Aia kekahi mau pilikia hānau i loko o ka ʻōnaehana mimi o kāu keiki? (Congenital Urinary Abnormalities) - E makaʻala kākou i kēia

Ke loaʻa iā ʻoe kahi pēpē hou, ʻo ka manaʻolana nui loa āu e loaʻa ai ma ke ʻano he makuahine a makua paha, ʻo ia ke ʻike i kāu pēpē olakino. Akā i kekahi manawa, pono mākou e hopohopo iki ma muli o kekahi mau pilikia e kū mai ana i ka wā e noho ana ke pēpē i loko o ka ʻōpū. I kēia lā, e kamaʻilio mākou e pili ana i kekahi mau loli a i ʻole nā ​​kīnā i loko o ka ʻōnaehana mimi o ke pēpē i hānau ʻia mai ka hānau ʻana. Ma nā ʻōlelo lapaʻau, kapa mākou i kēia mau mea ʻo 'Congenital Urinary Abnormalities'. Mai makaʻu i kou lohe ʻana i ka inoa, inā ʻike pono ʻoe i kēia, e maʻalahi iā mākou ke kū i kekahi mea.

I ka ʻōlelo maʻalahi, he aha kēia mau pilikia o ka ʻōnaehana mimi hānau?

ʻO ke ʻano o ka huaʻōlelo 'congenital' ʻo ia hoʻi 'mai ka hānau ʻana'. ʻO ia hoʻi, aia kēia mau kūlana i ka wā e noho ana ke pēpē i loko o ka ʻōpū a i ka wā hānau paha. Hiki iā lākou ke hoʻopilikia i ka ʻōnaehana mimi a i kekahi manawa i ka ʻōnaehana hānau hou.

E noʻonoʻo i ka ʻōnaehana mimi i loko o ko kākou kino e like me kahi ʻōnaehana e kānana ana i ka wai, hōʻiliʻili iā ia i loko o kahi pahu, a laila hoʻokuʻu iā ia ma o kahi paipu. Aia kekahi mau ʻāpana nui o kēia ʻōnaehana:

• Nā puʻupaʻa: ʻO kēia nā kānana nui ʻelua i loko o ko kākou kino. ʻO ka hana nui o nā puʻupaʻa, ʻo ia ke kānana i nā paʻakai pono ʻole, ka wai, nā mea ʻawahia, a me nā huahana ʻōpala mai ke koko a hana i ka mimi . ʻO ka maʻamau, loaʻa i kēlā me kēia kanaka ʻelua puʻupaʻa.
• ʻO ka ʻōpū mimi: He ʻeke liʻiliʻi kēia, elastic e mālama ana i ka mimi i hana ʻia e nā puʻupaʻa.
• Nā Ureters: ʻO kēia nā ʻōmole ʻelua e lawe ana i ka mimi mai nā puʻupaʻa a i ka ʻōpū mimi.

No laila, ʻo kēia mau mea ʻē aʻe i hānau ʻia a mākou e kamaʻilio nei, he mau loli a kīnā paha e kū mai ana ma nā ʻāpana e like me nā puʻupaʻa, ka ʻōpū mimi, a i ʻole ka urethra i ka wā e hana ʻia ai.

He aha nā pilikia hānau maʻamau o ka ʻōnaehana urinary?

Aia kekahi mau ʻano o ia mau kūlana. He mea maʻamau loa kekahi, a ʻo kekahi he mea kākaʻikahi loa. E hoʻomaopopo wale kākou i nā ʻano nui. Ua kau wau i kēia ʻike i loko o kahi papa no ka maʻalahi o ka hoʻomaopopo ʻana.

He aha nā hōʻailona o kēia?

ʻOkoʻa nā hōʻailona e kū mai me kēia mau kūlana. ʻAʻole hōʻeha kekahi mau kūlana a i ʻole nā ​​hōʻailona ʻike ʻia. Hiki ke ʻike ʻia ma o nā hoʻokolohua e like me nā scans. Eia nō naʻe, aia kekahi mau hōʻailona maʻamau e ʻike ʻia.

• ʻEha ma ka ʻōpū, ka ʻōpū, a i ʻole ke kua.
• ʻEha a wela paha i ka wā e mimi ai (dysuria).
• Hoʻohuli ʻia ke kahawai mimi i kahi ʻē aʻe ma kahi o ke kahe pololei ʻana.
• Ke kahe ʻana o ka mimi ma mua o ka maʻamau.
• Ke koko i loko o ka mimi (hematuria).
• Ka luaʻi a me ka luaʻi.
• Nā kūlana hernia.
• Nā maʻi ʻōpū mimi pinepine (UTI).
• ʻAʻole e ulu ana ke keiki e like me ka mea i manaʻo ʻia.

No ke aha e kū ai nā kūlana e like me kēia?

He mea paʻakikī loa ke kuhikuhi i hoʻokahi kumu. He mea paʻakikī iki. Manaʻo nā kauka ua hoʻokumu pinepine ʻia e ka hui pū ʻana o nā mea pili i ke kaiapuni a me nā mana hoʻoilina .

Nā kumu kaiapuni e hiki ke hoʻopilikia:

• Loaʻa i ka makuahine ka maʻi diabetes i ka wā hāpai.
• ʻAʻole lawa ka lawe ʻana i nā huaora a me nā minelala koʻikoʻi e like me ka folate a me ka hao i ka wā hāpai.
• ʻO kekahi mau lāʻau lapaʻau i lawe ʻia i ka wā hāpai, ʻoiai nā lāʻau lapaʻau no ka maʻi epilepsy, hiki ke hōʻino i nā puʻupaʻa.

Ma ke ʻano he genetics, hiki ke hana ʻia kēia e kekahi mau loli (mutations) i loko o nā genes e hoʻopilikia i ka ulu ʻana o ke keiki. Akā, ʻaʻole pono ʻoe e hopohopo nui e pili ana i kēia mau mea. ʻO ka mea nui, ʻo ia ka hoʻomaopopo ʻana ʻaʻole kēia kou hewa a i ʻole kekahi mea ʻē aʻe.

Pehea e ʻike ai i kēia mau ʻano?

ʻIke pinepine ʻia kēia ʻano pilikia hānau i ka wā o nā ultrasounds prenatal . Ke nānā nei i ka ulu ʻana o kahi pēpē, nānā pū nā kauka i ka wai amniotic e hoʻopuni ana i ka pēpē. Ma hope o 20 mau pule o ka hāpai ʻana, ʻo ka hapa nui o kēia wai amniotic i hana ʻia i ka mimi o ka pēpē. No laila, inā he haʻahaʻa ka nui o kēia wai, hiki i nā kauka ke kānalua i kahi pilikia me ka ʻōnaehana urinary.

Inā ʻaʻole i ʻike ʻia ma mua o ka hānau ʻana, hiki i nā kauka ke kānalua i kēia i ka wā kamaliʻi a i ʻole ka wā kamaliʻi ma muli o nā hōʻailona o ke keiki. A laila, hana ʻia nā hoʻokolohua like ʻole e hōʻoia i ke kūlana.

• ʻO ke scan Ultrasound: Lawe kēia i nā kiʻi o nā ʻōpū o ke kino.
• Ka nānā ʻana i ka mimi: E nānā no nā maʻi ʻōpū mimi.
• Nā Hoʻāʻo Koko: E ana i ka maikaʻi o ke kānana ʻana o nā puʻupaʻa i ke koko.
• CT Scan: Hoʻohana i kahi nui o nā kukuna X-ray e hana i nā kiʻi kikoʻī ʻekolu-dimensional o loko o ke kino.
• MRI Scan: Hoʻohana i nā magnet a me nā nalu lekiō e hana i nā kiʻi maopopo loa o nā ʻōpū.
• VCUG (Voiding Cystourethrogram): He hoʻāʻo X-ray kūikawā kēia. Kōkua ia e ʻike i ka mea e hana ʻia ke piha a hakahaka ka ʻōpū mimi. He mea nui loa kēia e nānā no VUR.
• Renal Scan: Hoʻokomo ʻia kahi liʻiliʻi o ka mea radioactive i loko o nā puʻupaʻa e hāʻawi i kahi nānā kikoʻī i ka hana o nā puʻupaʻa a me ke kahe o ka mimi.

Pehea e mālama ʻia ai?

Aia nā koho lapaʻau i ke kūlana kūikawā o ke keiki a me kona koʻikoʻi.

Ma kekahi ʻaoʻao, pono kekahi mau kūlana i ka mālama ʻia. Hiki i kēia mau mea ke komo pū me:

• Nā lāʻau lapaʻau antibiotic: Kāohi a mālama paha i nā maʻi ʻōpū mimi.
• ʻO ke ʻoki kino: Pono paha ke ʻoki kino e wehe i nā mea e ālai ai, hoʻoponopono i ka urethra, a hoʻoponopono paha i nā hemahema ʻē aʻe.
• Dialysis: Inā pilikia nui nā puʻupaʻa (hāʻule ʻana o ka puʻupaʻa), pono e hoʻohana ʻia kahi mīkini e wehe i nā ʻōpala mai ke kino.
• Hoʻoili Puʻupaʻa: I ke kahua hope loa o ka hāʻule ʻana o ka puʻupaʻa, hiki i ka hoʻoili puʻupaʻa olakino ke lilo i mea hoʻonā.

E nānā pono ke kime lapaʻau e mālama ana i kāu keiki i ke kūlana o kāu keiki a hoʻomohala i ka hoʻolālā lapaʻau kūpono loa nona.

He aha kāu e manaʻo ai no ka wā e hiki mai ana o kāu keiki?

Aia wale nō kēia i ke kūlana o ke keiki a pehea e pili ai iā lākou. Pono paha kekahi mau keiki i ka mālama olakino no ke koena o ko lākou ola. Akā, mai hopohopo. E hana pū ke kime lapaʻau me ʻoe e hoʻomohala i kahi hoʻolālā e kōkua i kāu keiki e ola i kahi ola palekana, olakino, a kūʻokoʻa .

I ka ulu ʻana o ke keiki, hiki ke kū mai nā pilikia e like me ka paʻakikī o ka kaohi ʻana i ka mimi a me ka ʻōpala, nā maʻi pinepine o ke ala mimi, a me ka hōʻino ʻana o nā puʻupaʻa. Aia kekahi pilikia o ka hāʻule ʻana o nā puʻupaʻa ma muli o ka hōʻino nui ʻana o nā puʻupaʻa.

Eia kekahi, hiki i kēia mau kūlana ke hoʻopilikia i ke olakino noʻonoʻo o ke keiki. Hiki i ke keiki ke hopohopo e pili ana i ko lākou kino a me ka manaʻo o haʻi iā lākou. No laila, he mea nui loa ka hāʻawi ʻana i ke keiki i ke kākoʻo noʻonoʻo e pono ai a ʻimi i ke kōkua mai ka hui lapaʻau.

Āhea wau e ʻike ai i ke kauka? Āhea wau e hele ai i ka ETU?

Inā loaʻa i kāu keiki kēia maʻi, e hōʻoia e hele i nā lā o ke keʻena lapaʻau i hāʻawi ʻia e ke kauka. He mea nui e nānā i ka ulu ʻana o ke keiki a me kona kūlana.

Eia kekahi, inā ʻike ʻia kekahi o nā hōʻailona ulia pōpilikia ma lalo nei, e lawe koke i ke keiki i ka Emergency Treatment Unit (ETU) kokoke loa.

• ʻEha koke a ʻeha ʻole paha ma ka ʻōpū, ka ʻaoʻao, a i ʻole ke kua.
• He kuni ma luna o 100.5 Fahrenheit (38 Celsius).
• Nā loli i ka mimi ʻana: ka nui a emi mai paha o ka mimi ma mua o ka maʻamau, ka hiki ʻole ke mimi, ka ʻeha i ka wā e mimi ai, a i ʻole ke koko i loko o ka mimi .

I ia mau hihia, mai kali ma ka home. Hiki i ke kōkua lapaʻau koke ke pale i nā pilikia koʻikoʻi.