He mea kupanaha ko kākou kino, ʻeā? I kekahi manawa, hana ʻia nā mea i loko o ko kākou kino a kākou i ʻike ʻole ai, ʻaʻole hiki iā kākou ke noʻonoʻo. ʻO ia kekahi o kēlā mau mea kūikawā a kākou e kamaʻilio ai i kēia lā. E noʻonoʻo, ʻo nā ʻōmole e lawe ana i ka mimi mai kekahi o kou mau puʻupaʻa i ka ʻōpū mimi (kāhea mākou i kēia mau mea ʻo (ureters)) he ʻelua ma kahi o hoʻokahi! ʻAe, he ʻoiaʻiʻo kēlā. ʻO kēia ka mea a mākou e kapa nei ʻo (Duplex Kidney) a i ʻole (Duplicated Ureters) i ka ʻepekema lapaʻau. Mai hopohopo ke lohe ʻoe i ka inoa, he mea kēia ʻaʻole ia e hoʻopilikia nui i ka hapa nui o ka poʻe. E kamaʻilio kākou e pili ana i kēia me nā kikoʻī a me ka maʻalahi.
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He aha kēia "Duplex Kidney"? E hoʻomaopopo pono kākou!
I ka ʻōlelo maʻalahi, he maʻi hānau ʻia kahi puʻupaʻa duplex i loaʻa i ka wā hānau. ʻO kēia ka wā e loaʻa ai i kekahi a i ʻole nā puʻupaʻa ʻelua ʻelua mau ʻōmole i kapa ʻia he ureters e lawe ana i ka mimi i ka ʻōpū mimi. ʻO ka maʻamau, hoʻokahi wale nō ureter e pili ana i ka ʻōpū mimi mai hoʻokahi puʻupaʻa.
Loaʻa iā kākou a pau ʻelua mau puʻupaʻa i loko o ko kākou kino. Hoʻokahe kēia mau puʻupaʻa i nā mea ʻōpala i loko o ko kākou kino a hana i ka mimi. A laila, hele kēia mimi ma o nā ʻōmole i kapa ʻia ʻo "ureters" a hōʻiliʻili i loko o ka ʻōpū mimi. Ke piha ka ʻōpū mimi, manaʻo mākou i ka pono e mimi. I kēia manawa, ma kēia kūlana "Duplex Kidney", puka mai ʻelua mau ʻōmole mai kekahi puʻupaʻa. Hoʻomaka kekahi mai ka ʻaoʻao o luna o ka puʻupaʻa a ʻo kekahi mai ka ʻaoʻao haʻahaʻa a lawe i ka mimi i ka ʻōpū mimi. Hana ʻia kēia i ka wā e ulu ana nā puʻupaʻa a me ke ala mimi i loko o ka ʻōpū ma ke ʻano he fetus.
He aha nā ʻano nui o ka (Duplex Kidney)?
Hiki i kēia maʻi "Duplex Kidney" ke hoʻopilikia i hoʻokahi wale nō puʻupaʻa, a i ʻole hiki ke hoʻopilikia i nā puʻupaʻa ʻelua (a mākou e kapa nei he "bilateral duplex kidneys"). Eia kekahi, hiki ke piha a piha ʻole paha . E nānā kākou i ke ʻano o ia mea.
- ʻO ke Kidney Duplex Piha: I kēia hihia, ʻelua mau ureter e hoʻomaka ana mai ka puʻupaʻa hoʻokahi a pili pū i ka ʻōpū mimi ma ke kaʻawale. ʻO ia hoʻi, ʻelua mau paipu e komo i loko o ka ʻōpū mimi.
- ʻO ke Kidney Duplex i Hoʻopau ʻole ʻia: Maanei, ʻoiai ʻelua mau ureter e hoʻomaka ana mai ka puʻupaʻa hoʻokahi, hui pū lākou ma mua o ke komo ʻana i ka ʻōpū mimi, e hana ana i hoʻokahi ʻōmole e pili ana i ka ʻōpū mimi. E noʻonoʻo e like me ka leka 'Y'.
He aha nā hōʻailona o kēia maʻi? Loaʻa i nā kānaka a pau nā hōʻailona?
ʻO ka nūhou maikaʻi, ʻo ka hapa nui o ka poʻe me kahi puʻupaʻa duplex ʻaʻole lākou e ʻike i kekahi mau hōʻailona . Noho lākou i ke ola maʻamau. Eia nō naʻe, i kekahi manawa, ʻoiai i nā hihia o ka puʻupaʻa duplex piha, i ka wā ʻaʻole i pili pono nā ureters i ka ʻōpū mimi a i ʻole aia kekahi mea keakea i ke kahe o ka mimi, hiki ke ulu nā hōʻailona ma muli o nā pilikia.
ʻO nā hōʻailona e hiki mai ana:
- Nā maʻi ʻōpū mimi pinepine (UTIs)Hanana. I loko o kēia manawa, e ʻike paha ʻoe i ka wela, ka ʻeha, a me ka pono e mimi pinepine.
- ʻO ka maʻi puʻupaʻa (inā hele pū ka UTI me ke kuni). He ʻoi aku ka koʻikoʻi o kēia. Hiki i nā hōʻailona ke komo pū me ke kuni, ke anu, a me ka ʻeha kua.
- ʻO ka incontinence mimi ka liki ʻole o ka mimi ma hope o ka hoʻomaʻamaʻa ʻia ʻana o ke keiki i ka lua (ʻike ʻia hoʻi he potty trained) . He mea maʻamau kēia i waena o nā kaikamahine.
E noʻonoʻo, loaʻa pinepine i kekahi mau keiki ke kuni, hāʻawi ke kauka iā lākou i ka lāʻau lapaʻau, akā loaʻa hou iā lākou. Malia paha ʻo ke kumu he maʻi ʻōpū mimi i hoʻokumu ʻia e kahi "Duplex Kidney" huna.
Ke kumu nei anei ʻo Duplex Kidney i ka mimi nui ʻana?
ʻAʻole, ʻo ka loaʻa ʻana o kahi Duplex Kidney ʻaʻole ia e hoʻopaʻa i ka mimi i loko o kou ʻōpū mimi, ʻaʻole hoʻi e koi iā ʻoe e mimi pinepine. ʻO ka nui o ka mimi a mākou e hana ai e kāohi ʻia e nā ʻōnaehana ʻē aʻe i loko o ko mākou kino. Eia nō naʻe, e like me kaʻu i ʻōlelo ai ma mua, inā loaʻa pinepine kekahi me kahi Duplex Kidney i nā UTI, manaʻo paha ʻoe e pono ʻoe e mimi pinepine ma muli o ka maʻi. ʻAʻole kēia he hopena pololei o ke kūlana, akā he hōʻailona o ka maʻi.
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Check Availability →No ke aha i loaʻa ai kēia "Duplex Kidney"?
Hoʻokumu pinepine ʻia kēia e kahi hewa mahele cell e hana ʻia i ka wā mua o ka ulu ʻana o kahi fetus i loko o ka ʻōpū. ʻO ke ʻano kēia he loli iki i ke kūkulu ʻia ʻana o nā puʻupaʻa a me ke ala mimi. ʻO ka mea nui, ʻaʻohe hōʻike e hōʻike ana ua hana ʻia kēia kūlana e kekahi mea a ka makuahine i hana ai a i ʻole i hana ʻole ai i ka wā hāpai. No laila, mai manaʻo hewa no ia mea.
He mea kēia i loaʻa mai nā hanauna mai?
ʻAe, i kekahi manawa hiki ke hoʻoilina ʻia ka Duplex Kidney. ʻO ke ʻano kēia inā loaʻa i kekahi o nā mākua ke ʻano, loaʻa i kā lāua keiki he 50% ka manawa e loaʻa ai. Eia nō naʻe, aia kekahi mau hihia kahi e hiki ai i nā keiki ke loaʻa i ka Duplex Kidney ʻoiai inā ʻaʻole i loaʻa i nā mākua ke ʻano. No laila, inā loaʻa i kekahi o ka ʻohana, he mea maikaʻi ke makaʻala.
He aha nā pilikia e hiki mai ana o ka "Duplex Kidney"?
I ka manawa pinepine, ʻike ʻia nā hōʻailona o kahi puʻupaʻa duplex ke ulu nā pilikia ʻē aʻe me ka ulu ʻana o ka ʻōnaehana mimi. Hiki i kēia mau loli ke ālai i ke kahe o ka mimi, e hoʻoulu i nā puʻupaʻa e pehu (hydronephrosis), a i ʻole e hoʻoulu i ka mimi e kahe i hope i loko o nā puʻupaʻa (reflux). Hiki i kekahi o kēia mau kūlana ke alakaʻi i nā maʻi pinepine o ke ala mimi (UTI).
ʻO kekahi mau kūlana ʻē aʻe e ʻike ʻia e pili ana me ka "Duplex Kidney":
- Ureterocele: ʻO kēia ka manawa e lilo ai ka (ureter) kahi e pili ai i ka ʻōpū mimi e like me ka pōpō. Hiki i kēia ke ālai i ke kahe o ka mimi.
- ʻUreter ectopic:Maanei, pili ka ureter i kahi ʻāpana ʻokoʻa o ka ʻōpū mimi (no ka laʻana, ka urethra a i ʻole ka vagina) ma kahi o kahi e pono ai. Hiki i kēia ke hoʻoulu i ka mimi e kahe i waho me ka manaʻo ʻole (incontinence).
- ʻO ka reflux Vesicoureteral (VUR): ʻO kēia ka manawa e holo ai ka mimi mai ka ʻōpū mimi i luna o nā ureters i nā puʻupaʻa. Hiki i kēia ke hōʻino i nā puʻupaʻa a hoʻoulu i nā maʻi.
- Hydronephrosis: ʻO kēia ka wā e hōʻiliʻili ai ka mimi i loko o nā puʻupaʻa a pehu. Hana ʻia kēia inā he poloka ma kekahi wahi o ke ala mimi.
Pehea e ʻike ʻia ai kēia maʻi "Duplex Kidney"?
Hiki i nā kauka ke ʻike i nā ureters pālua ma ka hoʻohana ʻana i nā hoʻokolohua kiʻi kūikawā e kiʻi i nā kiʻi o kāu ʻōnaehana urinary. Ke ho'āʻo nei e hoʻoholo i ke kumu o kāu mau hōʻailona, hiki i kāu kauka ke nīnau iā ʻoe i nā nīnau e like me:
- He ʻeha kou kua a ʻeha paha kou ʻōpū?
- He pilikia kou me ka hoʻōki ʻana o ka mimi?
- Aia kekahi o ka ʻohana (nā hoahānau koko) i loaʻa i ka "Duplex Kidney"?
ʻIke pinepine ʻia nā ureters pālua i ka wā kamaliʻi , ʻoiai inā he mau UTI pinepine a i ʻole incontinence. Eia nō naʻe, ʻaʻole ʻike kekahi poʻe he maʻi ko lākou a hiki i ko lākou wā makua. ʻIke pinepine ʻia ia i ka wā o nā hoʻokolohua no kekahi maʻi ʻē aʻe. Ua like kekahi o nā hōʻailona me nā maʻi ʻē aʻe, no laila hiki ke paʻakikī ke ʻike.
He aha nā hoʻokolohua e hana ʻia e ʻike ai i kēia?
Hiki i kāu kauka ke kauoha i nā hoʻokolohua kiʻi e like me kēia e hoʻoholo ai inā he Duplex Kidney kāu:
- ʻO ke ultrasound o nā puʻupaʻa a me ka ʻōpū mimi: He hoʻāʻo maʻalahi a ʻeha ʻole kēia e hoʻohana ana i nā nalu kani e kiʻi i nā kiʻi o nā ʻōpū o loko.
- ʻO ke kiʻi ʻana o ka Computed Tomography (CT) scan: Hoʻohana kēia i nā kukuna X a me ke kamepiula e lawe i nā kiʻi ʻoki kikoʻī o ke kino.
- Magnetic Resonance Imaging (MRI): Hoʻohana kēia i nā kahua magnetic a me nā nalu lekiō e hana i nā kiʻi maopopo o loko o ke kino.
- Pyelogram Retrograde: He hoʻāʻo kūikawā kēia. Hoʻokomo ʻia kahi kāmela liʻiliʻi a me ka dye ma o ka urethra, a lawe ʻia nā kiʻi X-ray e ʻike i ke ʻano a me ka hana o ka ʻōnaehana urinary.
He aha nā lāʻau lapaʻau no ka (Duplex Kidney)?
ʻAʻole pono ka hapa nui o ka poʻe i kekahi lāʻau lapaʻau no kahi puʻupaʻa duplex. Eia nō naʻe, inā he ureter ectopic kou, e like me ka mea i ʻōlelo ʻia ma luna, a inā he mau pilikia ʻē aʻe kāu e hoʻoulu ai i nā hōʻailona, pono paha ʻoe i ke ʻoki ʻana i kou mau puʻupaʻa, ʻōpū mimi, a i ʻole nā ureters.
Ke wehe nei ʻoe i kahi "Duplex Kidney"?
ʻAʻole pinepine nā kauka e wehe loa i kahi "Kiki i Hoʻopili ʻia." ʻAʻole ka pilikia ka loaʻa ʻana o ʻelua mau puʻupaʻa, akā, ʻo nā pilikia e pili ana me lākou. Inā he mau hōʻailona, aia kekahi mau ʻano hana ʻoki kino e hiki ke hana ʻia:
- Ureteroureterostomy: Ma kēia, hoʻohui ke kauka lapaʻau i nā (ureters) ʻelua, e hana ana i kahi (ureter) ma ke ʻano o kahi (Y') e lawe i ka mimi i ka ʻōpū mimi. Hana ʻia kēia e hoʻohui i nā ʻōmole ʻelua, e like me ka (Incomplete Duplex Kidney).
- Hoʻokomo hou ʻana o ka ureter: Inā he ureter ectopic kou, a he ureter refluxing paha, e hana ke kauka lapaʻau i kahi puka hou e hoʻopili ai iā ia i ka ʻōpū mimi. E kōkua kēia i ke kahe pono ʻana o ka mimi a pale iā ia mai ke kahe ʻana i hope.
- Nephrectomy: Pili kēia i ka wehe ʻana i kahi hapa a i ʻole nā puʻupaʻa āpau i hana pono ʻole. Hiki i kēia ke hōʻemi i ka hiki ʻole ke hoʻomoe a me ka pilikia o ka maʻi. Eia naʻe, ʻaʻole hana pinepine ʻia kēia lāʻau. Hana wale ʻia inā ua hōʻino nui ʻia kekahi puʻupaʻa a ke kumu nei i nā pilikia, a ke hana maikaʻi nei kekahi puʻupaʻa.
ʻEhia ka lōʻihi e hoʻōla ai ma hope o ke ʻoki kino?
ʻOkoʻa ka manawa e hoʻōla ai ʻoe mai ke ʻoki ʻana ma muli o kou makahiki a me ke ʻano o ke ʻoki ʻana āu i hana ai. No ka laʻana, e noho mau ana kahi keiki liʻiliʻi i ka haukapila no hoʻokahi a ʻelua paha lā, a laila hoʻi i ka home a hoʻomaha no kekahi pule a ʻelua paha. Ma hope o ke ʻoki ʻana, e hana ke kauka i kahi ultrasound o ka puʻupaʻa e hōʻoia i ka maikaʻi o nā mea āpau.
Inā loaʻa iaʻu kahi "Duplex Kidney", he aha kaʻu e manaʻo ai?
ʻAʻohe pilikia o ka hapa nui o ka poʻe me kahi puʻupaʻa duplex. Akā inā loaʻa iā ʻoe nā kūlana e like me ka incontinence urinary, reflux, a i ʻole nā UTI pinepine, pono paha ʻoe i ke ʻoki ʻana e hoʻoponopono iā lākou.
He maʻi koʻikoʻi anei ka "Duplex Kidney"?
ʻAʻole maʻamau he maʻi koʻikoʻi a weliweli paha ka Duplex Kidney. ʻAʻole loaʻa i ka hapa nui o ka poʻe nā hōʻailona a ʻaʻole pono ka lāʻau lapaʻau.
Hiki iaʻu ke ola i kahi ola maʻamau me kahi Duplex Kidney?
ʻAʻole hoʻoweliweli ke Duplex Kidney i ke ola. ʻOiai e pono ana ka mālama ʻana, he mea maʻamau ia i ka hōʻoluʻolu ʻana i nā hōʻailona. No laila, ʻae, hiki iā ʻoe ke ola i kahi ola maʻamau .
Pehea wau e mālama ai iaʻu iho?
Inā ʻike ʻoe he puʻupaʻa duplex kou a i ʻole kāu keiki, e makaʻala i nā hōʻailona e hoʻopilikia ai i ka ʻōnaehana urinary (e like me nā UTI me ke kuni a i ʻole ka mimi ʻole). Inā ua hana ʻia ke ʻoki ʻana iā ʻoe a i ʻole kāu keiki, e hahai pono i nā ʻōlelo a kāu kauka .
Āhea wau e ʻike ai i kaʻu kauka?
Inā ua ʻike ʻia ʻoe me Duplex Kidney a ke ʻike nei ʻoe i nā hōʻailona āu e manaʻo nei e pili ana iā ia, e ʻike i kāu kauka. E nīnau iā ia e pili ana i kekahi mau hōʻailona hou a i ʻole ka mea e hana ai inā e ʻoi aʻe ka ʻino o kāu mau hōʻailona.
Āhea wau e hele ai i ka ʻOihana Pōpilikia (ETU) ?
Inā loaʻa iā ʻoe nā hōʻailona o kahi maʻi koʻikoʻi, e hele koke i ka lumi pilikia. ʻO kēia mau hōʻailona:
- Ke kuni nui (ma luna o 102 kekelē Fahrenheit / 39 kekelē Celsius).
- ʻEha koke ka ʻōpū nui .
- Ka luaʻi pinepine ʻana a me ka hiki ʻole ke ʻai a inu paha i kekahi mea .
He aha nā nīnau e pono iaʻu e nīnau aku i kaʻu kauka?
He mea kōkua paha ka nīnau ʻana i kāu kauka i nā nīnau e like me kēia:
- Aia kekahi mau lāʻau lapaʻau e pono iaʻu e lawe?
- He aha ke ʻano o ka "Duplex Kidney" iaʻu?
- Pono anei au i ke ʻoki kino? He aha ke ʻano?
- Pono anei au e ʻike i kahi loea? Pono anei au i kahi (referral) no kēlā?
- Manaʻo ʻoe e nalo wale aku ana koʻu mau hōʻailona?
- Inā loaʻa iaʻu ka "Duplex Kidney", pono anei e hoʻāʻo ʻia kaʻu keiki?
Pehea ka maʻamau o ka "Duplex Kidney"?
ʻO nā puʻupaʻa i māhele ʻia ka maʻi hānau maʻamau e hoʻopilikia ana i ka ʻōnaehana mimi. Ma kahi o hoʻokahi i loko o 125 mau kānaka i loaʻa i ka ʻoki piha a ʻaʻole paha i māhele ʻia o nā puʻupaʻa.
ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)
ʻAʻole he maʻi hoʻoweliweli ola ka Duplex Kidney a i ʻole Duplicated Ureters a ʻaʻole pinepine ia e hōʻike i nā hōʻailona. ʻAʻole ʻike ka nui o ka poʻe he maʻi ko lākou. Inā ua ʻike ʻia ʻoe a i ʻole kāu keiki me Duplex Kidney a loaʻa iā ia nā hōʻailona, he maikaʻi loa ka lāʻau lapaʻau i ka mālama ʻana iā lākou. ʻOiai he mea hilahila paha ke kamaʻilio e pili ana i nā mea e like me ka mimi ʻole a i ʻole ka ʻeha i ka wā e mimi ai, he mea nui e kamaʻilio me ke kauka e pili ana i kāu mau hōʻailona . Aia lākou ma laila e kōkua iā ʻoe. Hiki iā lākou ke ʻike i ke kumu o kāu mau hōʻailona a paipai i ka lāʻau kūpono e kōkua iā ʻoe e ʻoluʻolu. ʻO ka mea nui loa, ʻaʻole e hopohopo a loaʻa i ka ʻōlelo aʻoaʻo lapaʻau kūpono.
ʻO ka puʻupaʻa pālua, ʻelua ureters, maʻi puʻupaʻa hānau ʻia, nā maʻi ʻaʻai mimi, ʻoki puʻupaʻa, ureterocele, reflux vesicoureteral
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