So wo ba no asaabo ahonhon? Momma yensua pyelectasis ho ade!

Sɛ worehwɛ akokoaa kwan a, ɛyɛ ade a ɛfata sɛ wobɛhaw wo ho wɔ wo ba no akwahosan ho. Ɛtɔ mmere bi a, bere a wɔreyɛ scan no, nnuruyɛfo tumi hu nsakrae nketenkete wɔ wo ba no asaabo mu, te sɛ ɔfe ketewaa bi. Ebia sɛ wote saa a, ehu ka wo kakra. Ɛno ne nea pyelectasis yɛ. Nanso mma ɛnhaw wo, yɛbɛma biribiara ayɛ mmerɛw.

Dɛn ne Pyelectasis?

Sɛ yɛbɛka no tiawa a, pyelectasis yɛ bere a wo ba no nsu kakraa bi wɔ n’asaabo biako mfinimfini bere a ɔda so ara wɔ awotwaa mu no. Sɛ yɛbɛka no pɛpɛɛpɛ a, asaabo no fã titiriw a nsu boaboa ano ne nea ɛte sɛ nea ahonhon kakra.

Eyi fi nsu a ɛkɔ asaabo no mu a ɛkɔ asaabo no mu (a wɔsan frɛ no ureter) kɔ akisikuru no mu no kwan ketewaa bi a esiw, anaasɛ ɛsiw kwan. Anaasɛ, ɛtɔ da bi a, nsuo san kɔ soro fi akisikuru no mu, kɔ asaabo no mu (`Urinary reflux`).

Ɛtɔ mmere bi a nnuruyɛfo frɛ tebea yi sɛ pyelectasis, pelviectasis, pelvocaliectasis, anaa caliectasis, a egyina baabi a nsu no boaboa ano so. Nanso saa nsɛmfua yi nyinaa kyerɛ nsu a wɔaboaboa ano wɔ asaabo no fã bi.

Nsonsonoe bɛn na ɛda Pyelectasis ne Hydronephrosis ntam?

Saa edin abien yi nyinaa kyerɛ asaabo a ɛho ahonhon esiane nsu a wɔde gu mu nti, nanso nsonsonoe kakra wɔ mu.

• Wɔ pyelectasis mu no , mpɛn pii no , akwanside a ɛwɔ nsu a ɛkɔ nipadua no mu no yɛ mmerɛw . Enti, nsu kakraa bi boaboa ano wɔ asaabo no mu. Eyi ma asaabo no mfinimfini fã no trɛw kakra.
• Wɔ hydronephrosis mu no, saa akwanside yi mu yɛ den kɛse, a ɛkyerɛ sɛ emu yɛ den . Afei nsu pii boaboa ano wɔ asaabo no mu, na wɔ tebea horow bi a emu yɛ den mu no, asaabo no tumi hohoro te sɛ asaabo no.

Mpɛn pii no, pyelectasis no ankasa besiesie a wɔrennya ayaresa biara . Nanso, wɔ bɛyɛ 10% mu no, ebetumi akɔ so akodu hydronephrosis. Sɛ ɛba saa a, ebia ɛho behia sɛ wokɔ mmofra akisikuru anaa ntini ho oduruyɛfo nkyɛn bere a wɔawo wo ba no akyi.

Saa tebea yi abu so dɛn?

Pyelectasis yɛ tebea a ɛtaa ba . Ɛba nyinsɛn bɛyɛ 40 biara mu 1 mu. Ebetumi aka asaabo biako pɛ (unilateral pyelectasis) anaa asaabo abien no nyinaa (bilateral pyelectasis).

Susuw ho hwɛ, .Nkokoaa mmarima betumi anya saa tebea yi bɛyɛ mprɛnsa sen nkokoaa mmea.

So Pyelectasis yɛ aniberesɛm?

Mpɛn pii no, pyelectasis nni nkɛntɛnso bɔne kɛse biara wɔ wo ba no so. Wɔwo nkokoaa a wɔwɔ saa tebea yi mu dodow no ara a wɔwɔ apɔwmuden na wɔyɛ yiye.

Nanso, ɛntaa mma koraa sɛ pyelectasis tebea yi betumi abɛyɛ tebea a emu yɛ den a wɔfrɛ no hydronephrosis. Sɛ ɛba saa a, nnuruyɛfo betumi akamfo akyerɛ sɛ wɔnyɛ oprehyɛn (akokoaa no oprehyɛn) bere a akokoaa no da so wɔ awotwaa mu na amma akokoaa no asaabo ansɛe. Nanso, eyi ho yɛ na koraa.

So eyi ne Down syndrome wɔ abusuabɔ?

Sɛ wo ba no ultrasound scan kyerɛ sɛ ɔwɔ pyelectasis a, hokwan kɛse wɔ hɔ kakra sɛ akokoaa no benya chromosomal tebea bi a wɔfrɛ no Down syndrome . Nanso, eyi nkyerɛ sɛ akokoaa biara a ɔwɔ pyelectasis wɔ Down syndrome. Nokwarem no, nkokoaa a wɔwɔ pyelectasis no mu dodow no ara nni Down syndrome.

Sɛ yɛbɛka no tiawa a, sɛ mogya mu nhwehwɛmu afoforo a ɛnteɛ anaasɛ nneɛma afoforo a ɛnteɛ wɔ scan no mu nka pyelectasis ho a, wɔtaa bu no sɛ nsakrae ketewaa bi a ɛba wɔ akokoaa no nkɔso a ɛfata mu.

Dɛn ne sɛnkyerɛnne ahorow no?

Mpɛn pii no , pyelectasis a ɛba bere a wɔyem no nni sɛnkyerɛnne biara . Mpɛn pii no, wohu saa tebea yi bere a woayɛ nhyehyɛe sɛ wobɛyɛ ultrasound scan ansa na woawo no.

Dɛn na ɛde pyelectasis ba akokoaa no mu?

Nneɛma atitiriw abien nti na ɛte saa.

1. Ureteropelvic junction a ɛsiw kwan:

Nea ɛba wɔ saa tebea yi mu ne sɛ, biribi asiw anaasɛ akwanside bi wɔ baabi a nsukorade a ɛde nsu fi akokoaa no asaabo mu (a wɔfrɛ no `ureter`) no ne asaabo no di nkitaho (a wɔfrɛ no `ureteropelvic junction`). Afei, nsu ntumi nsen mfi, kyerɛ sɛ, ɛkɔ urethra no mu, na ɛkyere asaabo no mu. Esiane saa akwanside yi nti, nhyɛso a ɛwɔ asaabo no mu no kɔ soro, na ɛde pyelectasis ba, na bere kɔ so no, asaabo no dwumadi betumi atew.

2. Vesicoureteral a ɛsan kɔ nipadua no mu:

Mpɛn pii no, nsu a ɛba asaabo no mu no fa asaabo no mu na ɛboaboa ano wɔ akisikuru no mu. Afei efi akokoaa no nipadua mu kɔhyɛn awotwaa mu nsu a ɛwɔ awotwaa no mu no mu.

Nanso, wɔ tebea horow bi mu no, nsu a efi akisikuru no mu no san kɔ soro, kyerɛ sɛ, ɛfa nsukorabea ahorow no ho, kɔ asaabo no mu.Ɛno ne nea wɔfrɛ no vesicoureteral reflux. Sɛ nsu a ɛsan sen kɔ soro saa kwan yi so no tra asaabo no mu kyɛ dodo na ɛma ɛho wosow a, ebetumi nso ama obi anya pyelectasis.

Wobɛyɛ dɛn ahu eyi?

Nnuruyɛfo hu pyelectasis bere a wɔreyɛ ultrasound scan ansa na wɔawo no . Sɛ wo scan no kyerɛ a, ɛho behia sɛ wɔhwɛ wo ne wo ba no yiye wɔ wo nyinsɛn no nyinaa mu.

Dɛn ne ayaresa ahorow no?

Asɛmpa no ne sɛ , mpɛn pii no, pyelectasis no ankasa gyae a wɔmfa ayaresa titiriw biara nka ho.

Wo duruyɛfo bɛhwɛ tebea yi so wɔ wo nyinsɛn no nyinaa mu. Sɛ ɛho hia a, mmofra ntini ho oduruyɛfo anaa mmofra akisikuru ho ɔyaresafo bɛhwɛ wo ba no mu bere a wɔawo no akyi.

Wɔ tebea horow bi mu no, mmofra ntini ho oduruyɛfo betumi ayɛ oprehyɛn bi a wɔfrɛ no pyeloplasty , a wɔde yi asaabo ne asaabo no ntam kwan a esiw ano no fi hɔ.

Wɔ nyinsɛn mu no, sɛ tebea no te sɛ pyelectasis anaa hydronephrosis mu yɛ den ma asaabo sɛe nkutoo a, nnuruyɛfo betumi akamfo akyerɛ sɛ wɔnyɛ awotwaa no oprehyɛn . Nanso, eyi ho yɛ na koraa .

So metumi atew asiane a ɛwɔ hɔ ma me ba no so?

Pyelectasis yɛ nsakrae ketewaa bi a ɛba akokoaa no nyin mu, enti ɔkwan biara nni hɔ ankasa a wɔbɛfa so asiw ano . Nanso, ɛho hia sɛ woyɛ ultrasound scan daa bere a wonyinsɛn no. Eyi ne bere a wo duruyɛfo betumi ahwɛ tebea no so na sɛ ɛho hia a, ɔkamfo ayaresa kyerɛ.

Sɛ me ba no nya pyelectasis a, dɛn na ɛba?

Sɛ wo duruyɛfo hu sɛ wowɔ pyelectasis wɔ scan mu a, ɛda adi sɛ wɔbɛhwɛ wo ne wo ba no so bere a wonyinsɛn no ne bere a wɔawo wo ba no akyi. Wo duruyɛfo no bɛyɛ scan daa de ahwɛ sɛ ebia nea asiw kwan no mu yɛ den anaa.

Sɛ pyelectasis mu yɛ den na ɛbɛyɛ hydronephrosis a, ɛho behia sɛ wokɔ mmofra ntini ho oduruyɛfo anaa mmofra akisikuru ho oduruyɛfo nkyɛn bere a wɔawo wo ba no akyi. Wɔbɛhwehwɛ wo ba no mu na wɔasi gyinae sɛ ebia ayaresa ho hia anaa.

Ɛntaa mma sɛ asaabo a ɛsiw a pyelectasis de ba no betumi ayɛ kɛse araa ma asɛe asaabo no bere a akokoaa no da so ara wɔ awotwaa no mu no. Sɛ wosusuw sɛ eyi yɛ a, wo duruyɛfo no ne wo bɛkasa afa awotwaa mu oprehyɛn ho.

So wobetumi asa Pyelectasis?

Yiw, koraa! Wɔ bɛboro 90% mu no, pyelectasis no ankasa yɛ yiye . Sɛ akwanside no mu yɛ den a, ebia ɛho behia sɛ wɔyɛ oprehyɛn de siesie ɔhaw no.

Nkokoaa a wɔwɔ hydronephrosis a emu yɛ den no taa nya ɔhaw ahorow a ɛkɔ so wɔ awo akyi. Wɔ tebea horow a ɛtete saa mu no, ebia ebehia sɛ wɔyɛ wo ba no oprehyɛn.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Ɛho hia yiye sɛ wobɛkɔ wo aduruyɛ mu nhwehwɛmu ne scan a wɔyɛ no daa no ase. Nnuruyɛfo betumi de ultrasound scan nkutoo ahu pyelectasis. Wɔbɛhwɛ wo tebea no yiye na sɛ ɛho hia a, wɔbɛkamfo ayaresa akyerɛ wo.

Nsɛm bɛn na ɛsɛ sɛ mibisa oduruyɛfo no?

Sɛ wo scan kyerɛ sɛ wowɔ pyelectasis a, wubetumi abisa wo duruyɛfo nsɛm te sɛ:

• So akokoaa no asaabo asiw? Sɛ saa a, ɛhe na ɛwɔ?
• So wowɔ nsu a ɛsan kɔ wo nsu mu?
• So akwanhyia yi nyɛ den, ɛkɔ fam, anaasɛ emu yɛ den?
• So biribi foforo bi wɔ me scan anaa mogya mu nhwehwɛmu mu a ɛkyerɛ sɛ ebia akokoaa no wɔ Down syndrome anaa chromosomal tebea foforo?
• Ɛda adi dɛn sɛ me ba no behia oprehyɛn?

Nkrasɛm a Wɔde Kɔ Fie

Ɛyɛ ade a ɛfata sɛ wobɛte ehu ne dadwen nka bere a wuhu sɛ wo ba no wɔ pyelectasis no. Nanso mpɛn pii no, nea ehia ara ne sɛ wɔbɛhwɛ nneɛma . Wo duruyɛfo no bɛyɛ nhwehwɛmu a ɛho hia ahwɛ sɛ ebia eyi yɛ ɔhaw a atew ne ho anaasɛ tebea foforo ho sɛnkyerɛnne anaa. Wɔbɛhwɛ wo tebea no yiye na wɔbɛboa wo wɔ anammɔn biara a wobɛtu. Enti mma wo ho nnyɛ wo hu a ɛho nhia. Nea ɛho hia sen biara ne sɛ wubedi wo duruyɛfo akwankyerɛ akyi.

` Pyelectasis, awotwaa mu asaabo, hydronephrosis, ultrasound ansa na wɔawo, ureteropelvic junction obstruction, vesicoureteral reflux, akokoaa akwahosan, asaabo a ɛho ahonhon, nyinsɛn akwahosan