Manua - fatugaʻo ma ureter

Manuʻaga i le fatugaʻo ma ureter o le faʻaleagaina o totoga o le pito i luga o le auala urinary.

O fatugaʻo o loʻo tu i le pito i tua itu o le tuasivi. O le pito i tua o le pito i luga o le manava. E puipuia i latou e le tuasivi, paʻu i lalo i lalo, ma maso malolosi o le tua. Lenei nofoaga puipuia le fatugaʻo mai le tele fafo malosiʻaga. O fatugaʻo foʻi e faʻataʻamilomiloina e le vaega o gaʻo. O le gaʻo e fesoasoani e faʻamalulu i latou.

E tele le sapalai o le toto i fatugaʻo. Soʻo se manuʻa ia i latou, e mafai ona oʻo atu ai i le paʻu toto. O le tele faaputuga o padding fesoasoani puipuia manuʻa fatugaʻo.

Fatugaʻo mafai ona manuʻa e ala i le faʻaleagaina o le alatoto toto o loʻo sapalaiina pe faʻamamaina latou, aofia ai:

• Aneurysm
• Pa poloka
• Arteriovenous fistula
• Trombosis o neura (tui)
• Faʻalavelave

Manuʻa manuʻa mafai foi ona mafua mai i:

• Angiomyolipoma, o le tuma e le faʻapipiʻi, pe afai e matua tele le tumo
• Faʻafitauli o le autoimmune
• Faʻalavelave poloka poloka
• Kanesa o le fatugaʻo, totoga o le pelvic (ovaries poʻo le tō i fafine), poʻo le faʻamaʻi
• Maʻi suka
• Faʻatuputeleina o mea e faʻamaʻimau e le tino e pei o le uric acid (e mafai ona tupu i le gugu poʻo le togafitia o ponaivi o le ponaivi, limu poʻo isi faʻalavelave)
• Faʻaalia i vailaʻau oona e pei o taʻimua, faʻamamaina oloa, solvents, fuels, nisi vailaʻau vailaʻau, poʻo le umi faʻaaogaina o maualuga-inumaga vailaʻau (analgesic nephropathy)
• Toto maualuga ma isi tulaga faʻafomaʻi e afaina ai fatugaʻo
• Fula e mafua mai i tali atu le puipuia i vailaʻau, faʻamaʻi, poʻo isi faʻalavelave
• Togafitiga faʻafomaʻi pei o le biopsy o le fatugaʻo, poʻo le nephrostomy tube faʻatulagaina
• Faʻalavelave i le faʻalapotopotoga o le Ureteropelvic
• Faʻalavelave faʻafuaseʻi
• Maʻa fatugaʻo

O le ureter o le tubes e ave urine mai le fatugaʻo i le tagāmimi. Ureteral manuʻa ono mafua mai i:

• Faʻafitauli mai faʻafomaʻi togafitiga
• Faamai pei o retroperitoneal fibrosis, retroperitoneal sarcomas, poʻo kanesa na sosolo atu i le lymph nodes latalata i ureter
• Faamaʻi maʻa fatugaʻo
• Susulu i le manava vaega
• Faʻalavelave

Faʻalavelave faʻafuaseʻi e ono aofia ai:

• Manava manava ma fulafula
• Matu tiga itu ma tua tiga
• Toto i le miaga
• O le fia moe, faaitiitia le mataala, e aofia ai le koma
• Faʻaitiitia le mimi output poʻo le le mafai e urination
• Fiva
• Faateleina le tata o le fatu
• Faanoi, puaʻi
• Paʻu e sesega pe malu e paʻi atu i ai
• Afu

Vaʻaiga umi (faʻasolosolo) faʻailoga e ono aofia ai:

• Paleni meaai
• Toto maualuga
• Le manuia fatugaʻo

Afai e naʻo le tasi fatugaʻo ua aʻafia ma le isi fatugaʻo maloloina, oe ono leai ni faʻailoga.

O le a suʻesuʻe oe e le tausi soifua maloloina. Faʻailoa ia latou e uiga i soʻo se gasegase talu ai nei pe na e faʻafesoʻotaʻia ma vailaʻau oona.

E ono faʻaalia le suʻega:

• Ova le toto (palapala toto)
• Matua agamalu i luga o le fatugaʻo
• Faateʻia, e aofia ai le televave o le fatu pe paʻu le toto
• Faailoga o le faaletonu fatugaʻo

O suʻega e mafai ona faia e aofia ai:

• Suʻega CT scan
• Manava MRI
• Laʻititi ultrasound
• Angiography o le fatugaʻo alatoto po o uaua
• Toto eletise
• Toto suʻega e vaʻai ai mo vailaʻau oona
• Faitau atoa le toto (CBC)
• Intravenous pyelogram (IVP)
• Suʻesuʻega o galuega a fatugaʻo
• Faʻalauiloa le pyelogram
• Fatugao x-ray
• Suʻesuʻega o fatugaʻo
• Urinalysis
• Suesuega Urodynamic
• Voiding cystourethrogram

O sini o le togafitia faʻalavelave faʻafuaseʻi ma puipuia pe togafitia faʻafitauli. Atonu e manaʻomia lou nofo i le falemaʻi.

Togafitiga mo se manuʻaga manua ono aofia ai:

• Moega malologa mo le 1 i le 2 vaiaso pe oʻo i le paʻu toto
• Tapuni mataʻituina ma togafitiga mo auga o fatugao toilalo
• Suiga meaʻai
• O vailaʻau e togafitia ai mea faʻaleagaina e mafua mai i vailaʻau oona poʻo maʻi (mo se faʻataʻitaʻiga, togafitiga o le chelasi mo le ona oona poʻo le allopurinol e tuʻu ai i lalo le uric acid i le toto ona o le gout)
• Paʻu vailaʻau
• Aveesea vailaʻau poʻo le faʻaalia o vailaʻau e ono afaina ai le fatugaʻo
• Fualaʻau e pei o le corticosteroids poʻo le immunosuppressants pe a fai o le manuʻa na mafua mai i le fulafula
• Togafitiga ogaoga fatugao toilalo

O nisi taimi, e manaʻomia se taotoga. E mafai ona aofia ai:

• Faʻalelei se fatugaʻo "gagau" pe masaesae, masaʻa toto masaa, masaʻa ureter, poʻo se manuʻa tutusa
• Aveʻesea le fatugaʻo atoa (nephrectomy), faʻamaligiina le avanoa i tafatafa o le fatugaʻo, pe taofi le toto e ala i catheterization arterial (angioembolization)
• Faʻamau o se manogi
• Aveʻese poloka pe faʻamama avega

O le lelei o lau faʻamoemoe e faʻamoemoe i le mafuaʻaga ma le ogaoga o le manuʻa.

O isi taimi, ua amata ona toe galue lelei le fatugaʻo. O isi taimi, e tupu ai le faaletonu fatugaʻo.

Faʻafitauli e ono aofia ai:

• Faʻafuaseʻi ona afaina fatugaʻo, tasi pe lua uma fatugaʻo
• Toto (atonu e laʻititi pe ogaoga)
• Mauaina o le fatugaʻo
• Maʻimau fatugaʻo, tasi pe lua uma fatugaʻo
• Siama (peritonitis, sepsis)
• Tiga
• Stenosis alatoto
• Toto maualuga
• Teʻi
• Faamaʻi pipisi auala

Valaʻau lau tautua peʻa iai ni faʻailoga o se manuʻa i le fatugaʻo poʻo le ureter. Valaʻau le tautua peʻa iai sau tala faʻasolopito o:

• Faʻaalia i vailaʻau oona
• Gasegase
• Siama
• Manua i le tino

Alu i le potu faʻafuaseʻi pe valaʻau le numera faʻafuaseʻi i le lotoifale (pei o le 911) pe a fai ua e faʻaititia le miaga pe a maeʻa se manuʻa i lou fatugaʻo. Atonu o se faʻailoga lenei o le faaletonu fatugaʻo.

Oe mafai ona fesoasoani puipuia manuʻa i le fatugaʻo ma ureter ala i le faia o nei laʻasaga:

• Ia mataala i mea e mafai ona mafua ai 'ona' ona. E aofia ai ma vali tuai, ausa mai le galulue ma uʻamea-uʻamea-uʻamea, ma le 'ava malosi e tuʻu i totonu o mea faʻataʻavale e faʻaaoga mo taʻavale.
• Ave lelei uma au vailaʻau, aofia ai ma fualaʻau e te faʻatau e aunoa ma se talavai (over-the-counter).
• Togafitiga gout ma isi maʻi pei ona faʻatonuina e lau tautua.
• Faʻaaoga mea faigaluega mo le saogalemu i taimi o galuega ma taʻaloga.
• Faʻaaoga fualaʻau, solvents, ma suauʻu pei ona faʻatonuina. Ia mautinoa o le eria ua lelei ea, aua o le asu atonu foi oona.
• Fai fusipau ma tiʻetiʻe saogalemu.

Faʻaleagaina fatugaʻo; Manuʻaga oʻona o le fatugaʻo; Manuʻa manuʻa; Manua manua o le fatugaʻo; Fatugaʻo gagau; Fula afaina o le fatugaʻo; Fatugao momomo; Manuʻaga ureta; Paʻu muaʻi Fatugaʻo - manuʻa; Paʻu ina ua maeʻa Fatugao - manuʻa; Faʻalavelaveina fatugaʻo - manuʻa

• Anatomia fatugaʻo
• Fatugaʻo - tafe le toto ma miaga

Brandes SB, Eswara JR. Luga urinary tamaitusi afaina. I: Partin AW, Dmochowski RR, Kavoussi LR, Peters CA, eds. Campbell-Walsh-Wein Urology. 12th lomiga. Filatelefia, PA: Elsevier; 2021: mata 90.

Okusa MD, Portilla D. Pathophysiology ogaoga fatugaʻo manuʻa. I: Yu ASL, Chertow GM, Luyckx VA, Marsden PA, Skorecki K, Taal MW, eds. Brenner ma Rector's Le Fatugaʻo. 11th lomiga. Filatelefia, PA: Elsevier; 2020: chap 28.

Shewakramani SN. Kenitourinary faiga. I: Puipui RM, Hockberger RS, Gausche-Hill M, eds. Togafitiga Faʻafuaseʻi a Rosen: Faʻataʻitaʻiga ma Togafitiga Faʻafomaʻi. 9th ed. Filatelefia, PA: Elsevier; 2018: chap 40.