Kodi mungachiritse matenda a impso a polycystic?

Nthendayi yomwe imatanthawuza kuti piritsisitiki imatanthawuza za kukhalapo kwa khungu lalikulu mu impso. Ngati mumalumikizana ndi mawuwa, matenda a impso a polycystic ndi matenda omwe amafalitsidwa pakubereka, ndiko kuti, congenital ndipo amadziwika ndi kukhalapo kwa mphuno mu impso zonse ziwiri. Ichi ndi chosowa chodziwika kawirikawiri cha mtundu uwu ndipo sichiphatikizidwa ndi zolakwika zofanana, polycystic chiwindi, ndi matenda a polycystic pulmonary. Matendawa ndi a chibadwa, zomwe ndizo, banja lonse likudwala, monga lamulo. Kaŵirikaŵiri kuchokera ku polycystosis amavutika ndi impso zonse. Ndili ndi vutoli, mapangidwe a mphutsi amawonekera pa siteji ya impso yachiwiri, yomwe imakhala chifukwa cha kusagwira ntchito kwachinsinsi cha impso yaying'ono kwambiri ya nephron. Izi zikutanthauza kuti zikhalidwe monga impso polycystic zimayambitsa stenosis ya tubal renal ndi kuwonjezeka kwa mavuto mwa iwo. Zida zopangidwa ndi urea, uric acid, salt ndi zina zotengera magazi. Kuphatikizika kwa mitsempha ya impso ndi mphutsi kumapangitsa kuti mpweya wake ukhale ndi njala komanso kuchepa kwa moyo wonse. Ndipo motero, titatha kufotokozera zamatsenga, tingathe kuganizira mmene tingagwiritsire ntchito polycystosis ya impso, komanso tizilombo toyambitsa matenda a matenda, kuchipatala komanso matenda a symptomatology.

Pathologically, pali mitundu iwiri ya matendawa: wamkulu ndi wamng'ono. Impso ya polycystic ikhoza kuthekera ndi jini loyambirira la autosomal, lomwe ndilo, linachokera kwa kholo kupita ku mwana, chabwino, kapena cholowa mwa mtundu wa magetsi-omwe amatha kusamalira, zomwe ndizo, pamene makolo onsewo ali odwala matendawa. Matenda a polycystic amapezeka chifukwa cha kuphwanya maonekedwe a impso kapena mapangidwe ake ndi kuika zizindikiro pakapita nthawi, ndipo nthawi zina amangokhalira maselo ang'onoang'ono kuti athe kugwira ntchito ya impso. Nkhokwe zimapangidwanso pamene palibenso kugwirizana pakati pa tubal ramalonda ndi glomeruli kapena ngati ali opunduka.

Ndi chizindikiro chiti chomwe chingatsutse pamaso pa matendawa ndi kuthandizira kumvetsetsa: momwe mungachiritse polycystosis ya impso za izi kapena kunyalanyaza kwake? Izi ndi zizindikiro monga ululu wowawa komanso wopweteka m'deralo, kuthamanga kwambiri kwa magazi, kunyoza ndi kusanza. Izi ndi mndandanda wa zizindikiro zomwe wodwalayo angazizindikire, ndipo zizindikiro zomwe zimapezeka m'ma laboratori zikuphatikizapo kukhalapo kwa zizindikiro za matenda m'magazi (leukocytosis, lymphocytosis, ESR pang'ono kuwonjezeka) ndi hematuria (magazi mumtsuko) ndi pyuria (pus mu mkodzo). Ku chipatala, mwachidule, mungathe kunena mawu ochepa. Kulongosola kwa mawonetseredwe a chipatala m'nkhaniyi ndikofunikira kwambiri, monga momwe zidzakhalire m'munsimu, chithandizo cha impso za polycystic ndicho chizindikiro, chomwecho, mankhwala osankhidwa omwe amachotsa zizindikiro za matenda. Ntheura, impso za polycystic kwa ana aang'ono ndizoipa kwambiri, nthawi zambiri zowonongeka sizikukondweretsa, zotsatira za matenda ndi imfa ya mwanayo kuchokera ku uremia (kudzipweteka kwa thupi chifukwa chosowa ntchito). Kwa akuluakulu, matenda a impso a polycystic amatha pang'onopang'ono ndipo amagawidwa magawo atatu: malipiro, malipiro, malipiro. Gawo lirilonse liri ndi zikhalidwe zake. Pa gawo loyamba la matenda a impso a polycystic, ndiko kuti, mu siteji ya malipiro, zizindikiro sizinayesedwe ndipo, motero, palibe zodandaula kuchokera kwa wodwala. Pachigawo chachiwiri, malipirowa, alipo kale zizindikiro za kuchepa kwa chiwindi. Ludzu lopweteka, pakamwa youma, mutu umakula kwambiri, kuwonjezeka kwa magazi kumakhala kovuta. Pali pyesis ya cysts, yomwe imaphatikizapo zipsera, malungo, pofufuza magazi leukocytosis ndi kuwonjezeka kwa ESR. Miyala yomwe ingakhale mu impso ingayambitse kupweteka kwa colic. Ndipo pamene matendawa amapita ku siteji yachitatu, chiwindi chimayamba. Panthawiyi, matendawa ndi ocheperapo kusiyana ndi awiri oyambirirawo. Matendawa amatha zaka zambiri, zomwe zimabweretsa chitukuko cholephera. Kuwonongeka kwakukulu kwa chikhalidwe cha wodwalayo kumachitika mwamsanga pambuyo pa kulumikizana kwa matenda achiwiri, mwachitsanzo, SARS, fuluwenza ndi zina zotero. Mwamwayi, pambuyo pozindikira kuti matenda a impso a polycystic, moyo wa odwala ndiwopitirira zaka zoposa 15.

Pankhani ya chithandizo cha impso zokhudzidwa ndi polycystosis, imachiritsidwa mwachizindikiro, ndiko kuti, palibe mankhwala enieni oyenerera onse. Ngati wodwalayo sakudziwa, komanso kuti palibe matenda aakulu a impso, ndiye kuti adokotala amatipatsa zakudya zopatsa thanzi. Kuthamanga kwa magazi kumapereka mankhwala omwe amachepetsa kuthamanga kwa magazi, ngati wodwalayo ali ndi pyelonephritis, mankhwala opha tizilombo komanso mankhwala ozunguza bongo. Kuchetsa kwa cysts ndi kukhalapo kwa miyala mu tubules kungapangitse opaleshoni yopita. Ngati makina osakaniwa amapezeka, ndiye kuti chotsani madziwo ndi kutuluka. Ndondomekoyi imaperekedwa pansi pa chithandizo cha anesthesia. Pambuyo pa kutaya mtima, singano yopanda kanthu, imapyola ndi kupyoza impso, ndipo madzi amatha kuyamwa, singano yomweyo imatengedwa kuti ipite kukayezetsa. Osati njira zonse zothandizira matendawa zimachotsa zizindikiro zonse za matendawa ndi kuchiritsa machiritso, matenda a wodwala, chipatala cha matendawa chimadalira mazirawo, kukula kwake, kuwonongeka kwake. Chochitika choipitsitsa kwambiri, ngati impso zimasowa kukonza mkodzo, ndiye kuti impso yokhazikika ndi hemodialysis ikufunika, yomwe ikutsogolera impso. Mwamwayi, ndi matendawa, kudzipiritsa kumangowonjezera mkhalidwe wa wodwala komanso matenda ake. Mulimonsemo, kuphulika kwa impso kumayenera nthawi yomweyo kukafunsa dokotala. Ndikumva ululu m'dera la lumbar, hematuria ndi kukhalapo kwa matenda a mkodzo, musamapite kwa dokotala pang'onopang'ono. Eya, ngati njira yowonetsetsera, mungadziwe ngati muli ndi achibale anu omwe adakhala kapena akudwala matenda a impso a polycystic. Pamaso pa nthenda yoteroyo, muyenera kuyesedwa mosaganizira bwino ndipo musamawerenge pang'onopang'ono. Kumbukirani kuti ngati wanyalanyaza kapena wanyalanyaza matendawa, wodwalayo ali ndi mwayi (25%) kutumiza matendawa kwa mwana wamtsogolo.