Nu naupai i nih chuan i scan report-a 'megaureter' tih thumal i hmuh khan i hlau tawh ngei ang. A nih loh leh i fate hian zun kawng a vei fo tawh pawh a ni thei. Hetiang thil i hriat emaw, i hmuh emaw hian tlem a hlauthawng deuh hi thil pangngai a ni. Mahse lungngai suh, hei hi a tlangpuiin natna khirh tak a ni lo. Vawiin hian engkim hi awlsam leh chiang takin kan sawi dawn a ni.
A awlsam zawngin, he Megaureter hi eng nge ni?
Awle, hei hi i hrethiam phawt ang u. Kan taksaah hian kal (kidney) pahnih kan nei vek a ni lawm ni? Heng kal (kidney) te hian zun (pee) an siam chhuak thin. Tichuan, he zun hi tube pahnih hmangin urinary bladder-ah a kal a. Tui dahna atanga tui chu pipe pahnih hmanga phurh chhuah a nih ang bawkin. Chu tube pahnih chu ‘ureters’ an ti a.
A tlangpuiin mi hrisel takah chuan heng tube te hi a thim hle. Mahse a chang chuan a bik takin nau piang lai hian heng tube pakhat emaw pahnih emaw hi a tlangpui aia zauin a lian thei a ni. Chu chu damdawi lama megaureter kan tih chu a ni. ‘Mega’ tih awmzia chu ‘lian’ tihna a ni. Chuvangin ‘Megaureter’ tih awmzia chu ‘urethra lian’ tihna a ni.
Doctor-te chuan nau neih hmaa scan an neih laiin hei hi an hmuchhuak fo thin. A hmaa hriat theih a tha, a chhan chu chutih hunah chuan naute a pian veleh a tul angin hma i la thei a ni.
Eng ang megaureter nge awm?
He dinhmun hi a lo awm dan azirin chi hrang hrangah then theih a ni. Hei hi thil buaithlak deuh angin lang mah se, hriatthiam a awlsam hle. He dawhkan hi han en ila.
| Megaureter chi khat a ni | A awlsam zawngin hetiang hi a thleng thin. |
|---|---|
| Refluxing Megaureter hmanga siam a ni | Bladder atanga zun chu hnunglam hawiin a luang a, ureter chung lamah a luang a, kal lam a pan bawk. Hei hi damdawi lam tawng chuan vesicoureteral reflux an ti a. He hnunglam panna atanga pressure lo chhuak hian tube chu a ti lian zauh zauh thin. |
| Primary-a tihbuai Megaureter | Urethra hi a tawi hle a, chutah chuan bladder nen a inzawm a ni. Tui pipe a khar ang mai a ni. Hei hian zun a luang thla tha lo va, tube chu a khat a, chu chuan a ti hring a, a ti lian a ni. |
| Primary non-obstructed, non-refluxing megaureter a ni a, a chhuahna tur hmun leh a hmanna tur hmun chu a inthlau hle | Hetah hian a chunga kan sawi chhan pahnih hi a awm lo. Chu chu zun hnunglam a luang lo tihna a ni a, blockage pawh a awm lo tihna a ni. Mahse duct chu a lian hle. A tam zawkah chuan he chi hi hun kal zelah a mah chauhin a tha chho zel thin. |
| Secondary Megaureter te pawh a awm bawk | Hei hi damdawi lam thil dang avanga side effect angin a awm thei a, chu chu urethra blockage, nau piangsual prune belly syndrome , emaw bladder-a nerve tihchhiat (neurogenic bladder) te hi a ni. |
Naute hian heng symptoms te hi a nei em?
A tam zawkah chuan hetiang natna nei naupangte hian symptom an nei lo . Chuvangin scan hmang chauha hriat chhuah a ni fo thin. Mahse naupang thenkhat chuan heng ang symptoms hi an nei thei a ni:
- Frequent urinary tract infection (UTIs): Hei hi a lan chhuah tam ber a ni.
- Side pain: Hnunglam sir atanga lo chhuak, rib cage hnuai lam atanga natna lo chhuak.
- Zun chhunga thisen (hematuria) a awm.
- Khawsik fo thin.
- Zun control harsa (urinary incontinence).
Pawimawh: Naupang zawng zawng hian natna lan chhuah dan inang vek an nei vek lo. Naupang thenkhat chuan heng symptoms te hi an nei lo mai thei.
Engvangin nge hetiang hi a lo awm? Eng nge a chhan?
A tam zawkah chuan nausen pum chhunga a lo seilian chhoh zel avanga inthlak danglamna tlemte avang hian a thleng thin.
Urethra hi taksa ruh atanga siam tube angin han ngaihtuah teh. Zun hi kal atanga bladder thlengin a kal a, a chhan chu heng ruh te hi thlipui ang maia inzawmkhawm a, zun chu a hnuai lam pan tir thin vang a ni. Mahse a chang chuan naute a lo seilian chuan he tube hmun thenkhat hi a nghet deuh a, fibrous tissue ang maiin muscle ai chuan a nghet deuh thin. Tichuan zun chu thlipui ang maia hnuai lam nawr dan chu a thawk tha lo hle. Chuvangin zun chu a pungkhawm a, tube chu a lian ta hle a ni.
A chhan dang chu tube leh bladder inzawmna hmun blockage a ni. Hei hi ureterocele ang chi condition vang pawh a ni thei. Chutiang a nih chuan tube chu zun a khat a, a lian ta hle a ni.
Tuin nge vei tam zawk tih chungchangah chuan naute eng pawh a nghawng thei a, mahse zirchianna chuan hmeichhia aiin mipaah a let li velin a tam zawk tih hmuhchhuah a ni .
Doctor-te hian engtin nge hei hi an hmuh?
A chunga kan sawi tawh ang khan hei hi i naupai laiin nau neih hmaa ultrasound scan-naah hmuhchhuah a ni fo thin.
Naute a pian hnuah doctor chuan naute chu a enfiah ang. Tichuan, a dinhmun finfiah lehzual nan a hnuaia test te hi tih theih a ni:
- Voiding Cystourethrogram (VCUG): Hei hi X-ray chi khat a ni. Tube te tak te chu naute zunthlum chhungah dahin a chhungah hian dye bik an inject a ni. Chumi hnuah X-ray chuan chu tui chu bladder-ah a awm em tih emaw, tube-ah a reflux leh em tih emaw a en a.
- Kidney ultrasound: He scan hi naute kal leh a zung (bladder) te chu engtin nge a awm tih leh a kawng (ducts) te chu engtiang chiahin nge a lian tih hriat nan an ti thin.
- Renal Scan: Hetah hian naute vein pakhatah radioactive material tlemte chauh an inject a. Tichuan, he thil hi kal (kidney) kal tlanga a kal dan tur chu scanner bik hmangin an en thin. Hei hian kal (kidney) hnathawh that leh blockage a awm leh awm loh dik takin a hriat theih a ni.
- Thisen test (Electrolyte panel): He thisen test hian kal (kidney) a thawk tha em tih hriat nan a pui thin.
- Urinalysis: Zun sample lak a, infection a awm leh awm loh endik a ni.
Engtin nge enkawl a nih? Surgery neih a ngai em?
He thu an hriat veleh mi zawng zawng rilrua zawhna lo lang chu, "Aw, tunah hian ka naute hi operation a neih a ngai dawn em?"
Thu lawmawm tak chu naupang tam zawk hian eng surgery pawh an mamawh lo tih hi a ni.
Naupang tam zawk chu an lo upat deuh deuh chuan anmahni chauhin an dam tha thin a, chuvangin i doctor chuan "watch-and-wait" approach a hmang mai thei. Chumi awmzia chu:
- Regular scans: Naute chu a hun takah scan a ni a, a kal (kidney) a lo thang tha em tih leh a duct lian leh te a tlahniam em tih enfiah thin a ni.
- Antibiotics pek dan: Zun kawng natna hlauhawmna tihziaawm nan i doctor chuan nitin ei tur antibiotic dose tlem a pe thei ang.
Engtikah nge operation tih a ngai?
Mahse, naute kum khatna chhunga a dinhmun a ṭhat loh chuan, duct a zau a nih chuan, zun kawng natna a awm reng a, khawsik a awm a nih chuan, emaw, kal hnathawh a nghawng a nih chuan doctor chuan operation neih a rawt thei a ni.
Surgery hi chi hnih a awm a, chungte chu:
1. Ureterostomy tih a ni: 1.1.Hetah hian surgeon chuan naute pum chhunga hawnna te tak te (stoma) siam nen hun eng emaw chen chu zunthlum lian tak chu a thlunzawm a. Tichuan, zun chu bladder chhungah lut lovin diaper-ah direct-in a khawlkhawm ta a ni. Hei hian kidney leh urethra te chu chawlhna a pe a, an dam leh thei bawk. Thla engemaw zat hnuah he tube hi operation dang hmangin bladder nen an inzawm leh ta a ni.
2. Pyeloplasty: He surgery-ah hian urethra block emaw, narrowed emaw chu lakchhuah a ni a, tube chu uluk taka inzawm leh a ni.
Heng surgery te hi hlawhtlinna rate a sang hle. Chuvangin hlau suh. I doctor chuan i naute enkawl dan tur dik ber a hrilhfiah ang che.
Naute chu engtikah nge damdawi in pan a ngaih?
I naute hian megaureter a neih chuan zun kawng natna lanchhuah danah fimkhur hle tur a ni. I naute hian a hnuaia symptoms te hi urinary tract infection nen a neih chuan damdawi in hnai ber emergency department (ETU) ah hruai nghal rawh :
- Khawsik sang tak a nei
- Hnunglam emaw, kawr emaw a na
- Luak chhuak leh luak chhuak
Heng symptoms te hian infection hian kidney a nghawng thei tih a tilang a ni. Chuvangin tikhawtlai suh.
Take-Home Thuchah a ni
- Megaureter hi naute pian tirh atanga a zun (ureter) pakhat emaw, a pahnih emaw chu a tlangpui aia lian a nih chuan a ni. Hei hi naupai laiin scan laiin hmuhchhuah a ni fo.
- Hei hian hlauthawng suh. Naupang tam zawk chuan operation an mamawh lo . He dinhmun hi hun kal zelah a mah chauhin a tha chho zel dawn a ni.
- A pawimawh ber chu doctor-in a sawi angin a hun taka naute chu checkup leh clinic-ah hruai hi a ni. Anmahni hi lo ngai suh.
- I naute hian khawsik a neih a, zun kawng natna (urinary tract infection) chhinchhiahna a neih ( zun tam, zun laiin tap, zun rimchhia) a neih chuan doctor pan nghal rawh.
- Zawhna emaw, hlauhthawnna emaw i neih apiang chu i doctor nen zalen taka sawipui chu i dikna a ni.

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