Daga cikin cututtuka na urinary system, vesicoureteral reflux na faruwa a cikin ƙasa. Harkokin cututtuka yana shafar yara da tsofaffi. Binciken ganewa yana da rikitarwa saboda rashin bayyanar cututtuka a farkon matakai na pathology.
Mene ne gurasar vesicoureteral?
Maimaita ƙwayar magungunan ƙwayar cuta a yawanci ana kiransa azabar rashin lafiya wanda ake ciki a yanzu. Rashin ƙawancin fitsari, canzawa zuwa mai tsabta da kodan anyi shi ne a karkashin matsin lamba, wanda ya rushe aiki na bawul din na kayan aiki na ureter. Wannan yana faruwa a duk lokacin da mafitsara ta cika, saboda abin da, a tsawon lokaci, akwai yiwuwar canji a cikin damar wannan kwayar.
Yawancin lokaci, kara karuwa a cikin mafitsara yayin da yake cikewa ya kamata ya sa bawul din ya rufe. Duk da haka, tare da gwaninta, wannan lalacewar ya lalace ko ya raunana, wanda ke haifar da ƙwayar mafitsara ta yanzu. Yin gyaran fitsari na iya faruwa a yayin aikin urination da kuma lokacin cika mafitsara. Kwayar cutar na dogon lokaci ba ya bayyana kansa kuma ana gano shi yayin binciken jikin gamin ƙananan ƙwayar cuta.
Jigilar fure-fure na vesicoureteral
Da irin wannan nau'i, nauyin fitsari yana faruwa kawai a lokacin urination. Yatsunan mafitsara sun zo ne, sakamakon haka, an zuba fitsari a cikin masu tsabta sannan kuma kara cikin kodan. A lokaci guda, ana rarraba shi zuwa waje. Ta haka ne mutum yana jin damuwarsa a cikin filin wasa, a cikin bangarori. Wannan nau'i na cututtuka ne saboda rashin daidaituwa na bawul din da ke cikin tasirin mai tsabta, wanda aka bayyana a yayin binciken da ya dace.
Cigabaccen gishiri mai sauƙi
Flucewa mai ban sha'awa yana nufin canja wurin fitsari daga mafitsara zuwa ureters, wanda ke faruwa a lokacin cika cikawar kwayar cutar. Tare da wannan nau'i na ilimin lissafin jiki, rashin ƙarfi na bawul din ya kara bayyana, saboda haka shigarwa da fitsari a cikin ureters da kodan yana faruwa a kullum. Ƙarar fitsari na dawowa baya saboda matsanancin rashin ƙarfi, kwangila na mafitsara, da kuma yanayin bawul din kanta.
Bladder / ureter reflux causes
Dangane da lokacin da ake ci gaba da cutar, an kawar da ruwan sanyi na farko da na sakandare. Anyi amfani da nau'in maganin ilimin cututtuka lokacin da cutar ta haifar da cututtukan da ke ciki kuma an kafa shi a mataki na ci gaba da intrauterine - cike gurbin daji na ciki. Ƙara matsa lamba a cikin mafitsara tare da gyaran ƙananan ƙwayoyin cuta yana haifar da wani cin zarafi, haifar da fitsari mai tsafta, abin da zai haifar da haka kamar haka:
- sau biyu na mai tsabta;
- dystopia na baki;
- hawan baki;
- ƙananan rami mai tsantsawa na ɓacin jini.
Wani nau'i na nau'i mai nauyin maganin vizicureteral ya taso ne a kan tushen sauran yanayin ilimin halitta na urinary tsarin. Daga cikin dalilai na kowa:
- tsarin urethra;
- stenosis na wuyansa na mafitsara;
- adenoma na prostate;
- cystitis ;
- wrinkling na mafitsara;
- lalacewar ureteric orifice yayin aikin.
Chlamydial reflux bayyanar cututtuka
Ana nuna ɓoyewar bayyanar cututtuka na cutar. Daga yiwuwar, amma ba alamun alamun cutar ba, likitoci sun ba da lahani, ciwo mai zafi a cikin baya, wanda ya bayyana nan da nan bayan an cire mafitsara. Yara za su iya nuna ciwo a cikin ƙananan ciki, gwaninta.
Wadannan alamun cutar suna haifar da mataki na tsarin ilimin lissafi. Sau da yawa, duk abin da ya dogara da mataki na ci gaba da gyaran maganin vesicoureteral, mataki na iya zama kamar haka:
- 1 digiri - fitsari maidawa zuwa ureter, ba ya kai ƙashin ƙugu;
- 2 digiri - reflux kai koda;
- 3 digiri - ureter dilates;
- 4 digiri - zane na urinary fili yana damuwa, shinge ya bayyana;
- 5 digiri - da parenchyma na maki da aka thinned, duk canje-canje da aka sama a yanzu.
Sanarwa daga likitocin marasa lafiya sau da yawa sau da yawa sukan ji sau da yawa kawai tare da ci gaban pyelonephritis. A wannan yanayin, ana lura:
- ƙara yawan yawan zafin jiki;
- ciwo na ciki;
- lalacewar zaman lafiya na kowa;
- girgije na fitsari.
A mafi yawan lokuta, ana gano PMR ne kawai a mataki na ci gaba da rikitarwa da sauran cututtukan, ciki har da:
- recurrent cystitis (m urinary excretion a cikin kananan rabo);
- ciwon hawan gwiwar hamsin jiki (cututtuka, hali marar kyau a cikin yankin lumbar, yawan zafin jiki bai fi digiri 38 ba);
- enuresis.
Bladder da ureter reflux - ganewar asali
A cikin hanya mai banƙyama don ganewar asali na reflux vesicoureteral, ana yin amfani da duban dan tayi da kodan. Za'a iya gudanar da binciken har ma kafin bayyanar jaririn (reflux na farko). Nuni ga jarrabawar urological cikakke na iya zama karamin ƙirar ƙirar (a cikin wani ɓangaren gefen da ya fi 5 mm). Binciken gwadawa idan akwai tuhuma da ilimin cututtuka ya kamata ya haɗa da waɗannan binciken:
- hanyoyin bincike: bincike na gaggawa ta gaba, gwajin jini, al'adun kwayan;
- Rediyo na rediyo;
- Dynamic nephroscintigraphy;
- Hanyar sarrafawa;
- amintattun abubuwa ;
- Mikrotionnaya cystourethrography;
- cystoscopy.
Chlamydial reflux - magani
Don ware jakar vesicoureteral, ana kula da maganin likita don kawar da abubuwa biyu masu lalatawa:
- haɓakar hydrodynamic saboda kara karuwa a cikin mafitsara;
- Sakamakon urinary ci gaba.
Tare da kowane mataki na rushewa, maganganun warkewa ya fara ne tare da hanyoyi masu ra'ayin mazan jiya wanda ya haɗa da:
- Daidaitawar cututtukan da ke ciki a cikin mafitsara da ureter (Pikamilon, Elkar).
- Rigakafin da maganin kamuwa da cuta daga tsarin tsarin genitourinary - uroseptics , maganin rigakafi, phytotherapy (Tetracycline, Metronidazole, Ciprofloxacin).
- Tsayar da haɗari urodynamics.
Bodder-ureteral reflux - shawarwari na asibiti
Idan sake dawowa da fitsari ta hanyar ilimin cututtukan kwayoyin halitta, hanya daya da za a bi da ita ita ce tiyata. A yayin wannan, gyaran aikin baftin na aikin mai tsabta yana aiwatar da ita ta hanyar canzawa da nama da kuma samar da bawul din ta hanya ta wucin gadi. Tare da MTCT na biyu, maganin cututtuka na cututtuka da ke haifar da cutar (urinary da urinary tract cut, ciwon mafitsara) yana buƙatar. Halin yiwuwar lalacewa daga cikin cutar bayan kawar da haddasawa zai iya kai 70%.
Tsarin endoscopic gyaran gyaran vesicoureteral
Idan babu tasiri na farfadowa na ra'ayin mazan jiya, lokacin da ba zai yiwu a kawar da gurasar maganin magungunan ba, aikin zai zama hanya guda kawai. Mafi sau da yawa, ana amfani da hanyar endoscopic. Ta hanyar lumen na masu tsabta, ba tare da haɗuwa a kan fata ba, an saka gel implant a cikin yankin kurege na mai tsabta. Wannan yana haifar da tubercle, wanda yake aiki a matsayin bawul, ya hana mayar da fitsari daga baya daga cikin mafitsara a cikin mai tsabta.