Hydronephrosis

Kufotokozera kwathunthu kwa matendawa

Izi ndi matenda amene kwambiri anatambasula mafupa a chiuno ndi calyx. Kukula uku kumachitika chifukwa cha kuphwanya mkodzo, zomwe zimapangitsa kukakamira kwa chikho cha chikho cha aimpso. Izi kuchuluka hydrostatic anzawo compresses ziwiya, kusokoneza yachibadwa zakudya za impso, kuputa atrophy ake zimakhala. Chifukwa cha zonsezi, ntchito yonse ya genitourinary system imasokonekera.

Kwenikweni, hydronephrosis imakhudza impso imodzi yokha. Nthawi zambiri, matendawa amapezeka mwa atsikana. Ponena za mbali zonse za chotupacho, milandu ya hydronephrosis ya impso yakumanja kapena kumanzere ndiyofanana.

Mitundu ndi zomwe zimayambitsa hydronephrosis

Ndi chiyambi chake, hydronephrosis imatha kukhala yobadwa kapena kupezeka.

Hydronephrosis mtundu wobadwa nawo kumachitika chifukwa cha zovuta zina pakupanga ureters kapena impso. Zovuta zoterezi zimaphatikizapo kusungidwa kolakwika kwa mitsempha ya impso ndi nthambi zake (zimapondereza ureter); kulephera kwa njira zomwe zimatulutsa mkodzo; kuchepetsa (kukhwimitsa) kwa mavavu a ureters ndikulumikizana (kutsekeka) kwamikodzo yobadwa nako; ureter uli kumbuyo kwa vena cava. Komanso, zifukwa za kubadwa kwa hydronephrosis zimaphatikizapo zovuta za mayi panthawi yomwe ali ndi pakati (kumwa mankhwala ena, kukulitsa matenda achilengedwe, kusamutsa matenda amtundu wa bakiteriya kapena bakiteriya).

Hydronephrosis mtundu wopezeka akufotokozera pamaso pa matenda urological. Izi zikuphatikizapo urolithiasis; zotupa za kwamikodzo, mazira, prostate, chiberekero ndi khomo pachibelekeropo; msana kuvulala, komwe kunayambitsa kusokonezeka kwa mitsempha ya mkodzo; njira zotupa mu dongosolo la genitourinary; kuchepa kwa thirakiti komwe kumachitika chifukwa cha zipsera pambuyo povulala; metastases mu ziwalo za m'chiuno kapena m'malo obwerera m'mbuyo.

Kutengera ndi zomwe zimalepheretsa mkodzo kutuluka, magulu asanu azovuta amadziwika, omwe:

  1. 1 ali mu mkodzo kapena chikhodzodzo;
  2. 2 yomwe ili mu lumen ya chiuno kapena ureter;
  3. 3 kuderali khoma la mafupa a chiuno ndi ureter;
  4. 4 yolumikizidwa ndi malo osadziwika bwino a ureters kapena ndi kink yawo;
  5. 5 yoikidwa pamlingo wofanana ndi ureter, koma nthawi yomweyo siili mu lumen.

Magawo a kukula kwa impso hydronephrosis

Kukula kwake, hydronephrosis imadutsa magawo atatu.

Mu gawo loyamba Matenda amkati amchere amasonkhana pang'ono, chifukwa chake makoma ake amangotambalala pang'ono ndipo magwiridwe antchito a impso amapezeka pamlingo woyenera.

Gawo lachiwiri, chifukwa chakuchulukirachulukira kwa mkodzo, kusintha kwa impso kumachitika kale, komwe kumapangitsa kupindika kwa mpanda wa limba. Pankhaniyi, ntchito ya impso yodwala imachepetsedwa pafupifupi theka. Pazotulutsa zonse za mkodzo, impso zathanzi zimaphatikizidwa pantchitoyo. Chifukwa chaichi, ntchito yosangalatsa ya thupi imalipidwa.

Gawo lachitatu hydronephrosis, impso zimataya mphamvu ndi 80% kapena kwathunthu atrophies. Impso yathanzi silingathenso kuthana ndi zonse zomwe thupi limagwira. Chifukwa cha izi, kulephera kwa impso kumayamba. Vutoli likapanda kuchiritsidwa bwino, wodwalayo amatha kufa.

Zizindikiro za Hydronephrosis

Kumayambiriro koyambirira, hydronephrosis mwina singawonekere m'njira iliyonse. Matendawa alibe zizindikilo zapadera zomwe zingakuthandizeni kudziwa izi. Nthawi zambiri zimawonekera mwa mawonekedwe a zizindikiro za matendawa kapena zovuta zomwe zidayambitsa hydronephrosis ya impso.

Nthawi zambiri, odwala amamva kupweteka m'dera lumbar. Akupweteka m'chilengedwe. Ikhozanso kudziwonetsera ngati mawonekedwe, kenako ululu umapezeka m'dera la impso zomwe zakhudzidwa (ngati impso yoyenera ili ndi matenda, zikutanthauza kumanja, ngati kumanzere kuli kumanzere). Mayankho amamva kuwawa amathanso kupezeka m'malo am'mimba kapena mwendo. Matendawa akamakula, kupweteka kumachepa.

Kuphatikiza apo, limodzi ndi matendawa, wodwalayo amatha kumva nseru, kusinthasintha kwa malingaliro, komanso kuthamanga kwa magazi. Ena ali ndi malungo. Izi zikuwonetsa kale kupezeka kwa matenda.

Mu gawo limodzi mwa asanu mwa odwala omwe ali ndi hydronephrosis, magazi amapezeka mkodzo. Ali ndi hematuria yayikulu (magazi mumkodzo amatha kutsatiridwa ndi diso lamaliseche, osazindikira chilichonse) kapena microhematuria (magazi mumkodzo sangapezeke ndi diso, koma kupezeka kwake kumatsimikiziridwa ndi ma laboratory diagnostics, izi zikuwonetsedwa ndi kupezeka kwa mabakiteriya).

Gawo lomaliza limaphatikizidwa ndi kulephera kwa impso, komwe kumadziwika ndi kutupa kwa thupi, kuchepa kwa mkodzo womwe umatulutsidwa, kupezeka kwa matenda oopsa kwambiri komanso kuchepa kwa magazi m'thupi.

Zothandiza mankhwala hydronephrosis

Ndi hydronephrosis, wodwalayo amawonetsedwa zakudya zapadera. Iyenera kukhala ndi ma calories ambiri (kudya tsiku lililonse kuyenera kukhala k 3000 kcal), kumakhala ndi ma amino acid ndi mavitamini ofunikira m'thupi.

Ngati wodwalayo apatsidwa mankhwala okodzetsa, ndiye kuti ayenera kuwonjezera zakudya zomwe zili ndi potaziyamu ku chakudya chake. Izi ndi mphodza, nyemba, nandolo, mpiru, zipatso zouma (zoumba, apricots zouma), mtedza (cashews, amondi, mkungudza, cashews, hazelnuts), apricots, kabichi madzi, nkhuyu, m'nyanja, mbatata (ndi bwino kudya zophika) , mkaka. Adzathandiza kuchepetsa kutupa.

Maziko a zakudya za hydronephrosis ayenera kukhala zipatso ndi ndiwo zamasamba (osachepera magalamu 600 ayenera kudyedwa tsiku lililonse).

Ponena za madzi, zonse zimawerengedwa pano (maphunziro oyamba, ma compote, madzi). Ndi matendawa, muyenera kuyang'anira mkodzo wanu watsiku ndi tsiku (kuchuluka kwa mkodzo wotulutsidwa m'maola 24). Kutengera kuchuluka kwa mkodzo womwe watulutsidwa, kuchuluka kwa madzi ofunikira kumawerengedwanso. Kudya kwamadzimadzi kwa wodwala patsiku sikuyenera kupitirira 0,5 malita a mkodzo watsiku ndi tsiku dzulo. Ndiye kuti: "mkodzo voliyumu + 0,5 l = kuchuluka kwa madzi tsiku lililonse." Ndikofunika kumwa ma compote, timadziti tosungunuka komanso madzi amchere a hydrocarbonate.

Kuonjezera buku la mkodzo excreted, m`pofunika kuchita kusala kudya masiku. Ndi kutsitsa kwa carbohydrate komwe kumayikidwa. Kusala kudya kumeneku kumathandiza kuchepetsa kuthamanga kwa magazi komanso kumathandiza kuchotsa zinthu zowonongeka kwa mapuloteni.

Pali zosankha zitatu patsiku losala kudya.

  1. 1 kumwa… Masana, muyenera kumwa compote wopangidwa kuchokera ku zipatso ndi zipatso. Mutha kuwonjezera shuga. Masana, muyenera kumwa 1 litre ya compote mu Mlingo 5. Kutha pakati pa Mlingo kuyenera kukhala osachepera maola atatu.
  2. 2 Tsiku la zipatso… Tsiku lonse muyenera kudya zipatso zokha. Ayenera kudyedwa magalamu 300 pa nthawi imodzi (payenera kukhala madyerero 5, pakati pa phwando pali maola atatu). Mavwende amaonedwa kuti ndi abwino patsiku losala kudya ngati ili. Komanso, mutha kudya raspberries, cranberries, blueberries, mphesa, malalanje, yamatcheri, maapulo.
  3. 3 Zamasamba… Idyani magalamu 300 a saladi wa masamba maola atatu aliwonse. Chiwerengero cha madyerero ayenera kukhala osachepera kasanu.

Mpaka pano, pali vuto lina lokhudza kudya mchere ndi mapuloteni.

Akatswiri ena a nephrologists amalangiza kuti tisamaphatikizepo zakudya zama protein pazakudya za wodwalayo. Kupatula apo, mapuloteni amapangitsa kuti zikhale zovuta kuti impso zigwire ntchito. Koma kupatula pakudya kwa anthu (makamaka okalamba) kumatha kuvulaza thupi kwambiri (popanda ma amino acid omwe ali m'mapuloteni, njira yabwinobwino yokonzanso minyewa yaimpso yomwe yawonongeka sichitika). Choncho, madokotala ambiri amakhulupirira kuti kudya zakudya zomanga thupi kuyenera kuchepetsedwa. Pa kilogalamu imodzi ya kulemera kwa thupi la wodwalayo, payenera kukhala pafupifupi magalamu 1 a mapuloteni osavuta kupukutika: mkaka, nyama zowonda ndi mapuloteni amasamba.

Za mchere. Poyamba, kumwa kwake kunali koletsedwa kotheratu. Kuchuluka kwa mchere kuyenera tsopano kukhala ndi magalamu awiri. Kuti muwonjezere kukoma, m'malo mwa mchere, mutha kuwonjezera zitsamba, adyo, anyezi pachakudya.

Zakudya zimaperekedwa mosiyana, kutengera: kukhala bwino kwa wodwalayo, kupezeka kwa matenda opatsirana komanso opatsirana, kuuma kwa edema, ndi zotsatira za mayeso amkodzo.

Ndi hydronephrosis, mankhwala otsatirawa akulimbikitsidwa kuti alandire: mkate woyera ndi rye wa zinthu zophikidwa dzulo, crackers, mabisiketi a masikono, supu zamasamba, chimanga ndi chimanga (makamaka mpunga ndi buckwheat), mazira (osapitirira 1 patsiku), odzola, odzola, tchizi wolimba , kanyumba tchizi, zitsamba (letesi, parsley, katsabola, nettle wamng'ono, sipinachi), kolifulawa, katsitsumzukwa, dzungu.

Zakudya zonse zimayatsidwa bwino kapena zophikidwa; mafuta ayenera kungowonjezedwa pachakudya chophika.

Kutsatira mfundo izi kwa hydronephrosis, mungathe kuchepetsa katundu impso, ndi matenda kagayidwe kachakudya zako. Izi zitsogolera ntchito ya impso pakuwabwezeretsa ndi kuwonjezeranso ntchito.

Pamaso pa matenda a impso, wodwalayo ayenera kutsatira chakudya cha tebulo nambala 7.

Mankhwala achikhalidwe a hydronephrosis

Musanayambe kuchiza hydronephrosis ndi njira yowerengera, muyenera kudziwa kuti impso yachiwiri ndi yathanzi ndipo palibe zolephera pakugwira kwake. Madokotala amalangiza kugwiritsa ntchito njira zoperekera chithandizo chamankhwala kumayambiriro kwa hydronephrosis. Chithandizo chikuchitika pogwiritsa ntchito mankhwala azitsamba:

  • sonkhanitsani magalamu 50 a oats (tirigu), masamba a nettle, bearberry, adonis therere ndi horsetail ndi magalamu 150 a masamba a birch;
  • tengani magalamu 100 a adonis, masamba a birch, oats, cones hop, bedstraw, stonecrop, horsetail;
  • sonkhanitsani magalamu 50 a mphalapala, knotweed ndi nsapato za akavalo, magalamu 75 a chimanga ndi ziphuphu, nyemba 250 magalamu a bearberry ndi masamba a birch;
  • tengani magalamu 150 a masamba a birch, dandelion ndi mizu ya mlombwa (zipatso);
  • momwemonso konzekerani masamba a currant, rasipiberi, zitsamba: knotweed, chingwe, mizu ya calamus, maluwa a chamomile, tiyi wa meadowsweet ndi impso;
  • mu magawo ofanana, tengani ma conder a alder, marshmallow muzu, zipatso za coriander ndi zitsamba za celandine, fireweed, knotweed, volodushka, timbewu tonunkhira.

Njira yokonzekera decoctions ya hydronephrosis

Tengani mlingo woyenera wa zosankhidwazo, tsanulirani madzi otentha otentha, ikani moto wochepa, bweretsani kwa chithupsa ndi kuwiritsa kwa mphindi 10 (potentha, mphika uyenera wokutidwa ndi chivindikiro). Pambuyo pa mphindi 10, nthawi yomweyo tsanulirani chilichonse mu thermos (limodzi ndi udzu). Siyani msuzi kumeneko usiku wonse. Sefani m'mawa. The kulowetsedwa chifukwa ayenera kumwa mu tsiku. Idyani theka la galasi mphindi 25-30 musanadye. Imwani decoction kuchokera pachosankha chimodzi kwa miyezi 4, ndiye kuti muyenera kupuma kwa milungu iwiri ndikuyamba kutenga zina zilizonse zolipiritsa pamwambapa.

Ngati hydronephrosis imawonedwa mwa mwana, ndiye kuti m'pofunika kuti atenge mlingo wosiyana wosonkhanitsira iye. Zonse zimatengera zaka. Kwa ana ochepera chaka chimodzi, ½ supuni ya thukuta itha kukhala yokwanira tsiku limodzi, kwa ana azaka zapakati pa 1 mpaka 1, supuni 3 ya choperekacho idzafunika. Ana ochepera zaka 1 amawonetsedwa supuni 6 yamchere pokonzekera kulowetsedwa kwamankhwala, ndipo ana azaka zapakati pa 1 mpaka 6 amafunikira supuni imodzi yosonkhanitsira. Kwa akulu ndi ana opitilira zaka 10, kuti akalandire chithandizo, m'pofunika kukonzekera decoction wa supuni 10 za zosungidwa.

Zofunika!

Pofuna kupewa ndikuletsa kukula kwa hydronephrosis, simungathe "kupirira" (kuchedwetsa pokodza), muyenera kupita kuchimbudzi nthawi yomweyo. Ngati mkodzo uli wowonekera kwambiri, umatha kubwerera mu impso, zomwe zimapangitsa kuti mafupawa adzatambasulidwe mtsogolo. Kuponyako kumachitika chifukwa chodzaza chikhodzodzo.

Zowopsa komanso zovulaza za hydronephrosis

  • zokometsera, kusuta, kukazinga, mafuta, zakudya zowawa;
  • nkhaka, sauces, marinades, ketchups, mayonesi;
  • maswiti (ali ndi shuga, margarine), kirimu chofufumitsa;
  • mafuta, nsomba ndi msuzi pa iwo;
  • bowa;
  • chakudya chofulumira, mowa, zotsekemera, khofi;
  • zinthu zomaliza, chakudya cham'chitini, soseji ndi soseji;
  • Zakudya zophika kumene komanso zolemera.

Pamaso pa oxaluria, sorelo, chokoleti, mkaka, nyemba zonse ndi zakudya zokhala ndi mchere wa calcium, ascorbic ndi oxalic acid ndizoletsedwa.

Chenjerani!

Otsogolerawo sali ndi udindo uliwonse poyesa kugwiritsa ntchito zomwe zaperekedwa, ndipo sizikutsimikizira kuti sizikukuvulazani. Zipangizozo sizingagwiritsidwe ntchito kuperekera chithandizo chamankhwala ndikupanga matenda. Nthawi zonse muzifunsa dokotala wanu!

Chakudya cha matenda ena:

Siyani Mumakonda