Ðe aɖuɖɔtoe me kuxiwo nɔa viwò suea ŋu enuenua? Esia ate ŋu anye Vesicoureteral Reflux (VUR)!

Dadawo kple papawo, ɖe mia vi suea xɔa aɖuɖɔtoedɔléle (UTI) enuenua? Alo ɖe wòsesẽna nɛ be wòaɖe aɖuɖɔ , alo ɖe asrã le eŋu? Ɣeaɖewoɣi la, nusi gbɔ esia tso ate ŋu anye nɔnɔme aɖe si ŋu míeƒoa nu tsoe fũ o, gake enyo be míanya nu tso eŋu. Egbea, mina míaƒo nu tso nɔnɔme sia si woyɔna be Vesicoureteral Reflux , alo VUR kpuie ŋu. Mègatsi dzi o, esia nye nusi woate ŋu ada keŋkeŋ le go geɖe me ne wose egɔme nyuie eye wodae ɖe game dzi.

Nukae nye Vesicoureteral Reflux (VUR) ƒe dɔléle? Mina míase egɔme bɔbɔe ŋutɔ.

Kpuie ko la, VUR fia be míaƒe aɖuɖɔ , si nye aɖuɖɔ, sina yia mɔ si mesɔ o nu. Bu eŋu ale, abe alesi wòle be wòanɔ ene. Míaƒe ŋutilã ƒe aɖuɖɔtoewo wɔa dɔ abe mɔ ɖeka dzi yina ene.

Ale si wòdzɔnae nye esi:

• Míaƒe ayikuwo wɔa aɖuɖɔ. Zi geɖe la, ayiku eve nɔa mía si.
• Emegbe, aɖuɖɔ sia toa mɔ̃ tsɛ eve siwo woyɔna be tsinyegoe me eye wòƒoa ƒu ɖe tsinyegoea me . Tsinyegoea le abe ʋuƒo si kekena tsɔ ƒoa aɖuɖɔ nu ƒu ene .
• Ne míeɖe aɖuɖɔ la , aɖuɖɔ si ƒo ƒu ɖe tsinyegoea me la dona le ŋutilãa me to mɔ̃ bubu si woyɔna be aɖuɖɔtoe me .

Èse egɔme fifiaa? Esia le abe tsi si dona tso tsigo me to pɔmpi me eye wòdona tso pɔmpi me ene. Nu vevitɔe nye be tsinyegoeawo, afisi wodoa ka kple tsinyegoea le la wɔa dɔ abe mɔ ɖeka dzi ʋuka ene . Eyae nye be ne aɖuɖɔa nya ɖo tsinyegoea gbɔ ko la, womeɖea mɔ nɛ be wòagatrɔ ayi dzi o, si fia be wòato tsinyegoeawo dzi ayi ayikuawo gbɔ.

Ke hã, le ame aɖe si ŋu VUR le gome la, kuxi sue aɖe le ɖoɖo sia ŋu. Esi wònye be ʋuka ma mewɔa dɔ nyuie o ta la, aɖuɖɔ si le tsinyegoea me trɔna yia dzi, yia tsinyegoe ɖeka alo evea siaa me, eye ɣeaɖewoɣi yia ayikuawo katã me. Esiae nye nusi míeyɔna be reflux .

Nɔnɔme sia bɔ ɖe vidzĩ yeyewo, vidzĩ siwo xɔ ɣleti ʋɛ aɖewo, kple ɖevi siwo xɔ abe ƒe eve ene me wu . Gake ate ŋu adzɔ ɖe ɖevi tsitsiwo hã dzi eye ƒã ŋutɔ la, ame tsitsiwo hã dzi.

Nu vevitɔe nye be ne aɖuɖɔ le sisim yi megbe alea la, dɔlékui siwo le tsinyegoea me ate ŋu azɔ ayi ayikuawo me eye woahe ayiku me dɔlékuiwo vɛ . Ne womeda ayikudɔ siawo nyuie o la, ate ŋu agblẽ nu le ayikuawo ŋu tegbee. Esia tae wòle vevie be nànya nu tso VUR ŋu ɖo.

Gake mègatsi dzi o. VUR ƒe atikewo li. Atikewɔwɔ nɔ te ɖe ƒe si ɖevia xɔ, dzesiawo ƒe nɔnɔme, kple VUR ƒe sesẽme dzi. Dɔléle aɖewo siwo mesẽ o mehiã be woawɔ atike na wo o eye woahaya le wo ɖokui si ne ɖevia le tsitsim. Gake ɖewohĩ ahiã be woazã atike alo awɔ dɔ na ɖevi aɖewo be woadzudzɔ nusiwo gblẽ le woƒe ayiku ŋu.

Ðe VUR ƒomevi aɖewo lia?

Ẽ, VUR ƒomevi vevi evee li.

• VUR Gbãtɔ: Esiae nye ƒomevi si bɔ wu. Zi geɖe la, tsinyegoe kple ayiku ƒe akpa ɖeka koe wòdzena (woyɔa esia be unilateral reflux ). Le VUR gbãtɔ me la, nu gbegblẽ sue aɖe nɔa teƒe si tsinyegoea do ƒome kple tsinyegoe le vidzidzi me. Valvɔ si ŋu míeƒo nu tsoe la metua nyuie o, eyata aɖuɖɔ sina yia megbe.
• VUR Evelia: Esia tsoa aɖuɖɔtoe ƒe akpa aɖe ƒe xexe gbɔ. Le kpɔɖeŋu me, ne tsinyegoea xe la , ate ŋu ana aɖuɖɔa nayi megbe, si ana nyaƒoɖeamenu si le tsinyegoea me nadzi ɖe edzi. Alo, ate ŋu atso kuxi aɖe si le lãmeka siwo le tsinyegoea me ŋu si xea mɔ nɛ be wòate ŋu aƒoe nyuie eye wònana aɖuɖɔ nayi megbe. Zi geɖe la, ɖevi siwo ŋu VUR evelia le la ƒe tsinyegoe kple ayiku siaa gblẽa nu le wo ŋu (woyɔa esia be bilateral reflux ).

Aleke wowɔna nyaa VUR ƒe sesẽme (afɔɖeɖe)? (VUR ƒe dzesiwo) .

Akpa atɔ̃, alo dzesiwo, li siwo fia alesi VUR nu sẽe. Dzeside 1 ye nye esi nu sẽ wu, eye Dzeside 5 ye nye esi nu sẽ wu. Dzeside siae afia:

• Afisi aɖuɖɔ sina yia dzi kple anyime le aɖuɖɔtoea me.
• Aleke gbegbe tsinyegoea keke alo vuvui.

Akpa atɔ̃ mawoe nye esi:

• Dzeside 1: Aɖuɖɔ sina yia megbe yia aɖuɖɔtoea me, gake aɖuɖɔtoea ƒe kekeme sɔ.
• Dzeside 2: Aɖuɖɔ sina yia megbe to tsinyegoe me vaseɖe esime wòɖo ayiku ƒe akpa gbãtɔ si aɖuɖɔ ƒoa ƒu ɖo (ayiku ƒe akɔta) . Gake tsinyegoe alo ayiku ƒe akpa ma mekeke o.
• Dzeside 3: Aɖuɖɔtoewo, ayiku ƒe akɔta, kple aɖuɖɔtoewo (afisi aɖuɖɔ dzea ƒoƒo gɔme le le tsinyegoea me) lolona vie le aɖuɖɔtoe ƒe sisi yi megbe ta .
• Dzeside 4: Aɖuɖɔtoeawo trona eye wokekena vie elabena aɖuɖɔ geɖe le sisim yi megbe. Ayiku ƒe akpa mawo hã keke vie.
• Dzeside 5: Aɖuɖɔtoeawo gblẽ vevie eye wololo le aɖuɖɔtoe ƒe sisi ɖe megbe fũ ta . Ayikuawo ƒe nuƒoƒoƒu ƒe mɔ̃wo hã lolo ŋutɔ.

Aleke gbegbee VUR bɔe?

Ne èlé ŋku ɖe xexeame godoo la, .Wobu akɔnta be VUR le ɖevi siwo le 1% va ɖo 3% dome. Gakpe ɖe eŋu la, ɖevi siwo ŋu VUR le ƒe 75% koe nye nyɔnuviwo .

Nukae nye VUR ƒe dzesiwo?

Zi geɖe la, ɖevi si ŋu VUR le maɖe dzesi aɖeke afia o. Gake ne dzesiawo dze la, dzesi si bɔ wue nye aɖuɖɔtoe me dɔléle (UTI) . Nyatakaka aɖewo ɖee fia be ɖevi siwo xɔ UTI la dometɔ 30% va ɖo 50% ate ŋu anye VUR!

Ne UTI le ɖevi ŋu la, di dzesiwo abe esiawo ene:

• Alesi wòhiã be nàɖe aɖuɖɔ enuenu.
• Dzobibi kple vevesese ne wole aɖuɖɔ tom .
• Axadziveve nye vevesese le ƒodo alo akɔta ƒe akpa si le anyime (ƒodo ƒe axadzi).
• Aɖuɖɔ ʋɛ aɖewo koe woɖena .
• Aɖuɖɔtoea ƒe amadede trɔ, eva zu aŋutiɖiɖi eye wòʋẽna lilili.
• Ŋutilãa xɔa dzo eye asrã nɔa eŋu.

Gake ate ŋu asesẽ vie be woanya ne UTI le vidzĩ si wona noe ŋu. Ðewohĩ ɖeko woafa avi geɖe, womano aha o, alo awɔ nu ɖekematsɔlemetɔe.

Ðe VUR nye vevesesea?

Ao, VUR ŋutɔ mevea ame o. Gake ne VUR he UTI vɛ la, ekema àte ŋu ase veve ne èle aɖuɖɔ tom , ayiku/ƒodo me vevesese.

Nukae hea VUR vɛ?

VUR ƒomevi eve siwo ŋu míeƒo nu tsoe va yi, VUR gbãtɔ kple VUR evelia, ƒe nusiwo gbɔ wòtso la to vovo.

• VUR Gbãtɔ: Esia tsoa vidzidzi ƒe gbɔdzɔgbɔdzɔ aɖe si le tsinyegoe kple tsinyegoe dome ƒe ʋuka me gbɔ. Metua nyuie o, si wɔnɛ be aɖuɖɔ sina yia megbe yia ayikuawo me. Nya nyuiae nye be ne ɖevia le tsitsim, ne ŋutilãa ƒe ŋutinuwo le tsitsim la, ʋuka sia adze tutu gɔme nyuie, eye zi geɖe la, VUR gbãtɔ ate ŋu anyo ɖe edzi le eɖokui si.
• VUR Evelia: Nusi koŋ gbɔ esia tsonae nye tsinyegoe ƒe kɔ alo tsinyegoe ƒe xexe alo eƒe tsitsi. Kuxi sia nana aɖuɖɔ sina yia megbe yia aɖuɖɔtoea me le esi teƒe be wòado go. Alo, ɖewohĩ lãmeka siwo kpɔa tsinyegoea dzi la mele dɔ wɔm nyuie o. Kuxi sia nana tsinyegoea tena heɖea dzi ɖi, si wɔnɛ be aɖuɖɔ mete ŋu dona o. Le VUR evelia me la, akpa eve ƒe VUR bɔ wu.

Nukawoe nye nusiwo ate ŋu ahe nɔnɔme sia vɛ?

Afɔku aɖewo li siwo ate ŋu akpɔ ŋusẽ ɖe VUR ƒe dzɔdzɔ dzi:

• Domenyiŋusẽfianu: VUR te ŋu ƒua du le ƒomewo me. Ne VUR le ɖevi ɖeka ŋu le ƒomea me la, mɔnukpɔkpɔ si lolo vie wu ɖeka le ene ɖesiaɖe me be nɔviŋutsu alo nɔvinyɔnu hã naxɔ VUR. Ne VUR nɔ dzila ɖesiaɖe ŋu le eƒe ɖevime la, mɔnukpɔkpɔ anɔ eme be ɖeka le etɔ̃ ɖesiaɖe me be ɖevia hã naxɔ VUR.
• Vidzidzidɔlélewo:Ðevi siwo ƒe ayiku alo aɖuɖɔtoe ƒe dɔmawɔmawɔ nyuie tso wo dzi la ate ŋu axɔ VUR.
• Tsinyegoe kple dɔgbo ƒe dɔmawɔmawɔ nyuie (BBD): Ðevi siwo ŋu BBD le sesẽna na wo le aɖuɖɔtoe kple aɖuɖɔ ɖeɖe nyuie me. Zi geɖe la, lãmekawo alo lãmekawo ƒe kuxiwo gbɔe esia tsona.
• Ameƒomevinyenye kple gbɔdɔdɔ: Wogblɔ be ɖevi yevu nyɔnuwo ate ŋu axɔ VUR (gake ate ŋu adzɔ ɖe ɖevi ɖesiaɖe dzi).

Nukawoe nye kuxi siwo ate ŋu ado tso VUR me?

Ðevi siwo ŋu VUR le ate ŋu axɔ kuxiwo abe:

• Aɖuɖɔtoedɔléle (UTIs): Tsinyegoe me dɔlékuiwo, siwo dome ayiku me dɔlékuiwo hã le.
• Tsinyegoe ƒe kuxiwo: aɖuɖɔtoe dzi ɖuɖu ƒe ŋutetemanɔamesi (aɖuɖɔtoe me tsinyenye), aba dzi tsidzadza, aɖuɖɔtoe ƒuƒlu keŋkeŋ ƒe ŋutetemanɔamesi ( aɖuɖɔtoe me tsinyenye).
• Ʋusɔgbɔdɔ.
• Ayiku ƒe abi, ayiku ƒe gbegblẽ (e.g., ayiku ƒe dɔléle), eye ƒã hafi ayiku ƒe dɔmawɔmawɔ nyuie atraɖii.

Gake ɖo ŋku edzi be ɖevi akpa gãtɔ siwo ŋu VUR le la hayana kuxi siwo nɔa anyi didi manɔmee. Eyata ele vevie be màgatsi dzodzodzoe o eye nàwɔ ɖe wò ɖɔkta ƒe mɔfiamewo dzi.

Aleke VUR va dzɔna le ame tsitsiwo me? (Menye ɖevi suewo koe esia nye na o)

Togbɔ be ƒã hã la, ame tsitsiwo hã ate ŋu axɔ VUR. Nusiwo ate ŋu atsoe dometɔ aɖewoe nye:

• Prostate gland ƒe lolome (`Benign prostate hyperplasia` - na ŋutsuwo)
• Tsinyegoe ƒe dɔmawɔmawɔ nyuie le lãmekawo ƒe gbegblẽ ta (`Neurogenic bladder`) .
• Amekoko aɖe si wowɔ le tsinyegoeawo ŋu.

Ðe VUR ate ŋu ana ayiku me kpewo nadze?

Ẽ, VUR ate ŋu ana ayiku me kpewo nado. Ate ŋu ana kpewo nado le aɖuɖɔtoe ƒe akpa bubuwo abe tsinyegoe ene hã.

Ðe VUR ate ŋu ade ame ƒe agbe afɔku mea?

VUR ŋutɔ menye nusi ade ame ƒe agbe afɔku me o. Gake VUR ate ŋu ana ame naxɔ aɖuɖɔtoe me dɔlékuiwo (UTIs) enuenu, si ate ŋu ana ayiku nagblẽ, eye le ɣeyiɣi aɖe megbe la, ayikudɔ ate ŋu ana ame naxɔ ʋusɔgbɔdɔ (ayiku me ʋusɔgbɔdɔ) kple ayikudɔ. Ne ayikudɔléle si le eƒe nuwuwu dze dziwò la, ate ŋu ahiã be woado ayiku na wò alo ado ayiku na wò. Esia tae wòle be nàtsi dzi ɖe VUR ŋu ɖo.

Aleke nàwɔ anya VUR ƒe dɔlélea? (Dɔléle ƒe dzesi) .

Ne wosusu be VUR le viwòa ŋu la, wò ɖeviwo ƒe dɔdala aɖo wò ɖe ɖeviwo ƒe ayikuŋutinunyala alo ɖeviwo ƒe tsinyegoeŋutinunyala gbɔ .

Be nànya nyuie ne VUR le ŋuwò la, àte ŋu awɔ dodokpɔ siwo gbɔna:

• Voiding Cystourethrogram (VCUG): Esia nye X-ray dodokpɔ. Wotsɔa mɔ̃ sue aɖe si le sue (catheter) dea ɖevia ƒe tsinyegoe me eye wokɔa amadede tɔxɛ aɖe ɖe tsinyegoea me. Emegbe, woɖea X-ray esime ɖevia le aɖuɖɔ tom , do ŋgɔ na aɖuɖɔɖɔɖɔ kple emegbe . X-ray siawo ɖenɛ fiana nenye be aɖuɖɔ trɔna tso tsinyegoea me yia tsinyegoea me. Woate ŋu awɔ esia le ɖɔkta ƒe dɔwɔƒe, dɔnɔdzikpɔƒe, alo kɔdzi. Mehiã be woazã atike si naa alɔ̃dɔdɔ ame o, gake woate ŋu ana atike ɖevi aɖewo be wòaɖe dzi ɖi.
• Ultrasound scan: Esia nye dodokpɔ si me vevesese mele o, si le dedie. Ezãa gbeɖiɖi ƒe ƒutsotsoewo tsɔ ɖea viwòa ƒe aɖuɖɔtoe bliboa (si me ayiku kple tsinyegoe hã le) ƒe foto. Wowɔa esia le ɖɔkta ƒe dɔwɔƒe, dɔnɔdzikpɔƒe, alo kɔdzi hã. Ne èdi be yeaƒo asa na X-ray alo nusiwo me keklẽŋusẽ le zazã la, àte ŋu awɔ ultrasound hafi woawɔ VCUG. Ðo ŋku edzi be ɣeaɖewoɣi la, ultrasound scan wɔwɔ le fufɔɣi ate ŋu aɖe dzesiwo afia be VUR (abe ayiku siwo vuvu ene) ate ŋu anɔ viwòa ŋu.
• Dimercaptosuccinic acid (DMSA) scan: Esia léa ŋku ɖe ɖevia ƒe ayiku ŋu le UTI ta hã.
• Radionuclide cystogram (RNC): Esia hã nye nuklia ƒe fotoɖeɖe ƒomevi aɖe. Wotsɔa keklẽŋusẽ sue aɖe dea ɖevia ƒe tsinyegoe me. Emegbe ne ɖevia le aɖuɖɔ tom alo ne tsinyegoea tsi ƒuƒlu vɔ la, scanner aɖe dia nusiwo me keklẽŋusẽ le. Mɔ̃ɖaŋudɔwɔla aɖe si wona hehee etɔxɛe hã wɔa esia, eye keklẽŋusẽŋutinunyala aɖe dzroa nɔnɔmetataawo me. Esia hã mehiã be woana atike si naa alɔ̃dɔdɔ ame o, gake woate ŋu ana atike ɖevi aɖewo be wòaɖe dzi ɖi. RNC sea veve wu VCUG, gake megblɔa tsinyegoea ƒe wɔwɔme tsitotsito nenema gbegbe o.

Dodokpɔ bubu kawoe wòle be woawɔ na ɖevi siwo ŋu VUR le?

Ne woɖo kpe edzi be VUR le viwòa ŋu la, woawɔ dodokpɔ siawo edziedzi:

• Ʋu ƒe sisi me toto: Ðevi siwo ŋu ayiku me kuxiwo le la ate ŋu axɔ ʋusɔgbɔdɔ.
• Ʋudodokpɔ: Protein alo creatinine ƒe agbɔsɔsɔ si le ʋua me nyea ayiku ƒe gbegblẽ ƒe dzesi.
• Aɖuɖɔ dodokpɔ kple dekɔnu: Protein si le aɖuɖɔ me nye ayiku ƒe gbegblẽ ƒe dzesi. Dɔlékui siwo le aɖuɖɔ me nye dɔléle ƒe dzesi.

Viwòa ƒe ɖɔkta hã alé ŋku ɖe tsinyegoe kple dɔgbo ƒe dɔmawɔmawɔ nyuie (BBD) hã ŋu . BBD ƒe dzesiwo dometɔ aɖewoe nye:

• Aɖuɖɔɖɔɖɔ enuenu, kpata ƒe hiahiã .
• Ƒã hafi meyia aɖuɖɔ , eye ɣeyiɣi didi aɖee nye sia.
• Ŋkeke me tsidede .
• Dɔmeɖui - aɖuɖɔtoe si mede zi etɔ̃ le kwasiɖa me o.
• Aɖuɖɔtoe dzi ɖuɖu ƒe ŋutetemanɔamesi (Fecal incontinence).

Ðevi siwo ŋu BBD ƒe dzesiwo le kpe ɖe VUR ŋu la le afɔku me be ayiku nagblẽ le dɔlékuiwo ta.

Aleke wowɔa atike na VUR?

VUR dada bia ɖɔkta ƒe kpekpeɖeŋu. Atikewɔwɔ nɔ te ɖe ƒe si viwòa xɔ, eƒe dzesiwo, VUR ƒe ƒomevi, kple eƒe sesẽme dzi. Atikewɔwɔ ƒe tiatia aɖewoe nye dɔlékuiwutikewo kple atike bubuwo, atike si me wodea tsii si me wodea tsii si wodona ɖe lãme na ame, catheter dede ame me ɣeyiɣi kpui aɖe, kple amekoko. Wò, wò ɖeviwo ƒe dɔdala, kple eŋutinunyala bibi bubuwo miadzro atikewɔwɔmɔnu siawo me eye miatia esi nyo na viwòa.

VUR Gbãtɔ ƒe Dɔdamɔnu

VUR gbãtɔ ate ŋu anyo le eɖokui si ne ɖevia le tsitsim (zi geɖe la, anɔ abe ƒe 5 ene). Ɣeaɖewoɣi la, "lala-kple-kpɔ" mɔnu kpɔa dzidzedze. Gake ɣebubuɣiwo la, ehiãna be woawɔ dɔ na ame alo awɔ atike.

Atikewo

Zi geɖe la, VUR gbãtɔa nyona ɖe edzi ne viwòa le tsitsim eye woƒe aɖuɖɔtoewo le tsitsim. Hafi ɣemaɣi naɖo la, wò ɖɔkta aŋlɔ dɔlékuiwutike aɖe na wò be wòaxe mɔ ɖe UTI ƒe dzɔdzɔ nu alo atsɔ adae ne edzɔ.

Nukpɔsusu vovovowo li ku ɖe dɔlékuiwutikewo nana ɣeyiɣi didi be woatsɔ axe mɔ ɖe UTI nu ŋu. Esia le alea elabena dɔlékuiwutikewo zazã ɣeyiɣi didi ate ŋu ana dɔlékuiwo nate ŋu anɔ te ɖe dɔlékuiwutikewo nu. Amerika Ðeviwo ƒe Dɔlélewo Ŋuti Nusrɔ̃ƒe (AAP) kafui be ɖevi siwo ƒe VUR ƒe dzesiwo lolo wu koe woana dɔlékuiwutike siwo woatsɔ axe mɔ ɖe dɔlélea nu (esi wole lalam be yewoƒe VUR natsi tso woƒe tsitsime).

Amekoko

Ðɔktawo zãa amekokomɔnu vovovowo tsɔ daa VUR gbãtɔ. Taɖodzinu vevitɔ si le amekoko ŋue nye be woadzra mɔ ɖeka dzi ʋuƒo (mɔ ɖeka dzi yiyi) si le tsinyegoe kple tsinyegoe dome kadodoa ɖo, si ana aɖuɖɔ nagasi ayi megbe o.

• Ureteral reinplantation: Wobua esia be enye "sikadzidzenu" na amekoko na VUR. Taɖodzinuae nye be woagbugbɔ aɖuɖɔtoea aɖo teƒe bubu ale be wòato mɔ si ƒe didime sɔ me to tsinyegoea ƒe gli me, si ana woawɔ ʋuƒo aɖe si axe mɔ na aɖuɖɔtoea be wòagasi ayi megbe o. Viwò ƒe amekola ate ŋu awɔ dɔ sia abe amekoko si wowɔ le gaglãgbe (to viwòa ƒe ƒodo me lãɖeɖe me) alo to dɔgbo me (to lãɖeɖe sue ʋɛ aɖewo ko me). Wò amekola aɖe viɖe kple kuxi siwo le mɔnu ɖesiaɖe ŋu me, kpakple eƒe nugbegblẽ le ame ŋu siwo ate ŋu ado tso eme. Amekokoa bia be woana atike si naa alɔ̃dɔdɔ ame , eye ɖewohĩ ahiã be nànɔ kɔdzi ŋkeke ʋɛ aɖewo.

• Atike si wodona ɖe lãme na ame: Atike bubu si woate ŋu azã na VUR gbãtɔe nyeTsi si le abe gel ene si woyɔna be hyaluronic acid/dextranomer (Deflux®) zazã . Viwò ƒe ɖɔkta ado esia ƒe akpa sue aɖe ɖe viwò ƒe tsinyegoe ƒe gli ŋu, le afisi te ɖe tsinyegoea ƒe mɔnu ŋu. Atikea nana lãkusi si le afima vuvu, si wɔa dɔ abe ʋuƒo ene eye wònana wòsesẽna be aɖuɖɔ nagatrɔ ayi dzi. Wowɔa esia le kɔdzi (viwò ate ŋu ayi aƒeme gbemagbe ke), gake ebia be woana atike si naa alɔ̃dɔdɔ ame katã hã. Wò ɖɔkta aƒo nu tso atikewɔwɔ sia ƒe viɖe kple kuxiwo ŋu na wò.

VUR Evelia ƒe Dɔdamɔnu

Wodaa VUR evelia to nusi xe mɔ na wo ɖeɖeɖa alo alesi tsinyegoea tsi ƒuƒlue nyo ɖe edzi me. Dɔdamɔnuawo ate ŋu anye:

• Amekoko be woaɖe mɔxenu aɖe ɖa alo adzra tsinyegoe alo tsinyegoe si ƒe nɔnɔme mesɔ o ɖo.
• Dɔlékuiwutikewo nana be woatsɔ axe mɔ ɖe UTI nu alo adae.
• Tsinyegoe dodo ɣeaɖewoɣi: Esia bia be woatsɔ mɔ̃ tsɛ aɖe ade tsinyegoea me to tsinyegoea me be wòakɔ tsinyegoea me.
• Atike na tsinyegoe ƒe lãmekawo.

Nukae adzɔ ne VUR le vinye ŋu?

Ne wokpɔe be VUR le viwòa ŋu la, wɔ dɔ kplikplikpli kple wò atikewɔlawo ƒe ƒuƒoƒoa be nàwɔ atikewɔwɔ ƒe ɖoɖo si awɔ dɔ na wò ƒomea. Nɔnɔme aɖe abe VUR ene dzi kpɔkpɔ ate ŋu anye nu sesẽ na wò kple wò dzikpɔla bubuawo. Ðo dze kple viwòa ƒe atikewɔlawo ƒe ƒuƒoƒo tso wò dzimaɖitsitsiwo kple nyabiasewo ŋu. Nya nyuiae nye be woate ŋu ada VUR ƒe akpa gãtɔ, eye le ɖevi akpa gãtɔ gome la, mekpɔa ŋusẽ aɖeke ɖe ame dzi ɣeyiɣi didi o.

Ɣeyiɣi didi kae VUR nɔa anyi? / Ðe VUR dzi ɖena kpɔtɔna ne ame tsia?

Ðewohĩ VUR anɔ viwòa ŋu mede ƒe ɖeka o, gake ɣeyiɣi si tututu wòle be wòaxɔ la meli o, elabena etoa vovo le ɖevia ƒe nɔnɔme nu. Ɣeaɖewoɣi la, wò ɖɔkta aɖo aɖaŋu be nàzã "lalala ŋudzɔnɔnɔ" ƒe mɔnu, alo amekoko ne dodokpɔwo ɖee fia be VUR alo ayiku gblẽ vevie.

Ẽ, viwòa ate ŋu atsi tso VUR me, vevietɔ ne VUR gbãtɔa nye dzesi si bɔbɔ (dzesi ɖeka alo eve). Zi geɖe la, ɖevi siwo ŋu dɔléle sia le ate ŋu ahaya le wo ɖokui si le ƒe ʋɛ aɖewo megbe.

Ðe ɖevi si ŋu VUR le ate ŋu ayi sukua?

Enɔ te ɖe viwòa ƒe dzesiwo ƒe sesẽ dzi. Ðo ŋku edzi be VUR ŋutɔ menye kuxi na viwòa ƒe gbesiagbegbenɔnɔ o, gake ate ŋu anye kuxi ne UTI dze egɔme. Ate ŋu adzɔ be viwòa le veve sem, aɖuɖɔtoe, alo mate ŋu aɖu eɖokui dzi o . Ƒo nu kple wò ɖɔkta tso viwòa ɖoɖo ɖe suku alo fefe kple xɔ̃wòwo ŋu.

Ðe mɔ aɖe li si dzi woato axe mɔ ɖe VUR nua?

Mɔ aɖeke meli si wonya si dzi woato axe mɔ ɖe VUR nu o - menye to nuɖuɖu, agbenɔnɔ ƒe tɔtrɔ, alo atikewo zazã me o. Ke hã, viwòa tɔeNu aɖewo li nàte ŋu awɔ be nàlé aɖuɖɔtoe bliboa ƒe lãmesẽ nyui me ɖe asi:

• Tsi si sɔ nana ɖevia be wòano .
• Aŋekotokua ɖɔliɖɔli kaba ne ɖevia ɖe aɖuɖɔ alo ɖe aɖuɖɔ vɔ.
• Dzidede ƒo na ɖevia be wòaɖe aɖuɖɔ enuenu, ke menye be "wòalée ɖe eme o."
• Di atike na kuxiwo abe dɔmeɖui, dɔmeɖui, alo ɖokuidzimademade ene kaba ale si nàte ŋui.

Ele vevie hã be nàde kamedede ƒe dzi ƒo eye nàna nuɖuɖu siwo da sɔ, siwo me nunyiame le be viwòa nanɔ lãmesẽ me.

Ɣekaɣie wòle be makpɔ ɖɔkta le VUR ŋu?

Ne èsusu be UTI (si nyea VUR ƒe dzesi gbãtɔ zi geɖe) la, yi viwòa ƒe ɖeviwo ƒe dɔdala enumake. Dzesiwo abe aɖuɖɔtoe ƒe dɔmawɔmawɔ nyuie, dzoxɔxɔ si womenya o, kple vevesese ne wole aɖuɖɔ tom hã ate ŋu afia VUR. Ne wò ɖeviwo ƒe dɔdala susu be VUR la, aɖo wò ɖe eŋutinunyala bibi aɖe gbɔ.

Nya kawoe wòle be nàbia ɖɔktaa?

Ƒo nu kple viwò ƒe ɖɔkta be nàkpɔ ŋuɖoɖo na nyabiase ɖesiaɖe si le asiwò ku ɖe VUR ŋu. Nyabiase aɖewo siwo nàte ŋu abiae nye esi:

• Ðe vinye ƒe VUR vevitɔa anyo ne womewɔ atike nɛ oa?
• Ðe ayiku me kuxiwo le vinye hã ŋua?
• Ðe wòle be makpɔ eŋutinunyala bibi aɖea?
• Aleke nèwɔa nu ɖe ​​vinye ƒe VUR ŋui?
• Nukae nye emetsonu siwo ate ŋu ado tso eme ne wogblẽ VUR ɖi womewɔ atike nɛ o?
• Nukae mate ŋu awɔ le aƒeme be wòakpe ɖe vinye ƒe nɔnɔmea ŋu wòanyo ɖe edzi?
• Ðe nɔnɔme sia ana vinyea nase vevea?
• Aleke mawɔ anya ne VUR le ŋusẽ kpɔm ɖe ŋutinu bubuwo alo ŋutilã ƒe dɔwɔwɔ dzi?
• Aleke nàwɔ axe mɔ ɖe aɖuɖɔtoedɔléle nu?
• Ðe wòle be woado vinye bubuawo kpɔ be VUR hã le wo ŋua?

Mlɔeba la, nusi dzi nàɖo ŋkui (Take-Home Message) .

Zi geɖe la, VUR mevea ame alo dea ame ƒe agbe afɔku me o. Woate ŋu akpɔ egbɔ, eye zi geɖe la, edada kpɔa dzidzedze. Togbɔ be mɔ aɖeke meli si dzi nàto axe mɔ ɖe enu o hã la, àte ŋu akpe ɖe viwòa ŋu be tsi nanɔ eŋu, ade kame, eye wòaɖu nuɖuɖu si me nunyiame le be wòalé eƒe lãmesẽ bliboa me ɖe asi. Ka ɖe wò ɖɔkta ƒe nunya dzi. Woate ŋu akpe ɖe ŋuwò nànya viwò ƒe VUR ahadae. Mègahe ɖe megbe le nuƒoƒo na wo tso wò biabiawo kple nusiwo ŋu nètsi dzi ɖo ŋu o. Gblɔ viwòa ƒe dzesiwo faa eye nàgblɔe anukwaretɔe, ne nuƒoƒo tso wo ŋu sesẽ gɔ̃ hã. Wò nyanya kple wò ɖɔkta ƒe aɖaŋuɖoɖowo dzi wɔwɔ nye mɔ nyuitɔ si dzi nàto akpe ɖe viwòa ŋu wòahaya.

` Vesicoureteral reflux, VUR, aɖuɖɔtoedɔléle, ɖeviwo ƒe aɖuɖɔtoedɔléle, aɖuɖɔtoedɔléle, UTI, ayikudɔléle, ɖeviwo ƒe lãmesẽ