Doctor chuan i prenatal scan lai khan i naute kal pakhat chu a hring deuh niin a sawi em? A nih loh leh i fate hian zun kawng natna a vei fo em? I pum sir lama natna tlem te i sawi a ni mai thei? Vawiin hian hetiang thil thleng thei, mahse sawi tam loh dinhmun kan sawi dawn a ni. Hei hi Ureteropelvic Junction Obstruction an ti a, a tawi zawngin UPJ Obstruction an ti bawk.
A awlsam zawngin UPJ Obstruction chu eng nge ni?
Hei hi hrethiam tur chuan kan kal (kidney) hnathawh dan hi han en hmasa ila. Kan kal (kidney) hi tui filter pahnih angin han ngaihtuah teh. Kan taksa chhunga thisen awmte chu a filter a, a chhunga tui bawlhhlawh leh tul lote chu a khawlkhawm a, zunah a lo piang ta a ni.
Chutianga zun lo awm chu kal (kidney) chhungah funnel ang chi hmunah a inkhawm a (the renal pelvis) . Tichuan, zun chu tube te tak te (ureter) hnuaiah a kal thla a, chu chu he funnel atang hian a intan a, bladder-ah a khawl khawm ta a ni.
Kidney funnel leh chuta intan ureter inzawmna hmun chu Ureteropelvic Junction (UPJ) kan tih hi a ni.
Tunah chuan i hrethiam tawh a ni lawm ni? UPJ Obstruction chu chu junction-a blockage emaw obstruction emaw a awm a, chu chu funnel leh tube inzawmna hmunah a ni. Sink chhunga pipe a block a nih ang bawkin zun chu a tla thla thei lo va, kidney chhungah a khat tan ta a ni. Damdawi lam hawi chuan hei hi (Hydronephrosis) an ti a, chu chu kal (kidney) a zun a khat hian (Hydronephrosis) a ni.
Hetiang dinhmun hi pianpui a ni fo a, a tlangpuiin kal pakhat chauh a nghawng thin.
He dinhmun hi a pawi em?
Ni e, UPJ Obstruction hi enkawl ngai tak a ni. A chhan chu, uluk taka enkawl loh chuan kal chhunga zun rei tak a khat avangin kal a tichhe thei a , a hnathawh pawh a tlahniam thei a ni. A chhe berah chuan kal (kidney) hi a thawk tha lo vek thei (kidney failure) pawh a ni thei.
Mahse, lungngai suh. A hmaa man a, uluk taka enkawl a nih chuan a dam vek thei. Naupang tam zawk chuan hun rei tak chhunga nghawng nei lovin nun hrisel tak an hmang thei a ni.
Hetiang natna lan chhuah dan hi engte nge ni?
UPJ Obstruction symptoms hi kum a zirin a danglam thei. A châng chuan naupang tê tê chuan natna lan chhuahna a nei lo thei bawk. Mahse, a lan chhuah dan tlangpui thenkhat chu hmuh theih a awm.
| Symptom a ni | Hrilhfiahna awlsam tak |
|---|---|
| Kut mantu pum chhunga knot awm | Bladder a khat avanga kal (kidney) a lo hring a nih chuan pum sir lama zung (lump) ang maiin a awm thei. |
| Urinary tract infection (UTI) awm fo thin . | Zun hi hmun khatah a awm reng avangin bacteria infection awlsam takin a lo awm thei a, chu chuan khawsik a thlen thei a ni. |
| Flank na a na | I kawr chung leh hnungzang lamah cramping sensation i nei thei a, a bik takin tui, tui ang chi tam tak i in hnuah. |
| Kidney-ah lung a awm | Zun hi hmun khatah a awm reng avangin hun kal zelah kal (kidney stone) a awm theihna a awm. |
| Zun chhunga thisen (Hematuria) . | A châng chuan zun chu pink emaw, sen emaw a lo ni thei bawk. |
| Nausea leh luak chhuak | Nausea leh vomiting a awm thei a, a bik takin cramping period lai hian a awm thei. |
| Growth tihkhawtlai a ni | Naupang tê tête taksa rihna leh ṭhan chakna a tichhe thei a ni. |
Hei hi eng nge a chhan? Engvangin nge hetiang hi a lo awm?
Pianpui atanga lo chhuak a ni
A tam zawkah chuan 95% aia tam UPJ Obstruction hi pianpui natna a ni.Chumi awmzia chu nausen pum chhunga a seilian laiin kal leh zun kawng a siam that loh vangin blockage a awm tihna a ni. Hei hi a chhan dik tak erawh hriat a la ni lo. A thleng mai mai a ni.
A pawimawh ber chu hei hi nangmah (or i nu leh pate) sual vang a ni lo tih hi a ni. Hei hi naupai laia i ei, i in, i thil tih vang a ni tih ngaihtuahin lungchhiat suh.
A châng chuan, he blockage hi thisen kalna kawng dik lo, chu chu UPJ joint chunglam aṭanga kal kal tlangin thisen kalna kawng a nih vang pawh a ni thei.
Puitling huna lo awm chhan
Hetiang dinhmun hi puitlingah chuan a awm lo hle. A lo awm tak tak a nih chuan:
- Kidney lung a inkharkhip
- Upper urinary tract natna a awm thei
- Chu hmunah chuan operation hnua hliam
- Urinary system chunglam a hring (swelling) a awm
Engtin nge hei hi i hmuh theih, Doctor?
He natna hi naupai lai, naute pian hma, ultrasound scan neih laiin hmuhchhuah a ni fo thin . Scan-ah naute kal pakhat chu a pianphung pangngai aia lian (hydronephrosis) a hring tih a hriat chuan doctor-te chuan hei hi an ringhlel ang.
Naute a pian hnuah hian he natna hi finfiah nan leh kal (kidney) tihchhiat engzat nge a awm tih hriat nan test eng emaw zat tih belh leh theih a ni.
| Fiahna | Hei hian eng nge a tih? |
|---|---|
| Thisen leh zun test (Urinalysis) . | Kidney function (BUN, Creatinine) leh urinary tract infection te enfiah thin ang che. |
| Ultrasound hmanga Scan a ni | Kidney lian leh te, a hring leh a insiam dan chiang takin hmu rawh. |
| Renal Scan (Renal Scan / Nuclear Scan) hmanga tih theih a ni. | Hei hi an tih dan chiah a ni. Radioactive material tlemte chu vein-ah an inject a, kal (kidney) atanga a kal chak dan leh a hnuai lam a luang chak dan te an en thin. Blockage awmna sir lama zun kal chu a slow hle. |
| CT emaw MRI emaw hmanga tih theih a ni | A châng chuan hengte hi kal leh a chhehvêl thlalak chipchiar zâwk hmuh nân an hmang ṭhîn. |
Hei hi eng enkawlna nge ni?
Enkawl dan hi thil tam takin a hril a, chu chu a block nasat dan te, kal hnathawh dan te, naupang kum zat te hi a ni.
1. Fimkhur taka nghah
Mak ti suh u, naute he natna neia piang tam zawk hi a tir lamah chuan operation engmah nei lovin enfiahna hmanga enkawl an ni. Hei hi a chhan chu naupang a lo puitlin chuan blockage chu a mah chauhin a reh theihna chance tha tak a awm vang a ni. Hei hi naupang dam chhung thla 18 chhungin a thleng thei a ni.
Hemi chhung hian doctor chuan a hun takah ultrasound scan a nei ang a, a kal (kidney)-ah a hring chhuak em tih a enfiah ang. Urinary tract infection laka invenna atan antibiotics dose hniam tak tak a pe chhunzawm thei bawk.
2. Surgery tih a ni
Observation period chhunga kal a hring a san chuan, kal hnathawh a tlahniam a, naupangin a na fo a nih chuan, emaw, thla 18 hnuah a congestion a tha lo a nih chuan doctor chuan operation tih a rawt ang.
Chumi atana surgery tih ber chu Pyeloplasty tih a ni.
- Pyeloplasty: Hei hian ureter blocked, narrowed part chu cut chhuakin ureter hrisel tak chu kidney nen inzawm leh a ni. Hei hian zun kalna tur kawng zau zawk a siam a ni. He surgery hi a hlawhtling hle (95% aia tam a hlawhtling).
- He surgery hi open surgery pangngai angin emaw, incision tenau, laparoscopic surgery ang chi hmangin emaw tih theih a ni.
Enkawl dan dang chu Endopyelotomy a ni . Hetah hian incision engmah awm lovin camera te tak te (endoscope) chu urethra-ah an kalpui a, a blockage chu a chhung lam atangin an tan a, an tizau bawk. Mahse, hei hi Pyeloplasty aiin a hlawhtling lo zawk.
Enkawl hnuah eng nge thleng?
Operation atanga a dam kim theih nan kar hnih atanga kar li vel a ngai tlangpui. Mahse mi tin a inang lo. I doctor chuan hei hi chipchiar takin a hrilhfiah ang che.
A hmaa hmuhchhuah a nih a, uluk taka enkawl a nih chuan he natna hi a hmalam hun tur chu a tha hle . Naupang tam zawk chuan hun rei tak chhung harsatna nei lovin nun pangngai an hmang thei a ni.
Engtikah nge Doctor i hmuh a ngaih?
Nangmah emaw, i fa emaw hian a hnuaia symptoms te hi i neih chuan doctor pan nghal tur a ni.
- Zun ah thisen a awm chuan
- I pum chhungah kut i thlak theih loh knot a awm chuan
- I pum chunglam emaw, hnungzang emaw na i neih chuan
- Khawsik (a bik takin zun kawng infection nei) i neih chuan .
- Naupang tê chu a thau lo a, a ṭhan chak lohna ang maia lang a nih chuan
Pawimawh tak: I zun theih lohna dinhmunah i ding a, chu chu i zun chu a block vek tihna a nih chuan damdawi in hnai ber emergency room (ETU)-ah kal nghal rawh.
Hetiang dinhmun i hriat hian hlauhna leh lungkhamna nasa tak i neih hi thil pangngai a ni a, a bik takin nu naupai tan chuan. "Thil dik lo ka ti em?" Mahse hei hi tumah sual a ni lo tih hre reng ang che. A thleng mai mai a ni. A pawimawh ber chu, hei hi enkawlna tha tak tak a awm a ni. Hemi chungchang hi i doctor nen inhawng takin sawi rawh. Zawhna i neih apiang zawt rawh.
Take-Home Thuchah a ni
- UPJ Obstruction hi kal leh ureter inzawmna hmuna blockage awm a ni.
- Hei hi pianpui natna a ni fo va, nu leh pa te tihsual vang pawh a ni lo.
- He natna hi naupai laiin scan hmangin hriat hmasak theih a ni fo.
- Naute naupangte zingah hian he natna hi hun kal zelah a mah chauhin a reh thei a, enkawlna engmah a awm lo.
- A dam loh emaw, a natna a nasat chuan Pyeloplasty tih surgery hmangin hlawhtling takin enkawl theih a ni.
- Urinary tract infection symptoms i neih chuan i zun chhunga thisen, flank na emaw, khawsik emaw i neih chuan doctor pan nghal rawh.
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