Hydronephrosis ntawm sab laug raum - kab mob uas tshwm sim nyob rau hauv yuam cai ntawm lub outflow ntawm cov zis thiab yog tsiag ntawv los ntawm expansion ntawm lub raum muab khaws tseg system. Mob mob nyob rau hauv lub plab cheeb tsam mus rau rov qab mus rau lub cheeb tsam ntawm lub rov qab - thawj cov cim qhia ntawm hydronephrosis ntawm sab laug raum. Tus kab mob yog muab faib ua thawj los yog congenital. Nws ua hauj lwm pab raws li cov thawj ua ntawm mob txeeb zig dyskinesia, anomalous nyob raum leeg, congenital anomalies li qub, raws li zoo raws li kab mob thiab kis kab mob, tshwm sim los ntawm pharmaceuticals. Nrhiav los yog secondary ua nephrosis yog urologic kab mob, hu ua pelvic cancer, mob txeeb zig raug mob thiab tus txha caj qaum. Vnutrilohanochnogo zog siab tsub kom tus txheem ntawm lub khob thiab hloov lawv cov configuration. Mus Atrophy ntawm tus nqaij, paj txoj. Hydronephrosis ntawm sab laug raum yog tsiag ntawv los ntawm tsim ntawm fibrous connective cov ntaub so ntswg. Nws muaj ob hom ntawm tus kab mob - lub qhib (muaj ib tug kaus ib feem ntawm lub parenchyma) thiab kaw (nyob rau hauv ureteropelvic tsam cai rhuav txhua yam ntawm cov ureters). Tus kab mob no tshwm sim nyob rau hauv peb ua sawv: thawj - tus expansion yog muaj xwb nyob rau hauv lub plab mog, thiab lub thib ob - mus nthuav lub khob decreases thickness ntawm lub parenchyma, thiab lub thib peb - Atrophy ntawm lub raum parenchyma.
Hydronephrosis ntawm sab laug raum: kev soj ntsuam tej yam tshwm sim
Cov neeg mob tsis txaus siab ntawm ib tug kev xav ntawm heaviness, bursting, mob tej kev mob nyob rau sab laug, yog ib tug tshee excitement thiab ntxhov siab vim, decreases tus nqi ntawm cov zis. Tej zaum qhia hnoos qeev thiab cov ntshav nyob rau hauv cov zis. Raws li ib tug tshwm sim ntawm pathological kev hloov nyob rau hauv lub ob lub raum pib mus ua hauj lwm phem heev, lub cev ua tau ib tug lossis loj npaum li ntawm tshuaj lom cov khoom ntawm metabolism. Nyob rau hauv lub kawg txhua yam yuav ua tau kom neeg tuag taus.
mob hydronephrosis
Mob hydronephrosis ntawm sab laug raum instrumentally, ultrasound thiab radiography. IVP kuaj thiab theem kab mob sib txawv los ntawm expansion nyob rau hauv lub raum plab mog rau tsis muaj nuj nqi thiab hydronephrosis. Hydronephrosis thaum lub sij hawm cev xeeb tub yog txuam nrog cov uas tsis muaj rov qab mob, muaj ib tug dull nagging mob nyob rau hauv tus ncej puab thiab puab tais. Thaum urinalysis kuaj micro thiab tag nrho hematuria, hydronephrosis ntawm yam tab kaum muaj pyuria thiab bacteriuria. X-ray diagnostic txoj kev yog ua rau cev xeeb tub, yog li nqa ultrasound. Nyob rau hauv aseptic unilateral hydronephrosis paaj raug, txij li thaum ib tug noj qab nyob zoo lub raum muaj nuj nqi compensates rau tus neeg mob. Yog hais tias hydronephrosis nyob thaum lub sij hawm cev xeeb tub, nws tsis yog ib tug hais rau nws cov kev cuam tshuam. Cuam tshuam lub cev xeeb tub nrog ob sab sib dho hydronephrosis, uas hloov zuj zuj ua ntej cev xeeb tub. Cev xeeb tub yog tseem tu ncua nyob rau hauv lub mob ntawm "unilateral hydronephrosis", uas yog nrog los ntawm azotemia thiab pyelonephritis.
Yuav ua li cas los kho hydronephrosis?
Nyob rau hauv lub me me daim ntawv ntawm tus kab mob yog nqa tawm conservative kev kho mob, ua rau kom lub suab nrov ntawm lub mob txeeb zig. Thiab kuj ua kev tiv thaiv ntawm cem quav (kev noj haus, tshuaj ntaus cev). Thaum kis tus kab mob hydronephrosis muab tshuaj tua kab mob, tswj cov qoob loo zis. Nyob rau hauv lub tom qab ua sawv ntawm tus kab mob ua tsis tau tsis muaj kev phais. Thaum lub sij hawm lub lag luam, lub tseem ceeb tshaj plaws - mus tshem tawm rhuav txhua ntawm cov mob txeeb zig, los mus tiv thaiv cov kev hloov nyob rau hauv lub raum cov ntaub so ntswg.