Obstructive uropathy

Obstructive uropathy yog qhov mob uas ntws ceev ntawm cov zis. Qhov no ua rau cov zis rov qab thiab ua rau mob rau ib lossis ob lub raum.

Obstructive uropathy tshwm sim thaum cov zis tsis tuaj yeem ntws los ntawm mob txeeb zig. Cov zis tso rov qab rau hauv lub raum thiab ua rau nws tuaj o. Tus mob no yog hu ua hydronephrosis.

Obstructive uropathy tuaj yeem cuam tshuam ib lossis ob lub raum. Nws tuaj yeem tshwm sim sai, lossis teeb meem ntev.

Cov teeb meem tshwm sim ntawm tus tav kev uropathy muaj xws li:

• Lub pob zeb tso zis
• Raum pob zeb
• Benign prostatic hyperplasia (tsam txhab)
• Advanced prostate cancer
  
• Lub zais zis lossis zis mob cancer
• Mob hnyuv
• Cervical lossis uterine mob cancer
• Kev mob kheesxaws ntawm zes qe menyuam
• Ib yam kab mob twg uas kis tau
• Caws pliav nqaij uas tshwm sim sab hauv lossis sab nraum ntawm lub qhov zis
• Caws pliav nqaij uas tshwm sim sab hauv qhov zis
• Cov teeb meem cuam tshuam nrog cov hlab ntsha uas muab lub zais zis

Cov tsos mob nyob ntawm seb qhov teeb meem pib qeeb lossis dheev, thiab yog tias ib lossis ob lub raum koom nrog. Cov tsos mob tuaj yeem suav nrog:

• Me me rau cov mob hnyav hauv qhov flank. Qhov mob yuav hnov ​​rau ntawm ib lossis ob qho tib si.
• Ua npaws.
• Xeev siab los ntuav.
• Qhov hnyav nce los yog o (edema) ntawm lub raum.

Koj tseem yuav muaj teeb meem tso zis, xws li:

• Tso zis kom tso zis ntau zaus
• Txo lub zog qog lossis zis nyuaj
• Dribbling ntawm cov zis
• Tsis hnov ​​qhov zoo li lub zais zis yog qhov khoob
• Xav tso zis ntau zaus thaum tsaus ntuj
• Tsawg cov zis
• To tso zis (kev tswj tsis taus)
• Cov ntshav nyob hauv cov zis

Koj tus kws kho mob yuav hais kom ua haujlwm lossis siv duab los tshawb nrhiav txhaws. Cov kev ntsuas nquag siv muaj xws li:

• Ultrasound ntawm plab mog lossis plab mog
• CT scan ntawm lub plab mog lossis plab mog
• Tso cov tshuaj pyelogram (IVP)
• Voiding cystourethrogram
• Lub pob tawg nuclear
• MRI
• Urodynamic xeem
• Cystoscopy

Cov tshuaj kho mob yuav raug siv yog tias qhov ua rau tus mob prostate.

Txoj hlab zis los yog dej tso rau ntawm qhov zis los yog ib qhov chaw ntawm lub raum hu ua lub raum lub raum tej zaum yuav pab kho lub sij hawm luv.

Cov hlab ntsws me me, uas tso cov zis tawm ntawm lub raum mus rau sab nraub qaum, yuav raug siv los hla ntawm qhov txhaws.

Ib txoj raj yas rau Foley, tso rau ntawm qhov zis tso rau hauv lub zais zis, kuj tseem yuav pab tso zis ntws tawm.

Kev ncua luv los ntawm kev txhaws yog ua tau yam tsis muaj kev phais mob. Txawm li cas los xij, qhov ua rau txhawm rau yuav tsum tau tshem tawm thiab cov kab mob ntawm txoj hlab zis. Kev phais mob tuaj yeem xav tau ntev ntev los ntawm qhov teeb meem.

Lub raum yuav xav tau raug tshem tawm yog tias qhov blockage yuav ua rau lub luag haujlwm hnyav.

Yog tias qhov blockage tshwm sim sai, lub raum puas tsawg dua yog tias pom qhov teeb meem thiab kho tam sim ntawd. Feem ntau, kev puas tsuaj rau lub raum mus mus. Kev puas tsuaj rau lub raum ntev yuav tshwm sim yog tias qhov blockage tau nyob ntev.

Yog tias tsuas yog ib lub raum raug mob, mob raum ntev yuav muaj feem tsawg.

Koj tuaj yeem xav lim ntshav lossis lub raum hloov yog tias muaj kev puas tsuaj rau ob lub raum thiab lawv tsis ua haujlwm, txawm tias tom qab txhaws tas.

Obstructive uropathy tuaj yeem ua rau lub raum mus tas li thiab ua rau lub raum puas, ua rau lub raum tsis ua haujlwm lawm.

Yog tias qhov teeb meem tshwm sim los ntawm kev txhaws ntawm lub zais zis, lub zais zis yuav muaj kev puas tsuaj ntev. Qhov no tuaj yeem ua teeb meem rau lub zais zis lossis to rau cov zis.

Obstructive uropathy tau txuas nrog rau qhov muaj feem ntau ntawm mob txeeb zig.

Hu rau koj tus kws kho mob yog hais tias koj muaj cov tsos mob ntawm tus mob raum tsis zoo.

Obstructive uropathy tuaj yeem tiv thaiv los ntawm kev kho mob cuam tshuam uas tuaj yeem ua rau nws.

Kev tsis ntseeg siab - obstructive

• Lub zais zis catheterization - poj niam
• Lub zais zis catheterization - txiv neej
• 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.