Renal chiuno kuwedzerwa vachangoberekwa. pyelectasia itsvo ari mwana

In Pediatrics ano chaizvo nevakawanda siyana zvirwere excretory hurongwa. Uye dzimwe nguva munguva chokudzivirira Check vanachiremba vanoti itsvo chiuno kuwedzerwa vachangoberekwa. Sezvingatarisirwa, zvakadai chirwere kunokonzera vabereki kuti tisatya uye tsvaka mamwe mashoko maererano nechirwere ichi. Saka sei nengozi here? Kana zvichibvira kuona zviratidzo pyeloectasia pachako? Chii kurapwa zvinoda mwana? Chii kuti matambudziko ari chirwere inobatanidzwa? Mhinduro dzemibvunzo iyi ichava vabereki vakawanda.

Renal chiuno: chii? A pfupi karwendo kupinda anatomi

Hazvina chakavanzika kuti itsvo dziri unokosha excretory nhengo. Uye kuti kunzwisisa chii pyelectasia vanofanira muchidimbu vakajairana anatomical zviri mumuviri womunhu.

Itsvo - aiwanzopiwa wokushanda nhengo iri seri parietal rukoko munhu peritoneum pakati lumbar nomuzongoza. Mumwe itsvo rinosanganisira kuva gobvu fibrous Kamudzira riri zvakananga pasi parenchyma zvinosanganisira cortical uye chepfungwa fuma - uri mukati pamuviri, richienda riri gadziriro kuwanda uye excretion kuti weti.

Duku zvemamiriro ezvinhu ndiwo renal Calyx, izvo batanidza nemumwe kuti vaumbe mukombe yakakura. Uyewo, zvakaoma aumba kubva pamahwendefa anonzi renal chiuno. Chii? mamiriro ichi umo weti inounganidzwa uye zvokudya kupinda ureter. The rworudyi uye nokuruboshwe ureters ndokuatakurira zvakananga kupinda dundira.

Kana tichigona kutaura kuti chokuwedzera renal chiuno? Norm uye zvokurwara

Sezvingatarisirwa, kuti azive kana pane abnormality ari mwana, zvakakosha kuti kuenzanisa parameters pamwe bvumidzwa tsika. Saka chii saizi inofanira kuva chiuno romuzvarirwo? Zvakawanda zvinoenderana nemakore mwana:

• kuti mudumbu pamberi vhiki 32 pamuviri yevanhu vanenge 4-5 mm;
• fetus 32-36 mavhiki, nhamba idzi anofanira kuva akaenzana 7-8 mm;
• kukura achangoberekwa chiuno mwana haafaniri kupfuudza 7 mm.

Saka chii pyelectasia? zvokurwara ichi kunoratidzwa pakuwedzera ari renal chiuno. Zvinofanira pakarepo kucherechedzwa kuti ichi hachisi yakazvimirira chirwere - iri nemhaka huripo anomalies nezvezvimwe zvinetso zvedundira. Zviya, zvokurwara ichi kunogona kuitika vaviri vasati uye pashure kuzvarwa kwemwana.

chirwere kupatsanura

Patsanura chirwere nenzira dzakawanda. Somuenzaniso, pyelectasia mwana chingava rworudyi, akasiya-mativi uye kaviri madziro. Uyezve, kufungisisa chikonzero uye nguva kuwedzera chiuno, achiudzawo chirwere on:

• vachiberekwa Organic ekisitenjeni (mugumisiro kanganisika fetus pamusoro Urinary nhengo);
• Tinoberekwa simba ekisitenjeni - zvinetso chokuita water drainage kuti weti kakawanda chirwere mu vacheche;
• vawana itsvo ari mwana pyelectasia - anova pashure pokuberekwa somugumisiro pakukuvara Urinary nadzo kana kuzvimba muna excretory ino;
• vakatodzidza simba ekisitenjeni - wakanyorwa urolithiasis kana pamberi anomera.

The kukonzera chirwere kukura

Kana panguva rokuongorora zvakanzi Vakawana kuti renal chiuno rakawedzerwa achangoberekwa, zvakakosha kuona chikonzero. Kazhinji, kukura kuchinja nokuda kutyora water drainage kuti weti - mvura rinoungana iri renal chiuno renal ezvinhu, zvichikonzera kuwedzera kwayo. Uyewo, havachanyatsogoni water drainage kuti Urume zvinogona chokuita pathologies zvakasiyana.

Zvikonzero anosanganisira aienda pamusoro ureter kana inzwi. Dzimwe nguva, nezvikonzero zvakasiyana-siyana, vharuvhu chikwata ureteropelvic remubatanidzwa kuumbwa zvakanaka, mauri weti anotanga kuunganidza ari itsvo. Pyelectasia mwana anogona chokuita tsandanyama simba - kunoonekwa pakati rokusamhanyira vacheche.

Dzimwe nguva nemidziyo compressed ureters kana dzimwe nhengo pedyo, kunyanya kana paine zvinhu zvakasiyana-siyana fetus abnormalities. zvinokonzera njodzi zvinosanganisira kuvapo namamota (kusanganisira benign) uye urolithiasis nekuti Organic kana chicherwa inotungamirwa anogona occlude ari lumen pakati ureters, vachivhiringidza zvakajairika chokubuda Urume.

Kunoratidzwa kuti pane majini kubatwa uye vamwe. Zvinhu Risk zvinosanganisira rinorema munguva pamuviri (kuvapo pre-eclampsia, eclampsia), uyewo rikwanise kuzvimba itsvo mai panguva gestation.

Chii zviratidzo maperembudzi pamwe?

Pyelectasia mwana kazhinji kunoitika pasina zviratidzo. Dzimwe nguva zvinoita kuona vamwe vasiri dzakananga zviratidzo - mwana achingochema, dzimwe nguva anorasikirwa kudya, anova kudzikama.

Vana vakura dzimwe nguva chokunyunyuta pamusoro kusagadzikana mudumbu uye lumbar nharaunda. A chinorwadza chirwere nekuoma vanhurume Zvinogonekawo, asi vari kazhinji chokuita matambudziko pyeloectasia, kusanganisira nokuumbwa matombo ari itsvo kana kukura anogumbura zvirwere.

The pyelectasia ngozi? pezvingazoitika

Kazhinji, itsvo mwana pyelectasia munhu benign. Kunyange zvakadaro, pane mukana yematambudziko, saka, avo mazita vanofanira kuverenga:

• Nemhaka rakawedzera nevamwe dundira anogona nokukurumidza kuwedzera ureter (megaureter) pamwe tevera stenosis.
• The vakomana dzimwe nguva vakachengeta valvular posterior urethra.
• Zvinozouya zvinosanganisira vesicoureteral reflux, umo mune kudzoka aibuda weti iri itsvo zvivako.
• Kuzvimba ureters (urethrocele), chinoguma nenzira nokuvhiringidzirwa kwomuzvarirwo weti.
• Kana yakawedzera renal chiuno, izvozvo anosika zvinhu kuti kukura itsvo matombo vana.
• Hydronephrosis - mumwe zvokurwara umo pane chimbichimbi rokuwedzera renal chiuno, kuti ureter anoramba nomumhu.
• Ureter vangapinda urethra kana nyinyo (ectopia).
• Nokuvhiringidzirwa kunowanzoitika chokubuda weti kungaita kuti kukura pyelonephritis uye renal tishu kuoma dzimwe nhengo dzomuviri.

Chirwere zvokurwara Nzira

Ndinoziva sei kuti renal chiuno rakawedzerwa achangoberekwa? Izvi zvinogona kuitwa kushandisa Ultrasound itsvo uye peritoneal mhango. Panzira, maererano nenhamba, kurudyi itsvo zvinovhiringidzika kakawanda kupfuura kuruboshwe. Pane mumwe mutemo - nemhaka vasiri zvatariswa vangangowedzera pyeloectasia vakomana. Ukuwo, avanotarisira kuti nechirwere nechirwere nounyoro, iyo inokurumidza anoenda pamusoro wayo.

Uyezve, X-ray bvunzo zvinoitiswa, kusanganisira cysto- uye urography. Kazhinji, ukuru chiuno pashure weti hakufaniri kushandurwa - ndiyo chimwe chiratidzo chirwere chinogona kuonekwa panguva nemiedzo.

kutyora Izvi zvinogona kuonekwa pamberi mwana aberekwa. Kutanga kubva vhiki 17 pamuviri panguva Ultrasound pakuongorora chiremba ane ruzivo ungacherechedza nokuchinja ukuru renal chiuno.

Pane kurapa kunobudirira?

Intrauterine mabatiro fetus haana kuwanikwa. Kazhinji, sezvo kukura uye dambudziko fetus haazombotaurwi woga asati aberekwa. Kana renal chiuno rakawedzerwa achangoberekwa, chiremba pashure zvidzidzo zvinogona kuita zvinobudirira mishonga zvaiitwa.

Chokwadi, kuderedza ukuru chiuno kushandisa zvinodhaka hazvibviri. Uye nekuti mushonga kurapa ipfupi kugamuchira zvinodhaka kuti zviite aibuda weti. Treatment kunoenderana pamberi yematambudziko. Kana kuzvimba yakatarwa mishonga Anti-anogumbura, mu urolithiasis - zvinoreva kukwanisa kukurumidza diki chicherwa inotungamirwa uye mhanyisa excretion yavo.

Ose mitatu, unofanira kupfuura imwe ultrasonic kuongorora chirwere. Saka chiremba anokwanisa chamber simba rinomutsa chirwere. Maererano nenhamba, kazhinji pyelectasia rinopfuura pacharo chiuno saizi paakadzokera dzose sezvo mwana inokura.

In wakakura zvikuru kacho zvinoda kuvhiyiwa. Kuvhiya unoratidzwa zviitiko apo zvokurwara anoenderera mberi, uye saka vasingadzoreki itsvo chaitika. The chinoratidza pamberi yematambudziko, kusanganisira vesicoureteral reflux, ectopia, urolithiasis. Kazhinji, endoscopic zvomusejari dzokubvisa anoshandiswa, izvo kudzivisa rakavhurika kuvhiyiwa uye yakareba vapore.

Prevention yematambudziko

Zvinosuruvarisa chaiwo matanho haako. Chokwadi, amai vakazvitakura vanofanira kunyatsoongorora kuongorora mamiriro utano, pakarepo kumbotambudzika kurapwa nedzimwe hosha anogumbura, uye kwete kukanganwa tichiita fetus Ultrasound. Kana abnormality kunokwanisa kuonekwa mune utero, chiremba wako achaita nokungwarira kuongorora mamiriro ezvinhu achangoberekwa, izvo zvichakubatsira kudzivisa matambudziko.

The chete mitemo inofanira kutevedzerwa, uye pashure kuzvarwa kwemwana - ose 3-6 mwedzi kuita Ultrasound pamusoro genitourinary hurongwa.