I kal (kidney) ah pawh ureter pahnih i nei em? (Duplex Kidney) A dinhmun hi awlsam takin i zir ang u!

Kan taksa hi thilsiam mak tak a ni a ni lawm ni? A chang chuan kan taksa chhungah hian kan hriat loh, kan ngaihtuah phak loh thil a thleng thin. Chu chu vawiin a kan sawi tur thil bik pakhat chu a ni. Ngaihtuah teh, i kal pakhat atanga zun (bladder) thlenga zun phur tube (hengte hi `(ureters)` kan ti) te hian pakhat aiah pahnih an nei tlangpui! Ni e, chu chu a dik a ni. Hei hi medical science-a `(Duplex Kidney)` emaw `(Duplicated Ureters)` emaw kan tih chu a ni. A hming i hriat chuan hlauthawng suh, hei hi mi tam zawk tan chuan harsatna lian tham a thlen lo. Hemi chungchang hi chipchiar tak leh awlsam takin sawi ila.

Hei hi eng nge ni ``Duplex Kidney''? I hrethiam ang u!

A awlsam zawngin sawi ila, duplex kidney hi pian tirh atanga lo awm thin a ni. Hei hi i kal pakhat emaw, pahnih emaw hian ureter an tih tube pahnih an neih a, chu chuan zun chu bladder-ah a phur a ni. A tlangpuiin ureter pakhat chauh hi kidney pakhat atang hian bladder nen a inzawm thin.

Kan taksaah hian kal (kidney) pahnih kan nei vek a. Heng kal (kidney) te hian kan taksaa bawlhhlawh awmte chu an filter a, zun an siam chhuak thin. Tichuan, he zun hi ``ureters`` an tih tube hmangin a kal a, bladder-ah a khawl khawm thin. Bladder a khat chuan zun a ngai tih kan hria. Tunah chuan he ``Duplex Kidney`` dinhmunah hian kidney pakhat atang hian tube pahnih a chhuak a. Pakhat chu kal chunglam atanga tan a ni a, pakhat chu a hnuai lam atanga tan a ni a, zun chu zun (bladder) thlengin a phur a ni. Hei hi nausen pum chhunga kal leh zun kawng te hi nausen angin a lo thanglian lai hian a thleng thin.

`(Duplex Kidney)` chi hrang hrangte chu engte nge ni?

He ``Duplex Kidney'' natna hian kal pakhat chauh a nghawng thei a, a nih loh leh kal pahnih (chu chu ``bilateral duplex kidneys'' kan tih) a nghawng thei bawk. Tin, a famkim emaw, a famkim lo emaw pawh a ni thei bawk . Eng nge a nih i en ang u.

• Complete Duplex Kidney: Hetiang a nih chuan ureter pahnih, kidney pakhat atanga tan a, bladder nena inzawm a ni. Chumi awmzia chu tube pahnih chu bladder chhungah a lut tihna a ni.
• Incomplete Duplex Kidney: Hetah hian ureter pahnih hi kidney pakhat atanga tan ni mahse, bladder chhunga an luh hmain an inzawm khawm a, bladder nena inzawm tube pakhat an siam a ni. ‘Y’ letter ang maiin han ngaihtuah teh.

Hetiang natna lan chhuah dan hi engte nge ni? Mi zawng zawng hian symptoms kan nei vek em?

Thu lawmawm tak chu duplex kidney nei tam zawk hian symptoms an nei lo . Nun pangngaiin an khawsa thin. Mahse, a chang chuan a bik takin complete duplex kidney a nih chuan, ureters te chu bladder nen a inzawm tha lo emaw, zun kalna kawngah harsatna engemaw a awm emaw chuan, harsatna avang hian symptoms a lo lang thei a ni.

Symptoms lo awm thei te chu:

• Urinary tract infection (UTI) awm fo thin .A lo awm dan. Hemi hun chhung hian kang, natna, leh zun tam ngai i nei thei.
• Kidney infection (UTI a awm chuan khawsik a awm chuan). Hei hi a pawi deuh deuh. A lan chhuah dan chu khawsik, khawsik, leh hnungzang na te a ni thei.
• Urinary incontinence chu naupang toilet trained (potty trained tia hriat bawk) a nih hnu pawha a duh loh zawnga zun a chhuah hi a ni . Hei hi hmeichhe naupangte zingah a hluar hle.

Ngaihtuah teh, naupang thenkhat chuan khawsik an nei fo a, doctor in damdawi a pe a, mahse an nei leh zel a ni. A chhan chu ``Duplex Kidney'' thup avanga zun kawng infection vang pawh a ni mai thei.

Duplex Kidney hian zun tam lutuk a thlen em?

Ni lo, Duplex Kidney neih hian i bladder-ah zun tam zawk a vawm lo va, zun tam zawk i neih a ngai lo bawk. Kan zun kan siam chhuah zat hi kan taksa chhunga system dangin a thunun a ni. Mahse, ka sawi tawh ang khan Duplex Kidney nei mi pakhatin UTI a vei fo a nih chuan a natna avanga zun tam a ngai ang tih i hre mai thei. Hei hi a dinhmun atanga lo chhuak direct a ni lo va, natna hrik lan chhuahna a ni.

Engvangin nge he ``Duplex Kidney'' hi a lo awm?

Hei hi nausen pum chhunga nausen lo pian tirh lama cell division error avanga lo awm a ni fo thin. Chumi awmzia chu kal leh zun kawng siam danah hian inthlak danglamna tlem a awm tihna a ni. A pawimawh ber chu he natna hi nuin naupai lai a thil tih leh tih loh avanga lo awm a ni tih finfiahna a awm lo. Chuvangin chutiang thil chu inthiam lo takin inhria suh.

Hei hi thlah kal zel atanga lo chhuak thil a ni em?

Ni e, a chang chuan Duplex Kidney hi rochun theih a ni . Chumi awmzia chu nu leh pa zinga pakhatin he natna hi a neih chuan an fain a vei theihna chance 50% a nei tihna a ni. Mahse, naupangte hian an nu leh pate hian he natna hi an nei lo a nih pawhin Duplex Kidney an neih theihna tur a awm. Chuvang chuan chhungkuaa mi tu emaw chuan a nei a nih chuan fimkhur a tha.

``Duplex Kidney'' avanga harsatna awm thei te chu engte nge ni?

Vawi tam tak chu duplex kidney symptoms hi urinary system lo thanglian zel nena harsatna dang a lo awm chauhvin a lang thin. Heng inthlak danglamna te hian zun kalna a tikhawlo thei a, kal a ti na thei (hydronephrosis), zun chu kal chhungah hnunglam hawiin a luang lut thei bawk (reflux). Heng zinga eng pawh hian urinary tract infection (UTI) a thlen fo thei a ni.

``Duplex Kidney'' nena inzawma hmuh theih natna dang thenkhat chu:

• `Ureterocele`: Hei hi bladder nena a inzawmna `(ureter)` chu balloon ang a nih chuan a ni. Hei hian zun kalna a tikhawlo thei a ni.
• Ectopic ureter atanga chhuak:Hetah hian ureter chu a awmna tur hmun ni lovin bladder hmun dang (entir nan, urethra emaw vagina emaw)-ah a inzawm a ni. Hei hian tum loh takin zun a chhuah tir thei (incontinence).
• Vesicoureteral reflux (VUR): Hei hi bladder atanga zun chu ureters atanga kidney thlenga a luang leh thin a ni. Hei hian kal (kidney) a tichhe thei a, natna hrik a thlen thei bawk.
• Hydronephrosis: Hei hi kal (kidney)-a zun a lo pungkhawm a, a lo hring chhuak thin hi a ni. Hei hi zun kawng khawi emaw laiah blockage a awm chuan a thleng thin.

Engtin nge he ``Duplex Kidney'' natna hi hriat theih?

Doctor-te chuan i zun kawng (urinary system) thlalakna atana special imaging test hmangin duplicated ureters an hmuchhuak thei a ni. I natna lan chhuah chhan hriat tum hian i doctor chuan hetiang zawhnate hi a zawt thei che a ni:

• I hnungzang emaw, pum na emaw i nei em?
• Urinary incontinence chungchangah harsatna i nei em?
• Chhungkaw chhungah (thisen chhungte) ``Duplex Kidney'' nei an awm em?

Duplicated ureters hi naupan laiah hmuhchhuah a ni fo thin , a bik takin UTI emaw incontinence emaw an neih fo chuan. Mahse, mi thenkhat chuan puitling an nih hma chuan he natna hi an nei tih an hre lo. Condition dang test-naah accident-in hmuhchhuah a ni fo. A lan chhuah dan thenkhat chu natna dang nen a inang a, chuvangin hriat a harsa thei hle.

Hei hi hriat theih nan eng test nge tih thin?

I doctor chuan Duplex Kidney i neih leh neih loh hriat nan heng ang imaging test hi a ti thei ang:

• Kidney leh bladder ultrasound: Hei hi test natna nei lo, awlsam tak a ni a, sound wave hmangin chhungril taksa peng hrang hrangte thlalak a la a ni.
• `Computed Tomography (CT) scan`: Hei hian X-ray leh computer hmangin taksa cross-sectional image chipchiar tak tak a la thin.
• Magnetic Resonance Imaging (MRI): Hei hian magnetic field leh radio wave hmangin taksa chhung lam thlalak chiang tak a siam chhuak thin.
• Retrograde pyelogram: Hei hi test bik a ni. Camera te tak te leh dye te chu urethra kaltlangin an pass a, X-ray thlalak an la a, urinary system pianzia leh hnathawh dan an hmu thei bawk.

`(Duplex Kidney)` enkawl dan tur engte nge ni?

Mi tam zawk chuan duplex kidney hi enkawlna engmah an mamawh lo . Mahse, a chunga kan sawi tawh ang khan ectopic ureter i neih chuan emaw, symptoms thlentu harsatna dang i neih chuan i kal, i bladder emaw, i ureter emaw zai a ngai mai thei.

``Duplex Kidney'' i paih chhuak em?

Doctor-te chuan ``Duplicated Kidney`` chu an paih chhuak vek lo.`` Buaina chu kal pahnih neih hi a ni lo va, a kaihhnawih harsatnate hi a ni. Symptoms a awm chuan surgery chi hrang hrang tih theih a awm a:

• `Ureteroureterostomy`: Hetah hian surgeon chuan `(ureters)` pahnih chu a thlunzawm a, `(Y') ang chi `(ureter)` a siam a, chu chuan zun chu bladder-ah a phur a ni. Hei hi tube pahnih inzawmkhawmna atana tih a ni a, `(Incomplete Duplex Kidney)` nen a inang.
• Ureteral reimplantation: Ectopic ureter, emaw refluxing ureter i neih chuan surgeon chuan bladder nena inzawm turin hawnna thar a siam ang. Hei hian zun a kal tha thei ang a, hnunglam hawia a luang tur a titawp ang.
• Nephrectomy: Hei hian kal (kidney) a thawk tha lo thenkhat emaw, a zawng zawng emaw lakchhuah a ni. Hei hian incontinence leh natna kai theihna a tiziaawm thei a ni. Mahse, he inenkawlna hi a tam vak lo. Kal pakhat a chhiat nasat a, harsatna a thlen a, kal dang a thawk tha a nih chauhvin tih a ni.

Operation hnuah a dam leh theih nan eng chen nge a duh?

Surgery atanga i dam leh theih hun chhung chu i kum leh i surgery chi hrang hrang a zirin a inang lo ang. Entîr nân, naupang tê tê chu damdawi inah ni khat emaw ni hnih emaw a awm tlangpui a, chutah chuan in lamah a haw a, kar hnih emaw kar hnih emaw a chawl leh ang. Surgery zawhah doctor chuan kidney ultrasound a ti ang a, engkim a tha em tih a chiang ang.

``Duplex Kidney'' ka neih chuan eng nge ka beisei ang?

Duplex kidney nei tam zawk chuan harsatna an nei lovang. Mahse, urinary incontinence, reflux, UTI awm fo ang chi condition i neih chuan siamthat nan operation i mamawh mai thei.

``Duplex Kidney'' hi natna khirh tak a ni em?

Duplex Kidney hi a tlangpuiin natna khirh tak leh hlauhawm tak a ni lo . Mi tam zawk chuan symptom an nei lo va, enkawl ngai an awm lo.

Duplex Kidney hmang hian nun pangngai ka hmang thei ang em?

Duplex Kidney hi nunna atana hlauhawm a ni lo. Enkawlna mamawh ni mahse, a tlangpuiin natna lanchhuahna tihziaawmna kawngah a hlawk hle. Chuvângin, a ni, nun pangngai tak i nung thei a ni .

Engtin nge ka in enkawl ang?

Nangmah emaw i fa emaw hian duplex kidney i nei tih i hriat chuan zun kawng tichhe thei symptoms (UTIs with fever emaw involuntary urination ang chi) te chu hre reng ang che . Nang emaw i fa emaw chuan operation i nei tawh a nih chuan i doctor thupek chu uluk takin zawm rawh .

Engtikah nge ka doctor ka hmuh ang?

Duplex Kidney i vei tih hmuhchhuah a nih a, a kaihhnawih nia i hriat symptom i neih chuan doctor pan rawh. Symptom thar eng emaw zat emaw, i symptoms a zual zel a nih chuan engtin nge i tih ang tih emaw zawt rawh.

Engtikah nge Emergency Department (ETU) ah ka kal ang ?

Infection na tak chhinchhiahna i neih chuan emergency room-ah kal nghal rawh. Heng symptoms te hi:

• Khawsik sang (102 degree Fahrenheit aia sang / 39 degree Celsius).
• Vawikhatmah pum na na tak .
• Luak chhuak fo leh engmah ei leh in theih lohna .

Doctor hnenah eng zawhna nge ka zawh ang?

I doctor hnenah hetiang zawhna hi zawh hi a \angkai thei ang:

• Damdawi ka ei tur a awm em?
• Eng ang ``Duplex Kidney'' nge ka neih?
• Surgery ka mamawh em? Eng ang nge?
• Specialist ka hmuh a ngai em? Chumi atan chuan ``(referral)`` ka mamawh em?
• Ka symptoms te hi a mah chauhin a bo dawn niin i hria em?
• ``Duplex Kidney'' ka neih chuan ka fa pawh test tur em ni?

``Duplex Kidney'' hi engtiang chiahin nge a awm?

Bisected kidney hi congenital condition zingah chuan urinary system tichhe thei ber a ni. Mi 125 zinga pakhat vel chuan an kal (kidney) bisection kimchang emaw, kim lo emaw an nei a ni.

A tawp berah chuan thil hriat reng tur (Take-Home Message) .

Duplex Kidney emaw Duplicated Ureter emaw hi nunna atana hlauhawm a ni lo va, a tam zawkah chuan symptoms a awm lo. Mi tam tak chuan he natna hi an nei tih pawh an hre lo. Nangmah emaw i fa emaw hian Duplex Kidney i vei tih hmuhchhuah a nih a, symptoms a neih chuan enkawlnaah hian a tlangpuiin a hlawk hle. Duh loh vanga zun emaw, zun laiin natna emaw ang chi thil sawi chu zahthlak tak ni mah se, i natna lan chhuah dan chungchang doctor nen inbiakna neih a pawimawh hle I tanpui turin an awm reng a ni. I natna lan chhuah chhan an hmuchhuak thei a, i rilru hahdamna tur enkawlna dik tak an rawt thei bawk. A pawimawh ber chu hlauthawng lo leh damdawi lam thurawn dik tak lak hi a ni.

` Double kidney, ureter pahnih, pianpui kal natna, zun kawng infection, kal surgery, ureterocele, vesicoureteral reflux