JUP stenosis: he aha ia, nā kumu a me ka mālama ʻana

Anter

• Nā hōʻailona nui
• He aha ke kumu o ka stuposis JUP
• Pehea e hana ai i ka lāʻau
• Hiki paha ke hāpai?

ʻO Uretero-pelvic junction (JUP) stenosis, i kapa ʻia hoʻi ka ālai ʻia o ke kuʻina pyeloureteral, kahi mea kahakaha o ke alapiʻi mimi, kahi o kahi ʻāpana o ka ureter, ke kahawai e lawe ana i ka mimi mai nā puʻupaʻa a i ka pūpū, ʻoi aku ka lahilahi ma mua o ka maʻamau, ke kumu o ka kahe ʻole ʻana o ka mimi i loko o ka ʻai, e hōʻiliʻili ana i nā puʻupaʻa.

Hoʻomaopopo pinepine ʻia ʻo JUP i ka wā hāpai a i ʻole ma hope koke o ka hānau ʻana ma muli o ke ʻano he congenital, i ʻae ʻia e hana i ka lāʻau kūpono i ka wā hiki loa, a hoʻemi i ka likelika o ka hoʻokau ʻana i nā puʻupaʻa, a no laila ka nalowale ʻana o ka hana hakuʻala.

ʻO kekahi mau hōʻailona o ka JUP stenosis e komo pū ana me ka pehu ʻana, ʻeha a me nā maʻi urinary hou, i hiki ai ke alakaʻi i nā hihia koʻikoʻi i ka nalo ʻana o ka puʻuwai i loli ʻia, ʻo ia ke kumu o ke ʻoki lāʻau i ʻōlelo ʻia.

Nā hōʻailona nui

Hiki ke ʻike ʻia nā ʻōuli o ka JUP stenosis i ka wā kamaliʻi, akā ʻaʻole ia he mea mau ʻole no lākou e hōʻike ai i ka wā ʻōpio a makua paha. ʻO nā ʻōuli maʻamau loa ke:

• ʻO ka pehu ma kekahi ʻaoʻao o ka ʻōpū a i ʻole kua;
• Ke hoʻokumu ʻana i nā pōhaku hakuʻala;
• ʻO ka maʻi urinary tract hou;
• ʻEha ma kekahi ʻaoʻao o ke kua;
• Hypertension arterial;
• Koko i ka mimi.

ʻO ka hōʻoia o ke kānalua o ka JUP e hana ʻia e nā hōʻike kiʻi, e like me scintigraphy renal, X-ray a me nā ultrasounds, i hoʻohana ʻia e hoʻokaʻawale i waena o nā mea keakea nui, ke hiki ʻole i ka mimi ke hele aʻe mai ka puʻupaʻa a i ka pūpū a koi i ka hoʻoponopono ʻōpala. dilation pielocalicial renal, kahi ʻōhū o ka puʻupaʻa e laʻa, i hōʻike ʻole ʻia ai ke ʻoki. E nānā he aha ka mea nui o ka pyelocalyal dilation a pehea e hana ai ka lāʻau.

Inā manaʻo ʻia ʻo JUP, he mea nui ia e ʻike i ka nephrologist, ʻoiai ka lohi o ka hōʻoia ʻana e hiki ai i ka nalo ʻana o ka puʻuwai i loli ʻia.

He aha ke kumu o ka stuposis JUP

ʻAʻole ʻike ʻia nā kumu o ka JUP stenosis, akā i ka hapanui o nā hihia he pilikia kūpuna ia, ʻo ia hoʻi, ua hānau ʻia ke kanaka pēlā. Eia nō naʻe, aia kekahi mau kumu o ka pale ʻana i ka JUP i hiki ke hoʻomaka ʻia e nā pōhaku hakuʻala, nā kaola koko i ka ureter a i ʻole schistosomiasis, no ka laʻana.

I nā hihia maʻamau, hiki i ke kumu o ka stenosis ma muli o ka ʻeha o ka ʻōpū, e like me ka hahau ʻana, a i ʻole nā ​​ulia pōpilikia e pili ana i ka hopena nui ma ia ʻāina.

Pehea e hana ai i ka lāʻau

Hana ʻia ka lāʻau no JUP stenosis e ke ʻoki i kapa ʻia ʻo pieloplasty, a me ka pahuhopu e kūkulu hou i ka kahe maʻamau o ka mimi ma waena o ka hakuʻala a me ka ureter. He ʻelua hola ka lōʻihi o ke kaha ʻana, hoʻohana ʻia ka anesthesia laulā, ma hope o 3 mau lā o ka haukapila hiki i ke kanaka ke hoʻi i ka home, a i ka hapanui o nā hihia hiki i ka puʻuwai ke hoʻi mai i ka ʻeha i loaʻa iā ia.

Hiki paha ke hāpai?

ʻAʻole pili ka JUP stenosis i ka momona, no laila hiki ke hāpai. Eia nō naʻe, pono e nānā i ke kiʻekiʻe o ka hōʻino ʻana o ka puʻupaʻa, inā he kiʻekiʻe ke koko o ka wahine a i ʻole he kiʻekiʻe nā pae o proteinuria. Inā hoʻololi ʻia kēia mau waiwai, aia kahi ʻoi aku ka makaʻu o nā pilikia i ka hāpai keiki, e like me ka hānau mua a me ka make ʻana o ka makuahine, a no kēia kumu e ʻōlelo aʻoaʻo ʻia ka hāpai keiki e ka nephrologist.