Yu pikin gɛt ɛni prɔblɛm we i bɔn wit we i de pis? (Congenital Urinary Abnormalities) Lɛ wi tɔk bɔt dis!

Oh, yu smɔl pikin kin fil lɛk se sɔntin strenj de we i de pis ? Sɔntɛnde, dɔktɔ dɛn kin tɛl wi tru skan bifo dɛn bɔn di pikin se smɔl chenj dɛn de na di pikin in urinary system. Na nɔmal tin fɔ mek yu fil fred we yu yɛri dis. Bɔt nɔ wɔri, lɛ wi tɔk bɔt dis simpul wan. Tide wi go luk pan wetin na dɛn sik ya, wetin mek dɛn kin apun, aw fɔ no dɛn, ɛn aw fɔ trit dɛn.

Wetin na dɛn ‘congenital urinary system abnormalities’ ya?

Fɔ tɔk am simpul wan, di abnɔmal urinary abnormalities we dɛn bɔn wit na chenj ɔ difεkt na yu pikin in urinary system ɛn sɔmtɛm di genitourinary systems we de we dɛn bɔn am, we min se i kin apin we di pikin stil de divɛlɔp na di bɛlɛ. Dɛn kin kɔl dɛn tin ya bak congenital urinary anomalies.

di כgan dεm we dεn kכndyushכn ya kin mεntal afekt na:

• Kidni: As yu no, di tu kidni dɛn na wi bɔdi de filta di sɔl, wata, pɔyzin, ɛn dɔti tin dɛn we de kɔmɔt na di blɔd ɛn mek urine . Bɔku pipul dɛn gɛt tu kidni.
• Urinary bladder: Dis na di ɔgan we tan lɛk sak we de kip di urine .
• Yuretεr dεm: Dis na di tu mכskul tכb dεm we de kכri urine frכm di kidni dεm to di blad.

Wetin na di abnɔmal tin dɛn we kin apin mɔ?

Bɔku kayn tin dɛn de we nɔ kin izi fɔ du. Lɛ wi luk sɔm pan dɛn:

• Hydronephrosis: Dis na we wan ɔ ɔl tu di kidni dɛn kin swel. Imajin se sɔntin de blok di rod we di urine de kɔmɔt na di kidni to di blad, ɛn dis de mek di urine we de insay di kidni ful-ɔp ɛn swel. I tan lɛk se wata paip kin lɔk ɛn ful-ɔp wit wata.
• di tεstikul dεm we nכ dכn dכn (cryptorchidism): nכmal wan, pikin bכy in tεstikul dεm de divεlכp insay di bεlε we i stil de insay di bεlε. afta dat dεn kin dכn sכmtεm insay di skrotum, we na di sak usay di tεstikul dεm de. כltu, sכm pikin dεm gεt wan כ tu pan dεn tεstikul dεm ya we nכ dכn dכn insay di skrotum fכ sכm tεm afta dεn bכn dεm.
• Hypospadias: Dis na kכndyushכn bak we de afekt man pikin dεm. di opin we de na di urethra, di tכb we di urine εn sεl de kכmכt tru, fכ de na di tכp pan di penis. כltu, insay dis kes, di opin de כda say na di כndasay na di penis.
• Spina bifida: Dis na wan sik we kin kɔmplikt smɔl. i kin apin we di bren, di spεnal kכd, εn/כ di protεktiv mεmbran dεm we de rawnd di spεnal kכd (mεninges) nכ de divεlכp ful wan we di pikin de divεlכp insay di bεlε. If i tranga, dis kin mek yu paralayz sɔm pat ɔ kɔmplit wan. I kin mek yu gɛt nyurojɛnik blad ɛn ɔda prɔblɛm dɛn bak.
• Vεsikouretεral rεflɔks (VUR): .nכmal wan, di urine de kכmכt na di kidni dεm tru di ureters to di blad, εn afta dat i de kכmכt tru di urethra. כltu, insay dis kכndishכn (VUR), di urine na di blad de fכlכ bak כp tru di ureter dεm, sכmtεm i de go bak insay di kidni dεm.
• Bladder exstrophy: Dis na wan sik we nɔ kin apin so ɔltɛm. pan dis kכndyushכn, di pikin in blad de divεlכp di we we di insay de kכmכt, we min se di insay de kכmכt. afta dat di pikin de pis tru wan opin na di lכw bכdi, pas fכ pis tru di urethra.
• Prune belly syndrome (Eagle-Barrett syndrome): Dis na sik bak we nɔ kin apin so ɔltɛm. di men sayn fכ dis na we di bכdi mכsul dεm de wik כ lכs, we de mek di bכdi luk lεk plam we dεn dכn. wit dis, di tεstikul dεm kin dכn εn disappear, εn כda abnכmal tin dεm kin de na di urinary system.
• di posita urethral valv (PUV): dis kכndyushכn de afekt man pikin dεm. wan ekstra flap (valv) we de na di bak pat pan di urethra de blok di fכ fכlכ di urine. Dis kin mek di urine bak ɔp insay di blad, we kin mek i swel. Dis kin pwɛl di urethra ɛn kidni.

Wetin na di tin dɛn we kin apin to pɔsin?

di tεstikul dεm we nכ dכn dכn na di mכst kכmכn urinary tract abnכmaliti na bכy pikin dεm.

Vesicoureteral reflux (VUR) na wan kכmכn kכndyushכn pan gyal pikin dεm.

Wetin na di sayn dɛm fɔ dɛn abnɔmal tin ya?

Dis kin difrɛn difrɛn wan bay di kayn abnɔmal tin we de apin. Sɔntɛnde, nɔr kin gɛt pen ɔr sayn wae yu kin si. Insay dɛn kayn tin ya, dɔktɔ kin jɔs no dɛn tin ya tru tɛst lɛk skan. Bɔt, na sɔm pan di sayn dɛm wae kin kam pan pɔrsin wae gɛt dis sik:

• Pen na di sayd, bɛlɛ, ɔ bak.
• Bɔn ɔ pen we yu de pis (dysuria).
• Urinary diversion , ɔ wan wik urine strim.
• Fɔ pas mɔ ɔ smɔl urine pas aw i fɔ pas.
• Blɔd we de na di urine (hematuria).
• Nɔs ɛn vɔmit .
• Ɛnia .
• Bɔku tɛm we pɔsin kin gɛt urinary tract infection (UTI).
• Di pikin nɔ de gro ɔp ɛn gɛt wɛlbɔdi lɛk aw dɛn bin de tink.

Wetin mek dis de apin? Wetin na di rizin dɛn we mek dɛn de du dis?

I rili at fɔ pinpoint wan singl kɔz fɔ dis. I kɔmplikt smɔl. Bɔku tɛm, dɛn tin ya we nɔ kin apin na di urinary system kin kɔmɔt frɔm ɔl tu di tin dɛn we de apin na di say we dɛn de ɛn di tin dɛn we kin chenj na di jɛnɛtiks .

Di tin dɛn we kin afɛkt di envayrɔmɛnt na:

• Mi mama gɛt dayabitis .
• If yu nɔ gɛt sɔm vaytamɛn ɛn minral dɛn lɛk fɔlet ɛn ayɔn we yu gɛt bɛlɛ.
• Sɔm mɛrɛsin wae di mama de tek (fɔ ɛgzampul, sɔm mɛrɛsin fɔ ɛpilepshi) kin afɛkt di kidni dɛm bad bad wan.

di men jεnεtik mכtεshכn dεm we de asai wit dεn abnכmaliti dεm ya na di jin dεm PAX2 εn HNF1B. dis jin dεm de εp di kidni dεm, di urinary system, εn כda tisu dεm fכ fכm we di pikin de divεlכp.

Udat dɛn tin ya kin afɛkt mɔ?

Jɛnɛral wan, if sɔmbɔdi na di famili (we gɛt fɔ du wit bayoloji) dɔn gɛt prɔblɛm wit in kidni ɔ urinary system bifo , di pikin kin gɛt dis kayn urinary system abnormality we dɛn bɔn am smɔl.

Aw yu kin fɛn dɛn tin ya? Aw fɔ no di sik?

Bɔku tɛm, dɔktɔ dɛn kin si dɛn tin ya we dɛn kin bɔn wit we dɛn de du ɔltra saund bifo dɛn bɔn pikin . yu no, dεn skan dεm ya de chεk di pikin in hεlth εn divεlכpmεnt. dεn kin no bak tin dεm lεk oligohydramnios, we na di lכk fכ amniotic fluid rawnd di pikin. כltu, afta lεk 20 wiks we di bεlε de, bכku pan dis amniotic fluid na urine . So, if di wata we de na di pikin nɔ gɛt bɛtɛ wata, di dɔktɔ dɛn kin tink se sɔntin nɔ rayt na di pikin in urinary system.

If fכ sכm rizin dεn nכ kin no dis bifo dεn bכn di pikin, dכkta kin sכspεkt dis afta dεn bכn di pikin כ bay di simptom dεm we di pikin de sho we i sכm pikin. Dɔn, dɛn kin du difrɛn tɛst dɛn fɔ no if pɔsin gɛt dis sik. Dɛn tɛst ya na:

• Ultrasound scan: Dis na tɛst we nɔ de mek pɔsin fil pen we dɛn de yuz sawnd wev fɔ tek pikchɔ ɔ fim bɔt di ɔgan ɛn tisu dɛn we de insay di bɔdi.
• Urinalysis / urine test: Dis kin kכnfכm tin dεm lεk if urinary tract infεkshכn de.
• bכdi tεst: dεn kin chεk tin dεm lεk aw di kidni dεm de filta bכdi fayn fayn wan (estimated glomerular filtration rate - eGFR).
• CT scan (computed tomography scan): Dis na tɛst bak we nɔ de mek pɔsin fil pen. I kin tek bɔku ɛkstrem rayt insay wan row fɔ mek dɛn mek ditayli pikchɔ dɛn bɔt di bon dɛn ɛn di tisu dɛn we de insay di bɔdi.
• MRI Scan (MRI / Magnetic resonance imaging): Dis na tɛst bak we nɔ de mek pɔsin fil pen. I de yuz magnet, redio wev, ɛn kɔmpyuta fɔ tek ditayli pikchɔ dɛn bɔt di ɔgan dɛn ɛn tin dɛn we de insay di bɔdi.
• Voiding cystourethrogram (VCUG): Dis na spɛshal tɛst we de tek ditayl pikchɔ dɛn bɔt di blad we i de ful-ɔp ɛn ɛmti afta yu dɔn pis .
• rεnal skan: Dis na nyuklia mεdisin imej prosidur we de yuz sכm sכm rεdyuaktiv mεtirial fכ tek ditayli pikchכ dεm fכ di kidni dεm.
• Urodynamic testing: Dis min se yu fɔ put wan tin lɛk kateshɔn fɔ si aw di blad de wok fayn fayn wan.

Aw dɛn kin trit dis?

di kayn tritmεnt de dipכnt pan di kayn abnכmal tin we di pikin gεt. Sɔm sik dɛn nɔ kin nid ɛni tritmɛnt. Ɔda tin dɛn kin nid fɔ gɛt difrɛn tritmɛnt dɛn. Fɔ ɛgzampul:

• Antibayɔtik (if infekshɔn de) .
• Dayalaysis (we di kidni dɛn nɔ de wok fayn) .
• Kidni transplant ( if di kidni nɔ wok fayn) .

Yu pikin in mεdikal tim go rivyu yu pikin in kɔmplit mεdikal histri, gud gud wan asɛs dɛn kɔndishɔn naw, ɛn mek di bεst εn di rayt hεlth plan fכ yu pikin.

Yu tink se we dɛn de fɔ mek dɛn nɔ gɛt dɛn tin ya?

Fɔ tɔk tru, i nɔ pɔsibul fɔ mek yu nɔ gɛt ɔl dɛn tin ya we nɔ fayn na yu urinary tract. Bɔt if yu gɛt bɛlɛ we gɛt wɛlbɔdi , dat kin ɛp fɔ mek yu nɔ gɛt bɔku prɔblɛm. Dat min se:

• Si dɔktɔ di rayt tɛm, gɛt advays, ɛn go na di klinik dɛn we dɛn dɔn sɛtul fɔ go.
• Tɔk to yu dɔktɔ bɔt di mɛrɛsin ɛn vaytamɛn dɛn we yu de tek naw.
• Tek wan vaytamɛn bifo yu bɔn we gɛt at le 400 maykrogram fɔlik asid ɛvride.
• Nɔ yuz rɔm, tabak, ɔ ɛni mɛrɛsin we dɔktɔ nɔ tɛl yu.

Wetin kin apin if mi pikin gɛt prɔblɛm wit in urinary tract we dɛn bɔn am lɛk dis? Wetin go apin tumara bambay?

Dis rili dipen pan di kayn urinary abnormality we yu pikin gɛt ɛn aw di sik dɛn kin tranga. Sɔm pikin dɛn kin nid fɔ gɛt dɔktɔ ɔltɛm fɔ di res ɔf dɛn layf. Bɔt nɔ wɔri , yu pikin in mɛdikal tim go wok wit yu fɔ mek wan pɔrsin in yon plan fɔ ɛp yu pikin fɔ de sef, wɛl, ɛn fɔ insɛf as i pɔsibul.

As di pikin de gro, rich di tɛm we i de bɔn, ɛn bigin fɔ yɔŋ, sɔm prɔblɛm dɛn kin kam wit wɛlbɔdi ɛn kwaliti layf. Fɔ ɛgzampul:

• I nɔ kin izi fɔ kɔntrol di urine ɛn stɔl (urinary ɛn bowel incontinence).
• Urinary tract infection (UTI) we kin kam bɔku tɛm.
• Damej to di blad, kidni, ɛn/ɔ urinary tract.
• If di kidni pwɛl bad bad wan, dat kin mek di kidni nɔ wok fayn. If na so i bi, i kin nid fɔ du dayalaysis ɔ transplant in kidni.
• dis kכndyushכn kin afekt di fכnshכn εn di we aw dεn jεnital dεm de luk, we kin afekt dεn ebul fכ bכn pikin tumara bambay.

Dɛn tin ya we yu bɔn wit di urinary system abnormalities kin afɛkt yu pikin in filin ɛn soshal (aw ɔda pipul dɛn de si am, aw i de tink bɔt insɛf, ɛn ɔda tin dɛn), bɔt yu mɛdikal tim kin gi sɔpɔt fɔ ɔl dis, ɛp yu pikin fɔ chenj to big pɔsin as i nɔ gɛt strɛs as i pɔsibul.

Ustɛm a fɔ kɛr mi pikin go to dɔktɔ? Wetin fɔ du we ɛnitin apin we nɔ izi fɔ du?

I impɔtant fɔ mek yu sɛtul fɔ go to yu pikin in dɔktɔ ɔltɛm . Dɛn go de wach yu pikin ɔl di tɛm we i smɔl, we i smɔl, we i yɔŋ, ɛn we i big.

If yu pikin gɛt prɔblɛm wit in urinary tract ɛn i sho ɛni wan pan dɛn sayn ya, go na di ɔspitul imejensi dipatmɛnt we de nia yu wantɛm wantɛm :

• If yu gɛt siriɔs pen wantɛm wantɛm na yu bɛlɛ, yu bak, ɔ yu sayd we yu nɔ go ebul fɔ bia .
• If yu gɛt fiva we pas 100.5 digri F (38 digri sɛlshiɔs).
• If yu notis chenj na di we aw yu de pis (e.g., yu de pas mɔ ɔ smɔl urine pas aw yu kin pis, yu nɔ ebul fɔ pis atɔl, yu fil pen we yu de pis , yu de pas blɔd na yu urine ).

Wetin na di impɔtant kwɛstyɔn dɛn we wi fɔ aks di dɔktɔ?

Nɔ fɔgɛt fɔ aks dɛn kwɛstyɔn ya we yu go to yu pikin in dɔktɔ:

• "Wetin na di congenital urinary system abnormality we mi pikin gɛt?"
• "Aw dis situeshɔn go afɛkt in layf tumara bambay?"
• "Mi pikin de pan risk fɔ gɛt ɔda wɛlbɔdi prɔblɛm bikɔs ɔf dis kɔndishɔn?"
• "Mi pikin nid tritmɛnt?"
• "So, wetin bi di bes tritment?"
• "Us kɔmplikɛshɔn a fɔ no mɔ bɔt?"
• "Wetin na di lɔng tɛm ifɛkt dɛm we dis kɔndishɔn gɛt pan mi pikin?"

Di tin dɛn we impɔtant pas ɔl we wi nid fɔ mɛmba

Wan pan di big tin we bɔku mama ɛn papa dɛn kin fred na dat dɛn pikin we nɔ bɔn yet ɔ di pikin we dɛn jɔs bɔn go gɛt wan sik ɔ kɔndishɔn we go afɛkt dɛn layf. dis abnכmaliti dεm we dεn bכn wit di urinary tract na di sem, εn dεn kin apin we di pikin de divεlכp na di bεlε כ rayt afta dεn bכn am. Bɔrku pan dɛn kayn tin ya nɔr kin ebul fɔ avɔyd ɔl. Bɔt we dɛn gɛt bɛlɛ we gɛt wɛlbɔdi, .(Dat min se, fɔ it tin dɛn we gɛt fayn fayn tin dɛn fɔ it, fɔ tek vaytamɛn dɛn we dɔktɔ dɛn se, fɔ de fa frɔm tin dɛn we de ambɔg yu, ɛn fɔ go na dɔktɔ ɛn klinik dɛn di rayt tɛm) kin mek yu nɔ gɛt dɛn kayn sik dɛn ya te to sɔm mak.

If yu kam fɔ no se yu pikin gɛt prɔblɛm wit in urinary tract, nɔ panik . Di mɛdikal tim go mek wan tritmɛnt plan we go spɛshal fɔ yu pikin ɛn we go wok fayn fɔ am. Dɛn no aw dis kin tranga ɛn strɛs fɔ yu as mama ɔ papa. Na dat mek dɛn rɛdi fɔ ɛksplen to yu di tɛst ɛn tritmɛnt dɛn we yu pikin go nid, ɛn ansa ɛni kwɛstyɔn we yu gɛt. Di impɔtant tin we yu kin du dis tɛm na fɔ fala yu dɔktɔ in instrɔkshɔn dɛn gud gud wan ɛn abop pan yu dɔktɔ.

` di abnכmaliti dεm we dεn bכn wit di urinary sistεm, di pikin in urinary anomalies, di pikin in urinary prכblεm, kidni sik, blad prכblεm, pikin hεlth, bεlε hεlth