General tsananguro yechirwere
Ichi chirwere umo renal chiuno uye calyx vari yekudyidzana akatambanudza. Uku kuwedzera kunoitika nekuda kwekutyorwa kweiyo nzira yekubuda kweti, izvo zvinowedzera kumanikidza muiyo renal pelvic-mukombe system. Izvi zvakawedzera hydrostatic kumanikidza kumanikidza iyo midziyo, ichikanganisa zvakajairika chikafu cheitsvo, zvichidenha atrophy yenyama yayo. Semhedzisiro yeizvi zvese, basa rese re genitourinary system rakakanganiswa.
Chaizvoizvo, hydronephrosis inokanganisa itsvo imwe chete. Kakawanda, chirwere ichi kunoitika vakadzi vaduku. Nezve mativi echironda, kesi dzehydronephrosis yerudyi kana kuruboshwe itsvo inenge yakafanana.
Types uye zvikonzero kukura hydronephrosis
Nemavambo ayo, hydronephrosis inogona kuve yekuberekwa kana kuwanikwa.
Hydronephrosis mhando yekuberekwa inoitika nekuda kwekusiyana kwakasiyana siyana mukukudziridzwa kweiyo ureters kana itsvo. Anomalies akadaro anosanganisira asiriwo kuberekwa kuiswa munzvimbo yeitsvo tsinga pamwe nematavi avo (vanomanikidza ureter); kusagadzikana kwenzira dzinoburitsa weti; kutapudza (kuomesa) kweiyo mavhavha eiyo ureters uye kupindirana (kuvharirwa) kweiyo weti turakiti yehunhu hwekuzvarwa; iyo ureter iri kuseri kweiyo vena cava. Zvakare, izvo zvikonzero zvekusimudzirwa kwekuzvarwa hydronephrosis inosanganisira zvisizvo mamiriro amai panguva yekuzvitakura (kutora mimwe mishonga, kuwedzera zvirwere zvechirwere chisingaperi, kuendesa zvirwere zvehutachiona kana mabhakitiriya mavambo.
Hydronephrosis yakawanikwa mhando inokura pamberi pehosha yezvirwere. Izvi zvinosanganisira urolithiasis; mamota eurinary turakiti, ovaries, prostate, chibereko uye muromo wechibereko; musana wekukuvara, izvo zvakatungamira mukusagadzikana kwekufunga kweiyo weti kubuda; kuzvimba nzira mune genitourinary system; kudzikira kweti weti inokonzerwa nekushaiwa mushure mekukuvara; metastases munhengo dzechiuno kana munzvimbo yetroproperitoneal.
Zvichienderana nenzvimbo yezvipingamupinyi pakubuda kweweti, mapoka mashanu ezvinetso anosiyaniswa, anoti:
- 1 ari mune urethra kana dundira;
- 2 iri mumwenje wepelvis kana ureter;
- 3 inowanikwa munzvimbo yemadziro ehudyu uye ureter;
- 4 inosanganiswa nenzvimbo isina kujairika yeiyo ureters kana nekink yavo;
- 5 yakaiswa padanho rakaenzana neureter, asi panguva imwechete haisi mumwenje.
Matanho ekuvandudza eitsvo hydronephrosis
Mukusimudzira kwayo, hydronephrosis inoenda nematanho matatu.
Muchikamu chekutanga Zvirwere mumucheka weti zvinoungana zvishoma, nekuda kwekuti madziro ayo anotambanuka zvishoma uye kushanda kweitsvo kunoitika padanho rakajairika.
Muchikamu chechipiri, nekuda kwekukosha kwakanyanya kweweti, shanduko yeitsvo yatove kutora nzvimbo, izvo zvinokonzeresa kutetepa kwemadziro enhengo iyi. Muchiitiko ichi, basa reitsvo rinorwara rakaderedzwa neinenge hafu. Kune zvakajairika kuburitsa weti, itsvo ine hutano inosanganisirwa basa. Nekuda kweizvi, iro rekuwedzera basa remuviri rinobhadharwa.
Muchikamu chechitatu hydronephrosis, itsvo inorasikirwa neunyanzvi ne80% kana zvachose atrophies. Itsvo ine hutano haichagone kubata zvizere nemabasa ese emuviri. Nekuda kweizvi, kukundikana kwetsvo kunoitika. Kana dambudziko iri risina kurapwa zvakanaka, murwere anogona kufa.
Hydronephrosis zviratidzo
Mumatanho ekutanga, hydronephrosis inogona kunge isingaonekwe neimwe nzira. Ichi chirwere hachina chero chakakosha zviratidzo izvo zvinonyatso batsira kumisikidza ichi kuongororwa. Kazhinji inozviratidza muchimiro chezviratidzo zvezvirwere izvi kana kusagadzikana kwakakonzera iyo hydronephrosis yeitsvo pachayo.
Muzviitiko zvakawanda, varwere vanonzwa kurwadziwa munzvimbo ye lumbar. Ivo vari kurwadza mune zvakasikwa. Iyo inogona zvakare kuzviratidza pachayo nenzira yekutetemera, ipapo kurwadziwa kunoitika munzvimbo yeiyo itsvo yakabatwa (kana itsvo chaiyo iri kurwara, zvinoreva kurudyi, kana kuruboshwe kuruboshwe). Mhinduro dzemarwadzo dzinogona zvakare munzvimbo yekugomera kana mugumbo. Kana chirwere ichi chichiwedzera, marwadzo mashoma anova.
Uye zvakare, pamwe neyekurwadziwa chirwere, murwere anogona kusangana nemabhaisikopo, gag reflexes, uye kuwedzerwa kweropa kunogona kuwedzera. Vamwe vane fivha. Izvi zvinotoratidza kuvepo kwehutachiona.
Muchikamu chimwe muzvishanu chevarwere vane hydronephrosis, ropa riripo mumurini. Vane hematuria yakakura (ropa mumurini rinogona kuteverwa neziso rakashama, pasina kuongororwa) kana microhematuria (ropa riri mumurini harigone kuonekwa neziso, asi kuvapo kwaro kunotsanangurwa nehutachiona hwekuongorora, izvi zvinoratidzwa nekuvapo kwe erythrocytes).
Chikamu chekupedzisira chinoperekedzwa nehutachiona kukundikana, kunozivikanwa nekuzvimba kwemuviri, kuderera kwehuwandu hwehurosi yakaburitswa, kuvapo kwehutachiona hwehutachiona uye kukura kweanemia.
Zvigadzirwa zvinobatsira zve hydronephrosis
Ne hydronephrosis, murwere anoratidzwa chikafu chakakosha. Inofanirwa kuve yakakwira macalorie (kudya kwezuva nezuva kunofanirwa kunge kwakaenzana ne3000 kcal), iine ese maamino acids uye mavitamini anodiwa kumuviri.
Kana murwere akanyorerwa diuretics, saka anofanira kuwedzera zvokudya zvine potassium kune zvokudya zvake. Aya ndiwo nyemba, bhinzi, pizi, masitadhi, michero yakaomeswa (mazambiringa akaomeswa, maapricots akaomeswa), nzungu (cashews, maamondi, misidhari, cashews, hazelnuts), apricots, kabichi muto, maonde, gungwa, mbatatisi (zviri nani kudya yakabikwa) , zvigadzirwa zvemukaka. Vachabatsira kuderedza kuzvimba.
Hwaro hwekudya kwehydronephrosis inofanirwa kunge iri michero nemiriwo (angangoita mazana matanhatu magiramu anofanirwa kudyiwa zuva nezuva).
Kana iri yemvura, zvese zvinoverengerwa pano (makosi ekutanga, compotes, mvura). Nechirwere ichi, iwe unofanirwa kuongorora yako yemazuva ese weti kuburitsa (huwandu hweti weti yakaburitswa mumaawa makumi maviri nemana). Zvichienderana neuwandu weti weti yakaburitswa, iro vhoriyamu remvura inodikanwa inoverengwawo Iko kunwiwa kwemurwere pazuva hakufanirwe kudarika 24 litita ezuro ezuro abuda weti. Kureva: “weti vhoriyamu + 0,5 l = huwandu hwemvura yezuva nezuva.” Zvakanakisisa kunwa compotes, yakasanganiswa majusi uye hydrocarbonate mineral mvura.
Kuti uwedzere huwandu hweweti yakabviswa, zvinodikanwa kuita mazuva ekutsanya. Iko carbohydrate kuburitsa iyo inorayirwa. Ichi chikafu chekutsanya chinobatsira kuderedza mazinga eropa uye kunobatsira kubvisa zvigadzirwa zveprotein degradation.
Pane matatu sarudzo yezuva rekutsanya.
- 1 Kunwa… Pakati pezuva, unofanirwa kunwa compote yakagadzirwa kubva pamichero nemichero. Unogona kuwedzera shuga. Pakati pezuva, iwe unofanirwa kunwa 1 litre ye compote mu5 doses. Iko kupaza pakati pemadhosi kunofanirwa kunge kuri kungangoita maawa matatu.
- 2 Chibereko zuva… Zuva rese unofanirwa kudya michero chete. Vanofanira kudyiwa magiramu mazana matatu panguva imwe (panofanirwa kuve nemabiko mashanu, maawa matatu anofanira kupfuura pakati pegamuchidzanwa rega rega). Watermelon inoonekwa seyakanaka pazuva rakadai rekutsanya. Zvakare, iwe unogona kudya raspberries, cranberries, bhuruu, mazambiringa, orenji, cherries, maapuro.
- 3 Vegetable… Idya magiramu mazana matatu esaradhi yemuriwo mumaawa matatu ega ega. Huwandu hwekugamuchira hunofanirwa kuve kanokwana kana kashanu.
Kusvika nanhasi, pane nyaya ine nharo yemunyu uye mapuroteni anodyiwa.
Dzimwe nyanzvi dzenephrologist dzinokurudzira kusasanganisa chikafu cheprotein kubva pakudya kwemurwere. Mushure mezvose, mapuroteni anoita kuti zviome kuti itsvo dzishande. Asi kuibvisa kubva mukudyiwa kwevanhu (kunyanya vakura) kunogona kukuvadza zvakanyanya muviri (pasina maamino acids ari muprotein, maitiro akajairwa ekugadzirisa itsvo dzakakanganisika matishu haagone kuitika). Nokudaro, vanachiremba vakawanda vane chido chekutenda kuti kushandiswa kwezvokudya zveprotein kunofanira kuderedzwa. Kune 1 kilogiramu yehuremu hwemuviri wemurwere, panofanira kunge paine magiramu 0,5 emapuroteni anogayiwa nyore: zvigadzirwa zvemukaka, nyama yakaonda uye mapuroteni emiriwo.
Nezve munyu. Pakutanga, kushandiswa kwayo kwairambidzwa zvachose. Huwandu hwemunyu hunofanirwa kunge hwaganhurirwa kumagiramu maviri. Kuti uwedzere kuravira, panzvimbo yemunyu, unogona kuwedzera mishonga, gariki, hanyanisi kuchikafu.
Kudya kunorayirwa zvakasiyana, zvichienderana ne: kugara zvakanaka kwemurwere, kuvapo kwezvirwere zvinowirirana uye zvisingaperi, kuomarara kweedema, uye mhedzisiro yekuongororwa kweweti.
Ne hydronephrosis, zvinotevera zvigadzirwa zvinokurudzirwa kugamuchirwa: chena uye rye chingwa chezuro chakabikwa, crackers, biscuit mabhisikiti, sopu yemiriwo, zviyo uye zviyo (kunyanya mupunga uye Buckwheat), mazai (kwete kupfuura 1 pazuva), jelly, jelly, hard cheese , cottage cheese, herbs (lettuce, parsley, dill, nettle duku, sipinashi), cauliflower, asparagus, dzungu.
Yese ndiro ndiro yakanyanya kupiswa kana kubikwa; oiri inofanira kungowedzerwa pane chikafu chakabikwa.
Kutevedzera izvi zvinovaka misimboti hydronephrosis, unogona kuderedza mutoro itsvo, uye normalize metabolic pezvakaitwa. Izvi zvinotungamira basa reitsvo mukudzoserwa kwavo uye kuwedzeredzwa kwekushanda kwavo.
Mukuvapo kwechirwere cheitsvo chinowirirana, murwere anofanirwa kunamatira kuchikafu chetafura nhamba 7.
Chinyakare mushonga wehydronephrosis
Usati watanga kurapa hydronephrosis nenzira yechinyakare, unofanirwa kuziva zvechokwadi kuti itsvo yechipiri ine hutano zvakakwana uye hapana kukundikana mukushanda kwayo. Vanachiremba vanokurudzira kushandisa nzira dzekuchengetedza dzekurapa chete mumatanho ekutanga ehydronephrosis. Kurapa kunoitwa kuburikidza nekushandisa mishonga yemakwenzi:
- unganidza magiramu makumi mashanu eoats (zviyo), mashizha emambure, bearberry, adonis miriwo uye mahombekombe uye magiramu zana nemakumi mashanu emashizha ebirch;
- tora magiramu zana eadonis, birch buds, oats, hop cones, bedstraw, stonecrop, horsetail;
- unganidza magiramu makumi mashanu echefthoof, knotweed uye horsetail, 50 gramu echibage stigmas uye bhinzi inoputika, 75 magiramu ebherberry uye birch buds;
- tora magiramu zana nemakumi mashanu emashizha ebirch, dandelion uye juniper midzi (michero);
- muhuwandu hwakafanana gadzirira mashizha e currant, raspibheri, mahebhu: knotweed, tambo, calamus midzi, chamomile maruva, meadowsweet uye itsvo tii;
- muzvikamu zvakaenzana, tora alder cones, marshmallow midzi, coriander michero uye celandine herbs, fireweed, knotweed, volodushka, mint.
Maitiro ekugadzirira decoctions yehydronephrosis
Tora dosi inodiwa yeunganidzwa yakasarudzwa, durura inopisa mvura yakabikwa, isa pamoto wakadzika, uuye kumota uye wira kwemimwe maminetsi gumi (pachinenge chichivira, hari yacho inofanirwa kunge yakavharwa zvine chivharo). Mushure memaminitsi gumi, pakarepo dururirai zvese mu thermos (pamwe nehuswa). Siya muto ipapo husiku. Sefa mangwanani. Iyo inokonzeresa infusion inofanirwa kudhakwa pazuva. Shandisa hafu yegirazi maminetsi makumi maviri neshanu pasati padya. Imwai decoction kubva kune imwe yakasarudzwa muunganidzwa kwemwedzi mina, saka iwe unofanirwa kutora zororo kwemasvondo maviri uye wotanga kutora chero imwe yemitero iri pamusoro.
Kana hydronephrosis ichicherechedzwa mumwana, saka zvinodikanwa kuti utore madosi akasiyana kwazvo ekuunganidza kwaari. Izvo zvese zvinoenderana nezera. Kune vana vari pasi pegore rimwe chete, ½ teaspoon yekuunganidza ichakwanira zuva rimwe chete, kune vana vane makore 1 kusvika kumakore matatu, 1 teaspoon yekuunganidza inenge yatodiwa. Vana vari pasi pemakore matanhatu vanoratidzwa 3 dhisipuni chipunu pakugadzirira kwekusanganisa kwemushonga, uye vana kubva pamakore matanhatu kusvika pamakore gumi vachazoda chipunu chimwe cheunganidzwa. Kune vanhu vakuru uye vana vanopfuura makore gumi, ekurapwa, zvinodikanwa kugadzirira decoction ye 1 mashupuni eakaunganidzwa akaomeswa.
Zvinokosha!
Kuti udzivirire uye udzivirire kukura kwehydronephrosis, haugone "kutsungirira" (kunonoka kuita weti), unofanirwa kushanyira chimbuzi ipapo ipapo. Kana weti yakanyanyiswa, inogona kudzoka muitsvo, izvo zvinoita kuti chiuno chiwedzere munguva inotevera. Kukanda uku kunoitika nekuda kwekuwandisa kwedundira.
Zvigadzirwa zvine ngozi uye zvinokuvadza zve hydronephrosis
- zvinonhuwira, zvinopfungaira, zvakakangwa, zvine mafuta, zvinovava;
- magaka, sauces, marinades, ketchups, mayonnaise;
- zvihwitsi (zvine shuga, majarini), kirimu yechingwa;
- nyama yakakora, hove uye muto pamusoro pazvo;
- howa;
- chikafu chinokurumidza, doro, inotapira soda, kofi;
- semi-yakapera zvigadzirwa, chikafu chemumagaba, soseji uye masoseji;
- zvichangobikwa uye zvakapfuma zvikafu.
Mukuvapo kwe oxaluria, sorrel, chokoreti, mukaka, zvese zviyo uye zvikafu zvine calcium salts, ascorbic uye oxalic acids zvinorambidzwa.
Chenjerera!
Iwo manejimendi haatarisiri chero kuyedza kwekushandisa ruzivo rwunopihwa, uye haivimbise kuti harukuvadze iwe pachezvako. Izvo zvinhu hazvigone kushandiswa kupa mushonga uye kugadzirisa chirwere. Nguva dzose bvunza chiremba wako wezvechiremba!