Yu smɔl pikin kin gɛt prɔblɛm wit in urinary bɔku tɛm? Dis kin bi Vesicoureteral Rifluks (VUR)!

Mama ɛn papa, yu smɔl pikin kin gɛt urinary tract infection (UTI) bɔku tɛm? Ɔ i nɔ kin izi fɔ mek i pis , ɔ i kin gɛt fiva? Sɔmtɛm de kɔz fɔ dis kin bi wan kɔndishɔn wae wi nɔr kin tɔk bɔt bɔrku, bɔt e fayn fɔ no bɔt. Tide, lɛ wi tɔk bɔt dis sik we dɛn kɔl Vesicoureteral Reflux , ɔ VUR fɔ shɔt tɛm. Nɔr wɔri, dis na sɔmtin wae kin wɛl ɔl bɔrku tɛm if dɛn ɔndastand am fayn ɛn trit am di rayt tɛm.

Wetin na Vɛsikɔretɛral Riflɔks (VUR)? Lɛ wi ɔndastand am rili simpul wan.

Fɔ tɔk am simpul wan, VUR min se wi urine , dat na, urine, de flɔ na di rɔng say. Tink bɔt am dis we, lɛk aw i fɔ tink. Wi bɔdi in urinary system de wok lɛk wan-way strit.

Na dis na aw i kin apin:

• Wi kidni dɛn de mek urine. Bɔku tɛm, wi kin gɛt tu kidni dɛn.
• afta dat, dis urine de travul dכn tu tin tכb dεm we dεn k כl ureters εn i de kכlekt insay di blad . Di blad tan lɛk balyɔn we de opin fɔ gɛda urine .
• we wi de pis , di urine we de kכlekt na di blad de kכmכt na di bכdi tru כda tiub we dεn kכl di urethra .

Yu ɔndastand naw? Dis tan lɛk wata we de kɔmɔt na wata tank tru paip ɛn kɔmɔt na tap. di impɔtant tin na dat di ureters, usay dɛn kin kɔnɛkt to di blad, de wok lɛk wan-way valv . dat min se, wans di urine rich na di blad, dεn nכ de alaw am fכ go bak כp, dat na, along di ureters to di kidni dεm.

Bɔt, pan pɔsin we gɛt VUR, smɔl prɔblɛm de wit dis prɔses. biכs da valv de nכ de wok fayn, di urine na di blad de fכlכ bak כp, insay wan כ di tu ureter dεm, εn sכmtεm dεn de fכlכ כl di we to di kidni dεm. Dis na wetin wi kɔl riflɔks .

Dis sik kin mɔs pan pikin dɛn we dɛn jɔs bɔn, bebi dɛn we ol sɔm mɔnt, ɛn pikin dɛn we ol lɛk tu ia so . Bɔt i kin apin bak pan pikin dɛn we dɔn big ɛn, nɔto so i kin apin to big pipul dɛn.

di tin we impɔtant pas ɔl na dat we di urine de flɔ bak lɛk dis, di baktri dɛm na di blad kin travul go na di kidni dɛm ɛn mek di kidni infekshɔn . If dɛn nɔ trit dɛn kidni infɛkshɔn ya fayn, dɛn kin mek di kidni dɛn pwɛl sote go. Na dat mek i impɔtant fɔ no bɔt VUR.

Bɔt nɔ wɔri. Tritmɛnt dɛn de fɔ VUR. Di tritmɛnt dipen pan di pikin in ej, di kayn sik we i gɛt, ɛn aw di VUR siriɔs. Sɔm kayn kes dɛm wae nɔr kin gɛt bɛtɛ sik nɔr nid tritmɛnt ɛn dɛn go bɛtɛ fɔ dɛnsɛf as di pikin de ol. Bɔt sɔm pikin dɛn kin nid mɛrɛsin ɔ ɔpreshɔn fɔ mek dɛn nɔ pwɛl dɛn kidni.

Yu tink se kayn VUR de?

Yes, tu men kayn VUR de.

• Praymari VUR: Dis na di kayn we we kɔmɔn pas ɔl. כl di tεm dεm, i kin afekt כnli wan say na di uretra εn kidni (dεn kכl dis yunilateral rεfluks ). insay praymari VUR, sכm sכm difεkt de na di pכynt we di urethra kכnekt to di blad we dεn bכn am. di valv we wi bin tכk bכt nכ de kכloz fayn, so di urine de fכlכ bak.
• Sεkכndεri VUR: Dis kin kכz fכ blok sכmsay na di urinary sistεm. fכ egzampl, if di urethra blok, i kin mek di urine fכ fכlכ bak, we kin mek di prεshכn insay di blad bכku. Ɔ, i kin bi bikɔs ɔf prɔblɛm wit di nerv dɛm na di blad we de mek i nɔ de kɔntrakt fayn ɛn mek di urine flɔ bak. di pikin dεm we gεt sεkכnd VUR kin gεt כl tu di ureters εn kidni dεm we afekt (dεn kכl dis baylatar כl rεfluks ).

Aw dɛn kin no aw VUR siriɔs (stej)? (Grɛd dɛn fɔ VUR)

Fayv stej, ɔ gred dɛn de fɔ sho aw VUR siriɔs. Gret 1 na di wan we nɔ kin rili bad, ɛn Gret 5 na di wan we nɔ kin rili bad. Dis gred de disayd:

• Aw fa di urine de flɔ ɔp ɛn dɔŋ di urinary system.
• Aw di urethra wayd ɔ swel.

Na dɛn fayv stej dɛn de:

• Gret 1: di urine de fכlכ bak insay di urethra, bכt di urethra na nכmal wit.
• Gret 2: di urine de fכlכ bak along di ureter te i rich di fכs pat pan di kidni usay di urine de kכlekt (kidni pelvis) . Bɔt di ureter ɔ da pat de na di kidni nɔ dɔn big.
• Gret 3: di ureters, kidni pelvis, ɛn calyces (di eria usay di urine bigin fɔ gɛda na di blad) kin big smɔl bikɔs di urine de flɔ bak .
• Gret 4: di ureter dεm de twist εn dilayt sכmtεm biכs bכku urine de fכlכ bak. Dɛn pat dɛn de na di kidni bak kin dilayt smɔl.
• Gret 5: di ureter dεm dεn de fכm bad bad wan εn dεn de big biכs di urine fכ fכlכ bak pasmak . di dakt dεm we de kכlekt di kidni dεm dεn tu rili big.

Aw kɔmɔn tin na VUR?

If yu luk ɔlsay na di wɔl, .Dɛn se bitwin 1% ɛn 3% pan di pikin dɛn gɛt VUR. Dɔn bak, na 75% nɔmɔ pan di pikin dɛn we gɛt VUR na gyal pikin dɛn .

Wetin na di sayn dɛm fɔ VUR?

Bɔku tɛm, pikin we gɛt VUR nɔ go sho ɛni sayn. Bɔt if di sayn dɛn apin, di sayn we kin apin mɔ na di urinary tract infection (UTI) . Sɔm ripɔt dɛn se bitwin 30% ɛn 50% pan di pikin dɛn we gɛt UTI kin gɛt VUR!

If pikin gɛt UTI, luk fɔ di sayn dɛm lɛk dis:

• Di nid fɔ pis ɔltɛm.
• Bɔn ɛn pen we yu de pis .
• Flank pen na pen na di bכdi כ di lכw bכk (sayd na di bכdi).
• Na sɔm drop dɛn nɔmɔ yu kin yuz fɔ urine .
• Di kɔlɔ fɔ di urine dɔn chenj, i dɔn bi dak brawn ɛn i dɔn gɛt bad smel.
• Di bɔdi kin wam ɛn fiva.

Bɔt i kin at smɔl fɔ no if pikin we dɛn de gi in mama in bɛlɛ gɛt UTI. Dɛn kin jɔs kray bɔku, dɛn nɔ kin drink, ɔ du tin dɛn we nɔ gɛt wanwɔd.

Yu tink se VUR de mek pɔsin fil pen?

Nɔ, VUR insɛf nɔ de mek pɔsin fil pen. Bɔt if VUR mek yu gɛt UTI, den yu kin gɛt pen we yu de pis , kidni/bɛl pen.

Wetin kin mek pɔsin gɛt VUR?

Di tu kayn VUR we wi bin dɔn tɔk bɔt, praymari VUR ɛn sɛkɔndari VUR, gɛt difrɛn kɔz.

• Praymari VUR: dis kin kכz fכ wan difεkt we dεn bכn wit na di valv bitwin di ureter εn di blad. i nכ de kכloz fayn, we de mek di urine fכ fכlכ bak insay di kidni dεm. di gud nyus na dat as di pikin de ol, as di bכdi in כgan dεm de machכ, dis valv go bigin fכ kכloz fayn fayn wan, εn di praymar VUR kin bεtε fכ insεf.
• Sεkכndari VUR: di men tin we kin mek dis kin bi na we di blad nεk כ di urethra blכk כ sכmtεm sכmtεm. Dis prɔblɛm de mek di urine de flɔ bak ɔp di urinary tract instead fɔ kɔmɔt. Ɔ, di nerv dɛm we de kɔntrol di blad nɔ kin wok fayn. Dis prɔblɛm kin mek di blad kɔntrakt ɛn rilaks, ɛn dis kin mek di urine nɔ kɔmɔt. insay sεkכnd VUR, baylatarכl VUR de mכr kכmכn.

Wetin na de risk factor fɔ dis sik?

Sɔm risk factor dɛm de wae kin afɛkt di divɛlɔpmɛnt fɔ VUR:

• Jɛnɛtiks: VUR kin rɔn na famili. If wan pikin na di famili gɛt VUR, chans de smɔl pas wan pan ɛvri 4 chans fɔ mek brɔda ɔ sista sɛf gɛt VUR. If ɛni wan pan di mama ɛn papa dɛn bin gɛt VUR we dɛn bin smɔl, na lɛk wan pan tri chans de fɔ mek di pikin gɛt VUR bak.
• Di prɔblɛm dɛn we kin apin we dɛn bɔn pikin:Pikin dεm we dεn bכn wit abnכmaliti dεm na dεn kidni כ urinary sistεm kin gεt VUR.
• Blad ɛn bɔdi we nɔ de wok fayn (BBD): Pikin dɛn we gɛt BBD kin gɛt prɔblɛm fɔ pis ɛn fɔ pul wata fayn fayn wan. Bɔrku tɛm dis kin kam wae pɔrsin gɛt prɔblɛm wit di mɔsul ɔr nerv dɛm.
• Rays ɛn sɛks: Dɛn se wayt, uman pikin dɛn kin gɛt VUR mɔ (bɔt i kin apin to ɛni pikin).

Wetin na di pɔsibul kɔmplikeshɔn dɛm fɔ VUR?

Pikin dɛn we gɛt VUR kin gɛt prɔblɛm dɛn lɛk:

• Urinary tract infection (UTIs): Blad infεkshכn, inklud kidni infεkshכn.
• di prɔblɛm dɛn we de na di blad: nɔ ebul fɔ kɔntrol di urine (urinary incontinence), we de wet na bed, we nɔ ebul fɔ ɛmti urine kɔmplit wan ( urinary retention).
• Di ay blɔd prɛshɔn.
• di kidni skata, di kidni dεm we de pwεl (e.g., nεfrotik sεndrכm), εn sכmtεm, di kidni dεm we de fεl fכ tεm.

Bɔt mɛmba se, bɔku pikin dɛn we gɛt VUR kin wɛl ɛn nɔ kin gɛt prɔblɛm dɛn we kin de fɔ lɔng tɛm. So i impɔtant fɔ mek yu nɔ panik ɛn fala wetin yu dɔktɔ tɛl yu fɔ du.

Aw VUR kin divɛlɔp pan big pipul dɛn? (Dis nɔto jɔs fɔ yɔŋ pikin dɛn)

Pan ɔl we i nɔ kin apin so ɔltɛm, big pipul dɛn kin gɛt VUR bak. Di tin dɛn we kin mek i apin na:

• di prostat gland we de big (`Benign prostate hyperplasia` - fכ man)
• di blad dεm we de wok fayn biכs fכ di nεv dεm we dεn dכn pwεl (`Nyurojenik blad`) .
• Dɛn bin du ɔpreshɔn pan di ureters.

VUR kin mek yu kidni ston?

Yes, VUR kin mek yu kidni ston. I kin mek bak ston fɔm na ɔda pat dɛn na di urinary system, lɛk di blad.

Yu tink se VUR de mek pɔsin in layf de pan denja?

VUR insɛf nɔ de mek pɔsin in layf de pan denja. Bɔt VUR kin mek yu gɛt urinary tract infection (UTI) bɔku tɛm, we kin mek yu kidni pwɛl, ɛn as tɛm de go, kidni sik kin mek yu gɛt ay blɔd prɛshɔn (renal hypertension) ɛn kidni sik. If yu gɛt ɛnd-stej kidni sik, yu kin nid fɔ gɛt dayalaysis ɔ fɔ transplant yu kidni. Na dat mek yu fɔ wɔri bɔt VUR.

Aw yu kin no if yu gɛt VUR? (Diagnosis) .

If dɛn tink se yu pikin gɛt VUR, yu dɔktɔ we de mɛn pikin dɛn go sɛn yu to dɔktɔ we de mɛn pikin dɛn we de mɛn dɛn nɛf ɔ dɔktɔ we de mɛn pikin dɛn we de mɛn dɛn urolɔg .

Fɔ no kɔrɛkt wan if yu gɛt VUR, yu kin du dɛn tɛst ya:

• Voiding Cystourethrogram (VCUG): Dis na ɛkstrem rayt tɛst. dεn kin put wan sכm tכn tכb (kateta) insay di pikin in urethra εn dεn kin put spεshal day insay di blad. Dɔn, dɛn kin tek ɛkstrem rayt we di pikin de pis , bifo ɛn afta i pis . dis X-ray dεm de sho if di urine de fכlכ bak frכm di blad go insay di urethra. Dɛn kin du dis na dɔktɔ in ɔfis, ɔtpeshɛnt klinik, ɔ ɔspitul. Dɛn nɔ nid fɔ tek anestezi, bɔt dɛn kin gi sɔm pikin dɛn mɛrɛsin fɔ ɛp dɛn fɔ rilaks.
• Ultrasound scan: Dis na tɛst we nɔ de mek pɔsin fil pen ɛn we nɔ gɛt wan prɔblɛm. i de yuz sawnd wev fכ tek pikchכ fכ yu pikin in כl urinary sistεm (inklud di kidni dεm εn blad). Dɛn kin du dis bak na dɔktɔ in ɔfis, ɔtpeshɛnt dipatmɛnt, ɔ ɔspitul. If yu want fɔ avɔyd fɔ gɛt ɛkstrem rayt ɔ redioaktiv matirial, yu kin want fɔ gɛt ɔltra saund bifo di VCUG. Mɛmba se, sɔmtɛm we yu du ɔltra saund skan we yu gɛt bɛlɛ, i kin sho sayn dɛn we de sho se yu pikin kin gɛt VUR (lɛk in kidni we dɔn swel).
• Dimercaptosuccinic acid (DMSA) skan: Dis de chɛk fɔ si if di pikin in kidni dɛn dɔn pwɛl bikɔs ɔf di UTI.
• Radionuclide cystogram (RNC): Dis na wan kayn nyuklia skan bak. sכm sכm rεdioaktiv mεtirial dεn de put insay di pikin in blad. Dɔn, we di pikin de pis ɔ afta di blad ɛmti, wan skan kin luk fɔ di redioaktiv tin. Na wan spɛshal pɔsin we tren fɔ du dis kin du dis bak, ɛn wan dɔktɔ we de stɔdi bɔt di raytin kin analayz di pikchɔ dɛn. Dis bak nɔ nid fɔ gɛt anestezi, bɔt dɛn kin gi sɔm pikin dɛn mɛrɛsin fɔ ɛp dɛn fɔ rilaks. RNC de sεnsitiv pas VCUG, bכt i nכ de gi bכku ditel bכt di strכkchכ fכ di blad.

Us ɔda tɛst dɛn fɔ du fɔ pikin dɛn we gɛt VUR?

If dɛn kɔnfyus se yu pikin gɛt VUR, dɛn go du dɛn tɛst ya ɔltɛm:

• Fɔ chɛk blɔd prɛshɔn: Pikin dɛn we gɛt prɔblɛm wit dɛn kidni kin gɛt ay blɔd prɛshɔn.
• Blɔd tɛst: If yu gɛt bɔku prɔtin ɔ kriaytinin na di blɔd, na sayn fɔ se di kidni dɔn pwɛl.
• Yurin tɛst ɛn kɔlchɔ: Di prɔtin we de na di urine na sayn fɔ se di kidni dɔn pwɛl. Baktri we de na di urine na sayn fɔ se pɔsin gɛt di sik.

Yu pikin in dɔktɔ go chɛk bak fɔ si if di blad ɛn bɔdi nɔ de wok fayn (BBD) . Di sayn dɛm fɔ BBD na:

• Nid fɔ pis ɔltɛm ɛn kwik kwik wan .
• A nɔ kin go fɔ pis , ɛn i dɔn te.
• Wet wet insay di de .
• Kɔnstipɛshɔn - fɔ gɛt bɔdi we nɔ rich tri tɛm insay di wik.
• I nɔ ebul fɔ kɔntrol di stɔl (Fecal incontinence).

Pikin dɛm we gɛt simptom dɛm fɔ BBD wit VUR kin gɛt mɔ risk fɔ mek dɛn kidni damej bikɔs ɔf infɛkshɔn.

Aw dɛn kin trit VUR?

Fɔ trit VUR nid fɔ gɛt ɛp frɔm dɔktɔ. Di tritmɛnt dipen pan yu pikin in ej, di sayn dɛm, di kayn VUR, ɛn aw i siriɔs. Di tritmɛnt we dɛn kin yuz na fɔ tek antibayɔtik ɛn ɔda mɛrɛsin, fɔ injɛkshɔn wit wan fil we kin sɔlv, fɔ put kateshɔn fɔ shɔt tɛm, ɛn fɔ ɔpreshɔn. Yu, yu dɔktɔ we de mɛn pikin dɛn, ɛn ɔda spɛshal pipul dɛn go tɔk bɔt dɛn tritmɛnt ya ɛn pik di wan we go fayn fɔ yu pikin.

Tritmɛnt fɔ Praymari VUR

Praymari VUR kin bɛtɛ fɔ insɛf as di pikin de ol (bɔku tɛm arawnd 5 ia). Sɔntɛnde, wan "wet-ɛn-si" we fɔ du tin kin wok fayn. Bɔt ɔda tɛm dɛn, dɛn kin nid fɔ du ɔpreshɔn ɔ tek mɛrɛsin.

Di mɛrɛsin dɛn we dɛn kin yuz

Bɔku tɛm, praymari VUR kin bɛtɛ as yu pikin de ol ɛn dɛn urinary system de machɔ. Te da tɛm de, yu dɔktɔ go gi yu wan antibayɔtik fɔ mek yu nɔ gɛt UTI ɔ fɔ trit am if i apin.

Miks opinion de bɔt fɔ gi antibayɔtik fɔ lɔng tɛm fɔ mek yu nɔ gɛt UTI. Dis na bikɔs if yu yuz antibayɔtik fɔ lɔng tɛm, dat kin mek baktri dɛn nɔ gɛt antibayɔtik . Di American Academy of Pediatrics (AAP) se dɛn fɔ gi prɛvɛntiv antibayɔtiks nɔmɔ to pikin dɛn we gɛt ay gred fɔ VUR (we dɛn de wet fɔ mek dɛn VUR gro afta dɛn dɔn ol).

Ɔpreshɔn

Dɔktɔ dɛn kin yuz difrɛn ɔpreshɔn fɔ trit praymari VUR. di men gol fכ כpεrayshכn na fכ rεpair di wan-way valv (di wan-way valv) na di jכnkshכn bitwin di blad εn di urethra, fכ mek di urine nכ fכ fכlכ bak.

• ureteral reimplantation: dεn kin kכnsidr dis as di "gold standad" fכ כpεrayshכn fכ VUR. di gol na fכ riposishכn di ureter so dat i go pas tru wan tכnel we di aprכpriet lεngth tru di blad wכl, fכ mek wan valv we de mek di urine nכ fכ fכlכ bak. Yu pikin in ɔspitul dɔktɔ kin du dis ɔpreshɔn as opin ɔpreshɔn (tru we dɛn kɔt yu pikin in bɛlɛ) ɔ laparoskopik (tru jɔs sɔm smɔl smɔl say dɛn). Yu dɔktɔ go ɛksplen di bɛnifit ɛn bad tin dɛn we ɛni we fɔ du am, ɛn bak di bad tin dɛn we kin apin to yu. Di ɔpreshɔn nid fɔ gɛt jenɛral anestezi , ɛn yu kin nid fɔ de na ɔspitul fɔ sɔm dez.

• Injektabl bulking ejen: Wan ɔda tritmɛnt opshɔn fɔ praymari VUR naYuz wan likwid we tan lɛk jel we dɛn kɔl hyaluronic acid/dextranomer (Deflux®) . Yu pikin in dɔktɔ go injekt smɔl pan dis na di wɔl na yu pikin in blad, nia di say we dɛn de go insay di urethra. di injεkshכn de mek di tisu we de de swel, i de wok lεk valv εn mek i at fכ mek di urine fכ fכlכ bak כp. Dɛn kin du dis pan ɔtpeshɛnt (yu pikin kin go na os di sem de), bɔt i nid bak fɔ gɛt jenɛral anestezi. Yu dɔktɔ go tɔk to yu bɔt di gud ɛn bad tin dɛn we dis tritmɛnt gɛt.

Tritmɛnt fɔ Sɛkɔndari VUR

sεkכnd VUR dεn kin trit am bay we dεn kin pul di blכ k כ fכ impruv di we aw di blad de εmpti. Di tritmɛnt dɛn kin bi:

• Ɔpreshɔn fɔ pul sɔntin we de ambɔg ɔ fɔ mek di blad ɔ di yuretra we nɔ shep fayn.
• Gi antibayɔtik fɔ mek yu nɔ gɛt ɔ trit UTI.
• intamitεnt kateshכn: dis involv fכ put wan tin tכb insay di blad tru di urethra fכ ɛmti di blad.
• Mɛrɛsin fɔ di blad mɔsul dɛn.

Wetin kin apin if mi pikin gɛt VUR?

If dɛn no se yu pikin gɛt VUR, woke klos wit yu mɛdikal tim fɔ mek wan tritmɛnt plan we go wok fɔ yu famili. Fɔ manej wan kɔndishɔn lɛk VUR kin tranga fɔ yu ɛn ɔda pipul dɛn we de kia fɔ yu. Tɔk to yu pikin in mɛdikal tim bɔt di tin dɛn we de mɔna yu ɛn di kwɛstyɔn dɛn we yu de aks. Di gud nyus na dat VUR na tin we dɛn kin trit bɔku pan, ɛn fɔ bɔku pikin dɛn, i nɔ kin gɛt ɛni ifɛkt fɔ lɔng tɛm.

Aw lɔŋ VUR kin las? / VUR de dכn wit di ej?

Yu pikin kin gɛt VUR fɔ lɛs wan ia, bɔt nɔr kin gɛt ɛni rayt tɛm fɔ du am, bikɔs i kin difrɛn fɔ di pikin in kɔndishɔn. Sɔntɛnde yu dɔktɔ go tɛl yu fɔ du "watchful waiting" we, ɔ fɔ du ɔpreshɔn if di tɛst sho se VUR bad bad wan ɔ di kidni dɔn pwɛl.

Yes, yu pikin kin gro aut pan VUR, mɔ if di fɔs VUR na lɔw gred (grɛd wan ɔ tu). Pikin dɛm wae gɛt dis sik kin wɛl fɔ dɛnsɛf insay sɔm ia.

Pikin we gɛt VUR kin go skul?

I dipen pan aw yu pikin in sik kin tranga. Mɛmba se VUR insɛf nɔto prɔblɛm fɔ yu pikin in ɛvride layf, bɔt i kin bi prɔblɛm if UTI kam. Yu pikin kin gɛt pen, kɔnstipɛshɔn, ɔ i nɔ kin ebul fɔ kɔntrol insɛf . Tɔk to yu dɔktɔ bɔt aw fɔ sɛn yu pikin na skul ɔ fɔ ple wit in padi dɛn.

I gɛt we fɔ mek yu nɔ gɛt VUR?

Nɔ we nɔ de we dɛn no fɔ mek dɛn nɔ gɛt VUR - nɔto tru it, chenj dɛn layf, ɔ mɛrɛsin. Bɔt, yu pikin in yonTin dɛn de we yu kin du fɔ mek yu gɛt gud ɔvalayn urinary system wɛlbɔdi:

• Gi di pikin inof wata fɔ drink .
• Fɔ chenj di daypa kwik kwik wan afta di pikin dɔn pis ɔ poop.
• Fɔ ɛnkɔrej di pikin fɔ pis bɔku tɛm, nɔto fɔ "ol am insay."
• Go to tritmɛnt fɔ prɔblɛm dɛn lɛk we yu nɔ gɛt bɛlɛ, we yu nɔ ebul fɔ kɔntrol yusɛf, ɔ we yu nɔ ebul fɔ kɔntrol yusɛf kwik kwik wan.

I impɔtant bak fɔ ɛnkɔrej yu pikin fɔ du ɛksɛsayz ɛn gi yu pikin tin fɔ it we go mek yu gɛt wɛlbɔdi.

Ustɛm a fɔ si dɔktɔ bɔt VUR?

If yu sɔspɛkt se yu gɛt UTI (we bɔku tɛm na di fɔs sayn fɔ VUR), go to yu pikin in dɔktɔ we de mɛn pikin dɛn wantɛm wantɛm. Di sayn dɛm lɛk we yu nɔ ebul fɔ pis , fiva we yu nɔ ɛksplen, ɛn pen we yu de pis kin sho bak se yu gɛt VUR. If yu dɔktɔ we de mɛn pikin dɛn tink se VUR, i go rifer yu to spɛshal dɔktɔ.

Us kwɛstyɔn dɛn yu fɔ aks di dɔktɔ?

Tɔk to yu pikin in dɔktɔ fɔ gɛt ansa to ɛni kwɛstyɔn we yu gɛt bɔt VUR. Na sɔm kwɛstyɔn dɛn we yu kin aks:

• Yu tink se mi pikin in praymari VUR go bɛtɛ if dɛn nɔ gɛt tritmɛnt?
• Mi pikin gɛt prɔblɛm wit in kidni bak?
• A fɔ go to spɛshal pɔsin?
• Aw yu kin trit mi pikin in VUR?
• Wetin na di tin dɛn we kin apin we pɔsin lɛf VUR we dɛn nɔ trit am?
• Wetin a kin du na os fɔ ɛp mi pikin in kɔndishɔn fɔ bɛtɛ?
• Dis kɔndishɔn go mek mi pikin fil pen?
• Aw a go no if VUR de afɛkt ɔda ɔgan ɔ bɔdi wok?
• Aw yu go mek yu nɔ gɛt urinary tract infection?
• Yu tink se dɛn fɔ tɛst mi ɔda pikin dɛn fɔ VUR?

Fɔ dɔn, wetin fɔ mɛmba (Take-Home Message) .

VUR nɔ kin mek pɔsin fil pen ɔ i kin mek pɔsin in layf de pan denja. Dɛn kin ebul fɔ kɔntrol am, ɛn bɔku tɛm di tritmɛnt kin wok fayn. Pan ɔl we no we nɔ de fɔ mek i nɔ gɛt am, yu kin ɛp yu pikin fɔ gɛt wata, ɛksesaiz, ɛn it tin dɛn we gɛt fayn fayn tin dɛn fɔ mek i kɔntinyu fɔ gɛt wɛlbɔdi. Trust yu dɔktɔ in ɛkspɛriɛns. Dɛn kin ɛp yu fɔ no ɛn trit yu pikin in VUR. Nɔ shek fɔ tɔk to dɛn bɔt yu kwɛstyɔn ɛn tin dɛn we de mɔna yu. Bi opin ɛn ɔnɛs bɔt yu pikin in sik, ivin if i at fɔ tɔk bɔt. Yu no ɛn fala yu dɔktɔ in advays na di bɛst we fɔ ɛp yu pikin fɔ wɛl.

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