How kuongorora itsvo? Research Nzira, iyo achaongorora kana itsvo utano

Zvirwere genitourinary ezvinhu zviri zvikuru zvakajairika. Vakadzi vazhinji vanoziva chii chisingaperi pyelonephritis, nekuti zvokurwara iyi complicating pamuviri. Cheitsvo kungaita kuti migumisiro ngozi izvo zvinoda kuramba ropa Clearance kuti zvine chepfu (hemodialysis). The chirwere ane zvinokonzera dzakawanda (semuenzaniso, kuvabereki kubatwa, hypothermia, skidding hweHIV nhengo dzokubereka nadzo, uye zvichingodaro. D.), uye kazhinji asymptomatic, kureva, Hazvisi kunetsa munhu, saka munhu wose azive kuti aone neitsvo. Izvi zvichabatsira munguva kwachiremba uye ndisakuvara matambudziko.

The nemamiriro itsvo

Itsvo - iri aiwanzopiwa wokushanda nhengo riri lumbar nharaunda. Chavainyanya chinhu - paumbwe weti. Itsvo kuramba ari oncotic aomerwa ropa, uye zvibereko erythropoietin. The inokosha STRUCTURAL chikwata - nephron - nhengo vascular chikamu (glomeruli) uye tubules. Chokutanga ndechokuti basa inonzwika apo ropa uye paumbwe chinonyanya weti. Chechipiri - zvinobatanidzwa munyaya reabsorption kuti zvinokosha muviri zvinhu. Pakupedzisira zvazvinosarira recycling tsvina chigadzirwa - yechipiri weti. Kana pane dzimwe nguva pane mhinganidzo, kuti itsvo basa simba. Izvi zvinoratidzwa anochinja Qualitative uye quantitative Kuronga weti. Kuti tinzwisise sei kuongorora itsvo oga, unofanira kuziva kutyorwa diuresis, idzo dzinenge zvose varwere. Izvi zvingasanganisira zvinoderedza kana kuwedzera weti, shanduko weti ruvara, kakawanda kana zvisingawanzoitiki kushanyira chimbuzi.

Nzira tsvakurudzo itsvo

Kune nzira dzakawanda kuti anogona kuziva abnormalities nezvezvimwe zvinetso zvedundira. In dzoutano kuongorora itsvo kushandisa anokosha miedzo, akadai nemiedzo nokuda Zimnitskiy, Nechiporenko, Amburzhe. Nzira dzose idzi dzave kushandiswa kwenguva refu, saka kubudirira kwavo nekusimba. Mumwe muenzaniso chinodiwa rokuongorora chaiyo basa, akadai Zimnitskiy ongororo inoratidza kutyora mupise mano, Nechiporenko - pamberi anogumbura norudaviro uye hematuria. For zvakakodzera chirwere akashandisa Kunoshandiswa neitsvo. Nzira dzakadaro dzinosanganisira excretory urography uye biopsy. Mureza nendarama Ultrasound etsvo. Mumwe nemumwe Nzira idzi basa chiremba uye anogona kuona zvimwe zvirwere, kana zvichidikanwa.

How kuongorora kana itsvo dziri utano?

Kuti tinzwisise kuti pane chirwere cheitsvo, zvakakodzera teererai pamberi murwere zvichemo, kunyanya kana paine zviratidzo zvakadai kakawanda uye kuchinja weti, ropa riri weti, kuwedzera kuzvirotera diuresis. Chinokosha ndiko kurwadziwa lumbar nharaunda, nechepazasi dumbu kurudyi kana kuruboshwe. Kuwedzera huru zvingaratidza kuva nomusiyano kuwedzera tembiricha muviri, mukuru utera.

Kazhinji angina kunotangira cheitsvo, SARS, hypothermia. Zviratidzo zvinogona kuzvimba uye kwakawedzera BP. Zviratidzo izvi zvichiitika glomerulonephritis - kuzvimba ari glomeruli, ine zvakasiyana-siyana. Panyaya iyi, unogona kubudirira chete chikamu zviratidzo, kana mumwe wavo. How kuongorora itsvo dziri pamberi edema? Danho rokutanga nderokuwana panze chii kwakaita kutanga zviratidzo. Kana pakazvimba iri inodzorwa mangwanani, uye musabata vane nyoro uye ushamwari, zvakakodzera kuenda kwachiremba, mumwe nephrologist.

Physical ongororo nzira

Vakanyatsoongorora kuongorora zvichemo kuona nhoroondo chirwere inofanira yokuongororwa. First unofanira kuongorora zvinonyatsorehwa ezvinhu omurwere uye kutarisa nyika yose, uye ipapo mberi kune pakarepo rokuongorora muviri murwere. How kuongorora itsvo pasina dzinokosha nzira ongororo? Zvakakodzera kuongorora mamiriro ari lumbar nzvimbo (kana kusina kuchinja kuoneka, edema) uye kuitisa palpation. Palpate muviri chingava panguva yakasiyana nzvimbo murwere: asingatani, akamira uye agere. Panyaya iyi, murwere akakumbirwa ndatura befu, panguva iyo chiremba kunounza maoko ake kune palpable itsvo. On the exhale, chiremba anoedza kubvuta simba uye kuongorora kukura kwayo, kuvapo marwadzo, mamiriro, kusachinja-chinja uye nzvimbo. Varwere utano Itsvo havana palpable, kuti haisi amenable kuti inoda kufunga.

Ndezvipi zviratidzo zvinogona kuonekwa renal chirwere?

How kuongorora itsvo, kunze palpation, vose vanofanira kuziva chiremba. Kana uchifungidzira kuti kushoma rinoitwa chaiwo dzichipfekeka miedzo kuti vanoongorora kuvapo kwayo kana vasipo. Yainyanya kushandiswa nzira ndicho "chiratidzo kurohwa." It anoita chiremba anoda kutonga panze cheitsvo. Uyezve, nzira iyi inoshandiswa chero chipatara nezuva wedunhu ari chiremba. Mharidzo akasungwa pamwe murwere imire kana avete mudumbu. Chiremba anoisa ruoko pamusoro nzvimbo netsvo, uye mumwe anoita chiedza Tapping kufamba pairi. Pashure paizvozvo unofanira kuchinja kwaaienda. Mharidzo kuongorora kuvapo marwadzo ari kurudyi kana kuruboshwe itsvo. Pain chinoratidza kuzvimba. Kakawanda, munhu akanaka sei 'chiratidzo tapping "unowanikwa pyelonephritis - munhu pathological ezvinhu ari tubules.

Kuchinja Qualitative Zvinoumba weti

Kana chirwere ushandiswe yakatarwa vanofungidzirwa renal pamusoro Analyses nayo kuzviona kuchinja kwete chete uwandu asiwo huri weti. Izvi murabhoritari miedzo mharidzo Nechiporenko, Amburzhe, Kakovskomu-Addis. Analyses zvose izvi vari kutora yacho wave pakati weti. The acho akabva pasi kuferefeta nezvokukanganisa kuvapo imomo pakati leukocytes, erythrocytes uye sepombi. Muzviitiko vsoh vakaperekedza ane count zvakarurama aumba okunze, kwakapiwa mushure mhedziso.

The mimwe akasiyana mumwe nomumwe kuti zvinoitika mumwe nomumwe wavo akasiyana tsika. Analysis nokuda nechyporenko vaiona zvakanaka, kana asingasviki 2,000 leukocytes, erythrocytes uye asingasviki 1000 pasango maonero. Sepombi pasi kwomuzvarirwo mashoko kunotsanangurwa zvisingawanzoitiki, ndozvakajairwa - kusvika 500. Munguva kuongorora Amburzhe uye Kakovskomu Addis-achiumba zvinhu zvakafanana. Musiyano uri kuti pakutanga zvinodiwa - 200 uye 100 zviyero, apo rechipiri - mamiriyoni 2 uye mamiriyoni 1.

Urinalysis nokuti Zimnitskiy

Zimnitsky yokuenzanisira maererano nzira inoshandiswa kuona kuchinja quantitative Zvinoumba weti. Nokutsauka kubva ndozvakajairwa kuongorora kunoratidza kutyora wevasungwa kuti itsvo chaitika. Huru indekisi, izvo hunoyerwa ne kuita bvunzo Zimnitskiy ndiye hama arambe achirema kuti weti, izvo zvinofanira kushandurwa masikati. Kana zvichibvira kufunga kuderedza guru kurasikirwa fluid rinowanzova hunoonekwa cheshuga. Kana arambe achirema achiri kuitwa panguva iyoyo yakati sandara, kunofanira vanofungidzirwa zvinetso umo itsvo vanorasikirwa kugona kwavo pfungwa weti, inova kukwanisa kuzodzosera Absorção de Água. Mharidzo Analyses kunoratidzwa nokutora masikati, mumwe 3 chasa (8 batch). Mukupedzisira, nokukosha daily weti goho, nhamba masikati nousiku weti, kurasikirwa mapuroteni dzaona.

Mitemo kuunganidzwa kwemari weti nemiedzo

Apo rokuchinja Qualitative kana quantitative Kuronga weti chiremba inofanira kuva chirongwa zvakare nechirwere, ndiko, kuti kufunga: sei kuongorora itsvo zvikuru kwazvo uye chero paku nzira kuti ndipe? Mune zvimwe zviitiko, Analyses zvakaipa kuvimba Nzira kutora isiri zvinhu. To Murabhoritari nekuongororwa rakarurama, unofanira:

1. Zvakasimba kugeza ndiro weti.
2. Bata chimbuzi kwokunze sikarudzi pakarepo asati hurukuro yacho kuongorora.
3. Achangobva akazadza chirongo weti, unofanira kuvhara kuti ndisabatwe utachiona.
4. Pashure kuunganidzwa weti zviendese murabhoritari kwemaawa 1-2.

Kukosha kuri zvidzidzo

Kwokupedzisira chirwere chinogona kuitwa pashure dzinokosha nzira kuferefeta, izvo zvinosanganisira renal ultrasonography, excretory urography biopsy. Nzira idzi kuti vakwanise kuona nzvimbo isiri muviri (nephroptosis), kuvapo vachiberekwa malformations (polycystic doubling), akasiyana-siyana concretions vane saizi dzavo uye chimiro. Unogona kusimbisa nechirwere echirwere pyelonephritis, kunyange kusavapo kuonekwa (anokudza CHLS pamusoro Ultrasound). How kuongorora kuti vanofungidzirwa renal malignancy? Tora biopsy achiteverwa histological uye cytological kuongorora zvinhu.