Koda hydronephrosis a neonates: magani jama'a magunguna

Wani lokacin haihuwa sa irin wannan ganewar asali a matsayin "koda hydronephrosis" a cikin jariri. Mene ne wannan? Wannan cutar halin blockage na ureter marurai, calculi, jini clots, ko a take a sallama daga fitsari saboda rashin ci gaban gabobin, deducing shi. A jarirai, wannan Pathology yawanci rinjayar daya koda, mafi yawa bar. Tare da hadin raunuka bukatar gaggawa aiki, in ba haka ba da jariri zai mutu.

Irin wannan cututtuka ana bi da yafi tare da tiyata da kuma ra'ayin mazan jiya da hanyoyin amfani da su dan kadan ya rage haƙuri da yanayin da kuma shirya domin tiyata. Magunguna amfani a cikin postoperative lokaci zuwa rage hadarin rikitarwa.

Ta yaya cutar bayyana?

Koda hydronephrosis a neonates ne mai hadarin gaske saboda ta bayyanar cututtuka bayyana ne kawai a cikin na uku mataki. Saboda haka, na farko bayyanar cututtuka na iyaye ya kamata a lura. Su ya kamata a sanar da cewa jariri ya zama lethargic, duhun, ya fara ci mugun, gaji da damuwa da barci. Lokacin da zafi a ciki yaro Sucitu kafafu da kuma jan su.

Wajibi ne a kula da yanayin da ingancin fitsari. Idan ba zato ba tsammani ya bayyana a cikin diapers na zub da jini, kada ku jinkirta da ziyarar zuwa likita.

Babban alama da cuta - ƙara koda da cewa shi ne sauƙin detectable a bimanual palpation nazari, da kuma shi za a iya gano ta hanyar duban dan tayi. A karfi karuwa a cikin jiki bayyana a manyan girma na ciki. Sau da yawa koda hydronephrosis a jarirai ne tare da wani dauke da kwayar cutar wahala tare da kara yawan zafin jiki. Kamar wancan fitsari ƙunshi manyan yawan leukocytes.

Sanadin

Hydronephrosis ne nakasar ko samu. A mafi yawan na kowa jarirai nakasar tsari, wanda aka halin rashin ci gaban da koda da zuciya da jijiyoyin jini tsarin lokacin fetal ci gaba. A yaro haife tare da mahaukaci ureter, wanda za a iya Tapered ko da wani ba daidai ba wuri, da zarar jijiya jirgin ruwa. Ya, bi da bi, ƙwarai compresses jiki, sakamakon disrupted da ya kwarara daga fitsari.

A jariri na iya zama wani ƙeta na outflow na fitsari daga biyun da daya koda, da kuma daga duka a lokaci guda. A wannan yanayin, da ganewar asali ne - unilateral ko dangantakar hydronephrosis.

Har yanzu, ba a cika tãtacce, saboda wanda akwai mahaukaci intrauterine samuwar koda, da zai kai ga bayyanar da cutar. Babu shakka daya - tsokane yiwu sabawa a tayin iya cũtar mace a matsayin giya. Bugu da kari, nan gaba baby ta kiwon lafiya da aka adversely shafi shan taba da kuma shan wasu magunguna.

Acquired hydronephrosis koda siffar auku saboda matsalolin da suna lalacewa ta hanyar sauran koda cututtuka.

iri

Hydronephrosis koda a jarirai wanda photo misalta da jigon matsalar, mafi sau da yawa fiye da ba daya mai gefe. Fallasa to wannan cuta, yafi boys. Wannan cuta ne zuwa kashi uku iri.

Pyelectasia - shi wakiltar mataki na farko na pathologies halin da karuwa a ƙashin ƙugu saboda da ƙara matsa lamba. A wannan mataki, da parenchyma da kodan ba tukuna shafa, babban sashen aikin kiyaye, amma ya riga ya dan kadan ya karu. Lokacin da lokaci fara magani iya kauce wa tsanani sakamakon.

A mataki na biyu na hydronephrosis - gidrokalikoz. Lokacin da wannan sashin jiki kafafuwa qara ma fiye da kofuna waɗanda koda. Rarar fitsari cewa tattara a koda tubules fara zuwa damfara da parenchyma, saboda abin da ta aiki ne kusan gama karya.

Mataki na uku na yana tare da hydronephrosis aiki atrophy na koda kyallen takarda. A wannan yanayin, kodan aiki tsaya a nan gaba daya. Lokacin da irin wannan mataki ne kawai gudanar da magani.

bincikowa da

Neonatal koda hydronephrosis kamu amfani ultrasonography, lissafta tomography, excretory urography, dakin gwaje-gwaje karatu cystogram voiding.

An gogaggen likita ne iya gane asali da wannan Pathology a lokacin farko jarrabawa. Tare da palpation shi kayyade karin koda ko ba, sa'an nan Ya aika da yaro da za a yi nazari. Tare da taimakon kayayyakin zamani ba zai iya kawai tabbatar da gaskiya da cuta, amma kuma kafa har na zuciya da sauransu lalacewa kazalika don gano yiwu haddasawa da ya kai ga zargin hydronephrosis.

Excretory pyelography yi domin tantance excretory koda aiki, yayin da yin amfani da wani voiding cystogram iya gane reflux, wanda a wasu lokuta su tsokane hydronephrosis.

Idan kamu hydronephrosis koda a jarirai, real uwaye bayar da shawarar da za su gudanar ultrasonic ganewar asali kowane watanni uku zuwa waƙa da canje-canje a kan lokaci. A wannan yanayin yana yiwuwa su hana abin da ya faru na da rikitarwa.

magani

Idan koda ta ƙara dan kadan, da hali ra'ayin mazan jiya magani taimaka wajen normalize da ya kwarara daga fitsari. Lokacin da lokaci fara m magani iya cimma wani m sakamako, tanadi kodan aiki.

Lokacin da diagnosing na biyu mataki na irin cututtuka kamar na koda hydronephrosis a neonates, magani ne da za'ayi a cikin hanya kullum ake bukata magani tracking kuzarin kawo cikas. Idan shi ne tabbatacce, sa'an nan ci gaba da ra'ayin mazan jiya magani a cikin wajabta juna. Korau kuzarin kawo cikas na bukatar m tiyata.

A cikin uku mataki, tiyata da aka yi a cikin 100% na lokuta.

Alamomi zuwa Mataki

Godiya ga hanyoyin zamani na magani don samar da tasiri taimako tare da m aiki rikitarwa. Idan kamu hydronephrosis koda a wani jariri, da aiki za a iya sanya a cikin wadannan lokuta:

• tsawo na jiki cavities.
• karfi takaita da ureter.
• gaban calculi a kodan .
• ƙari aukuwa a ƙashin ƙugu.

gudanar da tiyata

A mafi m Hanyar tiyata ne laparoscopic roba. Its ma'anar ne cewa kananan incisions kai tsaye ta hanyar da laparoscope aka gabatar, wanda shi ne wani bututu da allo a karshen. Tare da irin wannan na'urar da aka maye gurbinsu da kunkuntar rabo daga ureter Surgeons halitta sabon fili na wannan fadi da jiki da kuma na koda kafafuwa. Ya taimaka mayar da al'ada kwarara daga fitsari.

Irin wannan tiyata da aka yi a wani mataki na cutar. Bayan haka, baby ciyarwa a asibiti daya mako.

Yaro dole sa a kan lissafi ga urologist. A matsayin matakin rigakafi da baby makonni biyu tafii uroseptiki. Bugu da kari, a lokacin shekarar farko bayan tiyata da aka bada shawarar a kai a kai dauki a fitsari gwajin.

Jiyya na jama'a magunguna

A gaban irin wannan cututtuka kamar na koda hydronephrosis a neonates, magani jama'a magunguna ya shafi gyara bayyana bayyanar cututtuka da wannan cuta.

Mafi na ganye:

• 50 g Adonis ciyawa, oat hatsi, horsetail, bearberry, nettle ganye, da kuma 150 g na Birch bar;
• 100 g na Birch buds, stonecrops ciyawa, horsetail, Adonis, oat hatsi, Galium da hop Cones.
• 250 g bearberry kuma Birch kodan, 50 grams na ungulates, horsetail kuma knotweed, 75 g leaflets wake da masara stigmas.
• 150 g daga 'ya'yan Juniper, Birch ganye da kuma Dandelion asalinsu.

Don shirya da jiko, 100 g na wani tarin zuba lita, daga ruwan zãfi, Boiled minti 10, sa'an nan zuba a cikin wani injin flask tare da kore taro kuma a yarda ya tsaya na dare. Tace da kuma sha 100 g na tincture kafin abinci. A hanya na lura yana for 4 watanni, da hutu na makonni 2, bayan da ta ci gaba.

Ga yara shirya wani tincture wajibi ne a kullum kashi na ganye shayi:

• har zuwa shekara 1 da haihuwa - h L.; 0.5.
• har zuwa shekaru 3 - 1 h L...
• 3-6 shekaru - 1 dess. l.;
• 6-10 shekaru - 1 tbsp. l.;
• a kan shekaru 10 - 2 tbsp. l.

Ka tuna cewa wasu ganye iya samun contraindications.

ƙarshe

Saboda haka, idan ya kamu da "koda hydronephrosis" a jarirai, kada ku yanke ƙauna. Mafi muhimmanci, idan mataki na cutar huhu, shi wajibi ne don saka idanu da muhimmancin ci gaban da wannan cuta da kuma mu bi da yaro magani Hanyar. M baki ne da za'ayi a cikin mafi tsanani lokuta, amma godiya ga fasaha ta zamani a tabbatar da wani babban yiwuwa na dawo.