Isinqe sezintso eyandisiweyo kuzalwa. pyelectasia zezintso emntwaneni

Xa wezifo mihla izifo eziqhelekileyo ezahlukeneyo kwenkqubo excretory. Kwaye ngamanye amaxesha ebudeni oogqirha yokujonga othintelo bathi isinqe zezintso eyandisiweyo kuzalwa. Ngokuqhelekileyo, uyayazi loo kubangela ukuba abazali ukuphakuzela uze ufune ulwazi olungaphezulu malunga nesi sifo. Ngoko ke yingozi njani na? Nokuba kunokwenzeka ukuba uqaphele iimpawu pyeloectasia wena? Yintoni unyango uya kufuna umntwana? Zeziphi iingxaki esi sifo esidityaniswe? Iimpendulo zale mibuzo kuya kuba luncedo abazali abaninzi.

isinqe sezintso: ntoni na? A uhambo olufutshane kulo nokwakheka

Yinto akukho mfihlakalo ukuba izintso zezifundo amalungu ebalulekileyo excretory. Kwaye ukuze baqonde oko pyelectasia kufuneka waqhelana ngokufutshane kunye iimpawu yokwakheka komzimba womntu.

Izintso - amalungu zidityaniswe esemva umaleko Parietal umntu peritoneum yomqolo empontshwa. Nganye kidney ngokogqunyelelwa capsule ashinyeneyo ezinezikhondo apho ibekwe ngqo ngaphantsi parenchyma equlathe kwento cortical kwaye palsy - oko kukuthi ngaphakathi emzimbeni, esembindini yazo inkqubo nokwanda kukhuthaza nomchamo.

Iziqalelo zincinane kwinkqubo leyo uluthi kwezintso, leyo badibane nabanye ukwenza ikomityi enkulu. Ngenxa yoko, i-complex wabumba amacwecwe ekuthiwa-isinqe sezintso. Yintoni na? Esi sakhiwo apho umchamo iyaqokelelwa ize kufakwa kulo ureter. Le ureters ekunene ekhohlo bayithwale ngqo lwesinye.

Xa sinokuthi isinqe sezintso landiswa? Nanjengokwesimo kwaye zokugula

Ngokuqhelekileyo, ukuze ukufumanisa ukuba ingaba ikhona na engaqhelekanga umntwana, kuyimfuneko ukuba bathelekise parameters kunye nemilinganiselo yokwakha. Ngoko ke yintoni ubukhulu kufuneka abe isinqe eqhelekileyo? Kuxhomekeka ubudala umntwana:

• olungekazalwa phambi kweeveki ezingama-32 kwezinga lokukhulelwa omalunga 4-5 mm;
• umbungu kwiiveki 32-36, la manani kufuneka ilingane 7-8 mm;
• ubukhulu isinqe usana olusanda kuzalwa mayingagqithi 7 mm.

Ngoko ke yintoni pyelectasia? Le ngezifo luphawulwa ukwandiswa isinqe sezintso. Kufuneka ngoko nangoko kuqatshelwe ukuba oku sisifo ozimeleyo - yinto ngenxa mgaqweni ekhoyo kwenkqubo womchamo. Hi ndlela leyi, le ngezifo kunokwenzeka zombini phambi nasemva kokuzalwa komntwana.

ngezigaba izifo

Cazulula sifo ngeendlela ezininzi. Umzekelo, pyelectasia umntwana tye-sasekhohlo, ekhohlo-enamehlo kabini kabini. Ukongeza, kuthathelwa ingqalelo unobangela kunye nexesha isinqe ukwanda, ukwabelana ngesifo kwi:

• ulwandiso azalwa organic (isiphumo esingaqhelekanga Palsy ngamalungu womchamo);
• semvelo ulwandiso olutshintshatshintshayo - ukuphazamiseka ezinxulumene kunye nencindi umchamo lidla sifo kwiintsana;
• zezintso ezifunyenwe a pyelectasia umntwana - emva kokuzalwa ngenxa yokwenzakala amalungu wokuchama okanye ukudumba kwinkqubo excretory;
• yaziwa ulwandiso olutshintshatshintshayo - nâzo encwadini urolithiasis okanye ubukho yamathumba.

Eyona eziphambili ezibangela wophuhliso izifo

Ukuba ngexesha bekuhlolwa inkcitho kufunyaniswe ukuba isinqe sezintso eyandisiweyo usana, kubalulekile ukukhangela unobangela woko. Njengoko umthetho, ubungakanani utshintsho kungenxa kukwaphula nencindi umchamo - ulwelo oluhlala kwi isinqe sezintso inkqubo kwezintso, ebangela ukwanda yayo. Kwelinye icala, ukuphuma kakuhle kolwelo na ezinxulumene ezimbi ezahlukeneyo.

Izizathu ziquka licuthe le ureter okanye inflection. Ngamanye amaxesha, ngenxa yezizathu ezahlukeneyo, iyunithi vana ureteropelvic compound kahle, apho umchamo iqalisa ukuba yande kwi kwizintso. Pyelectasia umntwana esinxulunyaniswa nobuthathaka imisipha - ibonwa phakathi iintsana ngaphambi kwexesha.

Ngamanye amaxesha iimpahla ureters ukwazi okanye ezinye izigqeba ezikufutshane, ingakumbi xa kukho iintlobo ukungaqheleki Palsy. Imiba yomngcipheko zibandakanya ubukho yamathumba (kuquka ingozi) kunye urolithiasis kuba organic okanye izimbiwa ukubunjwa na occlude le mithambo le ureters, ukuphazamisa ukugeleza kwamanzi.

Oku kubonakaliswa ukuba kukho yofuzo kunye ezithile. Imiba yomngcipheko zibandakanya enzima ngexesha lokukhulelwa (ubukho pre-eclampsia, eclampsia), kwakunye ukudumba nokoyika izintso unina ngexesha yokumitha.

Zeziphi iimpawu zesi sifo ihamba?

Pyelectasia umntwana ngokuqhelekileyo kwenzeka kungekho naziphi na iimpawu. Ngamanye amaxesha kuyenzeka ukuba uqaphele iimpawu non-ethile - usana ukhala, ngamanye amaxesha ulahlekelwa ukutya, uba noko amnye ebantwini.

abantwana abadala maxa wambi akhalaze kabi esiswini nakummandla empontshwa. A buhlungu syndrome kunye nobunzima ukuchama kwakhona kunokwenzeka, kodwa idla ezinxulumene ne iingxaki pyeloectasia, kubandakanywa ukwakheka yamatye kidney okanye uphuhliso kwezifo arhabaxa.

Le pyelectasia eyingozi? engaba khona

Kwiimeko ezininzi, izintso umntwana pyelectasia ebubonisayo. Noko ke, kukho amathuba iingxaki, ke ngoko, ukuba uludwe lwabo kufuneka ufunde:

• Ngenxa yengcinezelo enyuka esinyini nande ngokukhawuleza ureter (megaureter) kunye stenosis elandelayo.
• Amakhwenkwe ngamanye amaxesha waphawula valvular ngomva urethra.
• Ezinobuzaza ziquka reflux vesicoureteral, apho kukho flow ukubuya umchamo kwi izakheko zezintso.
• Ekweneni ureters (urethrocele), nto leyo ebangela nokuphazamiseka ukuchama obuqhelekileyo.
• Ukuba ukwanda isinqe kwezintso, oko kudala iimeko zokuphuhliswa amatye zezintso ebantwaneni.
• Hydronephrosis - a leengxaki apho kukho ulwandiso esikhawulezileyo ye isinqe kwezintso, lo ureter ugcina yeqhelekileyo.
• Ureter ukuze kweyela urethra okanye ikuku (ectopia).
• Uphazamiseko ukugeleza umchamo kungakhokelela kuphuhliso pyelonephritis kunye sezintso ijwabu sclerosis.

Sokuxilonga Pathology Methods

Ndazi njani ukuba isinqe sezintso eyandisiweyo kuzalwa? Oku kungenziwa ngokusebenzisa ultrasound wezintso kwaye kwisisu peritoneal. Hi ndlela leyi, Ngokwezibalo, ekunene kidney linayo kaninzi ngaphezu ekhohlo. Kukho omnye umthetho - ngenxa yeempawu komzimba kunokwenzeka ngakumbi ukuba pyeloectasia amakhwenkwe. Kwelinye icala, bakholisa ukuba unesifo sisifo wobulali, leyo ngokukhawuleza uya kude ngokwayo.

Ukongeza, iimviwo X-reyi kuqhutywa, kuquka cysto- kunye urography. Ngokwesiqhelo, ubungakanani isinqe emva ukuchama kufuneka itshintshwe - yenye ngaphezulu uphawu lwe sisifo zafunyanwa ngexesha iimvavanyo.

Le ukuhlukunyezwa zingabonakala nokuba phambi kokuba umntwana azalwe. Ukususela kwiiveki 17 zokukhulelwa ngethuba loviwo ultrasound i ugqirha onamava siqaphela utshintsho ubukhulu isinqe sezintso.

Ingaba kukho naluphi na unyango olusebenzayo?

unyango intrauterine of thole ayifumaneki. Kaninzi, njengoko ukukhula kunye ingxaki Palsy liyalahleka ngokwayo phambi kokuzalwa. Ukuba isinqe kwezintso eyandisiweyo usana, ugqirha emva izifundo angenza irejimeni yonyango olusebenzayo.

Kakade ke, ukunciphisa ubungakanani isinqe usebenzisa iziyobisi akunakwenzeka. Kwaye ngenxa yokuba unyango ngamachiza liye lancitshiswa ekufumaneni iziyobisi lula ukuhamba ngumchamo. Unyango kuxhomekeke kubukho iingxaki. Xa ukudumba elimisiweyo amachiza anti-ukudumba, xa urolithiasis - kuthetha ukwazi ukunyibilikisa ukusekwa kwezimbiwa amancinci nokukhawulezisa zinomgutyulo zabo.

Rhoqo emva kweenyanga ezintathu, kufuneka aphumelele ukuxilongwa cuke. Ngoko ke ugqirha uyakwazi ukulandelela Dynamics esi sifo. Ngokutsho manani, kwiimeko ezininzi pyelectasia uqobo isinqe ubungakanani nabuyela eziqhelekileyo njengoko umntwana ekhula.

Kwiimeko ezininzi kakhulu zifuna uqhaqho. Surgery iboniswe kwiimeko apho ngezifo liyaqhubeka inkqubela, yaye ngenxa yoko kakuhle umsebenzi zezintso. Le siboniso ubukho iingxaki, kuquka reflux vesicoureteral, ectopia, urolithiasis. Ngokuqhelekileyo, ubuchule endoscopic yotyando asetyenziswa, leyo ukunqanda utyando evulekileyo ixesha elide yesiqhelo.

Uthintelo yobunzima

Ngelishwa, naziphi na amanyathelo othintelo ayikho. Kakade ke, umama okhulelweyo kufuneka esweni ngenyameko imo yempilo, ngoko nangoko kufumana unyango lwezifo ezithile ukudumba, kwaye hayi ukuba umlibale ultrasound routine Palsy. Ukuba nemvelo ene Esibelekweni, ugqirha wakho uya kubeka esweni ngenyameko imeko usana, nto leyo eza kunceda ukuba siphephe iingxaki.

Imithetho efanayo kufuneka ilandelwe, yaye emva kokuzalwa kosana - qho kwiinyanga 3-6 ukwenza ultrasound kwenkqubo genitourinary.