If yu na mama we de bɔn pikin, yu go mɔs dɔn fred fɔ si di wɔd ‘megaureter’ na yu skan ripɔt. Ɔ sɔntɛm yu smɔl pikin dɔn de gɛt infekshɔn na in urinary tract bɔku tɛm. Na nɔmal tin fɔ fil smɔl we yu yɛri ɔ si sɔntin lɛk dis. Bɔt nɔr wɔri, dis nɔr kin bi siriɔs sik. Tide, wi go tɔk bɔt ɔltin simpul ɛn klia we.
Fɔ tɔk am simpul wan, wetin na dis Megaureter?
Okay, mek wi ɔndastand dis fɔs. Wi ɔl gɛt tu kidni na wi bɔdi, nɔto so? dis kidni dεm de mek urine (pi). afta dat, dεn kin kכri dis urine go na di urinary bladder tru tu tכb dεm. Jɔs lɛk aw dɛn kin kɛr wata kɔmɔt na wata tank tru tu paip dɛn. dεn kכl dεn tu tכb dεm de 'ureters'.
Nɔmal wan, dɛn tiub ya na pɔsin we gɛt wɛlbɔdi kin rili tan. Bɔt sɔntɛnde, mɔ we dɛn bɔn pikin, wan ɔ ɔl tu pan dɛn tiub ya kin big ɛn big pas aw i kin bi. Na dat wi de kɔl megaureter na mɛrɛsin. ‘Mega’ min ‘big’. So ‘Megaureter’ min ‘inlarged urethra’.
Bɔku tɛm, dɔktɔ dɛn kin no dis we dɛn de du skan bifo dɛn bɔn pikin. i fayn fכ ebul fכ no am kwik, biכs afta dat yu kin tek di step dεm we nid as soon as di pikin bכn.
Us kayn megaureter de?
Dis kכndyushכn kin sheb to sεvεra men tכp dεm dipכnt pan aw i de apin. Pan ɔl we i kin tan lɛk se dis nɔ at fɔ ɔndastand, i izi fɔ ɔndastand. Mek wi luk dis tebul.
| Di kayn mɛgaureta we dɛn kin yuz | Fɔ tɔk am simpul wan, na dis kin apin. |
|---|---|
| Rifluks Mɛgaureta | di urine we de kכmכt na di blad de fכlכ bak, go כp di ureter, εn go na di kidni dεm. dis dεn kכl dis vesicoureteral reflux insay mεdikal tεm dεm. di prεshכn we de kכmכt frכm dis bakכd fכ fכlכ de mek di tכb de big sכmtεm. |
| Praymari Obstrukt Mɛgaureta | di uretra de rili sכm usay i de kכnekt to di blad. I tan lɛk se wata paip dɔn lɔk. dis de mek di urine nכ fכ fכlכ dכn fayn fayn wan εn i de mek di tכb fulכp, we de mek i swel εn big. |
| Praymari nכn-obstrכkt, nכn-rεfluks mεgaureter | Na ya, di tu rizin dɛn we wi dɔn tɔk bɔt nɔ de. Dat min se, di urine nɔ de flɔ bak, ɛn i nɔ de blok. Bɔt di dakt big. Bɔrku tɛm, dis kayn kin bɛtɛ fɔ insɛf wit tɛm. |
| Sɛkɔndari Mɛgaureta dɛn | dis kin apin as sayd ifekt fכ כda mεdikal kכndyushכn, lεk we di urethra blok, bכn difεkt lεk prune bεlε syndrome , כ damej pan di nεv dεm na di blad (neurogenic bladder) . |
Yu tink se di pikin gɛt dɛn sayn ya?
Bɔrku tɛm, pikin dɛm wae gɛt dis sik nɔr kin sho ɛni sayn . Na dat mek bɔku tɛm dɛn kin jɔs no am tru skan. Bɔt sɔm pikin dɛn kin gɛt sayn dɛn lɛk dɛn wan ya:
- Urinary tract infection wae kin kam ɔltɛm (UTI): Dis na di sayn wae kin kam pan pɔrsin.
- Sayd pen: Pen we de kɔmɔt na di sayd na di bak, dɔŋ di rib kech.
- Blɔd we de na di urine (hematuria).
- Fiva we kin kam ɔltɛm.
- I nɔ izi fɔ kɔntrol di urine (urinary incontinence).
Impɔtant: Nɔto ɔl pikin dɛn kin gɛt di sem sayn. Sɔm pikin dɛn nɔ kin gɛt ɛni wan pan dɛn sik ya.
Wetin mek dis de apin? Wetin na di rizin?
bכku tεm, dis kin apin biכs fכ sכm chenj we de apin we di pikin de divεlכp na di bεlε.
Tink bɔt di urethra lɛk tiub we dɛn mek wit mɔsul dɛn. di urine de travul frכm di kidni dεm to di blad biכs dεn mכsul dεm ya de kכntrakt lεk wev, we de push di urine dכn. bכt sכmtεm, we di pikin de gro, wan pat pan dis tכb kin stif sכmtεm, lεk fayv tisu, insted fכ mכsul. afta dat di prכsεs fכ push di urine dכn lεk wev nכ de wok fayn. So di urine kin gɛda ɛn di tiub kin big.
כda tin we kin mek i bi na we di tyub de kכnekt to di blad we de blok. dis kin bi fכ kכndishכn dεm lεk ureterocele . If na so i bi, di tiub kin ful-ɔp wit urine ɛn i kin big.
We i kam pan udat kin gɛt am mɔ, i kin afɛkt ɛni pikin, bɔt risach dɔn sho se i kin apin lɛk 4 tɛm so pan bɔy pikin dɛn pas gyal pikin dɛn .
Aw dɔktɔ dɛn kin fɛn dis?
As wi bin dɔn tɔk, bɔku tɛm dɛn kin no dis we dɛn de du ɔltra saund skan bifo yu bɔn we yu gɛt bɛlɛ.
Afta di pikin dɔn bɔn, di dɔktɔ go chɛk di pikin. Dɔn, fɔ mek dɛn no mɔ bɔt di sik, dɛn kin du dɛn tɛst ya:
- Voiding Cystourethrogram (VCUG): Dis na wan kayn ɛkstrem rayt. Dɛn kin put wan smɔl tiub insay di pikin in urethra ɛn dɛn kin put spɛshal day insay. Dɔn di ɛkstrem rayt de luk fɔ si if di wata de na di blad ɔ if i de riflɔks bak ɔp di tiub.
- di kidni ultrasound: dεn kin du dis skan fכ si aw di pikin in kidni εn blad de εn aw di dakt dεm dכn big.
- Rεnal Skan: Na ya, dεn de injεkt sכm sכm sכm rεdyuaktiv mεtirial insay wan vein na di pikin. Dɔn, dɛn kin yuz spɛshal skan fɔ wach aw dis tin de pas na di kidni dɛn. dis kin no kכrekt wan aw di kidni dεm de wok fayn εn if eni blכk de.
- Blɔd tɛst (Electrolyte panel): Dis blɔd tɛst de ɛp fɔ si if di kidni dɛn de wok fayn fayn wan.
- Urinalysis: Dɛn kin tek urine sample ɛn tɛst am fɔ si if i gɛt infekshɔn.
Aw dɛn kin trit am? Yu tink se i nid fɔ du ɔpreshɔn?
Di kweshon we de kam fo evribodi maind wen dem hie dis na, "Oh, mi pikin go get fo du opareshon nau?"
Di gud nyus na dat, bɔku pikin dɛn nɔ nid ɛni ɔpreshɔn.
Bɔrku pikin dɛn kin bɛtɛ fɔ dɛnsɛf as dɛn de ol, so yu dɔktɔ kin tek "watch-and-wait" we. Dis min se:
- skan we dεn de skan di pikin כltεm: dεn de skan di pikin כltεm fכ mכ nitor if di kidni dεm de divεlכp fayn εn if di saiz fכ di dakt dεm de dכn.
- Fɔ Gi Antibayɔtik: Fɔ mek yu nɔ gɛt bɔku bɔku sik dɛn na yu urinary tract, yu dɔktɔ kin gi yu wan antibayɔtik we nɔ bɔku fɔ tek ɛvride.
Ustɛm i nid fɔ du ɔpreshɔn?
Bɔt if di sik nɔ bɛtɛ insay di pikin in fɔs ia, if di dakt dilayt, if di urinary tract infection dɛn we de kɔntinyu fɔ gɛt fiva, ɔ if di kidni wok afɛkt, di dɔktɔ kin tɛl am fɔ mek dɛn du am ɔpreshɔn.
Tu men kayn ɔpreshɔn dɛn de:
1. Yureterostomi we dɛn kin du: .na ya, di sajin de kכnekt di urethra we big fכ sכm tεm to wan sכmכl opin (stoma) we dεn mek na di pikin in bεlε. Dɔn, di urine kin gɛda dairekt insay di dayapɛt instead fɔ go insay di blad. Dis kin mek di kidni ɛn di urethra rɛst ɛn mek dɛn ebul fɔ wɛl. Afta sɔm mɔnt, dɛn kin kɔnɛkt dis tiub bak to di blad insay ɔda ɔpreshɔn.
2. Pyeloplasty: Insay dis ɔpreshɔn, dɛn kin pul di pat we dɔn blok ɔ we dɔn smɔl na di urethra ɛn kɔnɛkt di tiub bak fayn fayn wan.
Di sakrifays we dɛn ɔpreshɔn ya kin gɛt kin rili bɔku. So nɔ fred am. Yu dɔktɔ go ɛksplen to yu di tritmɛnt we fit yu pikin.
Ustɛm di pikin nid fɔ go na ɔspitul?
If yu pikin gɛt megaureter, yu fɔ tek tɛm bad bad wan bɔt di sayn dɛm we de sho se i gɛt urinary tract infection. If yu pikin gɛt ɛni wan pan dɛn sik ya wit di urinary tract infection , kɛr am go na di ɔspitul we de nia yu in imejensi dipatmɛnt (ETU) wantɛm wantɛm :
- Ay fiva
- Bak ɔ nɛk de pen
- Vɔmit ɛn nɔs
Dɛn sayn ya de sho se di infekshɔn kin dɔn afɛkt di kidni dɛm. So nɔ delay.
Mɛsej we dɛn kin kɛr go na os
- Megaureter na wan kכndyushכn we wan כ tu pan di pikin in ureter dεm big pas nכmal we dεn bכn am. Bɔku tɛm dɛn kin no dis we dɛn de skan we uman gɛt bɛlɛ.
- Nɔ fred we yu yɛri dis. Bɔku pikin dɛn nɔ nid ɔpreshɔn . Dis kɔndishɔn go bɛtɛ fɔ insɛf as tɛm de go.
- Di tin we impɔtant pas ɔl na fɔ kɛr yu pikin go chɛk-ap ɛn klinik di rayt tɛm, lɛk aw di dɔktɔ se. Nɔ mis dɛn.
- If yu pikin gɛt fiva ɛn sayn dɛn we de sho se i gɛt infekshɔn na in urinary tract (we de pis bɔku tɛm, kray we i de pis, urine we de smɛl fayn), go to dɔktɔ wantɛm wantɛm.
- Na yu rayt fɔ tɔk to yu dɔktɔ opin wan bɔt ɛni kwɛstyɔn ɔ tin we yu de fred.
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