Kodi kuonanso impso? Njira Research, amene limafufuza ngati impso wathanzi

Matenda a dongosolo genitourinary ndi zachilendo. akazi ambiri kudziwa zimene aakulu pyelonephritis, chifukwa kudwala izi complicating mimba. matenda a impso angakhale ndi zotsatira zoopsa zimene zikupangitsa zonse magazi chilolezo cha poizoni (hemodialysis). matendawo ali zimayambitsa angapo (mwachitsanzo, kutengera za kumtundu, hypothermia, skidding matenda a ziwalo zoberekera, ndi zina zotero. D.), Ndipo zambiri asymptomatic, ndiye sichikunditsutsa munthu, kotero aliyense adziwe kuti aletse impso. Izi zidzatithandiza pa nthawi kuchipatala kupewa mavuto aakulu.

Kapangidwe ka impso ndi

Impso - ndi wophatikizidwa ziwalo ili mu dera lumbar. Mbali yaikulu - mapangidwe mkodzo. Impso kukhala kuthamanga oncotic ya magazi, ndipo kutulutsa erythropoietin. Mfundo zikuluzikulu structural wagawo - nephron - membala wa gawo mtima (glomeruli) ndi tubules. Woyamba ndi udindo imathandiza magazi ndi mapangidwe mkodzo chachikulu. Chachiwiri - amaphatikizidwa mu reabsorption thupi zinthu zofunika. Potsilizira pake patsalanso zobwezerezedwanso zinyalala mankhwala - mkodzo sekondale. Ngati pa nthawi inayake pali chitsekerezo, ndi ntchito impso ndi wofooka. Zimenezi zimaonekera kusintha Mkhalidwe ndi kachulukidwe zikuchokera mkodzo. Kumvetsa mmene kukayendera impso ndekha, muyenera kudziwa za kuyan'anila za diuresis, amene ali pafupifupi onse odwala. Zina ndi monga kuchepetsa kapena kuwonjezeka pokodza, kusintha mu mkodzo mtundu, zambiri kawirikawiri kapena osowa maulendo ku chimbudzi.

Njira kafukufuku impso

Pali njira zambiri zimene mukhoza kudziwa kuvutika a dongosolo mkodzo. Mu zaumoyo onani impso ntchito mayesero apadera, monga mayesero kwa Zimnitskiy, Nechiporenko, Amburzhe. Zonse mwa njira zimenezi akhala akugwiritsidwa ntchito kwa nthawi yaitali, kotero mogwira awo zatsimikiziridwa. Aliyense chitsanzo chofunika kuti aone ntchito zapadera monga Zimnitskiy kusanthula kuwulula kuphwanya luso sefa, Nechiporenko - pamaso mmene yotupa ndi hematuria. Pakuti matenda enieni ntchito chida a impso. njira zimenezo zimaphatikizapo excretory urography ndi biopsy. Golide muyezo ndi ultrasound a impso. Pakati pa izi njila akapatsidwa dokotala ndipo akhoza kudziwa matenda ena, ngati n'koyenera.

Kodi kufufuza ngati impso ndi thanzi?

Kumvetsa ngati pali matenda a impso, m'pofunika kulabadira pamaso pa madandaulo wodwalayo, makamaka ngati pali zizindikiro monga pafupipafupi ndi kusintha pokodza, magazi mu mkodzo, kuwonjezeka diuresis usiku. Chinthu chofunika kwambiri ndi ululu m'dera lumbar m'munsi pamimba pa kudzanja lamanja kapena lamanzere. Kuwonjezera zizindikiro chachikulu kuwonjezereka lakuthwa kutentha thupi, kufooka ambiri.

Nthawi zambiri angina patsogolo matenda a impso, SARS, hypothermia. Zizindikiro kungakhale kutupa ndi kuthamanga magazi. Zizindikiro zimenezi zimachitika glomerulonephritis - kutupa mu glomeruli, amene ali zosiyanasiyana. Pa nkhani imeneyi, zikhoza kufunga mbali chabe ya zizindikiro kapena ngakhale mmodzi wa iwo. Kodi kuonanso impso pamaso pa edema? Sitepe yoyamba ndi kupeza chimene chinayambitsa chiyambire matendawa. Ngati kutupa kwa chimakhala chogwidwa m'mawa, ndi kukhudza iwo zofewa ndi ofunda, m'pofunika kupita kwa dokotala, ndi nephrologist.

njira thupi Kupenda

Pambuyo kupenda mosamala madandaulo ndi kudziwa mbiri ya matenda ayenera kuchita chipikisheni. Choyamba muyenera kuti aone mkhalidwe wonse wa wodwalayo ndipo fufuzani dongosolo lonse, kenako chitani anayendera yomweyo thupi la wodwalayo. Kodi kuonanso impso popanda njira yapadera kulipenda? M'pofunika kuti aone mkhalidwe wa dera lumbar (ngati palibe kusintha kumaoneka, edema) ndi kuchita palpation. Palpate thupi kungakhale pa maudindo osiyana wodwalayo: sachedwa, ataimirira atakhala. Pankhaniyi, mtima linafunsidwa kutenga mpweya kwambiri, imene dokotala amabweretsa manja ake kwa impso palpable. Pa kutulutsa, adokotala amayesetsa kulanda ulamuliro ndi kuwunika kukula kwake, pamaso pa ululu, kapangidwe, kugwirizana ndi malo. Odwala wathanzi impso si palpable, kuti si amenable kuti akufufuza mpata.

Kodi zizindikiro zingaoneke matenda aimpso?

Kodi kuonanso impso, kupatula palpation, aliyense ayenera kudziwa dokotala. Ngati mukukayikira kuti ndondomeko yotupa ikuchitika wapadera zinchito mayesero kuunikira pamaso kapena kulibe. The njira Ambiri ntchito ndi "chizindikiro kumenyedwa." Iwo akuchita ndikuphunzitsidwa amene akufuna akatsimikizire matenda a impso. Komanso, njira imeneyi ntchito m'chipatala aliyense mu dera tsiku la dokotala. chitsanzo umachitika ndi mayimidwe a mtima kapena atagona mmimba. dokotala amaika dzanja pa malo a impso, ndi ena amapanga pogogoda kayendedwe kuwala pa izo. Pambuyo kuti muyenera kusintha malangizo. Chitsanzo kwa kuunikira pamaso pa ululu mu impso lamanja kapena lamanzere. Ululu limasonyeza kutupa. Nthawi zambiri, anachita zabwino "chizindikiro pogogoda" amapezeka pyelonephritis - chikhalidwe pathological mu tubules lapansi.

Kusintha kwa Mkhalidwe zikuchokera mkodzo

Ngati amaganiziridwa matenda Kwalamulidwa aimpso ya nkhani, ndi zomwe kudziwa kusintha osati kuchuluka komanso khalidwe la mkodzo. mayesero zasayansi Awa ndi chitsanzo Nechiporenko, Amburzhe, Kakovskomu-Addis. nkhani zonsezi kutenga musanamalize ganizolo mkodzo. Mabukuwa anali ndiye pansi kufufuza cha kukhalapo m'menemo wa leukocytes, erythrocytes ndi zonenepa. Nthawi vsoh anachititsa achiyesa molondola zinthu anapanga, kwapatsidwa pambuyo omaliza.

zitsanzo kumasiyana ndi mzake kuti aliyense makhalidwe osiyana yachibadwa. Analysis ndi nechyporenko wabwino, ngati zosakwana 2,000 leukocytes, erythrocytes ndi zosakwana 1000 m'munda wa view. Zonenepa pansi mawu yachibadwa kumatanthauza yosowa ponseponse - mpaka 500. Mu kusanthula Amburzhe ndi Kakovskomu Addis-kupanga zinthu zimafanana. kusiyana ndi kuti mfundo choyamba - 200 ndi 100 mayunitsi, pamene lachiwiri - 2 miliyoni ndi 1.

Urinalysis kwa Zimnitskiy

Zimnitsky chitsanzo malinga ndi njira ntchito kudziwa kusintha zikuchokera kachulukidwe ka mkodzo. The kupatuka pa kusanthula ponseponse limasonyeza kuphwanya ndende ya ntchito impso. The index waukulu, umene ayesedwa ndi wozengereza mayesero pa Zimnitskiy ndi wachibale kachulukidwe ka mkodzo, amene ayenera kusinthidwa masana. Ngati n'zotheka ndikuganiza za kuchepetsa imfa yaikulu ya madzimadzi, zomwe zimachitika ku matenda a shuga. Ngati kachulukidwe ukadali imachitika pa msinkhu, iyenera kukhala amaganiziridwa matenda amene impso kutaya luso lawo kuganizira mkodzo, limene lili luso lotha kuti adzathe mayamwidwe. nkhani chitsanzo imakhala kutenga pa tsiku, 3 chasa (8 magulu). Pomaliza, pafupifupi mkodzo tsiku linanena bungwe, chiŵerengero cha masana ndi usiku pokodza, imfa ya mapuloteni masamu.

Malamulo yosonkhanitsa mayesero mkodzo

Kusintha kwa Mkhalidwe kapena kachulukidwe zikuchokera wa mkodzo dokotala ayenera kukhala dongosolo matenda zina, ndiye kuganiza kuti: mmene kukayendera impso mozamirapo ndi njira iliyonse malangizo Ndinapereka? Nthawi zina, nkhani zoipa zimadalira njira ya kutenga zinthu zolakwika. Kuti zasayansi kuyezetsa ndi zolondola, inu muyenera:

1. Mubwereze mbale mkodzo.
2. Gwirani chimbudzi kunja ziwalo zoberekera asanalankhule yobereka kuwunika.
3. Chikadzangotha nadzaza mtsuko wa mkodzo, muyenera kutseka izo kupewa mabakiteriya.
4. Pambuyo Kutolere mkodzo kuwatengera zasayansi kwa maola 1-2.

Phindu la maphunziro kulingalira

Matenda komaliza zikhoza kupangidwa pambuyo njira yapadera kufufuza, monga ultrasonography aimpso, excretory urography biopsy. Njirazi n'zotheka kudziwa malo a thupi cholakwika (nephroptosis), pamaso pa malformations kobadwa nako (polycystic anawaonjezera kuwirikiza kawiri), zosiyanasiyana concretions ndi kukula ndi mawonekedwe. Mungathe kutsimikizira matenda a pyelonephritis aakulu, ngakhale sitili maonekedwe ake (kukukulirakulira CHLS pa ultrasound). Kodi kuonanso kuti chotupa chija amaganiziridwa aimpso? Tengani biopsy akutsatiridwa ndi histological ndi cytological Kupenda zinthu.