Sɔntɛnde, dɛn kin bɔn wi wit smɔl chenj dɛn na wi bɔdi. Sɔm pan dɛn tin ya wi nɔ ivin no bɔt ɔlsay na wi layf. Dis na kɔmɔn tin we kin de we dɛn bɔn pikin, bɔt fɔ bɔku pipul dɛn i nɔ kin kɔz ɛni prɔblɛm, ɛn dɛn kɔl am Duplex Kidney. Yu kin fred smɔl we yu dɔktɔ tɔk bɔt dis nem. Bɔt no rizin nɔ de fɔ mek wi fred. Lɛ wi tɔk bɔt dis simpul wan.
Fɔ tɔk am simpul wan, wetin na Duplex Kidney?
Dis na tin we rili simpul. Nɔmal wan, wi ɔl gɛt tu kidni na wi bɔdi. wan singl tiub (ureter) de kכmכt frכm εvri kidni εn i de kכnekt to wi blad. di urine we de mek na di kidni de travul along dis tכb to di blad.
Bɔt pan pɔsin we gɛt wan sik we dɛn kɔl Duplex Kidney , tu ureters de kɔmɔt na wan kidni . lεk di lεta Y. Dis kin apin ali we di pikin de divεlכp na di bεlε. Dis na di wangren difrɛns pan dis kɔndishɔn. Dɛn kin kɔl dis bak dupliket ureters.
Ɛni kayn Duplex Kidni de?
Yɛs, na tu kayn dɛn de mɔ. We yu dɔn ɔndastand dis, di tin go klia to yu. Lɛ wi luk am dis we fɔ ɔndastand am izi wan.
| Dupleks Kidni Tayp | Wetin de apin? |
|---|---|
| Kɔmplit Dupleks Kidni | di tu tכb dεm we de kכmכt frכm di kidni dεm nכ de kכnεkt to wan an, bכt dεn de kam sεparat εn kכnekt to di blad. |
| Duplex Kidni we nɔ kɔmplit | pan ɔl we dɛn kin bigin lɛk tu tiub dɛn frɔm di kidni dɛn, dɛn kin jɔyn togɛda bifo dɛn go insay di blad ɛn jɔyn di blad lɛk wan tiub . |
Dis kכndyushכn kin apin pan jכs wan kidni, כ i kin apin na di tu kidni dεm.
Wetin na di sayn dɛm fɔ dis sik?
Na dis impɔtant tin: Bɔrku pipul, bɔrku pan dɛn nɔr kin gɛt ɛni sayn.Bɔrku pipul nɔr no se dɛn gɛt dis sik fɔ di res ɔf dɛn layf. Bɔku tɛm dɛn kin no am bay chans, lɛk se dɛn de du skan fɔ ɔda rizin.
Bɔt sɔm tɛm, mɔ we di Duplex Kidni dɔn kɔmplit, prɔblɛm kin apin if di ureters nɔ kɔnɛkt fayn fayn wan to di blad. If na so i bi, yu kin gɛt sɔm kayn sik lɛk:
- Urinary Tract Infections (UTIs): Dɔktɔ dɛn go luk bak pan dis if yɔŋ pikin dɛn, mɔ di wan dɛn we kin gɛt urinary tract infection bɔku tɛm, gɛt prɔblɛm wit am.
- Kidni infεkshכn: Dis na urinary tract infεkshכn we kin kam wit fiva.
- Urinary Incontinence: If yɔŋ pikin kɔntinyu fɔ pis pan in klos ivin afta dɛn dɔn tren am fɔ tɔylɛt, i kin bi wan sayn.
De impɔtant tin na dat, ɛni wan pan dɛn sik ya kin kam bikɔs ɔf difrɛn kɔmplikɛshɔn fɔ de sik. Fɔ gɛt tu tiub nɔto di prɔblɛm.
Dis kin mek pɔsin pis pasmak?
Nɔ, if yu gɛt Duplex Kidni, dat nɔ min se yu bɔdi de mek mɔ urine, ɛn i nɔ min bak se yu nid fɔ pis bɔku tɛm. Bɔt if yu gɛt UTI ɔltɛm, di infekshɔn kin mek yu fil lɛk se yu nid fɔ pis bɔku tɛm.
Wetin kin mek dis apin? Yu tink se na frɔm dɛn gret gret granpa dɛn?
dis kכndyushכn de kכz fכ sכm sכm mistek we di sεl dεm de sheb we di pikin de divεlכp na di mama in bεlε. Natin nɔ de we di mama du ɔ nɔ du we i gɛt bɛlɛ na di kɔz. So nɔ wɔri bɔt am.
Sɔntɛnde, dis sik kin kam wit am. If wan mama ɔ papa gɛt dis sik, na lɛk 50% chans de fɔ mek pikin sɛf gɛt am. Bɔt pikin kin gɛt dis sik ilɛksɛf nɔbɔdi nɔ gɛt dis sik na di famili.
Wetin na di prɔblɛm dɛn we kin kam wit Duplex Kidney?
As wi bin dɔn tɔk, prɔblɛm nɔ kin jɔs kam bikɔs yu gɛt tu tiub. na we difrεns de pan di we aw dεn tכb dεm de kכnekt na in di prכblεm de apin. Dis kin mek di urine nɔ ebul fɔ flɔ, di urine kin flɔ bak insay di kidni, ɔ di kidni kin swel. Dis na di rizin wae mek infεkshכn kin apun bכku tεm.
Di men tin dɛm wae gɛt fɔ du wit dis wae yu kin si na:
- ureterocele: na bulge we lεk balכn na di urethra usay i de kכnεkt to di blad. Dis kin mek di urine nɔ ebul fɔ flɔ.
- εktopik ureter: na tכb we de kכnekt di ureter to כda say apat frכm usay i nכmal fכ kכnekt to di blad (sכmtεm i kin kכnekt di blad).
- Vesicoureteral reflux (VUR): di urine we de kכmכt na di blad de fכlכ bak כp di ureter, we kin mek di kidni infεkshכn.
- Hydronephrosis: we di urine blok de mek di urine de pul na di kidni, we de mek di kidni swel.
Aw fɔ no dis sik?
We yu de luk bak pan yu sik, yu dɔktɔ go aks yu bɔt ɛni bɛlɛ ɔ bak pen, prɔblɛm dɛn we yu gɛt fɔ kɔntrol yu urinary, ɛn if ɛnibɔdi na yu famili dɔn gɛt dis sik.
Dɛn kin yuz skan mɔ fɔ kɔnfɔm dis.
| Tɛst | Wetin fɔ ɛkspɛkt frɔm dis |
|---|---|
| Kidni ɛn blad ɔltrasɔund skan | Yu kin basically chɛk di shep, saiz, ɛn if di kidni gɛt tu dakt. |
| CT Skan (Kɔmpyut Tomografi) . | fכ gεt klia, mכr ditayl imej dεm fכ di urinary sistεm. |
| MRI skan (Magnetik Rizɔnans Imej) . | Semweso lɛk CT skan, fɔ gɛt klia pikchɔ dɛn bɔt di sɔft tisu dɛn. |
| Retrogrɛd paylɔgram | Wan spɛshal ɛkstrem rayt tɛst fɔ si di shep we di urinary tract gɛt ɛn if ɛnitin de we dɔn blok. |
Yu tink se i nid fɔ gɛt tritmɛnt? Us tritmɛnt dɛn de we pɔsin kin gɛt?
Bak, bɔrku pipul nɔr nid ɛni tritmɛnt. If yu nɔr gɛt dis sik, yu nɔr nid fɔ du natin.
Bɔt if yu kɔntinyu fɔ gɛt prɔblɛm bikɔs ɔf di prɔblɛm dɛn we wi bin dɔn tɔk bɔt, yu dɔktɔ go tɛl yu fɔ du ɔpreshɔn. dis dεm nכ de adrεs di prכblεm fכ gεt tu tכb, bכt na di blכk כ urinary reflux we dεn kכz.
Bɔku men kayn ɔpreshɔn dɛn de:
Yureteroureterostomy we dɛn kin du
dis involv fכ kכnekt di tu tכb dεm we de kכmכt frכm di kidni dεm bifo dεn go insay di blad, fכ mek wan tכb we shep fכ Y. dis de mek di urine fכ fכlכ dairekt insay di blad.
Yureteral ri-implant
if di ureter kכnekt na di rכng ples (ectopic ureter) כ if di urine fכ fכlכ bak (reflux), di sכjaman go pul di tכb εn kכnekt am bak to di kכrekt ples na di blad.
Dɛn kin pul di nɛfrɛktɔmi
Dis na tin we nɔ kin apin so ɔltɛm . I min fɔ pul wan pat ɔ ɔl di kidni. Bɔt dɛn kin jɔs du dis if da pat de na di kidni nɔ de wok atɔl ɛn i de mek pɔsin gɛt siriɔs infɛkshɔn ɔ ɔda prɔblɛm dɛn we nɔ de dɔn. Dɛn kin jɔs tink bɔt dis if di ɔda kidni de wok fayn.
Afta dɛn dɔn du di ɔpreshɔn, pikin kin de na ɔspitul fɔ wan ɔ tu dez ɛn afta dat i kin rɛst na os fɔ wan ɔ tu wiks. Afta dat, di dɔktɔ go du ɔltra saund skan fɔ mek shɔ se ɔltin fayn.
Ustɛm yu nid fɔ go to dɔktɔ?
If yu no se yu gɛt Duplex Kidney ɛn yu gɛt nyu sayn dɛm, go to yu dɔktɔ.
Bɔt if yu gɛt sayn dɛn fɔ se yu gɛt bad bad sik, go na di ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm. Dɛn kayn sayn ya na:
- Ay fiva (we pas 39 sɛlshiɔs).
- Wantɛm wantɛm, bad bad pen na di bɛlɛ.
- Wan stet we yu nɔ de stɔp fɔ vɔmit ɛn nɔ ebul fɔ it ɔ drink ɛnitin.
Mɛsej we dɛn kin kɛr go na os
- Duplex Kidney na wan sik we pɔsin kin gɛt we i bɔn. Nɔto sik, bɔt na jɔs smɔl chenj na di bɔdi.
- Bɔrku bɔrku pipul nɔr kin gɛt ɛni sayn ɔr nid fɔ gɛt tritmɛnt.
- Di simptom dɛm kin apin nɔmɔ if ɔda prɔblɛm dɛn de we gɛt fɔ du wit am (lɛk urinary reflux, obstruction).
- If dɛn nid tritmɛnt, ɔpreshɔn kin sɔlv dɛn prɔblɛm dɛn de fayn fayn wan.
- If yu ɔ yu pikin gɛt ɛni prɔblɛm wit yu urinary (infɛkshɔn bɔku tɛm, yu nɔ kin ebul fɔ kɔntrol yusɛf), nɔ shem fɔ tɔk to yu dɔktɔ bɔt am.
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