I kekahi manawa, hānau ʻia mākou me nā loli liʻiliʻi i ko mākou kino. ʻAʻole mākou i ʻike i kekahi o kēia mau mea i ko mākou ola a pau. He kūlana maʻamau kēia i loaʻa i ka wā hānau, akā no ka hapa nui o ka poʻe, ʻaʻole ia e hoʻopilikia, a ua kapa ʻia ʻo Duplex Kidney. E makaʻu iki paha ʻoe ke ʻōlelo kāu kauka i kēia inoa. Akā, ʻaʻohe kumu e makaʻu ai. E kamaʻilio maʻalahi kākou e pili ana i kēia.
I ka ʻōlelo maʻalahi, he aha ka Duplex Kidney?
He mea maʻalahi loa kēia. ʻO ka maʻamau, loaʻa iā kākou āpau ʻelua mau puʻupaʻa i loko o ko kākou kino. Hele mai kahi ʻōmole hoʻokahi (ureter) mai kēlā me kēia puʻupaʻa a pili i ko kākou ʻōpū mimi. Hele ka mimi i hana ʻia i loko o ka puʻupaʻa ma kēia ʻōmole i ka ʻōpū mimi.
Eia nō naʻe, i loko o ke kanaka me ke ʻano i kapa ʻia ʻo Duplex Kidney , puka mai ʻelua ureters mai hoʻokahi puʻupaʻa . E like me ka leka Y. Hana ʻia kēia i ka wā mua o ka ulu ʻana o ka pēpē i loko o ka ʻōpū. ʻO kēia wale nō ka ʻokoʻa ma kēia ʻano. Ua kapa ʻia hoʻi kēia he duplicated ureters.
Aia kekahi ʻano o nā puʻupaʻa Duplex?
ʻAe, ʻelua ʻano nui. Ke maopopo iā ʻoe kēia, e ʻoi aku ka maopopo o ke kūlana iā ʻoe. E nānā kākou i kēia ala e maʻalahi ai ke hoʻomaopopo.
| ʻAno Puʻupaʻa Duplex | He aha ka mea e hana nei? |
|---|---|
| Pūpū Duplex Piha | ʻAʻole pili nā ʻōmole ʻelua e puka mai ana mai nā puʻupaʻa kekahi i kekahi, akā hele kaʻawale a pili i ka ʻōpū mimi. |
| ʻAʻole i piha ka puʻupaʻa Duplex | ʻOiai lākou e hoʻomaka ana ma ke ʻano he ʻelua mau ʻōmole mai nā puʻupaʻa mai, hui pū lākou ma mua o ke komo ʻana i loko o ka ʻōpū mimi a hui pū i ka ʻōpū mimi ma ke ʻano he ʻōmole hoʻokahi . |
Hiki ke loaʻa kēia ʻano ma hoʻokahi wale nō puʻupaʻa, a i ʻole hiki ke loaʻa ma nā puʻupaʻa ʻelua.
He aha nā hōʻailona o kēia maʻi?
Eia ka mea nui: ʻO ka hapa nui o ka poʻe, ʻaʻohe o lākou mau hōʻailona.ʻAʻole ʻike ka hapa nui o ka poʻe he maʻi ko lākou no ke koena o ko lākou ola. ʻIke pinepine ʻia ia ma ke ʻano ulia pōpilikia, me he mea lā i ka wā o kahi scan i hana ʻia no kekahi kumu ʻē aʻe.
Eia nō naʻe, i kekahi manawa, ʻoiai hoʻi i nā hihia o ka Duplex Kidney piha, hiki ke loaʻa nā pilikia inā ʻaʻole i pili pono nā ureters i ka ʻōpū mimi. I kēia hihia, hiki iā ʻoe ke ʻike i nā hōʻailona e like me:
- Nā Maʻi ʻŌpala Mimi Pinepine (UTI): E nānā pū nā kauka i kēia inā pilikia nā keiki ʻōpio, ʻoiai ka poʻe e loaʻa pinepine nei i nā maʻi ʻōpala mimi.
- Maʻi puʻupaʻa: He maʻi ʻaʻai mimi kēia e hele pū me ke kuni.
- ʻO ka hiki ʻole ke hoʻomoe i ka mimi: Inā hoʻomau ke keiki ʻōpio i ka mimi ma luna o ko lākou mau lole ma hope o ko lākou aʻo ʻia ʻana i ka halepaku, he hōʻailona paha ia.
ʻO ka mea nui, ʻo kēlā me kēia o kēia mau hōʻailona i hoʻokumu ʻia e kahi pilikia like ʻole o ke ʻano. ʻAʻole ka pilikia ka loaʻa ʻana o ʻelua mau ʻōmole.
Ke kumu nei kēia i ka mimi nui ʻana?
ʻAʻole. ʻO ka loaʻa ʻana o kahi Duplex Kidney ʻaʻole ia he manaʻo e hana hou aku kou kino i ka mimi, ʻaʻole hoʻi ia he manaʻo e pono ʻoe e mimi pinepine. Eia nō naʻe, inā loaʻa pinepine iā ʻoe nā UTI, hiki i ka maʻi ke hoʻolilo iā ʻoe e manaʻo e pono ʻoe e mimi pinepine.
He aha ke kumu o kēia? He mea hoʻoilina anei?
Hoʻokumu ʻia kēia kūlana e kahi hewa liʻiliʻi i ka mahele ʻana o ke kelepona i ka wā e ulu ana ke pēpē i loko o ka ʻōpū o ka makuahine. ʻAʻohe mea a ka makuahine i hana ai a i ʻole i hana ʻole ai i ka wā hāpai ke kumu. No laila, mai hopohopo no ia mea.
Hiki ke hoʻoilina ʻia kēia maʻi i kekahi manawa. Inā loaʻa i kekahi makua ke ʻano, aia ma kahi o 50% ka manawa e loaʻa pū kekahi keiki iā ia. Eia nō naʻe, hiki i ke keiki ke loaʻa i ke ʻano ʻoiai inā ʻaʻohe mea o ka ʻohana i loaʻa iā ia.
He aha nā pilikia e hiki mai ana o ka Duplex Kidney?
E like me kā mākou i ʻōlelo ai ma mua, ʻaʻole e kū mai nā pilikia mai ka loaʻa ʻana o ʻelua mau ʻōmole. ʻO ka wā wale nō e ʻokoʻa ai ke ʻano o ka hoʻopili ʻana o kēlā mau ʻōmole, e kū mai ai ka pilikia. Hiki i kēia ke hana i ke ālai ʻana o ke kahe o ka mimi, hiki i ka mimi ke kahe i hope i loko o ka puʻupaʻa, a i ʻole hiki i ka puʻupaʻa ke pehu. ʻO kēia nā kumu e loaʻa pinepine ai nā maʻi.
ʻO nā kūlana pili nui e hiki ke ʻike ʻia:
- Ureterocele: He puʻupuʻu e like me ka pōpō ma ka urethra kahi e pili ai i ka ʻōpū mimi. Hiki i kēia ke ālai i ke kahe o ka mimi.
- ʻO ka ureter ectopic: He paipu e hoʻopili ai i ka ureter i kahi wahi ʻē aʻe ma mua o kahi e pili mau ai i ka ʻōpū mimi (ma waho paha o ka ʻōpū mimi).
- ʻO ka reflux Vesicoureteral (VUR): Ke kahe nei ka mimi mai ka ʻōpū mimi i luna o ka ureter, hiki ke alakaʻi i nā maʻi puʻupaʻa.
- Hydronephrosis: ʻO ka pale ʻana i ke kahe o ka mimi e hoʻoulu ai i ka mimi i loko o ka puʻupaʻa, e hoʻoulu ai i ka pehu o ka puʻupaʻa.
Pehea e ʻike ai i kēia maʻi?
Ke nānā hou nei i kāu mau hōʻailona, e nīnau kāu kauka iā ʻoe e pili ana i kekahi ʻeha ʻōpū a ʻeha hope paha, nā pilikia kaohi mimi, a inā paha ua loaʻa i kekahi o kou ʻohana kēia maʻi.
Hoʻohana nui ʻia nā scans e hōʻoia i kēia.
| Hoʻāʻo | He aha ka mea e manaʻo ai mai kēia |
|---|---|
| ʻO ke nānā ʻana i ka ultrasound o nā puʻupaʻa a me ka ʻōpū mimi | Hiki iā ʻoe ke nānā pono i ke ʻano, ka nui, a inā he ʻelua mau ducts o ka puʻupaʻa. |
| CT Scan (Computered Tomography) | No ka loaʻa ʻana o nā kiʻi maopopo a kikoʻī hoʻi o ka ʻōnaehana mimi. |
| ʻIke MRI (Kiʻi Resonance Magnetic) | Ua like me ka CT scan, no ka loaʻa ʻana o nā kiʻi maopopo o nā ʻiʻo palupalu. |
| ʻO ka pyelogram retrograde | He hoʻāʻo X-ray kūikawā e ʻike ai i ke ʻano o ke ala mimi a inā paha he mau mea e ālai ana. |
He mea pono anei ka lāʻau lapaʻau? He aha nā lāʻau lapaʻau e loaʻa ana?
ʻAʻole pono ka hapa nui o ka poʻe i kekahi lāʻau lapaʻau. Inā ʻaʻohe ou hōʻailona, ʻaʻole pono ʻoe e hana i kekahi mea.
Eia nō naʻe, inā hoʻomau ʻoe i nā pilikia ma muli o nā pilikia a mākou i kūkākūkā ai ma mua, hiki i kāu kauka ke ʻōlelo aku i ke ʻoki kino. ʻAʻole kēia e hoʻoponopono i ka pilikia o ka loaʻa ʻana o ʻelua mau ʻōmole, akā, ʻo ka paʻa ʻana a i ʻole ka reflux urinary i hoʻokumu ʻia e lākou.
Aia kekahi mau ʻano nui o ke ʻoki kino:
ʻUreteroureterostomy
Hoʻopili kēia i ka hoʻohui ʻana i nā ʻōmole ʻelua e hele mai ana mai nā puʻupaʻa ma mua o ko lākou komo ʻana i loko o ka ʻōpū mimi, e hana ana i hoʻokahi ʻōmole ʻano Y. ʻAe kēia i ka mimi e kahe pololei i loko o ka ʻōpū mimi.
Hoʻokomo hou ʻana o ka ureter
Inā pili ka ureter ma kahi kūpono ʻole (ectopic ureter) a inā holo ka mimi i hope (reflux), e wehe ke kauka lapaʻau i ka ʻōmole a hoʻopili hou iā ia i kahi kūpono i loko o ka ʻōpū mimi.
Nephrectomy
He hana kakaikahi loa kēia. Pili ia i ka wehe ʻana i kahi hapa a i ʻole ka hapa holoʻokoʻa o ka puʻupaʻa. Akā, hana wale ʻia kēia inā ʻaʻole hana iki kēlā ʻāpana o ka puʻupaʻa a ke kumu nei i nā maʻi koʻikoʻi mau a i ʻole nā pilikia ʻē aʻe. Manaʻo ʻia kēia inā hana maikaʻi kekahi puʻupaʻa.
Ma hope o ke ʻoki ʻana, noho mau ke keiki ma ka haukapila no hoʻokahi a ʻelua paha lā a laila hoʻomaha ma ka home no hoʻokahi a ʻelua paha pule. Ma hope o kēlā, e hana ke kauka i kahi scan ultrasound e hōʻoia i ka maikaʻi o nā mea āpau.
Āhea ʻoe e pono ai e ʻike i ke kauka?
Inā ʻike ʻoe he Duplex Kidney kou a loaʻa nā hōʻailona hou, e ʻike i kāu kauka.
Eia nō naʻe, inā loaʻa iā ʻoe nā hōʻailona o kahi maʻi koʻikoʻi, e hele koke i ka ʻOihana Pilikia (ETU) o ka haukapila. ʻO ia mau hōʻailona:
- Ke kuni nui (ma luna o 39 Celsius).
- ʻEha koke a koʻikoʻi hoʻi o ka ʻōpū.
- Ke ʻano o ka luaʻi mau ʻana a me ka hiki ʻole ke ʻai a inu paha i kekahi mea.
Leka Lawe-Home
- He maʻi hānau maʻamau ka Duplex Kidney. ʻAʻole ia he maʻi, akā he loli liʻiliʻi wale nō i ke kino.
- ʻAʻole ʻike ka hapa nui o ka poʻe i kekahi mau hōʻailona a ʻaʻole pono ka mālama ʻana.
- ʻIke wale ʻia nā hōʻailona inā he mau pilikia ʻē aʻe e pili ana (e like me ka reflux urinary, ke ālai ʻana).
- Inā pono ka lāʻau lapaʻau, hiki i ke ʻoki kino ke hoʻoponopono pono i kēlā mau pilikia.
- Inā loaʻa iā ʻoe a i ʻole kāu keiki kekahi mau pilikia mimi (nā maʻi pinepine, nalowale o ka mana), mai hilahila e kamaʻilio me kāu kauka e pili ana i ia mea.
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