Wunim sɛ yɛn nyinaa wɔ asaabo abien, biako wɔ yɛn akyi berɛmo no afã biara? Eyinom te sɛ nneɛma abien a wɔde yiyi nneɛma mu wɔ yɛn nipadua mu no. Wɔn adwuma titiriw ne sɛ wɔbɛhohoro mogya no ho na wɔayi nneɛma fĩ afi hɔ sɛ nsu. Nanso, wɔwo nnipa binom a asaabo abien a ɛntetew mu, nanso ɛka bom wɔ ase, te sɛ ɔpɔnkɔ nan. Ɛno nti na yɛfrɛ wɔn "Horseshoe Kidney" wɔ aduruyɛ mu no. Mma wo ho nnsuro sɛ wote saa din yi a. Eyi nyɛ nea asiane wom sɛnea wususuw no. Nanso ɛho hia paa sɛ wuhu eyi.
Sɛ yɛbɛka no tiawa a, dɛn ne Horseshoe Kidney yi?
Eyi yɛ tebea a ɛwɔ hɔ wɔ awo mu. Wɔ aduruyɛ mu no, yɛfrɛ saa nneɛma yi "congenital anomaly." Sɛ yɛbɛka no tiawa a, ɛyɛ biribi a ɛkɔ so bere a akokoaa no da so renyin wɔ awotwaa no mu.
Susuw ho saa kwan yi so. Sɛ akokoaa di kan nyin wɔ awotwaa mu a, asaabo abien a edi kan no ba fam koraa wɔ yafunu no mu, wɔ akyi berɛmo no mu. Afei, bere a akokoaa no nyin no, asaabo abien yi de nkakrankakra kɔ soro na ɛkɔ baabi a ɛfata wɔ akyi berɛmo no afã abien no nyinaa.
Nanso, biribi soronko to obi a ɔwɔ Horseshoe Kidney yare no so. Bere a asaabo abien no tu kwan kɔ soro no, wɔn ase ano no bom. Te sɛ nkyerɛwde "U". Sɛ wɔka bom saa a, wontumi mma pɛpɛɛpɛ. Enti asaabo a ɛka bom no wɔ fam kakra sen sɛnea ɛte daa, kɔ yafunu no anim. Wɔsan frɛ eyi renal fusion .
So tebea yi yɛ aniberesɛm? So mewɔ biribi a ɛhaw me?
Eyi ne ɔhaw kɛse a nnipa pii wɔ. Nokwarem no, nnipa dodow no ara a wɔwɔ Horseshoe Kidney no nhyia akwahosan ho haw biara a emu yɛ den. Nnipa pii a wɔwɔ saa tebea yi tra ase sɛnea ɛsɛ, na wɔyɛ nnam a ɔhaw biara nni ho.
Ade a ɛho hia ne sɛ Horseshoe Kidney ntaa nka wo nkwa nna. Wubetumi atra ase akyɛ na apɔwmuden te sɛ obiara.
Nanso, ade ketewaa biako wɔ hɔ a ɛsɛ sɛ yɛma yɛn ani da hɔ. Nnipa a wɔwɔ saa tebea yi wɔ asiane a ɛkɔ soro kakra sɛ wobenya adwene mu kokoram sen nnipa dodow no ara. Afei, mma wo ho nnyɛ wo hu bere a wote eyi no. Eyi nkyerɛ sɛ obiara benya kokoram, ɛkyerɛ ara ne sɛ "asiane no dɔɔso kakra." Ɛno nti na ɛho hia sɛ woyɛ nhwehwɛmu daa sɛnea wo duruyɛfo kamfo kyerɛ no. Sɛ wohu ntɛm a, asaabo mu kokoram yɛ yare a wotumi sa yiye.
Saa tebea yi ntaa mma koraa. Ɛka nnipa 500 biara mu bɛyɛ 1. Ɛtaa ba mmarima so kakra nso sen mmea.
So tebea afoforo bi wɔ hɔ a ɛbata Horseshoe Kidney ho?
Aane. Ɛtɔ da bi a Horseshoe Kidney betumi aba n’ankasa. Nanso, wɔ tebea horow bi mu no, wohu no sɛ ɛne awosu anaa nkwaadɔm tebea afoforo ka ho. Ɛyɛ papa sɛ wubehu eyi.
| Nyarewa kuw | Ayaresa mu tebea horow a ebetumi aba sɛ ɛbata ho |
|---|---|
| Nkwammoaa mu nkwaadɔm tebea horow |
|
| Awosu mu tebea afoforo (Nonchromosomal tebea horow) . |
Dɛn ne tebea yi ho sɛnkyerɛnne?
Ade a ɛyɛ nwonwa no ni. Nnipa dodow no ara a wɔwɔ Horseshoe Kidney no nnya sɛnkyerɛnne biara da wɔ wɔn nkwa nna nyinaa mu. Mpɛn pii no, wohu tebea no wɔ akwanhyia mu bere a wɔreyɛ biribi foforo ho nhwehwɛmu no.
Nanso, nnipa binom betumi anya yare no ho sɛnkyerɛnne. Sɛ wɔyɛ saa a, sɛnkyerɛnne a ɛtaa ba ne:
| Nsɛnkyerɛnne a ɛkyerɛ | Nkyerɛkyerɛmu a ɛnyɛ den |
|---|---|
| Nsuo mu yare a ɛtaa ba (UTIs) . | Mpɛn pii no, nsu mu yare (UTIs) betumi aba a sɛnkyerɛnne te sɛ ɔhyew, ɛyaw (dysuria) , ne atiridii bere a wɔretoto nsu no. |
| Asaabo mu abo | Nsɛnkyerɛnne no betumi ayɛ yafunu mu yaw, akyi yaw, mogya a ɛba nsu mu (hematuria) , ne ɛyaw a ɛba bere a ɔreto nsu no. |
| Akisikuru ne ɔfe | Nnipa binom betumi anya akisikuru ne ɔfe esiane asaabo a entumi nyɛ adwuma yiye nti. |
Dɛn nti na eyi rekɔ so?
Nnuruyɛfo ne nhwehwɛmufo da so ara ntumi nhu nea ɛde eyi ba. Efi nsakrae a ɛba ɔkwan a awosu mu nkwaadɔm fa so yɛ adwuma bere a akokoaa no renyin wɔ awotwaa no mu no mu koraa.
Sɛ wohu sɛ akokoaa a wɔawo no foforo wɔ Horseshoe Kidney a, awofo taa susuw sɛ ebia wɔyɛɛ bɔne bi wɔ nyinsɛn no mu anaa. Mfomso biara nni ho. Eyi nyɛ wo mfomso. Eyi yɛ biribi a ɛtɔ mmere bi a ɛba, na yennya nhu nea enti a ɛte saa. Enti mma ɛnhaw wo wɔ ho.
Nsɛnnennen bɛn na eyi betumi de aba?
Sɛ yare no ho sɛnkyerɛnne biara nni hɔ mpo a, sɛ wowɔ Horseshoe Kidney a, ɛde wo to asiane kɛse mu kakra sɛ wubenya nsɛnnennen bi.
- Ɔhaw a ɛtaa ba: Eyi yɛ tebea bi a wɔfrɛ no ureteropelvic junction (UPJ) obstruction . Sɛ yɛbɛka no tiawa a, ɛyɛ akisikuru a ɛwɔ ureter no mfiase, afiri a ɛde nsu fi asaabo no mu kɔ akisikuru no mu. Sɛnea asaabo no te no betumi asiw nsu a ɛsen no kwan. Saa tebea yi ba nnipa a wɔwɔ asaabo a ɛyɛ pɔnkɔ nan ase bɛyɛ nkyem abiɛsa mu biako (33%) mu.
- Nsɛnnennen afoforo:
- Vesicoureteral reflux (VUR): Nsu a ɛkɔ akyi fi akisikuru no mu kɔ asaabo no mu.
- Hydronephrosis: Asaabo a ɛho ahonhon esiane nsu a nsu ntumi nkɔ mu yiye nti.
- Polycystic kidney disease (PKD): Ntini a nsu ahyɛ mu ma a ɛba asaabo no mu.
- Renovascular hypertension: Mogya mmoroso a ɛba esiane mogya ntini a ɛde mogya kɔ asaabo mu no a ɛyɛ teateaa nti.
- Asaabo mu kokoram: Sɛnea yɛadi kan aka no, asiane no dɔɔso kakra.
Enti, sɛ wowɔ Horseshoe Kidney a, nyansa wom sɛ wubehu asaabo mu kokoram ho sɛnkyerɛnne.
- Mogya a ɛwɔ nsu mu
- Sɛ wote nka sɛ yafunu no mu ayɛ kurukuruwa anaasɛ ɛho ahonhon a ɛyɛ soronko
- Ɛyaw a ɛyɛ soronko a efi akyi fã a ɛwɔ fam no nkyɛn
Sɛ wuhu biribi te sɛ eyi a, kɔ wo duruyɛfo nkyɛn ntɛm ara.
Ɔkwan bɛn so na wobehu tebea yi?
Sɛnea yɛadi kan aka no, wɔtaa hu eyi ara kwa. Nanso, sɛ wowɔ sɛnkyerɛnne bi a ɛfa w’asaabo ho a, wo duruyɛfo bɛhwɛ wo. Nea ɛka ho no, ebia wɔbɛyɛ sɔhwɛ ahorow te sɛ eyi nso.
- Nsu mu nhwehwɛmu: Wɔhwɛ sɛ mogya anaa ɔyare mmoawa bi wɔ nsu mu anaa.
- Mogya mu nhwehwɛmu: Wɔyɛ nhwehwɛmu de hu sɛnea asaabo no reyɛ adwuma yiye.
- Glomerular filtration dodow a wɔabu akontaa (eGFR) .
- Mogya mu urea nitrogen (BUN) nhwehwɛmu
- Creatinine a wɔayi afi mu ho sɔhwɛ
- Mfoninitwa Nhwehwɛmu (Scans): Eyinom boa ma wohu sɛnea asaabo no te, ne gyinabea, ne sɛnea ɛyɛ adwuma pɛpɛɛpɛ.
- Kidney ultrasound: Nhwehwɛmu a wɔtaa yɛ sen biara a ɛnyɛ yaw.
- Voiding cystourethrogram (VCUG): X-ray nhwehwɛmu titiriw bi a wɔde hwɛ sɛ nsu a ɛsan kɔ nipadua no mu (VUR) anaa.
- Radionuclide scan: Sɔhwɛ a wɔde hu sɛnea asaabo no reyɛ adwuma yiye ne sɛnea ɛreyɛ nsu.
- Nhwehwɛmu a ɛkɔ akyiri te sɛ MRI scan (Magnetic resonance imaging): ne CT scan (Computed tomography scan) .
So ayaresa ho hia? Dɛn na wobetumi ayɛ?
Egyina sɛ ebia wowɔ yare no ho sɛnkyerɛnne anaasɛ wunni bi so.
Horseshoe Kidney ntumi "nsa" anaasɛ wonyi mfi hɔ efisɛ ɛyɛ nipadua no fã bi a ɛwɔ hɔ bere a wɔawo no. Enti, sɛ yare no ho sɛnkyerɛnne biara nni hɔ a, worenhia ayaresa biara.
Nanso, sɛ wowɔ sɛnkyerɛnne anaa nsɛnnennen bi a, wobetumi asa.
- Wɔ nsu mu yare (UTIs) ho: Wo duruyɛfo bɛma wo nnuru a ekum ɔyare mmoawa .
- Wɔ asaabo mu abo anaa nea asiw ho: Ɛtɔ mmere bi a, ebia ɛho behia sɛ wɔyɛ oprehyɛn de yi asaabo mu abo anaasɛ ɛyɛ mmerɛw sɛ nsu bɛsen.
Mpɛn pii no, nnuruyɛfo mmɔ mmɔden sɛ wɔbɛyɛ oprehyɛn sɛ wɔbɛtetew pɔnkɔ nan ase asaabo bi mu anaasɛ wobeyi afi hɔ (nephrectomy) efisɛ ɛnyɛ kokoram, na nnipa pii ne no tra a ɔhaw biara nni ho.
Mɛyɛ dɛn atumi ne tebea yi atra ase dwoodwoo?
Eyi a wobɛtra ase no nyɛ den saa. Nanso, ɛsɛ sɛ yɛyɛ ahwɛyiye kakra. Esiane sɛ Horseshoe Kidney no wɔ yafunu no anim akyirikyiri sen asaabo a ɛteɛ no nti, .Hokwan a ɛwɔ hɔ sɛ obi bepira wɔ nipadua mu no dɔɔso kakra.
Enti, hwɛ yiye wɔ eyinom ho:
1. Hyɛ Medical Alert Bracelet: Fa bracelet anaa kaad a ɛkyerɛ sɛ wowɔ Horseshoe Kidney sie. Sɛ biribi si ntɛm a, ɛbɛboa nnuruyɛfo a wɔresa yare no ne adwumayɛbea a wɔhwɛ ntɛmpɛ so no ma wɔahu wo tebea no.
2. Kwati agumadi a wɔde di nkitaho: Eyi ho hia mmofra titiriw. Agumadi a ɛfa obi a ɔne yɛn di nkitaho tẽẽ te sɛ rugby, bɔɔlbɔ, karate, ne akuturukubɔ betumi asɛe asaabo no.
3. Hyɛ abɔso a ɛbɔ wo ho ban: Sɛ wo (anaa wo ba) de wo ho hyɛ agumadi anaa dwumadi bi a ebetumi ama asaabo asɛe mu a, hyɛ ade titiriw bi a ɛbɔ wo ho ban a ɛkata yafunu no so (asaabo ho banbɔ anaa asaabo kyɛm) .
Ɛyɛ papa sɛ wo ne wo duruyɛfo bɛkɔ so adi nkitaho daa na woakɔyɛ nhwehwɛmu ne scan daa sɛnea ɔkamfo kyerɛ no.
Nkrasɛm a Wɔde Kɔ Fie
- Horseshoe Kidney yɛ awo mu tebea a asaabo abien bom wɔ ase. Eyi nyɛ nea asiane wom sɛnea ebia wususuw no.
- Nnipa pii nnya yare no ho sɛnkyerɛnne biara na wɔtra ase sɛnea ɛsɛ, na apɔwmuden wom.
- Nnipa binom betumi anya ɔhaw ahorow te sɛ nsu mu yare a wɔtaa nya (UTIs) anaa asaabo mu abo. Ayaresa pa wɔ hɔ a wɔde sa eyinom.
- Ɛnyɛ den sɛ tebea yi betumi asɛe asaabo no. Enti, ɛho hia paa sɛ yɛkwati agumadi a ɛfa nipadua no a ɔde ne ho bɛbɔ ho na yɛakɔ so ayɛ dwoodwoo.
- Sɛ wowɔ nsɛmmisa, dadwen, anaa adwenem naayɛ biara wɔ eyi ho, anaasɛ wuhu sɛnkyerɛnne ahorow te sɛ yafunu mu yaw anaa nsu mu yare a, ade a eye sen biara a wobɛyɛ ne sɛ wo ne wo duruyɛfo bɛkasa afa ho.
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