E rua ō ureter i roto i tō whatukuhu? (Kanihi Tārua) Kia mārama tātou ki te āhua nei!

He mea hanga whakamiharo tō tātou tinana, kāore? I ētahi wā ka puta ngā mea i roto i ō tātou tinana kāore tātou e mōhio, kāore e taea e tātou te whakaaro. Koinei tētahi o ngā mea motuhake ka kōrerohia e tātou i tēnei rā. Whakaarohia, ko ngā ngongo e kawe ana i te mimi mai i tētahi o ō whatukuhu ki te pūhā (e kiia ana ēnei he (ureters)) he rua, kaua ko te kotahi! Ae, he pono tēnā. Koinei te mea e kiia nei e tātou ko (Duplex Knedney), (Duplicated Ureters) rānei i roto i te pūtaiao hauora. Kaua e mataku ina rongo koe i te ingoa, he mea tēnei kāore e tino raruraru ana mō te nuinga o te tangata. Me kōrero tātou mō tēnei me te taipitopito me te ngāwari.

He aha tēnei "Kanihi Takirua"? Kia mārama tātou!

He whakarāpopototanga noa iho, he mate whānau mai te whatukuhu takirua. Koinei te wā e rua ngā ngongo o tētahi, o ngā whatukuhu e rua rānei, e kīia ana ko ngā ureter, e kawe ana i te mimi ki te pūkahukahu. I te nuinga o te wā, kotahi anake te ureter e hono ana ki te pūkahukahu mai i tētahi whatukuhu.

E rua ngā whatukuhu o te tinana o tātou katoa. Ka tātarihia e ēnei whatukuhu ngā para o te tinana, ka puta he mimi. Kātahi ka haere tēnei mimi mā roto i ngā ngongo e kiia nei ko ngā "ureter" ka kohia ki roto i te pūkahukahu. Ina kī te pūkahukahu, ka hiahia tātou ki te mimi. Ināianei, i roto i tēnei āhuatanga "Kanihi Tāruarua", e rua ngā ngongo e puta mai ana i te whatukuhu kotahi. Ka tīmata tētahi i te taha o runga o te whatukuhu, ā, ka tīmata tētahi i te taha o raro ka kawe i te mimi ki te pūkahukahu. Ka puta tēnei i te wā e whanake ana ngā whatukuhu me te ara mimi i roto i te kōpū i te wā e pēpi ana.

He aha ngā momo matua o te (Kanihi Duplex)?

Ka pāngia pea te whatukuhu kotahi anake e tēnei āhuatanga "Whākihi Takirua", ka pāngia rānei ngā whatukuhu e rua (e kiia nei e tātou ko ngā "whatukuhu takirua taha"). Waihoki, ka taea te tino , te kore rānei . Kia kite tātou he aha te mea nei.

• Whatukuhu Takirua Katoa: I tēnei wā, e rua ngā ureter e tīmata mai ana i te whatukuhu kotahi, ā, ka hono motuhake ki te pūkahukahu. Ko te tikanga o tēnei, e rua ngā ngongo e tomo ana ki te pūkahukahu.
• Whatukuhu Takirua Kāore i Oti: I konei, ahakoa e tīmata ana ngā ureter e rua i te whatukuhu kotahi, ka honoa ngātahi i mua i te urunga ki te pūkahukahu, ka hanga he ngongo kotahi e hono ana ki te pūkahukahu. Whakaarohia he rite ki te reta 'Y'.

He aha ngā tohu o tēnei mate? Ka pāngia te katoa e ngā tohu?

Ko te rongo pai, ko te nuinga o te hunga he whatukuhu takirua kāore e pāngia e tetahi tohu . He oranga noa iho tā rātou. Heoi, i ētahi wā, inā koa i roto i ngā take o te whatukuhu takirua katoa, ina kore e hono tika ngā ureter ki te pūkahukahu, ina rānei he ārai i te rere o te mimi, ka puta pea ngā tohu nā ngā raruraru.

Ko ngā tohu ka puta pea ko:

• Ngā mate urutā mimi auau (UTI)Te Pūtake. I tēnei wā, ka pāngia pea koe e te wera, te mamae, me te hiahia ki te mimi pinepine.
• Te mate whatukuhu (mēnā he kirika te haere tahi me te UTI). He kino ake tēnei. Ko ngā tohu ka uru pea ki te kirika, te makariri, me te mamae o te tuara.
• Ko te kore e taea te pupuri i te mimi ko te turuturu o te mimi ahakoa kua oti te tamaiti te whakangungu ki te wharepaku (e mōhiotia ana ko te whakangungu ki te wharepaku) . He mea tino noa tēnei i waenga i ngā kōtiro.

Whakaarohia, he maha ngā wā ka pāngia ētahi tamariki e te kirika, ka hoatu he rongoā e te tākuta, engari ka pāngia tonutia rātou. Tērā pea ko te mate mimi te take i puta mai i tētahi "Kanihi Duplex" huna.

Ka nui rawa te mimi ka puta mai i te Duplex Kidney?

Kāo, kāore te whatukuhu duplex e nui ake ai te mimi e pupurihia ana e tō pūkahukahu, kāore hoki e meinga kia mimi pinepine koe. Ko te nui o te mimi e whakaputaina ana e tātou ka whakahaeretia e ētahi atu pūnaha o tō tātou tinana. Heoi, e ai ki taku kōrero i mua, ki te mea he maha ngā mate urinary i roto i te tinana o tētahi tangata he whatukuhu duplex, tera pea ka whakaaro koe me mimi pinepine koe nā te mate. Ehara tēnei i te hua tika o te mate, engari he tohu o te mate.

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He aha i puta ai tēnei "Kanihi Takirua"?

He maha ngā wā ka puta mai tēnei i te hapa wehenga pūtau e puta wawe ana i te whanaketanga o te tamaiti i roto i te kōpū. Ko te tikanga he iti noa te huringa o te hanganga o ngā whatukuhu me te ara mimi. Ko te mea nui, kāore he taunakitanga e whakaatu ana i puta mai tēnei āhuatanga i tetahi mea i mahia, i kore rānei i mahia e te whaea i te wā e hapu ana. Nō reira kaua e whakama mō tēnei.

He mea tēnei nō ngā whakatipuranga?

Ae, i ētahi wā ka taea te tuku iho i te Tākihi Duplex. Ko te tikanga, ki te pāngia tētahi o ngā mātua e te mate, e 50% te tūponotanga ka pāngia tā rātou tamaiti. Heoi, tera ētahi wā ka pāngia ngā tamariki e te Tākihi Duplex ahakoa kāore ngā mātua e pāngia ana e te mate. Nō reira, ki te pāngia tētahi o te whānau e te mate, he mea pai kia mōhio.

He aha ngā raruraru pea ka pā mai i te "Duplex Knee"?

He maha ngā wā, ka puta noa ngā tohu o te whatukuhu takirua ina puta mai ētahi atu raruraru me te whanaketanga o te pūnaha mimi. Ka taea e ēnei huringa te aukati i te rere o te mimi, te pupuhi i ngā whatukuhu (hydronephrosis), te rere whakamuri rānei o te mimi ki roto i ngā whatukuhu (reflux). Ka taea e tētahi o ēnei āhuatanga te arahi ki ngā mate urutā mimi (UTI).

Ko ētahi atu āhuatanga ka kitea i roto i te hononga ki te "Duplex Knee" ko:

• Ureterocele: Koinei te wā ka rite te (ureter) e hono ana ki te pūkahukahu ki te rite ki te poihau. Ka ārai pea tēnei i te rere o te mimi.
• Te ureter ectopic:I konei, ka hono te ureter ki tētahi atu wāhanga o te pūkahukahu (hei tauira, te urethra, te tenetene rānei) kaua ki te wāhi e tika ana. Ka taea e tēnei te turuturu ohorere o te mimi (incontinence).
• Te reflux vesicoureteral (VUR): Koinei te wā e hoki ai te mimi mai i te pūkahukahu ki runga i ngā ureter ki ngā whatukuhu. Ka taea e tēnei te kino i ngā whatukuhu me te mate.
• Te Hydronephrosis: Koinei te wā e puea ake ai te mimi i roto i ngā whatukuhu, ā, ka pupuhi. Ka puta tēnei mēnā he aukati kei tētahi wāhi o te ara mimi.

Me pēhea te tātaritanga o tēnei mate "Kanihi Tāruarua"?

Ka taea e ngā tākuta te tātaritanga i ngā ureter tāruarua mā te whakamahi i ngā whakamātautau whakaahua motuhake hei tango pikitia o tō pūnaha mimi. Ina ngana ana koe ki te whakatau i te pūtake o ō tohu, ka pātai pea tō tākuta ki a koe i ngā pātai penei:

• He mamae tō tuara, tō puku rānei?
• He raruraru tōu ki te kore e taea te pupuri i te mimi?
• Kei te pāngia tetahi o te whānau (ngā whanaunga toto) e te "Kanihi Duplex"?

He maha ngā wā ka kitea ngā ureter tāruarua i te tamarikitanga , inā koa mēnā he maha ā rātou UTI, he kore rānei e taea te pupuri i te mimi. Heoi, kāore ētahi tāngata e mōhio kei a rātou te mate tae noa ki te pakeketanga. He maha ngā wā ka kitea noa i te wā e whakamātautauhia ana mō tētahi atu mate. He rite ētahi o ngā tohu ki ērā o ētahi atu mate, nō reira he uaua ki te tautuhi.

He aha ngā whakamātautau e mahia ana hei tautuhi i tēnei?

Tērā pea ka tonoa e tō tākuta ēnei whakamātautau whakaahua hei whakatau mēnā kei a koe te Duplex Kidney:

• Te whakamātautau oro-ā-ringa o ngā whatukuhu me te pūhā: He whakamātautau māmā, kore mamae tēnei e whakamahi ana i ngā ngaru oro hei tango pikitia o ngā whekau o roto.
• 'Matawai Tomography Rorohiko (CT)': Ka whakamahia ngā hihi-X me te rorohiko hei tango whakaahua taipitopito o te tinana.
• Whakaahua Aukume (MRI): Ka whakamahia e tēnei te whakamahi i ngā papa aukume me ngā ngaru reo irirangi hei whakaputa whakaahua mārama o roto o te tinana.
• Pyelogram whakamuri: He whakamātautau motuhake tēnei. Ka tukuna he kāmera iti me te tae mā roto i te urethra, ā, ka tangohia he whakaahua hihi-X hei tiro i te āhua me te mahi a te pūnaha mimi.

He aha ngā maimoatanga mō te (Duplex Knee)?

Kāore te nuinga o te tangata e hiahia ki tētahi maimoatanga mō te whatukuhu takirua. Heoi, ki te mea he ureter ectopic tōu, e ai ki te kōrero i runga ake nei, ki te mea rānei he raruraru kē atu āu e puta ai ngā tohu, me pokanga pea koe i ō whatukuhu, tō mimi, ō ureter rānei.

Ka tangohia e koe te "Kanihi Duplex"?

Kāore i te maha ngā tākuta e tango katoa i te "Whākihi Tāruarua." Ehara i te mea ko te rua o ngā whatukuhu te raruraru, engari ko ngā raruraru e pā ana ki aua whatukuhu. Mena he tohu, he maha ngā momo pokanga ka taea te mahi:

• Ureteroureterostomy: I tēnei, ka honoa e te taote pokanga ngā (ureters) e rua, ka hangaia he (ureter) he āhua (Y') hei kawe i te mimi ki te pūhā. Ka mahia tēnei hei hono i ngā ngongo e rua, he rite ki te (Incomplete Duplex Khinuhinu).
• Te whakaurunga anō o te mimi: Mena he ureter ectopic tōu, he ureter refluxing rānei, ka hangaia e te taote pokanga he kōhao hou hei hono atu ki te pūkahukahu. Mā tēnei ka āwhina i te rere tika o te mimi, ā, ka aukati i te rere whakamuri.
• Nephrectomy: Ko te tango i tētahi wāhanga, i te katoa rānei o te whatukuhu kāore e mahi tika ana. Ka taea e tēnei te whakaiti i te kore e taea te pupuri i te mimi me te mōrearea o te mate. Heoi, kāore tēnei maimoatanga e mahia pinepinetia. Ka mahia anake mēnā kua tino pakaru tetahi whatukuhu, ā, kei te raru te mahi a tetahi atu whatukuhu.

Kia pēhea te roa o te wā e ora ai i muri i te pokanga?

Ka rerekē te roa o te wā e ora ai koe i muri i te pokanga i runga i tō tau me te momo pokanga i mahia ki a koe. Hei tauira, ka noho te tamaiti nohinohi ki te hōhipera mō te rā kotahi, e rua rānei, kātahi ka hoki ki te kāinga ka okioki mō tētahi atu wiki, e rua rānei. Whai muri i te pokanga, ka tirotirohia e te tākuta te whatukuhu kia mōhio ai kei te pai ngā mea katoa.

Mena he "Kanihi Duplex" tōku, he aha ngā mea ka tumanakohia e au?

Ko te nuinga o te hunga he tākihi takirua ō rātou, kāore he raruraru. Heoi, ki te mea kei a koe ngā āhuatanga pēnei i te kore e taea te pupuri i te mimi, te reflux, te maha rānei o ngā UTI, me pokanga pea koe hei whakatika i aua raruraru.

He mate kino te "Kanihi Duplex"?

Ko te whatukuhu takirua ehara i te mate kino, i te mate morearea rānei. Ko te nuinga o te tangata kāore he tohu, ā, kāore e hiahiatia he maimoatanga.

Ka taea e au te noho i te ao noa me te whatukuhu duplex?

Kāore te Tākihi Duplex e mōrearea ki te ora. Ahakoa me rongoā, he tino whai hua te nuinga o te wā ki te whakaora i ngā tohu. Nō reira, āe, ka taea e koe te noho i tētahi oranga noa .

Me pēhea taku tiaki i ahau anō?

Ki te mōhio koe he tākihi takirua tōu, tō tamaiti rānei, kia tūpato ki ngā tohu e pā ana ki te pūnaha mimi (pēnei i ngā UTI me te kirika, te mimi kore rānei). Mena kua pokangahia koe, tō tamaiti rānei, me ata whai i ngā tohutohu a tō tākuta .

Āhea ahau me toro atu ki taku tākuta?

Mena kua tāpaetia koe kei te mate koe i te Duplex Kidney, ā, kei te pāngia koe e ngā tohu e whakaaro ana koe he hononga ki taua tohu, me toro atu ki tō tākuta. Pātai atu ki a ia mō ngā tohu hou, me te aha rānei me mahi mēnā ka kino haere ō tohu.

Āhea ahau me haere ki te Tari Whawhati Tata (ETU) ?

Mena kei te pāngia koe e ngā tohu o tētahi mate kino, haere tonu ki te rūma whawhati tata. Ko ēnei tohu ko:

• Te kirika nui (neke atu i te 39 nekehanga Celsius).
• Te mamae ohorere o te puku.
• Te ruaki pinepine, me te kore e taea te kai, te inu rānei i tetahi mea .

He aha ngā pātai me pātai atu e au ki taku tākuta?

He pai pea te pātai atu ki tō tākuta i ēnei pātai:

• He rongoā kei reira me tango e au?
• He aha te momo "Kanihi Duplex" kei a au?
• Me pokanga ahau? He aha te momo?
• Me toro atu ahau ki tētahi tohunga? Me tono atu ahau ki tētahi "(tukunga)" mō tēnā?
• Ki tō whakaaro ka memeha noa iho aku tohumate?
• Mena he "Duplex Kidney" tōku, me whakamātauria hoki taku tamaiti?

He pēhea te noa o te "Kanihi Duplex"?

Ko ngā whatukuhu kua wehea te mate whānautanga tino noa e pā ana ki te pūnaha mimi. Tata ki te kotahi i roto i te 125 tāngata ka wehea katoatia, ka wehea rānei kāore i oti o ngā whatukuhu.

Hei whakamutunga, ngā mea hei maumahara (Karere hei tango ki te kāinga)

Ehara te Tākihi Tāruarua, te Tākihi Tāruarua rānei, i te mate morearea, ā, he maha ngā wā kāore e puta he tohu. He tokomaha te hunga kāore e mōhio kei a rātou te mate. Mena kua tāpaetia koe, tāu tamaiti rānei ki te Tākihi Tāruarua, ā, he tohu kei a ia, he tino whai hua te maimoatanga ki te rongoā i aua tohu. Ahakoa he whakama pea te kōrero mō ngā mea pēnei i te mimi koretake, te mamae rānei i te wā e mimi ana, he mea nui kia kōrero koe ki te tākuta mō ō tohu . Kei reira rātou hei āwhina i a koe. Ka taea e rātou te kimi i te pūtake o ō tohu, me te taunaki i te maimoatanga tika hei āwhina i a koe kia pai ake te ahua. Ko te mea nui ko te kaua e mataku, me te tiki tohutohu hauora tika.