If yu na mama we de bɔn pikin, sɔntɛm yu sabi di skan dɛn we de chɛk yu pikin in wɛlbɔdi . Sɔmtɛm, if di wɔd "megaureter" de na di skan ripɔt, i nɔmal fɔ fil bad bad wan ɛn wɔri. Bɔt nɔ wɔri. If yu no gud gud wan bɔt dis sik, yu go strɔng pasmak fɔ bia wit am. Tide, lɛ wi tɔk bɔt wetin i bi, wetin mek i kin apin, ɛn wetin dɛn kin du bɔt am.
Fɔ tɔk am simpul wan, wetin na dis Megaureter?
Okay, lɛ wi ɔndastand smɔl fɔs bɔt aw di urinary system na wi bɔdi de wok. Wi gɛt tu kidni dɛn. Dɛn wan ya de filta wi blɔd ɛn mek urine (pi) frɔm dɔti tin dɛn we nɔ nid. afta dat, tu tin tכb dεm de we de kכri dis urine go na di blad. Dɛn tu tiub ya na wetin wi kɔl ureters .
Nɔmal wan, di urethra na pɔsin we gɛt wɛlbɔdi na wan tin tiub we lɔng lɛk 9 inch ɛn wayd lɛk wan inch. כltu, insay wan kכndishכn we dεn kכl ``megaureter``, dis urethra de abnכmal we i big εn i wayd pas nכmal. Fɔ tɔk am simpul wan, na "mega" (big) "ureter" (ureter) lɛk aw di nem sho.
bכku tεm dis na wan kכndyushכn we dεn bכn pikin we kin apin we di pikin stil de na di bεlε. dis na di rizin we mek dεn kin no am bכku tεm we dεn de du di tεst fכ imej bifo dεn bכn. if dεn nכ trit am fayn, wan siriכs kכndyushכn we dεn kכl ``Megaureter`` kin pwεl di pikin in urinary sistεm.
Yu tink se men kayn megaureter dɛn de?
Yes, dεn kin sheb dis kכndyushכn to sεvεra men tכp dεm dipכnt pan aw i kin apun. If yu dɔktɔ yuz dɛn wɔd ya, lɛ wi lan bɔt dɛn fɔ mek i izi fɔ ɔndastand.
| Di kayn mɛgaureta we dɛn kin yuz | Wetin kin apin na simpul tin. |
|---|---|
| Rifluks Mɛgaureta | dis na we di urine we de kכmכt na di blad de fכlכ bak, כp, εn dכn di ureter tכwεd di kidni. dis bakwכd fכ fכlכ (vesicoureteral reflux) de mek di ureter strεch εn sכmtεm i de big. |
| Praymari Obstrukt Mɛgaureta | wetin de apin ya na di urethra we i de kכnekt to di blad de blok εn sכmtεm sכmtεm. I tan lɛk se yu de swɛt wata paip na di ɛnd. dis kin mek di urine fכ fכlכ kכmכt (bכk) εn di tכb de fulכp wit urine, we de mek i swel εn big. |
| Praymari nכn-obstrכkt, nכn-rεfluks mεgaureter | If na so i bi, nɔto ɔl di rizin dɛn we wi dɔn tɔk bɔt de. Dat min se, di urine nɔ de flɔ bak, ɛn i nɔ de blok. Bɔt di urethra dɔn big. Bɔrku tɛm, dis sik kin wɛl insɛf as di pikin de gro. |
| Sɛkɔndari Mɛgaureta dɛn | Dɛn tin ya kin apin bikɔs ɔf ɔda mɛrɛsin dɛn, lɛk we di yurethra blok, prune bɛlɛ sindrom , ɔ nyurojɛnik blad . |
Us simptom dɛm mi pikin kin gɛt wit dis sik?
Bɔrku tɛm, pikin dɛm wae gɛt megaureter nɔr kin gɛt ɛni sayn . Dis na di rizin we mek di skan we dɛn kin du bifo dɛn bɔn pikin rili impɔtant. Bɔt sɔm pikin dɛn, mɔ afta dɛn bɔn dɛn, kin gɛt sɔm sayn dɛn. Dɛn tin ya na:
- Flank pen: Pen we de kɔmɔt na di sayd na di bak, dɔŋ di rib dɛm.
- Blɔd we de na di urine (hematuria): If di urine tɔn pink, rɛd, ɔ brawn.
- Urinary tract infection (UTIs): Urinary tract infection kin mek yu gɛt fiva, kol, ɛn bɔn we yu de pis.
- Fiva we nɔ gɛt ɛni rizin.
- Urinary incontinence: If yu pikin dɔn big smɔl, i kin at fɔ kɔntrol aw i de pis.
Di impɔtant tin na dat nɔto ɔl pikin go gɛt ɔl dɛn kwaliti ya. Di kwaliti dɛn we wan pikin gɛt kin rili difrɛn frɔm ɔda pikin.
Wetin mek dis kin apin to bebi dɛn? Wetin na di rizin?
I at fɔ no wan rizin fɔ dis, bɔt sɔm men rizin dɛn de we dɛn dɔn no.
we di pikin de gro na di bεlε, di urethra de mek wit wan layεr mכsul we kin kכntrakt. dis mכsul dεm de kכntrakt lεk wev fכ push urine frכm di kidni dεm to di blad. wi kכl dis prכsεs ``peristalsis``.
כltu, sכmtεm, insted fכ dis mכsul, wan tכf, we nכ de fleksibul, fכ fayv tisu de divεlכp na wan pat pan di urethra. Dis taf pat nɔ go ebul fɔ kɔntrakt lɛk dat. Dis kin mek di urine nɔ de flɔ, ɛn di tiub kin ful-ɔp wit urine, ɛn smɔl smɔl i kin big.
apat frכm dat, we di uretra blok na di say we di uretra de go insay di blad, כ we di εnd pan di uretracele (ureterocele), i kin mek bak wan kכndyushכn we dεn kכl ``megaureter'', we de mek di urine fכ fכlכ.
Risach dɔn sho se dis sik kin bɔku pan bɔy pikin dɛn lɛk 4 tɛm pas gyal pikin dɛn.
Aw dɔktɔ dɛn kin no bɔt dis? Us tɛst dɛn dɛn kin du?
as wi bin dכn tכk, bכku tεm dεn kin no dis we uman bεlε tru wan כltra saund skan (ultrasound/sonogram) , we de mek dεn kin si di pikin in kidni, ureter, εn blad klia wan.
If yu pikin sho sɔm sayn dɛm lɛk we i kin gɛt infɛkshɔn na in urinary tract bɔku tɛm afta dɛn bɔn am, yu dɔktɔ go chɛk yu pikin ɛn tɛl yu fɔ du ɔda tɛst if dɛn tink se i gɛt dis sik.
- VCUG (Voiding Cystourethrogram): Dis na spɛshal kayn ɛkstrem rayt. na ya, dεn kin put wan tכb we rili tכn (kateta) insay di pikin in yכri, εn dεn kin pas wan spεshal wata (kכntrast day) tru am insay di blad. Dɔn we di pikin de pis, dɛn kin tek ɛkstrem rayt fɔ si if di wata kɔmɔt wit di urine ɔ go bak ɔp di urethra.
- Kidni ɔltrasɔund: Dis kin ɛp fɔ chɛk di sayz, shep, ɛn if ɛnitin de ambɔg di pikin in kidni ɛn blad.
- Rεnal Skan: Insay dis tεst, dεn kin injεkt sכm sכm sכm rεdyuaktiv mεtirial (radiotracer) insay wan vein na di pikin. Dɔn, dɛn kin yuz spɛshal skan fɔ wach aw di tin de pas na di kidni dɛn. Dis kin ɛp fɔ no aw di kidni dɛn de wok fayn fayn wan ɛn if ɛnitin de we de blok na di flɔ we di urine de flɔ.
- Blɔd tɛst (Ilektrolayt panɛl): Dɛn kin chɛk di ilɛktrɔlayt lɛvɛl dɛn na di blɔd fɔ si if di pikin in kidni dɛn de wok fayn fayn wan.
- Urinalysis: Dɛn kin tek urine sample ɛn chɛk fɔ si if i gɛt sayn dɛn fɔ urinary tract infection.
Aw dɛn go trit dis? Yu tink se i nid fɔ du ɔpreshɔn?
Di tritmɛnt fɔ dis kin difrɛn frɔm wan pikin to ɔda pikin. I dipen pan di pikin in ej, di kayn sik wae de kam, ɛn in ɔl wɛl bɔdi.
Di bɛst nyus na, .Bɔku pikin dɛn nɔ nid fɔ gɛt big tritmɛnt ɔ ɔpreshɔn. Bɔrku tɛm, de sik kin bɛtɛ fɔ insɛf as di pikin de big.
fכ dat, fכs, dכkta dεm kin adopt "watch-en-wait" we. Insay dis tɛm:
- Dɛn kin du ɔltra saund skan ɔltɛm fɔ chɛk if di pikin in kidni dɛn de divɛlɔp nɔmal wan.
- Dɛn kin kɔntinyu fɔ yuz antibayɔtik fɔ ridyus di risk fɔ gɛt urinary tract infection (UTI).
Bɔt if di sik nɔ bɛtɛ insay di pikin in fɔs ia, if di urethra big (dilate), if di urinary tract infection kɔntinyu, ɔ if di kidni wok afɛkt, den i kin nid fɔ du ɔpreshɔn.
Tu men kayn ɔpreshɔn dɛn de:
1. Yureterostomy: Na ya, di sajin de kכnekt di pikin in urethra to wan sכmכl opin (stoma) we dεn mek na di bכdi. afta dat, di urine de fכlכ dεrekt kכmכt na di opin insay di pikin in daypa insted fכ go insay di blad. Dis kin mek di urethra ɛn kidni dɛn rɛst ɛn mek dɛn ebul fɔ wɛl. Afta sɔm mɔnt, we di urethra dɔn kam bak to in nɔmal saiz, dɛn kin du ɔda ɔpreshɔn fɔ kɔnɛkt am bak to di blad.
2. Pyeloplasty: Dis ɔpreshɔn kin min fɔ pul ɔ ripɛnt di pat we dɔn blok ɔ we dɔn smɔl, ɛn kɔnɛkt bak di ɔda tu pat dɛn na di urethra.
Di sakrifays we dɛn ɔpreshɔn ya kin gɛt kin rili bɔku. So nid nɔ de fɔ fred am. Di dɔktɔ go ɛksplen to yu ditayli us tritmɛnt we bɛtɛ fɔ yu pikin.
Tɛm de we yu nid fɔ kɛr yu pikin go na di ETU?
Yɛs. If yu pikin gɛt wan sik we dɛn kɔl ``Megaureter'' ɛn gɛt ɛni wan pan dɛn sik ya wit urinary tract infection (UTI), kɛr am go na di ɔspitul we de nia yu in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm .
- Bak pen
- Ay fiva
- Nɔs ɛn vɔmit
Nɔ de na os di tɛm lɛk dis. I rili impɔtant fɔ go to dɔktɔ wantɛm wantɛm.
Mɛsej we dɛn kin kɛr go na os
- Megaureter na wan abnכmal we di tכb de big we de kכri urine frכm pikin in kidni to di blad. Bɔku tɛm, dis na tin we pɔsin kin bɔn wit.
- Nɔ wɔri if yu kam fɔ no bɔt dis we yu de skan we yu gɛt bɛlɛ. Bɔku pikin dɛn nɔ nid ɔpreshɔn , ɛn di sik go sɔlv insɛf as di pikin de gro.
- If yu dɔktɔ se yu fɔ du "watchful waiting" we, mek shɔ se yu kɛr yu pikin go fɔ di chɛk-ap di de we dɛn dɔn sɛtul.
- Fɔ gɛt infekshɔn na yu urinary tract bɔku tɛm na wan kɔmɔn sayn fɔ dis sik. So, tek di antibayɔtiks we yu dɔktɔ tɛl yu lɛk aw dɛn tɛl yu.
- If nid fɔ du ɔpreshɔn, di sakrifays rɛt kin rili ay, so nɔ fred am we nɔ nid fɔ du am.
- If di pikin gɛt sɔm sayn dɛn lɛk fiva, bak pen, ɛn vɔmit, kɛr am go na ɔspitul in Imejɛnsi Tritmɛnt Yunit (ETU) wantɛm wantɛm.
- Aks yu dɔktɔ ɛni kwɛstyɔn ɔ tin we de mɔna yu. Dɛn go gi yu ɔl di infɔmeshɔn ɛn sɔpɔt we yu nid.
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