Pyelectasia azvarwa. Pyelectasia fetus itsvo pakurapa uye zvinokonzera

Maererano nenhamba, pyelectasia mudumbu hakuitiki kakawanda - anenge 2% dzokushungurudzwa panguva fetus Ultrasound vanachiremba dzirikutaririra zvokurwara kwakadaro. Chokwadi, vanaamai pamuviri mibvunzo pamusoro chii chirwere pane zviri ngozi, uye chii kurapwa ano mushonga zvinowanika.

itsvo Pyelectasia of mudumbu - chii?

Chii chinonzi chirwere ichi? Zvinosuruvarisa izvi fetus zvokurwara mu obstetric ano uye chiremba tsika ikoko, kunyange asina kakawanda. Pyelectasia - chirwere kuti pamwe nokunyanyisa rokuwedzera ari renal chiuno, iyo kakawanda chokuita mhingaidzo pamusoro chakaipa chokubuda weti.

Kazhinji, chirwere hwomwana padzakacherechedza kunyange utero kubudikidza Ultrasound ongororo nzira. Kazhinji chirwere pyelectasia chakasara mudumbu uyewo kukundwa rwerudyi itsvo kana bilateral kuwedzera chiuno. Maererano Statistical zveBhaibheri, vakomana vanokanganiswa nokuda kukanganisa muna 2-3 nguva kakawanda kupfuura vasikana. Kutaura zvazviri, chirwere kana kuruboshwe untreated, kungaita kuti matambudziko ngozi.

The kukonzera chirwere kukura

Modern mushonga, pane zvikonzero zvakawanda zvingaita kuti zvemamiriro akawedzera chiuno uye kutyora water drainage kuti weti. Chokutanga zvinokosha kuziva kuti pane zvimwe magene kubatwa. Uyezve, fetus abnormalities zvingamuka pakati chiitiko kuti panguva pamuviri amai akatambura pyeloectasia. Ukuwo, zvinhu pangozi zvinosanganisira chakasimba anogumbura chirwere nezvezvimwe zvinetso zvedundira, ari vaitama mukadzi panguva gestation. Uyezve, mukana wokuti nokuvhiringidzirwa inowanzotorwa itsvo kukura mune mwana kwazvo kuwedzera panguva pamuviri, akadai ane pre-eclampsia, eclampsia, uye zvichingodaro. D.

Mune zvimwe zviitiko, kutungamirira kuti pyeloectasia malformations siyana. Somuenzaniso, vamwe vana kuva vharuvhu ari kuchinja nzvimbo pakati chiuno uye ureter. Dzimwe nguva, vakuru ureter inogona squashed hombe midziyo ropa kana zvimwe zviremera akavakidzana. Zvinhu Risk zvinosanganisirawo gogonera kukura uye paumbwe nhengo panguva fetus. Vamwe vana chiuno kuwedzera ndiwo mugumisiro kwokusasimba ari tsandanyama ino, iyo kazhinji kuchengetwa Prematurity.

How kuona pamberi chirwere?

Kakawanda, itsvo pyelectasia mwana asati azvarwa chirwere yechipiri yezana pamuviri (munguva purogiramu Ultrasound). Chokwadi, kuongororwa zvakarurama pahwaro bvunzo mumwe chete zvisingaiti, nekuti muviri wemwana kunoramba kukura, Virtual uye kuchinja. Zvisinei, zvinofungirwa kuti pamberi 32 fung vhiki pamuviri, ukuru renal chiuno ndiyo 4 neMM, uye pashure - kusvika 7-8 mm. Kana panguva Ultrasound kuzviongorora akawana kuti chiuno Yakakura kupfuura 10 neMM, zvakakodzera kutaura pamberi chirwere.

Mune ramangwana, taiita mamwe nemiedzo anogona kuziva chikonzero zvokurwara. Huru chaiko zviratidzo pyeloectasia kuoneka pashure pokuberekwa. Chero zvazvingava, murwere ushandiswe mwana zvidzidzo zvakadai intravenous urography, cystography, radioisotope kuongorora itsvo t. D.

Nezvirwere izvo pamwe pyeloectasia

Kakawanda pyelectasia ari mudumbu kunoratidza kuvapo zvimwe zvirwere, izvo zvinosanganisira:

• Hydronephrosis - chirwere kunokonzerwa pamberi mhingaidzo panguva mhesano pakati chiuno uye ureter. Panguva iyoyowo wedzerai iyo chiuno, asi mamiriro ari ureter wakarurama.
• Megaureter - mumwe chirwere kuti kunoitika pamwe pyeloectasia. Panguva iyoyowo varwere vane vesicoureteral reflux. Ureter akamanikana kwazvo yepazasi chikamu, uye ari dundira, rakapinza kuwedzera kumanikidza.
• Vesicoureteral reflux ari kubatana reflux reflux pakati weti kupinda itsvo, kuzorwa nawo pane chinokosha rokuwedzera renal chiuno.
• Ectopia - imwe nyonganyonga umo ureter hakurevi kuwira dundira uye nyinyo (nokuda kwevasikana) kana urethra (mu vanhurume). Kakawanda, zvokurwara ichi chinoitika kana itsvo kaviri.
• Pyelectasia mudumbu inogona interfaced pamwe ureteroceles. Kana kwakadaro zvokurwara panguva confluence yacho ureter kupinda dundira distended kwazvo, asi nzira yokubudisa yakamanikana chaizvo.

The huru yematambudziko chirwere

Chokwadi, kwakadaro zvokurwara ari mudumbu regai kuitika chaizvo kakawanda. Uye vanhu vazhinji vari kushamisika sei ngozi kunogona pathological. Kutaura zvazviri, kutyisidzira mune iyi haisi pakuwedzera renal chiuno, uye zvikonzero kuti kukonzera zvokurwara.

Kana chakaipa chokubuda weti kubva itsvo kwakaoma, zvinokanganisawo Urinary hurongwa. Zvikurukuru, yakadaro zvokurwara vakachengeta compression yacho itsvo tishu. Untreated muviri zvivako dzinotanga zvishoma nezvishoma atrophy. Akaderedza itsvo basa iri ngozi nokuda muviri wose, uye kazhinji rinopera kurasikirwa itsvo zvivako, izvo, chokwadi, ngozi wakakwana. Uyezve, tikafunga kurega kunotanga kuti weti anogona kuva zvakasiyana anogumbura zvirwere, kusanganisira pyelonephritis. Chero Kana vanofungidzirwa pyeloectasia vanofanira rakagara kuongorora zvizere uye kuwana mhosva zvirwere zvakadaro.

How kubata pyeloectasia?

Kutaura zvazviri, chiremba havagoni kuziva kana chirwere ichava mberi pashure pokuberekwa. Somuenzaniso, kaviri madziro pyelectasia ari mudumbu ari kuonekwa mamiriro vasiri riri kukonzerwa ane nekumwisa mvura mumuviri amai mwana.

Ndokusaka wokutanga kwevhiki kana mwedzi upenyu mwana anogara anomhanya nemiedzo yakasiyana-siyana kuitira kuti vanachiremba vanogona kuzviona kana chirwere mberi. Kazhinji munyoro, mwero pyelectasia rinopfuura pacharo nezera. Kana kuvandudzika haina kuchengetwa, chiremba anogona mishonga kuchinja kurapwa.

Zvipatara, muchiitiko ichi kunoenderana mhaka zvokurwara. Somuenzaniso, kana chiuno kuwedzera yakaitika pamusoro urolithiasis, murwere ushandiswe mishonga chaizvo kuti pave pokufa zvokufonongonwa inotungamirwa uye kukurumidza nokubviswa jecha kubva Urinary hurongwa.

Mune zvimwe zviitiko, kuvhiya kunokosha?

Zvinosuruvarisa, kubvisa chirwere ne kuchinja nzira asingagoni nguva dzose. Mubvunzo kuvhiya kupindira anogadziriswa chiremba vari kuongorora. Somuenzaniso, kana mwana akawanikwa mberi pyelectasia, izvo pamwe kukurumidza kuwedzera chiuno uye zvishoma nezvishoma kurasikirwa itsvo basa, unofanira kuvhiyiwa. Maererano nenhamba, vanenge 25-40% nyaya, kuvhiya rinoitwa muuduku.

Nhasi, kune nzira dzakawanda kurapwa chirwere ichi. Kakawanda munguva muitiro, chiremba anobvisa chipingamupinyi kune chakaipa chokubuda weti. Kazhinji, kuvhiya rinoitwa kushandisa endoscopic zviridzwa nezvevanakomana kubudikidza urethra. Abdominal nzira kunodiwa chete zvakakomba zvikuru zviitiko.

Zvaifungidzirwa kuti mwana

Zvinosuruvarisa kuti kudzivisa chirwere chakadai kwakaoma zvisingaiti. Chinhu bedzi kuti varumbidze vakadzi vane pamuviri, kunyanya kana vane nhoroondo chirwere chakafanana - kuti kunyatsotevera kuongorora mamiriro utano, kuremekedza mvura nechiyero, uyewo nguva kubata renal zvirwere zvose.

Kana for nokuda achangoberekwa, kazhinji pashure vavhiyiwa nounyanzvi vaita chirwere. Zvisinei, hazvivimbisi kuti itsvo pyelectasia haana kudzokera uduku kana vanhu vakuru. Ndokusaka vana vakadaro vanofanira firimu nguva achishandisa nyanzvi - izvozvo chete uchapa mukana kuziva abnormalities yekare kare yemagwaro.