Indlela hlola izinso? Ucwaningo Izindlela, okuyinto ihlola ukuthi noma izinso enempilo

Izifo kohlelo genitourinary ivamile impela. Abesifazane abaningi bazi ukuthi pyelonephritis okungamahlalakhona, ngoba lokhu zokugula is nzima sokukhulelwa. isifo sezinso kungaholela nemiphumela eyingozi edinga njalo igazi imvume ezinobuthi (hemodialysis). Ukugula kunezimbangela eziningi (isib, yofuzo, hypothermia, skidding ukutheleleka izitho zobulili, nokunye. D.), Futhi ngokuvamile asymptomatic, lokhu okusho ukuthi, akazihluphi umuntu, ukuze wonke umuntu azi ukuthi angasilawula kanjani ukuhlola nezinso. Lokhu kuzosiza ngesikhathi ukuba afune usizo lwezokwelapha futhi ugweme eziyingozi.

Isakhiwo izinso

Izinso - ibhangqwe izitho lisendaweni lumbar. sici yabo eyinhloko - kumiswa umchamo. Izinso silondoloze ingcindezi oncotic ka igazi, ukukhiqiza erythropoietin. Uhlelo oluyisisekelo oluthi kwesakhiwo iyunithi - nephron - ilungu semithambo ingxenye (glomeruli) kanye tubules. Eyokuqala unesibopho okufika igazi kanye kumiswa umchamo eyinhloko. Okwesibili - zinengxenye reabsorption kwezikhala ezisemqoka izinto umzimba. Ekugcineni luhlala ezase imfucuza umkhiqizo - umchamo yesibili. Uma esikhathini esithile kukhona isithiyo, i- umsebenzi izinso iba buthakathaka. Lokhu kubonakala ekushintsheni qualitative ambalwa yokwakheka umchamo. Ukuze uqonde ukuthi ukuhlola izinso kuphela, odinga ukukwazi mayelana ukwephula diuresis, okuyinto cishe zonke iziguli. Lokhu kungafaka ukuncipha noma ukwanda ukuchama, ushintsho umbala umchamo, ngaphezulu sokuhambela njalo noma ezingavamile ethoyilethi.

Izindlela zocwaningo izinso

Zikhona izindlela eziningi ezingaba ukubona kwezinso kohlelo urinary. Endabeni yokunakekela impilo uhlole izinso usebenzisa ukuhlolwa okukhethekile, ezifana ukuhlolwa Zimnitskiy, Nechiporenko, Amburzhe. Zonke yalezi zindlela ziye zasetshenziswa isikhathi eside, ngakho ukusebenza kwabo kungase kutholakale. isampula ngalinye kuyadingeka ukuhlola umsebenzi othize, ezifana Zimnitskiy ukuhlaziywa wembula kokunikezwa kwe-ikhono zokuhlunga, Nechiporenko - khona impendulo ukuvuvukala futhi hematuria. Ukuze ukuxilongwa okufanele lisetshenziswe ithuluzi nezinso. izindlela ezinjalo zihlanganisa urography excretory kanye biopsy. Izinga igolide-ultrasound nezinso. Ngayinye yalezi zindlela inikezwa udokotela futhi kungathola ezifweni ezithile, uma kunesidingo.

Kanjani ukuhlola ukuthi izinso ziphilile?

Ukuze uqonde ukuthi kukhona isifo sezinso, kubalulekile ukuba banake khona izikhalazo lesiguli, ikakhulukazi uma kukhona izimpawu ezifana imvamisa futhi ushintsho ukuchama, igazi emchamweni, ukwanda diuresis ebusuku. Isici esibalulekile kuyinto ubuhlungu esifundeni lumbar, esiswini ephansi ngakwesokudla noma ngakwesobunxele. Ngaphezu izimpawu eziyinhloko zingase zibe waba ukwanda okukhulu kwezincwadi lokushisa komzimba, ubuthakathaka jikelele.

Ngokuvamile angina ekulandulayo isifo sezinso, SARS, hypothermia. Izimpawu kungaba ukuvuvukala, anda blood pressure. Lezi izimpawu zenzeka glomerulonephritis - ukuvuvukala kule glomeruli, okuyinto has a ezihlukahlukene amafomu. Kule ndaba, kungaba busa kuphela ingxenye izimpawu, noma ngisho noyedwa kubo. Indlela hlola izinso ebukhoneni edema? Isinyathelo sokuqala ukuba uthole ukuthi yini edale lesi lapho kuqala izimpawu. Uma ukuvuvukala ubuswa ekuseni, futhi touch athambe futhi efudumele, kubalulekile ukuya kudokotela, umnumzane Nephrologist.

izindlela behlolwa

Ngemva nokuhlaziya ngokucophelela izikhalazo futhi ukunquma umlando sifo kufanele zihlolwe. Okokuqala udinga ukuhlola isimo jikelele isiguli kanye hlola sonke isimiso, bese uqhubekela phambili wokuhlola ngokushesha umzimba wesiguli. Indlela hlola izinso ngaphandle izindlela olukhethekile kuziphi izici? Kuyadingeka ukuba bahlole isimo endaweni lumbar (uma azikho izinguquko ebonakalayo, edema) nokuqhuba palpation. Palpate umzimba kungenzeka izikhundla ezahlukene isiguli: othambekele, amile futhi ehlezi. Kulokhu, isiguli ucele sengidonsa umoya, phakathi kwesikhathi lapho udokotela kuletha izandla zakhe izinso palpable. On the exhale, udokotela uzama ukubhozomela igunya futhi ukuhlola lingakanani, khona ubuhlungu, isakhiwo, ukungaguquguquki kanye nendawo. In iziguli enempilo izinso akuzona palpable, ukuthi akuyona amenable ukuba kumba.

Yiziphi izimpawu kungabonakala nasemkhakheni isifo so-renal?

Indlela hlola izinso, ngaphandle palpation, bonke abantu kufanele bazi kudokotela. Uma usola ukuthi ukuvuvukala Kwenziwa ekhethekile ukuhlolwa obusebenzayo ukuthi ukuhlola ubukhona bayo noma engekho. Indlela esetshenziswa kabanzi indlela yiyona "uphawu eshayayo." It lucwaningo owelapha ofuna siqambe nesifo sezinso. Ngaphezu kwalokho, le ndlela isetshenziswa yisiphi isibhedlela esifundeni nsuku zonke udokotela. Isampula Kunenkolelo ne ukuma nesineke noma belele esiswini. Udokotela efaka isandla endaweni izinso, kanti enye kwenza ukukhanya Tapping ukunyakaza kuso. Ngemva kwalokho udinga ukushintsha isiqondiso. Isampula ukuhlola khona ubuhlungu izinso kwesokunene noma kwesobunxele. Ubuhlungu kubonisa ukuvuvukala. Ngokuvamile, ukusabela okuhle ukuze "uphawu u-" kwenzeka pyelonephritis - isimo sokugembula kule tubules.

Izinguquko ukwakheka qualitative umchamo

Endabeni ka esolwa kwezinso isifo ebekiwe iqoqo cwaningo, ngawo ukuthola izinguquko hhayi kuphela ubukhulu, kodwa futhi izinga umchamo. Lezi ukuhlolwa laboratory kukhona isampula Nechiporenko, Amburzhe, Kakovskomu-Addis. Zonke lezi cwaningo kukhona ekuthatheni kwelinye iphuzu phakathi nendawo umchamo. Okokusetshenziswa ke ngaphansi ukuphenywa kokuphulwa khona therein we leukocyte, erythrocyte futhi amasilinda. Ezimweni vsoh waqhuba count olunembile izakhi kwakhiwa sinikezwa emva esiphethweni.

Amasampula ihluke nomunye ngalolo amagugu evamile ngamunye wabo ezahlukene. Ukuhlaziywa ngu nechyporenko kubhekwa okuhle, uma engaphansi kuka 2,000 ama-leukocyte, erythrocyte futhi esingaphansi 1000 emkhakheni umbono. Sikakhiye ngaphansi kwemibandela evamile kuchazwe ezingavamile, kuyinsakavukela - kuze kube 500. Esikhathini ukuhlaziya Amburzhe futhi Kakovskomu Addis ukwakha izakhi ziyafana. Umehluko ukuthi amazinga yokuqala - amayunithi 200 no-100, kanti eyesibili - 2 million no-1 million.

Urinalysis ngoba Zimnitskiy

Zimnitsky isampula ngokwendlela indlela esetshenziswayo yokunquma izinguquko ukwakheka ambalwa of umchamo. Ukusuka kusukela ukuhlaziywa kuyinsakavukela kubonisa kokunikezwa kwe-lokuhlushwa nokusebenza kwezinso. Inkomba esemqoka, okuyinto esikalini ngokufeza ukuhlolwa Zimnitskiy iyona isihlobo kwabantu umchamo, okuyinto kufanele zishintshwe emini. Uma kungenzeka ukuba cabanga ukunciphisa ukulahleka enkulu uketshezi, okuyinto ngokuvamile kubonakala sikashukela. Uma kwabantu wenziwa isaba khona ezingeni elifanayo, kufanele esolwa iziyaluyalu lapho izinso bangalahlekelwa ukukwazi kwabo ukuba agxilise umchamo, okuyinto ikhono kabusha ukumuncwa. cwaningo Sample liqukethe ukuthatha emini, zonke 3 chasa (8 amaqoqwana). Ekuphetheni, kulinganiselwa ukuthi umchamo nsuku okukhipha, isilinganiso emini ukuchama nasebusuku, ukulahlekelwa amaprotheni ibalwa.

Imithetho ukuqoqwa ukuhlolwa umchamo

Lapho izinguquko Ukwakheka qualitative noma ambalwa of udokotela umchamo kufanele iqhinga ngoba uphethwe okwengeziwe, okungukuthi, ukucabanga: indlela yokuhlola izinso ngokuphelele naletinye tindlela wezinsimbi yokunika? Kwezinye izimo, cwaningo ezimbi zincike inqubo ukuthatha impahla okungalungile. Ukuze ukuhlolwa laboratory luqondile, kumele:

1. Ngigezisise izitsha umchamo.
2. Bamba yangasese yangaphandle izitho zangasese ngokushesha ngaphambi kwezidingo yokuhlaziya.
3. Ngokushesha ngemva kokugcwalisa imbiza umchamo, udinga ukuyivala ukugwema amagciwane.
4. Ngemva iqoqo umchamo ziyise laboratory 1-2 amahora.

Inani imaging izifundo

Imiphumela yaloku kuhlola okungenhla yokugcina zingenziwa emva izindlela olukhethekile uphenyo, okuhlanganisa ultrasonography kwezinso, excretory urography biopsy. Lezi zindlela enze kube nokwenzeka ukuba ukuthola indawo emzimbeni okungalungile (nephroptosis), khona kombungu esizalweni (polycystic kabili), ezihlukahlukene concretions Ngokuvumelana nobukhulu bazo shape. Ungaqinisekisa ukuthi sitholakele pyelonephritis okungamahlalakhona, ngisho nalapho engekho zako (emangala CHLS ku ultrasound). Kanjani ukuze uhlole esolwa umdlavuza kwezinso? Thatha biopsy kulandele histological futhi cytological luhlolo impahla.