di dכkta bin se we yu bin de skan bifo yu bכn se wan pan yu pikin in kidni dεm luk swεla sכmtεm? Ɔ yu smɔl pikin kin gɛt urinary tract infection bɔku tɛm? Sɔntɛm yu de tɔk bɔt smɔl pen na di sayd na yu bɛlɛ? Tide, wi go tɔk bɔt wan kɔndishɔn wae kin kam wit dis, bɔt nɔr kin tɔk bɔt am bɔrku. dis dεn kכl dis Yureteropelvik Jכnkshכn Obstrכkshכn, כ UPJ Obstrכkshכn fכ sכt.
Fɔ tɔk am simpul wan, wetin na UPJ Obstrukshɔn?
Fɔ ɔndastand dis, lɛ wi fɔs luk aw wi kidni dɛn de wok. Tink bɔt wi kidni dɛn lɛk tu wata filta dɛn. Dɛn kin filta di blɔd we de na wi bɔdi, ɛn di dɔti ɛn wata we nɔ nid we de insay kin gɛda ɛn fɔm to urine.
di urine we de fכm dis we de kכlekt insay wan pat we lεk fכnel insay di kidni (di rεnal pεlvis) . afta dat, di urine de travul dכn wan tכn tכb (di ureter) we de stat frכm dis fכnel εn kכlekt insay di blad.
di say we di kidni fכnel εn di ureter we de bigin de kכnekt na in wi kכl di Yureteropelvik Jכnkshכn (UPJ).
Naw yu ɔndastand, nɔto so? UPJ Obstruksh כn na we blכk כ obstrכkshכn de na da jכnkshכn de, dat na usay di fכnel εn di tכb de mit. Jɔs lɛk we paip na sink blok, di urine nɔ kin ebul fɔ go dɔŋ ɛn bigin fɔ ful-ɔp insay di kidni. fכ mεdikal tεm dεm, dεn kכl dis (Hydronephrosis) we di kidni fulכp wit urine.
Bɔku tɛm dis sik kin apin we pɔsin bɔn wit ɛn i kin afɛkt wan kidni nɔmɔ.
Yu tink se dis tin we de apin rili siriɔs?
Yes, UPJ Obstruction na wan kɔndishɔn we dɛn nid fɔ tek kia ɔf. Bikɔs, if dɛn nɔ trit am fayn, di kidni kin pwɛl ɛn in wok kin ridyus bikɔs di urine kin ful-ɔp insay di kidni fɔ lɔng tɛm. If di bad tin apin, di kidni kin ivin nɔ wok fayn atɔl (kidni nɔ de wok fayn).
Bɔt nɔ wɔri. If dɛn kech am kwik ɛn trit am fayn, i kin wɛl ɔl. Bɔrku pikin dɛn kin liv wɛl bɔdi layf ɛn nɔr kin gɛt ɛnitin fɔ du wit dɛn fɔ lɔng tɛm.
Wetin na di sayn dɛm fɔ dis sik?
Di sayn dɛm fɔ UPJ Obstruction kin difrɛn wit di ej. Sɔntɛnde, smɔl pikin nɔ kin sho ɛni sayn. Bɔt sɔm kɔmɔn sayn dɛn de we pɔsin kin si.
| Di sayn we de sho se di sik de | Simpul ɛksplen |
|---|---|
| Wan knot na di bɛlɛ we de kech di an | we di kidni swεla bikoz di blad fulכp, i kin fil lεk wan bכdi na di sayd fכ di bכdi. |
| Urinary tract infection (UTI) we kin kam bɔku tɛm . | Bikɔs di urine kin de na wan ples, i kin izi fɔ mek yu gɛt baktriyal infɛkshɔn, we kin mek yu gɛt fiva. |
| Flank pen we de mek pɔsin fil pen | Yu kin gɛt kramp ɔp yu wɛst ɛn na yu bak, mɔ afta yu dɔn drink bɔku wata lɛk wata. |
| Kidni ston dɛn | Bikɔs di urine de na wan ples, risk de fɔ mek yu gɛt ston na yu kidni as tɛm de go. |
| Blɔd we de na di urine (Hematuria) . | Sɔntɛnde, di urine kin tɔn pink ɔ rɛd. |
| Nɔs ɛn vɔmit | Nɔs ɛn vɔmit kin apin, mɔ di tɛm we yu de kramp. |
| Di we aw pɔsin nɔ de gro fayn | I kin mek yɔŋ pikin dɛn nɔ gɛt bɛtɛ wet ɛn gro fayn fayn wan. |
Wetin na di rizin fɔ dis? Wetin mek dis de apin?
Di tin dɛn we kin mek pɔsin bɔn pikin
Bɔku tɛm, pas 95% pan di kes dɛm, UPJ Obstrukshɔn na wan kɔndishɔn we dɛn bɔn wit.dis min se di blכk de apin biכs di kidni dεm εn di urinary tract nכ de fכm fayn we di pikin de gro na di bεlε. Dɛn nɔ dɔn fɛn di rayt tin we mek dis apin yet. I jɔs de apin.
Di tin we impɔtant pas ɔl na dat dis nɔto bikɔs ɔf ɛni fɔlt we yu (ɔ yu mama ɛn papa) gɛt. Nɔ fil bad we yu tink se dis na bikɔs ɔf sɔntin we yu it, drink, ɔ du we yu gɛt bɛlɛ.
sכmtεm, dis blכk kin kכz bak bay wan bכdi we de gi bכdi to di kidni we de pas na di rכng ples, dat na rayt oba di UPJ jכint.
Kɔz dɛm we kin apin we pɔsin big
Dis sik nɔ kin bɔku pan big pipul dɛn. If i apin, i kin bi bikɔs ɔf:
- Kidni ston we de blok
- Infεkshכn dεm na di כp urinary tract
- Ska dɛn afta dɛn dɔn ɔpreshɔn am na da eria de
- Swel na di ɔpa pat pan di urinary system
Aw yu go fɛn dis, Dɔktɔ?
Bɔku tɛm dɛn kin no dis sik we dɛn gɛt bɛlɛ, bifo dɛn bɔn di pikin, we dɛn de du ɔltra saund skan . If di skan sho se wan pan di pikin in kidni dεm swεla pas di nכmal saiz (hydronephrosis), dכkta dεm go sכspεkt dis.
afta dεn bכn di pikin, dεn kin du sכm כda tεst dεm fכ kכnfכm dis kכndyushכn εn si aw dεn dכn pwεl di kidni dεm.
| Tɛst | Wetin dis de du? |
|---|---|
| Blɔd ɛn urine tɛst (Urinalysis) . | Chek di kidni fכnshכn (BUN, Creatinine) εn urinary tract infεkshכn. |
| Ultrasound Skan we dɛn kin du | Gɛt klia pikchɔ bɔt di sayz, di swel, ɛn di we aw di kidni dɛn tan. |
| Rεnal Skan (Rεnal Skan / Nyuklia Skan) . | Dis na di sem tin we dɛn de du. Dɛn kin injɛkt smɔl redioaktiv tin insay wan vein ɛn wach aw i kin pas kwik kwik wan na di kidni dɛn ɛn aw i kin flɔ dɔŋ kwik kwik wan. di urine fכ fכlכ na di sayd usay blכk de rili slo. |
| CT ɔ MRI skan | Sɔntɛnde dɛn kin yuz dɛn tin ya fɔ gɛt mɔ ditayli pikchɔ dɛn bɔt di kidni ɛn di say dɛn we de rawnd am. |
Wetin na di tritmɛnt dɛm fɔ dis?
Bɔku tin dɛn kin no di we aw dɛn kin trit am, lɛk aw di pikin kin blok, aw di kidni kin wok, ɛn aw di pikin ol.
1. Wachful Waitin
Nɔ sɔprayz, bɔku pikin dɛn we dɛn bɔn wit dis sik, dɛn kin trit dɛn fɔs wit ɔbshɔbishɔn we dɛn nɔ kin du ɛni ɔpreshɔn. Dis na bikɔs chans de fɔ mek di tin we de ambɔg am go sɔlv insɛf as di pikin de gro. Dis kin apin insay di fɔs 18 mɔnt we di pikin dɔn liv.
Insay dis tɛm, di dɔktɔ go du ɔltra saund skan ɔltɛm fɔ chɛk if ɛnitin swel na di kidni. I kin kɔntinyu bak fɔ gi smɔl antibayɔtik fɔ mek i nɔ gɛt infɛkshɔn na di urinary tract.
2. Ɔpreshɔn
If di kidni swel go ɔp di tɛm we dɛn de wach am, if di kidni nɔ de wok fayn, if di pikin gɛt kramp ɔltɛm, ɔ if di kɔnjɛshɔn nɔ bɛtɛ afta 18 mɔnt, di dɔktɔ go se dɛn fɔ du ɔpreshɔn.
Di men ɔpreshɔn we dɛn kin du fɔ dis na in dɛn kɔl Pyeloplasty .
- Pyeloplasty: dis involv fכ kכt di blכk, sכm pat pan di ureter εn kכnekt di hεlty ureter bak to di kidni. dis de mek wan wayd rod fכ mek di urine fכ fכlכ tru. Dis ɔpreshɔn kin rili wok fayn (mɔ pas 95% kin wok fayn).
- Dis ɔpreshɔn kin bi lɛk nɔmal opin ɔpreshɔn ɔ tru smɔl smɔl say dɛn we dɛn kɔt, lɛk laparoskopik ɔpreshɔn.
Wan ɔda we fɔ trit am na Endopyelotomy . insay dis, we dεn nכ sכk, dεn kin pas wan sכmכl kεmεra (εndoskop) along di urethra, εn dεn kin kכt di blכk frכm insay εn mek i big. Bɔt dis nɔ kin wok fayn pas Pyeloplasty.
Wetin kin apin afta dɛn dɔn trit am?
Bɔku tɛm, i kin tek lɛk tu to 4 wiks fɔ mek i wɛl ɔl we dɛn du di ɔpreshɔn. Bɔt i kin difrɛn frɔm wan pɔsin to ɔda pɔsin. Yu dɔktɔ go ɛksplen dis to yu ditayli.
If dɛn no am kwik ɛn trit am fayn, di luk fɔ dis sik kin rili fayn . Bɔrku pikin kin liv nɔrmal layf wae nɔr kin gɛt ɛni prɔblɛm fɔ lɔng tɛm.
Ustɛm yu nid fɔ go to dɔktɔ?
If yu ɔ yu pikin gɛt dɛn sik ya, go to dɔktɔ wantɛm wantɛm.
- If blɔd de na di urine
- If knot de na yu bɛlɛ we yu nɔ go ebul fɔ gɛt yu an pan
- If yu gɛt pen na yu bɛlɛ we de ɔp ɔ yu bak
- If yu gɛt fiva (especially wit urinary tract infection) .
- If yɔŋ pikin nɔ de gɛt mɔ wet ɛn i tan lɛk se i nɔ de du wɛl
I rili impɔtant: If yu nɔ ebul fɔ pis, we min se yu urine dɔn blok ɔl, go na di ɔspitul imejensi rum (ETU) we de nia yu wantɛm wantɛm.
Na nɔmal tin fɔ fil bɔku frayd ɛn wɔri we yu yɛri bɔt dis sik, mɔ fɔ mama we gɛt bɛlɛ. Yu go de wɔnda se, “A du sɔntin we nɔ rayt?” Bɔt mɛmba se dis nɔto ɛnibɔdi in fɔlt. I jɔs de apin. Di impɔtant tin na dat, tritmɛnt dɛn de we rili fayn fɔ dis. Tɔk to yu dɔktɔ bɔt dis opin wan. Aks am ɛni kwɛstyɔn we yu go gɛt.
Mɛsej we dɛn kin kɛr go na os
- UPJ Obstrukshכn na blכk we de apin na di jכnkshכn fכ di kidni εn di ureter.
- Bɔku tɛm, dis kin apin we pɔsin bɔn wit, ɛn nɔto bikɔs ɔf ɛni fɔlt we di mama ɛn papa gɛt.
- bכku tεm dεn kin fכs no dis kכndyushכn tru wan skan we dεn bεlε.
- Gud chans de fɔ mek dis sik na yɔŋ pikin dɛn sɔlv insɛf as tɛm de go, we dɛn nɔ go gɛt ɛni tritmɛnt.
- If i nɔ wɛl ɔ if di sik bad, dɛn kin trit ɔpreshɔn we dɛn kɔl Pyeloplasty fayn fayn wan.
- If yu gɛt sayn dɛn fɔ yurinary tract infection lɛk blɔd na yu urine, flank pen, ɔ fiva, go to yu dɔktɔ wantɛm wantɛm.
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