Zovuta ndi Matenda Patatha Opaleshoni
Matenda a mumsewu amapezeka kawirikawiri pambuyo pa opaleshoni. Mwamwayi, ambiri mwa mavutowa ndi ochepa ndipo amakonza mwamsanga masiku omwe akuchitika opaleshoni. Matenda oopsa kwambiri, monga impso kulephera, ndizotheka nthawi yobwezeretsa koma sizingatheke kuchitika.
Kawirikawiri, vuto lalikulu la impso likuwoneka kwa odwala omwe amafunikira chithandizo chapadera pambuyo pa opaleshoni, makamaka omwe amafunikira kusamalidwa bwino masiku ndi masabata mutatha njira.
Kwa ambiri, kachilombo koyambitsa matenda a mkodzo ndi kasupe wa mkwiyo, koma si vuto lalikulu m'moyo wawo wathanzi ndi thanzi lawo.
Tsamba la Urinary
Chigawo cha mkodzo chimapangidwa ndi magawo anayi, omwe ndi osabala (opanda mabakiteriya) munthu wathanzi:
- Impso : Ziwalo zofunikira izi zimatsuka magazi. Zinthu zochotsedwa m'magazi zimasanduka mkodzo kuti zichoke m'thupi.
- The Ureters : Mipira iyi imanyamula mkodzo kuchokera ku impso kupita ku chikhodzodzo.
- Chikhodzodzo : Apa ndi pamene mkodzo umasungidwa mpaka mutayesetsa kukodza.
- Urethra : Iyi ndiyo chubu yomwe mumtsinje umayenda kuchokera ku chikhodzodzo mpaka kunja kwa thupi.
Matenda a Impso ndi Amatawa Pambuyo Opaleshoni
Katemera wamakono amayamba ndi impso ndikutha pamene mkodzo umachoka m'thupi. Mavuto, kuphatikizapo matenda, angathe kuyamba ndi kusintha mbali zonse za katemera. Nthaŵi zambiri, malo amodzi ndi vuto, monga matenda a chikhodzodzo, koma zina zingathe kufalitsa kapena kukhudza malo ambiri.
Timawona izi pamene matenda opangira mkodzo amayamba mu impso, koma amafalikira ku chikhodzodzo chomwe chimayambitsa matenda kuti akhalepo m'malo awiriwa.
Nkhani zina zowonjezereka zikuphatikizapo:
Matenda a Chigwa cha Urinary (UTI)
Matenda opangira mkodzo , omwe ndi matenda omwe amapezeka mu impso imodzi, amtenda, chikhodzodzo kapena chiberekero, ndi chimodzi mwa mavuto omwe amachitidwa opaleshoni.
Mwamwayi, kachilombo ka mkodzo kawirikawiri kamatha kuchitidwa mwamsanga ndi mosavuta ndi antibiotic.
Chifukwa chachikulu chomwe matenda opangira mkodzo ndi ofala pambuyo poti opaleshoni ndi ntchito ya catheters ya mkodzo . Kwa odwala ambiri omwe akuchitidwa opaleshoni ndi anesthesia wamba, kathete imayikidwa kuti ikane chikhodzodzo mkati mwa njirayi. Catheter iyi, yomwe imatchedwanso foley catheter, imayikidwa pogwiritsa ntchito njira zopanda banga kuti zitha kuteteza matenda. Mwatsoka, kukhala ndi thupi lachilendo mu urethra ndi chikhodzodzo, mosasamala kanthu kuti zingakhale zoyera motani, zingayambitse mkwiyo ndi kutsitsa matenda. Kuyeretsa bwino kumathandiza kuchepetsa chiopsezo cha matenda, koma cholinga ndicho kuchotsa kathete mwamsanga pakatha opaleshoni.
Ngakhale kuti matenda a mkodzo amatha kusamalidwa mosavuta, nthawi zambiri matenda otchedwa urosepsis amatha kuchitika, zomwe zingakhale zovuta kwambiri.
Urinary Retention
Ichi ndi chikhalidwe chomwe chimakhala chovuta kwambiri kuchokera ku zovuta zazing'ono kuti zikhale zovuta kwambiri. Wodwala salinso ndi chikhumbo chokodza, kapena sangathe kukodza kwathunthu - kapena konse - atatha opaleshoni. Amatchedwanso "chikhodzodzo cha mpweya" kapena "chikhodzodzo cha neurogenic chikhodzodzo."
Panthawi zochepa, wodwala salinso akusowa kufunika kokodza, koma amatha kukodza pamene asankha.
Iwo samakhala ndi kumverera komwe kumawauza iwo kuti apite ku bafa, koma akhoza kupita popanda zovuta pamene iwo asankha. Izi zingayambitse matenda a mkodzo, monga kukopa mkodzo nthawi yayitali kungakhale chifukwa cha UTI. Malinga ngati wodwalayo akumbukira kuti amuke nthawi zonse, nkhaniyi imadutsa masiku kapena masabata pambuyo pa opaleshoni.
Odwala ena amafunitsitsa kukodza koma sangathe kutaya chikhodzodzo. Kutenga mazira oposa atatu mu chikhodzodzo musanayambe kuyamwa kumatengedwa kuti ndi yachilendo ndipo ndi chiwopsezo cha matenda opangira mkodzo.
Kusakhoza kutulutsa chikhodzodzo ndi vuto lalikulu lomwe limayendera kukachezera chipinda chodzidzimutsa kapena kusungidwa kuchipatala mpaka nkhaniyo ikathetsa.
Izi ndi chifukwa chakuti sangathe kudutsa mkodzo kumayambitsa chikhodzodzo chodzaza mkodzo, ngati buluni. Pamene chikhodzodzo chimadzaza, mkodzo umayamba kubwerera, ndipo ukhoza kuwononga impso kwamuyaya. Magaziniyi imafuna catheter yamakono kuti imwe mkodzo kuchokera pachikhodzodzo ndipo iyenera kuyang'aniridwa mosamala kuti izi zisawonongeke.
Chotsitsa Chakumsika Chochepa
Izi zikutanthauza kuti thupi limatulutsa mkodzo pang'ono kuposa momwe zikuyembekezeredwa. Mitsempha ya mitsempha imayang'aniridwa mosamala pambuyo pa opaleshoni chifukwa mkodzo wotuluka ndi chizindikiro chabwino cha momwe thupi likuchiritsidwa kuchokera ku opaleshoni.
Nthawi zambiri, kutsika kwa mkodzo kumakhala kosavuta komanso kosavuta kumwera mwakumwa madzi kapena kulandira madzi ambiri mu IV. Ngati njira zophwekazi sizingapindule, ndondomeko yowononga kwambiri ingakhale yofunikira.
Kuvulala Kwambiri kwa Impso
Uwu ndiwo matenda omwe amapezeka mofulumira kwambiri, pasanathe masiku asanu ndi awiri, ndipo amachititsa impso kugwira ntchito mochepa. Amadziwikanso kuti vutoli limakhala lovuta kwambiri, vutoli limapezeka ndi ntchito yamagazi yomwe imasonyeza kuti mlingo wa m'magazi ukuwonjezeka ndipo nthawi zambiri umasinthidwa.
Momwemo, wodwalayo amapatsidwa madzi ambiri, ndipo amalola impso kugwira ntchito bwino, koma kuvulala kwakukulu kwa impso ndi koopsa kwambiri ndipo kumafuna chithandizo chapadera ndi katswiri wa sayansi yazitsulo - katswiri wa impso - komanso kuyesa kuti adziwe kumene nkhaniyi.
Odwala ena angapeze kuti impso zawo sizovuta, impso zikhoza kuyankha vuto linalake la thupi, monga kutsika kwa magazi kapena mtima. Nthawi zambiri, pakakhala vuto lenileni, impso zimatha kubwerera kuntchito yawo yeniyeni.
Kulephera kwa Impso
Pali mitundu iwiri ikuluikulu ya impso yolephera, yovuta komanso yambiri. Kulephera kwa impso ndilo dzina la impso pamene silingathe kusungunula magazi bwinobwino kuti munthu akhale wathanzi.
Kulephera Kwambiri kwa Impso
Chotsatira cha nthawi yayitali chifukwa chosowa kwa impso kwambiri nthawi zambiri ndibwino, matendawa amayamba mwadzidzidzi, ndipo ndi mankhwala oyenera, kuwonongeka kwa impso kungathe kuchepetsedwa. Chifukwa chake chingakhale chophweka ngati kutsika kwa magazi ndipo zingakhale bwino mwa kuwonjezeka kwa magazi.
Anthu ena amakhalanso ndi malingaliro apamtima akamagwidwa mwamsanga ndipo ena angasiyidwe ndi ntchito ya impso yotere yomwe sizimawonekeratu. Mavuto aakulu a kuphwetekedwa kwa impso zingathe kuwonongeka kwambiri, kuphatikizapo vutoli likusintha ndipo limakhala vuto la moyo wosatha. Mwamwayi, milandu iyi ndi yosawerengeka.
Kulephera kwa Impso Kwambiri
Kumeneku kumatchedwa kuchepa kwa nthendayi kapena kuperewera kwa chiberekero, ndi vuto lalikulu. Kulephera kwa nthendayi kumayambira pakapita zaka zambiri, ndipo kwa odwala ambiri, ntchito ya impso imakula kwambiri pakapita miyezi, zaka ndi nthawi zina ngakhale makumi ambiri.
Chifukwa cha kulephera kumawoneka kuti sichigwirizana ndi impso, chikhoza kukhala kutetezedwa kwa magazi, shuga yosamalidwa bwino, kapena ngakhale matenda aakulu mu magazi omwe amachepetsa kuthamanga kwa magazi kwa nthawi yaitali.
Odwala amene amayamba kupweteka kwambiri kwa impso amatha kuchiritsidwa ndi dialysis. Palibe mankhwala othetsera mapeto a impso, koma odwala ena "amachiritsidwa" ndi kukonzanso impso .
Kuchokera
Matenda a Impso AZ. NIDDK. Inapezeka mu July, 2015. http://www.niddk.nih.gov/health-information/health-topics/kidney-disease/Pages/default.aspx