Yintoni umhlaza wezintso? Ziziphi iimpawu kunye neendlela zonyango?
Izintso, lelinye lawona malungu abalulekileyo omzimba, aqinisekisa ukukhutshelwa kwenkunkuma ye-metabolic efana ne-uric acid, i-creatinine kunye ne-urea emzimbeni ngomchamo. Ikwanceda ukusasaza iiminerali ezifana netyuwa, i-potassium, i-magnesium kunye nezinto ezibalulekileyo zomzimba ezifana ne-glucose, iprotheni kunye namanzi kwiithishu zomzimba ngendlela elinganayo. Xa uxinzelelo lwegazi lwehla okanye isixa sesodium egazini sincipha, i-renin ikhutshwa kwiiseli zezintso, kwaye xa isixa seoksijini esegazini sincipha, iihomoni ezibizwa ngokuba yi-erythroprotein ziyakhutshwa. Ngelixa izintso zilawula uxinzelelo lwegazi ngehomoni ye-renin, zixhasa ukuveliswa kweeseli zegazi ngokuvuselela umongo wethambo kunye nehomoni ye-erythroprotein. Izintso, ezenza ukuba ivithamin D isetyenziswe ngokufanelekileyo emzimbeni, idlala indima ebalulekileyo ekukhuleni kwamathambo namazinyo.
Yintoni umhlaza wezintso?
Umhlaza wezintso wohlulwe kubini: umhlaza owenzeka kwindawo yezintso evelisa umchamo nakwinxalenye yedama apho umchamo uqokelelwa khona. Iimvavanyo ze-CA ziyenziwa ukufumanisa umhlaza wezintso. Ke yintoni i-CA? I-CA, indlela yokuvavanya esetyenziselwa ukufumanisa ubukho beeseli zomhlaza, isetyenziselwa ukulinganisa izinga le-antigen egazini. Nayiphi na ingxaki kwi-immune system inyusa inani le-antigen egazini. Kwimeko ye-antigen ephakamileyo, ubukho beeseli zomhlaza zingakhankanywa.
Yintoni isifo sezintso parenchymal?
Isifo se-renal parenchymal, esaziwa ngokuba ngumhlaza we-renal parenchymal, exhaphake kakhulu kubantu abadala, ichazwa njengokwanda kweseli okungaqhelekanga kwindawo yezintso evelisa umchamo. Isifo seParenchymal sinokubangela ezinye izifo zezintso.
Umhlaza wenkqubo yokuqokelela izintso: I-Pelvis renalis tumor
I-Pelvis renalis tumor, eluhlobo oluthile lomhlaza olungaqhelekanga kune-renal parenchymal disease, lwenzeka kwingingqi ye-ureter. Ngoko ke, yintoni i-ureter? Isakhiwo se-tubular esiphakathi kwezintso kunye ne-bladder kwaye siqukethe i-muscle fibers 25-30 centimeters ubude. Ukwanda okungaqhelekanga kweeseli okwenzeka kule ndawo kubizwa ngokuba yi-pelvis renalis tumor.
Oonobangela bomhlaza wezintso
Nangona izizathu zokubunjwa kwethumba kwizintso zingaziwa ngokupheleleyo, ezinye izinto ezinobungozi zinokubangela ukwakheka komhlaza.
- Njengazo zonke iintlobo zomhlaza, enye yezona zinto zinkulu ezibangela ukuvela komhlaza wezintso kukutshaya.
- Ubunzima obugqithisileyo kwandisa ukubunjwa kweeseli zomhlaza. Amafutha amaninzi emzimbeni, abangela ukuphazamiseka kwimisebenzi yezintso, kwandisa ingozi yomhlaza wezintso.
- Uxinzelelo lwegazi oluhlala ixesha elide,
- Isifo esingapheliyo sokungaphumeleli kwezintso,
- I-Genetic predisposition, i-congenital horseshoe kidney, izifo zezintso ze-polycystic kunye ne-von Hippel-Lindau syndrome, isifo senkqubo,
- Ukusetyenziswa kwexesha elide kwamayeza, ngakumbi amayeza okudambisa iintlungu.
Iimpawu zomhlaza wezintso
- Utshintsho kumbala womchamo ngenxa yegazi kumchamo, umchamo omnyama, ubomvu obomvu okanye umchamo obomvu,
- Iintlungu zezintso zasekunene, iintlungu eziqhubekayo kwicala lasekunene okanye lasekhohlo lomzimba,
- Kwi-palpation, kukho ubunzima bezintso, ubunzima kwindawo yesisu,
- Ukunciphisa umzimba kunye nokulahlekelwa ngumdla,
- Umkhuhlane ophezulu,
- Ukudinwa okugqithisileyo kunye nokuba buthathaka kusenokuba ziimpawu zomhlaza wezintso.
Ukuxilongwa komhlaza wezintso
Ekuxilongeni umhlaza wezintso, uvavanyo lomzimba lwenziwa okokuqala. Ukongezelela, uvavanyo lomchamo kunye novavanyo lwegazi lwenziwa. Ingakumbi amanqanaba aphezulu e-creatine kuvavanyo lwegazi abalulekile ngokwemingcipheko yomhlaza. Enye yeendlela zokuxilonga ezibonelela ngesiphumo esicacileyo sokuxilongwa komhlaza yi-ultrasonography. Ukongeza, indlela ye-tomography edibeneyo ivumela ukuqonda ubungakanani bomhlaza kunye nokugqiba ukuba isasazeke kwezinye izicubu.
unyango umhlaza wezintso
Eyona ndlela isebenzayo kunyango lwesifo sezintso kukususa yonke okanye inxalenye yezintso ngotyando. Ngaphandle kolu nyango, iradiotherapy kunye nechemotherapy ayinasiphumo ingako kunyango lomhlaza wezintso. Njengomphumo weemvavanyo kunye noviwo, inkqubo yokuhlinzwa eyenziwa kwizintso inqunywe. Ukususwa kwazo zonke izihlunu zezintso ngotyando lwezintso kubizwa ngokuba yi-radical nephrectomy, kwaye ukususwa kwenxalenye yezintso kubizwa ngokuba yi<em>nephrectomy engaphelelanga. Utyando lungenziwa njengotyando oluvulekileyo okanye utyando lwe-laparoscopic.