Bilateral hydronephrosis

Bilateral hydronephrosis bụ ịbawanye akụkụ nke akụrụ na-anakọta mmamịrị. Bilateral pụtara akụkụ abụọ.

Bilateral hydronephrosis na-eme mgbe mmamịrị enweghị ike ịmịpụ akụrụ n'ime eriri afo. Hydronephrosis abụghị ọrịa. Ọ na - apụta n'ihi nsogbu na - egbochi mmamịrị ịpụ site na akụrụ, ureters, na eriri afo.

Ọrịa jikọtara na bilaneral hydronephrosis gụnyere:

• Nnukwu uropathy nke na - egbochi onwe gị - igbochi akụrụ na mberede
• Ihe mgbochi eriri afọ - mgbochi nke eriri afo, nke na-anaghị ekwe ka drainage
• Ọrịa uropathy na - egbochi onwe gị - na - emechi akụrụ ngwa ngwa na - esitekarị na nkwonkwo na -
• Neurogenic eriri afo - emezighituri arụ eriri afo
• Posterior urethral valves - flaps na urethra nke na-eme ka ihe na-adịghị mma nke eriri afo (na ụmụ nwoke)
• Ọrịa afọ prune - eriri afọ na-emefu nke na-eme ka afọ ghara ime
• Retroperitoneal fibrosis - akwa ọnya na-egbochi ureters
• Ureteropelvic nkwụsị - igbochi akụrụ na ebe ureter na-abanye akụrụ
• Vesicoureteric reflux - ndabere nke mmamịrị si eriri afo ruo akụrụ
• Proterio nke nwoke - mgbe eriri afo ahụ na-agbadata ma na-abanye n'ime mpaghara ahụ. Nke a na - akpata kink n’akwara mamịrị, nke na - egbochi mamịrị ịkọ pụọ na eriri afọ ahụ.

N'ime nwatakiri, a na-ahụkarị ihe ịrịba ama nke nsogbu tupu ọmụmụ nwa n'oge ultrasound ime.

Ọrịa mamịrị na nwa amụrụ ọhụrụ nwere ike igosi mmechi na akụrụ. Otu nwatakiri okenye nke na-arịa ọrịa urinary kwesịrị ka enyocha ya maka mgbochi.

Ọnụ ọgụgụ dị elu karịa ọrịa urinary na-abụkarị nanị mgbaàmà nke nsogbu ahụ.

Ihe mgbaàmà ndị okenye na-enwekarị nwere ike ịgụnye:

• Azụ mgbu
• Ọgbụgbọ, vomiting
• Ahụ ọkụ
• Mkpa urinate mgbe
• Mbelata mmepụta mmamịrị
• Ọbara na mmamịrị
• Urinary ekweghị

Ule ndị a nwere ike igosi bilaneral hydronephrosis:

• Nyocha CT nke afọ ma ọ bụ akụrụ
• IVP (eji obere oge)
• Ime ime (nwa ebu n'afọ) ultrasound
• Renal scan
• Ultrasound nke afọ ma ọ bụ akụrụ

Tụnye ọkpọ n'ime eriri afo (Foley catheter) nwere ike mepee mgbochi. Usoro ọgwụgwọ ndị ọzọ gụnyere:

• Igbapu eriri afo
• Na-ebelata nrụgide site na itinye tubes n'ime akụrụ site na akpụkpọ ahụ
• Cingtụkwasị a tube (stent) site na ureter na-ekwe ka mmamịrị si na akụrụ na eriri afo

Ekwesiri ichota ihe kpatara kpatara mgbochi ahụ ma gwọọ ya ozugbo enwere mmamịrị nke mmamịrị.

Gerywa ahụ emere mgbe nwatakịrị nọ n'afọ ma ọ bụ obere oge mgbe amuchara nwa nwere ike ị nweta nsonaazụ ọma iji melite ọrụ akụrụ.

Nloghachi nke akụrụngwa nwere ike ịdị iche, dabere n'ogologo oge mgbochi ahụ dị.

Achọpụtaghị mmebi akụrụ nwere ike ịpụta site na ọnọdụ na-akpata hydronephrosis.

Nsogbu a bụ nke ndị nlekọta ahụike na-ahụkarị.

Otu ultrasound n'oge afọ ime nwere ike igosi mkpọchi na urinary tract nke nwa ahụ. Nke a na-enye ohere ịgwọ ọrịa ahụ site na ịwa ahụ n'oge.

Enwere ike ịchọpụta ihe ndị ọzọ na-akpata mkpọchi, dịka nkume akụrụ, ma ọ bụrụ na ndị mmadụ achọpụta ihe ịrịba ama ịdọ aka ná ntị nke nsogbu akụrụ.

Ọ dị mkpa ị paya ntị na nsogbu izugbe na urination.

Hydronephrosis - bilateral

• Nwanyi urinary tract
• Nwoke urinary tract

Okenye JS. Mgbochi nke urinary tract. Na: Kliegman RM, Stanton BF, St. Geme JW, Schor NF, eds. Nelson Akwụkwọ ọgụgụ nke Ọrịa edimụaka. Agba nke 20. Philadelphia, PA: Elsevier; 2016: isi 540.

Frøkiaer J. Urinary tract mgbochi. Na: Skorecki K, Chertow GM, Marsden PA, Taal MW, Yu ASL, eds. Brenner na Rector nke akụrụ. Nke iri. Philadelphia, PA: Elsevier; 2016: isi 38.

Gallagher KM, Hughes J. Urinary tract mgbochi. Na: Feehally J, Floege J, Tonelli M, Johnson RJ, eds. Comprehensive Clinical Nephrology. Nke isii. Philadelphia, PA: Elsevier; 2019: isi 58.

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.