe zvinetso zvedundira wedhipatimendi iine pachake nerevane, uye chaiwo zvirwere zvinogona kuitika chero pavo, zvichiita kuti kukundikana mashandiro. Izvi Somuenzaniso, itsvo kana nephroptosis hydronephrosis, pyelonephritis, glomerulonephritis, urolithiasis, vachiberekwa stricture, urethritis, cystitis, uye vamwe. Munyaya ino, tichakurukura dzimwe chaiyo pamusoro chirwere rokutanga Zvisinei, asati vanoita kuti funga izvozvo, unofanira kudzidza zvimwe zvakawanda zviri nemamiriro muviri.

kugadzira itsvo

Ivo riri pamusoro retroperitoneum, uye saka vane chinokosha kutara mudziyo kutsigira pachayo pamusoro chete chechetere (musi wa12 thoracal kuna 2nd lumbar vertebrae). Zvinosanganisira pazvirugu peritoneal (kurudyi itsvo - nokuda hepatic netambo duodenal-hepatic uye renal, uye kuruboshwe - yakafanira diafragalno-colonic) chaiyo tsandanyama yavo anatomical mubhedha, midziyo (ambotaurwa), fascial mafuta midziyo (inomiririra mumwe muzvizhinji kuti matanda uye zvitatu fascial mumuhara, pamwe chete kuumba "nyoro ikanyanya" uye rutsigiro zvikukutu) uye intra-abdominal kumanikidzwa, inopa voltage abdominal rusvingo tsandanyama. Saka, nhengo idzi dziri zvakakwana zvakasimba ngadzirambe dziri lumbar nharaunda. Panyaya iyi, zvakanaka itsvo iri zvishoma pazasi kuruboshwe, uye vachiri chaizvo ndakawedzera: amplitude ichi panguva kufema mabasa, vanogona kukwira uye pasi 1-2 cm asi mune zvimwe pathological migumisiro chisingakwanisi kutsanangurwa 2 cm, uye ipapo vakaburukira pazasi kuipa mitemo chirwere inonzi nephroptosis neitsvo.

Etiology uye ngozi zvinhu

Zvemamiriro mufambo zvikuru nevakawanda vakadzi nokuti dzinoratidzwa guru tensile shwashwa midziyo tichienzanisa nevanhu, uye vanogona kuuya kubva nezvikonzero zvakasiyana-siyana, imwe nzira kana imwe mhosva simba pamusoro nokukiya mudziyo. itsvo nephroptosis First kunogona kukonzera:

• unopinza uremu, nokuda izvo mafuta muviri Kamudzira kunova wakawondereiko kudai mazuva ose, uye anova Urume;
• kukuvadzwa of lumbar nharaunda kana abdominal fascia kutyora kuvimbika kana destructuring tsandanyama mubhedha itsvo, semuenzaniso, renal nephroptosis chinowanzoguma zvinorwadza retroperitoneal hematoma;
• unopinza uremu waigona kana mitambo nyanzvi, umo mune simba tsandanyama makakatanwa uye kuwedzera intra-abdominal kumanikidzwa, asi ichi chinhu chenguva tatamuka nemarunda pasi pokudzora iyo chipande anogona Vaiisa mune chinzvimbo;
• kusava nesimba tsandanyama midziyo, Ukuwo, lowers BP, uye kugadzirira ayo mashandiro ari pakugumburwa, ndokusaka nephroptosis uye pamuviri kana hypodynamic mararamiro saka kazhinji zvinofambirana;
• kuwedzera vawana-vataurwa pamusoro zvinokonzera wakawedzera extensibility uye nyama zvingabva yokugara kubatwa Somuenzaniso, zvirwere connective tishu.

zviratidzo

Clinical kuratidzwa Nephroptosis unogona kukamurwa muzvikamu. Saka, kana kutanga sei itsvo iri akatura kuna 4-6 masendimita ari wehunyambiri nzvimbo murwere uye yaibva anodzoka panguva yayo yezwi chinjikira. Panguva iyi, murwere anogona chete kunetsa anokakavara marwadzo ari njodzi divi muchiuno kana kusimudza, pamwe raidudzwa chaiko nesimba. Nephroptosis akasiya itsvo iri ishoma pane kurudyi, nokuti physiologically yepamusoro, saka zviratidzo vakawanda mune zvakanaka nzvimbo. Kana panguva ino maperembudzi kurashikirwa, nayo mberi uye sei nhengo anogona ndiburukire ufanane guvhu. Saka kuoneka yechipiri Danho nephroptosis rworudyi itsvo, zviratidzo zvake kuzvida asisiri kuderedza muviri, inofanira kuva Chinyorwa sangano pamubhedha wake. Pain Panguva iyi vari yakakura uye kuparadzirwa rinenge rose dumbu uye chete zvapfuura kana itsvo rutapudzo uye kuita chinjikira nzvimbo.

achimhanya urongwa

Zvikuru inozezesa riri nephroptosis itsvo zvose, izvo zvinogona kuva Panguva ino, sezvo mutemo, nokuda nemagene kubatwa. At senguva ptosis muviri kune pelvic marwadzo ipapo vatova dzose, pane kunyange zororo uye haina attenuated mune chinjikira chinzvimbo, sezvo itsvo haasi kukwanisa kudzokera dzose nzvimbo yacho kana kuchinja nzira hanya kwakadaro chirwere. It vanotyisidzira kukura kwazvo yematambudziko akadai hydronephrosis, chirwere cheBP, renal colic nokuda urolithiasis, uyewo hosha nhengo iri nyore pachena kuti vachikwira utachiona, saka kuti pane pyelonephritis.

chirwere chirwere

Kana murwere ane nhete kuvaka, asi fungira chiremba nephroptosis vanogona kwakavakirwa zvichemo unganidzwa nhoroondo uye palpation pamusoro itsvo kuburikidza abdominal madziro.

Zvisinei, izvozvo zvisingaiti kuti varwere kufutisa kana tsandanyama dumbu. Next, pahwaro zvezviratidzo murwere Nephroptosis zvokudya kune wekutanga chokutambudzika kuongorora - kuongorora radiography kana fluoroscopy kuti kukwanisa kuziva pathological mufambo yacho sei itsvo. Kana panguva ino chiremba kufungidzira chero chirwere (urolithiasis, vachiberekwa anomalies, hydronephrosis yechipiri vakabatwa itsvo tikafunga atherosclerosis kana neBP), zvinokwanisika kuti kuitisa excretory urography pamwe intravenous musiyano zvinhu. Nzira iyi ine zvakawanda zvakanaka, Somuenzaniso, zviri nyore mufanidziro patency pamusoro Urinary turakiti, uye avo muganhu kana nephroptosis itsvo matombo. Kurapwa panguva ino kutanga mangwanani, unofanira kutanga kuita chimwe Ultrasound pamusoro abdominal mhango, ropa uye weti nemiedzo, uyewo bacteriological zvirimwa kusimbisa kana kuramba shanduro zvirwere zvinotapukira.

Long-izwi yematambudziko

Saka, tinofanira kuongorora zvizere mune itsvo nephroptosis uye sei rokuongorora chirwere ichi. Uyewo munokosha nezve ndechokuti matambudziko anoitika chirwere ichi zvinoratidzwa kwete Urinary ino. Saka, nemhaka yokusakwanisa zvakakodzera kurapwa kana Somuenzaniso, kana murwere haarambi kuti kudya kuti itsvo Nephroptosis, kunyongana muchikura nemudumbu (kupatira / manyoka, kudya kuda kurutsa), renal colic Ndainetseka kuwedzera, nokuti chii anovandudza neurasthenia uye kwakakanganiswa kunowanzoitika chikamu weti, izvozvo anorumanya yakapoteredza nyama, tsinga nemidziyo ropa. Izvi exacerbates ngozi neBP pamwe nematambudziko kana itsvo utachiona, zvakapfuuridza mwero kusimukira itsvo kukundikana, izvo kazhinji inova chinokonzera rufu murwere.

kurapa

How kubata itsvo nephroptosis rokutanga danho? nyaya iyi kugadziriswa. Kuti izvi zvidaro, zvinokosha kuti kudzivisa rinonetesa muviri, vanopfeka anokosha mabhandeji, kunyanya panguva yepamuviri. Also basa munhu kuchirapa muviri, izvo ndehwokuti kusimbisa lumbar netsandanyama. The murwere zano kuwedzera ayo simba, kufuta, Chokwadi, mukati musoro mwero. Uyewo chinokosha ndiko kuchirapa kudya nokuda Nephroptosis itsvo №7 shoma munyu (izvo zvinogona kutsiviwa nekumini kana ndimu muto), soups, nezvikafu zvishoma, Sausages, mafuta zvokudya, zvihwitsi uye bhinzi. Kana hosha achipinda danho 2 uye 3 uye zvavakawana aishamwaridzana matambudziko, chete sarudzo akasiya nephropexy - kuvhiya nzira, ayo itsvo adzorerwa panhovo dzayo uye wakaiswa. A chiitiko renal kukundikana varwere pamusoro hemodialysis anoiswa pamusoro nguva kuchenesa ropa rechipiriso muchetura uye metabolites zviri anowanzoitwa saka nokushingaira vaziva itsvo kamwe utano.