Inā he makuahine hāpai ʻoe, ua makaʻu paha ʻoe i ka ʻike ʻana i ka huaʻōlelo 'megaureter' ma kāu hōʻike scan. A i ʻole ua loaʻa pinepine paha i kāu keiki liʻiliʻi nā maʻi mimi. He mea maʻamau ke hopohopo iki i kou lohe ʻana a ʻike ʻana paha i kahi mea e like me kēia. Akā, mai hopohopo, ʻaʻole kēia he maʻi koʻikoʻi. I kēia lā, e kamaʻilio mākou e pili ana i nā mea āpau ma ke ʻano maʻalahi a maopopo.
I ka ʻōlelo maʻalahi, he aha kēia Megaureter?
ʻAe, e hoʻomaopopo mua kākou i kēia. Loaʻa iā kākou āpau ʻelua mau puʻupaʻa i loko o ko kākou kino, ʻeā? Hoʻopuka kēia mau puʻupaʻa i ka mimi (pee). A laila, lawe ʻia kēia mimi i ka ʻōpū mimi ma o ʻelua mau paipu. E like me ka lawe ʻia ʻana o ka wai mai kahi pahu wai ma o ʻelua mau paipu. Ua kapa ʻia kēlā mau paipu ʻelua he 'ureters'.
ʻO ka maʻamau, he lahilahi loa kēia mau ʻōmole i loko o ke kanaka olakino. Akā i kekahi manawa, ʻoiai i ka wā hānau, hiki i kekahi a i ʻole nā ʻōmole ʻelua ke ākea a ʻoi aku ka nui ma mua o ka maʻamau. ʻO ia ka mea a mākou e kapa ai he megaureter i ka lāʻau lapaʻau. ʻO 'Mega' ke ʻano he 'nui'. No laila ʻo 'Megaureter' ke ʻano he 'urethra i hoʻonui ʻia'.
Hoʻomaopopo pinepine nā kauka i kēia i ka wā o nā scan prenatal. He mea maikaʻi ke hiki ke ʻike mua, no ka mea a laila hiki iā ʻoe ke hana i nā hana e pono ai i ka wā e hānau ai ke pēpē.
He aha nā ʻano megaureter i loaʻa?
Hiki ke hoʻokaʻawale ʻia kēia kūlana i kekahi mau ʻano nui ma muli o ke ʻano o kona hana ʻana. ʻOiai paha he mea paʻakikī iki kēia, he maʻalahi ke hoʻomaopopo. E nānā kākou i kēia papa.
| ʻAno Megaureter | I ka ʻōlelo maʻalahi, ʻo kēia ka mea e hana ʻia. |
|---|---|
| Megaureter Hoʻihoʻi | Kahe ka mimi mai ka ʻōpū mimi i hope, i luna o ka ureter, a i nā puʻupaʻa. Ua kapa ʻia kēia he reflux vesicoureteral ma nā ʻōlelo lapaʻau. ʻO ke kaomi mai kēia kahe hope e hoʻonui mālie ai ka ʻōmole. |
| Megaureter i ālai ʻia mua | He haiki loa ka urethra ma kahi e pili ai i ka ʻōpū mimi. Ua like ia me kahi paipu wai i paʻa. Pale kēia i ka mimi mai ke kahe pono ʻana i lalo a hoʻopiha i ka ʻōmole, e hoʻoulu ai i ka pehu a lilo i mea nui. |
| ʻO ka megaureter mua i ʻole keakea ʻia, ʻaʻole refluxing | Maanei, ʻaʻohe o nā kumu ʻelua i luna. ʻO ia hoʻi, ʻaʻole kahe ka mimi i hope, ʻaʻohe mea e ālai ʻia ai. Akā, ua nui ka duct. ʻO ka hapa nui o ka manawa, e hoʻomaikaʻi kēia ʻano iā ia iho me ka hala ʻana o ka manawa. |
| Nā Megaureter Lua | Hiki i kēia ke hana ma ke ʻano he hopena ʻaoʻao o kekahi maʻi olakino ʻē aʻe, e like me ka paʻa ʻana o ka urethra, kahi kīnā hānau e like me ka prune belly syndrome , a i ʻole ka hōʻino ʻana i nā aʻalolo i loko o ka ʻōpū mimi (neurogenic bladder) . |
Loaʻa i ke pēpē kēia mau hōʻailona?
ʻO ka hapa nui o ka manawa, ʻaʻole hōʻike nā keiki me kēia maʻi i kekahi mau hōʻailona . ʻO ia ke kumu e ʻike pinepine ʻia ai ma o nā scan. Akā hiki i kekahi mau keiki ke loaʻa nā hōʻailona e like me kēia:
- Nā maʻi ʻōpū mimi pinepine (UTIs): ʻO kēia ka hōʻailona maʻamau.
- ʻEha ʻaoʻao: ʻEha e puka mai ana mai ka ʻaoʻao o ke kua, ma lalo o ka pā iwi ʻaoʻao.
- Ke koko i loko o ka mimi (hematuria).
- Ka wela pinepine.
- Ka paʻakikī ke kāohi ʻana i ka mimi (urinary incontinence).
He mea nui: ʻAʻole like nā hōʻailona o nā keiki a pau. ʻAʻole paha i loaʻa i kekahi mau keiki kekahi o kēia mau hōʻailona.
No ke aha lā kēia e hana nei? He aha ke kumu?
ʻO ka hapa nui o ka manawa, hana ʻia kēia ma muli o kahi loli liʻiliʻi e hana ʻia ana i ka wā e ulu ana ke pēpē i loko o ka ʻōpū.
E noʻonoʻo i ka urethra e like me kahi paipu i hana ʻia me nā ʻiʻo. Hele ka mimi mai nā puʻupaʻa a i ka ʻōpū mimi no ka mea e ʻūlū kēia mau ʻiʻo e like me ka nalu, e kaomi ana i ka mimi i lalo. Akā i kekahi manawa, i ka wā e ulu ana kahi pēpē, lilo kahi ʻāpana o kēia paipu i ʻoi aku ka paʻakikī, e like me ka ʻiʻo fibrous, ma kahi o ka ʻiʻo. A laila ʻaʻole hana pono ke kaʻina hana o ka kaomi ʻana i ka mimi i lalo e like me ka nalu. No laila, hōʻiliʻili ka mimi a nui aʻe ka paipu.
ʻO kekahi kumu ʻē aʻe, he paʻa kahi e pili ai ka paipu i ka ʻōpū mimi. Hiki ke hana ʻia kēia e nā kūlana e like me ka ureterocele . I kēlā hihia, piha ka paipu i ka mimi a hoʻonui ʻia.
No ka mea i ʻoi aku ka nui o ka loaʻa ʻana o ia maʻi, hiki iā ia ke hoʻopilikia i kekahi pēpē, akā ua ʻike ʻia e ka noiʻi he ʻehā manawa ka nui o ka maʻi i nā keikikāne ma mua o nā kaikamahine .
Pehea e ʻike ai nā kauka i kēia?
E like me ka mea i ʻōlelo ʻia ma luna, ʻike pinepine ʻia kēia i ka wā o ke kiʻi ultrasound prenatal i kou wā hāpai.
Ma hope o ka hānau ʻana o ka pēpē, e nānā ke kauka i ka pēpē. A laila, no ka hōʻoia hou ʻana i ke kūlana, hiki ke hana ʻia nā hoʻokolohua aʻe:
- ʻO Voiding Cystourethrogram (VCUG): He ʻano X-ray kēia. Hoʻokomo ʻia kahi paipu liʻiliʻi i loko o ka urethra o ke pēpē a hoʻokomo ʻia kahi kala kūikawā i loko. A laila nānā ka X-ray e ʻike inā aia ka wai i loko o ka ʻōpū mimi a inā paha e hoʻihoʻi ana i luna o ka paipu.
- ʻO ke kani ʻana o nā puʻupaʻa: Hana ʻia kēia scan e ʻike i ke ʻano o nā puʻupaʻa a me ka ʻōpū mimi o ke pēpē a me ka nui o nā ducts.
- ʻO Renal Scan: Maanei, ua hoʻokomo ʻia kahi liʻiliʻi loa o ka mea radioactive i loko o kahi aa koko i loko o ka pēpē. A laila, hoʻohana ʻia kahi scanner kūikawā e nānā i ke ʻano o ka hele ʻana o kēia mea ma o nā puʻupaʻa. Hiki i kēia ke hoʻoholo pololei i ka hana maikaʻi o nā puʻupaʻa a inā he mea paʻa.
- Nā hoʻāʻo koko (Electrolyte panel): Kōkua kēia hoʻāʻo koko e ʻike inā hana maʻamau nā puʻupaʻa.
- Urinalysis: Lawe ʻia kahi hāpana mimi a hoʻāʻo ʻia no ka maʻi.
Pehea e mālama ʻia ai? Pono anei ke ʻoki kino?
ʻO ka nīnau e hiki mai ana i ka manaʻo o nā mea a pau ke lohe lākou i kēia, "Auē, pono anei kaʻu pēpē e hana i kahi ʻoki i kēia manawa?"
ʻO ka nūhou maikaʻi, ʻaʻole pono ka hapa nui o nā keiki i kekahi ʻoki kino.
E ʻoi aku ka maikaʻi o ka hapa nui o nā keiki iā lākou iho i ko lākou wā ʻelemakule, no laila e lawe paha kāu kauka i kahi ala "kiaʻi a kali". ʻO ke ʻano kēia:
- Nā scan maʻamau: Nānā ʻia ke pēpē i nā manawa maʻamau e nānā inā e ulu pono ana nā puʻupaʻa a inā e emi ana ka nui o nā ducts.
- Ke lawelawe ʻana i nā antibiotics: No ka hōʻemi ʻana i ka pilikia o nā maʻi ʻōpū urinary, hiki i kāu kauka ke kuhikuhi i kahi antibiotic haʻahaʻa haʻahaʻa e lawe ʻia i kēlā me kēia lā.
Āhea e pono ai ke ʻoki kino?
Eia nō naʻe, inā ʻaʻole e hoʻomaikaʻi ke kūlana i loko o ka makahiki mua o ka pēpē, inā e hoʻonui ʻia ke kahawai, inā he mau maʻi mimi mau me ke kuni, a inā ua pilikia ka hana o nā puʻupaʻa, hiki i ke kauka ke kuhikuhi i ke ʻoki kino.
ʻElua ʻano nui o ke ʻoki kino:
1. ʻUreterostomy:Maanei, hoʻopili ke kauka lapaʻau i ka urethra i hoʻonui ʻia i kahi puka liʻiliʻi (stoma) i hana ʻia i loko o ka ʻōpū o ke pēpē. A laila, hōʻiliʻili pololei ka mimi i loko o ka diaper ma kahi o ke komo ʻana i loko o ka ʻōpū mimi. Hāʻawi kēia i ka puʻupaʻa a me ka urethra i kahi hoʻomaha a hiki iā lākou ke hoʻōla. I kekahi mau mahina ma hope mai, ua hoʻopili hou ʻia kēia ʻōmole i ka ʻōpū mimi ma kekahi ʻoki kino ʻē aʻe.
2. Pyeloplasty: Ma kēia ʻoki kino, ua wehe ʻia ka ʻāpana i ālai ʻia a i ʻole ka ʻāpana i haiki ʻia o ka urethra a ua hoʻopili hou ʻia ka ʻōmole me ke kūpono.
Kiʻekiʻe loa ka holomua o kēia mau ʻoki kino. No laila, mai makaʻu. E wehewehe kāu kauka iā ʻoe i ka lāʻau kūpono loa no kāu pēpē.
Āhea e pono ai ke pēpē e hele i ka haukapila?
Inā loaʻa i kāu pēpē ka megaureter, pono ʻoe e makaʻala loa e pili ana i nā hōʻailona o ka maʻi ʻaʻai mimi. Inā loaʻa i kāu pēpē kekahi o kēia mau hōʻailona me ka maʻi ʻaʻai mimi , e lawe koke iā ia i ka keʻena pilikia o ka haukapila kokoke loa (ETU) :
- kuni kiʻekiʻe
- ʻEha kua a ʻāʻī paha
- Ka luaʻi a me ka nausea
Hōʻike kēia mau hōʻailona ua hoʻopilikia paha ka maʻi i nā puʻupaʻa. No laila, mai hoʻokaʻulua.
Leka Lawe-Home
- ʻO Megaureter kahi kūlana i ʻoi aku ka nui o kekahi a i ʻole nā ureter ʻelua o kahi pēpē ma mua o ka maʻamau i ka wā hānau. ʻIke pinepine ʻia kēia i ka wā o nā scan i ka wā hāpai.
- Mai hopohopo ke lohe ʻoe i kēia. ʻAʻole pono ka hapa nui o nā keiki i ke ʻoki kino . E hoʻomaikaʻi wale kēia ʻano ma hope o ka manawa.
- ʻO ka mea nui loa, ʻo ia ka lawe ʻana i kāu pēpē no nā nānā kino a me nā keʻena lapaʻau i ka manawa kūpono, e like me ka ʻōlelo a ke kauka. Mai poina iā lākou.
- Inā loaʻa i kāu pēpē ke kuni a me nā hōʻailona o ka maʻi mimi (mimi pinepine, uē i ka wā e mimi ana, mimi pilau), e ʻike koke i ke kauka.
- He kuleana kou e kūkākūkā ākea i nā nīnau a hopohopo paha āu me kāu kauka.
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