Ekibumba ky’omwana wo kizimba? Ka tuyige ku bulwadde bwa pyelectasis!

Bw’oba ​​osuubira omwana, kya bulijjo okweraliikirira obulamu bw’omwana wo. Oluusi, mu kiseera ky’okusika, abasawo basobola okulaba enkyukakyuka entonotono mu nsigo z’omwana wo, gamba ng’okuzimba okutono. Oyinza okutya katono ng’owulira ekyo. Ekyo kye kibeera obulwadde bwa pyelectasis . Naye teweeraliikiriranga, buli kimu tujja kukikuuma nga kyangu.

Obulwadde bwa Pyelectasis kye ki?

Mu ngeri ennyangu, obulwadde bwa pyelectasis omwana wo bw’aba n’omusulo omutono wakati mu kimu ku kibumba kye ng’akyali mu lubuto. Okubeera omutuufu, ekitundu ekikulu mu kibumba omusulo we gukuŋŋaanyizibwa kye kirabika nga kizimba katono.

Kino kiva ku kuzibikira okutono oba okuzibikira mu kkubo ly’omusulo ogukolebwa mu nsigo, ogugenda wansi mu musulo (era oguyitibwa omusulo) okutuuka mu kibumba. Oba, oluusi, omusulo gukulukuta ne gudda waggulu okuva mu kibumba, nga gugenda mu nsigo (`Urinary reflux`).

Abasawo oluusi embeera eno bagiyita pyelectasis, pelviectasis, pelvocaliectasis oba caliectasis okusinziira ku kifo omusulo we gukuŋŋaanyizibwa. Naye ebigambo bino byonna bitegeeza okukuŋŋaanyizibwa kw’omusulo mu kitundu ekimu eky’ekibumba.

Njawulo ki eriwo wakati wa Pyelectasis ne Hydronephrosis?

Amannya gano gombi gategeeza ensigo okuzimba olw’omusulo, naye waliwo enjawulo entono.

• Mu bulwadde bwa pyelectasis , okuzibikira mu nkola y'omusulo kutera kuba kwa maanyi . N’olwekyo, omusulo omutono gukuŋŋaanyizibwa mu kibumba. Kino kireetera ekitundu ky’ekibumba ekya wakati okugaziwa katono.
• Mu bulwadde bwa hydronephrosis , okuzibikira kuno kuba kwa maanyi nnyo, ekitegeeza nti kwa maanyi . Olwo omusulo mungi ne gukuŋŋaanyizibwa mu kibumba, ate mu mbeera ezimu ez’amaanyi, ekibumba kisobola okuzimba ng’akapiira.

Ebiseera ebisinga, obulwadde bwa pyelectasis bujja kuwona ku bwayo awatali bujjanjabi bwonna . Wabula mu bitundu nga 10%, kiyinza okugenda mu maaso ne kifuuka obulwadde bwa hydronephrosis. Mu mbeera eno, oyinza okwetaaga okugenda ew’abaana omusawo w’ekibumba oba omusawo w’emisuwa ng’omwana amaze okuzaalibwa.

Embeera eno ya bulijjo etya?

Obulwadde bwa Pyelectasis mbeera ya bulijjo nnyo . Bubaawo mu lubuto nga 1 ku buli 40. Kiyinza okukwata ekibumba kimu kyokka (unilateral pyelectasis) oba ekibumba byombi (bilateral pyelectasis).

Lowooza ku nsonga eno, .Abalongo abasajja emikisa gy’okufuna embeera eno emirundi nga esatu okusinga abaana abakazi.

Obulwadde bwa Pyelectasis bwa maanyi?

Emirundi egisinga, obulwadde bwa pyelectasis tebulina buzibu bwonna bunene ku mwana wo. Abaana abasinga obungi abalina embeera eno bazaalibwa nga balamu bulungi era bakola bulungi.

Naye, si bulijjo nnyo, embeera eno ey’obulwadde bwa pyelectasis esobola okukula n’efuuka embeera ey’amaanyi eyitibwa hydronephrosis. Mu mbeera eyo, abasawo bayinza okukuwa amagezi okulongoosebwa (okulongoosa omwana mu lubuto) ng’omwana akyali mu lubuto okutangira ensigo z’omwana okwonooneka. Kyokka kino tekitera kubaawo nnyo.

Kino kikwatagana n’obulwadde bwa Down syndrome?

Singa omwana wo akebera amaloboozi agayitibwa ultrasound scan eraga nti alina obulwadde bwa pyelectasis, emikisa eminene katono nti omwana alina embeera y’ensengekera y’obutonde eyitibwa Down syndrome . Wabula kino tekitegeeza nti buli mwana alina obulwadde bwa pyelectasis alina obulwadde bwa Down syndrome. Mu butuufu, abalongo abasinga obungi abalina obulwadde bwa pyelectasis tebalina bulwadde bwa Down syndrome.

Mu ngeri ennyangu, singa obulwadde bwa pyelectasis tebuwerekerwako bivudde mu kukebera omusaayi ebirala ebitali bya bulijjo oba ebitali bya bulijjo ku sikaani, kitera okutwalibwa ng’enkyukakyuka entonotono mu nkula ya bulijjo ey’omwana ali mu lubuto.

Obubonero bwe buliwa?

Obulwadde bwa Pyelectasis ng'oli lubuto butera obutaba na bubonero bwonna . Embeera eno etera okuzuulibwa mu kiseera ky’okukebera kwo okw’amaloboozi nga tonnazaala.

Kiki ekivaako obulwadde bwa pyelectasis mu mwana ali mu lubuto?

Waliwo ensonga bbiri enkulu.

1. Okuzibikira kw’ensengekera y’omusulo:

Ekibaawo mu mbeera eno kwe kuba nti waliwo okuzibikira oba okuzibikira mu kifo ttanka etambuza omusulo okuva mu kibumba ky’omwana (eyitibwa `ureter`) w’ekwatagana n’ekibumba (ekiyitibwa `ureteropelvic junction`). Olwo, omusulo tegusobola kukulukuta kufuluma, kwe kugamba, ne guyingira mu nseke, ne gusibira munda mu kibumba. Olw’okuzibikira kuno, puleesa munda mu kibumba yeeyongera, ekivaako obulwadde bw’ekibumba, era ekiseera bwe kigenda kiyitawo, enkola y’ekibumba esobola okukendeera.

2. Okuddamu okufulumya amazzi mu bitundu by’omubiri (vesicoureteral reflux): .

Mu budde obwabulijjo, omusulo ogukolebwa mu nsigo gutambula wansi mu misuwa ne gukuŋŋaanyizibwa mu kibumba. Olwo ne kiva mu mubiri gw’omwana ne kiyingira mu mazzi g’omu lubuto.

Wabula mu mbeera ezimu, omusulo oguva mu kibumba gukulukuta ne gudda waggulu, kwe kugamba, okuyita mu misuwa, nga gwolekera ensigo.Ekyo kye bayita vesicoureteral reflux. Singa omusulo ogukulukuta ne gudda waggulu mu ngeri eno gusigala mu kibumba okumala ebbanga eddene ne guleeta okuzimba, era guyinza okuvaako obulwadde bw’ekibumba.

Kino okisanga otya?

Abasawo bazuula obulwadde bwa pyelectasis nga bakeberebwa nga tebannazaala . Singa sikaani yo eraga, ggwe n’omwana wo mujja kwetaaga okulondoolebwa ennyo mu lubuto lwo lwonna.

Obujjanjabi bwe buruwa?

Amawulire amalungi gali nti emirundi egisinga, obulwadde bwa pyelectasis buwona ku bwayo awatali bujjanjabi bwa njawulo.

Omusawo wo ajja kulondoola embeera eno mu lubuto lwo lwonna. Bwe kiba kyetaagisa, omwana wo ajja kwekebejjebwa omusawo w’abaana ow’omusulo oba omusawo w’ekibumba ng’amaze okuzaalibwa.

Mu mbeera ezimu, omusawo w’abaana akola ku by’okulongoosa omusulo ayinza okukola okulongoosa okuyitibwa pyeloplasty , okukozesebwa okumalawo okuzibikira wakati w’ekibumba n’omusulo.

Mu kiseera ky’olubuto, abasawo bayinza okukuwa amagezi okulongoosebwa omwana ali mu lubuto singa embeera eyo, gamba ng’obulwadde bwa pyelectasis oba hydronephrosis, eba ya maanyi ekimala okuleetera ekibumba okwonooneka. Kyokka kino tekitera kubaawo nnyo .

Nsobola okukendeeza ku bulabe buno eri omwana wange?

Obulwadde bwa Pyelectasis nkyukakyuka ntono mu nkula y’omwana ali mu lubuto, n’olwekyo mu butuufu tewali ngeri yonna gye tuyinza kugiziyiza kubaawo . Wabula kyetaagisa nnyo okwekebejjebwa buli kiseera nga oli lubuto. Wano omusawo w’asobola okulondoola embeera eno n’okukuwa amagezi ku bujjanjabi bwe kiba kyetaagisa.

Kiki ekibaawo singa omwana wange alina obulwadde bwa pyelectasis?

Singa omusawo akizuula nti olina obulwadde bwa pyelectasis ng’ayita mu sikaani, ggwe n’omwana wo mujja kulondoolebwa ng’oli lubuto n’oluvannyuma lw’okuzaalibwa omwana wo. Omusawo ajja kukola sikaani buli kiseera okulaba oba okuzibikira kweyongera.

Singa obulwadde bw’ekibumba bweyongera ne bufuuka obulwadde bw’amazzi mu kibumba, ojja kwetaaga okulaba omusawo w’abaana ow’omusulo oba omusawo w’ekibumba ng’omwana amaze okuzaalibwa. Bajja kwekebejja omwana wo basalewo oba obujjanjabi bwetaagisa.

Tekitera nnyo, okuzibikira okuva ku pyelectasis kuyinza okuba okw’amaanyi okwonoona ensigo ng’omwana akyali mu lubuto. Kino bwe kiba kiteeberezebwa, omusawo ajja kwogera naawe ku kulongoosa omwana ali mu lubuto.

Obulwadde bwa Pyelectasis busobola okuwona?

Yee, ddala! Mu bitundu ebisukka mu 90%, obulwadde bwa pyelectasis butereera ku bwayo . Singa okuzibikira kuba kwa maanyi, kiyinza okwetaagisa okulongoosebwa okutereeza ekizibu ekyo.

Abalongo abalina obulwadde bwa hydronephrosis obw’amaanyi batera okufuna ebizibu ebigenda mu maaso oluvannyuma lw’okuzaalibwa. Mu mbeera ng’ezo, omwana wo ayinza okwetaaga okulongoosebwa.

Ddi lwe nnina okulaba omusawo?

Kikulu nnyo okugenda mu kukeberebwa kw’abasawo buli kiseera ne sikaani. Abasawo basobola okuzuula obulwadde bwa pyelectasis nga bakozesa ultrasound scan yokka. Bajja kulondoola nnyo embeera yo era bakukuwa amagezi ku bujjanjabi bwe kiba kyetaagisa.

Bibuuzo ki bye nnina okubuuza omusawo?

Singa sikaani yo eraga nti olina obulwadde bwa pyelectasis, osobola okubuuza omusawo ebibuuzo nga:

• Omwana alina ekibumba ekizibye? Bwe kiba bwe kityo, kiri ludda wa?
• Olina obulwadde bwa urinary reflux?
• Omugotteko guno mutono, gwa kigero oba gwa maanyi?
• Waliwo ekintu ekirala kyonna ku sikaani yange oba mu kukeberebwa omusaayi ekiraga nti omwana ayinza okuba n’obulwadde bwa Down syndrome oba embeera endala ey’ensengekera y’obutonde?
• Kiyinzika kitya nti omwana wange ajja kwetaaga okulongoosebwa?

Obubaka Obutwala Awaka

Kya bulijjo okuwulira ng’otya n’okweraliikirira ng’okizudde nti omwana wo alina obulwadde bw’okuzimba omutwe. Naye emirundi egisinga, kyetaagisa kwe kwetegereza . Omusawo wo ajja kukola ebigezo ebyetaagisa okulaba oba kino kizibu ekyetongodde oba kabonero k’embeera endala. Bajja kuba balondoola nnyo embeera yo era bajja kukuyamba buli ddaala ly’ogendako. Kale totya mu ngeri eteetaagisa. Ekisinga obukulu kwe kugoberera ebiragiro by’omusawo.

` Obulwadde bwa Pyelectasis, ekibumba ky’omwana ali mu lubuto, obulwadde bw’amazzi mu kibumba, okukebera eddoboozi nga tonnazaalibwa, okuzibikira ensengekera y’omusulo, okuddamu okutambula kw’ekibumba (vesicoureteral reflux), obulamu bw’omwana, okuzimba ekibumba, obulamu bw’olubuto