Yu smɔl pikin kin gɛt infɛkshɔn we de kam bak na in urinary tract? (Recurrent UTIs) Lɛ wi tɔk bɔt dis!

Yu pikin kin se sɔm tɛm se, "Mama, i kin at we yu pis "? Ɔ i nid fɔ pis bɔku tɛm pas aw i kin pis? Yu tink se di kɔlɔ ɛn smel we in urine gɛt dɔn chenj? Dɛn tin ya kin bi sayn dɛm fɔ urinary tract infection , ɔ UTI. Dis sik kin mɔs pan yɔŋ pikin dɛn, mɔ di gyal pikin ɛn bɔy pikin dɛn we nɔ kɔt dɛn fɔs skin. Lɛ wi tɔk mɔ bɔt dis tide.

Wetin na urinary tract infection (UTI)? Wetin na UTI dɛn we kin kam bak?

Fɔ tɔk am simpul wan, urinary tract infection (UTI) na infɛkshɔn we kin apin we baktri dɛn kin kam insay wi urinary system, dat na di kidni, ureter, blad, ɔ urethra.

Sɔm pikin dɛn nɔ kin jɔs gɛt dɛn urinary tract infection ya wan tɛm, dɛn kin kɔntinyu fɔ kam bak . Na dat wi kin kɔl UTI we kin kam bak . If dɛn nɔ trit dɛn tin ya fayn, dɛn kin ivin pwɛl di kidni, mɔ pan pikin dɛn we nɔ rich 6 ia yet. So, i rili impɔtant fɔ no di sayn dɛm fɔ dɛn sik ya ɛn ɛp yu pikin.

Wetin na di sayn dɛm fɔ yurinary tract infection?

Di sayn dɛm fɔ yurinary tract infection kin bi:

• Pen ɔ bɔn we yu de pis .
• Di pikin nid fɔ pis ɔltɛm.
• di kכla we de chenj (e.g., dak yכlכ, blכ d -tin) כ sכmtin (fishy smel) na di urine .
• Fiva .
• Fɔ fil kol ɛn shek shek (chills).
• Fɔd nɔ kin te .
• Nɔs, sɔntɛm na fɔ vɔmit.
• Fɔ gɛt pen na yu bɛlɛ we de dɔŋ.
• Fɔ fil pen ɔr nɔr de fil fayn na yu bak.

Sɔntɛnde, ivin pikin we bin dɔn de biev fayn bifo kin gɛt wet ɔ wet in klos we i gɛt infekshɔn na in urinary tract. bεlε pikin dεm εn pikin dεm we de smɔl kin כnli sho jεnarכl simptom dεm lεk fiva , vכmit, dεn nכ kin want fכ it, כ dεn kin dכn du tin dεm. So, wi fɔ rili tek tɛm wit dɛn kayn chenj dɛn ya pan yɔŋ pikin dɛn.

Yu tink se kayn infekshɔn de we yu kin gɛt na yu urinary tract?

Yɛs, difrɛn kayn sik dɛn de we kin mek pɔsin nɔ ebul fɔ urinate. Di kayn dɛn we dɛn kin yuz mɔ na:

• Sistayt: Dis na di kayn infεkshכn we kin kכmכn pan di urinary tract infεkshכn . Fɔ tɔk am simpul wan, na infekshɔn na di blad. Jɛm dɛndis kin apin we di urine de travul כp di urethra (di tכb we de kכri urine frכm di blad) εn go insay di blad.
• Yurethritis: Dis na infεkshכn na di urethra.
• Paylɔnfrɛtis : Dis na infεkshɔn na di kidni . I kin apin we di urine we gɛt di sik de flɔ bak ɔp di urinary tract frɔm di blad to di kidni dɛm, ɔ we infɛkshɔn na di blɔd de spre to di kidni dɛm. Dis na siriɔs kɔndishɔn .

Us ɔda tin dɛn kin mek yu gɛt infɛkshɔn na yu urinary tract bak?

Sɔntɛnde, di infɛkshɔn we de kam bak na di urinary tract kin gɛt fɔ du wit ɔda ɔndalayn mɛdikal kɔndishɔn dɛn. Na sɔm ɛgzampul dɛn ya:

• Vesicoureteral Reflux (VUR): dis kכndyushכn de fכ 30%–50% pan di pikin dεm we gεt urinary tract infεkshכn. Dis na wan sik we dɛn bɔn wit . pan dis kכndyushכn, di urine we de kכmכt na di blad de fכlכ bak כp di ureters (tin tכb dεm we de kכri urine frכm di kidni dεm to di blad), sכmtεm dεn de go כl di we to di kidni dεm . If dis bak-wɔd urine gɛt jem, i kin mek yu gɛt wan sik na yu kidni we dɛn kɔl payelonephritis.
• Hydronephrosis: Dis na we wan ɔ ɔl tu di kidni dɛn kin swel. Dis na bikɔs di urine nɔ kin ebul fɔ kɔmɔt fayn, we kin mek i bak ɛn bɔku na di kidni dɛn. Dis kin bi bikɔs ɔf siriɔs VUR ɔ wan blɔk na di ureter. Sɔm pikin dɛn we gɛt haydronɛfrɔsis kin nid fɔ tek smɔl doz antibayɔtik ɛvride fɔ mek dɛn nɔ gɛt infɛkshɔn na di urinary tract te di ɔndalayn kɔndishɔn bɛtɛ ɔ dɛn kɔrɛkt am wit ɔpreshɔn.

Bɔt nɔto ɔltɛm dis strɔkchɔral prɔblɛm dɛn na di bɔdi kin mek di urinary tract infɛkshɔn we kin kam bak.

fכ egzampl, dysfunctional voiding - usay di mכsul dεm we nid fכ εmpti di blad nכ de rilaks fayn we pikin de pis - na wan kכmכn tin we kin mek i gεt infεkshכn na di urinary tract. If yu nɔ de pis ɔltɛm ɛn we yu gɛt kɔnstipɛshɔn , dat kin mek yu gɛt infɛkshɔn bak bak.

Na smɔl tɛm nɔmɔ, tin dɛn we nɔ gɛt natin fɔ du wit am, lɛk sik dɛn we de na di imyun sistɛm we de pwɛl di bɔdi in natura difens, kin mek pɔsin gɛt UTI bak. Dɔn bak, if yu yuz kateta we nɔ gɛt stɛriyl fɔ urinary, i kin mek di jem dɛn go insay di urinary tract ɛn mek yu gɛt infɛkshɔn.

Aw dɛn kin no if tin nɔ fayn na di urinary system?

If pikin gɛt infekshɔn we de kam bak na in urinary tract, i impɔtant fɔ chɛk if prɔblɛm de we de ɔnda di urinary system . I bɛtɛ fɔ rifer pikin dɛn we gɛt di sik we de kam bak to dɔktɔ we de mɛn pikin dɛn fɔ no wetin mek dɛn gɛt di sik.

Dɛn kin no sɔm prɔblɛm dɛn bifo dɛn bɔn pikin . fכ egzampl, dεn kin no wan kכndyushכn we dεn kכl haydronefrosis we de divεlכp bifo dεn bכn am pan כltra saund as ali as 16 wiks. Na sכm tεm, if haydronefrosis afekt di tu kidni dεm εn na risk fכ di pikin, dכkta dεm kin tink bכt כpεrayshכn fכ di nyu bכbi. Bɔt bɔku tɛm, dɔktɔ dɛn kin trit di sik afta dɛn bɔn di pikin. lεk af pan dεn kכndyushכn dεm ya we dεn kin no bifo dεn bכn di pikin kin kכmכt bay di tεm we dεn bכn di pikin.

Dɔktɔ dɛn kin rili wɔri bɔt di blɔd prɛshɔn fɔ di pikin we dɛn jɔs bɔn we dɛn tink se gɛt haydronephrosis ɔ ɔda tin we nɔ fayn na in urinary tract. Dis na bikɔs sɔm prɔblɛm dɛn na di kidni kin mek pɔsin gɛt ay blɔd prɛshɔn. Dɛn kin ɔda bak fɔ mek dɛn du ɔltra saund fɔ mek dɛn si di blad ɛn di kidni klia wan. If i tan lɛk se di sik de afɛkt ɔl tu di kidni dɛn, dɔktɔ dɛn kin tɛl dɛn bak fɔ du blɔd tɛst fɔ chɛk aw di kidni dɛn de wok fayn.

Us tɛst dɛn dɛn kin du?

If dɛn tink se sɔntin nɔ de apin na di urinary system, dɔktɔ dɛn kin ɔda fɔ du tɛst dɛn lɛk dis fɔ mek dɛn no di sik kɔrɛkt wan:

• Ultrasound: Dis de yuz ay frikshɔn sawnd wev fɔ mek pikchɔ dɛn we de insay di bɔdi. I kin no prɔblɛm wit di kidni, ureter, ɛn blad. I kin mכsu bak di saiz εn shep fכ di kidni dεm.
• Renal Scan (Nuclear Scan): Dis na fɔ injekt wan redioaktiv tin insay wan vein ɛn wach am we i de muv tru di urinary system. dis mεtirial de sho aw di kidni dεm shep, aw dεn de wok fayn, if eni damej de pan di kidni tisu, εn aw di urine de fכlכ. Pan ɔl we dɛn kin tek smɔl raytin we dɛn de du dis tɛst, i kin kɔmɔt na di urine.
• Voiding Cystourethrogram (VCUG ɔ Cystogram): Dis min se dɛn kin put kateshɔn (wan saf, olo tiub) insay di blad ɛn pas wan opaque day tru am, dɔn dɛn kin du ɛkstrem rayt. Dis kin ɛp fɔ no di VUR ɛn fɔ no di prɔblɛm dɛn we de wit di blad ɔ di urethra.
• Kɔntrast Ɛnhans Vɔydin Ɔltrasɔnografi (CeVUS):Semweso lɛk `(VCUG)`. insay dis, dεn de put kateshכn εn fulכp di blad wit sכlushכn we dεn nכ de si wit εks-ray, bכt wit `(Ultrasound).` If dis sכlushכn de si nia di kidni dεm, i min se di urine de fכlכ bak (rεfluks).
• Sistoskopi: dis min se yu de put wan tin we dεn kכl sistoskop (wan tכb we gεt lεns εn layt sכs) tru di urethra fכ luk dairekt insay di blad. Dɛn kin yuz am we ɔda tɛst ɔ simptom dɛn sho se sɔntin kin de we nɔ fayn na di blad.
• Magnetic Resonance Urography (MR-U): Dis prosidur de yuz MRI skan fɔ di urinary system we dɛn nɔ yuz day ɔ redioaktiv matirial. I kɔrɛkt lɛk ɔda skan dɛn. Naw dɛn kin yuz am insted ɔf Intravenous Pyelogram.
• Intravenous Pyelogram (IVP): Dɛn kin injekt wan opaque day insay wan vein, dɔn dɛn kin tek X-ray fɔ si aw di day de travul tru di urinary system. Dis tεst stil de yus sכmtεm, bכt dεn bin riples am insay bכku kes dεm wit Renal MRI εn Renal Scan.

Aw dɛn kin trit di sik dɛn we kin kam bak na di urinary tract?

Di tritmɛnt fɔ di urinary tract infection we kin kam bak kin dipen pan di tin we kin mek i gɛt . Sɔntɛnde, i kin simpul lɛk fɔ tich yu pikin fɔ ɛmti in blad jɔs afta i fil se i nid fɔ pis .

Bɔt if di infɛkshɔn na wan kɔndishɔn lɛk VUR, di sɔlv kin kɔmplikt smɔl. Pikin dɛn we gɛt VUR nid fɔ de wach gud gud wan , bikɔs i kin mek dɛn gɛt infɛkshɔn na dɛn kidni (payelonephritis) ɛn dɛn kin pwɛl dɛn kidni. Bɔt bɔku pikin dɛn kin gro pas dis sik as dɛn de ol . Sɔm pipul dɛn kin nid ɔpreshɔn fɔ kɔrɛkt di riflɔks.

Sɔm pikin dɛn we gɛt VUR kin bɛnifit we dɛn tek smɔl antibayɔtik ɛvride. Dis kin mek dɛn nɔ nid fɔ du ɔpreshɔn. Pikin dɛn we gɛt VUR fɔ rifer to pikin dɛn urolɔjis we go disayd if antibayɔtik tritmɛnt na di bɛst opshɔn.

Sɔntɛnde, dɛn kin nid ɔpreshɔn fɔ kɔrɛkt VUR. Di ɔpreshɔn we dɛn kin du mɔ na di wan we dɛn kɔl ureteral reimplantation . dis involv fכ riposishכn wan כ di tu ureter dεm di we we go stכp di urine fכ fכlכ bak frכm di blad. Dis ɔpreshɔn kin jɔs nid fɔ kɔt am smɔl. Fɔ sɔm pikin dɛn, dɛn kin du am bak bay we dɛn de yuz rɔbɔt we dɛn kin yuz laparoskɔpi. If dɛn nid fɔ du ɔpreshɔn, di sakrifays rɛt kin bɔku. Bɔt, i nɔ fayn fɔ ɔlman.

Ureteral Reimplantation ɔpreshɔn kin fayn fɔ pikin dɛn we:

• If yu gɛt intolerans to antibayɔtiks.
• If yu kɔntinyu fɔ gɛt infɛkshɔn we de kam bak ivin we yu de tek antibayɔtik.
• If yu gɛt siriɔs, ɔ "high-grade" urinary reflux.
• Pikin dɛn we dɔn big, we min smɔl pikin dɛn ɛn yɔŋ pipul dɛn, nɔ kin ebul fɔ urinary incontinence.

wan ɔda we fɔ mek dɛn put di ureteral bak na di ɛndoskopik injɛkshɔn . dis involv fכ injεkt spεshal mεtirial insay di εria we di ureter de go insay di blad fכ mek VUR nכ de. insay dis prosidur, dεn de put wan tכn tכb we dεn kכl εndoskop tru di urethra insay di blad. Di ɛndoskɔp gɛt smɔl kamɛra na di ɛnd, so di dɔktɔ we de du di ɔpreshɔn kin gayd am fɔ go na di rayt say ɛn injɛkt di tin. Dis kin ɛp fɔ mek di urine nɔ flɔ bak insay di kidni dɛn. Pan ɔl we ɛndoskopik injɛkshɔn nɔ kin ambɔg pas ɔpreshɔn, di tin dɛn we kin apin nɔ kin fayn lɛk ɔpreshɔn. Wan dɔktɔ we de mɛn pikin dɛn we gɛt urolɔg kin ɛp famili fɔ disayd wetin na di bɛst tritmɛnt fɔ pikin we gɛt VUR.

Sɔm pikin dɛn kin gɛt infɛkshɔn we kin kam bak ɛn we nɔ kin kɔmɔt frɔm ɛni bɔdi we nɔ fayn ɔ ɔda prɔblɛm dɛn we dɛn kin trit. Dɛn kayn pikin ya kin nid fɔ tek antibayɔtik fɔ mɔnt, ivin fɔ lɔng tɛm, fɔ mek dɛn nɔ gɛt di sik bak. Dɛn kɔl dis tritmɛnt kɔntinyu antibayɔtik prɔfylaksis .

Aw yu go ɛp as mama ɔ papa?

If yu du dɛn tin ya na os, dat kin ɛp fɔ mek pikin dɛn nɔ gɛt di sik we de kam bak na dɛn urinary tract:

• Drink wata: Ɛnkɔrej yu pikin fɔ drink 8-10 glas wata ɛn ɔda wata ɛvride. Bɔku tɛm dɛn kin tɔk bɔt kranberi jus ɛn kranberi ɛkstrakt bak bikɔs dɛn tink se dɛn kin ɛp fɔ mek E. coli baktri nɔ stik na di wɔl dɛn na di blad. Bɔt aks yu dɔktɔ ɔltɛm if i fayn fɔ mek yu pikin drink kranbɛri jus ɔ ɛkstrakt, bikɔs dɛn kin ambɔg sɔm mɛrɛsin dɛn bad.
• Gud abit fɔ tɔylɛt: Fɔ pis bɔku tɛm ɛn fɔ avɔyd kɔnstipɛshɔn kin ɛp fɔ mek yu nɔ gɛt di sik bak.
• Nɔ Bɔbul Bat: Nɔ yuz bɔbul bat ɛn sop we gɛt sɛnt pan pikin dɛn, bikɔs dɛn kin mek di urethra sɛnsitiv.
• Chenj dayapɛt ɔltɛm: Dɛn fɔ chenj dayapɛt ɔltɛm. If di poop de na di jεnital εria fכ tu lכng, i kin push di jεm dεm כp di urethra εn insay di blad.
• Klin di rayt we: Di gyal pikin dɛn fɔ was frɔm di frɔnt to di bak afta dɛn dɔn yuz di tɔylɛt. Dis go ɛp fɔ protɛkt di urinary tract frɔm di jem dɛm we de insay di fes we kin mek di urinary tract infection.
• Kɔtɔn ɔndawea: .If yu wɛr kɔtɔn ɔndawea we yu kin blo, i nɔ kin mek yu gɛt smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl.
• Fɔ tɔylɛt ɔltɛm: Sɔm pikin dɛn nɔ kin want fɔ yuz di skul tɔylɛt. Ɔ dɛn kin tu bizi wit wok ɔ ple fɔ pis . Pikin dɛn we gɛt urinary tract infection fɔ pis at le ɛvri 3 to 4 awa . Dis kin ɛp fɔ flɔsh di jem dɛn tru di urinary tract.

Ustɛm a fɔ go to dɔktɔ?

If yu tink se yu pikin gɛt urinary tract infection, go to yu dɔktɔ kwik kwik wan . Yu dɔktɔ kin tɛl yu fɔ du ɔda tɛst fɔ yu urine afta yu dɔn trit yu fɔ mek shɔ se di infekshɔn dɔn go ɔlsay.

If yu pikin gɛt infɛkshɔn we de kam bak na in urinary tract, mek shɔ se yu go to pikin dɛn urologist. I kin du wan kɔmplit ɛvalueshɔn ɛn ɔda tɛst fɔ chɛk fɔ ɛni abnɔmal tin na di urinary system. Insay da tɛm de, fala wetin yu dɔktɔ tɛl yu fɔ trit pɔsin we gɛt urinary tract infection di rayt we.

Smɔl tin bɔt di tumara bambay

Stɔdi dɛn we dɛn jɔs dɔn du dɔn sho se uman ɛn pikin dɛn we gɛt infekshɔn na dɛn urinary tract we kin kam bak kin gɛt sɔm kayn immunoglobulins (wan grup fɔ protɛin dɛn we de fɛt infɛkshɔn). Sɔm pipul dɛn we de stɔdi bɔt dis biliv se dɛn kin mek wan vaysin we go mek dɛn mek di antibodi dɛn we de fɛt di sik dɛn we de na di urinary tract. Dɛn dɔn ɔlrɛdi de tɛst wan prɔmis vaysin fɔ protɛkt frɔm E. coli, di baktri we kin mek pɔsin gɛt infekshɔn na di urinary tract.

Fɔ dɔn, mɛmba dis (Take-Home Message) .

Okay, so frɔm wetin wi dɔn tɔk bɔt tide, yu fɔ ebul fɔ ɔndastand wetin na urinary tract infection na yɔŋ pikin dɛm, wetin kin apin we dɛn kam bak, ɛn wetin fɔ du. Natin nɔ de fɔ fred, bɔt yu fɔ tek tɛm .

• No di sayn dɛm: Wach fɔ di sayn dɛm lɛk pen we yu de pis , fɔ pis ɔltɛm , ɛn fiva.
• Si dɔktɔ wantɛm wantɛm: If yu gɛt ɛni dawt, go to dɔktɔ ɛn nɔ de te.
• Luk fɔ di ɔndalayn kɔz dɛm: If yu gɛt infɛkshɔn we de kam bak, go to spɛshal advays. Yu kin gɛt prɔblɛm lɛk `(VUR)`.
• Instil gud abit dɛn: Mek yu pikin drink bɔku wata, ɛnkɔrej fɔ pis ɔltɛm , ɛn kip am klin.
• Fɔ fala di dɔktɔ in instrɔkshɔn dɛn: Fɔ fala di tritmɛnt ɛksaktɔli.

Di tin we impɔtant pas ɔl na fɔ tek kia ɔf yu pikin in wɛlbɔdi. A op se dis infɔmeshɔn go yusful to yu!

` Infεkshכn na di urinary tract, UTI dεm we de kam bak, Pikin dεm, Kidni infεkshכn, VUR, Hydronephrosis, Urinary system