Hydronephrosis o hoʻokahi puʻupaʻa

Hoʻonui ka Hydronephrosis o hoʻokahi kīʻaha ma muli o ke kākoʻo o ka mimi. Kūpono paha kēia pilikia i hoʻokahi puʻupaʻa.

Loaʻa ka Hydronephrosis (ʻōhū ʻōhū) ma ke ʻano he hopena o kahi maʻi. ʻAʻole ia he maʻi ponoʻī. Nā ʻano e alakaʻi ai i ka hydronephrosis:

• ʻO ka pale ʻana o kahi ureter ma muli o ka scarring i hoʻokumu ʻia e nā maʻi ma mua, nā ʻoki ʻana, a i ʻole nā ​​mālama radiation
• ʻO ka pale ʻana mai kahi kōpū hoʻonui ʻia i ka wā hāpai
• Nā kīnā hānau o ka ʻōnaehana urinary
• Kahe kahe o ka mimi mai ka maʻi huki i ka puʻupaʻa, i kapa ʻia ʻo vesicoureteral reflux (hiki ke hana ʻia ma ke ʻano he kīnā hānau a ma muli paha o ka hoʻonui ʻia ʻana o ka prostate a i ʻole ka ʻiki ʻana o ka urethra)
• Pohaku hakuʻala
• Nā maʻi maʻi a i ʻole nā ​​ʻōpuʻu i kū i ka ureter, bladder, pelvis a i ʻole ka ʻōpū
• Nā pilikia me nā aʻalolo e hoʻolako i ka puhā

Hiki ke kū koke ka paʻa a me ka pehu ʻana o ka puʻupaʻa a ulu lohi paha.

ʻO nā ʻōuli maʻamau ka:

• ʻEha Flank
• ʻO ka nui o ka ʻōpū, ʻoi loa i nā keiki
• ʻO Nusea a me ka luaʻi
• ʻO ka maʻi urinary tract (UTI)
• Fiva
• Pain urination (disuria)
• Hoʻonui i ke alapine urinary
• Hoʻonui i ka wikiwiki urinary

I kekahi mau hihia, ʻaʻohe paha ʻōuli.

ʻIke ʻia ke ʻano ma kahi hōʻike kiʻi e like me:

• MRI o ka ʻōpū
• CT scan o nā puʻupaʻa a i ʻole ka ʻōpū
• ʻO ka pyelogram Intravenous (IVP)
• Mīkini ʻiʻo
• Ultrasound o nā puʻupaʻa a me ka ʻōpū

Kaukaʻi pili i ke kumu o ka puʻupaʻa hu. Hiki ke hoʻopili ʻia i ka mālama ʻana:

• Ke kau nei i kahi stent (Tube) ma o ka pākeke a me ka ureter e ʻae i ka mimi e kahe mai ka puʻupaʻa i loko o ka pā.
• Ke waiho nei i kahi paipu i loko o ka puʻuwai ma o ka ʻili, e ʻae ai i ka mimi i ālai ʻia e kahe i waho o ke kino i loko o kahi ʻeke hoʻokahe
• Nā Antibiotics no nā maʻi
• Ke ʻoki kino e hoʻoponopono ai i ka blockage a i ʻole reflux
• Ka hemo ʻana o kekahi pōhaku e hihia ana

ʻO ka poʻe i loaʻa i hoʻokahi kīʻaha, i loaʻa nā ʻōnaehana pale pale e like me ka maʻi diabetes a i ʻole HIV, a i ʻole he transplant e pono koke ka lāʻau.

ʻO ka poʻe i loaʻa he hydronephrosis wā lōʻihi e pono i nā lāʻau ʻalopika e hoʻoliʻiliʻi i ka makaʻu o ka UTI.

Loaʻa ka nalowale o ka hakuʻala, UTI, a me ka ʻeha inā haʻalele ʻia ke ʻano.

Inā mālama ʻole ʻia ʻo hydronephrosis, e hōʻino mau ʻia ka hakuʻala. Kākaʻikahi ka ʻole o ka hakuʻala inā e hana maʻamau ke kīʻaha ʻē aʻe. Eia nō naʻe, e holo pono ʻole ke kōkō inā hoʻokahi wale nō hakuʻaki e holo nei. Hiki paha i ka UTI a me ka ʻeha.

Kāhea i kāu mea mālama ola inā loaʻa iā ʻoe kahi ʻeha flank ʻeha a koʻikoʻi paha, a i ʻole ke kuni, a inā manaʻo ʻoe he hydronephrosis paha kāu.

Kāohi i nā maʻi e kumu i kēia ʻano e pale iā ia mai ka hanana ʻana.

Hydronephrosis; Hydronephrosis maʻi; Hydronephrosis huikau; Pōhaku Urinary; Hydronephrosis unilateral; Neprolithiasis - hydronephrosis; Pōhaku hakuʻala - hydronephrosis; Ka hōʻiliʻili kīhāpai - hydronephrosis; Kalepona ureteral - hydronephrosis; Reflux Vesicoureteral - hydronephrosis; Uropathy keakea - hydronephrosis

• ʻĀpana mimi wahine
• ʻĀpana mimi kāne

Frøkiaer J. Urinary tract keakea. I: Yu ASL, Chertow GM, Luyckx VA, Marsden PA, Skorecki K, Taal MW, eds. ʻO Brenner a me Rector's The Kidney. 11th hua. Piladelapia, PA: Elsevier; 2020: chap 37.

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.