I fa te hian urinary tract infection (UTI) a vei fo em? A nih loh leh a thawmhnaw chungah a zun a , a hriat loh pawhin a zun em ni? A châng chuan hengte hi thil pangngaiah kan ngai a, mahse hei hi a hnuaiah hian pian tirh a\anga awm structural problem tenau tak a awm thei a ni. Chu chu vawiinah kan sawi dawn a ni. Hei hi ectopic ureter an ti a. Ngaihtuah buai suh, hemi chungchang hi thumal awlsam takin kan sawifiah vek ang.
Ectopic Ureter hi eng nge ni tak tak?
A awlsam zawngin sawi ila, hei hi pianpui (congenital condition) a ni. Kan taksaah hian kal (kidney) pahnih kan nei a. Heng kal (kidney) te hian kan taksaa bawlhhlawh awmte chu an filter a, zun (pee) an siam chhuak thin. Chutianga zun lo chhuak chu tube te tak te pahnih hmangin urinary bladder-ah a kal a ni. Heng tube pahnih hi ureter an ti a . A tlangpuiin kidney khatah ureter pakhat a awm a, chung pahnih chu bladder nen direct-in an inzawm a ni.
Mahse, ‘ectopic ureter’-ah chuan heng ureteral tube zinga pakhat (a nih loh leh a pahnih pawh a ni thei) hian bladder-ah hian a inzawm lovin hmun dik loah a inzawm a ni.
Kawngpuiin kawng dik lo a zawh ang maiin han ngaihtuah teh. Hetiang hian connection dik lo siam theihna hmun engemaw zat a awm a:
- Urethra (bladder atanga zun chhuahna tube) .
- Bladder kawr a ni
- Rectum (Rectum) a ni
- Hmeichhiaah chuan uterus, cervix emaw vagina emaw
- Mipaah chuan sperm ducts a ni
Hetiang dinhmun hi ‘duplex kidney’ an tih natna nen hian hmuh tur a awm fo thin. Chumi awmzia chu ureter pahnih chu kal pakhatah a inzawm tihna a ni. Tichuan, tube pahnih zinga pakhat chu hmun dik lovah a inzawm fo thin.
Hetiang natna lan chhuah dan hi engte nge ni?
He natna hi hriat a harsat chhan pakhat chu a natna lan chhuah dan hi natna tlanglawn dang, urinary tract infection (UTI) te nen a inang a ni. Mahse, a hnuaia symptoms te hi a la awm reng a nih chuan i ngaihtuah tur a ni.
| Symptom a ni | A sawifiahna awlsam tak |
|---|---|
| Urinary tract infection (UTI) lo awm leh thin . | I fa hian zun kawng infection a nei fo a, zun laiin a kang leh a na (dysuria) . |
| Zun chhuahna (Urinary Incontinence) a awm | A bik takin hmeichhe naupang tan chuan zun control an thiam hnuah pawh an thawmhnaw an hnim chhunzawm zel a nih chuan. Nitin zun tlemte a leak thin. |
| Kal natna (Hydronephrosis) . | Zun hi a luang chhuak tha thei lo a, kal chhungah a pungkhawm a, a hring chhuak thin. Hei hi scan hmanga hriat theih a ni. |
| Vesicoureteral Reflux a awm thin | Bladder atanga zun chu ureter atanga kal chhoin kal thlengin a kal leh a, chu chuan natna hrik a thlen thei bawk. |
Hei hi dinhmun hrehawm tak a ni em?
‘Ectopic ureter’ an tih dinhmun ngei pawh hi a na lo. Mahse, a side effects a neih chu a hrehawm thei hle. Entir nan:
- Urinary tract infection (UTIs) avanga inflammation leh natna.
- Mipa testicles natna leh inflammation (Epididymitis).
- Prostate natna (Prostatitis) a awm thei.
Engvangin nge hetiang hi a lo awm? Tu nge hlauhawm ber?
Doctor-te hian a chhan dik tak an hre lo. Naute chu nausen pum chhunga a lo seilian chhoh zelnaah urinary system hmasawnna a inthlak danglamna tlemte chauh avanga lo awm a ni. Hei hi naupai laiin nu lam atanga tihsual vang a ni lo.
Mahse, he natna vei theihna hlauhawm bik pawl an awm a:
- Hmeichhia: A chhan hriat chian ni lo mah se, hmeichhe naupangte hian mipa aiin a let 10 velin he natna hi an vei tam zawk.
- Chhungkaw chanchin: Nu leh pa zinga pakhatin he natna hi a neih chuan naupang pawhin a vei theihna tur hlauhawmna tlemte a awm.
Engtin nge doctor hian hei hi a hmuh theih?
A natna lan chhuah dan hi natna dang nen a inang avangin hriat a harsa thei hle. A châng chuan naute chu nausen pum chhunga a la awm laiin nau neih hmaa ultrasound scan- naah a lo lang chhuak ṭhin.
Chutiang a nih loh chuan i fa chu doctor hnena i hruai hunah a natna lan chhuah dan a zawt hmasa ang che a, naupang chu a enfiah hmasa ang a, chutah chuan, a natna chungchangah rinhlelhna a awm chuan, a finfiah nan test bik thenkhat a ti ang.
| Test neihna tur hming | A awlsam zawngin... |
|---|---|
| Imaging Test te pawh a awm | CT scan emaw, MRI scan emaw, ultrasound scan emaw hmangin zun kawng chipchiar takin a la thei a, harsatna awmna hmun dik tak chu a hriat theih a ni. |
| Cystoscopy hmanga enfiah a ni | Tube te tak te tak, camera dahna chu urethra kaltlangin bladder chhung lam en turin an kalpui a. |
| Renal Flow Scan hmanga tih a ni | Taksaah hian radioactive dye an inject a, kal (kidney) hnathawh dan leh zun kal dan enfiah a ni. |
| VCUG (Voiding Cystourethrogram) tih a ni a, a chhuahna tur hmun leh a hmanna tur a awm lo. | Test, nausen zun laiin a zun chu a hnunglam hawiin a luang em tih enfiah nan special dye chu bladder-ah dahin X-ray lak a ni. |
Treatment atan eng nge i tih?
Hetiang dinhmun siamthat theihna awmchhun chu operation tih hi a ni. Damdawi hmanga tihdam theih a ni lo.
Surgery tum ber chu ureter hmun dik lo chu a awmna tur dik takah inzawm leh a, kal (kidney) tihchhiat loh nan a ni. Hemi atan hian doctor-te chuan surgery chi hrang hrang an hmang thin. Surgery tha ber chu naupang dinhmun a zirin thlan a ni.
- Ureteroureterostomy: Hei hian ureter inzawm dik lo chu ureter dik dang nen connect a, Y ang chi connection siam a ni.
- Ureteral Reimplantation: Hetiang tih danah hian ureteral tube dah dik lohna chu lakchhuah a ni a, bladder chhunga hmun dik takah dah leh a ni.
- Nephrectomy: A chang chuan, he harsatna hian kal a tichhe nasa thei a, a hnathawh pawh nasa takin a ti tlem thei bawk. Kidney dang chu a hrisel ṭha famkim a nih chuan, a tawp ber atan chauh chuan kal chhia ṭhenkhat (partial nephrectomy) emaw, kal pum pui (radical nephrectomy) emaw lak chhuah a ngai mai thei.
He surgery hian result hlawhtling tak a pe a, chuvangin a tul lova hlauh a ngai lo.
I enkawl loh chuan eng nge thleng ang? Enkawl hnuah eng nge thleng?
He natna hi enkawl loh a nih chuan zun kawng natna (persistent urinary tract infection) a awm theihna a sang hle a, hun kal zelah chuan kal (kidney) a tichhia reng thei bawk
Mahse, a hun taka hmuhchhuah a nih a, a \ha taka zai a nih chuan naupang chu nun pangngai takin a nung thei a ni. Mi tam tak chuan danglamna an hre lo. Kidney pakhat chu lakchhuah a ngai a nih pawhin a kal la awm chu a chak a, taksaah harsatna awm lovin a thawk chhunzawm zel a ni. Amaherawhchu, doctor-in a sawi angin, kal (kidney specialist) (nephrologist)-in a enfiah chhunzawm zel a pawimawh.
Hetiang dinhmun hian mipat hmeichhiatna hman dan emaw, nakin lawka fa neih theihna (fertility) emaw a nghawng lo tlangpui.
Nu leh pa anga kan rilruah zawhna leh hlauhna lo lang thinte
I fa hian pianpui harsatna a nei tih hriat chu eng ang nge a nih tih thumal hmanga sawi a harsa hle. I rilruah zawhna sangkhat zet a tlan kual a, ‘Engvangin nge hetiang hi ka chungah a lo thlen?’, ‘Thil dik lo ka ti em?’ tih te hi thil awmdan pangngai a ni.
Mahse, hei hi hre reng ang che: hei hi i sualna a ni lo tak zet a ni.
Doctor te pawhin he natna hi eng nge a thlen tih chiang takin an hre lo. Hengte hi a chang chuan random thil thleng thin a ni. I tih tur a ni lo va, i tihsual tur pawh a ni lo. Chuvangin nangmah leh nangmah in dem suh.
A pawimawh ber chu hei hi vawi khat hmuhchhuah a nih chuan a hmalam hun a tha hle. Enkawlna hi a hlawk hle. Hei hian i fa chu hrisel, hlim taka nun a dal dawn lo. Zawhna emaw, ngaihtuahna emaw i neih chuan i doctor nen sawiho rawh. Engkim a hrilhfiah ang che.
Take-Home Thuchah a ni
- Ectopic ureter hi pianpui natna a ni a, urethra chu hmun dik loah a inzawm a ni.
- Urinary tract infection tam leh duh loh vanga zun (a bik takin hmeichhe naupangte) hi a lan chhuahna ber a ni thei .
- Hetiang dinhmun hi nu leh pate sualna a ni lo.
- Hei hi special scan leh test dang hmangin dik takin a hriat theih a ni.
- Hei hi operation hmanga tihdam vek theih a ni a, enkawlna hlawhtlinna pawh a sang hle.
- I fain heng symptoms te hi a neih chuan a rang thei ang bera doctor rawn la, thurawn la rawh.
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