Ðe nèsea veve vevie ɣeaɖewoɣi le wò axadzi, ƒodo, alo akɔta ƒe akpa si le anyime, eye ʋuʋudedi kpena ɖe eŋua? Ðewohĩ èle avu wɔm kple vevesese le aɖuɖɔtoe me alo nèle dzesi dem ʋu le wò aɖuɖɔ mea? Esiawo ate ŋu anye ayiku ƒe vuvu, si nye dɔléle si woyɔna le atikewɔwɔ me be Hydronephrosis, ƒe dzesiwo. Mina míama nusi esia fia me le nya bɔbɔewo me.
Nukae nye Hydronephrosis?
Kpuie ko la, Hydronephrosis dzɔna ne aɖuɖɔtoea xe mɔ na aɖuɖɔ si sina tso wò ayiku me yia wò tsinyegoe me, si wɔnɛ be ayiku ɖeka alo evea siaa vuvu. Bu eŋu abe abɔ me hose ƒe ʋuʋu ene—tsi la gagbugbɔna ɖe megbe, si wɔnɛ be nugoa kekena. Ðɔktawo yɔa esia ɣeaɖewoɣi be ‘aɖuɖɔtoe si le etame ƒe keke.’
Mina míadzro alesi wò aɖuɖɔtoedɔwɔɖoɖo wɔa dɔ abe wò ŋutilã ƒe dzɔdzɔme tsiɖɔɖɔ kple gbeɖuɖɔ ɖeɖeɖa ƒe mɔnu ene me kpuie:
- Ayiku Eve: Ŋutinu vevi siawo ɖea aɖi kple gbeɖuɖɔwo ɖa le wò ʋu me.
- Aɖuɖɔtoe Eve: Esiawoe nye mɔ̃ siwo tsɔa aɖuɖɔ tso ayiku me yia tsinyegoe me.
- Tsinyegoe: Kplu si me wodzraa aɖuɖɔ ɖo vaseɖe esime nèle klalo be yeaɖe aɖuɖɔ.
- Aɖuɖɔtoe: Mɔ̃ si tsɔa aɖuɖɔ doa goe le wò ŋutilã me.
Hydronephrosis dzɔna ne mɔxenu aɖe le mɔ sia ƒe akpa ɖesiaɖe, vevietɔ le ayiku kple tsinyegoe dome.
Nɔnɔme sia ate ŋu adze le mɔ vovovowo nu. Ate ŋu anye kpata (si nu sẽ) alo adze egɔme vivivi le ɣeyiɣi aɖe megbe (si nɔa anyi didi) . Mɔxenua ate ŋu anye eƒe akpa aɖe alo keŋkeŋ. Ne ayiku ɖeka koe wòdze la, woyɔnɛ be ‘unilateral hydronephrosis’; ne edze wo ame evea siaa dzi la, ke enye ‘bilateral hydronephrosis.’ Alesi vuvua nu sẽe hã ate ŋu atso esi nu mesẽ o dzi va ɖo esi ɖe dzesi ŋutɔ dzi.
Aleke gbegbee nɔnɔme sia bɔe?
Hydronephrosis ate ŋu adze ame siwo xɔ ƒe ɖesiaɖe dzi. Wobu akɔnta be ame tsitsi siwo ade 1 le 100 ɖesiaɖe me ato nɔnɔme sia me le woƒe agbemeɣeyiɣi aɖe me.
Le vidzĩwo gome la, ate ŋu adzɔ ne wole vidzidɔa me, si nye nɔnɔme si woyɔna be ‘prenatal hydronephrosis’. Wokpɔnɛ le fu siwo ade 1% me. Dzɔgbenyuietɔe la, le go geɖe me la, ekpɔa egbɔ le eɖokui si hafi wodzia vidzĩa gɔ̃ hã.
Nukae nye Hydronephrosis ƒe dzesiwo?
Zi geɖe la, Hydronephrosis ƒe dzesiwo nɔa te ɖe nusi gbɔ wòtso dzi. Zi geɖe la, dzesi aɖeke menɔa eŋu kura o . Abe alesi míegblɔe ene la, zi geɖe la, vidzĩ siwo ŋu tsi si woyɔna be hydronephrosis le do ŋgɔ na vidzidzi meɖea dzesi aɖeke fiana le wo dzidzi megbe o.
Gake ne dzesiawo dze la, woate ŋu anye:
- Vevesese sesẽ kpata: Le wò axadzi, ƒodo, alo akɔta.
- Aɖuɖɔtoe alo ʋuʋudedi .
- Aɖuɖɔtoe si me vevesese le.
- Ʋu le aɖuɖɔ me.
- Aɖuɖɔtoe me dɔléle siwo gbugbɔna ( UTI ).
- Seselelãme si nɔa anyi ɖaa be wò tsinyegoe mekɔ keŋkeŋ le aɖuɖɔtoe vɔ megbe o.
- Tɔtrɔ siwo vaa aɖuɖɔtoe ƒe agbɔsɔsɔ alo eƒe lolome me.
Esi wònye be aɖuɖɔ xaxa ta la, dɔlékuiwo ate ŋu adzi ɖe edzi, si ana UTI ƒe afɔkua dzina ɖe edzi. Ne dɔlékui aɖe dze ame dzi la, àte ŋu ade dzesii be:
- Asrã, vuvɔ, kple ɖeɖiteameŋu.
- Dzobibi alo vevesese ne èle aɖuɖɔ tom.
- Aɖuɖɔ si me alilikpo le alo esi ƒe amadede trɔ.
Nukae hea Hydronephrosis vɛ?
Nusi koŋ gbɔ Hydronephrosis tsonae nye xexe alo ‘xexe’ le aɖuɖɔtoe ƒe akpa ɖesiaɖe. Nu geɖe li siwo ate ŋu ahe esia vɛ:
Nusiwo gbɔ wòtsona zi geɖe le ame tsitsiwo gome:
- Ayiku me kpewo:Nu sesẽ siwo wotsɔ calcium kple oxalate wɔ siwo ate ŋu anɔ ayiku alo tsinyegoewo me.
- Aɖuɖɔtoe ƒe mɔxexe: Xexe le tsinyegoeawo ŋutɔ me.
- Tumors: Tsitsi le tsinyegoe, ʋuka , vidzidɔ , alo ŋutinu siwo te ɖe eŋu me si naa tsinyegoea tea tsi.
- Benign prostatic hyperplasia (BPH): Ŋutsuwo ƒe ʋuka si lolona si ate ŋu aƒo tsinyegoea nu ƒu, si wɔnɛ be esesẽna be woaɖe tsinyegoea ɖa.
- Aɖuɖɔtoe ƒe ʋuʋu: Aɖuɖɔtoe ƒe ʋuʋu le abi, dɔlékui, alo amekoko do ŋgɔ ta.
- Ahɔhɔ̃mekawo alo lãmekawo ƒe nyawo: Kuxi siwo gblẽa nu le ayiku alo tsinyegoewo ƒe dɔwɔwɔ nyuie ŋu.
- Aɖuɖɔtoe me tsinyenye: Ŋutete si mele tsinyegoea me kɔ keŋkeŋ o.
- Vesicoureteral reflux: Aɖuɖɔ si sina yia megbe tso tsinyegoea me yia ayikuwo gbɔ.
- Ureterocele: Nɔnɔme si me tsinyegoe ƒe akpa si le ete la vuvuna yia tsinyegoea me.
Nusiwo gbɔ wòtsona koŋ na nyɔnuwo:
- Fufɔfɔ: Ne fugboea le tsitsim la, vidzidɔa kekena, si ate ŋu ami tsinyegoeawo eye wòaxe mɔ na aɖuɖɔtoea ƒe sisi.
- Vidzidɔ ƒe gege: Ne vidzidɔa trɔ tso eƒe nɔnɔme si sɔ gbɔ.
- Cystocele (tsinyegoe si ge): Ne gli si le tsinyegoe kple nyɔnu ƒe vidzidɔ dome gbɔdzɔ, si na tsinyegoea do ɖe nyɔnu ƒe vidzidɔa me.
Nusiwo gbɔ wòtsona le fugboea me (Antenatal):
- Fugboe ƒe aɖuɖɔ ƒe dzidziɖedzi.
- Aɖuɖɔtoe ƒe xexe si wodzina.
- Aɖuɖɔ si trɔna tso tsinyegoea me yia ayikuwo me.
Nukawoe nye kuxi siwo ate ŋu ado tso eme?
Ne womewɔ atike na Hydronephrosis sesẽ o la, ate ŋu ana ayiku nagblẽ eye mlɔeba ayiku nawɔ dɔ nyuie o. Le nɔnɔme mawo me la, nudede nyawo me abe ayiku ɖeɖeɖa alo ayiku dodo na ame ene ate ŋu ahiã.
Ke hã, taflatse mègatsi dzodzodzoe o! Ame geɖe hayana tso Hydronephrosis me bliboe eye ayiku megblẽ tegbee o. Afɔɖeɖe vevitɔ kekeakee nye be nànɔ anyi kpoo ahadi atikewɔwɔ le ɣeyiɣi nyuitɔ dzi tso dɔwɔla bibi siwo le Nirogi Lanka gbɔ.
Aleke wokpɔa Hydronephrosis ƒe dɔlélea?
Ele vevie ŋutɔ be woayi ɖɔkta eye woakpɔ dɔlélea kaba, elabena tsi me dɔdzẽ ate ŋu ana ayiku nagblẽ ɣeyiɣi didi ne womewɔ atike nɛ o.
Zi geɖe la, wò ɖɔkta ato afɔɖeɖe siwo gbɔna dzi ade dzesi dɔlélea:
- Lãmesẽdodokpɔ: Wò ɖɔkta abia wò dzesiwo eye wòalé ŋku ɖe wò ƒodo kple akɔta ƒe akpawo ŋu be wole vuvu alo vuvu hã. Woato wò atikewɔwɔ ŋutinya me eye woabia nenye be ƒome ŋutinya aɖe li si me nɔnɔme mawo tɔgbe le hã. Le ŋutsuwo gome la, woate ŋu awɔ dɔgbo ƒe dodokpɔ atsɔ akpɔe ɖa be ʋuka si me ʋu sina tona la lolo hã. Le nyɔnuwo gome la, woate ŋu awɔ akɔta dodokpɔ be woaɖe kuxi siwo le vidzidɔ alo azigolowo ŋu ɖa.
- Aɖuɖɔtoe me dzodzro: Woada aɖuɖɔtoe aɖe kpɔ be ʋu, kpe, dɔlékui, alo dɔlékui le ame ŋu hã. Le go aɖewo me la, ahiã be wò ɖɔkta nazã catheter atsɔ axɔ dɔlékui si me dɔlékui mele o.
- Ʋudodokpɔ: Woate ŋu awɔ Ʋu Xexlẽme Blibo (CBC) atsɔ ade dzesi dɔlékuiwo. Tsɔ kpe ɖe eŋu la, zi geɖe la, wowɔa dodokpɔwo abe creatinine, eGFR, kple BUN ene tsɔ daa wò ayiku ƒe dɔwɔwɔ kpɔ.
- Nɔnɔmetatawo Xɔxɔ ƒe Mɔnuwo: Ultrasound scan ye nye dɔwɔnu vevitɔ si wozãna tsɔ dia dɔlélewoe. Le wò hiahiãwo nu la, ahiã be woawɔ CT scan alo MRI hã hafi nàte ŋu akpɔe tsitotsito.
Ènya be zi geɖe la, woate ŋu akpɔ tsi si me tsi nɔna le vidzĩ si le dɔ me me tso eƒe vidzidɔ ƒe ɣleti etɔ̃ gbãtɔ me to ultrasound dzia? Wodea dzesii zi geɖe le kwasiɖa 20 ƒe ŋutilã ƒe wɔwɔme ŋuti numekuku si wowɔna edziedzi me. Ne wokpɔe la, wò ɖɔkta atsɔ ultrasound siwo akplɔe ɖo alé ŋku ɖe vidzĩa ŋu; ke hã, zi geɖe la, nɔnɔme sia nu tsona le eɖokui si do ŋgɔ na edzidzi alo le edziɣi megbe kpuie.
Nukae nye atikewɔmɔnu siwo woate ŋu azã na Hydronephrosis?
Taɖodzinu vevitɔ si le atikewɔwɔ ŋue nye be wòana aɖuɖɔ nagazɔ nyuie eye wòaɖe wò ayiku ƒe nyaƒoɖeamenu kple vuvu dzi akpɔtɔ. Atikewɔwɔ nɔ te ɖe nusi gbɔ wòtso dzi bliboe.
Le nɔnɔme siwo mesẽ o me la, atike aɖeke mate ŋu ahiã o, eye wò ɖɔkta ate ŋu aɖo aɖaŋu na wò be nàzã ‘lala akpɔe ɖa’. Amekoko nye tiatia bubu si ŋu wò ɖɔkta ate ŋu abu. Ele vevie be nàdzro nu me faa kple wò lãmesẽdɔwɔla tso atikewɔwɔmɔnu siwo katã li ŋu.
Ne tsi si me tsi le le ayiku me ta la, wò ɖɔkta ate ŋu ade aɖuɖɔtoe me to wò ŋutigbalẽ me be wòaɖe aɖuɖɔ si sɔ gbɔ ɖe ayiku me. Alo woate ŋu atsɔ aŋetu falɛfalɛ aɖe si woyɔna be ureteral stent ade wò tsinyegoe me be wòanɔ ʋuʋu ɖi eye wòakpɔ egbɔ be aɖuɖɔtoea le sisim nyuie.
Ne kpe siwo le wò ayiku alo tsinyegoe me gbɔe wòtso la, àte ŋu abu tiatia siwo gbɔna ŋu:
- Shock Wave Lithotripsy: Esia nye ayiku me kpewo dada si bɔ. Wozãa ƒutsotsoe siwo me ŋusẽ geɖe le tsɔ gbãa kpeawo wozua kakɛ suesuesue siwo dzi woate ŋu aɖu, siwo woate ŋu ato le dzɔdzɔme nu.
- Ureteroscopy: Wotoa wò tsinyegoe me be woatsɔ akpɔ kpewo ahaɖe wo ɖa alo agbã wo. Zi geɖe la, wozãa esia na kpe siwo le tsinyegoe me alo tsinyegoeawo ƒe akpa si le ete.
- Amekoko: Ne ayiku me kpewo lolo ŋutɔ alo eɖeɖe sesẽ la, ate ŋu ahiã be woawɔ dɔ na ame. Amekoko ate ŋu ahiã hã be woatsɔ akpɔ mɔxenu bubuwo abe dɔdzẽ alo abi ƒe lãkusi ene gbɔ.
Ne aɖuɖɔtoe me dɔléle (UTI) alo aɖuɖɔtoe me ʋuʋu (si le ʋuʋum) le dɔlékui ta gbɔe wò nɔnɔmea tso la, ke wò ɖɔkta aŋlɔ dɔlékuiwutikewo na wò be wòaɖe nya si gbɔ wòtso la ɖa.
Ðe woate ŋu axe mɔ ɖe Hydronephrosis nua?
Esi wònye be nɔnɔme siwo gbɔ wòtsona be hydronephrosis tsona ta la, mɔxexe ɖe enu bia be woada nu mawo siwo gbɔ wòtsona alo akpɔ wo gbɔ kaba. De dzesi nusiwo ate ŋu ahe wò afɔku vɛ nye afɔɖeɖe vevi aɖe le ametakpɔkpɔ me.
Nɔnɔme siwo nana afɔku si le asiwò be nàxɔ tsi me dɔdzẽ la dometɔ aɖewoe nye:
- Ayiku me kpewo.
- Aɖuɖɔtoe me kansa ƒe ŋutinya.
- Amekoko siwo wowɔ va yi ɖe aɖuɖɔtoea ŋu.
- Aɖuɖɔtoe me dɔléle siwo gbugbɔna (UTIs).
- Ʋu ƒe sisi.
- Prostate gland si lolo ɖe edzi.
- Fufɔfɔ (le nyaƒoɖeamenu si le tsinyegoewo ŋu ta).
Ðe Hydronephrosis nye nusi ŋu wotsi dzi ɖo veviea?
Ẽ, ate ŋu ava zu nu sesẽ ne womewɔ atike nɛ o. Gake dɔléle akpa gãtɔ mesẽna alo medea ŋgɔ o eye womehea lãmesẽkuxi sesẽ siwo nɔa anyi didi vɛ o. Mègatsi dzodzodzoe o; nudede eme kaba nye nu vevitɔ.
Ðe wòle be matsi dzi ɖe nye Hydronephrosis dɔléle si wokpɔ ŋua?
Mègatsi dzi fũu akpa ɖe hydronephrosis ƒe dɔléle si wokpɔ ŋu o. Zi geɖe la, ne wowɔ atike na wò nyuie la, àte ŋu anɔ agbe si sɔ eye kuxi aɖeke manɔ ŋuwò ɣeyiɣi didi o. Dzro nyabiase ɖesiaɖe si le asiwò ku ɖe wò hayahaya, agbenɔnɔ ƒe tɔtrɔ, kple ɣeyiɣi si nèle mɔ kpɔm be yeahaya ŋu kple wò ɖɔkta le Nirogi Lanka.
Ɣekaɣie wòle be makpɔ ɖɔkta?
Ele be nàkpɔ ɖɔkta enumake ne èkpɔ dzesi siwo gbɔna:
- Vevesese sesẽ kpata le wò axa alo akɔta.
- Aɖuɖɔtoe si nɔa anyi ɖaa.
- Tɔtrɔ siwo va le aɖuɖɔtoe me: Aɖuɖɔtoe si sɔ gbɔ alo mede nenema kura o, aɖuɖɔtoe si me vevesese le, alo ʋu si le wò aɖuɖɔ me.
- Asrã si ƒe dzoxɔxɔ wu 100.5°F (38°C).
Tamesusu Mamlɛawo
Kpuie ko la, hydronephrosis nye nɔnɔme si me ayikuwo vuvu le aɖuɖɔ si ƒoa ƒu ta. Ate ŋu akpɔ ŋusẽ ɖe ame sia ame dzi. Dzɔgbenyuietɔe la, ne wokpɔ dɔlélea le eŋu hedae kaba la, àte ŋu axe mɔ ɖe kuxi siwo anɔ anyi ɖaa nu. Ne ède dzesi dzesi siwo mebɔ o abe axa alo ƒodo ƒe vevesese, ʋuʋudedi, ʋuʋudedi, alo tɔtrɔ le wò aɖuɖɔtoe me la, taflatse te ɖe eŋutinunyala aɖe ŋu. Ne wonya de dzesi nusi gbɔ wòtso ko la, wò ɖɔkta afia mɔ wò le atikewɔmɔnu nyuitɔwo kekeake me. Mehiã be woavɔ̃ o; atikewɔwɔ na wò le ɣeyiɣi nyuitɔ dzi nye wò ametakpɔnu nyuitɔ kekeake.
