Ðe viwòa ƒe ayiku vuvua? Mina míasrɔ̃ nu tso pyelectasis ŋu!

Ne èle mɔ kpɔm na vidzĩ la, esɔ be nàtsi dzi ɖe viwòa ƒe lãmesẽ ŋu. Ɣeaɖewoɣi le fotoɖeɖe me la, ɖɔktawo ate ŋu akpɔ tɔtrɔ suesuesuewo le viwòa ƒe ayiku me, abe abi sue aɖe ene. Ðewohĩ àvɔ̃ vie ne èse nya ma. Emae nye nusi pyelectasis nye. Gake mègatsi dzi o, míana nusianu nanɔ bɔbɔe.

Nukae nye Pyelectasis?

Kpuie ko la, pyelectasis nye ne aɖuɖɔ sue aɖe le viwòa ƒe ayiku ɖeka titina esime wògakpɔtɔ le vidzidɔa me. Ne míagblɔe tututu la, ayiku ƒe akpa vevitɔ si aɖuɖɔ ƒoa ƒu ɖoe nye esi dzena abe ɖe wòvuvu vie ene.

Esia tsoa tsinyegoe si dona le ayiku me ƒe mɔ si toa tsinyegoe (si woyɔna hã be tsinyegoe) me yia tsinyegoea me ƒe xexe sue aɖe, alo xexe. Alo, ɣeaɖewoɣi la, aɖuɖɔ trɔna yia dzi tso tsinyegoea me, yia ayikuwo gbɔ (`Urinary reflux`).

Ðɔktawo yɔa nɔnɔme sia ɣeaɖewoɣi be pyelectasis, pelviectasis, pelvocaliectasis, alo caliectasis, le afisi aɖuɖɔa ƒoa ƒu ɖo nu. Gake nya siawo katã fia aɖuɖɔ si ƒo ƒu ɖe ayiku ƒe akpa aɖe.

Vovototo kae le Pyelectasis kple Hydronephrosis dome?

Ŋkɔ siawo evea siaa fia ayikuawo ƒe vuvu kple aɖuɖɔ, gake vovototo sue aɖe le wo dome.

• Le pyelectasis me la , zi geɖe la , mɔxexe ɖe aɖuɖɔtoea me nu mesẽna o . Eyata aɖuɖɔ sue aɖe ƒoa ƒu ɖe ayiku me. Esia nana ayiku ƒe titina ƒe akpa si le titina la lolona vie.
• Le hydronephrosis me la, mɔxexe sia nu sẽna wu, si fia be esẽna ŋutɔ . Emegbe aɖuɖɔ geɖe ƒoa ƒu ɖe ayiku me, eye le nɔnɔme sesẽ aɖewo me la, ayiku te ŋu vuvu abe ʋuƒo ene.

Zi geɖe la, pyelectasis nu atso le eɖokui si atike aɖeke mawɔmawɔe . Gake le dɔléle siwo ade 10% me la, ate ŋu ayi ŋgɔ ava zu hydronephrosis. Le go sia me la, ahiã be nàyi ɖeviwo ƒe ayikuŋutinunyala alo aɖuɖɔtoedɔdala gbɔ le viwòa dzidzi vɔ megbe.

Aleke gbegbee nɔnɔme sia bɔe?

Pyelectasis nye dɔléle si bɔ vie . Edzɔna le fu siwo ade 1 le 40 ɖesiaɖe me me. Ate ŋu adze ayiku ɖeka ko dzi (unilateral pyelectasis) alo ayiku eveawo siaa (bilateral pyelectasis).

Bu eŋu kpɔ, .Vidzĩ ŋutsuwo ate ŋu axɔ nɔnɔme sia abe zi gbɔ zi etɔ̃ ene wu vidzĩ nyɔnuwo.

Ðe Pyelectasis nye dɔléle sesẽa?

Zi geɖe la, pyelectasis mekpɔa ŋusẽ gbegblẽ gã aɖeke ɖe viwòa dzi o. Wodzia vidzĩ siwo ŋu dɔléle sia le ƒe akpa gãtɔ le lãmesẽ me eye wowɔa dɔ nyuie.

Gake ƒã ŋutɔ be pyelectasis ƒe nɔnɔme sia ate ŋu ava zu dɔléle sesẽ aɖe si woyɔna be hydronephrosis. Ne edzɔ alea la, ɖɔktawo ate ŋu aɖo aɖaŋu be woawɔ dɔ na vidzĩa (fugboe ƒe dɔwɔwɔ) esime vidzĩa gakpɔtɔ le vidzidɔa me be wòagagblẽ nu le vidzĩa ƒe ayiku ŋu o. Ke hã, esia mebɔ kura o.

Ðe esia do ƒome kple Down ƒe dɔlélea?

Ne viwòa ƒe ultrasound scan ɖee fia be pyelectasis le eŋu la, mɔnukpɔkpɔ li vie be domenyiŋusẽfianu ƒe dɔléle aɖe si woyɔna be Down syndrome nanɔ vidzĩa ŋu. Gake esia mefia be Down ƒe dɔléle le vidzĩ ɖesiaɖe si ŋu pyelectasis le o. Le nyateƒe me la, Down syndrome mele vidzĩ siwo ŋu pyelectasis le ƒe akpa gãtɔ ŋu o.

Kpuie ko la, ne ʋudodokpɔ me tsonu bubu siwo mesɔ o alo nu bubu siwo mesɔ o le scan la me kpe ɖe pyelectasis ŋu o la, zi geɖe la, wobua esia be enye tɔtrɔ sue aɖe le fugboea ƒe tsitsi si sɔ me.

Nukawoe nye dzesiawo?

Zi geɖe la , dzesi aɖeke menɔa pyelectasis le fufɔɣi me o . Zi geɖe la, wokpɔa nɔnɔme sia le wò ultrasound scan siwo nèwɔ ɖoɖo ɖe do ŋgɔ na vidzidzi ŋu me.

Nukae hea pyelectasis vɛ le fugboea me?

Susu vevi eve tae.

1. Ureteropelvic junction ƒe mɔxexe:

Nusi dzɔna le nɔnɔme sia me enye be xexe alo mɔxenu aɖe le teƒe si mɔ̃ si tsɔa aɖuɖɔ tso vidzĩa ƒe ayiku me (si woyɔna be `ureter`) do ƒome kple ayiku (si woyɔna be `ureteropelvic junction`). Emegbe la, aɖuɖɔ mete ŋu sina dona o, si fia be egena ɖe tsinyegoe me, eye wòtsia ayiku me. Le xexe sia ta la, ayiku ƒe nyaƒoɖeamenu dzina ɖe edzi, si hea pyelectasis vɛ, eye le ɣeyiɣi aɖe megbe la, ayiku ƒe dɔwɔwɔ ate ŋu aɖe akpɔtɔ.

2. Vesicoureteral ƒe tsi si trɔna yia lãme na ame:

Zi geɖe la, aɖuɖɔ si dona le ayiku me la toa tsinyegoeawo me eye wòƒoa ƒu ɖe tsinyegoea me. Emegbe edona le vidzĩa ƒe ŋutilã me hegena ɖe vidzidɔa me tsi si le vidzidɔa me la me.

Gake le go aɖewo me la, aɖuɖɔ si tso tsinyegoea me trɔna yia dzi, si fia be, to tsinyegoeawo dzi, yia ayikuawo gbɔ.Emae nye nusi woyɔna be vesicoureteral reflux. Ne aɖuɖɔ si gbugbɔna yia dzi alea nɔa ayikua me ɣeyiɣi didi akpa eye wònana wòvuvu la, ate ŋu ana ame ƒe ŋkume ʋuna hã.

Aleke nèwɔ kpɔ esia?

Ðɔktawo kpɔa pyelectasis le ultrasound scan wɔwɔ do ŋgɔ na vidzidzi me . Ne wò scan ɖee fia la, ahiã be woalé ŋku ɖe mia kple viwòa ŋu nyuie le wò fufɔɣi katã.

Nukawoe nye atikewɔmɔnuawo?

Nya nyuiae nye be zi geɖe la, pyelectasis nu tsona le eɖokui si atike tɔxɛ aɖeke mawɔmawɔe.

Wò ɖɔkta alé ŋku ɖe nɔnɔme sia ŋu le wò fufɔɣi katã. Ne ehiã la, ɖeviwo ƒe tsinyegoeŋutinunyala alo ɖeviwo ƒe aɖuɖɔtoedɔdala ado viwòa kpɔ le edzidzi megbe.

Le go aɖewo me la, ɖeviwo ƒe tsinyegoeŋutinunyala ate ŋu awɔ amekoko aɖe si woyɔna be pyeloplasty , si wozãna tsɔ ɖea ayiku kple tsinyegoe dome xexe dzi kpɔtɔna.

Le fufɔɣi la, ne dɔlélea, abe pyelectasis alo hydronephrosis ene, nu sẽ ale gbegbe be wòagblẽ ayiku me ko hafi ɖɔktawo ate ŋu aɖo aɖaŋu be woawɔ dɔ na fugboe . Gake esia mebɔ kura o .

Ðe mate ŋu aɖe afɔku sia dzi akpɔtɔ na vinyea?

Pyelectasis nye tɔtrɔ sue aɖe si vaa fugboea ƒe tsitsi me, eyata le nyateƒe me la, mɔ aɖeke meli si dzi woato axe mɔ ɖe enu be wòagadzɔ o . Gake ele vevie be woawɔ ultrasound scan na wò edziedzi le wò fufɔɣi. Esiae nye ɣeyiɣi si me wò ɖɔkta ate ŋu alé ŋku ɖe nɔnɔmea ŋu ahakafu atikewɔwɔ nɛ ne ehiã.

Nukae dzɔna ne pyelectasis le vinyea ŋu?

Ne wò ɖɔkta kpɔe be pyelectasis le ŋuwò le fotoɖeɖe me la, anɔ eme be woalé ŋku ɖe wò kple viwòa ŋu le wò fufɔɣi kple viwòa dzidzi vɔ megbe. Wò ɖɔkta awɔ scan edziedzi be yeakpɔe ɖa be xexea nu gasẽ ɖe edzi hã.

Ne pyelectasis nu sẽ eye wòva zu tsi me dɔdzẽ la, ahiã be nàyi ɖeviwo ƒe tsinyegoeŋutinunyala alo ɖeviwo ƒe aɖuɖɔtoedɔdala gbɔ le viwòa dzidzi vɔ megbe. Woado viwòa kpɔ ahatso nya me ne ehiã be woawɔ atike nɛ.

Ƒã ŋutɔ la, mɔxexe si pyelectasis hena vɛ ate ŋu asẽ ale gbegbe be wòagblẽ nu le ayikuawo ŋu esime vidzĩa gakpɔtɔ le vidzidɔa me. Ne ɖikeke le esia ŋu la, wò ɖɔkta aƒo nu tso fugboe ƒe dɔwɔwɔ na wò ŋu.

Ðe woate ŋu ada Pyelectasis?

Ẽ, keŋkeŋ! Le dɔléle siwo wu 90% me la, pyelectasis nyona ɖe edzi le eɖokui si . Ne mɔxenua nu sẽ la, ate ŋu ahiã be woawɔ dɔ nɛ atsɔ aɖɔ kuxia ɖo.

Vidzĩ siwo ŋu tsi ƒe dɔmawɔmawɔ nyuie sesẽ le la ate ŋu akpɔ kuxi siwo yia edzi le wo dzidzi megbe. Le nɔnɔme mawo me la, ahiã be woawɔ dɔ na viwòa.

Ɣekaɣie wòle be makpɔ ɖɔkta?

Ele vevie ŋutɔ be nàde wò atikewɔlawo ƒe dodokpɔ kple fotoɖeɖe edziedzi. Ðɔktawo ate ŋu akpɔ pyelectasis to ultrasound scan dzi ko. Woalé ŋku ɖe wò nɔnɔmea ŋu nyuie eye woakafu atikewɔwɔ na wò ne ehiã.

Nya kawoe wòle be mabia ɖɔktaa?

Ne wò scan ɖee fia be pyelectasis le ŋuwò la, àte ŋu abia wò ɖɔkta nyawo abe:

• Ðe ayiku xe vidzĩa? Ne nenemae la, ke afikae wòle?
• Ðe aɖuɖɔtoe me tsi si trɔna le lãme na wò le ŋuwòa?
• Ðe ʋuʋudedi sia mesẽ o, ɖe wòsɔ gbɔ, alo ɖe wòsẽa?
• Ðe nu bubu aɖe gali le nye ʋudodokpɔ alo ʋudodokpɔwo me si fia be Down syndrome alo domenyiŋusẽfianu ƒe dɔléle bubu aɖe ate ŋu anɔ vidzĩa ŋua?
• Aleke wòanya wɔe be ahiã be woawɔ dɔ na vinyea?

Gbedasi si Wotsɔ Yi Aƒeme

Enye nusi sɔ be vɔvɔ̃ kple dzimaɖitsitsi ne èva nya be pyelectasis le viwòa ŋu. Gake zi geɖe la, nusi hiã koe nye ŋkuléle ɖe nu ŋu . Wò ɖɔkta awɔ dodokpɔ siwo hiã be wòakpɔe ɖa be esia nye kuxi si ɖe eɖokui ɖe aga alo nɔnɔme bubu aɖe ƒe dzesi hã. Woanɔ ŋku lém ɖe wò nɔnɔmea ŋu nyuie eye woakpe ɖe ŋuwò le afɔɖeɖe ɖesiaɖe me. Eyata mègavɔ̃ madzemadzee o. Nu vevitɔe nye be nàwɔ ɖe wò ɖɔkta ƒe mɔfiamewo dzi.

` Pyelectasis, fugboe ƒe ayiku, hydronephrosis, ultrasound do ŋgɔ na vidzidzi, ureteropelvic junction obstruction, vesicoureteral reflux, vidzĩ ƒe lãmesẽ, ayiku ƒe vuvu, fufɔfɔ ƒe lãmesẽ