Vesicoureteral reflux i loko o nā keiki a me nā mākua. Symptoms,ʻike, lapaʻau

Ma urology ka mea i loaʻa i ka maʻi me vesicoureteral reflux (PMR). He He pohihihi keia maʻi e ia lŘlŘ loa pinepine ana i na keiki. Naʻe, i ka pathology hiki ke 'akomi i loko o ka makua heluna. E ka nana aku i mea kūpono ai ka TMR ma mua o ka mea ka mea pepehi a me ka mea ki ina hana like e kaua ia.

pathography

No ka maopopo i ka mea a ka pathology ua kapaia vesicoureteral reflux, e pono ai i ka uukuʻoi i loko o ka'anatomia o ke kanaka.

Bladder - he puha muscular hui,. Ua ua papahana no ka hoʻomāhuahua o ka mimi a hiki i ka manawa e like me ka mea i ae aole he kupono o ka urination. Ka Oe i ekolu puka. Elua o ia e pili ana i na ureters. Ma kēia mau kaha i ka mimi kahe ana mai o nā puʻupaʻa a hiki i ka bladder. Ke kolu o ka puka o ka emptying. Kēia wahi urethra hui me Oe.

Nā ureters i funnel-hoʻokino paipu. Ka mea, e hele mai i loko o ka Oe ma ka huʻi huina. Nā ureters i hoʻokahi-ala kiwikā nenoaiu kekahi. I ka mea, ano ua ālai 'aʻe neʻeʻana o ka mimi i loko o ka ureter, a loko o ka hakuʻala. No laila, he olakino functioning kahua.

Inā he kanaka ua diagnosed vesicoureteral reflux, keʻano papa hana e malama i ke kino mai ka mimi nana e hoole ana ua ole functioning. Alaila, o ka mimi ke neʻe i loko o ka 'ē aʻe kuhikuhi. Penei, e like me ka hopena o ka hihia hoʻi outflow o ka wai mimi accumulates i loko o ka bladder, a laila, kiola ia i loko o ka ureters. Ua hiki aku i ka hoʻopilikia, i ka hope ke kanana nei. I loa ano o ka reflux mimi mea hiki e hiki aku ana i nā puʻupaʻa.

pathology hookomo ana i

Nā kumu o ka maʻi uaʻaʻole maopopo maopopo. Kauka wahi vesicoureteral reflux i na keiki me ka congenital'āno'ē ulu o keia Hoʻohana. No laila, ka mea, ua pinepine diagnosed iniiaiie pathology. Kēia maʻi, iʻikeʻia i loko o ke kāʻei kua o congenital anomalies.

Vesicoureteral reflux i loko o nā mākua i loko o ka hapanui hihia kiʻekiʻe. maʻi hooulu ana ua dictated ma na ana.

Ka mea, i ka iniiaiie kumu no keia:

• kūpono IIeEeAIEUAA o ureteral orifice;
• bladder diverticulum;
• immaturity smykatelnyh waha machines;
• hua'ōleloʻo submucosal tunnel kūloko ureter;
• pathological ano o ka waha;
• he a pāpālua hoʻi o ka ureter, e kauoha ana i ka wai ua aia ma waho o ka triangle Oe.

Ke kula kiʻekiʻe aʻe alakai ana i ke kūpono 'ana o ka maʻi, i ka i Nyos i ka maʻamau pele o ka mimi, nā ka i kēia maʻi.

• bladder mākeke iaʻi;
• BPH;
• Bladder'ā'ī sclerosis;
• cystitis i loko o ka waha o ka wahi;
• stenosis a stricture o ka urethra;
• infectious maʻi kiwikā urethra;
• bladder dysfunction.

Mea Maluna o ka maʻi

Pathology ua maheleia i ekolu hoailona ia mea:

1. Kaila PMR. Kona helehelena ua dictated wale n? Ma ka hana o ka urination.
2. OE. Ua hoike aku i ka hoopiha bladder.
3. Hui-hana a me OE. No ka maʻi Hawaii wehewehe aku ma kekahi hui malu pu ana o na luna.

Eia kekahi, kaawale kaʻawale pathology e like me ka intermittent reflux. Ka maʻi hoike mai ai ia ia iho me he recurrent pyelonephritis.

ke degere o ka pathology

Ka maʻi hiki ke wehewehe aku ma kekahi ano o ka umekaumaha.

E like me ka liu i ka mea kēia degere o vesicoureteral reflux:

1. Kēiaʻano ua wehewehe aku ma ka reflux o ka mimi i loko o ka ureter pelvic ciia. Ma mua degere? Anoe o ka moana ia lŘlŘ.
2. Nana e hoole outflow uhi i ka pau ureter. Eia hou, aia no he nou ana la o ka mimi i loko o ke kīʻaha, pelvis. Eia naʻe,ʻaʻole hoʻi i ka wai, aole hoi ka hakuʻala pauku i ole hoʻonui.
3. A hiki i keia nui wehewehe aku ma ka upena mimi pyelocaliceal hakuʻala nenoaiu. Hope loa hoʻonui. Akā, i ka ureter ua ole hoʻololi. Kona anawaena mea pololei.
4. No keiaʻanuʻu, wehewehe aku ma ka? Anoe? A me ka pyelocaliceal i hoʻomākaukauʻia, a me ka ureter like me ka hopena o ka nui mimi ninini.
5. Me keia degere o ka hoemi hakuʻala kuleana pili i. Kēia? Aaieou ua dictated ma ka thinning o ka 'Oihana, ka hana mimi.

symptoms

Eia naʻe, ka mea, he mea paʻakikī e huai ae i kekahi kakahiaka nui kahua o vesicoureteral reflux. Symptoms o ka maʻi i ana weluwelu. Ia mea ke kumu o ka maʻi ua loa olelo diagnosed ka wā ua ulu complications.

Eia naʻe, aia no he hui o symptoms, a hiki e manao kūpono 'ana o ka maʻi i loko o nā keiki:

• underweight pēpē ka kino i hanau;
• e hookaulua i physical ulu ana;
• hoʻohuikau o ka functioning o ka bladder.

Ma nā mākua, he uuku okoa hoike vesicoureteral reflux. Nā symptoms mea i emi iho i ka maʻi, e like me ka rula, i ka i kēia:

• urgently a pinepine i ke koi aku ia i ka mimi;
• eha discomfort i loko o ka abdomen paha pelvis;
• he uuku ka nui o ka mimi;
• mimi kia ao, a me ka inoʻala;
• i urination ikeia he ahi ka waiʻona ma;
• pele o ka mimi;
• koko i loko o ka mimi;
• pinepine nocturnal ke alaʻole, e hele i ka 'Ia;
• wela, ole;
• eha ma ka hope,ʻaoʻao lua penei.

complications o ka maʻi

Vesicoureteral reflux ke alakai i ka loa io hopena. Kēia pathology pinepine ke kumu no nā haumāna lesions hakuʻala. Nā loko pipili, aia no he worsening o ko lākou mau papa kuhikuhiE oihana - kānana.

E like me ka hopena o ka reflux mea he 'aʻe' o ka maʻamau no kona wehe 'o ka mimi. Mimi i loaʻa ka microbial flora, komo iloko o ka 'elele i loko o ka ureters a me nā puʻupaʻa. Nolaila, he mea mau he maʻiʻaʻai a me ka li nui i loko o nā nā loko.

Eia hou, i urination puʻe piʻina ma loko o nā pelvis wahi. Ua hiki aku ai i hou pōʻinoʻia i ka hakuʻala'aʻaʻa.

Wrinkling puupaa a sclerosis mea haawi ala i ka haumāna hypertension. Kēia pathology ka loa paʻakikī i ka pono. A pau keia kulana pinepine i, e wehe i ka hakuʻala me ka ureter.

ʻike, no ka maʻi

I ka paakiki pyelonephritis ua kēia vesicoureteral reflux. ʻike, ka loaʻa o ka helu o ke ana:

1. 'Amelika.
2. Ka Ikepili o ke koko a me ka mimi.
3. HI.
4. Cystourethrography. Ma ka catheter i loko o ka bladder loli ua hoʻolauna. Once ka mea, Ua piha, hana i ka moʻo o ka pana pua aku makou. X-kukuna hana i urination.
5. Intravenous pyelogram. Ma keia anamanaʻo, loli ke ikeia ma ka m-kukuna ka lawelaweia ana intravenously. Ma keia hihia, e pono e kali a hiki i ka waiwai o ke koko hele i nā puʻupaʻa, a bladder.
6. Nukelea kaʻimiʻana. Aʻano o radioactive mea i hoʻohana no ka anamanaʻo. Ka mea, i ke lawelawe 'ana i loko o ka bladder a me aa koko. Ke anamanaʻo Ua hoʻohana i ka ho oholo functioning o ka urinary nenoaiu.

'inikua therapies

Wale i ke kauka ke hooholo i ka papa kōnane hoʻonohonoho e hakakā i kēia pathology like vesicoureteral reflux. Lapaʻau ua nona ma ke kāpaeʻana i nā kumu o ka maʻi a me ka pale complications.

Ka loa loa no e hiki hoʻomōhala ma luna o ke kāʻei kua o ka maʻi, - he reflux nephropathy. Ke pathology mea he hoʻoʻino luku kaʻina 'ia i loko o ka hakuʻala parenchyma.

lapaʻau kou akamai hilinaʻi nui ma luna o nā kumu o ka maʻi a me kona oolea.

makeʻe kulana lapaʻau

Kēia tactic ka loa mana i loko o nā kuʻina kakahiaka o ka maʻi. No ana i hana vesicoureteral reflux i loko o nā keiki. I kanaka makua nā mea maʻi, i ka 70% o nā mea a pau hoʻomaka i ka hoʻoikaika 'ana.

O ka papa kuhikuhi hana o ka makeʻe kulana Inc mea 'eleu maʻiʻaʻai ana, e uhi ana i ka urinary nenoaiu.

Lapaau komo ai na kēia mau mea:

1. Physiotherapy. Events ke hoʻopau i ka metabolic abnormalities e ana i loko o ka bladder.
2. Ka hoʻokohu 'ana i antibacterial ai'. Ka mea, ua hookuuia e hoomanawanui i ka poe i diagnosed nā mea palahēhē ma ka urinary'āpana.
3. Eaioiuo. Nā mea maʻi i ikaika i ka manao e lawa e hooponopono. ʻai hoʻohuʻu kapu o ka pono o ke kumuʻiʻo a me ka paʻakai.
4. Catheterization o ka bladder.
5. Ka hoʻohana a antihypertensive ai '. Ka mea lawelawe i ka lapaʻauʻia i loko o ka hanana i ua hoomahuahua ia ka hoʻomanawanui puʻe like me ka hopena o ka PMR.
6. Paipai regular urination. O ia ana e ke hoʻokō kela 2 hola, irrespective no ke koi aku ia e hoʻohana i ka 'Ia.

Inā ka mea, ua kēia vesicoureteral reflux i loko o na keiki, lapaʻau e ia i loko o ka haukapila. Initially, hookolokolo aku la ia i ke keiki. Ma hope o hoomaopopo ana i ke kumu o ka maʻi, i hoakaka ia kūpono lapaau, e hoʻopau i ke kumu o ka maʻi.

Ma ka hihia o ka hōʻoiaʻiʻo aku o congenital anomalies i keiki paipaiʻoki kino.

endoscopicʻoki kino

ua paipaiʻia kēia kākoʻo a ina o ka makeʻe kulana iapaau ana, aole ia e haawi i ka makemake hopena kekahi me congenital abnormalities i loko o nā keiki. Eia naʻe Endoscopic? Iaea o vesicoureteral reflux ua lawe mai nō ma ka 1, 2, 3-la degere o ka maʻi. A me ka pono ma ka hihia, ina la i ka malamaia contractile hope o ka waha.

Kēia hana o ka minimally invasiveʻoki kino. Ua ninoieo i loko o ka eia. Ma lalo o ka lalo semicircle waha mai i ke kupaianaha e kanu pūʻia. Ua apono 'oe e kuhikihi ana i ka luna a me lalo lehelehe. E like me ka hopena, i ka OE ke keʻena ua hoʻokāʻoi antirefluxʻano papa hana.

ʻoki lāʻau lapaʻau lapaʻau

E wehe ana i io ma ka kēia hihia.

• ina i ole haawiia aole makeʻe kulana, aole hoi endoscopic lapaau i ka makemake hopena;
• pathologies 4 la, 5 la ka papahelu;
• ma ka hihia o congenital anomalies i loko o na keiki i hiki ole ke wehe endoscopically.

? Iaea o vesicoureteral reflux ua lawe mai i loko o ka hapanui hihia a pau, i ka hamama Oe. ʻO ka pahuhopu nui o kaʻoki kino - o ke kahua o ka mucousʻili lahilahi o ka bladder kahi o ka ureter ua IIeEeAIEUIeXAIIUE, ke koi 'ia e hooholo ia.

Ma hope o ia hana i ka mea kekahi ke'ākeʻakeʻa mai e malama i ka ureter a me ka bladder mai ka mimi lewa ia ia.

ʻoki lāʻau lapaʻau lapaʻau i nā maikaʻi hopena, e like me ka 'ikepili helu, 75-98% o na hihia a pau. Eia naʻe,ʻoki kino mea,ʻaʻole me ka keakea.

Ke downside o ke kaʻina hana:

• hooloihi ae i anesthesia;
• lōʻihi hoʻopulapula au;
• ma ka hihia o ka recurrence reoperation mea nunui hou huikau.

kāohi ana

Ina paha e makemake reflux iʻa ma luna o ko lākouʻaoʻao iho? Inā ka abnormality ua diagnosed i loko o ke keiki ma ka i kakahiaka nui ke kahua, e hiki anei e hele me ke ana a me ka ulu ana o ke keiki. Naʻe, ka mea pono, e malama i hunahuna mai exacerbations a me nā mea palahēhē. Inā mau hana hea halawai, kokoke 10-50% o nā keiki pathology i wahi kū kaʻawale. Akā, ia mea hiki ke haalele iho la i loko o ka'aʻaʻa scarring.

A lohe o TMR 3rd degere a oi aku e ole hilinai aku ma luna o ka hoʻoponopono-ia'na. Mau keiki i ka pono o ka pono Inc, i hoakaka ia ma ke kauka.

E pale aku i ke ana a me ka Holomua o ka PMR, e pono e:

1. Manawa e hana hoʻoʻino nā maʻi a pau o ka urinary nenoaiu.
2. Kekahi 'aʻe' ana o urination pono he OAXA aku i ke kauka.
3. Hapai wahine e eʻoiaʻiʻo, e kipa i kou kauka. Eia hou, i kekahi wahine e kali no kekahi keiki e hoopili aku i ke ola i ke Aloha Hawaii a me ka pono, nutritious ai.

PMR - keia mea he mea nui pathology. Keia maʻi E e hana i loko o ka kakahiaka kahua o ka hoʻonaʻauao, pale kona Holomua. No laila, pono, i kapa i ka poe o ke akamai.