I fa te hian urinary tract infection (UTI) a vei fo em? A nih loh leh i doctor chuan i naupai laiin i naute kal (kidney)-a hliam tenau tak ang chi thil a sawi em? Heng thil thleng thei pakhat chu Ureterocele an tih natna hi a ni. He hming hi i la hre ngai lo mai thei. Mahse, lungngai suh. Hei hi nu leh pa tam tak tan chuan thil thar a ni. Vawiin hian awlsam leh chiang takin sawi ila.
A awlsam zawngin, Ureterocele chu eng nge ni?
Okay, kan taksaa urinary system hnathawh dan hi awlsam takin i hrethiam hmasa ang u. Kan taksaah hian kal (kidney) pahnih kan nei a. Chûngte chu kan thisen filter-tu leh thil ṭûl lo tak takte chu zun, a nih loh leh zun . Chutianga zun siam chu tube pahnih zawhin bladder-ah an khawl khawm a ni. Chu tube pahnih chu ureter an ti a . Bladder a khat chuan zun chhuah a ngai tih kan hria .
Tunah chuan ureterocele an tih dinhmunah chuan ureter tawp , kidney atanga bladder thlenga zun phurtu chu balloon ang maiin a lo hring chhuak ta a ni. Tui pipe tawp chu a hring deuh ang tih han ngaihtuah teh. Chutiang thil chu a ni. Hetianga a hring avang hian zun chu bladder chhungah a luang lut tha thei lo. Tichuan, zun chu a chungah an nawr leh a, chu chu kal lam hawiin an nawr leh a ni. Damdawi lamah chuan hei hi (Vesicoureteral Reflux) kan ti thin. Hetianga zun hi kal chhunga luh leh hi kal hriselna atan a tha lo tak zet a ni.
A pawimawh ber chu ureterocele hi pianpui natna a ni . Chumi awmzia chu nausen pum chhunga a seilian laiin a lo thang lian tihna a ni.
Ureterocele chi hrang hrang lian ber ber a awm em?
Ni e, doctor-te chuan he natna hi chi hrang hrangah an ṭhen a. Hengte hi hriatna tam tak neih a ngai lova, mahse hriatthiamna tlangpui neih a tha.
- A nghawng lam a zirin: A châng chuan hei hi kal pakhat chauh (unilateral)-ah a thleng thei. Chu chu a tam ber chi a ni. A tlem hle a, he natna hi kal pahnih (bilateral) ah a awm thei.
- Hmun hrang hrangah:
- Extravesical Ureterocele: Hei hi nausen leh naupang te zingah chuan a tam ber a ni. Hetah hian balloon ang maia bulge hi bladder thlengin a inzar pharh thei a, bladder neck leh urethra thlengin a inzar pharh thei a ni.
- Intravesical Ureterocele: Hetiang chi ah hian bulge hi a pum puiin bladder chhungah a awm a. Bladder pawnah a inzar pharh lo.
Heng classification te hi doctor tan chuan enkawl dan tur a hriat theih nan a pawimawh hle.
Hetiang dinhmun hi engtiang chiahin nge a awm? Tuin nge dawng thei ber?
Hei hi thil awm dan tlangpui a ni lo. Naupang 5,000 zinga pakhat velin a nghawng a ni. Tin, mipa aiin hmeichhiaah a tam zawk bawk.
Ureterocele natna lan chhuah dan chu engte nge ni?
A tam zawkah chuan ureterocele te tak te hian symptom a nei lo thei. Mahse, buaina hi zun a luang tha thei lo atanga intan a ni a, chu chuan zun kawng infection (UTI) a thlen thin . Naupangin UTI a neih chuan heng symptoms te hi an lantir thei a ni:
| Symptom a ni | A awlsam zawngin sawifiah a ni |
|---|---|
| Zun laiin na /kang | Naupang chu a tap emaw a zun laiin a lungawi lohna a lantir emaw chuan . |
| Zun rimchhia | Zun hian a hma aia nasa zawk, rimtui lo zawk a nei a. |
| Pum na emaw, lumpy feeling emaw a awm | Pum hnuai lam natna emaw, kut ah lump ang maia awm emaw. |
| Zun chhungah thisen a awm | Zun chu pink emaw red emaw a lo ni. |
| Zun chhuah a ngai fo thin | A tlangpui aia tam zun chhuah a ngai. |
| Zun chhuahPow control theih lohna | Naupang zun control dan zir tawh chu zun leh . |
| Bladder chu a hring vek thei lo | Zun hnuah pawh zun a la awm ang maia hriat . |
I fa hian heng symptoms te hi a neih chuan doctor pan nghal a pawimawh hle .
Engvangin nge hetiang hi a lo awm? Hei hi eng nge a chhan?
Kan sawi tawh ang khan hei hi a chhan chu naute pum chhunga naute a lo thanglian lai hian ureter tawp lam a lo thang tha lo a ni. A chang chuan puitlingah pawh symptoms a lang thei a, mahse a chhan chu a inang vek.
Hetah hian nu leh pa tinte hriat reng tur thil pawimawh tak a awm. Hei hi naupai laia i thil tihsual emaw, i ei leh in emaw, i thil tih emaw a ni lo. Zirchiangtute chuan hei hi random takin a thleng niin an ngai. Chuvangin a tul lovah lungngai suh.
Hei hi thil pawi tak a ni em? Eng harsatna nge thleng thei?
Ureterocele hi enkawl theih a ni a, mahse ngaih pawimawh tur a ni. Enkawl loh chuan harsatna lian tham tak a thlen thei a ni.
A chhan chu, zun a luang tha lo a, kal a khat (urinary retention) chuan zun kawng infection (UTI) a lo awm thin. Heng natna hrik te hi a lo awm chhunzawm zel chuan kal (kidney) a tichhe tan thin .
Risk dangte chu:
- Kidney-ah lung a awm
- Bladder tihchhiat a ni
- Urinary tract infection (UTIs) lo awm leh thin .
Hriat tur pawimawh ber chu kal chhiatna hi a let leh thei lo tih hi a ni . Chumi awmzia chu vawi khat kal (kidney) hian hnathawh engemaw zat a hloh chuan a lo awm leh thei tawh lo tihna a ni. Hei vang hian kal hnathawh humhalh nan a hmaa hriatchhuah leh enkawl a pawimawh hle.
Doctor-te hian engtin nge hei hi an hmuh?
Vanneihthlak takin Ureteroceles tam zawk hi nau neih hmaa ultrasound scan-naah hmuhchhuah a ni.Scan atang ngei pawhin a hriat theih. A tlangpuiin, kar 20 vel chhunga tih thin anomaly scan chhung hian doctor chuan naute kal emaw ureter emaw pakhat chu a hring niin a ringhlel ang. Chumi hnuah chuan naute pian hnua test hmangin finfiah theih a ni.
A châng chuan naute pian hnuah hriat chhuah a ni. Kum 2 an tlin hmaa symptoms a lan huna test neih laiin hmuhchhuah a ni tlangpui a, puitlingte kidney stone emaw urinary tract infection emaw test-naah pawh accident-in hmuhchhuah theih a ni bawk.
I doctor chuan heng test zinga pakhat emaw a aia tam emaw hi a rawt thei ang:
| Fiahna | I thil tih lai mai mai |
|---|---|
| Kidney Ultrasound hmanga tih a ni | Kidney, ureter leh bladder te hi a pianzia leh a hring em tih enfiah thin a ni. |
| VCUG (Voiding Cystourethrogram) hmanga enfiah a ni | Bladder-ah hian tui bik dah a ni a, naupang zun laiin X-ray lak a ni a, zun chu kal (reflux)-ah hnunglam hawiin a luang lut em tih enfiah a ni. |
| Renal Scan neih a ni | Kidney te hian engtiang chiahin nge hna a thawh that tih leh a chhiat tawh em tih hriat nan special scan neih a ni. |
| CT emaw MRI emaw hmanga tih theih a ni | Chungte chu urinary system 3D image chiang zawk, chipchiar zawk hmuh nan an hmang thin. |
| Zun Test a ni | Urinary tract infection (UTI) a awm leh awm loh enfiah thin ang che. |
Ureterocele hi engtin nge enkawl a nih?
Enkawl dan tur hi thil engemaw zat atanga teh a ni.
- Engtikah nge natna hi hmuhchhuah a nih? (Naupai lai nge naupan lai?)
- Kidney a nghawng tawh em?
- Vesicoureteral reflux i nei em?
Naupai laia scan laia hei hi hriatchhuah a nih chuan nausen pian hmaa hri kai theihna tihziaawmna turin antibiotics pek theih a ni. Naute a pian hnuah naute dinhmun a zirin a enkawl dan tha ber tur a ni ang.
Enkawl dan ber chu surgery a ni.
Surgery hmanga enkawlna te
Surgery tum ber chu balloon ang maia hring chhuak chu paih chhuah a, zun kawng a blockage awm chu tihziaawm a ni . Hei hi hmanraw hrang hrang a awm a.
1. Transurethral Puncture: Hei hi balloon chu needle hmanga chil ang mai a ni. Surgeon chuan urethra bulah camera nei instrument te tak te (cystoscope) a dah a, bladder chhungah a lut a, ureterocele hring dup takah chuan khur te tak te a siam a. Hei hian zun block chu zalen takin a luang thei a ni. Hei hi a tlangpuiin surgery lian tak a ni lo va, chu ni vek chuan damdawi inah awm lovin i haw thei bawk (outpatient procedure). Mahse, hei hi naupang tan general anesthesia hmanga tih a ni.
2. Ureteral Reimplantation: Hei hi surgery buaithlak deuh deuh a ni. Hetah hian surgeon chuan a pum hnuai lam ah incision te tak te a siam a, bladder ah a lut a. Tichuan, ureter chhunga ureterocele awmna hmun chu an tan chhuak a, an la chhuak a, chu tube chu bladder-ah an inzawm leh ta a ni. Urine hnunglam hawia luang chhuak lo tur flap valve pawh reposition a ni bawk. He surgery hi 90% - 95% ah a hlawhtling hle.
3. Upper Pole Nephrectomy: He surgery hi case bik tak takah tih a ni. Naupang thenkhat chuan duplex kidney an nei thei bawk. Chumi awmzia chu a sir khata kal pakhat chu hmun hnih ah a inthen tihna a ni. He kal (kidney) chunglam (upper pole) hi ureterocele-in nasa taka a tihchhiat a, a thawk lo tak tak a nih chuan a thawk lo lai chu surgery hmangin lakchhuah a ni.
Fimkhur taka nghah a ni
Hei hi puitlingah tih a ni tlangpui. Ureterocele a te lutuk a, symptom a awm lo a, kal a chhiat loh chuan doctor chuan operation tel lovin a dinhmun enfiah a rel thei a ni.
He natna hi a dam kim thei ang em?
Ni e, a dik tak zet. Ureterocele hi operation hmangin a dam kim thei a ni. Vawikhat zun luang chhuak blockage chu a bo tawh chuan buaina chu a reh ta a ni. Mahse kan sawi tawh ang khan kal (kidney)-ah chhiatna a awm tawh a nih chuan chu chhiatna chu siamthat theih a ni lo. Thil tha ber chu chhiatna dang tihkhawtlai hi a ni. Chuvang chuan natna hriat hmasak leh enkawl hi a pawimawh em em a ni.
Take-Home Thuchah a ni
- Ureterocele chu congenital balloon ang maia urethra tawp atanga bladder chhunga rawn chhuak a ni.
- Hei hi naupai laia i thil tihsual vang a ni lo. Random takin a thleng mai mai a ni.
- A lan chhuahna ber chu urinary tract infection (UTIs) awm fo hi a ni. A châng chuan symptoms a awm lo thei bawk.
- Enkawl loh chuan zun hi a back up thei a, kal (kidney) a tichhe vek thei bawk.
- Hei hi naupai scan laiin hriat theih a ni fo. Chu chu a vannei hle mai.
- He natna hi operation hmangin a dam vek thei a ni. Enkawl dan pawh a hlawhtling hle.
- I fain UTI symptoms, khawsik, pum na, emaw, zun laiin na emaw a neih chuan doctor pan nghal rawh.
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