Nephroptosis hakuʻala: symptoms a me ka lapaau. Aʻai ua waiho i loko o nā mea maʻi me kaʻaʻa puʻuwai nephroptosis?

All kanaka nā loko i pili loa interrelated i kekahi i kekahi. Kēia e hōʻoiaʻiʻo ka homeostasis (kūpaʻa o ka maloko 'ia) o ke kino, no laila, e pono no i ka pono functioning o nā mea a pau keena. Kuhikuhi i nenoai kākoʻo noho pilikia ia a eia i (ʻakika, wela, lehulehu o nā Ion) nā mea'ōnaehana mānowai koko a me ka urinary. Mai ka mua o ka i hoakaka koko holo, i ka papa kuhikuhiE moʻomeheu meakino, a me ka lua - ka e auaaeaiea o ka hoʻokali kūpono 'metabolites, loli a me toxins.

Ke kūlana o nā puʻupaʻa i loko o ke kino

Ma mua kilohi, urinary'ōnaehana manao nui emi nui ma mua, e olelo oukou, naehana hanu a mea'ōnaehana mānowai koko. Ma hope o lawa kanaka ola mālie a me ka mehameha hakuʻala, oiai i ka wa e kaawale aku o kekahi akemāmā a me ka naau transplant maopopo ka hopena ma luna o ka hoʻomanawanui ka kulana. Naʻe, i kēia mea pono he misconception no kaʻaʻa puʻuwai 'ole kekahi kanaka make i koke me ka ÷ naehana hanu a cardiac. A i ka hana no o ka uila-i auhele toksinemii, no ka mea, ka mea kino elua i ka iniiaiie "Kānana" o ke kino, a me kela lā ka mea, e EII ni ma kēia ōlaʻi o nā lika o ke koko, neutralizing pilikia 'ona, a lawe iā lākou i loko o ke kaiapuni.

metabolic oihana

Ma waho aʻeo i keia, i ke puʻupaʻa mālama ke koko, kūpaʻa i loko o maʻamau a me ke koko poho, a ma ia mea o ka haku mea hoʻokonukonu o ke anakahi - ka renin-angiotensin-aldosterone'ōnaehana (RAAS). Nō hoʻi, ma muli o ia ka mea e wae permeability o na capillaries i loko o ka parenchyma o keia hui, ua hoakaka ia e secretory koena o kekahi mau electrolytes a me osmotic eiiiiiaiou i loko o ke koko a me nā'aʻaʻa: paʻakai, potasiuma, kalipuna, makanekiuma, monakō koko, kumuʻiʻo, nāʻakika, a he nui na mea e ae. Ka mea, i kekahi limahana ma ka erythropoiesis, e like me ka mea o lakou i na hana waiwai erythropoietin - he stimulator o ka hoʻololi kemikala oʻulaʻula koko aeee i loko o ka iwi lolo.

hakuʻala'anatomia

i hui kaulua mau nā loko, a e aia i loko o ka lumbar māhele 'āina ma kekahiʻaoʻao o ka spinal kolamu. Ka mea, i me ka pī-hoʻokino a me ka huli ana i ka concave haʻawina i kekahi i kekahi, a me kēia mau kaumaha "puka", e nā arteries a me nā aʻalolo OAAIeOO Vienna, ureter a me lymphatic moku. Kēia mau hale,ʻaʻole wale nō e lawe mai i ka wehe aʻe o 'ona i nā puʻupaʻa, akā, i malama like hapa o ka laka noonoo. Loko kēia mau kino i ka luna '' ole: ia Ka hoʻomaka 'ana a pau me ka nephron glomerular capillary, ma i, ma ka mea, i ke koko ua wae' ia. Lākou i loko o ka hakuʻala mea hoʻokahi miliona, a hou e hoʻoneʻe i loko o ka tubule, a ia lŘlŘ hou koko lehulehu reabsorption o ka wai,'amino nāʻakika, monakō koko a me ka paʻakai, ai ka hookuuia mea, ua makaukau no ka haumāna mimi.

urinary'āpana

Eia, e hele aku ai he lōʻihi ke ala, hoiliili i ka poe liilii, a laila, nui na kiaha a me ka ʻaʻa puʻuwai pelvis, a ho'ōla auwai i loko o ka ureter, ka bladder, a me ka hope ma ka urethra excreted. Penei, kela mea keia mea o ka urinary'ōnaehana ka 'Oihana i kona mau kuleana pili i, a me ka ho'ākāka' ia kāna hana ke hana i loko o kekahi o ia mau mea, e alakai ana i ka hoʻokō 'ole' ana o ke kuleana pili i. Kēia, no ka laʻana, hakuʻala a nephroptosis hydronephrosis, pyelonephritis, glomerulonephritis, urolithiasis, congenital stricture, urethritis, cystitis, a me na mea e ae. Ma keia 'atikala, mākou e kālele ana hou kaʻoi loa ma luna o ka maʻi mua, naʻe, ma mua lede e noonoo ia, e pono e aʻo i kekahi hou hiʻona o ka' ole o ke kino.

hoʻopunipuni hakuʻala

Ka mea, i ke aupuni 'o ka retroperitoneum, a no ia mea, i ka hana ke haka pono maila mea e kākoʻo iho ma luna o ka mea like' ilikai (ma ka 12th thoracic i ka 2nd lumbar vertebrae). Ua nā peritoneal pā (pono hakuʻala - ma muli o ke duodenal-hepatic a me kaʻaʻa puʻuwai kaula hepatic, a me ka hema - hoʻopiʻi diafragalno-colonic) kūikawā lākou anatomical Muscle wahi moe, moku (oleloia mamua aku nei nō), fascial momona i hoʻomākaukauʻia (ho he ai iiiaanoaa o nā kaola a me ekolu fascial wahi, pu ho okumu ana i kekahi "ʻaeʻae pale" a me ka paa kākoʻo) a me ke kūʻai '-abdominal puʻe, ua hoakaka ke anakahi uila abdominal pā pōhaku nāʻiʻo. Penei, i kēia mau nā loko i lawa ka paa i paa i loko o ka lumbar māhele 'āina. Ma keia hihia, ke hakuʻala akau ua aia iki ma lalo o ka hema, a me ka mea mau nō lā brisk: keia ikaika hawewe i ka ÷ naehana hanu hana, ka mea hiki ke hele mai, a iho ma 1-2 knm, akā, i loko o kekahi pathological 'ole ma kela aoao o ka laulā o ka 2 knm, a laila, e iho aku ka mea, lalo o ka maʻamau palena o ke kulana i kapaia nephroptosis a me nā puʻupaʻaʻelua.

Etiology a me ka kamepiula kumumea

'āno'ē ka hoʻoneʻe mea oi, he pono ole i na wahine, no ka mea, i wehewehe aku e ka nui tensile ligament nakeke ma ka e like me na kanaka, a ua hiki ke hele mai, mai keʻano o nā kumu, kekahi aoao ai kekahi mea nawaliwali o ka laka noonoo. First nephroptosis puʻupaʻa hiki i:

• pahi kaumaha poho, ma muli o ia i ka momona kino mea hōʻikeʻikeʻuʻuku lilo thinner, a me ka mea, lilo hou loli;
• eha o ka lumbar māhele a abdominal fascia kue ana i ka pono a me destructuring Muscle moe puupaa, e laʻa me,ʻaʻa puʻuwai nephroptosis pinepine accompanies traumatic retroperitoneal hematoma;
• oi ke kaupaona punohu 'ole' oihana haʻuki, ma a he mea he ikaika Muscle hoʻopilikia a me ka hoomahuahua i ke kūʻai '-abdominal puʻe, akā, i kēia ololi a eia i kau ligaments ma lalo o ka aoao o i ka mohala ke ho one ma ka lalo ke alo;
• i ka nawaliwali o ka muscular i hoʻomākaukauʻia, ma ka kekahi lima, emi ke koko, a me ka hoʻopunipuni kona kuleana pili i ua i haule, i mea no ke aha la nephroptosis a me ka hāpai keiki a hypodynamic Aloha Hawaii no laila, pinepine komo lima i loko o ka lima;
• i hou i ka luna-i oleloia lilo ana, lalau mai mahuahua extensibility a me nā'aʻaʻa i ia i ka hopena o aaiaoe predisposition, no ka laʻana, maʻi o ka connective'aʻaʻa.

symptoms

Lapaʻau hoikeana Nephroptosis hiki ke maheleia i kahua o ka hoʻonaʻauao. Ke'ī mai, i ka wa a ka mea mua loli hakuʻala ua kuu iho la i ka 4-6 knm i loko o ka vertical kulana o ke ahonui a me ka 'akomi hoʻi ma kona hoʻololi i ka papamoe. Ma keia kahua, ke hoʻomanawanui i bother wale nagging eha ma kaʻaoʻao maikaʻiʻole ia ma o ka pūhaka ka wā e hookiekie ana kaumaha, me ka hai physical exertion. Nephroptosis haʻalele hakuʻala Ua emi, he pono ole ma mua o ka pono, no ka mea, o physiologically kiekie ae, no laila, symptoms ma ka hapanui he mea i loko o ka henua akau. Inā ma keia ke kahua o ka maʻi ua lilo, e progresses a me ka loli hui, ke ili i ke kiʻekiʻe o ka piko. A akaka ia ma ka lua o ke kahua nephroptosis hakuʻala akau, symptoms o kona iho hou ho'ēmi i ke kino, ka mea pono e ka manuale neʻeʻana i loko o kona wahi moe. Pain ma keia kahua i listen a haawi kokoke i ka abdomen holoʻokoʻa a wale nalo ka wā o nā puʻupaʻa ka ho'ēmiʻana a me ka hana ana i ka papamoe kulana.

holo kaʻina

Nui hou formidable mea nephroptosis nā puʻupaʻa, a hiki hoʻomōhala i keia kahua, e like me ka rula, ma muli o ia i ka aaiaoe predisposition. Ma ke degere o ka ptosis kino i pelvic kaʻeha laila regular ua lilo, aia nō a hiki i maha, a ua ole attenuated i loko o ka papamoe kulana, e like me ka hakuʻala mea,ʻaʻole hiki ke hoʻi i kona maʻamau wahi wā makeʻe kulana ano like ole maʻi. Ua Hoʻoweliweli 'o ia i ka hooulu ana o ka loa e like me complications hydronephrosis, arterial hypertension, ʻaʻa puʻuwai colic ma muli o ka urolithiasis, e like me ka maÿi hui, ua nui pono o waiho kokoke ana i pii aku maʻiʻaʻai, no laila ua loaʻa ka pyelonephritis.

ʻike, no ka maʻi

Inā ke hoʻomanawanui i ka lahilahi hana, me ka manaʻo pü 'nephroptosis kauka hiki nō ka nānā' ana ma luna o hoopii ohi mōʻaukala a me ka palpation o ka hakuʻala ma ka abdominal pa.

Eia naʻe, ia mea kokoke hiki ole no nā mea maʻi me ka obesity a me muscular abdomen. Next, ma ke kumu o ka hoʻomanawanui ka symptoms Nephroptosis iiaeaaony i ka pae mua o ka anamanaʻo - anamanaʻo radiography paha fluoroscopy e e hiki ke kuhikuhi i pathological ka hoʻoneʻe o ka loli hakuʻala. Inā ma kēia kahua ke kauka hāʻupu kekahi maʻi (urolithiasis, congenital anomalies, hydronephrosis kiʻekiʻe ano hakuʻala e ku e ia i ke kāʻei kua o ka atherosclerosis a hypertension), he mea hiki, e hoʻomaka excretory urography me intravenous Akä naÿe no nä mea. Kēia papa hana loaʻa paha kekahi mau pono, no ka laʻana, ka mea, ua hikiwawe visualized patency o urinary'āpana, a me kā lākou mau mokuna a nephroptosis hakuʻala pohaku. Lapaʻau ma keia kahua e hoʻomaka i kakahiaka nui, e pono e mua i kekahi ultrasound o ka abdominal lua, ke koko a me ka mimi ho'āʻo ma, e like me bacteriological ulu e hōʻoia 'ole ai ia e hoole i ka mana o ka infectious maʻi.

Lōʻihi-ʻia complications

No laila, ua loaʻa i ka kālailai i au mamuli o ka mea hakuʻala nephroptosis, a pehea e diagnose i kēia maʻi. I ke kumukuai o i haiia ae o ka mea i na complications o keia maʻi e lewa,ʻaʻole wale nō i loko o ka urinary nenoaiu. Ke'ī mai, i ka wa e kaawale aku o kūpono lapaʻau paha, no ka mea hoike, ina ka hoʻomanawanui, aole ia i malama i kaʻai no ka hakuʻala Nephroptosis, i ka ulu kāna hana i loko o ka gastrointestinal'āpana (constipation / diarrhea, anorexia, nausea),ʻaʻa puʻuwai colic hoohihiaia increasingly, no ka mea, o ka mea e hoʻomōhala ana i neurasthenia a o Nyos i ka maʻamau e hooholo ia o ka mimi, e compresses ka puni nā'aʻaʻa, nä olonä a me nā ipu koko. Kēia exacerbates i ka pilikia o ka hypertension me crises a me nā konāhua maʻiʻaʻai, a hiki i ka lōʻihi loa o ka ulu hakuʻala 'ole, a lilo ia pinepine i ke kumu o ka make ana o ka hoʻomanawanui.

Inc

Pehea e hana hakuʻala nephroptosis i loko o ke kahua mua? Kēia pukana ua Wehewehe i nā hāʻina. No keia hopena, he mea nui e pale aku māluhiluhi hoounauna, lei kūikawā bandages, o ka oi aku i hāpai keiki. No hoi ia kanaka pākōlea kino, a AIM e hooikaika i ka lumbar nāʻiʻo. Ke hoomanawanui ua i ka manao e hoomahuahua i kona mana, ke kaupaonaʻana ka waiwai, o ka papa, i loko o pono Oeao. I nui o ka pākōleaʻai no Nephroptosis hakuʻala №7 kaupalena 'dala o ka paakai (i hiki ke auou caiaiai cumin a ka wai lemi), Nā Kopa, meaʻai māmā, sausages, momoma ai, mea ala a me legumes. Inā ka maʻi hele i loko o ka anu u 2 a me 3 a me ka mea i waiwai ai pili complications, ka mea wale koho i koe nephropexy -ʻoki lāʻau lapaʻau iaoia, ma i ka hakuʻala ua hoi aku la i kona wahi moe, a me ka paa. A hooulu ana i kaʻaʻa puʻuwai ka hoʻokō 'ole nā mea maʻi ma hemodialysis ua waiho no kekahi manawa , i ka hoʻomaʻemaʻe i ke koko o na toxins a me metabolites i mea maʻamau no laila, ikaika ho oholo koke ola hakuʻala.