Hydronephrosis

General piav qhia ntawm tus kab mob

Qhov no yog ib tug kab mob uas lub raum pelvis thiab calyx yog ho stretched. Qhov kev nthuav dav no tshwm sim los ntawm kev ua txhaum ntawm cov txheej txheem ntawm cov zis tawm, uas ua rau kom lub siab nyob rau hauv lub raum pelvic-khob system. Qhov no nce hydrostatic siab compresses cov hlab ntsha, cuam tshuam cov khoom noj khoom haus ib txwm ntawm lub raum, provoking atrophy ntawm nws cov ntaub so ntswg. Raws li qhov tshwm sim ntawm tag nrho cov no, tag nrho cov hauj lwm ntawm lub genitourinary system yog cuam tshuam.

Yeej, hydronephrosis cuam tshuam tsuas yog ib lub raum. Feem ntau, tus kab mob no tshwm sim hauv cov poj niam hluas. Hais txog ob sab ntawm qhov txhab, cov mob ntawm hydronephrosis ntawm sab xis lossis sab laug raum yog kwv yees li qub.

Hom thiab ua rau kev loj hlob ntawm hydronephrosis

Los ntawm nws lub hauv paus chiv keeb, hydronephrosis tuaj yeem tshwm sim los yog kis tau.

Hydronephrosis hom kab mob tshwm sim vim muaj ntau yam txawv txav hauv kev loj hlob ntawm cov ureters lossis ob lub raum. Cov kev tsis txaus ntseeg no suav nrog qhov tsis raug tso cai ntawm lub raum cov hlab ntsha nrog lawv cov ceg (lawv compress lub ureter); kev ua haujlwm tsis zoo ntawm txoj hauv kev uas tso zis; nqaim (stricture) ntawm li qub ntawm lub ureters thiab overlapping (obstruction) ntawm cov zis ntawm ib tug congenital xwm; lub ureter nyob tom qab lub vena cava. Tsis tas li ntawd, cov laj thawj rau kev loj hlob ntawm congenital hydronephrosis muaj xws li cov xwm txheej txawv txav ntawm leej niam thaum cev xeeb tub (kev noj qee yam tshuaj, ua rau cov kab mob hnyav dua, hloov cov kab mob ntawm tus kab mob los yog kab mob hauv paus chiv keeb).

Hydronephrosis tau hom tsim nyob rau hauv lub xub ntiag ntawm urological kab mob. Qhov no suav nrog urolithiasis; cov qog ntawm cov zis, zes qe menyuam, prostate, uterus thiab cervix; kev raug mob ntawm tus txha caj qaum, uas ua rau muaj kev cuam tshuam ntawm cov zis tso zis; inflammatory dab nyob rau hauv lub genitourinary system; nqaim ntawm cov zis tshwm sim los ntawm caws pliav tom qab raug mob; metastases nyob rau hauv lub pelvic kabmob los yog nyob rau hauv lub retroperitoneal qhov chaw.

Nyob ntawm qhov chaw ntawm qhov teeb meem ntawm cov zis tso zis, 5 pawg ntawm cov kab mob sib txawv, uas:

  1. 1 nyob rau hauv lub urethra los yog zais zis;
  2. 2 nyob rau hauv lub lumen ntawm lub pelvis los yog ureter;
  3. 3 nyob rau hauv cov phab ntsa ntawm lub pelvis thiab ureter;
  4. 4 txuam nrog qhov chaw txawv txav ntawm cov ureters lossis nrog lawv cov kink;
  5. 5 muab tso rau tib theem nrog lub ureter, tab sis tib lub sij hawm tsis nyob rau hauv lub lumen.

Cov theem ntawm kev loj hlob ntawm lub raum hydronephrosis

Hauv nws txoj kev loj hlob, hydronephrosis mus txog 3 theem.

Hauv thawj theem kab mob nyob rau hauv lub plab mog cov zis accumulates nyob rau hauv me me, vim hais tias ntawm nws cov phab ntsa stretches tsuas yog me ntsis thiab kev ua hauj lwm ntawm lub raum tshwm sim nyob rau hauv ib txwm theem.

Hauv theem ob, vim muaj cov zis ntau ntxiv, kev hloov pauv ntawm lub raum tau tshwm sim, uas ua rau cov phab ntsa ntawm cov khoom no ua rau lub cev nyias nyias. Hauv qhov no, kev ua haujlwm ntawm lub raum mob tau txo qis yuav luag ib nrab. Rau cov zis ib txwm muaj, lub raum noj qab nyob zoo yog suav nrog hauv kev ua haujlwm. Vim li no, lub excretory muaj nuj nqi ntawm lub cev yog compensated.

Nyob rau theem peb hydronephrosis, lub raum poob efficiency los ntawm 80% los yog kiag li atrophies. Lub raum noj qab nyob zoo tsis tuaj yeem tiv thaiv tag nrho cov haujlwm ntawm lub cev. Vim li no, lub raum tsis ua haujlwm. Yog tias qhov teeb meem no tsis kho kom raug, tus neeg mob yuav tuag.

Cov tsos mob ntawm hydronephrosis

Thaum ntxov, hydronephrosis yuav tsis tshwm sim nyob rau hauv ib txoj kev. Tus kab mob no tsis muaj cov cim tshwj xeeb uas yuav pab tsim kom muaj qhov kev kuaj mob no. Feem ntau nws manifests nws tus kheej nyob rau hauv daim ntawv ntawm cov tsos mob ntawm cov kab mob los yog txawv txav uas ua rau lub hydronephrosis ntawm lub raum nws tus kheej.

Feem ntau, cov neeg mob muaj mob hauv cheeb tsam lumbar. Lawv mob hauv qhov xwm txheej. Nws kuj tuaj yeem tshwm sim nws tus kheej hauv daim ntawv ntawm tingling, tom qab ntawd qhov mob tshwm sim hauv thaj tsam ntawm lub raum cuam tshuam (yog tias lub raum sab xis yog kab mob, nws txhais tau tias ntawm sab xis, yog tias sab laug yog sab laug). Cov lus teb mob kuj tseem ua tau nyob rau hauv cheeb tsam hauv pliaj lossis hauv ceg. Tus kab mob no zuj zus, qhov mob tsawg dua.

Tsis tas li ntawd, nrog rau qhov mob syndrome, tus neeg mob yuav muaj kev ntxhov siab ntawm xeev siab, gag reflexes, thiab ntshav siab tuaj yeem nce ntxiv. Qee tus mob ua npaws. Qhov no twb qhia tias muaj tus kab mob.

Hauv ib feem tsib ntawm cov neeg mob uas muaj hydronephrosis, ntshav muaj nyob hauv cov zis. Lawv muaj hematuria tag nrho (ntshav hauv cov zis tuaj yeem taug qab nrog lub qhov muag liab qab, yam tsis muaj kev kuaj mob) lossis microhematuria (ntshav hauv cov zis tsis tuaj yeem kuaj pom los ntawm qhov muag, tab sis nws lub xub ntiag yog txiav txim siab los ntawm kev kuaj mob, qhov no yog qhia los ntawm qhov muaj. erythrocytes).

Qhov kawg theem yog nrog rau lub raum tsis ua hauj lwm, uas yog yus muaj los ntawm o ntawm lub cev, ib tug txo nyob rau hauv lub ntim ntawm cov zis tso zis, lub xub ntiag ntawm arterial hypertension thiab kev loj hlob ntawm anemia.

Cov khoom siv zoo rau hydronephrosis

Nrog hydronephrosis, tus neeg mob tau pom cov khoom noj tshwj xeeb. Nws yuav tsum muaj calorie ntau ntau (hnub noj yuav tsum sib npaug li 3000 kcal), muaj tag nrho cov amino acids thiab vitamins tsim nyog rau lub cev.

Yog tias tus neeg mob tau sau tshuaj diuretics, ces nws yuav tsum tau ntxiv cov khoom noj uas muaj cov poov tshuaj rau nws cov zaub mov. Cov no yog lentils, taum, peas, mustard, txiv hmab txiv ntoo qhuav (raisins, qhuav apricots), txiv ntseej ( cashews, almonds, cedar, cashews, hazelnuts), apricots, cabbage kua txiv, figs, seaweed, qos yaj ywm (nws yog zoo dua mus noj ci). , cov khoom siv mis nyuj. Lawv yuav pab txo qhov o.

Lub hauv paus ntawm kev noj haus rau hydronephrosis yuav tsum yog txiv hmab txiv ntoo thiab zaub (tsawg kawg 600 grams yuav tsum tau noj txhua hnub).

Raws li rau cov kua, txhua yam yog suav ntawm no (thawj chav kawm, compotes, dej). Nrog rau tus kab mob no, koj yuav tsum tau saib xyuas koj cov zis txhua hnub (cov zis tso tawm hauv 24 teev). Nyob ntawm qhov ntim ntawm cov zis tso tawm, qhov ntim ntawm cov kua dej tsim nyog kuj suav nrog. Tus neeg mob cov kua dej ib hnub yuav tsum tsis pub tshaj 0,5 litres ntawm nag hmo cov zis txhua hnub. Ntawd yog: "cov zis ntim + 0,5 l = cov kua dej txhua hnub." Nws yog qhov zoo tshaj plaws los haus compotes, diluted kua txiv thiab hydrocarbonate ntxhia dej.

Txhawm rau kom qhov ntim ntawm cov zis tso tawm, nws yog ib qho tsim nyog yuav tau ua hnub yoo mov. Nws yog carbohydrate unloading uas tau sau tseg. Kev noj zaub mov yoo mov no pab txo cov ntshav siab thiab pab tshem tawm cov khoom lag luam protein degradation.

Muaj 3 txoj kev xaiv rau hnub yoo mov.

  1. 1 haus... Thaum nruab hnub, koj yuav tsum haus dej haus compote ua los ntawm cov txiv hmab txiv ntoo tshiab thiab berries. Koj tuaj yeem ntxiv qab zib. Thaum nruab hnub, koj yuav tsum haus 1 liter ntawm compote hauv 5 koob. Kev so ntawm koob tshuaj yuav tsum yog tsawg kawg 3 teev.
  2. 2 Txiv hmab txiv ntoo hnub… Txhua hnub koj yuav tsum noj txiv hmab txiv ntoo xwb. Lawv yuav tsum tau noj 300 grams ib zaug (yuav tsum muaj 5 receptions, 3 teev yuav tsum dhau ntawm txhua qhov txais tos). Watermelon yog suav tias yog qhov zoo tagnrho rau hnub yoo mov. Tsis tas li ntawd, koj tuaj yeem noj raspberries, cranberries, blueberries, txiv hmab txiv ntoo, txiv kab ntxwv, cherries, txiv apples.
  3. 3 Zaub… Noj 300 grams zaub xam lav txhua 3 teev. Tus naj npawb ntawm txais yuav tsum yog tsawg kawg 5 zaug.

Txog niaj hnub no, muaj teeb meem tsis sib haum xeeb ntawm ntsev thiab protein kom tsawg.

Qee tus kws kho mob nephrologists qhia tsis suav nrog cov khoom noj muaj protein ntau los ntawm tus neeg mob cov zaub mov. Tom qab tag nrho, cov protein ua rau nws nyuaj rau lub raum ua haujlwm. Tab sis tsis suav nrog nws los ntawm tib neeg noj (tshwj xeeb tshaj yog cov neeg laus) tuaj yeem ua mob hnyav rau lub cev (tsis muaj cov amino acids uas muaj nyob hauv cov protein, cov txheej txheem ntawm kev kho lub raum puas tsis tuaj yeem tshwm sim). Yog li ntawd, feem ntau cov kws kho mob muaj siab ntseeg tias kev noj cov zaub mov protein yuav tsum raug txo kom tsawg. Rau 1 kilogram ntawm tus neeg mob lub cev hnyav, yuav tsum muaj li 0,5 grams ntawm cov protein uas yooj yim digestible: cov khoom noj siv mis, nqaij ntshiv thiab zaub proteins.

Txog ntsev. Yav dhau los, nws noj tau raug txwv tag nrho. Tam sim no tus nqi ntawm ntsev yuav tsum tau txwv rau 2 grams. Txhawm rau ntxiv qhov tsw, tsis yog ntsev, koj tuaj yeem ntxiv tshuaj ntsuab, qej, dos rau zaub mov.

Kev noj zaub mov yog muab cais, nyob ntawm: kev noj qab haus huv ntawm tus neeg mob, muaj cov kab mob sib kis thiab mob ntev, qhov hnyav ntawm edema, thiab cov txiaj ntsig ntawm kev kuaj zis.

Nrog hydronephrosis, cov khoom hauv qab no raug pom zoo rau kev txais tos: dawb thiab rye qhob cij ntawm nag hmo ci khoom, crackers, biscuit biscuits, zaub kua zaub, cereals thiab cereals (tshwj xeeb tshaj yog mov thiab buckwheat), qe (tsis pub ntau tshaj 1 ib hnub twg), jelly, jelly, nyuaj cheese, tsev cheese, tshuaj ntsuab ( lettuce, parsley, dill, hluas nettle, spinach), cauliflower, asparagus, taub dag.

Tag nrho cov tais diav yog qhov zoo tshaj plaws steamed los yog boiled; roj yuav tsum tsuas yog ntxiv rau cov zaub mov siav.

Ua raws li cov qauv kev noj haus no rau hydronephrosis, koj tuaj yeem txo cov load ntawm ob lub raum, thiab normalize metabolic dab. Qhov no yuav coj cov haujlwm ntawm ob lub raum mus rau lawv cov kev kho dua tshiab thiab ncua ntev ntawm lawv txoj haujlwm.

Nyob rau hauv lub xub ntiag ntawm concomitant kab mob raum, tus neeg mob yuav tsum ua raws li cov kev noj haus ntawm lub rooj 7.

Traditional tshuaj rau hydronephrosis

Ua ntej koj pib kho hydronephrosis nrog pej xeem txoj kev, koj yuav tsum paub tseeb tias lub raum thib ob noj qab nyob zoo thiab tsis muaj kev ua haujlwm tsis zoo. Cov kws kho mob pom zoo kom siv cov kev saib xyuas kev kho mob tsuas yog thaum ntxov ntawm hydronephrosis. Kev kho mob yog nqa tawm los ntawm kev siv tshuaj ntsuab decoctions:

  • sau 50 grams ntawm oats (grain), nettle nplooj, bearberry, adonis tshuaj ntsuab thiab horsetail thiab 150 grams ntawm birch nplooj;
  • noj 100 grams ntawm adonis, birch buds, oats, hop cones, bedstraw, stonecrop, horsetail;
  • sau 50 grams ntawm clefthoof, knotweed thiab horsetail, 75 grams ntawm pob kws stigmas thiab taum flaps, 250 grams ntawm bearberry thiab birch buds;
  • noj 150 grams ntawm birch nplooj, dandelion thiab juniper keeb kwm (txiv hmab txiv ntoo);
  • nyob rau hauv tib tus nqi npaj nplooj ntawm currant, raspberry, tshuaj ntsuab: knotweed, hlua, calamus keeb kwm, chamomile paj, meadowsweet thiab raum tshuaj yej;
  • Nyob rau hauv sib npaug zos feem, noj alder cones, marshmallow paus, coriander txiv hmab txiv ntoo thiab celandine tshuaj ntsuab, fireweed, knotweed, volodushka, mint.

Txoj kev npaj decoctions rau hydronephrosis

Noj cov tshuaj uas yuav tsum tau ntawm cov xaiv sau, ncuav dej kub boiled, muab tso rau ib tug tsawg tshav kub, coj mus rau ib tug boil thiab boil rau lwm 10 feeb (thaum boiling, lub lauj kaub yuav tsum nruj nreem npog nrog ib tug hau). Tom qab 10 feeb, tam sim ntawd ncuav txhua yam rau hauv ib lub thermos (nrog rau cov nyom). Cia lub broth nyob rau hmo ntuj. Lim thaum sawv ntxov. Lub resulting infusion yuav tsum tau qaug dej qaug cawv nyob rau hauv ib hnub. Haus ib nrab khob 25-30 feeb ua ntej noj mov. Haus ib lub decoction los ntawm ib qho kev xaiv rau 4 lub hlis, ces koj yuav tsum tau so rau 2 lub lis piam thiab pib noj lwm yam ntawm cov nqi saum toj no.

Yog tias pom hydronephrosis hauv menyuam yaus, ces nws yuav tsum tau noj cov tshuaj sib txawv kiag li rau nws. Txhua yam nyob ntawm lub hnub nyoog. Rau cov menyuam yaus hnub nyoog qis dua 1 xyoos, ½ teaspoon ntawm kev sau yuav txaus rau ib hnub, rau cov menyuam yaus hnub nyoog 1 txog 3 xyoos, 1 teaspoon ntawm kev sau yuav tsum tau ua. Cov menyuam yaus hnub nyoog qis dua 6 xyoos tau pom 1 diav khoom qab zib rau kev npaj cov tshuaj infusion, thiab cov menyuam yaus hnub nyoog 6 txog 10 xyoo yuav xav tau ib tablespoon ntawm kev sau. Rau cov neeg laus thiab cov menyuam yaus hnub nyoog tshaj 10 xyoo, rau kev kho mob, nws yog ib qhov tsim nyog los npaj ib decoction ntawm 2 tablespoons qhuav sau.

Tseem ceeb!

Txhawm rau tiv thaiv thiab tiv thaiv kev txhim kho ntawm hydronephrosis, koj tsis tuaj yeem "hloov" (qhib cov txheej txheem tso zis), koj yuav tsum tau mus saib hauv chav dej tam sim ntawd. Yog tias tso zis ntau dhau, nws tuaj yeem rov qab mus rau hauv lub raum, uas yuav ua rau lub plab pelvis rau yav tom ntej. Qhov kev ntuav no tshwm sim vim muaj ntau dhau ntawm lub zais zis.

Cov khoom txaus ntshai thiab teeb meem rau hydronephrosis

  • ntsim, haus luam yeeb, kib, rog, qaub zaub mov;
  • pickles, ntses, marinades, ketchup, mayonnaise;
  • khoom qab zib (lawv muaj qab zib, margarine), pastry cream;
  • fatty nqaij, ntses thiab broths rau lawv;
  • nceb;
  • khoom noj ceev, cawv, dej qab zib, kas fes;
  • semi-tiav khoom, cov kaus poom zaub mov, sausages thiab sausages;
  • freshly ci thiab nplua nuj pastries.

Nyob rau hauv lub xub ntiag ntawm oxaluria, sorrel, chocolate, mis nyuj, tag nrho cov legumes thiab zaub mov uas muaj calcium ntsev, ascorbic thiab oxalic acids yog txwv.

Mloog!

Tus thawj coj tsis yog lub luag haujlwm rau kev sim los siv cov ntaub ntawv muab, thiab tsis tuaj yeem lav tias nws yuav tsis ua mob rau koj tus kheej. Cov ntaub ntawv tsis tuaj yeem siv rau sau ntawv kho mob thiab ua kev kuaj mob. Nco ntsoov tham nrog koj tus kws kho mob tshwj xeeb!

Khoom noj khoom haus rau lwm yam kab mob:

Sau ntawv cia Ncua