Yuav Ua Li Cas Yog Kuv Tau Hydronephrosis? Kuv Yuav Tsum Ua Dab Tsi?

Ua ntej, qhov muaj hydronephrosis yuav tsum tau txiav txim siab, thiab tom qab ntawd qhov ua rau, qhov chaw, qhov twg, muaj lossis tsis muaj kab mob thiab lub raum tsis zoo yuav tsum tau txiav txim siab. Qhov ua tau ntawm hydronephrosis yuav tsum tau sau tseg hauv kev kuaj mob sib txawv ntawm plab plab. Qhov loj ntawm hydronephrosis muaj qhov sib txawv ntawm qhov nro. Yog tias qhov hnyav qis, qee zaum nyuaj thiab qee zaum mos, thiab muaj kev nkag siab ntawm kev hloov pauv, hydronephrosis yuav muaj ntau heev. Hauv qee qhov theem nrab hydronephrosis, cov tsos mob ntawm tus kab mob tseem ceeb dua, xws li tuberculosis, qog thiab lwm yam, nws yooj yim rau tsis quav ntsej txog qhov muaj hydronephrosis. Urinary obstruction thiab hydronephrosis tshwm sim los ntawm cov kab mob nyob ib sab ntawm lub urinary system feem ntau tsis kuaj nyob rau hauv lub sij hawm, txawm tias thaum lub raum tsis ua hauj lwm los yog anuria raug kuaj pom. Kev kuaj ntshav yuav tsum suav nrog kev kuaj ntshav rau azogenemia, acidosis thiab electrolyte cuam tshuam. Nyob rau hauv cov zis, ntxiv rau kev kuaj thiab kab lis kev cai, tuberculosis bacilli thiab exfoliated hlwb yuav tsum tau kuaj yog tias tsim nyog.

Urography yog qhov tseem ceeb hauv kev kuaj mob. Ib qho ntawm cov yam ntxwv ntawm excretory urography yog kev loj hlob ntawm lub raum parenchyma ntev. Vim qhov txo qis glomerular filtration rate, tso zis qeeb thiab nce dej reabsorption nyob rau hauv lub raum tubules ua rau cov tsub zuj zuj ntawm contrast media nyob rau hauv lub raum cortex, feem ntau nyob rau hauv lub proximal convoluted tubules, uas ua rau kom zoo dua ntawm lub raum. Yog li, mob obstruction yog yam ntxwv los ntawm lub raum duab ntxoov ntxoo. High-dose qeeb excretory urography yog ntau pab tau nyob rau hauv kev kuaj mob ntawm hydronephrosis. Qhov sib piv koob tshuaj tuaj yeem nce ntxiv los ntawm 2 ~ 3 zaug, thiab lub sijhawm ncua sijhawm tuaj yeem ntev li 24 ~ 36 teev. Thaum lub excretory urography tsis meej txaus, retrograde pyelography tuaj yeem ua tau los ntawm ureteral intubation ntawm cystoscope. Tom qab cov catheter tso rau hauv lub raum pelvis, cov zis ntau tuaj yeem muab rho tawm yog tias muaj hydronephrosis, thiab lub raum ua haujlwm tuaj yeem ntsuas tau. Yog hais tias retrograde intubation nyuaj, lub raum puncture imaging tej zaum yuav ua tau hloov. Thaum lub sij hawm retrograde thiab puncture imaging, cov kab mob yuav tsum tau tiv thaiv kom tsis txhob nkag mus rau hauv lub raum hydrous.

Ultrasound, CT, thiab MRI tuaj yeem paub qhov txawv ntawm lub raum loj yog hydronephrosis lossis cov khoom hnyav thiab tseem tuaj yeem pom cov kab mob uas ua rau lub raum tso zis. Txij li thaum ultrasound yog dav thiab tsis-invasive, nws tuaj yeem ua ua ntej urography. Radionuclide scanning thiab nephrography tuaj yeem siv los kuaj xyuas hydronephrosis. Nyob rau hauv cov ntaub ntawv ntawm dynamic obstruction, lub peristalsis thiab khoob ntawm lub raum pelvis thiab ureter tuaj yeem raug soj ntsuam los ntawm urography. Lub zais zis neurogenic no yog tus cwj pwm los ntawm cystography li "pagoda" nrog trabeculae thiab pseudodiverticulum.