Yu kidni blok bikɔs di ureter blok? (Ureteropelvic Junction - UPJ Obstruction) Lɛ wi tɔk bɔt dis!

Sɔntɛnde, wi smɔl pikin kin fil lɛk 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 smɔl smɔl smɔl smɔl smɔl smɔl smɔl. Sɔntɛm wit fiva. Wan rizin fɔ dɛn tin ya kin bi we di say we di urine bigin frɔm di kidni kin blok. Tide, wi go tɔk ditayli, rili simpul, bɔt dis kɔndishɔn we dɛn kɔl `(Ureteropelvic Junction Obstruction)` ɔ `(UPJ Obstruction)`.

Wetin na dis ‘ureteropelvic junction obstruction’?

fכ simpul wan, wan εria de we lεk fכnεl na di tכp pat pan yu tu kidni dεm, we wi kכl di `(Rεnal Pεlvis)` . di urine we de fכm frכm di kidni dεm de kכlekt insay dis `(Rεnal Pεlvis)`. afta dat dis urine de go dכn wan tכb we dεn kכl `(Ureter)` εn i de kכlekt insay di blad. di jכnkshכn usay di `(Rεnal Pεlvis)` εn `(Ureter)` de mit dεn kכl am `(Ureteropelvic Junction - UPJ)`. If blok de, dat na blok, na dis jכnkshכn fכ sכm rizin, di urine nכ de go dכn fayn fayn wan. Dis na wetin wi de kɔl `(UPJ Obstruction)`.

nכmal wan, εvri kidni gεt wan `(Ureter)` nכmכ. Wi kidni dɛn kin filta dɔti tin dɛn ɛn wata we pasmak frɔm di blɔd ɛn mek urine. di urine we de prodyuz dis we de kכlekt insay di `(Renal Pelvis)`, pas tru di `(UPJ)`, εn de travul along di `(Ureter)` to di blad. we `(UPJ Obstruction)` de, dis urine fכ fכlכ de slo, εn sכmtεm i kin stכp kכmplit wan. Dis kin mek di kidni pwɛl mɔ ɛn mɔ.

כl di tεm dεm, dis kכndyushכn we dεn kכl `(UPJ Obstruction)` na sכmtin we de de we dεn bכn am (dat na, `(Congenital urinary abnormality)`). Ɛn bɔku tɛm, na wan kidni nɔmɔ i kin afɛkt. כda nem dεm fכ dis na `(UP jכnkshכn obstrכkshכn)`, `(Obstrukshכn fכ di ureteropelvic jכnkshכn)`, כ `(UPJO)` fכ sכt.

Dis `(UPJ Obstruction)` na siriɔs kɔndishɔn?

Yes, UPJ Obstruction na siriɔs kɔndishɔn. If dɛn nɔ trit am fayn, i kin ivin mek di kidni nɔ wok fayn . Na dat mek i impɔtant fɔ no bɔt am ɛn tek di step dɛn we yu nid. Natin nɔ de fɔ wɔri bɔt, bɔt yu fɔ tek tɛm.

Aw kɔmɔn tin dis kin apin?

stεdi, lεk wan pan εvri 1,500 pikin dεm we dεn bכn gεt dis kכndyushכn (UPJ Obstruction). Dis min se, pan ɔl we i nɔ kin rili kɔmɔn, i kin apin to ɛnibɔdi.

Wetin na di simptom dɛm fɔ wan `(Ureteropelvic Junction Obstruction)`?

Bɔrku kɔmɔn sayn dɛm de wae yu kin si pan dis sik. Bɔt sɔntɛnde, mɔ pan yɔŋ bebi dɛn, nɔ sayn nɔ kin de na do.

• Wan filin we tan lɛk lump na di bɛlɛ, mɔ na di sayd we di bɛlɛ de. dis kin bi we di kidni de swel bikoz di urine blok. I kin tan lɛk se na wata balyɔn.
• Urinary tract infection (UTI) we kin kam bɔku tɛm, wit fiva. If yɔŋ pikin kin gɛt UTI bɔku tɛm, dis na sɔntin fɔ tink bɔt.
• Flank pen we de mek pɔsin fil pen. Dis na pen we yu kin fil na di bak pat pan di kidni. Sɔntɛnde dis pen kin kam ɛn go.
• Kidni ston dɛn. Kidni ston kin fכm mכr we di urine blok.
• Blɔd na di urine (`(Hematuria)`) .
• Nɔs ɛn vɔmit.
• divεlכpmεnt delay כ we di pikin de lכs in wet . Sɔntɛnde, dɛn kin si dɛn tin ya bak.

Wetin na di men tin we de mek UPJ Obstruction?

A dɔn tɔk se bɔku pan di UPJ Obstruction kɔndishɔn dɛn na tin dɛn we dɛn kin bɔn wit . dis min se we di pikin de insay di bεlε, di pat dεm na di urinary sistεm, spεshal wan di ureter כ kidni, nכ de fכm fayn fayn wan. sכmtεm, dis blכk kin kכz bak bay we dεn kכmpreshכn wan bכdi we de pas tru di UPJ. Bɔku tɛm, dɛn tin ya kin apin we kin apin wantɛm wantɛm. Bɔt if pɔsin na yu famili dɔn gɛt dis sik, yusɛf nɔ go gɛt dis sik.

I nɔ kin izi fɔ mek big pipul dɛn gɛt ``UPJ Obstruction``. Bɔt i kin apin to big pipul dɛn bikɔs ɔf dɛn rizin ya:

• Bikɔs ɔf di kidni ston dɛn .
• biכs f כ infεkshכn dεm na di כp urinary tract (`Upper UTIs`) .
• Afta dɛn dɔn du ɔpreshɔn na da eria de.
• biכ s fכ swel (`(Swelling)`) na di כp pat pan di urinary sistεm .

Udat dis tin kin afɛkt mɔ?

Akɔdin to di data we de naw, man dɛn kin gɛt UPJ Obstruction pas tu tɛm pas uman dɛn. Risach dɔn sho bak se dis sik kin apin lɛk tu tɛm so na di lɛft kidni pas di rayt kidni.

Wetin na di pɔsibul kɔmplikeshɔn dɛm fɔ UPJ Obstrukshɔn?

If dɛn nɔ trit dis kɔndishɔn (UPJ Obstruction) fayn, difrɛn kɔmplikeshɔn dɛn kin apin.

• Rikɔrɛnt urinary tract infɛkshɔn (UTI) . sכmtεm, di fεt tisu dεm we de rawnd di kidni dεm kin swεla (perinephric stranding).
• Pen kin apin na di say we di sik dɔn afɛkt .
• כda kidni ston dεm (``sεkכndari kidni ston dεm``) kin fכm.

di mכst imכtant tin na dat if dεn nכ trit am fכ lכng tεm, dis `(UPJ Obstruction)` kin pwεl di kidni dεm εn te go mek di kidni dεm fεil . Na dat mek i impɔtant fɔ no di sik ɛn trit am kwik kwik wan.

Aw fɔ no di `(UPJ Obstruction)` kɔndishɔn?

Bɔku tɛm, .Dɔktɔ dɛn kin no se i gɛt UPJ Obstruction we dɛn de du ɔltra saund skan we di pikin stil de na di bɛlɛ. dis na biכs we di urine blok de put prεshכn pan di bak pat pan di kidni, we de mek i swel pas aw i nכmal. Dɛn kɔl dis haydronɛfrɔsis . Yu kin si dis klia wan pan ɔltra saund.

Ivin afta we dɛn bɔn di pikin, dɔktɔ dɛn kin tɛl dɛn fɔ du difrɛn tɛst dɛn fɔ si aw di kidni dɛn de mek ɛn pul urine fayn fayn wan. Dɛn tin ya na:

• Blɔd ɛn urine tɛst (`(Blɔd tɛst ɛn urinalysis)`). tεst dεm lεk `(Blood Urea Nitrogen - BUN)` εn `(Creatinine Clearance)` kin sho aw di kidni dεm de filta di bכdi fayn fayn wan.
• wan tεst we dεn kכl ``Intravenous Pyelogram - IVP'' involv fכ injεkt spεshal day insay wan vein na yu an εn tek ``X-ray'' pikchכ. afta dat yu kin si di day as i de travul tru di kidni, ``Rεnal Pεlvis'', εn ``Ureter'' fכ no if blכk de.
• Renal Skan we dɛn kin du. Insay dis tɛst, dɛn kin put smɔl redioaktiv tin insay wan vein ɛn dɛn kin yuz spɛshal kamɛra fɔ wach am pas na di kidni dɛn. Dis kin gi gud aidia bɔt aw di kidni dɛn de wok fayn ɛn aw di kidni dɛn de blok.
• Ɔltrasɔund, CT skan, ɛn MRI. dis imej tεst dεm kin si klia wan di strכkchכ fכ di kidni dεm, di ureter dεm, εn blad, εn εnitin we de ambɔg di kidni dεm.

Aw dɛn kin trit wan `(UPJ Obstruction)`?

Dis rili dipen pan di tin we de apin. If yu pikin gɛt UPJ Obstruction, sɔmtɛm i kin bɛtɛ fɔ insɛf insay di fɔs 18 mɔnt we i de liv. Insay dis tɛm, yu pikin in dɔktɔ go du ɔltra saund skan ɔltɛm ɛn ɔda tɛst fɔ mek shɔ se di blɔk nɔ de kɔz ɛni bad tin.

כltu, if di pikin stil nכ ebul fכ pis afta 18 mכnt, we min se di blכk stil de, i go bi se i go nid fכ du כpεreshכn we dεn kכl ``Open Pyeloplasty'' . insay dis, pikin dεn urכlכg de mek big insayshכn, pul di pat we blכk, εn kכnekt di ``Ureter'' bak to di kidni, we de mek wan opin sכmtεm. ``Open Pyeloplasty'' kin tek fכ awa, εn i kin gεt sakses rεt we na lεk 95%.

Sɔntɛnde, di ɔspitul kin du dis ɔpreshɔn bay we i yuz wan we we dɛn kɔl `(Minimally invasive pyeloplasty)`, we na rɔbɔt tɛknik (`(surgical robot)`) . afta dat, dεn kin sכm sכm sכm εn dεn kin כpεret wan `(Laparoscope)` εn כda כpεrayshכn instrכmεnt dεm tru wan rכbכt. di sakses fכ dis mεtכd sכm kayn we lεk di wan fכ `(Open Pyeloplasty).` כltu, dis nid mכr tεknikal skil pan di pat fכ di sכja. I dipen bak pan di pikin in ej ɛn saiz.

כda opshכn na wan prosidכs we dεn kכl ``Endopyelotomy''.insay dis, di sajin de pas wan instrכmεnt we dεn kכl ``Endoscope`` (wan tin tכb we gεt kεmεra) tru di urethra (``Urethra``), along di ``Ureter``, εn i de luk di blכk. afta dat, dεn pas wan waya tru wan chanεl na di ``Endoscope``, kכt di blכk wit am, εn dεn de put wan ``drein``, dat na wan tכb de. dis ``drein`` de lεf in ples fכ sεvεra wik te i hεl. insay ``Endopyelotomy``, dεn nכ nid fכ kɔt, εn i izi pas di כda tu כpεrayshכn dεm. Bɔt di sakrifays we dɛn kin gɛt kin smɔl smɔl. Sɔntɛnde, dɛn kin gɛt fɔ du dis pas wan tɛm.

Aw kwik a go fil fayn afta dɛn dɔn trit mi?

I dipen pan di tritmɛnt we yu bin gɛt fɔ yu UPJ Obstruction. Bɔrku pipul dɛn kin wɛl insay tu to 4 wiks. Bɔt yu bɔdi difrɛn, so di tɛm we yu fɔ wɛl kin difrɛn. Yu dɔktɔ go gi yu di bɛst aidia bɔt dis.

Yu tink se dɛn kin ebul fɔ stɔp UPJ Obstruction?

di mεdikal risach dεm nכ fכnshכn yet wan link bitwin it εn nyutrishכn we uman bεlε εn di divεlכpmεnt fכ UPJ Obstrukshכn na di pikin. Dis min se natin nɔ de we wi kin du fɔ mek UPJ Obstrukshɔn nɔ apin we dɛn bɔn am.

Bɔt fɔ big pipul dɛm wae nɔr bɔn wit UPJ Obstruction, fɔ avɔyd dɛn tin ya kin ɛp fɔ ridyus dis risk:

• Fɔ mek di kidni ston nɔ kam .
• Fɔ protɛkt yusɛf frɔm urinary tract infection (UTI) .
• Fɔ avɔyd trauma to yu kidni dɛn .

Wetin na di lukin-grɔn fɔ di kɔndishɔn `(UPJ Obstruction)`?

If dɛn no am kwik ɛn trit am fayn, di luk fɔ UPJ Obstruction rili fayn. Bɔku pikin dɛn nɔ kin gɛt prɔblɛm dɛn we kin de fɔ lɔng tɛm. Dɔn bak, if dɛn no di sik bifo dɛn bɔn am, sɔntɛnde i kin sɔlv we dɛn nɔ gɛt ɛni tritmɛnt.

Bɔt if dɛn no se yu gɛt UPJ Obstruction leta na yu layf, yu kin gɛt smɔl risk fɔ mek yu kidni pwɛl. If i siriɔs, if dɛn nɔ trit am, UPJ Obstruction kin mek di kidni nɔ wok fayn ɛn ivin day. Na dat mek i rili impɔtant fɔ no di sik kwik kwik wan ɛn fɔ trit am.

Ustɛm yu fɔ go to dɔktɔ?

If yu ɔ yu pikin gɛt ɛni wan pan dɛn sik ya, go to dɔktɔ wantɛm wantɛm:

• If blɔd de na di urine (`(Hematuria)`) .
• If i kech na yu an lɛk tumbu na yu bɛlɛ.
• If yu gɛt pen na di ɔpa bɛlɛ ɔ bak (`(Flank pain)`) .
• If yu gɛt fiva.
• If di pikin in growth nɔ de gro fayn (`(Growth faltering / failure to thrive)`) .

Ustɛm yu nid fɔ go na Imejɛnsi Tritmɛnt Yunit (ETU) ?

If yu nɔ ebul fɔ pis, go na di imejensi rum we de nia yu wantɛm wantɛm.Dis nɔto sɔntin we wi fɔ delay.

Us kwɛstyɔn dɛn yu fɔ aks di dɔktɔ?

Yu kin aks di dɔktɔ kwɛstyɔn dɛn lɛk dɛn wan ya:

• Aw yu kin no dis kכndyushכn `(Ureteropelvic Junction Obstruction)`?
• yu tink se mi pikin in UPJ Obstruction go beta if yu no geht tritment?
• Wetin na di tritmɛnt dɛn we yu kin gɛt?
• If nid fɔ du ɔpreshɔn, us we yu go se?
• Wetin na di chans fɔ mek UPJ Obstruction kam bak?

Wetin na di difrεns bitwin `(Ureteropelvic Jכnkshכn Obstrכkshכn)` εn `(Ureterovesical Jכnkshכn - UVJ) Obstrukshכn`?

fכ simpul wan, כl tu di Ureteropelvic Junction (UPJ) εn Ureterovesical Junction (UVJ) obstrכkshכn dεm de apin na di εnd dεm na yu uretra (ureter). di UVJ na di say we yu ureter de kכnekt to yu blad. Wan UVJ ɔbstrɔkshɔn kin apin de. bכt wan UPJ obstrכkshכn de apin na di Rεnal Pεlvis, usay di ureter de kכnekt to yu kidni.

So, wetin na di mɛsej we wi fɔ kɛr go na os frɔm ɔl dɛn tin ya?

I nɔmal fɔ mek yu fred we yu yɛri se yu pikin kin gɛt dis prɔblɛm, ilɛksɛf na we yu de skan we yu pikin stil de na di bɛlɛ ɔ afta dɛn bɔn am. Yu go fil fɔ blem yusɛf, ɛn yu go de wɔnda se, ‘A du sɔntin we nɔ rayt? Ɛnitin bin de we a bin fɔ dɔn du fɔ mek dis nɔ apin?’ bכt in rialiti, dis kכndyushכn we dεn kכl `(Ureteropelvic Junction Obstruction)` na sכmtin we sכmtεm jכs de apin. Ivin dɔktɔ dɛn nɔ kin ebul fɔ tɔk di rayt tin we kin mek i apin.

Di tin we impɔtant pas ɔl na dat bɔku pipul dɛn kin wɛl frɔm dis `(UPJ Obstruction)` kɔndishɔn. So, nɔ fred fɔ go to dɔktɔ ɛn tɔk to am. Dɛn ɔndastand ɔl di kwɛstyɔn ɛn fred dɛn we yu gɛt na yu maynd. Dɛn go ɛp yu ɛni we we dɛn ebul ɛn ansa ɔl yu kwɛstyɔn dɛn. Fɔ no di sik kwik kwik wan ɛn fɔ trit am fayn na di tin dɛn we impɔtant pas ɔl na ya.

` Kidni, Urinary Tract, UPJ Obstrukshכn, Pikin dεm, Urinary System, כpεrayshכn, Yureteropelvik Jכnkshכn Obstrכkshכn