So wowɔ ureter abien nso wɔ w’asaabo mu? (Duplex Kidney) Momma yensua tebea no ho ade kɛkɛ!

Yɛn nipadua yɛ abɔde a ɛyɛ nwonwa, ɛnte saa? Ɛtɔ da bi a, nneɛma sisi yɛn nipadua mu a yennim, a yentumi nsusuw ho mpo. Ɛno yɛ saa nneɛma titiriw a yɛrebɛka ho asɛm nnɛ no mu biako. Fa no sɛ, nsukorade a ɛde nsu fi w’asaabo biako mu kɔ akisikuru mu (yɛfrɛ eyinom `(ureters)`) no taa nya abien mmom sen biako! Yiw, ɛyɛ nokware. Eyi ne nea yɛfrɛ no `(Duplex Kidney)` anaa `(Duplicated Ureters)` wɔ aduruyɛ ho nyansahu mu. Mma wo ho nnyɛ wo hu bere a wote din no, eyi yɛ biribi a ɛmfa ɔhaw kɛse mma nnipa dodow no ara. Momma yɛnka eyi ho asɛm nkɔ akyiri na yɛnka no tiawa.

Dɛn ne saa ``Duplex Kidney'' yi? Momma yɛnte ase pɛpɛɛpɛ!

Sɛ yɛbɛka no tiawa a, asaabo a ɛyɛ duplex yɛ tebea a wɔde awo obi a ɛba bere a wɔawo no. Eyi ne bere a w’asaabo biako anaa abien no nyinaa wɔ ntini abien a wɔfrɛ no ureters a ɛde nsu kɔ akisikuru no mu. Mpɛn pii no, ureter biako pɛ na efi asaabo biako mu kɔ akisikuru no mu.

Yɛn nyinaa wɔ asaabo abien wɔ yɛn nipadua mu. Saa asaabo yi yiyi nneɛma fĩ a ɛwɔ yɛn nipadua mu no mu na ɛma nsu. Afei, saa nsuo yi fa nsuo a wɔfrɛ no ``ureters`` mu na ɛboaboa ano wɔ akisikuru no mu. Sɛ akisikuru no yɛ ma a, yɛte nka sɛ ɛho hia sɛ yɛtow nsu. Afei, wɔ saa ``Duplex Kidney`` tebea yi mu no, nsukorade abien fi asaabo biako mu ba. Baako fi ase fi asaabo no atifi na biako nso fi ase na ɛde nsu kɔ akisikuru no mu. Eyi ba bere a asaabo ne nsu a ɛkɔ nipadua no mu no renyin wɔ awotwaa no mu sɛ awotwaa no.

Dɛn ne `(Duplex Kidney)` ahorow titiriw?

Saa ``Duplex Kidney'' tebea yi betumi aka asaabo biako pɛ, anaasɛ ebetumi aka asaabo abien no nyinaa (a yɛfrɛ no ``bilateral duplex kidneys''). Afei nso, ebetumi ayɛ nea edi mũ anaasɛ enni mũ . Ma yɛnhwɛ nea ɛyɛ.

• Complete Duplex Kidney: Wɔ eyi mu no, ureters abien a efi ase fi asaabo koro no ara mu na ɛka bom yɛ akisikuru no wɔ ɔkwan soronko so. Eyi kyerɛ sɛ ntini abien hyɛn akisikuru no mu.
• Asaabo a Ɛyɛ Duplex a Ɛnwie pɛyɛ: Ɛha yi, asaabo biako na efi ase ureter abien, nanso ansa na ɛbɛhyɛn akisikuru no mu no, ɛka bom yɛ nsukorade biako. Fa no sɛ nkyerɛwde 'Y' no.

Dɛn ne tebea yi ho sɛnkyerɛnne? So obiara nya yare no ho sɛnkyerɛnne?

Asɛmpa no ne sɛ nnipa dodow no ara a wɔwɔ asaabo a ɛyɛ abien no nhu sɛnkyerɛnne biara . Wɔbɔ wɔn bra sɛnea ɛsɛ. Nanso ɛtɔ mmere bi a, titiriw wɔ asaabo a ɛyɛ duplex koraa mu no, bere a ureters no ntumi nkɔ akisikuru no mu yiye anaasɛ akwanside bi wɔ nsu a ɛsen no mu no, sɛnkyerɛnne ahorow betumi aba esiane nsɛnnennen nti.

Nsɛnkyerɛnne a ebetumi aba ne:

• Nsuo mu yare a ɛtaa ba (UTIs) .Nea ɛba. Saa bere yi mu no, ebia wobɛte ɔhyew, ɛyaw, na ɛho behia sɛ wotaa tow nsu.
• Asaabo mu yareɛ (sɛ UTI ka atiridiinini ho a). Eyi yɛ aniberesɛm kɛse kakra. Nsɛnkyerɛnne no betumi ayɛ atiridiinini, atiridiinini, ne akyi yaw.
• Nsu a wontumi nhyɛ mu yɛ nsu a ɛtwetwe a ɛnyɛ ne pɛ bere mpo a wɔatete abofra wɔ tiafi (a wɔsan frɛ no potty trained) akyi . Eyi abu so wɔ mmeawa mu titiriw.

Fa no sɛ, mmofra binom taa nya atiridiinini, oduruyɛfo no ma wɔn nnuru, nanso wɔkɔ so nya bi bio. Ebia nea ɛde ba ne nsu mu yare a ``Duplex Kidney'' a ahintaw na ɛde ba.

So Duplex Kidney ma obi tow nsu dodo?

Dabi, sɛ wowɔ Duplex Kidney a, ɛmma wo akisikuru no nkura nsuo pii, na saa ara nso na ɛmma enhia sɛ wotɔ nsuo mpɛn pii. Nsu dodow a yɛyɛ no, nhyehyɛe afoforo a ɛwɔ yɛn nipadua mu na ɛhwɛ so. Nanso, sɛnea madi kan aka no, sɛ obi a ɔwɔ Duplex Kidney renya UTI mpɛn pii a, ebia wobɛte nka sɛ ɛsɛ sɛ wotɔ wo ho mpɛn pii esiane ɔyare no nti. Eyi nyɛ nea efi tebea no mu ba tẽẽ, na mmom ɛyɛ ɔyare no ho sɛnkyerɛnne.

Adɛn nti na saa ``Duplex Kidney'' yi ba?

Mpɛn pii no, mfomso bi a ɛba wɔ nkwammoaa mu mpaapaemu a ɛba ntɛm wɔ awotwaa mu nyin mu wɔ awotwaa no mu na ɛde eyi ba. Eyi kyerɛ sɛ nsakrae kakra ba asaabo ne nsu a ɛkɔ nipadua no mu no mu. Nea ɛho hia ne sɛ adanse biara nni hɔ a ɛkyerɛ sɛ biribiara a ɛna no yɛe anaa wanyɛ bere a na ɔyem no na ɛde tebea yi ba. Enti nte afobu nka wɔ ho.

So eyi yɛ biribi a efi awo ntoatoaso ahorow mu?

Yiw, ɛtɔ mmere bi a wobetumi anya Duplex Kidney fi awo mu . Wei kyerε sε, sε awofoɔ no mu baako nya tebea no a, wɔn ba no wɔ hokwan 50% sɛ ɔbɛnya bi. Nanso, nsɛm bi wɔ hɔ a mmofra betumi anya Duplex Kidney sɛ awofo no nni tebea no mpo a. Enti, sɛ obi wɔ abusua no mu a, eye sɛ wobɛma ahwɛyiye.

Dɛn ne nsɛnnennen a ebetumi aba wɔ ``Duplex Kidney'' mu?

Mpɛn pii no, asaabo a ɛyɛ duplex ho sɛnkyerɛnne ahorow no da adi bere a ɔhaw afoforo ba bere a nsu a ɛkɔ nipadua no mu no nyin no nkutoo. Saa nsakrae yi betumi asiw nsu a ɛsen no kwan, ama asaabo no ahonhon (hydronephrosis), anaasɛ ama nsu no akɔ akyi akɔ asaabo no mu (reflux). Saa tebea horow yi mu biara betumi ama obi ataa nya ɔyare a ɛma obi ho yɛ hyew (UTIs).

Tebea afoforo bi a wobetumi ahu sɛ ɛne ``Duplex Kidney'' wɔ abusuabɔ ne:

• `Ureterocele`: Eyi ne bere a `(ureter)` a ɛne akisikuru no di nkitaho no bɛyɛ te sɛ balloon. Eyi betumi asiw nsu a ɛsen no kwan.
• Nsuo a ɛwɔ awotwaa no akyi:Ɛha yi, ureter no ne akisikuru no fã foforo (sɛ nhwɛso no, urethra anaa vagina) di nkitaho sen sɛ ɛbɛkɔ baabi a ɛsɛ sɛ ɛkɔ. Eyi betumi ama nsu a ɛretu a wɔanhyɛ da (incontinence).
• Vesicoureteral reflux (VUR): Eyi ne bere a nsu a efi akisikuru no mu san kɔ soro kɔ asaabo no mu. Eyi betumi asɛe asaabo no na ɛde ɔyare mmoawa aba.
• Hydronephrosis: Eyi ne bere a nsu no boaboa ano wɔ asaabo no mu na ɛho ahonhon. Eyi ba sɛ biribi asiw nsu a ɛkɔ nipadua no mu wɔ baabi a.

Ɔkwan bɛn so na wohu saa ``Duplex Kidney'' tebea yi?

Nnuruyɛfo betumi ahu ureters a wɔayɛ no abien denam mfoninitwa nhwehwɛmu titiriw a wɔde bedi dwuma de atwa wo nsu a ɛkɔ wo nsu mu no ho mfonini so. Sɛ wo duruyɛfo rebɔ mmɔden sɛ obehu nea ɛde wo sɛnkyerɛnne ahorow no ba a, ebia obebisa wo nsɛm te sɛ:

• So wowɔ akyi anaa yafunu mu yaw?
• So wowɔ ɔhaw bi a ɛfa nsu a wontumi nhyɛ mu ho?
• So obi wɔ abusua no mu (mogya abusuafo) a ɔwɔ ``Duplex Kidney''?

Wɔtaa hu ureters a wɔayɛ no abien wɔ mmofraase , titiriw sɛ wɔtaa nya UTI anaasɛ wontumi nhyɛ wɔn ho so a. Nanso, nnipa binom nnim sɛ wɔwɔ yare no kosi sɛ wɔbɛyɛ mpanyimfo. Wɔtaa hu no wɔ akwanhyia mu bere a wɔreyɛ tebea foforo ho nhwehwɛmu no. Nsɛnkyerɛnne no bi te sɛ tebea afoforo de, enti ebetumi ayɛ den sɛ wobehu.

Nhwehwɛmu bɛn na wɔyɛ de hu eyi?

Ebia wo duruyɛfo bɛkra sɛ wɔnyɛ mfoninitwa nhwehwɛmu te sɛ eyinom na ama woahu sɛ wowɔ Duplex Kidney anaa:

• Asaabo ne akisikuru mu ultrasound: Eyi yɛ sɔhwɛ a ɛnyɛ yaw na ɛnyɛ den a wɔde nnyigyei asorɔkye twa akwaa a ɛwɔ nipadua no mu no mfonini.
• `Computed Tomography (CT) scan`: Eyi de X-ray ne kɔmputa di dwuma de twa nipadua no ho mfonini a ɛkɔ akyiri.
• Magnetic Resonance Imaging (MRI): Eyi de magnetic field ne radio asorɔkye yɛ nipadua no mu mfonini a emu da hɔ.
• Retrograde pyelogram: Eyi yɛ sɔhwɛ titiriw bi. Wɔde mfoninitwa afiri ketewaa bi ne ade a wɔde yɛ ade fa nsu no mu, na wotwa X-ray mfonini de hu sɛnea nsu a ɛkɔ nipadua no mu no te ne sɛnea ɛyɛ adwuma.

Dɛn ne ayaresa a wɔde sa `(Duplex Kidney)`?

Nnipa dodow no ara nhia ayaresa biara ma asaabo a ɛyɛ abien. Nanso, sɛ wowɔ ectopic ureter, sɛnea yɛaka wɔ atifi hɔ no, anaasɛ wowɔ ɔhaw afoforo a ɛde sɛnkyerɛnne ahorow reba a, ebia ebehia sɛ wɔyɛ wo oprehyɛn wɔ w’asaabo, akisikuru, anaa ureters.

So woyi ``Duplex Kidney'' bi fi hɔ?

Nnuruyɛfo ntaa nyi ``Duplicated Kidney.`` nyi hɔ koraa.Ɔhaw no nyɛ asaabo abien a wobenya, na mmom nsɛnnennen a ɛbata ho no. Sɛ sɛnkyerɛnne ahorow bi wɔ hɔ a, oprehyɛn ahorow pii wɔ hɔ a wobetumi ayɛ:

• `Ureteroureterostomy`: Wɔ eyi mu no, oduruyɛfo a ɔyɛ oprehyɛn no ka `(ureters)` abien no bom, na ɔyɛ `(ureter)` a ɛte sɛ `(Y') a ɛde nsu kɔ akisikuru no mu. Wɔyɛ eyi de ka ntini abien no bom, te sɛ `(Incomplete Duplex Kidney)`.
• Ureteral san a wɔde bɛhyɛ mu: Sɛ wowɔ ectopic ureter, anaasɛ refluxing ureter a, oduruyɛfo a ɔyɛ oprehyɛn no bɛma wɔabue foforo de abɛka akisikuru no ho. Eyi bɛboa ma nsu no asen yiye na amma ankɔ akyi.
• Nephrectomy: Eyi hwehwɛ sɛ woyi asaabo no fã bi anaa ne nyinaa a entumi nyɛ adwuma yiye. Eyi betumi atew nea wontumi nhyɛ ne ho so ne asiane a ɛwɔ hɔ sɛ obi benya ɔyare mmoawa no so. Nanso, wɔntaa nyɛ saa ayaresa yi. Sɛ asaabo biako sɛe kɛse na ɛde ɔhaw ba, na asaabo foforo no reyɛ adwuma yiye nkutoo a, na wɔyɛ no.

Bere tenten ahe na egye na obi ho atɔ no wɔ oprehyɛn akyi?

Bere a ebegye ansa na wo ho atɔ wo wɔ oprehyɛn no mu no bɛsono a egyina mfe a woadi ne oprehyɛn ko a wɔyɛe no so. Sɛ nhwɛso no, mpɛn pii no abofra kumaa bɛtra ayaresabea hɔ da koro anaa nnanu, afei wakɔ fie akɔhome dapɛn biako anaa abien bio. Sɛ wɔyɛ oprehyɛn no wie a, oduruyɛfo no bɛyɛ asaabo no mu ultrasound de ahwɛ ahu sɛ biribiara ye.

Sɛ mewɔ ``Duplex Kidney'' a, dɛn na ɛsɛ sɛ mehwɛ kwan?

Nnipa dodow no ara a wɔwɔ asaabo a ɛyɛ duplex no nni ɔhaw biara. Nanso sɛ wowɔ tebea horow te sɛ nsu a ɛnyɛ den, nsu a ɛsan kɔ, anaasɛ UTI a ɛtaa ba a, ebia ebehia sɛ wɔyɛ wo oprehyɛn de siesie.

So ``Duplex Kidney'' yɛ tebea a emu yɛ den?

Mpɛn pii no Duplex Kidney nyɛ tebea a emu yɛ den anaa asiane wom . Nnipa dodow no ara nni yare no ho sɛnkyerɛnne na enhia ayaresa.

So metumi de Duplex Kidney atra ase sɛnea ɛsɛ?

Duplex Kidney nyɛ nea ɛde nkwa to asiane mu. Ɛwom sɛ ɛho hia sɛ wɔsa yare de, nanso mpɛn pii no etu mpɔn kɛse wɔ yare no ho sɛnkyerɛnne ahorow a wogyae mu. Enti yiw, wubetumi abɔ bra a ɛfata koraa .

Mɛyɛ dɛn ahwɛ me ho?

Sɛ wunim sɛ wo anaa wo ba no wɔ asaabo a ɛyɛ duplex a, hwɛ sɛnkyerɛnne ahorow a ɛka nsu a wɔde gu nipadua no mu (te sɛ UTI a atiridiinini anaasɛ nsu a wɔtow gu a ɔmpɛ). Sɛ wɔayɛ wo anaa wo ba oprehyɛn a, di wo duruyɛfo akwankyerɛ akyi yiye .

Bere bɛn na ɛsɛ sɛ mekɔ me duruyɛfo nkyɛn?

Sɛ wɔahu sɛ wowɔ Duplex Kidney na worenya sɛnkyerɛnne ahorow a wususuw sɛ ɛne no wɔ abusuabɔ a, kɔ wo duruyɛfo nkyɛn. Bisa no sɛnkyerɛnne foforo biara anaa nea ɛsɛ sɛ woyɛ sɛ wo sɛnkyerɛnne no mu yɛ den a.

Bere bɛn na ɛsɛ sɛ mekɔ Emergency Department (ETU) ?

Sɛ wowɔ ɔyare mmoawa a emu yɛ den ho sɛnkyerɛnne a, kɔ baabi a wɔhwɛ wɔn a wɔwɔ ayaresa a egye ntɛmpɛ mu ntɛm ara. Saa sɛnkyerɛnne ahorow yi bi ne:

• Atiridiinini a ano yɛ den (ɛboro digrii Fahrenheit 102 / digrii Celsius 39).
• Yafunu mu yaw a emu yɛ den mpofirim .
• Mpɛn pii a ɔfe ne biribiara a ontumi nni anaa ɔnom .

Nsɛm bɛn na ɛsɛ sɛ mibisa me duruyɛfo?

Ebia ɛbɛyɛ nea mfaso wɔ so sɛ wubebisa wo duruyɛfo nsɛm te sɛ eyinom:

• So nnuru bi wɔ hɔ a ɛsɛ sɛ menom?
• ``Duplex Kidney'' bɛn na mewɔ?
• So ɛsɛ sɛ wɔyɛ me oprehyɛn? Ɔkwan bɛn so?
• So ɛsɛ sɛ mekɔ oduruyɛfo titiriw bi nkyɛn? So mehia ``(referral)`` ma ɛno?
• Wususuw sɛ me yare no ho sɛnkyerɛnne no ankasa befi hɔ?
• Sɛ mewɔ ``Duplex Kidney'' a, ɛsɛ sɛ wɔyɛ me ba no nso nhwehwɛmu?

``Duplex Kidney'' abu so dɛn?

Asaabo a wɔatwa mu abien ne awo mu tebea a ɛtaa ba a ɛka nsu a wɔde gu nipadua no mu. Bɛyɛ nnipa 125 biara mu biako wɔ asaabo a wɔatwa no abien koraa anaasɛ enni mũ.

Nea etwa to no, nneɛma a ɛsɛ sɛ wokae (Take-Home Message) .

Duplex Kidney anaa Duplicated Ureters nyɛ tebea a ɛde nkwa to asiane mu na mpɛn pii no ɛmma wonnya yare no ho sɛnkyerɛnne. Nnipa pii nnim mpo sɛ wɔwɔ yare no. Sɛ wo anaa wo ba no nya Duplex Kidney na ɔwɔ sɛnkyerɛnne ahorow a, mpɛn pii no ayaresa no tu mpɔn kɛse wɔ ayaresa mu. Ɛwom sɛ ebia ɛbɛyɛ aniwu sɛ wobɛka nneɛma te sɛ nsu a wɔtow gu a wompɛ anaa ɛyaw bere a woretow ho asɛm de, nanso ɛho hia sɛ wo ne oduruyɛfo kasa fa wo sɛnkyerɛnne ahorow ho . Wɔwɔ hɔ sɛ wɔbɛboa wo. Wobetumi ahu nea ɛde wo sɛnkyerɛnne ahorow no ba na wɔkamfo ayaresa a ɛfata a ɛbɛboa wo ma wo ho atɔ wo akyerɛ. Ade a ɛho hia sen biara ne sɛ woremmɔ hu na woanya aduruyɛ mu afotu a ɛfata.

` Asaabo abien, ureters abien, asaabo mu yare a wɔde awo obi, asaabo mu yare, asaabo oprehyɛn, ureterocele, vesicoureteral reflux