Pyelectasia ka fetus. Pyelectasia fetal hakuʻala lapaau a me ka mea, lalau mai

Wahi a ka 'ikepili helu, pyelectasia fetus' aʻole i hoʻomaka ai loa pinepine - ma kahi o 2% o ka hihia iloko o fetal ultrasound kauka e kiai ana ia pathology. O ka holo ana, expectant makuwahine e noi ninau e pili ana i ka mea i ka maʻi ma mua o ka mea i pilikia, a me ka ohe. Laekahi lapaau kaumaha ai oukou ia.

Pyelectasia konāhuaʻelua o ka fetus - He aha ka mea?

He aha ka i kēia maʻi? Eia naʻe, i kēia mau fetal pathology i ke kālā no obstetric a pediatric me ka hana pono malaila, aole nae i nui loa. Pyelectasia - he ana i ua pu ma excessive? Anoe o kaʻaʻa puʻuwai pelvis, i ka loa pinepine pili me iaʻi o ka maʻamau pele o ka mimi.

Ma ka hapanui o na hihia, i ke keiki i ka maʻi 'akomi i ke ahiahi, ma ka utero ma ultrasound ninaninau ki ina hana like. Pinepine diagnosed pyelectasia i koe i loko o ka fetus like hoʻi me ke pio o ka hakuʻala'ākau,ʻaʻoleʻeluaʻaoʻao anoe o pelvis. E like me ke ana helu haʻawina, e loli ana keikikane ma kaʻaihue i ka 2-3 manawa hou pinepine ma mua o kaikamahine. I mea, i ka maʻi ina haʻalele untreated, ke alakai i ka pilikia complications.

I ka papa kuhikuhiE kumu o ka maʻi ulu

Hoikehonua, lapaau, he nui na kumu e hiki alakai i'āno'ē hoʻonui o ka pelvis a me ka 'aʻe' ana o ka outflow o ka mimi. Mua a poʻokela ia mea kumukuai 'ana i kumumanaʻo ia he mea kekahi aaiaoe predisposition. Eia hou kekahi, fetal abnormalities i hoʻomōhala i loko o ka hanana ana i hāpai keiki i ka makuwahine i ae mai ka pyeloectasia. Ma ka 'ē aʻe lima, i ke kamepiula kumumea nā huʻi hoʻoʻino mai o ka urinary'ōnaehana, ka E neʻe i wahine i gestation. A, i ka likelihood o ka hoʻohuikau 'o ka mea maʻamau hakuʻala hooulu ana i loko o ke keiki me ka loa, piʻi pū i hāpai keiki, e like me ka mālama'-eclampsia, eclampsia, a no laila, ma luna o. D.

I kekahi manawa, kēpau e pyeloectasia like malformations. No kekahi laʻana, na keiki kekahi hoʻomōhala i ka nohona kiwikā i loko o ka hoʻololi kahi ma waena o nā pelvis a me ka ureter. I kekahi manawa, i ka ureter hiki ke squashed e nui na moku koko 'ole' ē aʻe kokoke Aupuni. 'Ākena Makaʻu nō hoʻi nā haoʻa i ka ulu a me ke kahua o nā loko ma fetal ulu. Kekahi keiki pelvis? Anoe? Aiey i ka hopena o ka nawaliwali o ka muscular oihana, a ua pinepine malama ma ka prematurity.

Pehea e hooholo i ke alo o ka maʻi?

Loa pinepine, nā puʻupaʻa pyelectasia ka fetus ua diagnosed i loko o ka lua o ka hapalua o ka hāpai keiki (i loko o ka oaeouee? Ultrasound). O ka ihu, he pololeiʻike, ma ke kumu hoʻokahi wale hoao ana o ka mea,ʻaʻole e hiki, no ka mea, ke kino i ke keiki o ua mau ulu, Hawaiʻi a me ka hoololi ana. Naʻe, ka mea, ua hilahila ia ma mua o ka hebedoma o ka hāpai keiki 32 la, i ka nui o kaʻaʻa puʻuwai pelvis mea 4 mm o, a ma hope o - i ia 7-8 mm o. Inā ma ka ultrasound hookolokolo ana i loaʻa i ka pelvis mea nui ma mua o 10 mm o, ia mea kūpono e kamailio e pili ana i ke alo o ka maʻi.

I ka wā e hiki mai, ua mālama 'ia nā ho'āʻo ma i hiki huai ae i ke kumu o ka pathology. I ka papa kuhikuhiE physical hoailona pyeloectasia hōʻike ma hope o ka hanau ana. Ma kekahi hihia, i ka hoʻomanawanui ua hoakakaia keiki haʻawina e like me intravenous urography, cystography, radioisotope hookolokolo o nā konāhuaʻelua a me ka 'ole. D.

Maʻi i komo pū 'ia e pyeloectasia

Loa pinepine pyelectasia ka fetus Hōʻike i ke alo o kekahi maʻi, i loaʻa:

• Hydronephrosis - he maʻi, kena ae la ma ke alo o ke iaʻi ma ka huina ma waena o nā pelvis a me ka ureter. I ka Ia manawa widen na pelvis, akā, i ka noho ana o ka ureter mea pololei.
• Megaureter - kekahi maʻi e ia lŘlŘ me ka pyeloectasia. I ka Ia manawa nā mea maʻi i vesicoureteral reflux. Ureter nuiʻololī ma ka haʻahaʻa, a ma ka bladder, he nihinihi ala i loko o ka puʻuwai.
• Vesicoureteral reflux ua pu ma ka reflux reflux o ka mimi i loko o ka hakuʻala, e ku e ia i ka mea, he nui? Anoe o kaʻaʻa puʻuwai pelvises.
• Ectopia - kekahi kāna hana i loko o a ka ureter aʻole i hāʻule i loko o ka bladder, a me ka vagina (no kaikamahine) a me ka urethra (i loko o kāne a pau). Loa pinepine, keia pathology ia lŘlŘ ka wā o nā puʻupaʻa ua pāpālua.
• Pyelectasia fetus hiki ke mau 'me ureteroceles. A hiki aku ia i ka pathology ma ka confluence o ka ureter i loko o ka bladder nui distended, akā, i ka mākeke ka loa haiki.

I ka papa kuhikuhiE complications o ka maʻi

O ka holo ana, ua he pathology o ka fetus mai i hoʻomaka ai loa pinepine. A he nui na kanaka e haohao ana pehea pilikia hiki e pathological. I mea, o ka make māinoino ma keia hihia mea i ke anoe o kaʻaʻa puʻuwai pelvis, a me na kumu e alakai i ka pathology.

Inā ka maʻamau pele o ka mimi, mai ka hakuʻala mea pono, ka mea e loli ai ka urinary nenoaiu. Ma kekahi, me ia i ka pathology malama mīkini'opihia o ka hakuʻala'aʻaʻa. Untreated kino hale a hoʻomaka e lohi atrophy. Hoemiia hakuʻala kuleana pili i ka pilikia no ke kino a pau, a me ka pinepine welau a me ka piha poho o ka hakuʻala hale, a, o ka papa, pilikia loa. A, e ku e ka kāʻei kua o ka stagnation o ka mimi i kūkulu i keʻano o ka hoʻoʻino mai, me pyelonephritis. Ma kekahi hihia o kēia pyeloectasia E undergo i ka piha hookolokolo, a wehe aʻe i ke kumu o ia kāna hana.

Pehea e hana pyeloectasia?

I ka mea, kauka hiki ole ike ai i ko e holomua i ka maʻi ma hope o ka hanau ana. No ka laʻana, papalua-mńlualua pyelectasia ka fetus ua manaoia e ia i kekahi physiological ana i ua kena ae la ma ka oi o ka loli ma ke kino o ka makuahine a me ke keiki.

I mea no ke aha la i loko o ka pule mua paha mahina o ke ola, i ke keiki hele ma kekahi ana mau i na kumu ao ke huai ae paha o ka maʻi progresses. Muli o kona kulana pinepine mehana, lōpū pyelectasia hele ia iho, me ka makahiki. Inā hou ua i malama, i ke kauka i hoakaka ia makeʻe kulana lapaau.

Inc, i keia manawa, hilinaʻi nui ma luna o ke kumu o ka pathology. No ka laʻana, ina na pelvis? Anoe? Ana e ku e ia urolithiasis, i ka hoʻomanawanui ua hoakaka ia i ho'ākāka 'ai' e paipai noho male 'ana o ka paa ho okumu a me kokololio ana o ke one, mai ka urinary nenoaiu.

Ma kekahi mau hihia,ʻoki kino ka pono?

Eia naʻe, e hoʻopau i ka maʻi ma ka makeʻe kulana ano hiki ole mau loa ana. I ka ninau o keʻoki lāʻau lapaʻau 'uao Wehewehe i nā hāʻina i ke kauka i ka mālamaʻana. No ka laʻana, inā ua loaʻa i ka pēpē e holumua ai pyelectasia, i ua pu ma ka kokololio? Anoe? O pelvis a me ka holo lilo o ka hakuʻala hana, e pono aiʻoki kino. Wahi a ka 'ikepili helu, ma kahi o 25-40% o ka hoopii,ʻoki kino ua hana i loko o kamaliʻi.

I kēia manawa, ua nui na ano o ka hana maikaʻiʻole o kēia maʻi. Loa pinepine i ke kaʻina hana, ke kauka e lawe aku oe i ka keʻakeʻa nei a hiki i ka maʻamau pele o ka mimi. Ma ka hapanui o hoopii,ʻoki kino ua hana ka hoʻohana endoscopic mea hanaʻoe i kēia ma ka urethra. Abdominal ke kaʻina hana no ua koi wale i mea nui hihia.

Time] No ka mea keiki

Eia naʻe, e ole e like me ka maʻi mea aneane hiki ole i. Ka mea wale nō ka mea e waiho aku i ka hapai na wahine, o ka oi aku ina ka mea, i ka mōʻaukala o ka like mai - e pono kanaka hoʻoponopono i ka moku'āina o ke ola, i ka mahalo i ka wai koena, e like me ka manawa, e hana a pauʻaʻa puʻuwai maʻi.

Like no ka kēla no ke keiki, loa pinepine ma hope oʻoki kino competently lawe mai i ka maʻi. Eia naʻe,ʻaʻole nō he kumu hoʻomalu i ka hakuʻala pyelectasiaʻaʻole hoʻi i ka wā kamaliʻi a adulthood. I mea no ke aha la keia keiki e kekahi mea loiloi mau ma ka hoʻomalu - wale ia, e haawi aku i ka manawa e huai ae abnormalities ma ka koke ke kahua.