Nephroptosis koda: cututtuka da kuma magani. Wanne rage cin abinci da aka sa a cikin marasa lafiya da na koda nephroptosis?

All mutum gabobin suna a hankali m tare da juna. Wannan tsiraru da tabbatar da homeostasis (uri na ciki yanayi) na jiki, don haka dole ga dace aiki na duk Kwayoyin. Da farko zuwa tsarin tallafa m constants (acidity, zazzabi, taro na daban-daban ions) sun hada da zuciya da jijiyoyin jini da kuma urinary. Tun da farko na wanda ya samar da jini wurare dabam dabam, babban al'adun matsakaici, da kuma na biyu - da kasafi da ba dole ba metabolites, ruwa da gubobi.

Da muhimmancin da kodan a cikin jiki

A duban farko, urinary tsarin alama da yawa kasa muhimmanci fiye da da, a ce, na numfashi ko zuciya da jijiyoyin jini. Bayan isasshen mutane na zaune a zare jiki da kuma tare da wani Kadaitaccen koda, yayin da rashi na daya huhu ko zuciya dashi fili tasiri a kan haƙuri da yanayin. Duk da haka, wannan shi ne kawai kuskure ne saboda na koda gazawar da mutum ya mutu kamar yadda sauri kamar yadda daga numfashi ko cardiac. Kuma shi ya faru saboda walƙiya-paced toksinemii, saboda biyu jikin su ne da farko "tace" na jiki, kuma a kowace rana suna pumped ta hanyar da dama lita na jini, neutralizing kawo hadari abubuwa da shan su a cikin muhalli.

rayuwa ayyuka

Bugu da kari ga wannan, kodan tsare jini haƙuri a al'ada da jini da asarar, da kuma a cikin su shi ne master kayyadewa na nuna alama - da renin-angiotensin-aldosterone tsarin (RAAS). Har ila yau, saboda da zabe permeability na capillaries cikin parenchyma wannan sashin jiki da aka bayar da secretory ma'auni na daban-daban Wutan da osmotic gyara a jini da kyallen takarda: sodium, potassium, alli, magnesium, glucose, furotin, acid, da kuma waɗansu da yawa. Suna kuma da hannu a erythropoiesis, kamar yadda shi ne suka samar na musamman abu erythropoietin - a stimulator na kira na ja da maikacin jini a cikin bargo.

koda haltta

Wadannan gabobi an sa su guda biyu da ake located a cikin lumbar yankin a kan ko dai gefen kashin baya shafi. Su wake-siffa da kuma fuskantar concave rabo juna, da kuma wadannan depressions "kofa", da suka hada da jijiyoyi da kuma jijiyoyi fita Vienna, ureter da lymphatic tasoshin. Wadannan Tsarin ba kawai don gudanar da musayar abubuwa da kodan, amma kuma bauta a matsayin wani ɓangare na kulle na'urar. Tu waɗannan jikuna da wani hadadden tsarin: shi duka yana farawa tare da nephron glomerular capillary, ta hanyar abin da, a gaskiya, da jini da aka tace. Su a cikin koda yake miliyan daya, da kuma kara sun motsa a cikin tubule, wanda ya auku kara jini taro reabsorption na ruwa, amino acid, glucose da kuma salts, inda a sallama riga shirye domin sakandare fitsari.

urinary fili

Bugu da ari, shi ke dogon hanya, tara a kananan sa'an nan manyan kofuna da kuma na koda kafafuwa, da kuma ƙarshe drains cikin ureter, mafitsara, da kuma karshe ta cikin mafitsara excreted. Saboda haka, kowace daga cikin urinary tsarin sashen na da aiki, da kuma takamaiman cuta na iya faruwa a kowace daga cikinsu, abu don da gazawar da aiki. Wannan, misali, koda ko nephroptosis hydronephrosis, pyelonephritis, glomerulonephritis, urolithiasis, nakasar stricture, urethritis, cystitis, da sauransu. A cikin wannan labarin, za mu mayar da hankali fiye da daidai a kan na farko da cutar, duk da haka, kafin a ci gaba da la'akari da shi, kana bukatar ka koyi wasu karin fasali na halitta na jiki.

kayyade koda

Suna located in da retroperitoneum, sabili da haka suna da wani musamman kayyade na'urar, don tallafa wa kanta a kan wannan matakin (a kan 12th thoracic da 2nd lumbar vertebrae). Yana hada peritoneal folds (dama koda - saboda duodenal-hanta da koda hanta igiyoyinsu, da kuma hagu - a kudi diafragalno-ciwon), da musamman su daga ilimin Halittar Jiki tsoka gado, jini (aka ambata a baya), fascial mai inji (shi ne wani jam'i na katakanta da uku fascial daina kai hare hare, tare ƙirƙirar "taushi kushin" da kuma m support) da kuma ciki-ciki matsa lamba, na samar da wani irin ƙarfin lantarki na ciki bango tsokoki. Saboda haka, wadannan gabbai ana isasshe tam gyarawa a cikin lumbar yankin. A wannan yanayin, da dama koda aka located dan kadan a kasa hagu, kuma su ne har yanzu quite brisk: wannan mawadãta a numfashi ayyukan, za su iya tafiya sama da kasa da 1-2 cm, amma a wasu pathological effects bayan da ikon yinsa, daga 2 cm, sa'an nan kuma suka gangara kasa da al'ada iyaka ne a yanayin da ake kira nephroptosis kuma kodan.

Etiology da kuma hadarin dalilai

Mahaukaci motsi ne mafi kowa a mata domin suna halin da manyan tensile jijiya na'ura a kwatanta da maza, da kuma iya zo daga wasu dalilai mabambanta, ko ta wani hanya hanyar wani rauni na kulle na'urar. Da farko nephroptosis kodan zai iya sa:

• kaifi nauyi asara, saboda abin da kitsen jiki kwantena zama sirara, kuma ta zama mafi m.
• rauni daga cikin lumbar yankin ko na ciki fascia karya da mutunci ko destructuring tsoka gado kodan, msl, koda nephroptosis sau da yawa tafiya tare traumatic retroperitoneal hematoma.
• kaifi nauyi dagawa ko sana'a wasanni, a cikin abin da akwai wani karfi tsoka tashin hankali da kuma kara ciki-ciki matsa lamba, amma wannan factor m stretch jijiyoyin ƙarƙashin rinjayar da toho iya slide a cikin ƙananan matsayi.
• da rauni daga cikin murdede na'ura, a daya hannun, lowers jini, da kuma kayyade ta aiki ne ma fadowa, wanda shi ne dalilin da ya sa nephroptosis da ciki ko hypodynamic salon haka sau da yawa je hannu da hannu.
• Baya ga muka ambata a sama ya samu haddasawa ƙãra extensibility da kyallen takarda iya zama sakamakon kwayoyin predisposition, misali, cututtuka na connective nama.

cututtuka

Clinical bayyananen Nephroptosis za a iya raba, saukarwa. Saboda haka, a lokacin da na farko ya shafi koda aka saukar zuwa 4-6 cm a tsaye matsayi na haƙuri, kuma ta atomatik kõma a ta miƙa mulki ga kwance. A wannan mataki, da mãsu haƙuri iya kawai dame nagging zafi a kan ya shafa gefe na kugu lokacin da dagawa nauyi, tare da pronounced jiki exertion. Nephroptosis bar koda yake ƙasa da na kowa fiye da dama, saboda shi ne physiologically mafi girma, don haka cututtuka a cikin mafi yawan akwai a dama location. Idan a wannan mataki da cutar da aka rasa, shi progresses da shafi Gabar iya sauka ga matakin da cibiya. Saboda haka ne bayyanannu a cikin mataki na biyu nephroptosis dama koda, cututtuka da ya kai daina rage a jiki, da shi dole ne ya zama manual motsi a gadonsa. Pain a wannan mataki an Littafi da kuma rarraba kusan dukan ciki da kawai bace a lokacin da kodan rage da kuma yin kwance matsayi.

guje tsari

Fiye da karaya ne nephroptosis biyu kodan, wanda zai iya ci gaba a wannan mataki, kamar yadda mai mulkin, saboda a kayyade predisposition. A wani mataki na ptosis jiki zuwa pelvic zafi, to, haƙĩƙa zama na yau da kullum, akwai ko da a sauran da aka ba attenuated a kwance matsayi, matsayin koda yake ba zai iya dawo da al'ada matsayin lokacin da ra'ayin mazan jiya da hanyoyin da irin wannan sakaci cuta. Yana yi barazanar ci gaban mai tsanani da rikitarwa kamar hydronephrosis, jijiya hauhawar jini, koda colic saboda urolithiasis, kazalika da waxannan cututtukan zuciya da sauransu ne sauƙin fallasa zuwa hawa kamuwa da cuta, don haka cewa akwai pyelonephritis.

ganewar asali da cutar

Idan haƙuri yana da wani bakin ciki ginawa, da ake zargin nephroptosis likita zai iya har yanzu a kan tushen gunaguni tattara tarihin da palpation na koda ta hanyar da na ciki bango.

Duk da haka, shi ne kusan ba zai yiwu ba ga marasa lafiya da kiba ko da murdede ciki. Next, a kan tushen da haƙuri da cututtuka Nephroptosis ciyar da zuwa rukunin farko na binciken - binciken radiography ko fluoroscopy don su iya gane pathological motsi na shafa koda. Idan a wannan mataki likita ake zargi da wani cuta (urolithiasis, nakasar anomalies, hydronephrosis sakandare kamu koda kan bango na atherosclerosis ko hauhawar jini), shi ne mai yiwuwa a gudanar da excretory urography da igiyar jini bambanci abu. Wannan hanya yana da abũbuwan amfãni, misali, an sauƙi visualized patency na urinary fili, da kuma su iyaka ko nephroptosis koda duwatsu. Jiyya a wannan mataki don fara da wuri, dole ne ka farko sanya wani duban dan tayi na kogon ciki, jini da fitsari gwaje-gwaje, kazalika da bacteriological amfanin gona don tabbatar da ko kãfirta game da version na cutar.

Dogon lokacin da rikitarwa

Saboda haka, dole mu bincika daki-daki, a cikin abin da yake koda nephroptosis da kuma yadda za a gane asali da wannan cuta. Har ila yau daraja ambatonta ne da cewa da matsalolin da wannan cuta suna nuna ba kawai a cikin urinary tsarin. Saboda haka, in babu dace magani ko, misali, idan haƙuri ba ya kiyaye wa mai rage cin abinci domin koda Nephroptosis, da girma cuta a cikin gastrointestinal fili (maƙarƙashiya / zawo, anorexia, tashin zuciya), koda colic damu ƙara, saboda abin da tasowa neurasthenia kuma lalace al'ada nassi na fitsari, shi compresses da kewaye kyallen takarda, jijiyoyi da jini. Wannan exacerbates hadarin hauhawar jini da crises ko koda kamuwa da cuta, to wani matsananci mataki na bunkasa koda gazawar, wanda sau da yawa ya zama dalilin mutuwar daga mãsu haƙuri.

far

Yadda za mu bi koda nephroptosis a mataki na farko? Wannan batun da aka warware. Don wannan karshen, yana da muhimmanci a kauce wa m motsa jiki, sa musamman bandeji, musamman a lokacin daukar ciki. Har ila yau sanya mutum warkewa bada, da nufin karfafa lumbar tsokoki. A haƙuri an rika kara da iko, nauyi riba, ba shakka, a cikin m iyaka. Har ila yau muhimmanci shi ne da warkewa rage cin abinci domin Nephroptosis koda №7 iyakance adadin gishiri (wanda za a iya maye gurbinsu cumin ko lemun tsami ruwan 'ya'yan itace), soups, snacks, sausages, m abinci, sweets da legumes. Idan da cutar da ke shiga mataki 2 da 3 da kuma samu hade rikitarwa, ita ce kawai zaɓin hagu nephropexy - m hanya, ta hanyar abin da koda an koma zuwa ga gado da kuma gyarawa. A ci gaba a koda gazawar da marasa lafiya a kan hemodialysis aka sanya don lokaci zuwa lokaci tsaftacewa da jini na da gubobi da metabolites cewa suna kullum da aniya deduced da zarar lafiya koda.