Retroperitoneal fibrosis

Retroperitoneal fibrosis bụ nsogbu na-adịghị ahụkebe nke na-egbochi tubes (ureters) nke na-ebu mmamịrị site na akụrụ gaa na eriri afo.

Retroperitoneal fibrosis na-eme mgbe ụrọ fibrous na-etolite na mpaghara n’azụ afọ na eriri afọ. Anụ ahụ na-etolite igwe (ma ọ bụ ọtụtụ) ma ọ bụ anụ ahụ siri ike fibrotic. Ọ nwere ike igbochi akpa ndị na-ebu mmamịrị site na akụrụ ruo na eriri afo.

Ihe kpatara nsogbu a bụkarị amaghị. Ọ na-arịakarị ndị dị afọ 40 ruo 60. Menmụ nwoke nwere ike ịrịa ọrịa ahụ okpukpu abụọ karịa ụmụ nwanyị.

Mgbaàmà mbụ:

• Ihe mgbu na-adị n’afọ n’afọ na-abawanye n’oge
• Mgbu na mgbanwe agba na ụkwụ (n'ihi na ọ na-erugharị ọbara)
• Ọzịza nke otu ụkwụ

Mgbaàmà ndị ọzọ:

• Mbelata mmepụta mmamịrị
• Enweghị mmamịrị (anuria)
• Nausea, agbọ agbọ, mgbanwe ọnọdụ uche nke ọdịda akụrụ na nrụpụta kemịkal na-egbu egbu n'ime ọbara
• Oké mgbu mgbu na ọbara na stool (n'ihi ọnwụ nke nsia anụ ahụ)

Ọkpụkpụ CT nyocha bụ ụzọ kachasị mma iji chọta ọnụ ọgụgụ azụ.

Nyocha ndị ọzọ nwere ike inyere aka chọpụta ọnọdụ a gụnyere:

• BUN na nyocha ọbara creatinine
• Intravenous pyelogram (IVP), ọ bụghị dị ka a na-ejikarị
• Akụrụ ultrasound
• MRI nke afọ
• CAT nyocha nke afọ na retroperitoneum

A pụkwara ịme biopsy nke uka iji wepụ ọrịa kansa.

A na-ebu ụzọ nwaa Corticosteroids. Fọdụ ndị na-ahụ maka ahụike na-ekwukwa ọgwụ akpọrọ tamoxifen.

Ọ bụrụ na ọgwụgwọ corticosteroid anaghị arụ ọrụ, a ga-eme biopsy iji gosipụta nchoputa ahụ. Enwere ike ide ọgwụ ndị ọzọ iji gbochie usoro ahụ ji alụso ọrịa ọgụ.

Mgbe ọgwụ adịghị arụ ọrụ, achọrọ ịwa ahụ na stents (tubes tubes).

Echiche ga-adabere na oke nsogbu ahụ na oke mbibi akụrụ.

Akụrụ mmebi nwere ike ịbụ nwa oge ma ọ bụ na-adịgide adịgide.

Nsogbu a nwere ike ibute:

• Mkpọchi na-aga n'ihu nke tubes na-esite na akụrụ na otu ma ọ bụ n'akụkụ abụọ
• Adịghị ala ala akụrụ

Kpọọ onye na-enye gị ọrụ ma ọ bụrụ na ị nwere obere afọ ma ọ bụ akụkụ mgbu na obere mmamịrị nke mmamịrị.

Gbalịa izere iji ogologo oge eji ọgwụ nwere methysergide. Egosiputara ọgwụ a na-akpata retroperitoneal fibrosis. Methysergide na-eji oge ụfọdụ ịgwọ isi ọwụwa migraine.

Idiopathic retroperitoneal fibrosis; Ọrịa Ormond

• Usoro urinary nwoke

Comperat E, Bonsib SM, Cheng L. Renal pelvis na ureter. N'ime: Cheng L, MacLennan GT, Bostwick DG, eds. Urologic ịwa ahụ Pathology. Agba nke anọ. Philadelphia, PA: Elsevier; 2020: isi 3.

Nakada SY, kacha mma SL. Nchịkwa nke urinary tract mgbochi. Na: Wein AJ, Kavoussi LR, Partin AW, Peters, CA, eds. Ulology nke Campbell-Walsh. Nke 11. Philadelphia, PA: Elsevier; 2016: isi 49.

O’Connor OJ, Maher MM. The urinary tract: nnyocha nke anatomy, usoro na okwu radieshon. Na: Adam A, Dixon AK, Gillard JH, Schaefer-Prokop CM, eds. Ihe omimi Radiology nke Grainger & Allison: Akwụkwọ ọgụgụ nke Imaging Medical. Nke isii. Philadelphia, PA: Elsevier Churchill Livingstone; 2015: isi 35.

Shanmugam VK. Vasculitis na arteriopathies ndị ọzọ na-adịghị ahụkebe. Na: Sidawy AN, Perler BA, eds. Herwa Ahụ nke Vascular Rutherford na ọgwụgwọ Endovascular. Agba nke 9. Philadelphia, PA: Elsevier; 2019: isi 137.

Turnage RH, Mizell J, Badgwell B. Mgbidi afọ, umbilicus, peritoneum, mesenteries, omentum, na retroperitoneum. Na: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Akwụkwọ Sabiston nke gerywa Ahụ. Agba nke 20. Philadelphia, PA: Elsevier Saunders; 2017: isi 43.