Hydronephrosis pālua

ʻO ka bilon hydronephrosis ka hoʻonui i nā ʻāpana o ka puʻupaʻa e hōʻiliʻili i ka mimi. ʻO ka manaʻo bilateral nā ʻaoʻao ʻelua.

Hana ʻia ka bilon hydronephrosis ke hiki ʻole i ka mimi ke kahe mai ka puʻupaʻa i loko o ka pā. ʻAʻole maʻi ʻo Hydronephrosis ponoʻī. Hana ʻia ma ke ʻano he hopena e pale i ka mimi mai ka kahe ʻana mai nā puʻupaʻa, nā ureter, a me nā pūpū.

Nā maʻi i hoʻopili ʻia me nā hydronephrosis bilateral me:

• ʻO ka uropathy hoʻohaunaele bilual ākea - ka paʻa koke ʻana o nā puʻupaʻa
• ʻO ka pale i ka puka o ka ʻaʻa - blockage o ka ʻōpū, ʻaʻole i ʻae i ka hoʻokahe ʻana i ka wai
• ʻO ka uropathy hoʻohaʻahaʻa bilualua āpau - kahi blockage mālie o nā puʻupaʻa ʻelua ka mea pinepine pinepine ʻia mai ka ālai ʻana o ka mana hoʻokahi.
• Bladder Neurogenic - ka maʻi huki maikaʻi ʻole
• Nā kiwikā uriorral posterior - nā pale ma ka urethra e kumu i ka ninini maikaʻi ʻole ʻana o ka pākeke (i nā keikikāne)
• ʻO Prune ʻōpū maʻi maʻi - hoʻonele maikaʻi ʻole i ka bladder i kumu i ka distention o ka ʻōpū
• Retroperitoneal fibrosis - hoʻonui i nāʻiʻo maka e ālai i nā ureter
• ʻO ka pale o ka hui Ureteropelvic - ka paʻa ʻana o ka puʻupaʻa ma kahi e komo ai ka ureter i ka puʻupaʻa
• ʻO ka reflux Vesicoureteric - kākoʻo o ka mimi mai ka pale a hiki i ka puʻupaʻa
• Hoʻopiʻi ka Uterine - ke iho i lalo ka puhaka a kaomi i ka wahi o ka iwi. ʻO kēia ke kumu o kahi kink i ka urethra, kahi e pale ai i ka mimi mai ka waiho ʻana i waho o ka pale.

I loko o kahi pēpē, ʻike pinepine ʻia nā ʻōuli o kahi pilikia ma mua o ka hānau ʻana i ka manawa o ke ultrasound hāpai keiki.

Hiki i kahi maʻi urinary tract i kahi pēpē hānau hou ke hōʻailona i kahi blockage i ka puʻupaʻa. ʻO kahi keiki makua e loaʻa hou i nā maʻi maʻi urinary pono e nānā ʻia no ka blockage.

ʻO kahi kiʻekiʻe ma mua o ka helu maʻamau o nā maʻi maʻi urinary ka pinepine o ka hōʻailona o ka pilikia.

ʻO nā ʻōuli maʻamau i nā mākua e hoʻopili pū paha:

• ʻEha kua
• Nualea, luaʻi
• Fiva
• Pono e mimi pinepine
• Hoʻoemi i ka puka mimi
• Koko i ka mimi
• Miki ʻole

Hiki i nā hōʻike aʻe ke hōʻike i ka hydronephrosis bilateral:

• CT scan o ka ʻōpū a me nā puʻupaʻa
• IVP (hoʻohana pinepine ʻole ʻia)
• Hoʻopiʻi (fetal) ultrasound
• Mīkini hōʻeuʻeu
• Ultrasound o ka ʻōpū a me nā puʻupaʻa

Ke waiho nei i kahi ʻōmole i loko o ka pākeke (Foley catheter) hiki paha ke wehe i ka paʻa. ʻO nā ʻano lāʻau ʻē aʻe kekahi:

• Ke ninini nei i ka ʻai
• Hōʻoluʻolu i ke kaomi ma ke kau ʻana i nā paipu i ka puʻupaʻa ma o ka ʻili
• Ke kau nei i kahi ʻōmole (stent) ma o ka ureter e ʻae i ka mimi e kahe mai ka puʻupaʻa i ka maʻi kōleo

Pono e loaʻa a mālama ʻia ke kumu kumu o ka paʻa ʻana a hiki ke hoʻomaha ʻia ke kūkulu ʻana o ka mimi.

Hana ʻia ke ʻoki ʻoiai ʻo ka pēpē i loko o ka ʻōpū a i ʻole ma hope koke iho o ka hānau ʻana hiki ke loaʻa nā hopena maikaʻi i ka hoʻomaikaʻi ʻana i ka hana o ka hakuʻala.

Hiki ke loli ka hoʻihoʻi ʻana o ka hana renal, kaukaʻi ʻia i ka lōʻihi o ka paʻa ʻana.

Hiki ke hōʻeha ʻia ka hakuʻala hiki ʻole ke hopena ʻia mai nā kumu e hopena i ka hydronephrosis.

ʻIke pinepine kēia pilikia e ka mea mālama ola.

Hiki i kahi ultrasound i ka wā o ka hāpai ke hōʻike i kahi poloka i ka maʻi urinary o ka pēpē. ʻAe kēia i ka pilikia e mālama ʻia me ke kaohi o ke kakahiaka.

Hiki ke ʻike koke ʻia nā kumu ʻē aʻe o ka paʻa ʻana, e like me nā pōhaku hakuʻala, inā ʻike ka poʻe i nā hōʻailona hōʻailona o nā pilikia o ka puʻupaʻa.

He mea nui e nānā i nā pilikia laulā me ka urination.

Hydronephrosis - pālua

• ʻĀpana mimi wahine
• ʻĀpana mimi kāne

ʻO Elder JS. ʻO ka ālai ʻana o ka maʻi urinary. I: Kliegman RM, Stanton BF, St. Geme JW, Schor NF, eds. ʻO Puka Textbook of Pediatrics ʻo Nelson. 20 ouk. Piladelapia, PA: Elsevier; 2016: chap 540.

Frøkiaer J. Urinary tract keakea. I: Skorecki K, Chertow GM, Marsden PA, Taal MW, Yu ASL, eds. ʻO Brenner a me Rector's The Kidney. 10 o ka lā. Piladelapia, PA: Elsevier; 2016: chap 38.

Gallagher KM, Hughes J. Urinary tract ālai ʻia. I: Feehally J, Floege J, Tonelli M, Johnson RJ, eds. Nā Nephrology Haumāna piha. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2019: chap 58.

Nakada SY, ʻoi loa SL. Ka hoʻokele o ka luna urinary tract ālai. I: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th hua. Piladelapia, PA: Elsevier; 2016: chap 49.