Ua pehu anei ka puʻupaʻa o kāu pēpē? E aʻo kākou e pili ana i ka pyelectasis!

Ke hāpai ʻoe i kahi pēpē, he mea maʻamau ke hopohopo e pili ana i ke olakino o kāu pēpē. I kekahi manawa, i ka wā o nā scan, hiki i nā kauka ke ʻike i nā loli liʻiliʻi i nā puʻupaʻa o kāu pēpē, e like me ka pehu liʻiliʻi. E makaʻu iki paha ʻoe ke lohe ʻoe i kēlā. ʻO ia ke ʻano o ka pyelectasis . Akā, mai hopohopo, e mālama mākou i nā mea āpau i maʻalahi.

He aha ka Pyelectasis?

I ka ʻōlelo maʻalahi, ʻo ka pyelectasis ka wā e loaʻa ai i kāu pēpē kahi liʻiliʻi o ka mimi ma waenakonu o kekahi o ko lākou mau puʻupaʻa i ko lākou wā i loko o ka ʻōpū. I ka pololei, ʻo ka wahi nui o ka puʻupaʻa kahi e hōʻiliʻili ai ka mimi ʻo ia ka mea e like me ka pehu iki.

Hoʻokumu ʻia kēia e kahi ālai liʻiliʻi, a i ʻole ke ālai ʻana, i ke ala o ka mimi i hana ʻia i loko o nā puʻupaʻa, kahi e hele ai i lalo o ka ureter (i kapa ʻia hoʻi ʻo ka ureter) i ka ʻōpū mimi. A i ʻole, i kekahi manawa, kahe hou ka mimi mai ka ʻōpū mimi, i nā puʻupaʻa ('Urinary reflux').

I kekahi manawa, kapa nā kauka i kēia kūlana he pyelectasis, pelviectasis, pelvocaliectasis, a i ʻole caliectasis, ma muli o kahi e hōʻiliʻili ai ka mimi. Akā, pili kēia mau huaʻōlelo a pau i ka hōʻiliʻili ʻana o ka mimi ma kekahi ʻāpana o ka puʻupaʻa.

He aha ka ʻokoʻa ma waena o ka pyelectasis a me ka hydronephrosis?

ʻO kēia mau inoa ʻelua e pili ana i nā puʻupaʻa e pehu ana me ka mimi, akā aia kahi ʻokoʻa iki.

• I ka pyelectasis , he ʻoluʻolu ka paʻa ʻana o ke ala mimi. No laila, hōʻiliʻili kahi liʻiliʻi o ka mimi i loko o ka puʻupaʻa. Hoʻonui iki kēia i ka ʻaoʻao waena o ka puʻupaʻa.
• I ka hydronephrosis , ʻoi aku ka koʻikoʻi o kēia ālai ʻana, ʻo ia hoʻi he koʻikoʻi . A laila hōʻiliʻili ka nui o ka mimi i loko o ka puʻupaʻa, a i kekahi mau hihia koʻikoʻi, hiki i ka puʻupaʻa ke pehu e like me ka pōpō.

ʻO ka hapa nui o ka manawa, e hoʻopau wale ʻia ka pyelectasis me ka ʻole o ka lāʻau lapaʻau . Eia nō naʻe, ma kahi o 10% o nā hihia, hiki ke holomua i ka hydronephrosis. I kēia hihia, pono paha ʻoe e ʻike i kahi nephrologist pediatric a i ʻole urologist ma hope o ka hānau ʻana o kāu pēpē.

Pehea ka maʻamau o kēia ʻano?

He maʻi maʻamau ka Pyelectasis. Loaʻa ia ma kahi o 1 i loko o 40 mau hāpai ʻana. Hiki iā ia ke hoʻopilikia i hoʻokahi wale nō puʻupaʻa (unilateral pyelectasis) a i ʻole nā ​​puʻupaʻa ʻelua (bilateral pyelectasis).

E noʻonoʻo e pili ana i ia mea,ʻOi aku ka nui o ka loaʻa ʻana o kēia maʻi i nā pēpē kāne ma mua o nā pēpē wahine.

He koʻikoʻi anei ka Pyelectasis?

I ka hapanui o nā hihia, ʻaʻohe hopena maikaʻi ʻole o ka pyelectasis i kāu pēpē. ʻO ka hapa nui o nā pēpē me kēia maʻi ua hānau olakino a hana maikaʻi.

Eia nō naʻe, he mea kākaʻikahi loa, hiki i kēia ʻano pyelectasis ke lilo i mea koʻikoʻi i kapa ʻia ʻo hydronephrosis. I kēlā hihia, hiki i nā kauka ke ʻōlelo aku i ke ʻoki ʻana (ʻoki ʻana i ka fetal) ʻoiai ke pēpē i loko o ka ʻōpū e pale aku i ka hōʻino ʻana i nā puʻupaʻa o ke pēpē. Eia naʻe, he mea kākaʻikahi loa kēia.

Pili anei kēia i ka Down syndrome?

Inā hōʻike ka ultrasound scan a kāu pēpē he pyelectasis kona, ʻoi aku ka nui o ka manawa e loaʻa ai i ka pēpē kahi maʻi chromosomal i kapa ʻia ʻo Down syndrome . Eia naʻe, ʻaʻole kēia manaʻo he Down syndrome kēlā me kēia pēpē me ka pyelectasis. ʻO ka ʻoiaʻiʻo, ʻo ka hapa nui o nā pēpē me ka pyelectasis ʻaʻole i loaʻa iā Down syndrome.

I ka ʻōlelo maʻalahi, inā ʻaʻole hele pū ʻia ka pyelectasis me nā hopena hoʻāʻo koko ʻē aʻe a i ʻole nā ​​​​​​mea ʻē aʻe ma ke scan, ua manaʻo pinepine ʻia he loli liʻiliʻi i ka ulu maʻamau o ka pēpē.

He aha nā hōʻailona?

ʻAʻohe hōʻailona o ka Pyelectasis i ka wā hāpai. ʻIke pinepine ʻia kēia ʻano i ka wā o kāu mau scan ultrasound prenatal i hoʻonohonoho ʻia.

He aha nā kumu o ka pyelectasis i loko o ka pēpē?

ʻElua kumu nui.

1. Ke ālai ʻana o ka hui ʻana o Ureteropelvic:

ʻO ka mea e hana ʻia ma kēia hihia, aia kahi ālai a i ʻole kahi pale ma kahi e pili ai ka ʻōmole e lawe ana i ka mimi mai ka puʻupaʻa o ke pēpē (i kapa ʻia ʻo `ureter`) i ka puʻupaʻa (i kapa ʻia ʻo `ureteropelvic junction`). A laila, ʻaʻole hiki i ka mimi ke kahe i waho, ʻo ia hoʻi, i loko o ka urethra, a paʻa i loko o ka puʻupaʻa. Ma muli o kēia ālai, piʻi ke kaomi i loko o ka puʻupaʻa, e hana ana i ka pyelectasis, a i ka hala ʻana o ka manawa, hiki ke emi ka hana o ka puʻupaʻa.

2. ʻO ka reflux Vesicoureteral:

ʻO ka maʻamau, hele ka mimi i hana ʻia i loko o nā puʻupaʻa i lalo o nā ureters a hōʻiliʻili i loko o ka ʻōpū mimi. A laila haʻalele ia i ke kino o ke pēpē a komo i loko o ke wai amniotic i loko o ka ʻōpū.

Eia nō naʻe, i kekahi mau hihia, kahe hou ka mimi mai ka ʻōpū mimi, ʻo ia hoʻi, ma nā ureters, i nā puʻupaʻa.ʻO ia ka mea i kapa ʻia ʻo vesicoureteral reflux. Inā noho ka mimi e kahe ana i luna ma kēia ʻano i loko o ka puʻupaʻa no ka lōʻihi loa a hoʻoulu i ka pehu ʻana, hiki iā ia ke hana i ka pyelectasis.

Pehea ʻoe e ʻike ai i kēia?

Hoʻoponopono nā kauka i ka pyelectasis i ka wā o ka ultrasound scan prenatal . Inā hōʻike kāu scan iā ia, pono e nānā pono ʻia ʻoe a me kāu pēpē i kou wā hāpai.

He aha nā lāʻau lapaʻau?

ʻO ka nūhou maikaʻi, i ka hapanui o nā hihia, hoʻopau wale ka pyelectasis iā ia iho me ka ʻole o kahi lāʻau kūikawā.

E nānā pono kāu kauka i kēia kūlana i kou wā hāpai. Inā pono, e nānā ʻia kāu pēpē e kahi urologist pediatric a i ʻole kahi nephrologist pediatric ma hope o ka hānau ʻana.

I kekahi mau hihia, hiki i kahi urologist pediatric ke hana i kahi kaʻina hana i kapa ʻia ʻo pyeloplasty , kahi i hoʻohana ʻia e hōʻoluʻolu i kahi poloka ma waena o ka puʻupaʻa a me ka ureter.

I ka wā hāpai, hiki i nā kauka ke ʻōlelo aku i ke ʻoki ʻana i ka fetal inā wale nō ke koʻikoʻi o ke kūlana, e like me ka pyelectasis a i ʻole hydronephrosis, e hōʻino ai i nā puʻupaʻa. Eia naʻe, he mea kakaikahi loa kēia.

Hiki iaʻu ke hōʻemi i kēia pilikia no kaʻu pēpē?

He loli liʻiliʻi ka Pyelectasis i ka ulu ʻana o ka ʻōpū, no laila ʻaʻohe ala e pale aku ai . Eia nō naʻe, he mea nui e loaʻa nā scan ultrasound maʻamau i kou wā hāpai. ʻO kēia ka manawa e hiki ai i kāu kauka ke nānā i ke kūlana a ʻōlelo i ka lāʻau lapaʻau inā pono.

He aha ka mea e hana ai inā loaʻa ka pyelectasis i kaʻu pēpē?

Inā ʻike kāu kauka he pyelectasis kou ma kahi scan, e nānā ʻia paha ʻoe a me kāu pēpē i kou wā hāpai a ma hope o ka hānau ʻana o kāu pēpē. E hana kāu kauka i nā scan maʻamau e ʻike inā e ʻoi aku ka ʻino o ka paʻa ʻana.

Inā e ʻoi aku ka ʻino o ka pyelectasis a lilo i hydronephrosis, pono ʻoe e ʻike i kahi urologist pediatric a i ʻole kahi nephrologist pediatric ma hope o ka hānau ʻana o kāu pēpē. E nānā lākou i kāu pēpē a hoʻoholo inā pono ka lāʻau lapaʻau.

I ka manawa kākaʻikahi loa, hiki i ke ālai ʻia ʻana i hoʻokumu ʻia e ka pyelectasis ke koʻikoʻi e hōʻino i nā puʻupaʻa ʻoiai ke pēpē i loko o ka ʻōpū. Inā kānalua ʻia kēia, e kamaʻilio kāu kauka me ʻoe e pili ana i ke ʻoki ʻana i ka fetal.

Hiki ke ho'ōla ʻia ka Pyelectasis?

ʻAe, ʻoiaʻiʻo nō! Ma mua o 90% o nā hihia, e hoʻōla ʻia ka pyelectasis ma kāna iho . Inā koʻikoʻi ka paʻa ʻana, pono paha ke ʻoki ʻana e hoʻoponopono i ka pilikia.

ʻOi aku ka nui o ka pilikia o nā pēpē me ka hydronephrosis koʻikoʻi ma hope o ka hānau ʻana. I kēlā mau hihia, pono paha kāu pēpē i ke ʻoki ʻana.

Āhea wau e ʻike ai i ke kauka?

He mea nui loa ka hele ʻana i kāu mau hoʻokolohua lapaʻau maʻamau a me nā scan. Hiki i nā kauka ke ʻike i ka pyelectasis me kahi scan ultrasound wale nō. E nānā pono lākou i kou kūlana a ʻōlelo i ka lāʻau lapaʻau inā pono.

He aha nā nīnau e pono iaʻu e nīnau aku i ke kauka?

Inā hōʻike kāu scan he pyelectasis kou, hiki iā ʻoe ke nīnau i kāu kauka e like me kēia:

• Ua paʻa anei ka puʻupaʻa o ka pēpē? Inā pēlā, ma hea ia?
• Loaʻa iā ʻoe ka reflux urinary?
• He ʻoluʻolu, he kaulike, a he koʻikoʻi paha kēia ʻōhū ʻana?
• Aia kekahi mea ʻē aʻe ma kaʻu scan a i ʻole nā ​​hoʻokolohua koko e hōʻike ana he Down syndrome paha ka pēpē a i ʻole kekahi maʻi chromosomal ʻē aʻe?
• Pehea ka nui o ka hiki ke pono kaʻu pēpē i ke ʻoki ʻana?

Leka Lawe-Home

He mea maʻamau ka makaʻu a me ka hopohopo ke ʻike ʻoe ua loaʻa i kāu pēpē ka pyelectasis. Akā i ka hapanui o nā hihia, ʻo ka nānā wale ʻana wale nō ka mea e pono ai . E hana kāu kauka i nā hoʻokolohua e pono ai e ʻike inā he pilikia kaʻawale kēia a i ʻole he hōʻailona o kekahi maʻi ʻē aʻe. E nānā pono lākou i kou kūlana a e kōkua iā ʻoe i kēlā me kēia ʻanuʻu o ke ala. No laila, mai makaʻu pono ʻole. ʻO ka mea nui loa, ʻo ia ka hahai ʻana i nā ʻōlelo a kāu kauka.

ʻO ka Pyelectasis, ka puʻupaʻa fetal, hydronephrosis, ultrasound prenatal, ka pale ʻana o ka ureteropelvic junction, reflux vesicoureteral, ke olakino o ka pēpē, ka pehu ʻana o ka puʻupaʻa, ke olakino o ka hāpai ʻana