Hydronephrosis ntawm ib lub raum

Hydronephrosis yog o ntawm lub raum vim qhov thaub qab tso zis. Qhov teeb meem no tuaj yeem tshwm sim hauv ib lub raum.

Hydronephrosis (mob raum ntxiv) tshwm sim raws li kev kis mob. Nws tsis yog kab mob nws tus kheej. Cov xwm txheej uas yuav ua rau hydronephrosis suav nrog:

• Qhov thaiv cov hlab zis vim qhov tawv nqaij tshwm sim los ntawm kev kis ua ntej, kev phais neeg, lossis hluav taws xob
• Kev txhaws ntawm lub tsev menyuam ntau ntxiv thaum cev xeeb tub
• Cov kab mob yug thaum tseem tsis tau ntawm lub chaw tso zis
• Rov qab tso zis los ntawm lub zais zis rau raum, hu ua vesicoureteral reflux (tej zaum yuav tshwm sim muaj qhov yug me nyuam los yog vim qhov mob loj dua ntawm lub qhov zis lossis txoj hlab ntaws me me)
• Raum pob zeb
• Mob qog lossis hlav hlav uas tshwm sim nyob rau tso zis, tso zis, zais plab lossis plab
• Cov teeb meem cuam tshuam nrog cov hlab ntsha uas muab lub zais zis

Qhov thaiv thiab lub raum yuav tshwm sim sai los yog pib qeeb.

Cov tsos mob tshwm sim suav nrog:

• Flank mob
• Lub plab loj, tshwj xeeb yog hauv cov menyuam yaus
• Xeev siab thiab ntuav
• Kab mob txeeb zig (UTI)
• Ua npaws
• Kev mob tso zis heev (mob kawg)
• Ua kom tso zis ntau npaum li cas
• Ua rau kom tso zis ceev ntxiv

Muaj qee kis, yuav tsis muaj tsos mob dab tsi.

Tus mob no muaj nyob ntawm ib qho kev ntsuam xyuas uas zoo li:

• MRI ntawm lub plab mog
• Kev kuaj duab ntawm lub raum lossis lub plab
• Tso cov tshuaj pyelogram (IVP)
• Lub raum scan
• Ultrasound ntawm ob lub raum lossis lub plab

Txoj kev kho yog nyob ntawm qhov ua kom lub raum o tuaj. Kev kho mob yuav suav nrog:

• Tso lub stent (tube) los ntawm lub zais zis thiab tso zis kom tso zis tawm ntawm lub raum mus rau hauv lub zais zis
• Tso lub raj rau hauv lub raum dhau ntawm daim tawv nqaij, kom tso cai rau cov zis uas tau txhaws tawm kom ntws tawm ntawm lub cev mus rau hauv lub hnab ntim dej xau
• Tshuaj tua kab mob rau kev kis mob
• Kev phais txhawm rau kho qhov txhaws lossis txhaws
• Tshem tawm ib qho pob zeb uas ua rau txhaws

Cov tib neeg uas muaj tib lub raum, tus neeg muaj kev tiv thaiv kab mob hauv lub cev xws li mob ntshav qab zib lossis HIV, lossis tus neeg tau hloov ntshav yuav tsum tau kho tam sim ntawd.

Cov neeg uas muaj hydronephrosis ntev mus yuav xav tau cov tshuaj tua kab mob kom txo tau qhov mob UTI.

Lub raum tsis ua haujlwm, UTI, thiab mob yuav tshwm sim yog tias qhov mob tseem tsis kho.

Yog hais tias hydronephrosis tsis kho, lub raum cuam tshuam yuav raug puas tsuaj mus tas li. Lub raum tsis ua haujlwm yog qhov tsawg yog lwm lub raum ua haujlwm ib txwm. Txawm li cas los xij, lub raum tsis ua haujlwm yuav tshwm sim yog tias tsuas muaj ib lub raum ua haujlwm. UTI thiab mob kuj yuav tshwm sim.

Hu rau koj tus neeg saib xyuas kev noj qab haus huv yog tias koj muaj mob ntxhawv los yog mob hnyav, lossis kub taub hau, lossis yog koj xav tias koj muaj hydronephrosis.

Kev tiv thaiv ntawm kev cuam tshuam uas ua rau tus mob no yuav tiv thaiv nws los ntawm tshwm sim.

Hydronephrosis; Hydronephrosis Hlua; Mob hydronephrosis; Thaiv ob leeg; Unilateral hydronephrosis; Nephrolithiasis - hydronephrosis; Lub raum pob zeb - hydronephrosis; Lub pob hlaws nrov - hydronephrosis; Ureteral laij lej - hydronephrosis; Vesicoureteral reflux - hydronephrosis; Obstructive uropathy - hydronephrosis

• Poj niam tso zis tso zis
• Cov txiv neej tso zis

Frøkiaer J. Cov hlab zis thaiv kev. Hauv: Yu ASL, Chertow GM, Luyckx VA, Marsden PA, Skorecki K, Taal MW, eds. Brenner thiab Rector's RaumCov. 11th ed. Philadelphia, PA: Elsevier; 2020: cha 37.

Gallagher KM, Hughes J. Cov hlab zis thaiv kev. Hauv: Feehally J, Floege J, Tonelli M, Johnson RJ, eds. Cov Chaw Kho Mob Tshaj LojCov. 6 tus ed. Philadelphia, PA: Elsevier; 2019: chap 58.