0 penilaian0% menganggap dokumen ini bermanfaat (0 suara)
147 tayangan8 halaman
The document describes the structure and functions of the urinary system including the kidneys, ureters, and bladder. It then discusses several common disorders of the urinary system such as benign prostatic hyperplasia, painful bladder syndrome, kidney stones, and urinary tract infections. Finally, it lists various diagnostic tests and imaging techniques used to evaluate the urinary system.
The document describes the structure and functions of the urinary system including the kidneys, ureters, and bladder. It then discusses several common disorders of the urinary system such as benign prostatic hyperplasia, painful bladder syndrome, kidney stones, and urinary tract infections. Finally, it lists various diagnostic tests and imaging techniques used to evaluate the urinary system.
Hak Cipta:
Attribution Non-Commercial (BY-NC)
Format Tersedia
Unduh sebagai DOCX, PDF, TXT atau baca online dari Scribd
The document describes the structure and functions of the urinary system including the kidneys, ureters, and bladder. It then discusses several common disorders of the urinary system such as benign prostatic hyperplasia, painful bladder syndrome, kidney stones, and urinary tract infections. Finally, it lists various diagnostic tests and imaging techniques used to evaluate the urinary system.
Hak Cipta:
Attribution Non-Commercial (BY-NC)
Format Tersedia
Unduh sebagai DOCX, PDF, TXT atau baca online dari Scribd
Production of Urine Excretion of Metabolic waste Retention of needed fluid and electrolytes Regulation of Blood Pressure
Kidneys are located peritoneally on the posterior wall of the abdomen, its weighs 120- 170grms, 10-12cm long, 6 cm wide and 2.5 cm thick. Ureter are the thick, long 'tubes' that aid the urine in moving from the kidneys to the bladder. They are about 10 to 12 inches in length and the urine moves downward by gravity and peristalsis (waves of contractions). The ureters enter the urinary bladder at an angle to help prevent any back flow (reflux) of urine back into the ureter. Bladder Urinary bladder functions as a temporary reservoir for urine. The bladder possesses features that enable urine to enter, be stored, and later be released for evacuation from the body
Some disorders of the urinary system
Benign prostatic hyperpIasia (BPH) is
a condition in men that affects the prostate gland, which is part of the male reproductive system. The prostate is located at the bottom of the bladder and surrounds the urethra. BPH is an enlargement of the prostate gland that can interfere with urinary function in older men. t causes blockage by squeezing the urethra, which can make it difficult to urinate. Men with BPH frequently have other bladder symptoms including an increase in frequency of bladder emptying both during the day and at night. Most men over age 60 have some BPH, but not all have problems with blockage. There are many different treatment options for BPH. PainfuI bIadder syndrome/InterstitiaI cystitis (PBS/IC) is a chronic bladder disorder also known as frequency- urgency-dysuria syndrome. n this disorder, the bladder wall can become inflamed and irritated. The inflammation can lead to scarring and stiffening of the bladder, decreased bladder capacity, pinpoint bleeding, and, in rare cases, ulcers in the bladder lining. The cause of C is unknown at this time. Kidney stones is the term commonly used to refer to stones, or calculi, in the urinary system. Stones form in the kidneys and may be found anywhere in the urinary system. They vary in size. Some stones cause great pain while others cause very little. The aim of treatment is to remove the stones, prevent infection, and prevent recurrence. Both nonsurgical and surgical treatments are used. Kidney stones affect men more often than women. Prostatitis is inflammation of the prostate gland that results in urinary frequency and urgency, burning or painful urination, a condition called dysuria, and pain in the lower back and genital area, among other symptoms. n some cases, prostatitis is caused by bacterial infection and can be treated with antibiotics. But the more common forms of prostatitis are not associated with any known infecting organism. Antibiotics are often ineffective in treating the nonbacterial forms of prostatitis. Proteinuria is the presence of abnormal amounts of protein in the urine. Healthy kidneys take wastes out of the blood but leave in protein. Protein in the urine does not cause a problem by itself. But it may be a sign that your kidneys are not working properly. RenaI (kidney) faiIure results when the kidneys are not able to regulate water and chemicals in the body or remove waste products from your blood. Acute renal failure (ARF) is the sudden onset of kidney failure. This condition can be caused by an accident that injures the kidneys, loss of a lot of blood, or some drugs or poisons. ARF may lead to permanent loss of kidney function. But if the kidneys are not seriously damaged, they may recover. Chronic kidney disease (CKD) is the gradual reduction of kidney function that may lead to permanent kidney failure, or end-stage renal disease (ESRD). You may go several years without knowing you have CKD. Urinary tract infections (UTIs) are caused by bacteria in the urinary tract. Women get UTs more often than men. UTs are treated with antibiotics. Drinking lots of fluids also helps by flushing out the bacteria. The name of the UT depends on its location in the urinary tract. An infection in the bladder is called cystitis. f the infection is in one or both of the kidneys, the infection is called pyelonephritis. This type of UT can cause serious damage to the kidneys if it is not adequately treated. Urinary incontinence, loss of bladder control, is the involuntary passage of urine. There are many causes and types of incontinence, and many treatment options. Treatments range from simple exercises to surgery. Women are affected by urinary incontinence more often than men. Urinary retention, or bladder-emptying problems, is a common urological problem with many possible causes. Normally, urination can be initiated voluntarily and the bladder empties completely. Urinary retention is the abnormal holding of urine in the bladder. Acute urinary retention is the sudden inability to urinate, causing pain and discomfort. Causes can include an obstruction in the urinary system, stress, or neurologic problems. Chronic urinary retention refers to the persistent presence of urine left in the bladder after incomplete emptying. Common causes of chronic urinary retention are bladder muscle failure, nerve damage, or obstructions in the urinary tract. Treatment for urinary retention depends on the cause.
Urethritis is inflammation of the urethra from any cause. Chronic RenaI FaiIure (CRF) Chronic kidney disease is the slow loss of kidney function over time. The main function of the kidneys is to remove Chronic RenaI FaiIure (CRF) Chronic kidney disease is the slow loss of kidney function over time. The main function of the kidneys is to remove... Acute TubuIar Necrosis (ATN) Acute tubular necrosis is a kidney disorder involving damage to the tubule cells of the kidneys, resulting in acute... Diabetic Nephropathy Diabetic nephropathy is kidney disease or damage that results as a complication of diabetes. See also: Type 1 diabetes Membranous GIomeruIonephritis Membranous nephropathy is a kidney disorder which involves changes and inflammation of the structures inside the kidney... Goodpasture Syndrome Goodpasture syndrome is a rare disease that can involve rapidly progressive kidney failure along with lung disease...
HepatorenaI Syndrome Hepatorenal syndrome is a condition in which the kidneys fail suddenly in a person with cirrhosis of the liver
Hydronephrosis Unilateral hydronephrosis is swelling of one kidney due to a backup of urine. See also: Bilateral hydronephrosis PyeIonephritis Pyelonephritis is an inflammation of the kidney and upper urinary tract that usually results from noncontagious... UreteraI Obstruction Acute unilateral is a sudden blockage in one of the tubes (ureters) that drain urine from the kidneys. UrethraI Stricture Urethral stricture is an abnormal narrowing of the tube that carries urine out of the body from the bladder (urethra. Lupus Nephritis Lupus nephritis is a kidney disorder that is a complication of systemic lupus erythematosus. Urinary Tract Obstruction Obstructive uropathy is a condition in which the flow of urine is blocked, causing it to back up and injure one or both. Kidney Infections Kidney infection is a general term used to describe infection of the kidney by bacteria, fungi, or viruses Nephrogenic Diabetes Insipidus Nephrogenic diabetes insipidus is a disorder in which a defect in the small tubes (tubules) in the kidneys End Stage RenaI Disease (ESRD) End-stage kidney disease is the complete or almost complete failure of the kidneys to function Hypertensive RenaI Disease Renal failure (kidney failure) is caused primarily by chronic high blood pressure (hypertension) over many years. GIomeruIonephritis Glomerulonephritis is a type of kidney disease in which the part of your kidneys that helps filter waste and fluids from...
Cystoscopy examintation of the bladder using a rigid or flexible cystoscope Kidney biopsy (Bx), renal biopsy removal of kidney tissue for pathologic examination Radiography x-ray studies commonly used in urology ntravenous pyelogram (VP), intravenous urogram x-rays of the urinary tract taken after an iodine contrast medium is injected into the bloodstream; the contrast passes through the kidney and may reveal an obstruction, evidence of trauma, and so on Kidney, ureter, bladder (KUB) abdominal x-ray of kidney, ureter, and bladder typically used as a scout film before doing an VP Scout film plain x-ray take to detect any obvious pathology before further imaging (e.g., a KUB before an VP) Renal angiogram (arteriogram) x-ray of the renal artery made after injecting contrast material into a catheter in the artery Retrograde pyelogram (RP) x-ray of the ureters, bladder, and kidney taken after contrast medium is administered backward through a small catheter through a cystoscope to detect the presence of stones, obstruction, and so on Voiding (urinating) cystourethrogram (VCU) or (VCUG) x-ray of the bladder and urethra taken during urination Abdominal sonogram ultrasound image of the urinary tract, including the kidney and bladder Urinalysis (UA) physical, chemical, and microscopic examination of urine Specific gravity (SpGr) measure of the concentration or dilution of urine pH measure of the acidity or alkalinity of urine Glucose (sugar) chemical test used to detect sugar in the urine; used most oftern to screen for diabetes Albumin (alb) protein chemical test used to detect the presence of albumin in the urine Ketones chemical test used to detect the presence of ketone bodies in the urine; positive test indicates fats are being used by the body instead of carbohydrates, which occurs in starvation or in an uncontrolled diabetic state Occult blood, urine chemical test for the presence of hidden blood in the urine resulting from red blood cell hemolysis; indicates bleeding in the kidneys (occult = hidden) Bilirubin chemical test used to detect bilirubin in the urine; seen in gallbladder and liver disease Urobilinogen chemical test used to detect bile pigment in the urine - increased amounts seen in gallbladder and liver disease Nitrite chemical test to determine the presence of bacteria in the urine Microscopic findings microscopic identification of abnormal constituents present in the urine (e.g., red blood cells, white blood cells, and casts); reported per high or low power field (hpf or lpf) Urine culture and sensitivity (C&S) isolation of a urine specimen in a culture medium to propagate the growth of microorganisms; organisms that grow in the culture are identtified along with drugs to which they are sensitive Blood ures nitrogen (BUN) blood test to determine the level of urea in the blood; a high BUN indicates the kidney's inability to excrete urea
5 TYPES OF HERNATON N FEMALE
URETROCELE Bulging of anterior wall in the urethra CystoceIe Herniation of blader wall into vaginal outlet EnteroceIe Bowel into the posterior vaginal vault PeIvic proIapsed Bulging of cervix into vagina RectoceIe Herniation of rectum in vaginal wall Stress incontinence People with stress incontinence involuntarily leak urine while exercising, coughing, sneezing, laughing or lifting. During these activities, sudden pressure to the bladder causes urine to leak. Stress incontinence is the most common type of incontinence among women. t may be due to weakened pelvic muscles, weakening in the wall between the bladder and vagina, or a change in the position of the bladder. n many cases, the condition develops as a result of pregnancy and childbirth. Other causes of stress incontinence include: O Weakening of muscles that hold the bladder in place, or weakening of the bladder itself O Weakening of the urethral sphincter muscles O Damage to the nerves controlling the bladder from diseases such as diabetes, stroke, Parkinson's disease and/or multiple sclerosis, or from treatment of gynecologic or pelvic cancers with surgery, radiation or chemotherapy O n women, a hormone imbalance or a decrease in estrogen following menopause, which can weaken the sphincter muscle O n men, benign prostatic hyperplasia (a noncancerous overgrowth of the prostate gland), prostate cancer or prostate surgery Urge incontinence Problems caused by oversensitive bladder. A frequent, sudden urge to urinate along with little control of the bladder (especially when sleeping, drinking, or listening to running water) is known as urge incontinence. This condition is also known as spastic bladder, overactive bladder or reflex incontinence. Urge incontinence is marked by a need to urinate more than seven times daily or more than twice nightly. t is most common in older adults. t also may be a symptom of a urinary infection in the bladder or kidneys, or may result from injury, illness or surgery. Among the possible causes are: O Stroke O Diseases of the nervous system, such as multiple sclerosis, Alzheimer's or Parkinson's O Tumors or cancer in the uterus, bladder or prostate O nterstitial cystitis (inflamed bladder wall) O Prostatitis (inflamed prostate) O Prostate removal, cesarean section, hysterectomy, or surgery involving the lower intestine or rectum OverfIow incontinence
Bladder doesn't empty completely, leading to frequent urination or dribbling. People with overflow incontinence cannot completely empty their bladders. A constantly full bladder triggers frequent urination or a constant dribbling of urine, or both. This type of incontinence is often caused by bladder muscles weakened as a result of nerve damage from diabetes or other diseases. t can also occur when the urethra is blocked due to kidney or urinary stones, tumors, an enlarged prostate in men, female bladder surgery that is too tight, or a birth defect. FunctionaI incontinence Functional incontinence is the most common type among older adults with arthritis, Parkinson's disease or Alzheimer's disease. These people are often unable to control their bladder before reaching the bathroom due to limitations in moving, thinking or communicating. Mixed incontinence Some people experience two types of incontinence simultaneously, typically stress incontinence and urge incontinence. Mixed incontinence is most commonly found in women. What causes the two forms may or may not be related. Anatomic or deveIopmentaI abnormaIities ncontinence is sometimes caused by an anatomic (physical) or neurologic abnormality. An abnormal opening between the bladder and another structure (called a fistula) can cause incontinence, as can a leak in the urinary system. Loss of normal bladder function may also result from damage to part of the nervous system due to trauma, disease or injury. This dysfunction, called neurogenic bladder, can cause the bladder to be underactive (unable to contract and empty completely) or overactive (contracting too quickly or frequently). Temporary incontinence Sometimes incontinence comes and goes with specific conditions or as a side effect of a treatment for other chronic or acute diseases. Temporary incontinence may be caused by: O Severe constipation O nfections in the urinary tract or vagina O Certain medications such as diuretics (water pills); sleeping pills or muscle relaxants; narcotics, such as morphine; antihistamines; antidepressants; antipsychotic drugs; or calcium channel blockers Bed-wetting n addition, some children have nocturnal enuresis (wetting the bed at night). Bed-wetting is normal until the age of 5 years. t is often an inherited disorder with a delay in neurological control of the bladder.