ʻO ka hanu waipahili kahi maʻi iʻikeʻia e ka uluʻana o ka pūnaewele hōʻiliʻili o nā puʻupaʻa, kahi e kū ai ka hōʻehaʻana i ka kahe o ka mimi, ka piʻiʻana o ka hanu hydrostatic. I loko o kahi ho'ākāka maʻalahi,ʻo nā puʻupaʻa i loko o pelvis a me calyx, kahi pūnaewele hōʻiliʻili, kahi e ulu ai ka mimi. Inā hoʻoholo ka nui o ka wai i ka palena o ka palena, hiki i ke calyx a me ke pelvis . Ke hanaʻia kēia maʻi ma nā keiki a me nā mākua. E kamaʻilio mākou e pili ana i ka hydronephrosis o nā puʻupaʻa i loko o nā keiki hou.
Nā kumu, nāʻano a me nā hōʻailona o ka hydronephrosis i nā keiki hou
Ma keʻano laulā, loaʻa ka loaʻa o ka hydronephrosis a loaʻa. No nā'ōpiopio,ʻo nā keiki'ōpiopio paha, he nui nāʻano o ka hydronephrosis. ʻO nā kumu o ka hydronephrosis maʻemaʻe i nā keiki hou keʻano likeʻole i keʻano o nā puʻupaʻa a me kā lākou mau moku i ka wā o ka uluʻana o ka hānai,ʻo ia hoʻi:
- kahi kuhi o ka ureter;
- kuiki o ka pureter;
- ke kūkuluʻia o kahi moku'ē aʻe, kahi e hoʻokomo ai i ka meaʻala, a pēlā e pale ai i ka holoʻana o ka mimi.
Hoʻokahiʻaoʻaoʻo Hydronephrosis, kahi e hoʻopiliʻia ai kahi kīnaʻi, a me ka pilikino, kahi e pihoihoi ai ke kahe i loko o nāʻanoʻelua. ʻO ke kūlana o ka hoʻomohalaʻana o ka maʻi iʻikeʻia:
- ka hydronephrosis 1 ka lōʻihi i loko o ke keiki i hānauʻia e ka hoʻonuiʻana o ke pelvis, mālama i ka pono o ka parenchyma a me ka mālamaʻana i ka hana o ka'ōkihi;
- me ka hydronephrosis o 2 dekelē i ke keiki hānau, ua piʻi ka nui o nā puʻupaʻa, kahi ulu nui o pelvis, ka pōʻino i ka parenchyma, a me ka emiʻana o ka hana nuiʻole i ka 40%;
- ka hydronephrosis o ke kēkelēʻekolu ma nā keiki hou e hōʻikeʻia e ka atrophy o ka parenchyma, kahi piʻi iʻikeʻia i nā puʻupaʻa, a me ka emiʻana o ka hana nuiʻole i kahi kokoke i 80%, aiʻole i kona nele.
ʻO nā hōʻailona o ka hanana hydronephrosis ma nā keiki hou e komo pū:
- nā kīnā o ke koko i loko o ka mimi;
- ka ulu o ka leukocytes i loko o ka mimi;
- piʻi ka mahana;
- i ke kaumaha i ka wā e ola ai.
ʻO ka waiwaiwaiwai o ka kuaki i loko o kahi keiki hānau:
Hoʻomaʻaʻia nāʻano pilikino ma muli o ke kūlana o kona uluʻana. Ma ka'aeke 1, he pono ka hanaʻana o nā kamaliʻi maʻamau a me ka ninaninauʻana i ka mea loiloi pediatric. Ma ke 2 mau helu o ka hydronephrosis hekene, e pili ana ka hoʻolālā i ka hilinaʻi o ke keiki - maikaʻi aʻoleʻole. Inā hōʻeha ka maʻi a me ke kēkelēʻekolu o ka maʻi, pono ka lawelaweʻana i nā mea āpau.
Hoʻohanaʻia ka hanaʻana o ka waikene penera i loko o kahi keiki hānau, ma keʻano he kūlana, ma keʻano endoscopic, i ka wā ma kahi māheleʻano nuiʻaʻole pono.