So w’asaabo ahonhon? So eyi betumi ayɛ hydronephrosis? Momma yɛnkasa!

So ɛtɔ mmere bi a wote nka sɛ wo ho yɛ wo yaw a ɛyaw a emu yɛ den wɔ w’afã, wo yafunu, anaa w’akyi? Anaasɛ wote yaw bere a woretow , anaa mogya wɔ wo nsu mu? Eyinom betumi ayɛ tebea bi a wɔfrɛ no hydronephrosis a ɛyɛ asaabo a ɛho ahonhon no ho sɛnkyerɛnne . So yɛbɛka eyi ho asɛm wɔ nsɛm a ɛnyɛ den mu?

Dɛn ne Hydronephrosis?

Sɛ yɛbɛka no tiawa a, hydronephrosis yɛ tebea a ɛma nsu a efi w’asaabo mu kɔ wo akisikuru mu no siw, na ɛma asaabo biako anaa abien no nyinaa hohoro. Fa no sɛ nsu paipu a asiw, a nsu ahyɛ mu ma na ahuru. Ɛtɔ da bi a nnuruyɛfo frɛ eyi ‘upper urinary tract dilation’.

Momma yɛmfa bere tiaa bi nkae yɛn ho sɛnea yɛn nsu a yɛde gu nipadua mu no yɛ adwuma. Ɛte sɛ nhyehyɛe bi a wɔde tew nneɛma ho a eyi nwura fi yɛn nipadua mu.

• Asaabo abien na ɛwɔ hɔ , na eyinom na ɛsepa awuduru ne nneɛma a wɔsɛe no wɔ mogya no mu na ɛtetew mu.
• Afei ureters abien wɔ hɔ , nhama abien a ɛde nsu fi asaabo mu kɔ akisikuru no mu.
• Akisikuru bi wɔ hɔ , a ɛte sɛ kotoku a ɛboaboa nsu ano na ɛkora so.
• Awiei koraa no, urethra , afiri a ɛde nsu a wɔaboaboa ano wɔ akisikuru mu fi nipadua no mu no wɔ hɔ.

Hydronephrosis ba bere a akwanside bi asi nhyehyɛe yi mu baabi, wɔ asaabo ne ureter ntam no.

Hydronephrosis betumi aba akwan horow so. Ebetumi aba mpofirim, anaasɛ ebetumi ayɛ kɛse nkakrankakra bere a bere kɔ so no . Akwanside no betumi ayɛ nea edi mũ anaasɛ ne fã bi. Sɛ ɛka asaabo baako pɛ a, wɔfrɛ no ‘unilateral hydronephrosis’, na sɛ ɛka asaabo mmienu no nyinaa a, wɔfrɛ no ‘bilateral hydronephrosis’. Ahonhon dodow nso betumi ayɛ soronko afi ɔfe ketewaa bi so akosi ɔfe kɛse so.

Tebea yi abu so dɛn?

Hydronephrosis betumi aka obiara a wadi mfe biara. Wobu akontaa sɛ mpanyimfo bɛyɛ ɔha biara mu biako benya tebea no wɔ wɔn asetra mu bere bi.

Eyi betumi aba nkokoaa nkumaa mu, titiriw bere a wɔda so wɔ ɛna no awotwaa mu no. Wɔfrɛ no ‘antenatal hydronephrosis’. Ɛba wɔ nyinsɛn bɛyɛ 1% mu. Nanso mpɛn pii no, ɛyɛ yiye wɔ n’ankasa mu ansa na wɔawo akokoaa no.

Dɛn ne hydronephrosis ho sɛnkyerɛnne ahorow?

Mpɛn pii no, hydronephrosis ho sɛnkyerɛnne gyina nea ɛde ba no so. Mpɛn pii no , sɛnkyerɛnne biara nni hɔ koraa . Sɛnea madi kan aka no, antenatal hydronephrosis a ɛba akokoaa a ɔwɔ awotwaa mu no ntaa nna sɛnkyerɛnne biara adi kosi sɛ wɔawo akokoaa no akyi.

Nanso sɛ sɛnkyerɛnne ahorow no da adi ampa a, ebia nea ɛka ho ne:

• Ɛyaw a emu yɛ den mpofirim: w’afã, wo yafunu, anaa w’akyi.
• Akisikuru anaasɛ ɔfe .
• Ɛyaw a wobɛte nka bere a woretow nsu no.
• Mogya a ɛwɔ nsu mu.
• Nsu mu yare ( UTI ) a obenya.
• Nkate a ɛne sɛ wɔantow akisikuru no mu koraa bere a wɔatow nsu mpo awie no.
• Nsu a wɔtow gu pii anaa kakraa bi sen sɛnea ɛte daa.

Afei, sɛ wowɔ hydronephrosis a, esiane sɛ nsu no akɔhyɛ nipadua no mu nti, hokwan kɛse wɔ hɔ sɛ mmoawa benyin wɔ nsu a ɛkɔ nsu mu no mu na ama woanya nsu mu yare (UTI). Sɛ eyi ba a, wubetumi anya yare no ho sɛnkyerɛnne te sɛ:

• Atiridiinini, awɔw, ne ɔbrɛ.
• Ɔhyew ne ɛyaw bere a woretow nsu no.
• Nsu a emu nna hɔ na ɛte sɛ nea ne kɔla yɛ tuntum.

Dɛn ne nneɛma a ɛde hydronephrosis ba?

Nea ɛde hydronephrosis ba titiriw ne sɛ nsu a ɛkɔ yɛn nsu mu no siw kwan, anaasɛ ɛsiw kwan. Nneɛma pii wɔ hɔ a ebetumi de eyi aba.

Nneɛma a ɛde ba a ɛka mpanyimfo:

• Asaabo mu abo: Eyinom yɛ abo a ɛyɛ den a wɔde calcium ne oxalate ayɛ. Wobetumi akɔhyɛ asaabo anaa nsu a ɛkɔ nsu mu no mu.
• Ureteral obstruction: Ɛyɛ wo ureters a ɛsiw.
• Akisikuru: Akisikuru a ɛwɔ akisikuru, prostate gland, awotwaa , anaa akwaa afoforo a ɛbɛn nsukorabea no betumi ama nsu no atumi asiw nsu no kwan.
• Benign prostatic hyperplasia (BPH): Wɔ mmarima mu no, prostate gland a ayɛ kɛse betumi ama nhyɛso aba urethra no so na ama ayɛ den sɛ wɔbɛtow nsu.
• Nsuo kwan a ɛyɛ teateaa: Nsuo kwan no betumi ayɛ teateaa esiane opira, ɔyare mmoawa, awo mu dɛmdi, anaa oprehyɛn nti.
• Ntini anaa ntini mu haw ahorow: Eyinom betumi aka sɛnea w’asaabo anaa wo ureters yɛ adwuma.
• Nsu a ɛtwetwe: Nsu a wontumi nyi nsu mfi akisikuru no mu koraa.
• Vesicoureteral reflux: Nsu a ɛsan fi akisikuru no mu kɔ asaabo no mu.
• Ureterocele: Eyi yɛ ureter no fã a ɛwɔ fam a ɛpuepue kɔ akisikuru no mu.

Ntease ahorow a ɛfa mmea ho pɔtee:

Wɔ wɔn a wɔwɔ awotwaa, kyerɛ sɛ mmea fam no, nneɛma pɔtee bi te sɛ:

• Nyinsɛn: Bere a akokoaa no nyin no, awotwaa no nso nyin, na ɛno betumi de nhyɛso aba awotwaa no so na asiw nsu no kwan.
• Awotwaa a ɛhwe ase: Awotwaa no a ɛrehwe ase afi ne gyinabea a ɛfata.
• Cystocele – akisikuru a ahwe ase: Ɔfasu a ɛda akisikuru ne awotwaa ntam no yɛ mmerɛw, na ɛma akisikuru no hwe ase kɔ awotwaa no mu.

Nneɛma a ɛka akokoaa a ɔwɔ awotwaa mu (antenatal):

Nneɛma a edidi so yi betumi ama awotwaa mu hydronephrosis aba akokoaa no mu:

• Nsu dodow a akokoaa no yɛ a ɛkɔ soro.
• Akwanside a ɛmma nsu nkɔ baabi wɔ nsu a ɛkɔ nsu mu no mu.
• Nsu san fi akisikuru no mu kɔ asaabo no mu.

Dɛn ne nsɛnnennen a ebetumi afi hydronephrosis mu aba?

Sɛ hydronephrosis mu yɛ den a, ebetumi asɛe asaabo no na ama asaabo no ayɛ adwuma yiye. Sɛ ɛba saa a, ebia ebehia sɛ wɔyɛ wo dialysis anaa wɔde asaabo foforo ma.

Nanso, mma wo ho nnpopo! Nnipa dodow no ara ho tɔ wɔn wɔ hydronephrosis mu na asaabo no nsɛe koraa. Enti ɛho hia sɛ woremmɔ hu na wohwehwɛ ayaresa ntɛm.

Ɔkwan bɛn so na wohu Hydronephrosis?

Ɛho hia yiye sɛ wobɛkɔ oduruyɛfo nkyɛn na woahu ntɛm ara, efisɛ hydronephrosis betumi asɛe asaabo no bere tenten.

Eyi ne ɔkwan a wo duruyɛfo fa so hu yare no:

• Nipadua mu nhwehwɛmu: Wo duruyɛfo bebisa wo yare no ho sɛnkyerɛnne na wahwɛ w’asaabo ne w’akisikuru no mu sɛ ɛyaw ne ɔfe bi wɔ hɔ anaa. Wobebisa w’ayaresa ho abakɔsɛm a atwam nso ne sɛ ebia obi wɔ w’abusua mu anya saa tebea horow yi anaa. Sɛ woyɛ ɔbarima a, wobetumi ayɛ akyi berɛmo mu nhwehwɛmu de ahwɛ sɛ prostate gland no ayɛ kɛse anaa. Sɛ woyɛ ɔbea a, wobetumi ayɛ wo akyi berɛmo mu nhwehwɛmu de ahwɛ sɛ ɔhaw bi wɔ w’awotwaa anaa wo mmadwoa mu anaa.
• Nsu mu nhwehwɛmu:Wɔbɛfa wo nsuo bi na wɔahwɛ sɛ mogya, aboɔ, mmoawa, anaa ɔyareɛ bi wɔ mu anaa. Ebia ɛho behia nso sɛ wode catheter di dwuma de boaboa nsu ano.
• Mogya mu nhwehwɛmu: Wobetumi akan mogya a edi mũ (CBC) de ahwɛ sɛ ɔyare mmoawa bi wɔ hɔ anaa. Wobetumi ayɛ nhwehwɛmu te sɛ creatinine, eGFR, ne BUN nso de ahwɛ sɛnea asaabo no yɛ adwuma.
• Akwan a wɔfa so twa mfonini: Sɔhwɛ titiriw ne ultrasound scan. Ɛtɔ mmere bi a, ebia ɛho behia nso sɛ wɔyɛ CT scan anaa MRI scan.

So wunim sɛ wobetumi de ultrasound scan ahu sɛ akokoaa a ɔhyɛ yafunu mu no anya hydronephrosis wɔ nyinsɛn no fã a edi kan no mu? Wɔtaa hu eyi wɔ adapɛn 20 ultrasound scan no mu. Sɛ wohu a, ɛna no bɛyɛ ultrasound scan ahorow pii bio de ahwɛ akokoaa no. Nanso mpɛn pii no, ɛbɛyɛ yiye wɔ n’ankasa mu.

Dɛn ne nnuru a wɔde sa hydronephrosis?

Botae titiriw a ɛwɔ ayaresa mu ne sɛ ɛbɛma nsu a efi asaabo no mu no asan akɔ na ɛbɛtew ɔfe ne nhyɛso so. Ayaresa no gyina nea ɛde ba no so. Efisɛ ɛno ne ɔhaw titiriw no.

Ɛtɔ da bi a, nsɛm nketenkete a ɛnyɛ aniberesɛm no ankasa bɛkɔ yiye a wɔansa no yare. Mmere foforo nso, wo duruyɛfo betumi afa ɔkwan a ‘twɛn na hwɛ’ so. Oprehyɛn yɛ ɔkwan foforo a wo duruyɛfo betumi asusuw ho. Ɛsɛ sɛ wo ne wo duruyɛfo susuw ayaresa a wubetumi apaw nyinaa ho.

Sɛ hydronephrosis ba mpofirim na akwanside bi na ɛde ba a, wo duruyɛfo betumi de nephrostomy tube afa wo honam ani akɔ w’asaabo mu na ama nsu a ɛboro so no akɔ. Anaasɛ, wobetumi de plastic afiri a ɛyɛ mmerɛw a wɔfrɛ no ureteral stent ahyɛ mu na ama wo ureters no abue sɛnea ɛbɛyɛ a nsu betumi asen sɛnea ɛsɛ.

Sɛ nea ɛde ba ne abo a ɛwɔ asaabo anaa nsu mu a, ayaresa ahorow bi wɔ hɔ te sɛ:

• Shock wave lithotripsy: Eyi ne aduru a wɔtaa de sa asaabo mu abo. Wɔde asorɔkye a ɛma ahoɔden kɛse di dwuma de bubu abo no mu anaasɛ ɛpaapae mu nketenkete, na ɛma ɛyɛ mmerɛw sɛ ebefi nipadua no mu.
• Ureteroscopy: Wo duruyɛfo de afiri teateaa bi bɛfa wo urethra mu ma abubu na ayi abo afi hɔ. Wɔde saa kwan yi di dwuma ma abo a ɛwɔ akisikuru anaa akisikuru no ase. Wobetumi de aka akwan foforo a wɔfa so bubu abo nso ho.
• Sɛɛgyiri:Sɛ asaabo mu abo no sõ paa anaasɛ ɛyɛ den sɛ wobeyi afi hɔ a, ebia ebehia sɛ wo duruyɛfo yɛ oprehyɛn de yi fi hɔ. Ebia ɛho behia nso sɛ wɔyɛ oprehyɛn sɛ akisikuru, akuru ntini, anaa akwanside ahorow bi wɔ hɔ a.

Sɛ wowɔ urinary tract infection (UTI) anaasɛ wo urethra no mu teate esiane ɔyare bi nti a, wo duruyɛfo bɛkyerɛw nnuru a ekum ɔyare mmoawa de asa yare no.

So wobetumi asiw Hydronephrosis ano?

Esiane sɛ tebea bi a ɛde hydronephrosis ba nti, wobetumi asiw ano denam nea ɛde ba no a wɔbɛkwati anaasɛ wɔbɛsa so. Sɛ wuhu nneɛma a ɛde wo to asiane mu sɛ wubenya tebea no nso a, ebetumi aboa ma woasiw ano.

Tebea horow a ɛma asiane a ɛwɔ hɔ sɛ obi benya hydronephrosis no yɛ kɛse ne:

• Asaabo mu abo.
• Sɛ obi wɔ abakɔsɛm a ɛkyerɛ sɛ ɔwɔ kokoram wɔ nsu a ɛkɔ nipadua no mu.
• Oprehyɛn ahorow a atwam a ɛfa nsu a wɔde gu nipadua mu ho.
• Nyarewa a atwam wɔ nsu a ɛkɔ nipadua no mu, te sɛ nsu mu yare (UTIs).
• Mogya a ɛtwetwe.
• Prostate gland a ɛyɛ kɛse.
• Nyinsɛn (esiane sɛ wo awotwaa no pia kɔ wo akyi berɛmo mu nti).

So hydronephrosis yɛ ɔhaw kɛse?

Yiw, eyi betumi ayɛ ɔhaw kɛse sɛ wɔansa no ntɛm a. Nanso, nsɛm dodow no ara yɛ nea emu nyɛ den anaasɛ ɛkɔ fam. Wɔmfa akwahosan ho haw akɛse mma. Enti mma ɛnhaw wo.

So ɛsɛ sɛ wohaw wo ho wɔ hydronephrosis ho?

Mma ɛnhaw wo dodo sɛ wobehu sɛ wowɔ hydronephrosis. Mpɛn pii no, sɛ wosa wo yare a, wubetumi atra ase sɛnea ɛsɛ a wunhyia ɔhaw biara a ɛtra hɔ kyɛ. Wo ne wo duruyɛfo nkasa mfa nsɛmmisa biara a wowɔ fa hydronephrosis ne wo ho a wobɛtɔ ho. Wo duruyɛfo bɛkyerɛ wo sɛ ɛsɛ sɛ woyɛ nsakrae biara wɔ w’asetra mu ne bere tenten a ebegye ansa na wo ho atɔ wo koraa.

Bere bɛn na ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn?

Sɛ wowɔ saa sɛnkyerɛnne yi bi a, hwɛ hu sɛ wobɛkɔ oduruyɛfo nkyɛn:

• Ɛyaw a emu yɛ den a ɛba mpofirim wɔ w’afã anaa w’akyi.
• Ɔfe a wɔfe.
• Nsakrae a ɛba wo nsu a wobɛtow mu: wotow gu pii anaa kakraa bi sen sɛnea wotaa yɛ, ɛyaw bere a woretow, mogya a ɛba wo nsu mu.
• Sɛ atiridiinini no boro 100.5 Fahrenheit (38 Celsius) a.

Nea etwa to no, nneɛma a ɛsɛ sɛ yɛkae

Okay, enti hydronephrosis a yɛkaa ho asɛm nnɛ no yɛ tebea a asaabo no hohoro esiane nsuo nti. Obiara betumi anya eyi. Nea eye ne sɛ, sɛ wohu yare no na wɔsa no ntɛm a, wobetumi asiw ɔhaw ahorow a efi tebea yi mu ba no ano.Sɛ wowɔ sɛnkyerɛnne ahorow bi a ɛyɛ soronko, te sɛ ɛyaw wɔ w’afã anaa wo yafunu mu, akisikuru, ɔfe, anaa nsakrae a ɛba wo nsu dodow anaa mpɛn dodow a wobɛtow mu a, hwɛ hu sɛ wobɛkɔ oduruyɛfo nkyɛn. Sɛ wohu nea ɛde hydronephrosis ba wie a, wo duruyɛfo bɛkyerɛkyerɛ ayaresa pii a wubetumi apaw mu. Mma wo ho nnyɛ wo hu, ayaresa a wobɛyɛ no ntɛm ne ade a ɛho hia sen biara.