I kal (kidney) chu ureter-a blockage vangin a block em? (Ureteropelvic Junction - UPJ Obstruction) Hemi chungchang hi han sawi ila!

A châng chuan kan naupang tê chu a pum chhungah hnah te tak te ang maiin a inhria a, a nih loh leh zun kawng natna a vei fo thin a ni lawm ni? Khawsik nen pawh a ni mai thei. Heng thilte chhan pakhat chu kal atanga zun intanna hmuna blockage vang a ni thei. Vawiin hian chipchiar takin, awlsam takin, he dinhmun `(Ureteropelvic Junction Obstruction)` emaw `(UPJ Obstruction)` emaw tih hi kan sawi dawn a ni.

He ‘ureteropelvic junction obstruction’ hi eng nge ni?

A awlsam zawngin i kal pahnih chung lamah funnel ang chi hmun a awm a, chu chu `(Renal Pelvis)` kan ti a ni. Kal atanga zun chhuak chu he `(Renal Pelvis)` ah hian a khawlkhawm thin. Tichuan he zun hi `(Ureter)` an tih tube-ah a tla thla a, bladder-ah a khawl khawm ta a ni. `(Renal Pelvis)` leh `(Ureter)` inzawmna hmun chu `(Ureteropelvic Junction - UPJ)` an ti a. He junction-ah hian eng emaw chhan vanga blockage, chu chu blockage a awm chuan zun a tla tha lo. Hei hi `(UPJ Obstruction)` kan tih chu a ni.

A tlangpuiin kal tin hian `(Ureter)` pakhat chauh an nei a. Kan kal (kidney) hian thisen atanga bawlhhlawh leh tui tam lutuk chu a filter a, zun a siam chhuak thin. Chutianga zun lo chhuak chu `(Renal Pelvis)`-ah a inkhawm a, `(UPJ)` kaltlangin, `(Ureter)` kaltlangin bladder thlengin a kal a ni. `(UPJ Obstruction)` a awm chuan he zun hi a zawi hle a, a chang chuan a tawp vek thei bawk. Hei hian kal (kidney) a tihchhiat theihna a tipung a ni.

A tam zawkah chuan he natna `(UPJ Obstruction)` an tih hi nau piang lai (chu chu `(Congenital urinary abnormality)`) a ni . Tin, a tlangpuiin kal pakhat chauh a nghawng bawk. Hei hi hming dang chu `(UP junction obstruction)`, `(Obstruction of the ureteropelvic junction)`, emaw a tawi zawngin `(UPJO)` te an ni.

Hei hi `(UPJ Obstruction)` hi dinhmun pawi tak a ni em?

Ni e, UPJ Obstruction hi natna khirh tak a ni. Enkawl that loh chuan kal (kidney failure) pawh a thlen thei . Chuvang chuan fimkhur a, a tul anga hma lak a pawimawh. Thil ngaihtuah tur a awm lo, mahse fimkhur tur a ni.

Hetiang dinhmun hi engtiang chiahin nge a awm?

Statistically chuan naute piang 1,500 zinga pakhat velin he natna (UPJ Obstruction) hi an nei a ni. Chumi awmzia chu, a tam vak lo nain, tu chungah pawh a thleng thei tihna a ni.

`(Ureteropelvic Junction Obstruction)` a lan chhuah dan chu engte nge ni?

Hetiang dinhmunah hian natna lan chhuah dan tlangpui engemaw zat a awm. Mahse, a chang chuan, a bik takin nausen te tak teah chuan pawn lam atanga chhinchhiahna a awm lo thei.

• Pum chhunga lump ang maia hriatna, a bik takin pum sir lama awm. Hei hi zun a inkhar vanga kal (kidney) a lo hring chhuak thin vang a ni. Tui balloon ang maiin a lang.
• Urinary tract infection (UTIs) awm fo thin, khawsik nen. Naupang tê têin UTI a vei fo a nih chuan hei hi ngaihtuah tûr a ni.
• Flank na a na. Hei hi kal hnung lama natna hriat a ni. A chang chuan he natna hi a lo thleng a, a bo thin.
• Kidney-ah lung a awm. Kidney stone hi zun a block hian a lo awm tam zawk.
• Thisen chu zun (`(Hematuria)`) .
• Nausea leh luak chhuak.
• Naupang hmasawnna tlai emaw a rihna tlahniam emaw . A châng chuan heng dinhmunte hi hmuh theih a ni bawk.

UPJ Obstruction awm chhan ber chu eng nge ni?

UPJ Obstruction condition tam zawk hi congenital a ni tih ka sawi tawh a . Chumi awmzia chu nausen pum chhunga a awm lai hian zun kawng peng thenkhat, a bik takin ureter emaw kidney emaw a siam tha lo tihna a ni. A châng chuan he blockage hi UPJ kal tlanga thisen kalna kawng compression vang pawh a ni thei. Hengte hi random event a ni tlangpui. Mahse, i chhungkuaa mi tu emaw chuan he natna hi a nei tawh a nih chuan nang pawhin i vei theihna chance a hniam zawk mai thei.

Puitling tan chuan ``UPJ Obstruction`` an nei hi a tlem hle. Amaherawhchu, puitlingah chuan a hnuaia mite avang hian a awm thei a ni:

• Kidney lung a awm avangin .
• Urinary tract chunglam (`Upper UTIs`) a natna hrik a awm avangin .
• Chu lai hmuna operation an neih hnuah.
• Urinary system chunglam a hring (`(Swelling)`) avang hian .

Hetiang dinhmun hian tute nge a nghawng nasa ber?

Tuna data atanga a lan dan chuan hmeichhia aiin mipa hian UPJ Obstruction hi a let hnih aia tam an nei a ni. Research pawhin he natna hi kal veilam aiin a let hnih velin a tam zawk tih hmuhchhuah a ni bawk.

UPJ Obstruction avanga harsatna awm thei te chu engte nge ni?

He natna (UPJ Obstruction) hi enkawl tha a nih loh chuan harsatna hrang hrang a awm thei a ni.

• Urinary tract infection (UTIs) lo awm leh thin . A chang chuan, kal vel thau (fatty tissue) te hi a lo hring (perinephric stranding) thei bawk.
• A natna hmunah hian natna rei tak a awm thei .
• Kidney stone dang (``secondary kidney stones``) a lo awm thei bawk.

A pawimawh ber chu hun rei tak enkawl loh chuan he `(UPJ Obstruction)` hian kal a tichhia thei a, a tawpah chuan kal a tichhe thei a ni . Chuvang chuan a natna hriatchhuah leh enkawl hmasak a pawimawh hle.

Engtin nge `(UPJ Obstruction)` condition hi kan hriat theih ang?

A tam zawkah chuan, .Doctor-te chuan naute pum chhunga a la awm laiin ultrasound scan hmangin UPJ Obstruction an hmuchhuak thei a ni. Hei hi a chhan chu zun a block hian kal hnunglam pressure a siam a, chu chuan a tlangpui aia nasain a ti hring chhuak thin. Hei hi hydronephrosis an ti a . Hei hi ultrasound-ah chiang takin a lang thei.

Naute a pian hnuah pawh doctor-te chuan kal (kidney) hian engtiang chiahin nge zun a siam chhuak a, engtiang chiahin nge zun a paih chhuah tih hriat nan test hrang hrang ti turin thupek an pe thei a ni. Chung zingah chuan:

• Thisen leh zun test (`(Blood test leh urinalysis)`). `(Blood Urea Nitrogen - BUN)` leh `(Creatinine Clearance)` ang chi test te hian kal hian thisen a filter tha em em tih a hriat theih.
• Test pakhat ``Intravenous Pyelogram - IVP'' tih chu i kut chhunga vein pakhatah dye bik inject a, ``X-ray'' thlalak lak a ni. Chumi hnuah chuan dye chu kidney, ``Renal Pelvis'', leh ``Ureter'' kal tlanga a kal laiin blockage a awm leh awm loh hriat theih a ni.
• Renal Scan neih a ni. He test-ah hian radioactive substance tlemte chu vein-ah inject a ni a, special camera hmangin kidney kal tlanga a kal lai en a ni. Hei hian kal (kidney) hnathawh that dan leh a blockage nasat zia hriat theihna tha tak a pe thei a ni.
• Ultrasound, CT scan, leh MRI hmanga tih a ni. Heng imaging test te hian kal, ureter leh bladder te insiam dan te, kal chhunga harsatna awm apiang te chiang takin a hmu thei a ni.

Engtin nge `(UPJ Obstruction)` hi enkawl a nih?

Hei hi thil awmdanah a innghat tak zet a ni. I naute hian UPJ Obstruction a neih chuan a dam chhung thla 18 chhungin a mah chauhin a dam thei a ni. Hemi chhung hian i naute doctor chuan ultrasound scan leh test dang a nei fo ang a, a blockage hian harsatna a thlen lo tih a chiang ang.

Mahse, naupang chu thla 18 hnuah pawh a la zun theih loh a, chu chu a blockage a la awm tihna a nih chuan ``Open Pyeloplasty'' tih operation a neih a ngai mai thei. Hetah hian pediatric urologist chuan incision lian tak a siam a, a block tawh chu a la chhuak a, ``Ureter'' chu kidney nen a thlunzawm leh a, chu chuan hawnna zau deuh deuh a siam a ni. ``Open Pyeloplasty'' hi darkar tlemte a ni tlangpui a, hlawhtlinna rate pawh 95% vel a ni.

A then phei chuan surgeon hian he surgery hi `(Minimally invasive pyeloplasty)` tih hmangin a ti thei a, chu chu robotic technique (`(surgical robot)`) a ni . Tichuan, incision te tak te siamin `(Laparoscope)` leh surgical instrument dangte chu robot hmangin an operation a. Hetiang method hlawhtlinna hi `(Open Pyeloplasty) nen a inang a ni.` Mahse, hei hian surgeon lam atanga technical skill tam zawk a mamawh a ni. Naupang kum leh lian leh te a zirin a ni bawk.

Thil dang chu ``Endopyelotomy'' tih hi a ni.Hetah hian surgeon chuan ``Endoscope`` (camera nei tube te tak te) an tih chu urethra (``Urethra``) kaltlangin, ``Ureter`` zawhin, a blockage chu a en a. Tichuan, ``Endoscope``-a channel pakhatah wire pakhat an kalpui a, chu chuan blockage chu an cut a, chutah chuan ``drain``, chu chu tube an dah a ni. He ``drain`` hi a dam hma loh chuan kar engemaw zat a hmunah dah a ni. ``Endopyelotomy`` ah chuan incision a ngai lo va, surgery dang pahnih aiin a awlsam zawk. Amaherawhchu, hlawhtlinna rate erawh a hniam deuh. A châng chuan hei hi vawi khat aia tam tih a ngai mai thei.

Engtiang chiahin nge enkawl hnuah ka dam leh thuai ang?

I UPJ Obstruction avanga enkawlna i dawn danah a innghat. Mi tam zawk chu kar hnih atanga kar li chhungin an dam leh thin. Mahse, i taksa hi a danglam a, chuvangin i dam leh hun tur chu a inang lo thei. I doctor chuan hei hi a ngaihdan tha ber a pe ang che.

UPJ Obstruction hi ven theih a ni em?

Medical zirchiangtute chuan naupai laia ei leh in leh ei leh in leh nausen chhunga UPJ Obstruction lo awm dan hi inzawmna an la hmu lo. Chumi awmzia chu pian tirh atanga UPJ Obstruction lo thleng tur venna tur engmah kan ti thei lo tihna a ni.

Mahse, puitling UPJ Obstruction nei lo piang tan chuan a hnuaia thilte hi pumpelh hian he hlauhawmna hi a tihziaawm thei a ni:

• Kidney stone lo awm tur venna .
• Urinary tract infection (UTIs) laka invenna .
• I kal (kidney) a trauma awm loh nan .

`(UPJ Obstruction)` dinhmun hi eng nge a nih?

A hmaa hmuhchhuah a nih a, uluk taka enkawl a nih chuan UPJ Obstruction awm theihna tur outlook a tha hle. Naupang tam zawk chuan hun rei tak chhung harsatna an nei lo. Tin, pian hmaa hriat chhuah a nih chuan a chang chuan enkawl ngai lovin a reh thei bawk.

Mahse, nakin lawkah UPJ Obstruction i vei tih hmuhchhuah a nih chuan i kal (kidney) tihchhiat theihna a sang deuh hlek a ni. A nasat chuan enkawl loh chuan UPJ Obstruction hian kal a tichhe thei a, thihna thlengin a thlen thei a ni. Chuvang chuan natna hriat hmasak leh enkawl hi a pawimawh em em a ni.

Engtikah nge doctor i hmuh ang?

Nangmah emaw i naute emaw hian heng symptoms te hi i neih chuan doctor pan nghal rawh:

• Zun chhungah thisen a awm chuan (`(Hematuria)`) .
• I pum chhunga tumor ang maia i kutah a man chuan.
• I pum chunglam emaw, hnungzang emaw na i neih chuan (`(Flank pain)`) .
• Khawsik i neih chuan.
• Naupang thanna a tlahniam a nih chuan (`(Growth faltering / failure to thrive)`) .

Engtikah nge Emergency Treatment Unit (ETU) ah i kal a ngai ?

I zun theih loh chuan emergency room hnai ber pan nghal tur a ni.Hei hi tihkhawtlai tur thil a ni lo.

Doctor hnenah eng zawhna nge i zawh tur?

Doctor hnenah hetiang zawhna hi i zawt thei ang:

• Engtin nge he natna `(Ureteropelvic Junction Obstruction)` hi i hriat theih ang?
• Ka fa UPJ Obstruction hi enkawl loh chuan a dam leh thei ang tih i ring em?
• Enkawlna kawng hrang hrangte chu engte nge ni?
• Surgery neih a ngai a nih chuan eng method nge i rawt?
• UPJ Obstruction lo awm leh theihna chance chu engzat nge ni?

`(Ureteropelvic Junction Obstruction)` leh `(Ureterovesical Junction - UVJ) Obstruction` te hi eng nge an danglamna?

A awlsam zawngin, Ureteropelvic Junction (UPJ) leh Ureterovesical Junction (UVJ) obstruction pahnih hi i urethra (ureter) tawp lamah a awm vek a ni. UVJ hi i ureter leh i bladder inzawmna hmun a ni. Chutah chuan UVJ obstruction a awm thin. Mahse UPJ obstruction chu Renal Pelvis-ah a awm a, chutah chuan ureter chu i kidney nen a inzawm a ni.

Chuti a nih chuan, heng zawng zawng atang hian eng thuchah nge kan in lama kan hruai tur?

I naute hian he harsatna hi a nei thei tih i hriat hian hlauhna i neih hi thil pangngai a ni a, i naute chu a pum chhunga a la awm lai emaw, a pian hnu emaw pawh nise scan lai pawh nise. Nangmah leh nangmah mawhpuh duhna i nei mai thei a, ‘Thil dik lo ka ti em? Hetiang thil thleng lo turin ka tih theih tur a awm em?’ a ti a. Mahse a takah chuan he `(Ureteropelvic Junction Obstruction)` an tih hi a chang chuan thil thleng mai mai a ni. Doctor te pawhin a chhan dik tak an sawi thei lo.

A pawimawh ber chu he `(UPJ Obstruction)` dinhmun atang hian mi tam takin an dam leh thei hi a ni. Chuvangin, Doctor hmu a, biak pawh hlau suh. Zawhna leh hlauhna zawng zawng i rilruah an hrethiam vek. An theih ang tawkin an pui ang che a, i zawhna zawng zawng pawh an chhang vek ang che. Hetah hian natna hriat hmasak leh enkawl dan dik hi a pawimawh ber a ni.

` Kal, Urinary Tract, UPJ Obstruction, Naupang enkawl, Zun System, Surgery, Ureteropelvic Junction Obstruction