Labada dhinac ee loo yaqaan 'hydronephrosis'

Laba-geesoodka hydronephrosis waa ballaadhinta qaybaha kelyaha ururiya kaadida. Laba-geesoodka macnihiisu waa labada dhinac.

Labada dhinac ee hydronephrosis waxay dhacdaa marka kaadidu awoodi weydo inay ka soo baxdo kilyaha oo ay gaarto kaadi haysta. Hydronephrosis lafteeda ma aha cudur. Waxay u dhacdaa iyadoo ka dhalatay dhibaato ka hortageysa kaadida inay ka soo baxaan kalyaha, kaadi mareenka, iyo kaadi haysta.

Cilladaha la xiriira hydronephrosis laba-geesoodka ah waxaa ka mid ah:

• Cudurka 'uropathy' xannibaadda laba-geesoodka ah - kelyaha oo si kedis ah u xirma
• Xannibaadda kaadi heysta - xannibaadda kaadiheysta, taas oo aan oggolaanaynin dheecaan soo baxa
• Cudurka 'uropathy' xannibaadda laba-geesoodka ah - xannibaadda tartiib-tartiib ah ee labada kelyood ayaa inta badan ka yimaada xannibaadda keligood
• Kaadiheysta Neurogenic - kaadiheysta oo si liidata u shaqeysa
• Feelalka kaadi-mareenka dambe ee dambe - furitaanka kaadi mareenka oo sababa faaruqin faaruqinta kaadiheysta (wiilasha)
• Cudurka caloosha ee 'Prune syndrome' - oo si xun u faaruqiya kaadiheysta oo sababa kala fogaanta caloosha
• Cudurka 'Retroperitoneal fibrosis' - oo kordhay unugyada nabarrada ee xannibaya kaadi-mareennada
• Xannibaadda isgoyska Ureteropelvic - xannibaadda kelyaha barta ay kaadi mareenku ka galaan kilyaha
• Vesicoureteric reflux - keydinta kaadida kaadiheysta ilaa kilyaha
• Soo bixida ilma-galeenka - marka kaadi haysta hoos u dhacdo oo ku cadaato aagga siilka. Tani waxay keentaa kala-bax ku dhaca kaadi-mareenka kaadi mareenka, taas oo ka hortageysa inay kaadidu faaruqiso kaadi haysta.

Ilmaha, calaamadaha dhibaatada badanaa waxaa laga helaa dhalashada kahor inta lagu jiro uurka uurka.

Infekshan ku dhaca marinka kaadi mareenka ee ilmaha dhasha ah wuxuu tilmaami karaa cilad ku jirta kilyaha. Cunugga weyn ee ku soo noqnoqda infekshinka kaadi mareenka waa in sidoo kale laga hubiyaa inuu xirmay.

Tiro ka badan inta caadiga ah ee infekshannada kaadi mareenka ayaa astaamaha kaliya ee dhibaatada leh.

Calaamadaha guud ee dadka waaweyn waxaa ka mid noqon kara:

• Dhabar xanuun
• Lalabbo, matagid
• Qandho
• U baahan kaadi badan
• Kaadida oo yaraatay
• Dhiig ku jira kaadida
• Kaadida kaadida

Tijaabooyinka soo socdaa waxay muujin karaan hydronephrosis laba-geesood ah:

• CT iskaanka caloosha ama kilyaha
• IVP (waxaa loo isticmaalaa si ka yar)
• Uurka (uurjiifka) ultrasound
• Sawirka kililka
• Ultrasound ee caloosha ama kilyaha

Ku ridida tuubo kaadiheysta (Foley catheter) waxay furi kartaa xannibaadda. Daaweynta kale waxaa ka mid ah:

• Biyo-baxa kaadiheysta
• Cadaadiska oo laga yareeyo adoo tuubooyin ku ridaya kilyaha maqaarka
• Saarista tuubbo (stent) kaadi mareenka si ay ugu oggolaato kaadida inay ka soo baxdo kilyaha oo ay kaadiheysta

Sababta asalka u ah xannibaadda waxay u baahan tahay in la helo oo la daweeyo marka ay yaraato kaadida.

Qalliinka lagu sameeyo inta ilmuhu ku jiro caloosha ama wax yar ka dib dhalashada wuxuu yeelan karaa natiijooyin wanaagsan oo ku saabsan hagaajinta shaqada kalyaha.

Soo noqoshada shaqada kelyaha way kala duwanaan kartaa, iyadoo kuxiran inta uu xannibaadu jirto.

Dhaawaca kelyaha ee aan laga soo kaban karin wuxuu ka dhalan karaa xaalado keena hydronephrosis.

Dhibaatadan waxaa badanaa helaa bixiyaha xanaanada caafimaadka.

Ultrasound inta lagu jiro uurka wuxuu muujin karaa xannibaadda marinka kaadi mareenka ilmaha. Tani waxay u oggolaaneysaa dhibaatada in lagu daaweeyo qalliin hore.

Sababaha kale ee xannibaadda, sida dhagxaanta kelyaha, ayaa goor hore lagu ogaan karaa haddii dadku ogaadaan calaamadaha digniinta ee dhibaatooyinka kelyaha.

Waxaa muhiim ah in fiiro gaar ah loo yeesho dhibaatooyinka guud ee kaadi haysta.

Hydronephrosis - laba geesood

• Maqaarka kaadi mareenka
• Mareenka kaadi mareenka

Oday JS. Cudurka kaadi mareenka. Gudaha: Kliegman RM, Stanton BF, St. Geme JW, Schor NF, eds. Nelson Buugga Buugga Caafimaadka Caruurta. 20aad. Philadelphia, PA: Elsevier; 2016: cutubka 540.

Frøkiaer J. Cudurka kaadi mareenka. Gudaha: Skorecki K, Chertow GM, Marsden PA, Taal MW, Yu ASL, eds. Brenner iyo Raktarka kilyaha. 10aad ed. Philadelphia, PA: Elsevier; 2016: cutubka 38.

Gallagher KM, Hughes J. Cudurka kaadi mareenka. Gudaha: Feehally J, Floege J, Tonelli M, Johnson RJ, eds. Neefroloji Caafimaad oo dhameystiran. 6aad ed. Philadelphia, PA: Elsevier; 2019: cutubka 58.

Nakada SY, Best SL. Maareynta xannibaadda marinka kaadi mareenka sare. Gudaha: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urolojiga. 11aad. Philadelphia, PA: Elsevier; 2016: cutubka 49.