I-Hydronephrosis

Incazelo jikelele yalesi sifo

Lesi yisifo lapho i-renal pelvis ne-calyx yelulwa kakhulu. Lokhu kunwetshwa kwenzeka ngenxa yokwephulwa kwenqubo yokuphuma komchamo, okwandisa ingcindezi ohlelweni lwe-renal pelvic-cup. Lokhu kukhuphuka kwengcindezi ye-hydrostatic kucindezela imikhumbi, kuphazamise umsoco ojwayelekile wezinso, kuvuse izicubu zomzimba. Ngenxa yakho konke lokhu, wonke umsebenzi wohlelo lwe-genitourinary uyaphazamiseka.

Ngokuyinhloko, i-hydronephrosis ithinta kuphela izinso. Ngokuvamile, lesi sifo sivela kwabesifazane abasebasha. Mayelana nezinhlangothi zesilonda, amacala e-hydronephrosis wezinso zangakwesokudla noma kwesobunxele acishe afane.

Izinhlobo nezimbangela zokuthuthukiswa kwe-hydronephrosis

Ngomsuka wayo, i-hydronephrosis ingazalwa noma itholwe.

I-Hydronephrosis uhlobo lokuzalwa kwenzeka ngenxa yokungajwayelekile okwehlukahlukene ekukhuleni kwama-ureters noma izinso. Okuzenzakalelayo okunjalo kufaka ukubekwa okungalungile kokuzalwa kwemithambo yezinso ngamagatsha awo (acindezela i-ureter); ukungasebenzi kwemigwaqo ekhipha umchamo; ukunciphisa (ukuqina) kwama-valves we-ureters nokugqagqana (ukuvinjelwa) kwepheshana lokuchama lesimo sokuzalwa; i-ureter itholakala ngemuva kwe-vena cava. Futhi, izizathu zokuthuthukiswa kwe-hydronephrosis yokuzalwa zihlanganisa izimo ezingavamile zomama ngesikhathi sokukhulelwa (ukuthatha imishanguzo ethile, okwandisa izifo zesifo esingelapheki, ukudlulisa izifo zemvelaphi yegciwane noma yebhaktheriya).

I-Hydronephrosis uhlobo olutholakele eba phambi kwezifo zomchamo. Lokhu kufaka phakathi i-urolithiasis; izimila zomgudu wokuchama, ama-ovari, i-prostate, isibeletho nomlomo wesibeletho; ukulimala komgogodla, okwaholela ekuphazamisekeni kwe-reflex kokukhishwa komchamo; izinqubo zokuvuvukala ohlelweni lwe-genitourinary; ukuncipha kwepheshana le-urinary elibangelwa ukusikeka ngemuva kokulimala; ama-metastases ezithweni ze-pelvic noma esikhaleni se-retroperitoneal.

Ngokuya ngendawo yezithiyo ekuphumeni komchamo, kunamaqembu ama-5 wokuphazamiseka, athi:

  1. 1 ase-urethra noma esinyeni;
  2. 2 etholakala ekukhanyeni kwe-pelvis noma i-ureter;
  3. Kwenziwe kwasendaweni odongeni lwe-pelvis ne-ureter;
  4. 4 ehlotshaniswa nendawo engajwayelekile yama-ureters noma nekink yabo;
  5. 5 ibekwe ezingeni elifanayo ne-ureter, kepha ngasikhathi sinye ayikho ku-lumen.

Izigaba zokuthuthukiswa kwezinso ze-hydronephrosis

Ekuthuthukisweni kwayo, i-hydronephrosis ihamba ngezigaba ezintathu.

Esigabeni sokuqala izifo zomchamo we-pelvis ziqoqeka ngamanani amancane, ngenxa yokuthi izindonga zawo zelula kancane kuphela futhi ukusebenza kwezinso kwenzeka ezingeni elijwayelekile.

Esigabeni sesibili, ngenxa yokuqoqwa okuphawulekayo komchamo, ukuguqulwa kwezinso sekuvele kwenzeka, okubangela ukuncipha kwezindonga zalesi sitho. Kulokhu, umsebenzi wezinso onesifo uncishiswe cishe uhhafu. Ngokukhipha okuvamile komchamo, kufakwe izinso ezinempilo emsebenzini. Ngenxa yalokhu, umsebenzi wokukhipha umzimba uyanxeshezelwa.

Esigabeni sesithathu hydronephrosis, izinso zilahlekelwa ukusebenza kahle ngo-80% noma ama-atrophies ngokuphelele. Izinso ezinempilo azisakwazi ukubhekana ngokugcwele nayo yonke imisebenzi yomzimba. Ngenxa yalokhu, ukwehluleka kwezinso kuyakhula. Uma le nkinga ingelashwa kahle, isiguli singase sife.

Izimpawu ze-Hydronephrosis

Ezigabeni zokuqala, i-hydronephrosis ingahle ingabonakali nganoma iyiphi indlela. Lesi sifo asinazo izimpawu ezikhethekile ezizosiza ngokusobala ukusungula lesi sifo. Imvamisa ibonakala ngezimpawu zalezo zifo noma ukungajwayelekile okwadala i-hydronephrosis yezinso uqobo.

Ezimweni eziningi, iziguli zizwa ubuhlungu esifundeni se-lumbar. Zibuhlungu ngokwemvelo. Ingazibonakalisa futhi ngesimo sokudlikiza, khona-ke izinhlungu zenzeka endaweni yezinso ezithintekile (uma izinso ezifanele zigula, kusho ukuthi ngakwesokudla, uma ngakwesobunxele kungakwesobunxele). Izimpendulo zezinhlungu nazo zingenzeka endaweni ye-groin noma emlenzeni. Lapho lesi sifo siqhubeka ngokwengeziwe, kuba buhlungu kancane.

Ngaphezu kwalokho, kanye nesifo sezinhlungu, isiguli singase sihlangane nezinkanuko, ukucabanga okungajwayelekile, nokucindezela kwegazi kungakhuphuka. Abanye banomkhuhlane. Lokhu sekuvele kukhombisa ukuba khona kwesifo.

Kwesinye seziguli ezinhlanu ezine-hydronephrosis, igazi likhona emchameni. Bane-hematuria eyedlulele (igazi emchameni lingalandelwa ngeso lenyama, ngaphandle kokuxilongwa) noma i-microhematuria (igazi elisemchameni alikwazi ukutholwa ngeso, kepha ubukhona balo bunqunywa ukuxilongwa kwelabhorethri, lokhu kukhonjiswa ubukhona be ama-erythrocyte).

Isigaba sokugcina sihambisana nokuhluleka kwezinso, okubonakala ngokuvuvukala komzimba, ukwehla kwevolumu yomchamo okhishwe, ukutholakala komfutho wegazi ophakeme kanye nokuthuthukiswa kwegazi.

Imikhiqizo ewusizo ye-hydronephrosis

Nge-hydronephrosis, isiguli siboniswa ukudla okukhethekile. Kufanele kube nama-calories aphezulu (ukudla kwansuku zonke kufanele kube okulingana no-3000 kcal), kuqukethe wonke ama-amino acid namavithamini adingekayo emzimbeni.

Uma isiguli sinqunyelwe ama-diuretics, kufanele sengeze ukudla okuqukethe i-potassium ekudleni kwaso. Lawa ama-lentils, ubhontshisi, uphizi, isinaphi, izithelo ezomisiwe (omisiwe, amabhilikosi omisiwe), amantongomane (ama-cashews, ama-alimondi, umsedari, ama-cashews, ama-hazelnuts), amabhilikosi, ijusi yeklabishi, amakhiwane, izimila zasolwandle, amazambane (kungcono ukudla okuphekwe) , imikhiqizo yobisi. Bazosiza ukunciphisa ukuvuvukala.

Isisekelo sokudla okunomsoco we-hydronephrosis kufanele kube izithelo nemifino (okungenani amagremu angama-600 kufanele adliwe nsuku zonke).

Ngokuqondene noketshezi, konke kubalwa lapha (izifundo zokuqala, ama-compotes, amanzi). Ngalesi sifo, udinga ukuqapha ukuphuma kwakho kwansuku zonke komchamo (inani lomchamo likhishwe emahoreni angama-24). Kuya ngomthamo womchamo okhishwe, ivolumu yoketshezi oludingekayo nayo ibalwa. Ukuphuza uketshezi kwesiguli ngosuku akufanele kweqe u-0,5 litres wokukhishwa kwansuku zonke komchamo wansuku zonke. Lokho kusho ukuthi: “ivolumu yomchamo + 0,5 l = inani lamanzi nsuku zonke.” Kungcono ukuphuza ama-compotes, amajusi ahlanjululwe namanzi amaminerali e-hydrocarbonate.

Ukwandisa umthamo womchamo okhishwe, kuyadingeka ukwenza izinsuku zokuzila. Ukukhishwa kwe-carbohydrate okunqunyelwe. Lokhu kudla kokuzila ukudla kusiza ukwehlisa amazinga omfutho wegazi futhi kusiza ekususeni imikhiqizo yokuwohloka kwamaprotheni.

Kunezinketho ezi-3 zosuku lokuzila.

  1. 1 ukuphuza… Emini, udinga ukuphuza i-compote eyenziwe ngezithelo namajikijolo. Ungafaka ushukela. Emini, udinga ukuphuza i-1 litre ye-compote ngemithamo emi-5. Ukuhlukana phakathi kwemithamo kufanele okungenani kube amahora amathathu.
  2. 2 Usuku lwezithelo… Usuku lonke udinga ukudla izithelo kuphela. Kumele zidliwe ngama-gramu ayi-300 ngasikhathi sinye (kufanele kube nemikhosi engu-5, amahora amathathu kufanele adlule phakathi kokutholwa ngakunye). Ikhabe libhekwa njengelifanele lolu suku lokuzila. Futhi, ungadla ama-raspberries, ama-cranberries, ama-blueberries, amagilebhisi, amawolintshi, ama-cherry, ama-apula.
  3. 3 Imifino… Yidla amagremu angama-300 esaladi yemifino njalo emahoreni amathathu. Inani lokwamukelwa kufanele libe okungenani izikhathi ezi-3.

Kuze kube namuhla, kunodaba oluphikisanayo lokudla usawoti namaprotheni.

Ezinye izazi ze-nephrologists zeluleka ukuthi kungabandakanyi ukudla okunamaprotheni ekudleni kwesiguli. Phela amaprotheni enza kube nzima ukuthi izinso zisebenze. Kodwa ukungayifaki ekusetshenzisweni komuntu (ikakhulukazi asebekhulile) kungalimaza kakhulu umzimba (ngaphandle kwama-amino acid aqukethwe kumaprotheni, inqubo evamile yokulungisa izicubu zezinso ezilimele ayinakwenzeka). Ngakho-ke, odokotela abaningi bathambekele ekukholweni ukuthi ukusetshenziswa kokudla okunamaprotheni kufanele kuncishiswe. Ngekhilogremu engu-1 yesisindo somzimba wesiguli, kufanele kube namagremu angu-0,5 wamaprotheni agayeka kalula: imikhiqizo yobisi, inyama engenamafutha namaprotheni emifino.

Mayelana nosawoti. Phambilini, ukusetshenziswa kwayo bekungavunyelwe ngokuphelele. Inani likasawoti manje kufanele lilinganiselwe kumagremu ama-2. Ukwengeza ukunambitheka, esikhundleni sikasawoti, ungangeza amakhambi, ugarlic, u-anyanisi ekudleni.

Ukudla kunqunywa ngokwehlukana, kuye ngokuthi: inhlalakahle ejwayelekile yesiguli, ubukhona bezifo ezihambisanayo nezihlala njalo, ubunzima be-edema, kanye nemiphumela yokuhlolwa komchamo.

Nge-hydronephrosis, imikhiqizo elandelayo inconywa ukwamukela: isinkwa esimhlophe ne-rye sezimpahla ezibhakwe izolo, ama-crackers, amabhisikidi amabhisikidi, amasobho emifino, okusanhlamvu nokusanhlamvu (ikakhulukazi irayisi kanye ne-buckwheat), amaqanda (akukho ngaphezu kwe-1 ngosuku), i-jelly, ijeli, ushizi onzima , i-cottage shizi, amakhambi (ulethisi, i-parsley, i-dill, i-nettle encane, isipinashi), i-cauliflower, i-asparagus, ithanga.

Zonke izitsha zishiswa kakhulu noma zibilisiwe; uwoyela kufanele wengezwe kuphela ekudleni okuphekiwe.

Ukunamathela kulezi zimiso zokudla okunomsoco we-hydronephrosis, unganciphisa umthwalo ezinso, futhi wenze izinqubo zokujwayelekile zibe umzimba. Lokhu kuzoqondisa umsebenzi wezinso ekubuyiseleni nasekulondolozeni ukusebenza kwazo.

Lapho kukhona isifo sezinso esihambisanayo, isiguli kufanele sinamathele ekudleni kwethebula le-7.

Imithi yendabuko ye-hydronephrosis

Ngaphambi kokuba uqale ukwelapha i-hydronephrosis ngendlela yesintu, udinga ukwazi ngokuqinisekile ukuthi inso yesibili iphilile ngokuphelele futhi akukho ukwehluleka ekusebenzeni kwayo. Odokotela batusa ukusebenzisa izindlela zokwelashwa ezilondolozayo kuphela ezigabeni zokuqala ze-hydronephrosis. Ukwelashwa kwenziwa ngokusetshenziswa kwe-herbal decoctions:

  • qoqa ama-50 amagremu ama-oats (okusanhlamvu), amaqabunga e-nettle, i-bearberry, i-adonis imbiza ne-horsetail kanye nama-gramu ayi-150 amaqabunga e-birch;
  • thatha amagremu ayi-100 ama-adonis, ama-birch buds, ama-oats, ama-hop cones, i-bedstraw, i-stonecrop, i-horsetail;
  • qoqa ama-gramu angama-50 e-clefthoof, ama-knotweed ne-horsetail, ama-gramu angama-75 ama-stigmas ommbila namabhontshisi kabhontshisi, ama-250 gramu we-bearberry ne-birch buds;
  • thatha ama-gramu ayi-150 amaqabunga e-birch, izimpande ze-dandelion nezomjunipha (izithelo);
  • ngenani elifanayo lungiselela amaqabunga e-currant, okusajingijolo, amakhambi: i-knotweed, intambo, izimpande ze-calamus, izimbali ze-chamomile, itiye le-meadowsweet neso;
  • ngezingxenye ezilinganayo, thatha izigaxa ze-alder, impande ye-marshmallow, izithelo ze-coriander kanye namakhambi e-celandine, i-fireweed, i-knotweed, i-volodushka, i-mint.

Indlela yokulungiselela ama-decoctions we-hydronephrosis

Thatha umthamo odingekayo weqoqo elikhethiwe, uthele amanzi abilayo abilayo, ubeke umlilo omncane, ulethe ngamathumba bese ubilisa eminye imizuzu eyi-10 (ngenkathi ubilisa, ibhodwe kufanele limbozwe ngovalo). Ngemuva kwemizuzu eyi-10, ngokushesha uthele konke kwi-thermos (kanye notshani). Shiya umhluzi lapho ubusuku bonke. Hlunga ekuseni. Ukumnika okuholelekayo kufanele kuphuzwe ngosuku. Sebenzisa uhhafu wengilazi imizuzu engama-25-30 ngaphambi kokudla ngakunye. Phuza i-decoction kusuka eqoqweni elilodwa elikhethiwe izinyanga ezi-4, lapho-ke kuzodingeka uthathe ikhefu amasonto ama-2 bese uqala ukuthatha enye yezimali ezingenhla.

Uma i-hydronephrosis ibonwa enganeni, khona-ke kuyadingeka ukuthatha imithamo yokuqoqa ehluke ngokuphelele kuye. Konke kuncike eminyakeni yobudala. Ezinganeni ezingaphansi konyaka owodwa, ½ isipuni seqoqo sizokwanela usuku olulodwa, ezinganeni ezineminyaka engu-1 kuya kwengu-1 ubudala, isipuni 3 seqoqo selizodingeka. Izingane ezingaphansi kweminyaka engu-1 ziboniswa isipuni esingu-6 se-dessert ukulungiselela ukumnika okwelapha, kanti izingane ezineminyaka engu-1 kuya kwengu-6 ubudala zizodinga isipuni esisodwa seqoqo. Kubantu abadala kanye nezingane ezingaphezulu kweminyaka eyishumi, ukwelashwa, kubalulekile ukulungiselela i-decoction yezipuni ezimbili zeqoqo elomisiwe.

Kubalulekile!

Ukuze uvimbele futhi uvimbele ukuthuthukiswa kwe-hydronephrosis, awukwazi "ukubekezelela" (ukubambezela inqubo yokuchama), kufanele uvakashele indlu yangasese ngokushesha. Uma umchamo uvezwa ngokweqile, ungabuyela ezinso, okuzokwenza ukuthi ukhalo lwelule ngokuzayo. Lokhu kuphonsa kwenzeka ngenxa yokugcwala kwesinye.

Imikhiqizo eyingozi futhi eyingozi ye-hydronephrosis

  • okubabayo, okubhemayo, okuthosiwe, okunamafutha, ukudla okumuncu;
  • ukhukhamba, amasoso, ama-marinade, ama-ketchups, imayonnaise;
  • amaswidi (aqukethe ushukela, imajarini), ukhilimu we-khekhe;
  • inyama enamafutha, inhlanzi kanye nomhluzi kuzo;
  • amakhowe;
  • ukudla okusheshayo, utshwala, isoda enoshukela, ikhofi;
  • imikhiqizo eseqediwe kancane, ukudla okusemathinini, amasoseji namasoseji;
  • amaqebelengwane asanda kubhakwa futhi acebile.

Lapho kukhona i-oxaluria, i-sorrel, ushokoledi, ubisi, yonke imidumba nokudla okuqukethe usawoti we-calcium, i-ascorbic ne-oxalic acid kuvinjelwe.

Qaphela!

Abaphathi abanacala nganoma yimuphi umzamo wokusebenzisa imininingwane oyinikiwe, futhi akuqinisekisi ukuthi ngeke ikulimaze wena uqobo. Izinto zokwakha azinakusetshenziselwa ukunquma ukwelashwa nokwenza ukuxilongwa. Njalo thintana nodokotela wakho onguchwepheshe!

Ukudla okunomsoco kwezinye izifo:

shiya impendulo