A châng chuan i fate hian zun kawng (UTI) a nei fo thei bawk. A nih loh leh pum na an complain thei bawk. A tam zawkah chuan hengte hi thil pangngai angin kan ngai a, mahse a chang chuan pian tirh atanga lo awm tawh harsatna tenau tak a awm thei bawk. Chu chu ‘Ureterocele’ an tih condition chu a ni. A hming hi a hlauhawm deuhin a lang thei a, mahse a dik taka kan hriatthiam chuan enkawl theih thil a ni. Chuvangin vawiin hian he thu hi i hriatthiam theih tur awlsam takin i sawi dawn nia.
A awlsam zawngin, Ureterocele chu eng nge ni?
Awle, hei hi hetiang hian i hrethiam ang u. Kan taksaah hian kal (kidney) pahnih kan nei a. Heng kal (kidney) te hian kan thisen an filter a, bawlhhlawh duh loh te chu zun angin an paih chhuak thin. Chutianga zun lo chhuak chu tube pahnih hmangin bladder-ah a khawlkhawm a ni. Heng tube pahnih hi ureter kan ti a . Kidney tin atang hian ureter pakhat a lo chhuak thin.
Tunah chuan he urethra tawp, bladder nena a inzawmna hmun hi balloon te tak te ang maiin a bulh chhuak niin han ngaihtuah teh. Chu chu ureterocele kan tih chu a ni.
He balloon ang chi hian zun chu bladder chhungah zalen taka a luang lut thei lo. Blockage ang mai a ni. Chuti a nih chuan eng nge thleng? Zun chu a tlak hniam theih loh avangin hnunglam hawiin kal lam hawiin a luang tan ta a ni. Hei hi damdawi lamah chuan (vesicoureteral reflux) kan ti a ni. Hei hi ureterocele-a harsatna lian ber a ni. A chhan chu zun hnunglam hawia luang hi kal tan a tha lo.
Ureterocele chi hrang hrang a awm em?
Ni e, he dinhmun hi kawng pawimawh engemaw zatah then theih a ni.
- Khaw khatah emaw, a pahnih emaw a nih dan azirin: Naupang thenkhat chuan he natna hi urethra pakhat chauh (unilateral)-ah an nei thei. Chu chu a tam ber a ni. Mahse, a tlem hle a, he dilation hi urethra pahnih (bilateral) ah a awm thei.
- Bulge awmna hmun azirin: Tin, heng bulge te hi bladder chhunga an awmna hmun a zirin an thliar hrang bawk. Ṭhenkhat chu bladder (intravesical)-ah an inkhung hran a ni. Mahse, a tlangpui ber, a bik takin naupang tê tê (extravesical)-ah chuan bladder hnuai lam, zun chhuahna tube (urethra) thlengin a inzar pharh thei a ni.
Heng classification te hi doctor te tan chuan naupang tana tha ber tur enkawl dan tur thlan nan a pawimawh hle.
Ureterocele natna lan chhuah dan chu engte nge ni?
Thil mak tak chu, a tam zawkah chuan Ureterocele hian symptom a nei lo mai thei. Mahse, a hmaa ka sawi tawh ang khan zun a luang tha lo a, a tawlh avangin Urinary Tract Infection (UTI) vei theihna chance a sang hle . Chutah chuan symptoms a lo lang tan ta a ni.
I fa hian heng symptoms te hi a nei em tih enfiah thin ang che. Hengte hi zun kawng infection chhinchhiahna a ni thei.
| Symptom a ni | A awlsam zawngin... |
|---|---|
| Zun laiin natna | Naupang chu a zun laiin a tap a, a nih loh leh a na tih a phunnawi bawk. Kangmei chhuak ang maiin a lang tih pawh an sawi mai thei. |
| Zun rimchhia | Zun hian a tlangpui aia nasa zawk, rimchhia zawk a nei a. |
| Pum na emaw, lump emaw | Pum hnuai lam natna emaw, kuta hriat theih tur hnah te tak te ang maiin a lang thei. |
| Thisen chu zun chhungah a awm | Zun chu pink emaw red emaw a ni. |
| Zun chhuah a ngai fo thin | "I need to pee " tih hi a tlangpui aia tam. |
| Zun control theih lohna | Naupang toilet trained pawh hian a hriat lohvin an thawmhnaw chungah a la zun mai thei. |
| Bladder a hring vek lo | Zun hnuah pawh bladder-ah zun a la awm ang maia hriat. |
I fain heng symptoms zinga pakhat tal a lan chuan doctor pan nghal rawh.
Engvangin nge hetiang hi a lo awm? Hei hi eng nge a chhan?
Hei hi nu leh pate tan chuan thil pawimawh tak a ni. Ureterocele tih hi a niA pianpui natna (congenital condition) a ni. Chumi awmzia chu naute chu pum chhunga a seilian lai hian a hmaa ka sawi tawh urethra hi bladder nena a inzawmna hmunah a thang tha lo tihna a ni.
Hei hi naupai laia nuin a tihsual vang emaw, a ei emaw, a in emaw, a thusawi emaw, a thiltih emaw vang a ni lo. Zirchiangtute chuan hei hi random occurrence a nih an ring. Chuvangin ngaihtuah ngai suh.
A châng chuan he natna lan chhuahna hi puitlingah a lang ṭhin. Mahse chuti chung pawh chuan a chhan chu a inang reng a ni. Pian tirh atanga taksaa awm tawh thil a ni.
Hei hi dinhmun pawi tak a ni em? Eng harsatna nge a awm?
Ureterocele hi natna khirh tak a ni a, enkawl ngai a ni. Mahse a tha ber chu tihdam theih a ni. Enkawl loha dah a nih chuan buaina a chhuak thin. A hlauhawm ber chu kal (kidney) tihchhiatna a ni.
Zun chu kal chhunga hnunglam hawia a luang lut chuan kal a hring thei a, natna a kai thei a, hun kal zelah kal hnathawh a tichhe vek thei bawk.
A pawimawh ber chu kal (kidney) chhiatna hi tihdanglam theih loh a ni. Chumi awmzia chu, kal (kidney) hnathawh chu eng emaw chen a tlahniam tawh chuan a pum puia siam that leh a harsa tihna a ni. Chuvangin he natna hi kal (kidney) a chhiat hmaa hriatchhuah leh enkawl a pawimawh hle.
Harsatna dangte chu:
- Kidney-ah lung a awm.
- Bladder tihchhiat a ni.
- Urinary tract infection (UTI) lo awm leh thin.
Engtin nge doctor hian hei hi a hmuh theih?
Hetiang dinhmun hi naute pian hmain hriat chhuah a ni fo thin. Ni e, nau neih hmaa ultrasound neih laiin . A tlangpuiin kar 20 vel a tih thin a ni a, doctor-te chuan a hring an hmuh chuan kal emaw ureter emaw an ringhlel thei. Tichuan, naute a pian hnuah test tam zawk an nei a, a finfiah leh thin.
Mahse a chang chuan pian hnuah, kum 2 vel a ni tih hmuhchhuah a ni a, puitlingah pawh kal lung emaw, zun kawng infection emaw test-naah accident-in hmuhchhuah a ni thei bawk.
Hetiang dinhmun hi doctor-te’n an hman thin test thenkhat chu hetiang hi a ni.
| Fiahna | Hei hian eng nge a tih? |
|---|---|
| Kidney Ultrasound hmanga tih a ni | Kidney leh bladder pianzia, a lian leh te, a hring dan te an enfiah thin. |
| VCUG (Voiding Cystourethrogram) hmanga enfiah a ni | Hei hi X-ray test bik a ni. Tube te tak te chu bladder chhungah dahin tui bik pakhatin a khat a. Naupang zun laiin X-ray lak a ni. Hei hi kal chhunga reflux (backflow of urine) awm leh awm loh enfiah nan hman theih a ni. |
| Renal Scan neih a ni | Hei hian percentage angin kidney-te hnathawh that leh a chhiat leh chhiat loh enfiahna kawngah a pui a ni. |
| CT emaw MRI emaw hmanga tih theih a ni | Heng scan hmang hian urinary system thlalak chiang zawk, chipchiar zawk hmuh theih a ni. |
| Zun Test a ni | Hei hi urinary tract infection (UTI) i neih leh neih loh finfiah nan tih a ni ngei ang. |
Ureterocele hi engtin nge enkawl a nih?
Enkawl dan tur chu thil engemaw zat ngaihtuah a ni a, chungte chu naupang kum, ureterocele lian leh te, kal chhiatna a awm leh awm loh, leh zun a refluxing em tih te hi a ni.
Enkawlna ber chu operation leh fimkhur taka nghah hi a ni.
Surgery hmanga enkawl dan tur
Surgery tum ber chu balloon ang maia hring chhuak chu paih chhuah a, zun zalen taka luang chhuah tir a ni. Chumi atan chuan surgical technique hrang hrang a awm a.
| Surgery tih dan tur | Hrilhfiahna awlsam tak |
|---|---|
| Transurethral Puncture tih a ni | Hei hi a awlsam ber a ni. Hetah hian surgeon chuan camera (cystoscope) hmangin tube te tak te chu urethra kaltlangin a dah a, chu chuan bladder chhung a en a. Tichuan, balloon ang maia ureterocele-ah chuan khur te tak te siam a ni. Balloon puak ang mai a ni. Tichuan, zun block chu awlsam takin a luang chhuak ta a ni. Hei hi anesthesia hmanga tih a ni tlangpui a, outpatient procedure a ni. |
| Ureteral Reimplantation tih leh a ni | Hei hi surgery buaithlak deuh a ni. Pum hnuai lam ah hian incision te tak te siamin bladder hawn a ni. Tichuan, ureter-a ureterocele awmna hmun chu cut chhuakin lakchhuah a ni a, ureter hrisel chu bladder-ah a inzawm leh a, chu chuan zun chu hnunglam hawia a luang thei lo (flap valve mechanism). He surgery hi 90%-95% velin a hlawhtling a ni. |
| Upper Pole-a Nephrectomy tih a ni | Naupang thenkhat chuan ‘duplex kidney’ an tih natna an nei thin. Chumi awmzia chu kal pakhat chu hmun hnih ah a inthen tihna a ni. Ureterocele hian kal chunglam nasa takin a tichhia a, a thawk tawh lo a nih chuan a chhe lai chu lakchhuah nan operation neih a ngai a ni. |
Fimkhur taka nghah
Hetiang tih dan hi puitlingah pawh hman a ni fo. Ureterocele hian natna lan chhuahna a thlen lo emaw, kal a tichhe lo emaw a nih chuan, i doctor chuan operation tel lovin hun engemaw chen chu a dinhmun chu enfiah turin a rel thei ang.
Naupang thlir dan chu eng nge ni?
Outlook a tha hle mai. A chhan chu zun retention hi hun eng emaw chen atan a ni. Surgery hmanga siamthat a nih hnuah naupang chuan nun pangngai a hmang thei a ni. Hriat tur awm chhun chu ureterocele hian kal a tichhia a nih chuan chu chhiatna chu a awm reng a ni. A undone theih loh. Kan tih theih awmchhun chu chhiatna dang tihkhawtlai hi a ni. Chuvangin he natna hi a hmaa hriatchhuah leh enkawl hi dam chhung atan a pawimawh hle.
Take-Home Thuchah a ni
- Ureterocele hi pianpui natna a ni. Nu leh pa sualna engmah vang a ni lo.
- Hei hi a hlauhawm ber chu zun hian a back up thei a, kal a tichhia thei a ni.
- A tam zawkah chuan naute pian hmain scan hmangin he natna hi hriat theih a ni.
- Surgery hian he natna hi a tidam vek thei a ni. A result pawh a hlawhtling hle.
- I fain zun kawng a vei fo emaw, a zun laiin na a complain emaw a nih chuan ngaihthah suh. Doctor pan nghal rawh. Enkawlna rang tak hian kal (kidney) a venghim thei a ni.
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