Nephroptosis whatukuhu: tohumate me te maimoatanga. E kai hoatu i roto i te tūroro ki te nephroptosis tākihi?

E mea tu'ati whekau tangata katoa ki ia atu. Ka āta whakarite tēnei i te homeostasis (tamau o te taiao ā-) o te tinana, pera e tika ana mo te mahi tika o ngā pūtau katoa. Matua ki ngā pūnaha tautoko taimau tino (kawatanga, pāmahana, kukū o ngā katote) ngā Cardiovascular me te mimi. Mai te tuatahi o e whakarato ana toto tohanga, te reo ahurea matua, me te tuarua - te tohatoha o metabolites faufaa, inu me te tāoke.

Ko te tūranga o te whatukuhu i roto i te tinana

I para tuatahi, te mea nui iti nui atu i, mea, romahā ranei Cardiovascular pūnaha mimi. I muri iwi nui ora ata me ki te tākihi mokemoke, i mārama pānga te ngaro o tetahi pūkahukahu ngakau ranei transplant i runga i te huru o te manawanui. Heoi, ko te pōhēhē noa tenei no te mea o te täkihi rite hohoro mate he tangata rite i romahā cardiac ranei. A tupu te reira no te mea o te toksinemii uira-vitiviti, no te mea ko te tuatahi "tātari" o te tinana nga tinana e rua, me nga ra e mäminga ratou i roto i pinepine o rita o toto, neutralizing matū mōrearea, me te tango ratou ki te taiao.

mahi pūkoro

I tua atu ki tenei, nga whatukuhu mau tonu tamau pēhanga toto i roto i te noa, me te toto mate, a i roto i a ratou, ko te regulator ariki o te tohu - te pūnaha renin-angiotensin-aldosterone (RAAS). Hoki, e tika ana ki te uruhanga whiriwhiri o nga tōiti ki te parenchyma o tenei okana whakaratohia e toenga secretory o electrolytes rerekē me wähanga osmotic i roto i te toto me te kopa: konutai, pāhare pāporo, konupūmā, konupora, kūhuka, te pūmua, waikawa, me te tini ke atu. E whai wāhi ana hoki ratou i roto i erythropoiesis, rite he reira hua ratou taonga erythropoietin motuhake - he stimulator o ariā o ngā pūtau toto whero i roto i te hinu wheua wheua.

anatomy tākihi

E takirua ēnei okana me e kei roto i te rohe lumbar i tetahi taha o te tīwae tuaiwi. He pīni-ahuahu, me te anga i te wahi piko ki tetahi ki tetahi ratou, me enei depressions "kuwaha", ngā ratou pera me raru putanga Vienna, awa mimi me oko lymphatic. Ēnei hanganga kore anake ki te kawe i roto i te utu o matū nga whatukuhu, engari mahi ano hoki hei wāhanga o te pūrere maukati. Roto enei tinana i te hanganga matatini: tīmata reira katoa ki te waepuha glomerular capillary, i roto i nei, i roto i te meka, tātaritia te toto te. Ratou i roto i te tākihi ko tetahi miriona, a atu neke ratou i roto i te tubule, e puta atu reabsorption kukū toto o te wai, waikawa amino, te kūhuka me tai, ai te mea rite hoki mimi tuarua kē te rere.

roma mimi

I tua atu, haere te reira i te ara roa, e kohikohi ana i roto i kapu iti, me te ka nui, me papatoiake tākihi, a te mutunga manga ki te awa mimi, te tōngāmimi, me te mutunga i roto i te taiawa mimi excreted. Ko te kupu, ia o te pūnaha mimi te tari he ona ake mahi, a ka taea e disorders motuhake puta i roto i tetahi o ratou, ārahi ki te kore o te mahi. Tenei, mo te tauira, tākihi ranei nephroptosis hydronephrosis, pyelonephritis, glomerulonephritis, urolithiasis, stricture congenital, urethritis, cystitis, me ētahi atu. I roto i tenei tuhinga, ka arotahi atu ïa tatou i runga i te mate tuatahi, Heoi, i mua i puta ki te whakaaro i te reira, e hiahia ana koe ki te ako i etahi atu āhuatanga o te hanganga o te tinana.

whakatika tākihi

E tū ana i roto i te retroperitoneum, a na reira i te pūrere whakatika motuhake ki te tautoko ano i runga i te taumata kotahi (i runga i te rei 12 ki te pekehoe lumbar 2). Kei roto te reira i hipi peritoneal (tākihi matau - e tika ana ki nga aho ate duodenal-ate, me te tākihi, me te maui - diafragalno-colonic tika) motuhake ratou moenga uaua kikokiko, oko (whakahuatia mua), fascial taputapu ngako (tohu he plurality o kurupae me toru takotoranga fascial, tahi te hanga i te "papa ngohengohe" me te tautoko mārō) me te pēhanga kōtuitui-puku, whakarato te ngaohiko uaua taiepa puku. Ko te kupu, Kei te feunga piri whakaritea enei whekau i roto i te rohe lumbar. I roto i tenei take, kei te tākihi tika te paku raro te maui, a ka he rawa fakamālohisinó tonu ratou: tenei kaha tīwera i te mahi romahā, ka taea e haere ratou ki runga, me te iho e 1-2 cm, engari i roto i etahi pānga pathological tua atu i te hōkai o te 2 cm, a ka haere ratou ki raro i raro i te rohe noa ko te huru i huaina nephroptosis me whatukuhu.

Etiology me te mōrea āhuatanga

Ko nekeneke rerekē atu noa i roto i nga wahine no te mea kei te āhuatanga ratou e te taputapu kurut nape nui i roto i te rite ki nga tangata, a ka taea e haere mai i te whānuitanga o ngā take, tetahi ara tetahi take ngoikore o te pūrere maukati ranei. Ka taea e whatukuhu nephroptosis Tuatahi meinga:

• mate taimaha koi, e tika ana ki nei riro te kikokore te capsule tinana ngako, a ka riro te reira atu inu;
• whara o te rohe lumbar fascia puku ranei ofati whatukuhu uaua moenga te tapatahi destructuring ranei, hei tauira, maha tahi nephroptosis tākihi kanokanototo retroperitoneal ngaukino;
• aranga ki taimaha koi hākinakina ngaio ranei, i roto i nei i reira ko te mānukanuka kaha uaua, me te pēhanga ake i kōtuitui-puku, ko tenei take tuhonohono totoro tonu i raro i te mana o e te tupu e taea paheke i roto i te tūranga o raro;
• te ngoikore o te taputapu uaua, i te tahi atu te ringa, Whakahekea te pēhanga toto, me te whakatika te taka ano hoki ona mahi, i te mea he aha kia maha haere nephroptosis me te hapū āhua hypodynamic ranei ringa i roto i te ringa;
• i roto i te tua ki te take i runga ake-whakahuatia riro ai nui haere whārōrō me te kopa hei te hua o te predisposition ira, hei tauira, mate o te kiko tūhonohono.

tohu

faaiteraa Haumanu taea te wehea Nephroptosis ki ngā wāhanga. Ko te kupu, ka tuku iho te tākihi pānga tuatahi te ki 4-6 cm i roto i te tūnga poutū o te manawanui, me te aunoa hoki i tona whakawhitinga ki te whakapae. I tenei wā, anake ai te manawanui whakararuraru mamae nagging i te taha pāngia o te hope, ka ara taimaha, me kohakoha tinana korerotia. Nephroptosis mahue he iti noa atu i te tika tākihi, no te mea he reira physiologically teitei, na tohu i roto i te nuinga i reira kei roto i te wāhi tika. Ki te i tenei wā ngaro te mate te, kauneke reira a taea te okana pānga heke ki te taumata o te pito. Na kitea i roto i te wā tuarua nephroptosis tākihi matau, tohu o tona whaiaro kore whakaiti i te tinana, me te mea he kaupapa ā-i roto i tona moenga. koe'uhi ko mamae i tenei wā, me wehea tata te puku katoa, me te ngaro ka te whakaiti whatukuhu, me te hanga i te tūnga whakapae anake.

tukanga rere

He nui atu paoro ko nephroptosis e rua whatukuhu, e taea te whakawhanake i tenei wā, kia rite ki te tikanga, e tika ana ki te predisposition ira. I te tohu o te tinana ptosis mamae papatoiake ka kua riro auau ki, i reira e noa i okiokinga, a kore e attenuated i roto i te tūnga whakapae, rite te tākihi kore e taea ki te hoki ki tona tūranga pūnoa ka tikanga momo mate taua ore. fakamanamanai te reira i te whanaketanga o pōauautanga nui pērā i hydronephrosis, takawhita matua, colic tākihi tika ki urolithiasis, me te te okana turoro kei te nui māmā kitea ki e piki mate, kia reira he pyelonephritis.

tātaritanga o te mate

Ki te te manawanui he hanga kikokore, ka taea e hāngai ana tonu te tākuta nephroptosis parenga i runga i amuamu kohia hītori me te palpation o te tākihi roto i te taiepa puku.

Heoi, ko reira ngā taea mō ngā tūroro ki te mōmona ranei ki puku uaua. Next, i runga i te pūtake o ngā tohu o te manawanui whangai Nephroptosis ki te wāhanga tuatahi o te rangahau - rangahau Radiography fluoroscopy ranei ki te taea ki te tāutu i nekeneke pathological o te tākihi pāngia. Ki te i tenei wā hae te tākuta tetahi mate (urolithiasis, kōhikohiko congenital, hydronephrosis Tuarua tākihi kirimana ki te papamuri o te atherosclerosis takawhita ranei), he reira taea ki te whakahaere urography puha ki rauemi rerekē rō-uaua. Tenei tikanga He patency maha ngā painga, mo te tauira, kei te ngāwari feruri te reira o te mimi, me o ratou rohe nephroptosis ranei kohatu tākihi. Treatment i tenei wā ki te tīmata wawe, me te tuatahi kia koutou tetahi atu ultrasound o te whakamātautau kōhao, toto me te mimi puku, me te hua bacteriological ki te whakau ranei te whakakahore i te putanga o te mate hopuhopu.

ngā raruraru nui wā-roa

Na, to tatou ki te tātari i roto i te taipitopito i roto i te mea he tākihi nephroptosis me pehea ki te tātari i tēnei mate. Ano te faahiti utu ko te meka i kitea nga pōauautanga o tenei mate e i roto i te pūnaha mimi kore anake. Ko te kupu, i roto i te ngaro o te maimoatanga tika ranei, mo te tauira, ki te kore e te manawanui kia mau ki te kai mo te tākihi Nephroptosis, te disorders tipu i roto i te wahi gastrointestinal (kōroke / korere, anorexia, whakapairuaki), māharahara piki colic tākihi, no te mea o te mea whakawhanake neurasthenia a raru te wahi noa o mimi, kokopi reira te karapoti te kopa, raru me oko toto. kē atu tenei te mōrea o te takawhita ki mōrearea tākihi mate ranei, ki te tohu tino o te whakawhanake hēnga o ōna whatukuhu, e maha riro te take o te mate o te manawanui.

therapy

Me pēhea te ki te hamani tākihi nephroptosis i roto i te wā tuatahi? faatiti'aifarohia tēnei take te. Ki tenei mutunga, ko reira faufaa ki te karo i mahi kaha, kakahu tapo'io motuhake, tautautefito ki he lolotonga hapūtanga. whakaritea hoki mahi whakaora takitahi, e whai ana ki te whakapakari i te uaua lumbar. tohutohu te manawanui e ki ake i tona taonga mana, taimaha, o te akoranga, i roto i rohe whaitake. nui hoki ko te kai haumanu mō Nephroptosis tākihi №7 iti nui o te tote (e taea te whakakapi kumine rēmana wai ranei), hupa, paramanawa, hōtiti, kai fatty, sweets me te whānau pīni. Ki te haere te mate ki te taahiraa 2, me 3 me hua e pā ana pōauautanga, mahue nephropexy anake te kōwhiringa - tikanga hāparapara, i nei te hoki mai te tākihi ki tona moenga, me te whakaritea. whakanohoia te whanaketanga i roto i te tūroro täkihi i runga tātari toto te hoki wā horoi i te toto o nga tāoke me metabolites e e te tikanga pera ata whakapae tākihi kotahi hauora.