Reflux Vesicoureteral i roto i ngā tamariki me ngā pakeke. Tohu, Diagnosis, Treatment

I roto i te mimi kitea reira taua mate rite Reflux vesicoureteral (PMR). Ko te mate onge e puta te nuinga o maha i roto i ngā tamariki. Heoi, e taea te kitea i te māuiuitanga i roto i te taupori pakeke. Kia titiro a ki te mea te tikanga he TMR atu he reira kino, me te aha tikanga ki te whawhai i te reira.

pathography

Hei matau ki ta huaina te māuiuitanga ko Reflux vesicoureteral, e hiahia ana koe ki te iti hohonu ki te tinana o te tangata.

Tōngāmimi - he okana uaua tuwhera. Kei te hangaia te reira no te haaputuputuraa o te mimi tae noa ki taua wa rite reira ko kahore he mahi o te urination. E toru tatau te mirumiru. E rua o ratou e hono ki te ureters. Na roto i enei awa rere te mimi i te whatukuhu ki te tōngāmimi. Ko te toru o rua ko hoki te putu i. Tenei pūhui wāhi taiawa mimi ki mirumiru.

Ko te ureters he korere kōrere-āhua. haere mai ratou i roto i te mirumiru i te koki whakapeka. Ko te ureters i motuhake pūnaha takirere kotahi-ara. E ārai reira kaupapa whakamuri o mimi ki te awa mimi me ki te tākihi. Heoi he pūnaha mahi hauora.

Ki te pāngia tetahi tangata te Reflux vesicoureteral, te huarahi e tiaki kore te te tinana i te kaupapa mimi whakamuri mahi. Nä, ka taea e te mimi neke i roto i te tahi atu i te aronga. Ko te kupu, kia rite ki te hua o te matamua waimaero o mimi wai piki i roto i te tōngāmimi, me ka maka ki roto ki te ureters. arata'i tenei ki mānukanuka, te matatu whakamutunga. I roto i te puka nui o te Reflux mimi e taea ki te tae noa nga whatukuhu.

Take māuiuitanga

e kore e matau tino te puna o te mate. pēnei Doctors Reflux vesicoureteral i roto i ngā tamariki ki te whanaketanga rerekē congenital o tenei wāhanga. Na reira, kua pinepine pāngia ratou māuiuitanga tuatahi. Tenei mate, i puta i roto i te papamuri o kōhikohiko congenital.

Reflux Vesicoureteral i roto i ngā pakeke i roto i te nuinga o te wā tuarua. fakahā whanaketanga mate e tikanga ngā.

Ko ratou nga take tuatahi mo tenei:

• localization tano ore o te ureteral orifice;
• tōngāmimi diverticulum;
• pangore smykatelnyh mīhini mangai;
• shortening submucosal kauhanga awa mimi intramural;
• ahua pathological o te mangai;
• Kei te tuaruatia ai o te awa mimi, meinga te hongere e waho te mirumiru tapatoru.

Ko te āhuatanga tuarua ārahi ki te whanaketanga o te mate, i roto i nei raru te rere noa o te mimi, ngā te mate e whai ake nei:

• tōngāmimi tukuna ai putanga;
• BPH;
• sclerosis tōngāmimi kaki;
• cystitis i roto i nga mangai o te rohe;
• stenosis stricture o te taiawa mimi ranei;
• mate hopuhopu mapuni taiawa mimi;
• pōrearea tōngāmimi.

whakarōpū o mate

Kei te wehea māuiuitanga ki e toru ngā momo:

1. Hohe PMR. fakahā Ko tōna ahua e anake e te mahi o te urination.
2. Hāngū. whakakitea te reira i roto i te tōngāmimi whakakī.
3. Mixed-itoito ranei hāngū. Hoki āhua mate āhuatanga e te huinga o te runga ake.

I tua atu, wehe taratahi māuiuitanga pērā o Reflux taratahi. faaite te mate ano i rite te pyelonephritis recurrent.

te tohu o te māuiuitanga

kia te mate e te āhuatanga e puka rerekē o te mahara.

E ai ki te turuturu ko te tohu e whai ake nei o te Reflux vesicoureteral:

1. āhuatanga tēnei momo e te Reflux o mimi ki te awa mimi rohe papatoiake. I roto i te roha tohu tuatahi o te awa puta.
2. hipokina matamua whakamuri te awa mimi katoa. I tua atu, i reira ko te maka o te mimi i roto i te kapu, papatoiake. Heoi, e kore te awa ranei te wāhanga tākihi kahore e whakawhānui.
3. Ki tenei whānuitanga āhuatanga e te pūnaha pyelocaliceal tākihi taunga mimi. Last nui whakawhānui. Otiia e kore e te ke te awa mimi. He tika tōna diameter.
4. Hoki tenei taahiraa, āhuatanga e ngā hōrapatanga, ngā taputapu pyelocaliceal, me te awa mimi rite ki te hua o te makanga mimi nui.
5. Ki tenei tohu o te mahi tākihi iti. fakahā tēnei whare hauora e te thinning o te tari, te whakaputa mimi.

tohu

Kia aroha mai, Ko reira tino uaua ki te kitea i te wā wawe o te Reflux vesicoureteral. Kei te nuinga o mau tohu o te mate. Ko te aha te tino noa pāngia te mate, ka whakawhanakehia kē pōauautanga.

Heoi, i reira te mea he rōpū o tohumate, e kia whakapae ai te whanaketanga o te mate i roto i ngā tamariki:

• tamaiti raro i te tinana i te whanau;
• whakaroa i te whanaketanga ā-tinana;
• tauwhatinga o te mahi o te tōngāmimi.

I roto i te pakeke, he iti rerekē whakakitea Reflux vesicoureteral. Ko te tohu e tohu i te mate, ka rite ki te tikanga, te whai ake:

• wawe a maha whai te inanga, ki te mimi;
• hūhi mamae i roto i te puku papatoiake ranei;
• he nui iti o te mimi;
• kapua e mimi, me te kakara kino;
• i roto i urination puta he sensation tahunga;
• rere o te mimi;
• toto i roto i te mimi;
• auau awakenings haere pō ki te haere ki te wharepaku;
• kirika, Chills;
• mamae i roto i te hoki, ngā tapa taha.

fifi o te mate

Ka taea e Reflux Vesicoureteral arahi ki hopearaa tino kino. maha ai tenei māuiuitanga pāpaka tuarua tākihi. Okana whatiwhatiia, kua reira kua he ähua o ratou mahi matua - tātari.

Ka rite ki te hua o te Reflux ko te takahi o te tango noa o te mimi. Mimi kei roto tipu koiora, te ô i noa ki te ureters me whatukuhu. Na reira, i reira he tonu he mate me te mumura i roto i nga whekau.

I tua atu, i roto i piki pēhanga urination i roto i te rohe papatoiake. arata'i tenei ki te tūkino i atu ki te kiko tākihi.

Wrinkling whatukuhu, me te sclerosis hoatu a reira ara ki te takawhita tuarua. Ko te tino uaua ki te hamani tenei māuiuitanga. A, no te maha i ki te tango i te tākihi ki te awa mimi tenei huru.

tātaritanga o te mate

A, no te whakapae pyelonephritis tamau te Reflux vesicoureteral. Tātaritanga ngā he maha o ngā rangahau:

1. US.
2. Tātaritanga o toto me te mimi.
3. CT.
4. Cystourethrography. Na roto i te pū tōngāmimi i roto i te inu tōngāmimi whakaurua te. Kia ko reira tonu, te mahi i te raupapa o ngā matā. X-hihi whakamana i roto i urination.
5. pyelogram rō-uaua. I roto i tenei rangahau, kua whakahaere kapehu inu i runga i x-hihi e pâmuhia. I roto i tenei take, me tatari koe haere tae noa ki te taonga o te toto ki nga whatukuhu, me te tōngāmimi.
6. matawai Nuclear. He momo o ngā rauemi iratuki e whakamahia mo te rangahau. kia whakahaere ai ratou tika ki te tōngāmimi rua ranei. whakamahia te rangahau te ki te whakatau mahi o te pūnaha mimi.

tīkina hauora

he tākuta anake e taea te whakatau i te rautaki ki te aro tenei māuiuitanga rite Reflux vesicoureteral. hāngai maimoatanga i te whakakore i nga take o te mate, me te ārai i pōauautanga.

Ko te putanga tino nui e taea te whakawhanake i runga i te whakamārama o te mate, - he nephropathy Reflux. Ko te māuiuitanga Ko te tukanga haamou inflammatory puta i roto i te parenchyma tākihi.

Tei rautaki maimoatanga i runga i nga take o te mate, me tona pakeke.

maimoatanga momo

Ko te tino whai hua i roto i te tīmatanga o te mate tenei rauhanga. Rawa pai tukinotia Reflux vesicoureteral i roto i ngā tamariki. I roto i te tūroro pakeke, i roto i te 70% o te katoa tīmata ki te whakapai ake.

Ko te mahi matua o te therapy momo he mana mate wā, te uhi i te pūnaha mimi.

Treatment tā te wāhanga e whai ake nei:

1. I tua. Ka taea e ngā kaupapa whakakore i te abnormalities pūkoro e puta i roto i te tōngāmimi.
2. Wāhui o raau taero antibacterial. Ko ratou tūroro mawheto nei e pāngia mate i roto i te roma mimi.
3. Dieting. Ko te tino tohutohu tūroro ki te tuku te ako. Diet uhinga here o te whakamahi o te pūmua, me te tote.
4. Catheterization o te tōngāmimi.
5. Ko te whakamahi o raau taero antihypertensive. whakahaere ratou rongoā i roto i te kaupapa i nui haere te pēhanga manawanui kei rite ki te hua o te PMR.
6. Manakohia urination auau. kia taua mehua kia whakatinana katoa 2 haora, ahakoa o te inanga, ki te whakamahi i te wharepaku.

Ki te whakapae te reira i Reflux vesicoureteral i roto i ngā tamariki, kia waiho maimoatanga i roto i te hōhipera. I te tīmatanga, te korenga i te tamaiti. I muri te whakatau i te take o te mate, whakahau maimoatanga tika ki te whakakore i te puna o te mate.

I roto i te take o te haamauraa o kōhikohiko congenital ki ngā tamariki pokanga tūtohutia.

pokanga endoscopic

tūtohutia ana tēnei wawaotanga te ki te kore e hoatu e te maimoatanga momo te hua e hiahiatia ana rānei ki abnormalities congenital i roto i ngā tamariki. Heoi kawea ako Endoscopic o Reflux vesicoureteral te i roto i anake i 1, 2, tohu 3-th o te mate. A tika i roto i te take, ki te tiaki i mahi contractile o te mangai.

Tenei mahi ko te pokanga minimally urutomo. Kei a ia i roto i te whai ake. I raro i raro i te mangai porowhita whakauru i te ētehi motuhake. āhei te reira ki a koutou te hono ake te ngutu runga, me te raro. Ka rite ki te hua, whakarei te wae hāngū te antireflux tikanga.

maimoatanga hāparapara

Kua haere ki te whakatuwhera i ngā mahi i roto i te wā e whai ake nei:

• ki te kahore i hoatu e kore maimoatanga momo ranei endoscopic nga hua e hiahiatia ana;
• pathologies 4 th, 5 th tohu;
• i roto i te take o kōhikohiko congenital i roto i ngā tamariki e kore e taea te nekehia atu endoscopically.

kawea te ako o te Reflux vesicoureteral te atu i roto i te nuinga o te wā, te mirumiru tuwhera. Ko te whāinga matua o te pokanga - ko te hanganga o te kiriuhi mucous o te tōngāmimi te wahi e paetata te awa mimi, te irava e hiahiatia ana.

I muri i taua mahi hanga tetahi arai e tiaki te awa mimi me te tōngāmimi i tāpiritanga mimi ki a ratou.

maimoatanga hāparapara whakarato hua pai, kia rite ki tatauranga, 75-98% o te wā katoa. Heoi, e kore he pokanga kahore huakore.

Ko te mate, ko te tikanga:

• rehunga auroa;
• wā whakanohonoho roa;
• i roto i te take o te hohokitanga reoperation ko tino uaua ake.

āraihia

Ahakoa Reflux ngaro i runga i to ratou ake ara? Ki te pāngia te pīari e i roto i te tamaiti i te wā wawe, e taea tino haere i te reira ki te whanaketanga, me te tupu o te tamaiti. Heoi, me te reira ki te pupuri i kongakonga i exacerbations me mate. Ki te tutaki enei tikanga, tata 10-50% o ngā tamariki māuiuitanga e wahi takitahi. Ko he reira e taea ki te waiho i muri i roto i te mātānawe kiko.

A, no te TMR 3 tohu teitei ranei e kore e whakawhirinaki i runga i te whaiaro ngaro-. Ko enei tamariki i roto i te hiahia o e tika therapy, whakaritea e te tākuta.

Kia kore ai te whanaketanga me te ahunga whakamua o te PMR, e hiahia ana koe ki te:

1. Time ki te hamani mate inflammatory katoa o te pūnaha mimi.
2. titau Tetahi ofatiraa o te urination te haerenga whakahauanga ki te tākuta.
3. kia waiho nga wahine hapu tino ki te haere ki tō tākuta. I roto i te tua, he wahine e tatari ana mo te tamaiti e piri ki te āhua noho hauora me te tika, kai tōtika.

PMR - Ko te māuiuitanga rawa nui tenei. kia tukinotia tenei mate i roto i te tīmatanga o nga wāhanga, te ārai tona haereraa. Na reira, tika, tirohia ki te hunga o te pūkenga.