Maloetse a liphio le pampiri ea urinary

Liphio le mafu a ho ntša metsi a moriana li na le mafu a mangata a basali. Kotsi e kholo ke hore maloetse a sa foleng a pampiri ea urinary ntle le phekolo e hlokahalang le ho lokisoa ha mathata a lebisa tlhokomelong ea butle-butle ea ho hlōleha ha renal. 'Me sena, ha lefu lena le ntse le tsoela pele, le hloka ho behoa hamodialysis.

Matšoao ohle a tsamaiso ea 'mele oa metsi a ka aroloa ka lihlopha tse' maloa:

1. Maloetse a ho ruruha a liphio le pampiri ea urinary ke pyelonephritis, cystitis, urethritis. Taba e sa tloaelehang ke lefuba la liphio le pampiri ea urinary, phapang ea eona e kholo ke ho lemoha moemeli oa causative oa lefuba ka mokokotlong. Hape, setšoantšo se fetoha marakong a karolong e ka tlaase ea tsamaiso ea ho ntša metsi.
2. Nakong ea tsoelo-pele ea pampiri ea metsi, ho ka 'na ha e-ba le liphoso, har'a tsona tse latelang:

• hypoplasia, ho pheta-pheta, ho fetola sebōpeho kapa ho se be teng ha liphio;
• congenital polycystic;
• lits'ebetso tse fokolang tsa mokokotlo le mokokotlo;
• ho arohanngoa ha maikutlo;
• diverticulum le ba bang.

Matšoao a ho kula ha mokhoa oa ho ntša metsi

Matšoao a maloetse a ho ntša metsi a fapakaneng a fapane. Ho itšetlehile ka lefu le khethehileng, matšoao ana kapa a mang a tla ba teng. Matšoao a tloaelehileng a lefu la ho ntša metsi a tsoang ho basali ke lits'ebeletso tse latelang tsa tleliniki:

1. Lefu la bohloko. Le liphio tsa liphio, bohloko bo sebakeng sa lumbar. Ha ho thibela ho tšeloa metsi ka majoe, bohloko bona bo phallela ho ea bohlokong le mokotleng ka lehlakoreng la leqeba. 'Me nakong e tlang boemo bona bo lebisa ho atolosong ea li-ureters le pelvis. Ka cystitis, bohloko boo bo boleloang ka holimo ho ba pubis.
2. Liphetoho tsa motsoako. 'Mala o ka fetoha ka lebaka la ho se hloeke ha mali (ka mohlala, haeba botšepehi ba lisele tse nyenyane, li-glomerulonephritis, lihlahala le ho bola), pus (mokokotlo o joalo o na le turbid' me o etsahala le tšoaetso ea urinary system).
3. Lintho tse ling tse kang li-urination, nocturia, polyuria, ho boloka metsi.
4. Khatello ea mali e eketsehileng ka lefu le sa foleng la liphio.
5. Anemia e bakoa ke tšenyo e tebileng ea masapo 'me e amahanngoa le ho ferekanya ha ntlha ea ntho e tlatsetsang ho hematopoiesis.
6. Ho ruruha sefahlehong.
7. Ho phahama ha mocheso, e le molao, ke tšobotsi pele ho lipalo tse tlaase tsa 37-37.5С. Ntho e ikhethang ke abscess e thata le apostatous pyelonephritis, tlas'a maemo ana mocheso oa 'mele o ka nyolohela ho 39.

Ke ponahalo ea lipontšo tsena tse etsang hore re ele hloko boemo ba ts'ebetso ea litho tsa tsamaiso ea ho ntša metsi.

Diagnostics

Mekhoa eohle ea ho hlahlojoa e ka aroloa ka lihlahisoa le laboratori. Ho tloha mekhoa ea laboratori re ka khetholla:

• ho hlahlojoa kalafo ea urine, tlhahlobo ea moroto ho latela Nechiporenko, ho latela Zimnitskiy;
• ho jala moroto ka microflora, ho sebelisetsoe ho khetholla lisosa tsa tšoaetso ea tsamaiso ea ho ntša metsi;
• tlhaloso ea creatinine le urea e sebelisetsoa ho lemoha ho hlōleha ha renal le tekanyo ea ho se sebetse ka mokhoa oa ho ba le tšenyo e mpe.

Ho khetholla mafu a liphio le pampiri ea ho ntša metsi ho thusa litsela tse latelang tsa lisebelisoa tsa ho hlahloba:

1. Ultrasonography ea liphio le lipampitšana tsa urinary li etsa hore ho khonehe ho fumana li-neoplasms, cysts, congenital malformations, deformities.
2. Cystoscopy ea senya .
3. Tlhaselo e lumella ho tseba hore na boemo bo sebetsang hakae ba ho ntša metsi.
4. CT le MRI ea liphio le lipampitšana tsa k'homphieutha li etsa hore ho khonehe ho bona ka tsela e hlakileng hore na liphio li entsoe joang, 'me ho arohana ka lihlopha tsa liphio tsa liphio. Ho tšepahala ha liphetho ho phahameng ho feta ka ultrasound.
5. Tlhapi ea maqhubu ea renal e sebelisetsoa ho hlahloba glomerulonephritis le ho tiisa kapa ho qhelela hlahala e bohloko.