Vesicoureteral reflux a yara da kuma manya. Alamun, ganewar asali, Jiyya

A urology shi samu irin wannan cututtuka kamar vesicoureteral reflux (PMR). Yana da wani m cuta da ya auku mafi sau da yawa a cikin yara. Duk da haka, da Pathology za a iya gano a cikin yawan balagaggun jama'a. Bari mu dubi abin da ya ƙunshi wani TMR fiye da shi ne m, kuma abin da hanyoyin yaƙi da shi.

pathography

Su fahimci abin da Pathology aka kira vesicoureteral reflux, kana bukatar ka kadan zurfi a cikin ilmin jikin mutum da mutum.

Mafitsara - wani m murdede sashin jiki. An tsara don jari na fitsari, har irin wannan lokaci kamar yadda babu aikin urination. A kumfa yana da uku takware. Biyu daga cikinsu suna da alaka da ureters. Ta hanyar wadannan tashoshi da fitsari gudana daga kodan zuwa mafitsara. The uku rami ne ga emptying. Wannan wuri mafitsara fili da kumfa.

A ureters ne mazurari-dimbin yawa shambura. Sun zo a cikin wani kumfa a wani m kwana. A ureters da daya-hanyar bawul tsarin musamman. Wannan shi ya hana baya motsi na fitsari a cikin ureter kuma a cikin koda. Saboda haka da lafiya aiki tsarin.

Idan wani mutum da aka yi fama vesicoureteral reflux, da inji cewa kare jiki daga fitsari baya motsi da aka ba su aiki. Haka kuma, da fitsari iya matsar a cikin wasu shugabanci. Saboda haka, a sakamakon sosai outflow na ruwa da fitsari accumulates a cikin mafitsara, sa'an nan a jefa a ureters. Wannan take kaiwa zuwa tashin hankali, na karshe iri. A tsanani siffofin reflux fitsari ne iya kai har ma da kodan.

Pathology Sanadin

A kafofin da cutar da aka ba da cikakken gane. Likitoci a sakamakon vesicoureteral reflux a yara tare da nakasar mahaukaci ci gaban wannan sashi. Saboda haka, da suka yi akai-akai kamu farko Pathology. Wannan cuta, wanda ya bayyana a bango na nakasar anomalies.

Vesicoureteral reflux a manya a mafi yawan lokuta na biyu. cuta ci gaba ne shibtarsu ta data kasance yanayi.

Su ne manyan dalilan da wannan:

• m sarrafawa na ureteral orifice.
• mafitsara diverticulum.
• rashin ci gaba smykatelnyh bakinka inji;
• rage submucosal rami intramural ureter.
• pathological nau'i na baki.
• a cire tallafin da ureter, haifar da tashar aka located waje cikin alwatika kumfa.

A sakandare dalilai kai ga ci gaban da cuta, a cikin abin da disrupted da al'ada kwarara daga fitsari, hada da wadannan cututtuka:

• mafitsara kanti mai shãmakacẽwa.
• BPH.
• Mafitsara wuyansa sclerosis.
• cystitis a cikin bãkunansu na yankin.
• stenosis ko stricture na mafitsara.
• cututtuka bawuloli mafitsara.
• mafitsara tabarbarewa.

rarrabuwa na cututtuka

Pathology ne zuwa kashi uku iri:

1. Active PMR. Its bayyanar da aka shibtarsu kawai ta yi na urination.
2. M. Yana bayyana a lokacin da cika mafitsara.
3. Mixed-aiki ko m. Ga cuta jihohin halin da hade da sama.

Bugu da ƙari kuma, dabam ware Pathology kamar na intermittent reflux. Haka kuma cutar bayyana kanta a matsayin mai maimaitawa pyelonephritis.

da mataki na Pathology

A cuta iya halin da daban-daban siffofin nauyi.

Bisa ga zuba ne da wadannan mataki na vesicoureteral reflux:

1. Wannan irin halin da reflux na fitsari a cikin ureter pelvic zone. A farko mataki fadada daga cikin tashar faruwa.
2. Baya outflow rufe dukkan ureter. Bugu da kari, akwai wani simintin na fitsari a cikin wani kofin, kafafuwa. Duk da haka, ba da tashar kuma da koda sassan ba su kumbura.
3. Don wannan har halin da jħfa fitsari pyelocaliceal koda tsarin. Last ƙwarai kumbura. Amma da ureter aka bai canja ba. Its diamita daidai ne.
4. Domin wannan mataki, halin da fadada da kuma pyelocaliceal na'ura, da kuma ureter a sakamakon yawan fitsari da simintin.
5. Tare da wannan mataki na rage koda aiki. Wannan asibitin da aka shibtarsu da thinning na sashen, samar da fitsari.

cututtuka

Abin baƙin ciki, yana da matukar wuya a gane a wani wuri mataki na vesicoureteral reflux. Alamun cutar yawanci sawa. Wannan shi ne dalilin da ya sa cutar da ake fi bincikar lafiya a lokacin da riga ɓullo da rikitarwa.

Duk da haka, akwai wani rukuni na cututtuka, wanda za a iya zargin ci gaban da cuta a cikin 'ya'yanku:

• underweight baby ta jiki a haihuwa.
• jinkirta a jiki ci gaba;
• rushewa daga aiki na mafitsara.

A manya, kadan daban bayyana vesicoureteral reflux. A bayyanar cututtuka cewa faye hali da cutar, kamar yadda mai mulkin, da wadannan:

• gaggawa da sau da yawa suna da tura yi urinate.
• zafi da rashin jin daɗi a cikin ciki, ko kuma kafafuwa.
• karamin adadin fitsari.
• fitsari m, tare da wani dadi ba wari.
• a lokacin urination bayyana a kona abin mamaki.
• kwarara daga fitsari.
• jini a cikin fitsari.
• m nocturnal awakenings je bayan gida;
• zazzabi, jin sanyi.
• zafi a baya, gefen gefuna.

rikitarwa da cutar

Vesicoureteral reflux iya kai ga matuƙa mummunan sakamakon. Wannan Pathology sau da yawa yana sa sakandare raunuka koda. Gabobi shrivel, akwai ya kasance wani worsening da su main ayyuka - tacewa.

A sakamakon reflux a take cikin al'ada kau na fitsari. Fitsari dauke da ake dasu Flora, ya ratsa da yardar kaina a cikin ureters kuma kodan. Saboda haka, akwai kullum kamuwa da cuta da kuma kumburi a cikin gabobin.

Bugu da kari, a lokacin urination matsa lamba ƙaruwa a ƙashin ƙugu yankin. Wannan take kaiwa zuwa kara lalata da koda nama.

Wrinkling kodan da sclerosis shi ba Yunƙurin zuwa secondary hauhawar jini. Wannan Pathology ne sosai da wuya mu bi. Lokacin da wannan yanayin sau da yawa da a cire koda tare da ureter.

ganewar asali da cutar

Lokacin da naci pyelonephritis ana zargin vesicoureteral reflux. Ganewar asali hada da wani yawan safiyo:

1. Amurka.
2. Analysis na jini da kuma fitsari.
3. CT.
4. Cystourethrography. Ta catheter a cikin mafitsara ruwa da aka gabatar. Da zarar shi ne ya cika, yi jerin Shots. X-haskoki yi a lokacin urination.
5. Igiyar jini pyelogram. A wannan binciken, m discernible a kan x-haskoki ake gudanar intravenously. A wannan yanayin, dole ne ka jira har sai da abu na jini ke da kodan da kuma mafitsara.
6. Nukiliya scanning. A iri-iri na rediyoaktif kayan ana amfani ga binciken. Sun iya gudanar kai tsaye a cikin mafitsara ko jannayẽnsa. A binciken da aka yi amfani da sanin aiki na urinary tsarin.

likita hanyoyin kwantar da hankali

Kawai wani likita zai iya sanin ko dabarun magance wannan Pathology kamar yadda vesicoureteral reflux. Jiyya ne da nufin kawar da Sanadin cutar da kuma hana rikitarwa.

A mafi tsanani sakamako da cewa zai iya ci gaba a kan bango na cuta, - wani reflux nephropathy. A Pathology ne wani mai kumburi hallakaswa aiwatar da ke faruwa a cikin koda parenchyma.

magani dabarun dogara da Sanadin cutar da kuma ta mai tsanani.

ra'ayin mazan jiya magani

Wannan dabara ne sosai tasiri a farkon matakai da cutar. Musamman nasarar bi da vesicoureteral reflux a yara. A adult marasa lafiya, a 70% na dukkan fara inganta.

Babban aiki na da ra'ayin mazan jiya far ne dace kamuwa da cuta, rufe da urinary tsarin.

Jiyya ya shafi wadannan yankunan:

1. Physiotherapy. Events iya kawar da na rayuwa munanan cewa faruwa a cikin mafitsara.
2. Nada antibacterial kwayoyi. Su ne baki marasa lafiya da suke kamu da cututtuka a urinary fili.
3. Dieting. Marasa lafiya suna karfi rika samar gyara. Rage cin abinci yakan haifar da ƙuntatawa na game da amfani da furotin da kuma gishiri.
4. Catheterization na mafitsara.
5. A amfani da antihypertensive kwayoyi. Su tafiyad magani a cikin taron cewa haƙuri matsa lamba da aka kara a sakamakon da PMR.
6. Nagari na yau da kullum urination. Irin matakan da ya kamata a aiwatar da kowane 2 hours, ba tare da la'akari da tura don amfani da bayan gida.

Idan ana zargin vesicoureteral reflux a yara, magani ya kamata zama a wani asibiti. Da farko, da yaro yayi nazari. Bayan kayyade hanyar cuta, rubũta dace magani don kawar da tushen cutar.

A cikin hali na tabbatarwa daga nakasar anomalies to yara shawarar tiyata.

endoscopic tiyata

Wannan baki bada shawarar idan ra'ayin mazan jiya magani ba ya ba da ake so sakamakon ko dai tare da nakasar munanan a yara. Duk da haka Endoscopic gyara na vesicoureteral reflux ne da za'ayi na musamman a 1, 2, 3-th mataki na cutar. Kuma kamar idan, idan kiyaye contractile aiki na bakinsa.

Wannan aiki ne mai minimally cin zali tiyata. Ya kunshi a cikin wadannan. Karkashin ƙananan rabin zoɓe bakinka gabatar da wani musamman implant. Yana ba ka damar danganta up saman da kasa lebe. A sakamakon haka, da m bangaren da aka inganta antireflux inji.

m magani

Don buɗe ayyukan sun resorted a cikin wadannan lokuta:

• idan ba ra'ayin mazan jiya kuma endoscopic magani aka ba ba da ake so sakamakon.
• pathologies 4 ga watan, 5 ga watan digiri.
• a cikin hali na nakasar anomalies a yara wanda ba za a iya cire endoscopically.

Gyara na vesicoureteral reflux ne da za'ayi a mafi yawan lokuta, da bude kumfa. Babban burin tiyata - shi ne samuwar wata mucous membrane na mafitsara inda ureter aka sarrafa, da ake bukata nassi.

Bayan da irin wannan aiki Halicci wasu shãmaki cewa kare ureter kuma mafitsara daga fitsari tarawa su.

M magani na samar da kyakkyawan sakamako, bisa ga statistics, 75-98% na duk lokuta. Duk da haka, tiyata ne ba tare da disadvantages.

A downside ne hanya:

• shafe tsawon maganin sa barci.
• dogon fi lokaci.
• idan na komawa reoperation ne da yawa fiye da rikitarwa.

m matakan

Ko reflux bace a kan nasu hanya? Idan abnormality aka bincikar lafiya a wani yaro a wani wuri mataki, zai iya da gaske tafi tare da ci gaba da kuma ci gaban da jaririn. Duk da haka, akwai bukatar ci gaba da crumbs daga exacerbations da kuma cututtuka. Idan wadannan yanayi ne ya sadu, kusan 10-50% na yara Pathology daukan wuri da kansa. Amma shi ne iya barin baya a cikin nama scarring.

Lokacin da TMR 3rd mataki ko sama da ya kamata ka dogara a kan kai-nau'i nau'i. Wadannan yara ne bukatar isasshen far, wajabta ta likita.

Don hana ci gaba da kuma ci gaban da PMR, kana bukatar ka:

1. Lokaci da su bi duk mai kumburi cututtuka na urinary tsarin.
2. Duk wani take hakkin urination bukatar wani m ziyara a wani likita.
3. Mata masu ciki da ya kamata a tabbatar an ziyarci likita. Bugu da kari, wata mace jiran wani yaro ya bi zuwa lafiya salon da ya dace, abinci na gina jiki.

PMR - wannan ne mai matukar tsanani Pathology. Wannan cuta ya kamata a bi a farkon matakai, hana ta ci gaban. Saboda haka, dole, koma zuwa ga waɗanda suke na fasaha.