Hanyar hydronephrosis

Bilateral hydronephrosis shine fadada sassan koda wanda ke tara fitsari. Bilateral yana nufin ɓangarorin biyu.

Bilateral hydronephrosis na faruwa ne yayin da fitsari ya kasa malala daga koda zuwa cikin mafitsara. Hydronephrosis ba shine cuta ba. Yana faruwa ne sakamakon matsalar da ke hana fitsarin fita daga cikin koda, fitsari, da mafitsara.

Rashin lafiyar da ke da alaƙa da haɗin gwiwar hydronephrosis sun haɗa da:

• Cutar cututtukan cututtukan cututtukan cututtuka na haɗin gwiwa - toshe ƙoda da kwatsam
• Toshewar mafitsara - toshewar mafitsara, wanda baya bada izinin malalewa
• Ciwon cututtukan cututtukan cututtukan ƙasashe na yau da kullun - toshe kodar a hankali sau da yawa galibi daga toshewar fata ɗaya
• Neurogenic mafitsara - fitsari mara aiki
• Fuskokin fitsari na baya - flaps a kan fitsarin da ke haifar da malalar mafitsara mara kyau (a cikin yara maza)
• Ciwon cututtukan ciki - gurɓataccen mafitsara wanda ke haifar da narkar da ciki
• Fibrosis ta Retroperitoneal - ƙara ƙyallen tabo da ke toshe fitsarin
• Toshewar mahadar Ureteropelvic - toshewar koda a wurin da fitsarin ya shiga koda
• Vesicoureteric reflux - ajiyar fitsari daga mafitsara har zuwa koda
• Rushewar mahaifa - lokacin da mafitsara ta saukad da ƙasa kuma ta matsa cikin yankin farji. Wannan yana haifar da kinkiya a cikin mafitsara, wanda ke hana fitsarin zubewa daga mafitsara.

A cikin jariri, ana samun alamun matsala sau da yawa kafin a haife ta yayin duban ciki.

Cututtukan fitsari a cikin jariri wanda aka haifa na iya nuna alamar toshewar koda. Yakamata a duba wani babban yaro wanda yake sake kamuwa da cutar yoyon fitsari saboda toshewar da yayi.

Mafi yawan adadin cututtukan yoyon fitsari galibi shine kawai alamar matsalar.

Alamun yau da kullun a cikin manya na iya haɗawa da:

• Ciwon baya
• Tashin zuciya, amai
• Zazzaɓi
• Ana bukatar yin fitsari sau da yawa
• Rage fitowar fitsari
• Jini a cikin fitsari
• Rashin fitsari

Gwaje-gwaje masu zuwa na iya nuna haɗin gwiwar hydronephrosis:

• CT scan na ciki ko koda
• IVP (ana amfani da shi sau da yawa)
• Ciki (tayi) duban dan tayi
• Renal scan
• Duban dan tayi ko koda

Sanya bututu a cikin mafitsara (Foley catheter) na iya buɗe toshewar. Sauran jiyya sun hada da:

• Zubar da mafitsara
• Sauke matsa lamba ta hanyar sanya bututu a cikin koda ta cikin fata
• Sanya bututu (sita) ta cikin mafitsara don barin fitsari ya gudana daga koda zuwa mafitsara

Ana buƙatar gano asalin abin da ke haifar da toshewar da zarar an sami sauƙin haɗin fitsari.

Yin aikin tiyata yayin da jariri yake cikin mahaifa ko kuma jim kaɗan bayan haihuwa zai iya samun sakamako mai kyau wajen inganta aikin koda.

Dawowar aikin koda na iya bambanta, ya danganta da tsawon lokacin da toshewar ta kasance.

Lalacewar koda ba zata iya canzawa ba daga yanayin da ke haifar da hydronephrosis.

Wannan matsalar galibi mai samarda lafiya ne yake gano ta.

Wani duban dan tayi yayin daukar ciki na iya nuna toshewar hanyoyin fitsarin jariri. Wannan yana ba da damar magance matsalar ta hanyar yin tiyata da wuri.

Sauran abubuwan da ke haifar da toshewar jiki, kamar duwatsun koda, ana iya gano su da wuri idan mutane suka lura da alamun gargadi na matsalolin koda.

Yana da mahimmanci a kula da matsalolin gama gari tare da yin fitsari.

Hydronephrosis - haɗin gwiwa

• Mace fitsarin mata
• Maganin fitsarin namiji

Dattijo JS. Tushewar fitsari. A cikin: Kliegman RM, Stanton BF, St. Geme JW, Schor NF, eds. Nelson Littafin koyar da ilimin yara. 20th ed. Philadelphia, PA: Elsevier; 2016: babi na 540.

Frøkiaer J. Maganin hana fitsari. A cikin: Skorecki K, Chertow GM, Marsden PA, Taal MW, Yu ASL, eds. Brenner da Rector na Koda. 10 ed. Philadelphia, PA: Elsevier; 2016: babi na 38.

Gallagher KM, Hughes J. Hanyar hana fitsari. A cikin: Feehally J, Floege J, Tonelli M, Johnson RJ, eds. M Clinical Nephrology. Na 6 ed. Philadelphia, PA: Elsevier; 2019: babi na 58.

Nakada SY, Mafi kyawun SL. Gudanar da toshewar hanyoyin fitsari na sama. A cikin: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th ed. Philadelphia, PA: Elsevier; 2016: babi na 49.