Kusan kowace mace, musamman ma a lokacin yaro, a kalla sau ɗaya a fuskanci cututtuka na urinary tsarin. Bayan gwadawa sosai, ana nuna saurin hawan kodan daji - mece ce, rashin alheri, likitoci sunyi bayani, da barin haƙuri a cikakkiyar jahilci. Duk da haka, yana da mahimmanci akan samun irin wannan bayani, tun da ilimin ilimin likita da fahimtar rashin lafiyar mutum shine muhimmin ɓangare na maganin nasara.
Menene cutar koda na hydronephrosis?
Abun da aka yi la'akari, a gaskiya, shine canji na koda.
Saboda rashin cin zarafin fitsari, kuma, bisa ga yadda ya kamata a riƙe shi a cikin sassan kwayar cutar, akwai karuwa a matsa lamba (hydrostatic) a ƙashin ƙugu da kuma ƙwayar kodan. Saboda wannan yanayin suke fadada, wanda, a biyun, take kaiwa ga shinge na jini, rage yawan abincin jiki, aikin su, ci gaba da fasalin kwayoyin halitta a cikin parenchyma.
A mafi yawan lokuta akwai hydronephrosis na koda daya. Wannan shi ne saboda gaskiyar cewa, tare da tsarin gina jiki na fitsari a cikin daya daga cikin gabobin, na biyu yana daukan nauyin nau'i na biyu akan kawar da ruwa mai zurfi, yana ramawa don rashin lahani.
Hanyoyin hydronephrosis na biyu na kodan, a matsayin mai mulkin, yana tasowa akan tushen cututtuka da suka gabata na tsarin urinaryar, wanda ya cigaba da ci gaba a cikin ɓangarorin biyu.
Matsayi na koda hydronephrosis
Dangane da irin abin da kullun da aka lalace zai iya aiwatar da ayyukansa na kai tsaye, matakai uku na maganganun da aka bayyana sun bambanta:
- Akwai yaduwar ƙaddarar ƙwayar jikin kawai. Koda kanta ba ta sha wahala ba, ko sun kasance marasa daraja kuma basu shafar aikinsa.
- An ƙaddara ƙashin ƙugu ta hanyar ƙarar daɗaɗɗa. A daidai wannan lokaci, girman ƙwayar ya ƙaru (kusan kimanin 18-20%). Rashin ikon ƙashin ƙugu don fitar da fitsari yana da matukar muhimmanci, kamar yadda aikin koda yake - daga 20 zuwa 40%.
- Karuwa mai ƙarfi, kamar ƙwanƙwasa, da kofuna, saboda abin da koda ya yi kama da ƙananan ɗaki. Girman kwaya ya karu da kashi 1.5-2. Akwai rushewa mai tsanani na ayyuka na koda koda, ta hanyar 70-80%. A cikin lokuta masu tsanani, yana daina yin aiki.
Tare da ganewar asali na koda hydronephrosis, yanayin parenchyma (nama wanda ke rufe fuskarsa) na kwayar ba ta da muhimmanci. Dangane da mummunan lalacewarsa, cutar ita ce digiri 3:
- Parenchyma an kiyaye shi gaba daya.
- Ƙungiyar nama ba ta da muhimmanci.
- Girman lalacewar harsashi.
- Koda dysfunction, babu parenchyma.
Cutar cututtuka da kuma haddasa cututtukan hydrogenphrosis
Abubuwan da ke tattare da kwayoyin halitta suna tasowa saboda irin waɗannan abubuwa:
- anomalies na wuri na arteries da rassan kodan;
- hanawa urinary fili;
- Daidaitawa ba daidai ba na ureter;
- fuka-fuka, tsarin zane-zane;
- Dyskinesia na urinary fili.
Dalilin samar da hydronephrosis bayan haihuwa sune:
- ciwace-ciwacen daji na mahaifa da cervix, ovaries;
- urolithiasis;
- Cicatricial narrowing na urinary fili bayan rauni;
- cututtuka na ƙwayoyin cuta na kwayoyin tsarin urinary da haihuwa;
- lalacewa ga kashin baya;
- Cigabaccen tasiri, metastases a cikin ƙananan ƙwararru ko wuri mai zurfi;
- neoplasm na urinary fili.
A matsayinka na mai mulki, ci gaba da hydronephrosis ba shi da karfin hali ga mai haƙuri. Abinda ke nuna alamun cutar shine cututtuka mai zafi, wanda yake kasancewa a kullum, komai yanayin jikin da lokaci na rana. Wani lokaci saukar jiki zai tashi idan kamuwa da cuta ya shiga. A wasu lokuta, jini yana wucewa a cikin fitsari.
A farkon matakai na cutar, yana da duk bayyanuwar asibiti na gazawar koda.
Menene hadarin koda cutar hydronephrosis?
Matsalar da aka bincika za ta iya rikitarwa da wasu matsaloli, waɗanda suke da haɗari ga lafiyar da rayuwa:
- sepsis ;
- koda gazawar;
- pyelonephritis ;
- urolithiasis;
- rupture na hydronephrosis sac;
- hauhawar jini.