Nu naupai i nih chuan i naute hriselna enfiahna scan te hi i hre tawh ngei ang. A chang chuan scan report-ah "megaureter" tih thumal a lo lang a nih chuan hlauhna leh lungkhamna nasa tak neih hi thil pangngai a ni. Mahse, lungngai suh. He dinhmun hi i hriat chian chuan i hmachhawn chak zawk ang. Vawiin hian eng nge a nih, engvangin nge a lo awm tih leh eng nge tih theih tih hi han sawi ila.
A awlsam zawngin, he Megaureter hi eng nge ni?
Okay, kan taksaa urinary system hnathawh dan hi tlem han hrethiam hmasa ila. Kidney pahnih kan nei a. Hengte hi kan thisen filter chhuaktu leh bawlhhlawh tul lo atanga zun (pee) siamtute an ni. Tichuan, he zun hi bladder thlenga phurtu tube te tak te pahnih a awm a. Heng tube pahnih hi ureter kan tih hi an ni .
A tlangpuiin mi hrisel takah chuan urethra hi tube te tak te, inches 9 vel a sei leh inch khat vel a zau a ni. Mahse, ``megaureter`` an tih dinhmunah chuan he urethra hi a pangngai aia lian leh zau zawk a ni. A awlsam zawngin a hming ang bawkin "mega" (lian) "ureter" (ureter) a ni.
Hei hi pianpui natna a ni fo thin a, naute chu a pum chhunga a la awm lai a ni. Hei vang hian nau neih hmaa imaging test-naah hmuhchhuah a ni fo thin. Enkawl that loh chuan natna khirh tak ``Megaureter`` an tih hian naute zun kawng a tichhe thei a ni.
Megaureter chi hrang hrang lian ber ber a awm em?
Ni e, he dinhmun hi a lo awm dan azirin chi hrang hrangah then theih a ni. I doctor-in heng thumalte hi a hmang a nih chuan hriatthiam awlsam zawk nan a chungchang hi i zir ang u.
| Megaureter chi khat a ni | Thil thleng chu a awlsam hle. |
|---|---|
| Refluxing Megaureter hmanga siam a ni | Hei hi bladder atanga zun chu hnunglam, chunglam leh ureter hnuai lam hawia kal lam pan a luang chhuak thin a ni. Hetianga hnunglam hawi (vesicoureteral reflux) hian ureter chu a tizau a, zawi zawiin a ti lian a ni. |
| Primary-a tihbuai Megaureter | Heta thil thleng chu urethra, bladder nena inzawm chu a block a, a tawi ta a ni. A tawp berah tui pipe hrual ang mai a ni. Hei hian zun a luang chhuak (blockage) a, tube chu zun a khat a, chu chuan a ti hring a, a ti lian a ni. |
| Primary non-obstructed, non-refluxing megaureter chu a awm lo | Hetiang a nih chuan a chunga kan sawi zawng zawng hi a awm lo. Chu chu zun hnunglam a luang lo tihna a ni a, blockage pawh a awm lo tihna a ni. Mahse urethra chu a lian ta hle mai. A tam zawkah chuan he natna hi naupang a lo puitlin chuan a mah chauhin a dam leh thin. |
| Secondary Megaureter te pawh a awm bawk | Chûngte chu damdawi lam thil dang, urethra block, prune belly syndrome , a nih loh leh neurogenic bladder , avânga lo awm a ni. |
Ka naute hian he natna hi eng symptom nge a neih theih ang?
A tam zawkah chuan megaureter vei naupangte hian symptoms an nei lo . Hei vang hian prenatal scan hi a pawimawh em em a ni. Amaherawhchu, naupang thenkhat, a bik takin an pian hnuah chuan symptoms an nei thei. Chung zingah chuan:
- Flank pain: Hnunglam sir atanga lo chhuak, ruh hnuai lam atanga natna lo chhuak.
- Zun chhunga thisen (hematuria): Zun chu pink, red, brown a nih chuan.
- Frequent urinary tract infection (UTIs): Urinary tract infection hian zun laiin khawsik, khawsik, leh kang a thlen thei.
- Chhan awm lova khawsik.
- Urinary incontinence: I fa chu a upa deuh a nih chuan an zun thunun a harsa mai thei.
A pawimawh ber chu naupang zawng zawng hian heng mizia zawng zawng hi an nei vek dawn lo. Naupang pakhat mizia chu a dang nen a danglam thei hle.
Engvangin nge naute chungah hetiang hi a thlen? Eng nge a chhan?
Hei hi a chhan pakhat chiah hriat chian a harsa a, mahse a chhan lian ber tlemte chu hriatchhuah a ni.
Naute chu a pum chhunga a lo seilian lai hian zunthlum (urethra) hi taksa ruh (muscle) layer, a inzawm khawm thei atanga siam a ni. Heng ruh te hi wave ang maiin an inzawm khawm a, zun chu kal atanga zun (bladder) thlengin an nawr lut thin. Hetiang kalphung hi ``peristalsis`` kan ti a.
Mahse, a châng chuan he ruh ai hian urethra hmun khatah hian tissue khauh, inthlak danglam thei lo, fibrous tissue a lo piang chhuak thin. He tough part hi chutiang chuan contract theih a ni lo. Chuvang chuan zun kalna a tikhawlo a, tube chu zunin a khat a, zawi zawiin a lian chho zel a ni.
Chu bakah, zunthlum luhna kawngkhar (bladder)-a blockage emaw, zunthlum tawp lam (ureterocele) emaw a awm chuan ``megaureter'' an tih pawh a awm thei a, chu chuan zun kalna a tikhawlo thei bawk.
Research atanga a lan dan chuan he natna hi hmeichhia aiin mipa zingah a let li velin a tam zawk a ni .
Engtin nge doctor-te hian hei hi an hriat chian? Eng test nge tih thin?
Sawi tawh angin, naupai laiin hei hi ultrasound scan (ultrasound/sonogram) hmangin hriat theih a ni fo a, chu chuan naute kal, ureter leh bladder te chiang taka hmuh theihna a siam a ni.
I naute hian a pian hnua urinary tract infection awm fo ang chi symptoms a neih chuan i doctor chuan i naute chu a enfiah ang a, he natna hi a rinhlelh chuan test dang neih belh a rawt ang.
- VCUG (Voiding Cystourethrogram): Hei hi X-ray chi khat bik a ni. Hetah hian tube (catheter) te tak te tak mai chu naupang zunthlum chhungah an dah a, chuta tang chuan tui bik (contrast dye) chu bladder chhungah an lut a ni. Tichuan, naupangin a zun chuan X-ray an la a, chu tui chu zun nen a chhuak em tih emaw, zunthlum (urethra) chungah a kal leh em tih emaw an enfiah thin.
- Kidney ultrasound: Hei hian naupang kal leh a zung (bladder)-a thil tihkhawtlai awm leh awm loh enfiahna atan a pui thei a ni.
- Renal Scan: He test-ah hian naupang vein pakhatah radioactive material (radiotracer) tlemte chauh an inject a. Tichuan, special scanner hmangin chu thil chu kal (kidney) kal tlanga a kal dan enfiah a ni. Hei hian kal (kidney) hnathawh that dan leh zun kal danah blockage a awm leh awm loh hriat chian a pui thei a ni.
- Thisen test (Electrolyte panel): Nausen kal (kidney) te a thawk tha em tih enfiah nan thisen a electrolyte level te enfiah thin a ni.
- Urinalysis: Zun sample lak a, zun kawng infection a awm leh awm loh enfiah a ni.
Hei hi engtin nge enkawl theih ang? Surgery neih a ngai em?
Hemi enkawl dan hi naupang hrang hrangah a inang lo. Naupang kum, a natna lan chhuah dan leh an hriselna zawng zawngah a innghat a ni.
Chanchin tha ber chu,Naupang tam zawk chuan enkawlna lian tham emaw, operation emaw an mamawh lo. Naupang a lo puitlin chuan a dinhmun chu a mah chauhin a ṭha chho ṭhin.
Chuvangin doctor-te chuan a tirah chuan "watch-and-wait" tih dan an hmang thin. Hemi chhung hian:
- Naute kal (kidney) te chu a lo thang tha em tih enfiah nan ultrasound scan mumal tak an nei thin.
- Urinary tract infection (UTIs) hlauhawmna tihziaawmna turin antibiotics pek chhunzawm theih a ni.
Mahse, naupang kum khatna chhunga a dinhmun a ṭhat loh chuan, zun kawng a lian (dilate) a nih chuan, zun kawng natna a awm reng a nih chuan, emaw, kal hnathawh a nghawng a nih chuan, operation neih a ngai mai thei.
Surgery hi chi hnih a awm a, chungte chu:
1. Ureterostomy: Hetah hian surgeon chuan naupang zunthlum chu a pum chhunga siam hawn (stoma) te tak te nen a thlunzawm a. Tichuan, zun chu a hawnna atang chuan direct-in naupang diaper chhungah a luang lut a, chu chu bladder chhungah a lut lo. Hei hian urethra leh kidney te chu chawlhna a pe a, an dam leh thei bawk. Thla engemaw zat hnuah urethra chu a pangngai anga a lo awm leh chuan operation dang an nei leh a, chu chu bladder nen an inzawm leh a ni.
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Heng surgery te hi hlawhtlinna rate a sang hle. Chuvangin hlauh a ngai lo. Doctor chuan i fa tan eng enkawlna nge tha ber tih chipchiar takin a hrilhfiah ang che.
I fa ETU-a hruai a ngai hun a awm em?
Awle. I fa hian ``Megaureter'' tih natna a nei a, a hnuaia symptoms te hi urinary tract infection (UTI) nen a neih chuan, damdawi in hnai ber Emergency Department (ETU) ah hruai nghal rawh
- Hnung lam natna
- Khawsik sang tak a nei
- Nausea leh luak chhuak
Hetiang hunah hian in lamah awm suh. Damdawi lam thurawn lak vat a pawimawh hle.
Take-Home Thuchah a ni
- Megaureter hi naupang kal atanga zun (bladder) thlenga zun kalna tube lian lo tak a ni. Hei hi pianpui natna a ni fo thin.
- Naupai laiin scan laiin he thu hi i hriat chuan lungngai suh. Naupang tam zawk chuan operation an mamawh lo , naupang a lo puitlin chuan a dinhmun chu a mah chauhin a reh ang.
- I doctor-in "watchful waiting" approach a rawt chuan i fa chu ni ruat saah check-up turin hruai ngei ang che.
- Urinary tract infection neih fo hi he natna lan chhuah dan tlangpui a ni. Chuvangin, i doctor-in a tih angin antibiotics a pekte chu ei tur a ni.
- Surgery a tul chuan hlawhtlinna rate a sang hle a, chuvangin tul lovah hlau suh.
- Naupangin natna lan chhuah dan, khawsik, hnungzang na, leh luak chhuak te a neih chuan damdawi in Emergency Treatment Unit (ETU) -ah hruai nghal tur a ni.
- Zawhna emaw, ngaihtuahna emaw i neih chuan i doctor hnenah zawt rawh. I mamawh tur information leh support zawng zawng an pe vek ang che.
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