I nɔ izi fɔ yu smɔl pikin fɔ pis? I kin bi bikɔs ɔf di Posterior Urethral Valves (PUV)!

As mama ɔ papa, yu kin wɔri bɔku bɔt yu smɔl pikin in wɛlbɔdi, nɔto so? Sɔntɛnde, ivin di smɔl smɔl sik dɛn we wi pikin dɛn kin gɛt kin mek dɛn strɛs bad bad wan. Tide, wi go tɔk bɔt wan kɔndishɔn we nid fɔ wɔri sɔm, bɔt yu nid fɔ ɔndastand am ɛn nɔ panik. dis na kכndyushכn we dεn bכn wit we de afekt bכy pikin nכmכ , εn dεn kכl am `Posterior Urethral Valves` כ `(PUV)`.

Wetin na di Posita Yuretra Valv dεm (PUV)?

fכ simpul wan, `Posterior Urethral Valves` na kכndishכn we wan εkstra pat pan di tisu de gro insay di tכb we wi sכm sכm bכy pikin dεm urine de kכmכt, di urethra (dכkta dεn kin kכl am bak di urethra), we de blok di pasej fכ di urine. Tink bɔt am lɛk sɔntin we stɔp na di midul pan wata paip. Dis na wan sik we dɛn kin bɔn wit .

we di urethra blok dis we, di blad nכ de ɛmti kכmplit wan. Wetin kin apin da tɛm de? Yurin kin bak ɔp insay di blad ɛn afta dat i kin go insay di kidni dɛn. Jɔs lɛk we dɛn blok wata paip, i kin bak ɛn go ɔp. Dis kin pwɛl di blad ɛn di kidni.

Sɔntɛnde, dɔktɔ dɛn kin no dis sik we dɛn de du ɔltra saund skan we di pikin stil de na di bɛlɛ. Ɔ dɛn kin no am afta dɛn bɔn di pikin ɔ we i smɔl. I impɔtant fɔ mɛmba se dis sik kin afɛkt bɔy pikin dɛn nɔmɔ . na sכm ples dεm, dεn kin kכl am bak Congenital Obstructive Posterior Urethral Membrane (COPUM).

Yu tink se dis sik nɔ kin apin so ɔltɛm?

infakt, dεn ripot se lεk 500 pikin dεm we dεn bכn ɔlsay na di wכl εvri ia dεn kin afekt dis kכndyushכn, ``Posterior Urethral Valves.' ’ Na in bak na di men tin we kin mek bɔy pikin dɛn nɔ ebul fɔ urinary tract.

Wetin na di sayn dɛm fɔ dis sik?

Naw lɛ wi si us simptom di pikin de sho na dis `(PUV)` kɔndishɔn. Sɔntɛnde, we yu si dɛn tin ya, yusɛf go no se, ‘A, dis kin apin to mi bɔy pikin bak, nɔto so?’

• di ed pat pan di urine pasej de wik bad bad wan, ɔ i de drip: I tan lɛk se di ed rili wik we di pikin de pis ? Ɔ i kin drip ivin afta di pikin dɔn fɔ pis ? Dis na wan sayn we de sho se yu gɛt dis sik.
• Urinary tract infections (UTIs): If yɔŋ pikin gɛt fiva, i nɔ de drink milk, i de kray bɔku, ɔ i nɔ izi fɔ pis , i kin bi UTI. Pikin dɛn we gɛt UTI kin gɛt dɛn sik ya.
• Di pikin in wet nɔ de go ɔp fayn fayn wan: Pan ɔl we yu pikin de drink bɔku milk, if in wet de go sloslo, yu fɔ wɔri bak bɔt dat.
• Pen we yu de pis : I at ɛn i kin mek yu fil pen fɔ pis . Di pikin kin ivin kray. Dɔktɔ dɛn kin kɔl dis `(Dysuria)`.
• I at fɔ pis : I tan lɛk se yu pikin de strɛs fɔ pis ? ƆI kin tek lɔng tɛm fɔ bigin fɔ pis ?
• Oligohydramnios: Yu dכkta se di amount of amniotic fluid we de rawnd yu pikin bin sכm (oligohydramnios) we yu bin de skan yu bεlε? Dat kin gɛt sɔntin fɔ du bak wit dis.
• Hydronephrosis: Dɔktɔ dɛn kin ripɔt bak se di kidni dɛn kin tan lɛk se dɛn dɔn swel (Hydronephrosis) we dɛn de skan , ilɛksɛf na we uman gɛt bɛlɛ ɔ afta dɛn bɔn di pikin. Dis min se di kidni dεm nכ de drayn fayn εn dεn de כnda prεshכn.

Wetin mek dis de apin? Wetin na di rizin?

Okay, naw yu go mɔs de wɔnda, ‘Wetin mek dis apin to wi bɔy pikin?’ Wetin rili mek dis?

dis `Posterior Urethral Valves` de kכz f כ εkstra tisu we de gro na di pat pan di urethra we de nia di blad we di pikin de divεlכp kwik kwik wan. dis ekstra tisu de mek di urethra sכmtεm sכmtεm, lεk se wan tכb de sכk insay. Dis kin blok di we fɔ mek di urine kɔmɔt.

Bɔt dɔktɔ dɛn stil nɔ ebul fɔ no di rayt rizin we mek dis ɛkstra tisu de divɛlɔp dis kayn we. naw dεn kin tek am se na divεlכpmεnt abnכmaliti we de apin di tεm we di εmbrayo de stej.

Us ɔda prɔblɛm dɛn dis kin mek pɔsin gɛt?

If dɛn nɔ trit dis ``(PUV)`` kɔndishɔn fayn ɛn kwik, i kin mek yu gɛt mɔ wɛlbɔdi prɔblɛm. Na dat mek i rili impɔtant fɔ no dis kwik kwik wan ɛn fala yu dɔktɔ in advays.

• Vesicoureteral reflux (VUR) : dis na we di urine we de kכmכt na di blad de fכ bak tru di ureter insay di kidni dεm. Imajin wetin go apin if di urine we fɔ go dɔŋ insted go ɔp? I kin mek yu gɛt infɛkshɔn na yu kidni ɛn i kin pwɛl yu fɔ lɔng tɛm.
• Urinary retention: Dis min se nɔto ɔl di urine de kɔmɔt, ɛn smɔl de ɔltɛm de insay. Dis kin mek di blad big ɛn mek yu gɛt infɛkshɔn.
• Kidni swel: Di kidni kin swel bikɔs di urinary system de ambɔg.
• Kidni we nɔ de wok fayn: Dis na di tin we kin apin we dis sik kin rili denja. Fɔ lɔng tɛm, di kidni dɛn kin pwɛl ɛn nɔ kin wok igen.

Aw dɔktɔ dɛn kin no dis?

Naw lɛ wi si aw dɔktɔ dɛn kin kɔrɛkt wan fɔ no dis ``(PUV)`` kɔndishɔn, dat na aw fɔ no di sik.

• כltra saund skan we yu bεlε: sכmtεm, כltra saund skan we dεn du we yu de εkspεkt pikin kin gi klyu dεm bכt dis kכndyushכn (e.g., blad we big, kidni dεm we swεla, di amniotic fluid we de rawnd di pikin we dεn dכn dכn).
• di tεst dεm we dεn kin du afta dεn bכn di pikin:
• Kidni `Ɔltrasaund Skan`: .we dεn du כltra saund skan afta dεn bכn di pikin, i kin no klia wan εni chenj כ tin we de ambɔg di pikin in kidni, blad, εn urinary system.
• `Voiding Cystourethrogram (VCUG): Dis na di men tεst fכ kכnfכm di prεsεns fכ `(PUV)`. insay dis, dεn kin put sכm sכm tכb (kateta) insay di pikin in yכri εn dεn kin pas wan spεshal wata (kכntrast day) tru am insay di blad. Dɔn dɛn kin tek wan siriɔs `X-ray` pikchɔ dɛn we di pikin de pis . dis de sho aw di blad de fulכp, aw i de εmpti, usay di urethra de blכk (`valv`) εn if di urine de fכlכ bak insay di kidni dεm (`VUR`).
• sistoskopi: dis involv fכ pas wan sכmכl, fleksibul tכb (divais we gεt kεmεra εn layt we dεn ataya - sistoskop) dכn di urethra fכ luk dεn wan dεm we dεn blכk. Dis kin mek dɛn ebul fɔ luk gud wan ɛn sɔntɛnde dɛn kin trit am we dɛn de du di ɔpreshɔn.
• di tεst dεm we di kidni dεm de wok: dεn de du bכdi εn urine tεst fכ si aw di kidni dεm de wok fayn fayn wan.

Wetin na di tritmɛnt dɛm fɔ dis?

Okay, naw lɛ wi tɔk bɔt di tritmɛnt fɔ dis. Nɔr frayd fɔ yɛri dis, bikɔs naw gud tritmɛnt de fɔ dis. Dɔktɔ dɛn go gi yu pikin di bɛst tritmɛnt we pɔsin kin gɛt.

Di men gol fɔ tritmɛnt na fɔ pul di blɔk we de na di urinary tract ɛn alaw di urine fɔ pas izi wan.

• `Fulguration` (Valve ablation): dεn kin du dis bכku tεm fכ pul di tisu (valv dεm) we de mek di blכk. we dεn de du `sistoskopi`, dεn de pas wan sכmכl instrכmεnt tru di `sistoskop` εn, we dεn yuz ilɛktrishɔn כ lεzεr layt, di tisu we pasmak de pwεl wit כt. dis dεn kכl am `fulguration` כ `valv ablashכn`. Dis na di men ɛn fɔs tritmɛnt.

I dipen pan di pikin in kɔndishɔn, di kayn we aw i blok, ɛn if ɔda prɔblɛm dɛn de, di dɔktɔ kin tɛl am ɔda tritmɛnt dɛn:

• Catheterization: Na we dɛn de put wan tiub fɔ sɔm tɛm fɔ ɛmti di blad. sכmtεm dεn kin du dis rayt afta dεn bכn di pikin fכ rεliv di prεshכn pan di blad εn di kidni dεm.
• Yurethral dilation: Sɔntɛnde, di urethra kin big.
• Vesicostomy: Sɔm pikin dɛn, mɔ di wan dɛn we gɛt bad bad kidni damej, kin gɛt ɔpreshɔn we dɛn kɔl vesicostomy. Dis min se yu fɔ mek smɔl ol na di bɛlɛ in skin dairekt frɔm di blad, we go mek yu urine kɔmɔt insay. Dis kin bi fɔ shɔt tɛm nɔmɔ ɛn dɛn go lɔk am leta.
• Antibayɔtik: If yu gɛt urinary tract infection, dɛn go gi yu antibayɔtik. Sɔntɛnde, yu kin kɔntinyu fɔ tek smɔl smɔl antibayɔtik fɔ mek yu nɔ gɛt di sik.
• `Dayalysis` ɔ `Kidni transplant`:Bɔt i sɔri fɔ no se sɔm pikin dɛn kidni kin pwɛl bad bad wan dat dɛn nɔ kin ebul fɔ du am, ɛn dɛn kin nid fɔ dayalysis ɔ transplant dɛn kidni.
• Antispasmodics: Sɔm pikin dɛn kin gɛt prɔblɛm wit di blad wok. Dɛn kin gi antispasmodic fɔ mek i izi fɔ pis .

Na sכm tεm, if dεn no dis kכndyushכn we di pikin stil de na di bεlε, sכm spεshal pipul dεm go tray fכ du di pikin כpεrayshכn, bכt i kin rili kכmpleks εn i nכ kin apin.

Wetin go apin tumara bambay wit dis situeshɔn? (Prɔgnosis) .

Okay, wetin kin apin afta tritmɛnt? Aw di pikin in tumara bambay go tan lɛk? Dis na kwɛstyɔn we bɔku mama ɛn papa dɛn gɛt.

• Fɔ wach fɔ lɔng tɛm: If yu pikin gɛt wan sik we dɛn kɔl (PUV), ivin if dɛn de trit am, dɛn go nid fɔ wach am fɔ di res ɔf in layf fɔ wach aw dɛn kidni de wok ɛn di urinary system wɛlbɔdi. Dis min se yu fɔ kɔntinyu fɔ go to dɔktɔ, du blɔd tɛst, urine test, ɛn ɔltra saund skan.
• Urinary incontinence: Sɔm pikin dɛn kin gɛt urinary incontinence, ɔr kin nid fɔ urinary ɔltɛm , ilɛksɛf na pikin, titi, ɔ big pipul.
• Risk fɔ mek dɛn kidni nɔ wok fayn: Stɔdi dɔn sho se lɛk 15% pan di pikin dɛn we gɛt PUV kin gɛt risk fɔ mek dɛn kidni nɔ wok fayn sɔm tɛm na dɛn layf . Na dat mek i impɔtant fɔ de ɔnda dɔktɔ in sɔpɔtishɔn.

Bɔt nɔ wɔri. If dɛn trit dɛn fayn ɛn dɛn fala dɛn gud gud wan, bɔku pikin dɛn kin liv nɔmal, wɛlbɔdi layf.

Ustɛm a fɔ go to dɔktɔ?

If yu smɔl pikin gɛt ɛni wan pan di sik dɛn we wi dɔn tɔk bɔt, lɛk we i wik, we i kin gɛt UTI ɔltɛm, nɔ west tɛm ɛn go to dɔktɔ we de mɛn pikin dɛn ɔ dɔktɔ we de mɛn pikin dɛn wantɛm wantɛm. If dɛn nɔ trit dis sik, i kin mek i gɛt siriɔs wɛlbɔdi prɔblɛm, mɔ di kidni we kin pwɛl.

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

We yu go to yu dɔktɔ, i impɔtant fɔ lisin to ɔltin we de na yu maynd. I go fayn fɔ aks yusɛf dɛn kwɛstyɔn ya:

• Us tritmɛnt dɛn de fɔ mi pikin?
• Aw dis tritmɛnt kin wok? Wetin kin apin bikɔs ɔf dat?
• Wetin wi fɔ ɛkspɛkt we wi de trit wi ɛn we wi de wɛl?
• Aw a fɔ kia fɔ mi pikin di tɛm we i de wɛl? Wetin na sɔm tin dɛn we a nid fɔ pe atɛnshɔn mɔ to?
• Ustɛm wi fɔ kam si di dɔktɔ bak? (Go bak)

Mama ɛn Papa, una mɛmba dis.

Na nɔmal tin fɔ mek yu fred, wɔri, ɛn fil bad we yu kam fɔ no se yu pikin gɛt dis sik. Bɔt duya mɛmba dis:

Natin nɔ bin de we yu bin fɔ dɔn du fɔ mek dis tin nɔ apin. Dis nɔto bikɔs ɔf yu fɔlt, sɔntin we yu du ɔ tɔk, ɔ sɔntin we yu nɔ du. Dis na sɔntin we kin kam wit bɔn pikin.

Yu pikin in dɔktɔ ɛn di wɛlbɔdi tim go ɛp ɛn gayd yu ɛvri step na di rod. Dɛn go ɛksplen ɔltin to yu, lɛk wetin yu fɔ ɛkspɛkt, us tritmɛnt dɛn de, ɛn aw fɔ kia fɔ yu pikin. So mek shɔ se yu kip yu dɔktɔ in apɔntinmɛnt fɔ fala yu. Nɔ fred ɔ shem fɔ aks ɛni kwɛstyɔn we yu gɛt, ilɛksɛf i smɔl. I impɔtant fɔ no ɔltin klia wan bikɔs yu want di bɛst fɔ yu pikin.

` Posita Yurethral Valv, PUV, Yurinari Trakt Sik dεm na Bɔy pikin dεm, Yurinary Obstruction, Kidni Sik dεm, Pikin Hεlth, Bכn Difεkt