I naute hian congenital urinary problem a nei em? (Congenital Urinary Abnormalities) Hemi chungchang hi han sawi ila!

Aw, i naupang tê hian a zun hian thil mak tak a awm niin a hria em ? A châng chuan doctor-te chuan naute pian hmain scan hmangin min hrilh ṭhin a, naute zun kawngah hian danglamna tenau te a awm tih min hrilh ṭhin. He thu i hriat hian hlauthawng tih hi thil pangngai tak a ni. Mahse, lungngai suh, he thu hi awlsam takin sawi ila. Vawiin hian heng natnate hi eng nge an nih, engvangin nge an lo awm tih, engtin nge kan hriat theih ang, engtin nge kan enkawl ang tih kan en dawn a ni.

Heng ‘congenital urinary system abnormalities’ te hi engte nge ni?

A awlsam zawngin sawi ila, congenital urinary abnormalities chu i naute urinary system leh a chang chuan genitourinary systems a pian tirh atanga a awm a, chu chu naute chu nausen pum chhunga a la lo thanglian lai a lo awm tihna a ni. Chungte chu congenital urinary anomalies an ti bawk.

Heng natnate hian a nghawng thei ber taksa peng hrang hrangte chu:

• Kidney: I hriat angin kan taksaa kal pahnih hian thisen atanga chi, tui, toxin leh bawlhhlawh te chu an filter a, zun an siam chhuak thin . Mi tam zawk chuan kal (kidney) pahnih an nei a.
• Urinary bladder: Hei hi elastic sac ang chi organ, zun khawlkhawmtu a ni .
• Ureters: Hei hi muscular tube pahnih, kal atanga zun (bladder) thlenga phurtu an ni.

Eng thil danglam bik nge awm?

Chutiang thil dik lo chu chi hrang hrang a awm a. Chung zinga tlemte han thlir ila:

• Hydronephrosis: Hei hi kal pakhat emaw, a pahnih emaw a lo hring chhuah hian a ni. Thil pakhatin kal atanga zun kalna kawng a tikhawlo a, chu chuan kal chhunga zun chu a khat a, a hring chhuak ta niin han ngaihtuah teh. Tui pipe a inkhar a, tui a khat ang mai a ni.
• Undescended testicles (cryptorchidism): A tlangpuiin nausen mipa chu a pum chhunga a awm laiin a pum chhungah a sesticles a lo thang lian thin. Chumi hnuah chuan zawi zawiin scrotum, testicles awmna bawm chhungah an chhuk thla a. Mahse, naute thenkhat chuan heng testicles zinga pakhat emaw, pahnih emaw hi an nei a , an pian hnuah pawh hun engemaw chen chu scrotum chhungah a chhuk lo.
• Hypospadias: Hei hi nausen mipa te pawh a ni. Urethra-a hawnna, zun leh sperm chhuahna tube chu penis tip-ah a awm tur a ni. Mahse, chutiang a nih chuan a hawnna chu penis hnuai lam hmun dangah a awm a ni.
• Spina bifida: Hei hi a buaithlak deuh a ni. Naute chu nausen pum chhunga a lo thanglian laiin thluak, ruhro leh/ emaw, ruhro (meninges) chhehvela venhimna (protective membrane) te a lo thanglian kim loh chuan a thleng thin. A nasat chuan hei hian paralysis thenkhat emaw, paralysis pum emaw a thlen thei. Tin, neurogenic bladder leh harsatna dang a thlen thei bawk.
• Vesicoureteral reflux (VUR) atanga lo chhuak a ni.A tlangpuiin zun hi kidney atanga ureter kaltlangin bladder thlengin a kal a, chutah chuan urethra kaltlangin a chhuak leh thin. Mahse, hetiang dinhmun (VUR) ah hian bladder chhunga zun chu ureter kaltlangin a luang leh a, a chang chuan kal chhungah a luang leh thin.
• Bladder exstrophy: Hei hi a awm lo hle. Hetiang dinhmunah hian naute zun (bladder) chu a chhung lam a lang chhuak thei ang berin a lo thang lian a, chu chu a chhung lam a lang chhuak tihna a ni. Chumi hnuah naute chuan zun kawng (urethra) kaltlangin ni lovin, a pum hnuai lam hawnna hmangin a zun a ni .
• Prune belly syndrome (Eagle-Barrett syndrome): Hei hi a awm ve lo hle bawk. Chumi chhinchhiahna ber chu pum ruh chak lo emaw, hloh emaw a ni a, chu chuan pum chu plum hring ang maiin a siam a ni. Hemi rual hian testicles te chu a chhuk a, a bo thei a, urinary system-ah pawh thil danglam dang a awm thei bawk.
• Posterior urethral valve (PUV): Hetiang natna hian naute mipa a nghawng a ni. Urethra hnung lama extra flap (valve) awm chuan zun kalna tur a tikhawlo a ni. Hei hian zun chu bladder chhungah a back up thei a, chu chuan a ti hring thei a ni. Hei hian urethra leh kidney a tichhe thei a ni.

Eng dinhmunte nge a tam ber?

Undescended testicles hi mipa naupang zun kawng dik lo awm tam ber a ni.

Vesicoureteral reflux (VUR) hi hmeichhe naupang zingah a awm fo thin.

Heng thil dik lote hi eng chhinchhiahna nge ni?

Hei hi thil dik lo chi hrang hrang a zirin a danglam thei. A then phei chuan natna emaw, hmuh theih chhinchhiahna emaw a awm lo thei bawk. Hetiang hunah hian doctor chuan hengte hi scan ang chi test hmang chauhvin a hmu thei a ni. Mahse, a lan chhuah dan tlangpui thenkhat chu hetiang hi a ni:

• A sir, pum, emaw hnungzang emaw a na .
• Zun laiin kang emaw, na emaw (dysuria).
• Urinary diversion , emaw, zun chhuahna chak lo emaw.
• A tlangpui aia tam emaw tlem emaw zun chhuah.
• Zun chhunga thisen (hematuria) a awm.
• Nausea leh luak chhuak .
• Hernia a awm thin .
• Urinary tract infection (UTIs) a awm fo thin.
• Naute hi beisei angin a hrisel lo hle .

Engvangin nge hetiang hi a lo awm? Hei hi eng chhan nge ni?

Hei hi a chhan pakhat chauh hriat chian a harsa tak zet. A buaithlak deuh. A tam zawkah chuan heng urinary system dik lote hi environmental factors leh genetic mutations pahnih inzawmkhawm vang a ni .

Environment factors a nghawng thei te chu:

• Ka nu hian zunthlum a nei a .
• Naupai laiin vitamin leh mineral thenkhat, folate leh iron te tlakchhamna .
• Nuin a ei damdawi thenkhat (entir nan, epilepsy damdawi thenkhat) hian kal (kidney) a tichhe thei hle.

Heng thil dik lo nena inzawm genetic mutations ber chu genes PAX2 leh HNF1B te hi an ni. Heng genes te hian nausen lo thanglian zelnaah kal, zun kawng leh tissue dangte siam turin a pui thin.

Heng dinhmunte hian tute nge a nghawng ber?

A tlangpuiin, chhungkaw zinga mi (biologically related) pakhatin kidney emaw urinary system lama harsatna a neih tawh chuan , naute hian hetiang chi congenital urinary system abnormality hi a nei tlem zawk a ni.

Engtin nge hengte hi i hmuh chhuah? Engtin nge natna hi kan hriat theih ang?

A tam zawkah chuan doctor-te chuan nau neih hmaa ultrasound an tih laiin heng pianpui urinary abnormalities te hi an hmu chhuak thin . I hria em, heng scan te hian naute hriselna leh hmasawnna a enfiah thin. Tin, oligohydramnios ang chi thil an hmu thei bawk a, chu chu naute chhehvela amniotic fluid awm lohna a ni. A tlangpuiin, naupai kar 20 vel hnuah he amniotic fluid tam zawk hi zun a ni . Chuvangin, amniotic fluid a awm tlem chuan doctor-te chuan naute zun kawngah thil dik lo a awm niin an ring.

Eng emaw chhan vanga hei hi naute pian hmaa hriat theih a nih loh chuan , naute pian hnuah emaw, naupan laia nautein a lan chhuah dan a zirin emaw, doctor chuan hei hi a ringhlel thei a ni. Tichuan, he natna hi finfiah nan test hrang hrang an nei thin. Heng test te hi:

• Ultrasound scan: Hei hi painless test a ni a, sound wave hmangin taksa chhunga taksa peng leh tissue te thlalak emaw video emaw lak a ni.
• Urinalysis / urine test: Hei hian zun kawng infection a awm leh awm loh ang chi thil a nemnghet thei.
• Thisen test: Hengte hian kal (kidney)-in thisen a filter that dan (estimated glomerular filtration rate - eGFR) ang chi thil a enfiah thei a ni.
• CT scan (computed tomography scan): Hei pawh hi natna nei lo test a ni. Taksa chhunga ruh leh tissue te chipchiar taka thlalak siam nan hian a zawnin X-ray tam tak a ngai a ni.
• MRI Scan (MRI / Magnetic resonance imaging): Hei pawh hi natna nei lo test a ni. Magnet, radio wave leh computer hmangin taksa chhunga taksa peng leh thil awmte chipchiar taka thlalak a la thin.
• Voiding cystourethrogram (VCUG): Hei hi test bik a ni a, zun chhuah hnua bladder a fill leh empty laiin chipchiar taka thlalak a la thin
• Renal scan: Hei hi nuclear medicine imaging procedure a ni a, radioactive material tlemte hmangin kal (kidney) chipchiar takin thlalak a la a ni.
• Urodynamic testing: Hei hian bladder hnathawh that dan hriat nan catheter ang chi device dah a ni.

Hei hi engtin nge enkawl a nih?

Enkawlna chi chu naute hian thil dik lo a neih danah a innghat a ni. Condition thenkhatah chuan enkawlna engmah a ngai lo mai thei. Thil dang dangah chuan enkawlna hrang hrang a ngai thei bawk. Entir nan:

• Antibiotics (infection a awm chuan) .
• Dialysis (kidney a thawk tha lo a nih chuan) .
• Kidney transplant ( kal tha lo a awm chuan) .

I naute medical team chuan i naute medical history kimchang an enfiah ang a, tuna an dinhmun chu uluk takin an zirchiang ang a, i naute tan health plan tha ber leh tling ber an siam ang.

Heng dinhmunte hi ven dan tur a awm em?

Dik tak chuan heng zun kawng dik lo zawng zawng hi ven theih a ni lo. Mahse, naupai hrisel tak neih hian i hlauhawmna chu eng emaw chen a tihziaawm thei a ni. Chumi awmzia chu:

• A hun takah doctor hmu la, thurawn la la, clinic ruat saah kal rawh.
• Tuna i damdawi leh vitamin i ei mekte chu i doctor nen sawiho rawh.
• Nau neih hmaa vitamin pakhat, nitin folic acid microgram 400 tal awmna ei thin ang che.
• Zu, zuk leh hmuam, doctor-in a pek loh damdawi engmah hmang suh.

Ka naute hian hetiang hian congenital urinary tract problem a nei a nih chuan eng nge thleng ang? Nakin hun chu eng nge ni ang?

Hei hi i naute urinary abnormality chi hrang hrang leh a symptoms nasat danah a innghat tak zet a ni. Naupang thenkhat chuan an dam chhung zawngin damdawi lam enkawlna mumal tak an mamawh mai thei. But don’t worry , i naute medical team chuan i naute chu him, hrisel, leh a theih ang anga independent taka awm theihna tura personalized plan siam turin an thawk ho ang.

Naute a lo seilian a, a puitlin a, tleirawl a nih chuan hriselna leh nunphung lama harsatna engemaw zat a lo chhuak thei a ni. Entir nan:

• Zun leh ek control harsa (urinary leh bowel incontinence).
• Urinary tract infection (UTI) awm fo thin.
• Bladder, kidney, leh/ emaw urinary tract tihchhiat.
• Kal chhiatna nasa tak chuan kal a tichhe thei a ni. Chutiang a nih chuan dialysis emaw, kal thlak emaw a ngai mai thei.
• Hetiang dinhmun hian an serh hnathawh leh a lan dan a nghawng thei a, chu chuan nakin lawka fa neih theihna tur a nghawng thei a ni.

Heng congenital urinary system abnormalities te hian i naute chu rilru leh khawtlang nunah (midangte hmuh dan te, amah leh amah a ngaihtuah dan te, etc.) a nghawng thei a, mahse i medical team chuan heng zawng zawng hi a pui thei a, i naute chu a theih ang anga stress awm lovin puitlingah a inthlak theih nan a pui thei a ni.

Engtikah nge ka naute hi doctor hnenah ka hruai ang? Emergency-ah eng nge tih tur?

I naute doctor nen appointment neih reng a pawimawh. I naute chu nausen lai, naupan lai, tleirawl lai leh puitlin chhung zawngin an enkawl ang.

I naute hian zun kawng dik lo a neih a, a hnuaia symptoms te hi a lan chhuah chuan hospital emergency department hnai ber pan nghal rawh :

• I pum, i hnungzang emaw, i sir emaw-ah natna nasa tak, tuar theih loh i neih thut chuan.
• Khawsik 100.5 degree Fahrenheit (38 degree Celsius) aia sang i neih chuan.
• I zun danah inthlak danglamna i hmuh chuan (e.g., a tlangpui aia tam emaw tlem emaw i zun , zun theih loh, zun laiin natna i hriat , zun chhunga thisen chhuah ).

Doctor hnena zawh tur pawimawhte chu engte nge ni?

I naute doctor i tlawh hunah heng zawhnate hi zawh theihnghilh suh:

• "Ka naute hian congenital urinary system abnormality a neih hi eng tak nge ni?"
• "He dinhmun hian nakin lawkah engtin nge a nun a nghawng ang?"
• "Hetiang dinhmun avang hian ka naute hi hriselna lama harsatna dang a tawk nasa zawk em?"
• "Ka naute hian enkawlna a mamawh em?"
• "Chuti a nih chuan, enge enkawl dan tha ber?"
• "Eng complication nge ka hriat bik tur?"
• "He natna hian ka naute chungah hun rei tak chhung nghawng eng nge a neih?"

Kan hriat reng tur pawimawh ber berte

Nu leh pa tam takin an hlauh ber pakhat chu an nau piang thar emaw, nausen piang thar emaw hian an nun tichhe thei natna emaw, dinhmun emaw a nei ang tih hi a ni. Heng congenital urinary tract abnormalities te hi a inang vek a, naute chu a pum chhunga a lo thanglian lai emaw, a pian hnu lawkah emaw a thleng thei a ni. Heng dinhmun tam tak hi chu pumpelh kim theih a ni lo. Mahse, naupai hrisel tak neiin, .(Chu chu, ei leh in tha tak ei te, doctor-te rawtna vitamin ei te, thil tha lo laka inthiarfihlim te, leh damdawi lam inrawnkhawmna leh clinic-a a hun taka kal te) hian chutiang dinhmun lo awm theihna chu eng emaw chen chu a tihziaawm thei a ni.

I naute hian zun kawng dik lo a nei tih i hriat chuan hlau suh . Medical team chuan i naute tan bik leh a tan a tha ber tur treatment plan an siam ang. Hei hi nu leh pa i tân a harsatzia leh a tihbuai theihzia an hria a ni. Chuvangin i naute mamawh tur test leh enkawlna tur hrilhfiah che an inpeih a, zawhna i neih apiang chhang turin an inpeih reng bawk. Hetih huna i tih theih pawimawh ber chu i doctor thupek dik taka zawm a, i doctor rintlak hi a ni.

` Congenital urinary system abnormalities, congenital urinary anomalies, naute zun lama harsatna, kal natna, bladder lama harsatna, naupang hriselna, naupai hriselna