He maha ngā raruraru mimi a tāu tamaiti? Tērā pea he Vesicoureteral Reflux (VUR) tēnei!

E ngā māmā, e ngā pāpā, kei te pāngia tonutia tāu tamaiti e ngā mate mimi (UTI)? He uaua rānei ki te mimi , he kirika rānei? I ētahi wā ko te take o tēnei he mate kāore e tino kōrerohia ana, engari he mea tika kia mōhiotia. I tēnei rā, me kōrero tātou mō tēnei mate e kiia nei ko te Vesicoureteral Reflux , ko te VUR rānei te poto. Kaua e manukanuka, he mea tēnei ka taea te whakaora katoa i te nuinga o ngā wā mēnā ka māramahia me te rongoā i te wā tika.

He aha te Vesicoureteral Reflux (VUR)? Kia mārama tātou ki tēnei mea.

Ki te kī ngāwari, ko te tikanga o te VUR ko te rere o tō tātou mimi , arā, te mimi, ki te huarahi hē. Whakaarohia pēnei, me te mea e tika ana. He rite te mahi a te pūnaha mimi o tō tātou tinana ki te ara kotahi.

Anei te āhua o te tupu:

• Ka whakaputa mimi ā tātou whatukuhu . E rua ā tātou whatukuhu i te nuinga o te wā.
• Kātahi ka haere tēnei mimi i roto i ngā ngongo angiangi e rua e kīia nei ko ngā ureter , ka kohia ki roto i te pūkahukahu . He rite te pūkahukahu ki tētahi poihau e whānui ana hei kohi mimi .
• Ina mimi tātou, ka puta te mimi e kohia ana i roto i te pūhā i te tinana mā roto i tētahi atu ngongo e kiia nei ko te urethra .

Kua mārama koe ināianei? He rite tēnei ki te wai e puta mai ana i te tāke wai mā roto i te paipa, ā, e puta mai ana i te puna wai. Ko te mea nui ko ngā ureter, te wāhi e hono ai rātou ki te pūkahukahu, he rite ki te takirere kotahi te ara . Arā, ina tae te mimi ki te pūkahukahu, kāore e whakaaetia kia hoki ake ki runga, arā, mā roto i ngā ureter ki ngā whatukuhu.

Heoi, mō te tangata whai VUR, he iti noa te raruraru o tēnei tukanga. Nā te mea kāore taua takirere e mahi tika ana, ka hoki ake te mimi i roto i te pūkahukahu ki runga, ki roto i tētahi, i ngā ureter e rua rānei, ā, i ētahi wā ka rere katoa ki ngā whatukuhu. Koinei te mea e kīia nei ko te reflux .

Ko tēnei mate te mea tino noa i roto i ngā pēpi hou, ngā pēpi he torutoru marama te pakeke, me ngā tamariki tae atu ki te rua tau te pakeke . Heoi, ka pā anō hoki ki ngā tamariki pakeke ake, ā, he tino onge, ki ngā pakeke.

Ko te mea nui rawa atu, ina rere whakamuri te mimi pēnei, ka taea e ngā huakita i roto i te pūkahukahu te haere ki ngā whatukuhu, ka pāngia e ngā mate whatukuhu . Ki te kore e rongoatia tika ēnei mate whatukuhu, ka taea e rātou te whakararu i ngā whatukuhu. Koia te mea nui kia mōhio ki te VUR.

Kaua e manukanuka. He maimoatanga anō kei reira mō te VUR. Ko te maimoatanga e whakawhirinaki ana ki te tau o te tamaiti, te āhua o ngā tohu, me te kaha o te VUR. Ko ētahi o ngā mate ngawari kāore e hiahiatia he maimoatanga, ā, ka ora ake i a rātou anō i te pakeketanga o te tamaiti. Engari ko ētahi tamariki ka hiahia pea ki te rongoā, ki te pokanga rānei hei whakamutu i te kino o ō rātou whatukuhu.

He momo VUR anō kei reira?

Āe, e rua ngā momo matua o te VUR.

• VUR Tuatahi: Koinei te momo tino noa. I te nuinga o te wā, ka pā ki te taha kotahi o te urethra me te whatukuhu (ka kiia tēnei ko te reflux unilateral ). I roto i te VUR tuatahi, he hapa iti kei te wāhi e hono ai te urethra ki te pūkahukahu i te whānautanga. Kāore te takirere i kōrerohia e tātou e kati tika, nō reira ka rere whakamuri te mimi .
• VUR Tuarua: Ka puta tēnei i te aukati i tētahi wāhi o te pūnaha mimi. Hei tauira, ka taea e te aukati i roto i te urethra te meinga te mimi kia rere whakamuri, ka puta te pēhanga i roto i te pūkahukahu. Tērā rānei, ka puta mai i te raruraru o ngā io i roto i te pūkahukahu e aukati ana i te whakawhāiti tika me te rere whakamuri o te mimi . He maha ngā wā ka pāngia ngā ureter me ngā whatukuhu o ngā tamariki whai VUR tuarua (e kiia ana tēnei ko te reflux bilateral ).

Me pēhea te whakatau i te kaha (wāhanga) o te VUR? (Ngā taumata o te VUR)

E rima ngā wāhanga, arā, ngā taumata, o te kaha o te VUR. Ko te taumata 1 te mea tino kino, ā, ko te taumata 5 te mea tino kino. Mā tēnei taumata ka whakatauhia:

• Te tawhiti e rere ai te mimi ki runga, ki raro hoki i te pūnaha mimi.
• Te whānui, te pupuhi rānei o te urethra.

Anei aua wāhanga e rima:

• Taumata 1: Ka rere whakamuri te mimi ki roto i te urethra, engari he whānui noa te urethra.
• Taumata 2: Ka rere whakamuri te mimi i te taha o te ureter kia tae rā anō ki te wāhanga tuatahi o te whatukuhu kei reira te mimi e kohia ai (te pelvis whatukuhu) . Heoi anō, kāore anō te ureter me taua wāhanga rānei o te whatukuhu kia nui haere.
• Taumata 3: Kua paku whakanuia ngā ureter, te pelvis whatukuhu, me ngā calyces (te wāhi e tīmata ai te kohi o te mimi i roto i te pūkahukahu) nā te rere whakamuri o te mimi .
• Tau 4: Kua piko ngā ureter, ā, kua paku whānui haere nā te mea he nui te mimi e rere whakamuri ana. Kua paku whānui haere hoki aua wāhanga o te whatukuhu.
• Tau 5: Kua tino hē te āhua o ngā ureter, ā, kua rahi haere nā te nui o te rere whakamuri o te mimi . He tino nui hoki ngā awa kohi o ngā whatukuhu.

He pēhea te noa o te VUR?

Ki te titiro koe ki te ao katoa,E ai ki te whakatau tata, kei waenganui i te 1% me te 3% o ngā tamariki he VUR tō rātou. Hei tāpiri, 75% anake o ngā tamariki he VUR tō rātou he kōtiro .

He aha ngā tohu o te VUR?

I te nuinga o te wā, kāore he tohu o te tamaiti whai VUR. Heoi, ki te puta ngā tohu, ko te tohu tino kitea ko te mate mimi (UTI) . E ai ki ētahi pūrongo, kei waenganui i te 30% me te 50% o ngā tamariki e pāngia ana e te UTI ka pāngia pea e te VUR!

Mena he mate pāwera tō te tamaiti, tirohia ēnei tohu:

• Te hiahia kia mimi pinepine.
• Te wera me te mamae i te wā e mimi ana .
• Ko te mamae o te hope he mamae i te puku, i te tuara raro rānei (te taha o te puku).
• He torutoru noa iho ngā pata mimi .
• Kua rerekē te tae o te mimi , ka parauri pouri, ā, he haunga kino.
• Ka wera te tinana, ka pāngia e te kirika.

Heoi, he uaua pea te kī mēnā he mate pipiri kei te pēpi e whāngaihia ana ki te u. Tērā pea ka nui te tangi, kāore e inu, ka whanoke rānei.

He mamae te VUR?

Kāo, kāore te VUR i te mamae. Heoi, ki te puta he UTI i te VUR, ka pāngia pea koe e te mamae i te wā e mimi ana , te mamae o te whatukuhu/puku.

He aha ngā take o te VUR?

He rerekē ngā take o ngā momo VUR e rua i kōrerotia i mua ake nei, arā, te VUR tuatahi me te VUR tuarua.

• VUR Tuatahi: Nā te hapa whānau i roto i te takirere i waenganui i te ureter me te pūkahukahu tēnei. Kāore e kati tika, ka taea te rere whakamuri o te mimi ki roto i ngā whatukuhu. Ko te rongo pai, i te pakeketanga o te tamaiti, i te pakeketanga o ngā whekau o te tinana, ka tīmata te kati tika o tēnei takirere, ā, ka taea e te VUR tuatahi te pai ake i a ia anō.
• VUR Tuarua: Ko te tino take o tēnei he aukati, he whaiti rānei o te kaki o te pūkahukahu, o te urethra rānei. Nā tēnei raruraru ka rere whakamuri te mimi ki runga i te ara mimi, kaua ki waho. Kāore rānei, kāore pea ngā io e whakahaere ana i te pūkahukahu e mahi tika ana. Nā tēnei raruraru ka kōpiri, ka wātea te pūkahukahu, ka ārai i te tukunga o te mimi . I roto i te VUR tuarua, he maha ake ngā wā ka kitea te VUR taha-rua.

He aha ngā āhuatanga mōrearea mō tēnei mate?

Anei ētahi āhuatanga mōrearea ka pā ki te whanaketanga o te VUR:

• Ira: Ka pā te VUR ki ngā whānau. Mēnā he VUR tō tētahi tamaiti i roto i te whānau, he nui ake i te kotahi i roto i te whā te tūponotanga ka pāngia anō hoki te tuakana, teina rānei e te VUR. Mēnā he VUR tō tētahi o ngā mātua i tōna tamarikitanga, he tata ki te kotahi i roto i te toru te tūponotanga ka pāngia anō hoki te tamaiti e te VUR.
• Ngā mate whānau:Ko ngā tamariki he whānautanga mai he mate whatukuhu, he pūnaha mimi rānei, ka nui ake te tūponotanga ka pāngia rātou e te VUR.
• Te ngoikore o te pūkahukahu me te whēkau (BBD): He uaua ki ngā tamariki whai BBD te mimi me te tutae tika. He maha ngā wā ka puta mai tēnei i ngā raruraru o ngā uaua, o ngā io rānei.
• Iwi me te ira tangata: E kiia ana he nui ake te tūponotanga o te whakawhanaketanga o te VUR i ngā tamariki wahine Pākehā (engari ka pā pea tēnei ki tētahi tamaiti).

He aha ngā raruraru ka pā mai i te VUR?

Tērā pea ka pāngia ngā tamariki whai VUR e ngā raruraru pēnei i:

• Ngā mate urutā mimi (UTI): Ngā mate pūkahukahu, tae atu ki ngā mate tākihi.
• Ngā raruraru o te pūkahukahu: te kore e taea te whakahaere i te mimi (te kore e taea te pupuri i te mimi), te mīti i te moenga, te kore e taea te whakawātea katoa i te mimi ( te pupuri i te mimi).
• Te toto toto tiketike.
• Te whara o te whatukuhu, te pakaru o te whatukuhu (hei tauira, te mate nephrotic syndrome), ā, onge noa iho, te ngoikore o te whatukuhu mau tonu.

Engari kia maumahara, ko te nuinga o ngā tamariki whai VUR ka ora ake, kāore he raruraru roa. Nō reira, he mea nui kia kaua e mataku, me whai i ngā tohutohu a tō tākuta.

Me pēhea te whanaketanga o te VUR i roto i ngā pakeke? (Ehara i te mea mā ngā tamariki nohinohi anake tēnei)

Ahakoa he onge, ka taea hoki e ngā pakeke te pāngia e te VUR. Ko ngā take pea ko:

• Te whakanui ake i te repe prostate ('Benign prostate hyperplasia' - mō ngā tāne)
• Te ngoikore o te pūkahukahu nā te kino o ngā io ('Neurogenic bladder')
• He pokanga i mahia ki ngā ureter.

Ka taea e te VUR te whakararu i ngā kōhatu tākihi?

Ae, ka taea e te VUR te whakaputa kohatu whatukuhu. Ka taea hoki e ia te whakaputa kohatu i roto i ētahi atu wāhanga o te pūnaha mimi, pērā i te pūkahukahu.

He morearea te VUR ki te ora?

Ehara te VUR i te mea mōrearea ki te ora. Heoi, ka taea e te VUR te whakararu i ngā mate mimi (UTI), ka taea ai te kino o te whatukuhu, ā, i roto i te wā, ka taea e te mate whatukuhu te arahi ki te toto toto tiketike (te toto toto tiketike o te whatukuhu) me te mate whatukuhu. Mena ka pāngia koe e te mate whatukuhu mutunga, me hiahia pea koe ki te dialysis, ki te whakawhitinga whatukuhu rānei. Koia koe me āwangawanga mō te VUR.

Me pēhea koe e mōhio ai mēnā kei a koe te VUR? (Tauātanga)

Mena kei te whakapaetia he VUR tō tamaiti, ka tukuna koe e tō tākuta tamariki ki tētahi tohunga roro tamariki , ki tētahi tohunga mimi tamariki rānei.

Hei whakatau tika mēnā kei a koe te VUR, ka taea e koe te mahi i ngā whakamātautau e whai ake nei:

• Te Whakamātautau Mimi (VCUG): He whakamātautau hihi-X tēnei. Ka whakaurua he ngongo iti, angiangi (catheter) ki roto i te urethra o te tamaiti, ā, ka ringihia he tae motuhake ki roto i te pūkahukahu. Kātahi ka tangohia ngā hihi-X i a te tamaiti e mimi ana , i mua atu, ā, i muri mai hoki i te mimi . Ka whakaatuhia e ēnei hihi-X mēnā ka rere te mimi mai i te pūkahukahu ki roto i te urethra. Ka taea tēnei te mahi i roto i te tari tākuta, i te whare hauora o waho, i te hōhipera rānei. Kāore e hiahiatia he rongoā whakamoe, engari ka hoatu pea he rongoā ki ētahi tamariki hei āwhina i a rātou kia marino.
• Matawai Ultrasound: He whakamātautau haumaru, kāore he mamae. Ka whakamahia ngā ngaru oro hei tango pikitia o te pūnaha mimi katoa o tō pēpi (tae atu ki ngā whatukuhu me te pūhā). Ka mahia hoki tēnei i roto i te tari tākuta, i te tari waho, i te hōhipera rānei. Ki te hiahia koe kia kore e pāngia e ngā hihi-X, e ngā rauemi irahiko rānei, me whai ultrasound koe i mua i te VCUG. Kia mahara, i ētahi wā ka whakaatuhia e te matawai ultrasound i te wā e hapu ana ngā tohu kei te pāngia tō pēpi e te VUR (pērā i ngā whatukuhu pupuhi).
• Matawai waikawa Dimercaptosuccinic (DMSA): Ka tirohia mēnā kua pakaru ngā whatukuhu o te tamaiti i te UTI.
• Te whakamātautau irahiko (RNC): He momo matawai karihi anō hoki tēnei. Ka whakatakotoria he iti noa iho o ngā rauemi irahiko ki roto i te pūkahukahu o te tamaiti. Kātahi, ina mimi te tamaiti, ina takoto kau rānei te pūkahukahu, ka rapua e te matawai ngā rauemi irahiko. Ka mahia anō hoki tēnei e tētahi tohunga hangarau motuhake, ā, ka tātarihia e te tohunga irahiko ngā whakaahua. Kāore hoki e hiahiatia he rongoā whakamoe, engari ka hoatu pea he rongoā ki ētahi tamariki hei āwhina i a rātou kia marino. He tairongo ake te RNC i te VCUG, engari kāore e whakarato i ngā taipitopito mō te hanganga o te pūkahukahu.

He aha atu ngā whakamātautau me mahi mō ngā tamariki whai VUR?

Mena ka whakaūtia kei tō tamaiti te VUR, ka mahia ēnei whakamātautau i ia wā, i ia wā:

• Te tirotiro i te toto toto tiketike: Ko ngā tamariki he raruraru tākihi te mea nui ki te pāngia e te toto toto tiketike.
• Ngā whakamātautau toto: Ko ngā taumata tiketike o te pūmua, te creatinine rānei i roto i te toto he tohu o te kino o te whatukuhu.
• Ngā whakamātautau mimi me te ahurea: Ko te pūmua i roto i te mimi he tohu mō te pakaru o te whatukuhu. Ko te huakita i roto i te mimi he tohu mō te mate.

Ka tirohia hoki e te tākuta o tāu tamaiti mēnā he ngoikore te mahi a te pūkahukahu me te puku (BBD) . Ko ngā tohu o te BBD ko:

• Te hiahia nui ki te mimi pinepine, me te hiahia nui ki te mimi .
• Kāore au i te tino mimi , ā, kua roa kē te wā.
• Te mākū i te awatea.
• Te kōroke - te korenga o te puku e neke atu i te toru ngā wā i te wiki.
• Te kore e taea te whakahaere i te tūtae (te kore e taea te pupuri i te tūtae).

Ko ngā tamariki e pāngia ana e ngā tohu o te BBD me te VUR, he nui ake te mōrearea ki te pakaru o ō rātou whatukuhu nā ngā mate urutā.

Me pēhea te rongoā mō te VUR?

Me āwhina te tākuta ki te rongoā i te VUR. Ka whakawhirinaki te rongoā ki te tau o tāu tamaiti, ngā tohu, te momo VUR, me tōna kaha. Kei roto i ngā kōwhiringa rongoā ko ngā paturopi me ētahi atu rongoā, he werohanga o te whakakī wairewa, te whakaurunga catheter poto, me te pokanga. Māu, mā tāu tākuta tamariki, me ētahi atu tohunga e matapaki ēnei kōwhiringa maimoatanga, ā, māu e whiriwhiri te mea pai rawa atu mō tāu tamaiti.

Te Maimoatanga o te VUR Tuatahi

Tērā pea ka pai ake te VUR tuatahi i a ia anō e pakeke haere ana te tamaiti (i te nuinga o te wā i te 5 tau te pakeke). I ētahi wā, ka angitu te huarahi "tāria, tirohia" . Engari i ētahi wā, me pokanga, me rongoā rānei.

Ngā rongoā

Ka pai ake te VUR tuatahi i te pakeketanga o tāu tamaiti, ā, ka pakari haere hoki tōna pūnaha mimi. Kia tae rā anō ki taua wā, ka tohua e tō tākuta he rongoā paturopi hei ārai i te puta o te UTI, hei rongoā rānei mēnā ka puta.

He rerekē ngā whakaaro mō te hoatutanga roa o ngā paturopi hei ārai i ngā mate pipiri (UTI). Nā te mea ka taea e te whakamahinga roa o ngā paturopi te arahi ki te ātete ki ngā paturopi i roto i ngā huakita. E taunaki ana te American Academy of Pediatrics (AAP) kia hoatu noa ngā paturopi ārai ki ngā tamariki he nui ake ngā taumata o te VUR (i a rātou e tatari ana kia tupu te VUR i roto i ō rātou kaumātuatanga).

Pokanga

He maha ngā momo pokanga e whakamahia ana e ngā tākuta hei rongoā i te VUR tuatahi. Ko te whāinga matua o te pokanga he whakatika i te takirere kotahi-ara (te takirere kotahi-ara) i te hononga i waenga i te pūkahukahu me te urethra, kia kore ai e rere whakamuri te mimi .

• Te whakaurunga anō o te ureter: Koinei te "paerewa koura" o te pokanga mō te VUR. Ko te whāinga he neke i te tūnga o te ureter kia puta ai i roto i tētahi kauhanga o te roa e tika ana mā roto i te pakitara o te pūkahukahu, ka hanga he takirere hei ārai i te rere whakamuri o te mimi . Ka taea e te taote pokanga o tāu tamaiti te mahi i tēnei pokanga hei pokanga tuwhera (mā te tapahi i te puku o tāu tamaiti) mā te laparoscopic rānei (mā ētahi tapahi iti noa iho). Ka whakamāramahia e tō taote pokanga ngā painga me ngā ngoikoretanga o ia tikanga, me ngā pānga taha pea. Me whakamahi te rongoā whakamoe whānui mō te pokanga, ā, me noho pea koe ki te hōhipera mō ētahi rā.

• He rongoā whakapūpū werohanga: Ko tētahi atu kōwhiringa maimoatanga mō te VUR tuatahi koMā te whakamahi i tētahi wai rite ki te tiēre e kiia nei ko te waikawa hyaluronic/dextranomer (Deflux®) . Ka werohia e te tākuta o tāu tamaiti tētahi wāhanga iti o tēnei ki roto i te pakitara o te pūhā o tāu tamaiti, e tata ana ki te tomokanga ki te urethra. Ka pupuhi te kiko o reira i te werohanga, ka mahi pērā i te takirere, ā, ka uaua te rere o te mimi ki runga. Ka mahia tēnei i runga i te tūroro o waho (ka taea e tāu tamaiti te hoki ki te kāinga i taua rā anō), engari me whai rongoā whakamoe whānui anō hoki. Ka kōrero tō tākuta ki a koe mō ngā painga me ngā huakore o tēnei maimoatanga.

Te Maimoatanga o te VUR Tuarua

Ko te VUR tuarua ka rongoatia mā te tango i te aukati , mā te whakapai ake rānei i te huarahi e mimiti ai te pūkahukahu. Tērā pea ko ngā maimoatanga:

• He pokanga hei tango i tētahi ārai, hei whakatika rānei i tētahi pūkahukahu, i tētahi urethra rānei he āhua rerekē.
• Te hoatu paturopi hei ārai, hei rongoā rānei i te UTI.
• Te whakaurunga catheter ā-wā: Ko te whakaurunga o tētahi ngongo angiangi ki roto i te pūkahukahu mā te urethra hei whakawatea i te pūkahukahu.
• Rongoā mō ngā uaua tōngāmimi.

Ka aha mēnā he VUR tāku tamaiti?

Mena kua tāpaetia tō tamaiti ki te mate VUR, mahi tahi me tō tīma hauora ki te whakawhanake i tētahi mahere maimoatanga e pai ana mō tō whānau. Ka taea e te whakahaere i tētahi āhuatanga pēnei i te VUR te taumaha rawa atu mōu me ō atu kaitiaki. Kōrero ki te tīma hauora o tō tamaiti mō ō āwangawanga me ō pātai. Ko te rongo pai ko te nuinga o te wā ka taea te rongoā i te VUR, ā, mō te nuinga o ngā tamariki, kāore he pānga roa.

Kia pēhea te roa o te VUR? / Ka heke te VUR i te pakeketanga?

Ahakoa he iti iho i te tau te roa o te VUR i roto i tāu tamaiti, kāore he wā tika, nā te mea he rerekē i runga i te āhua o te tamaiti. I ētahi wā ka tūtohu tō tākuta i tētahi huarahi "tatari mataara", i tētahi pokanga rānei mēnā ka kitea he kino te VUR, te kino rānei o te whatukuhu i roto i ngā whakamātautau.

Ae, ka taea e tāu tamaiti te tipu ake i waho o te VUR, ina koa mēnā he iti te taumata o te VUR tuatahi (taumata tuatahi, tuarua rānei). Ka taea e ngā tamariki whai mate pēnei te ora ake i roto i ētahi tau.

Ka taea e te tamaiti whai VUR te haere ki te kura?

Kei te kaha o ngā tohu o tāu tamaiti. Kia maumahara, ehara te VUR i te raruraru mō te oranga o ia rā o tāu tamaiti, engari ka raru pea mēnā ka puta he UTI. Tērā pea ka mamae, ka mate puku, ka kore rānei e taea te pupuri i te mimi a tāu tamaiti. Kōrero ki tāu tākuta mō te tuku i tāu tamaiti ki te kura, ki te tākaro rānei me ngā hoa.

He ara hei ārai i te VUR?

Kāore he huarahi e mōhiotia ana hei ārai i te VUR - ehara i te mea mā te kai, mā te whakarerekētanga o te momo noho, mā te rongoā rānei. Heoi, ko te mate o tāu tamaitiAnei ētahi mea ka taea e koe te mahi hei pupuri i te hauora pai o te pūnaha mimi whānui:

• Te hoatu i te wai e tika ana hei inu mā te tamaiti.
• Te whakawhiti tere i te nāpi i muri i te mimi , i te tūtae rānei o te tamaiti.
• Te akiaki i te tamaiti kia mimi pinepine, kaua e "pupuri".
• Rapua he rongoā mō ngā raruraru pēnei i te mate puku, te kore e taea te pupuri i te mimi, te kore rānei e taea te pupuri i te mimi i te wā e taea ai.

He mea nui anō hoki te akiaki i te whakakori tinana me te whakarato i ngā kai taurite, whai kiko hoki hei pupuri i te hauora o tāu tamaiti.

Āhea ahau me toro atu ki te tākuta mō te VUR?

Ki te whakapae koe kei te pāngia koe e te UTI (koinei te tohu tuatahi o te VUR), me toro atu ki te tākuta tamariki o tāu tamaiti i taua wā tonu. Ko ngā tohu pēnei i te kore e taea te pupuri i te mimi , te kirika kāore i te whakamāramatia, me te mamae i te wā e mimi ana ka tohu pea i te VUR. Ki te whakapae tō tākuta tamariki kei te pāngia koe e te VUR, ka tukuna koe e ia ki tētahi tohunga.

He aha ngā pātai me pātai atu koe ki te tākuta?

Kōrero ki te tākuta o tāu tamaiti kia whiwhi whakautu ai koe ki ō pātai mō te VUR. Anei ētahi pātai ka taea e koe te pātai:

• Ka ora ake rānei te VUR matua o taku tamaiti me te kore he maimoatanga?
• He mate tākihi anō hoki tāku tamaiti?
• Me kite ahau i tētahi tohunga?
• Me pēhea te rongoā i te VUR o taku tamaiti?
• He aha ngā hua ka puta mai i te waiho i te VUR kia kore e rongoatia?
• He aha taku e taea ai te mahi i te kāinga hei āwhina i te whakapai ake i te āhua o taku tamaiti?
• Ka mamae rānei taku tamaiti i tēnei āhuatanga?
• Me pēhea taku mōhio mēnā kei te pāngia ētahi atu okana, ngā mahi rānei o te tinana e te VUR?
• Me pēhea te ārai i te mate mimi?
• Me whakamātauria aku tamariki kē atu mō te VUR?

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

Kāore te VUR e mamae, e morearea rānei ki te ora. Ka taea te whakahaere, ā, he maha ngā wā ka angitu te maimoatanga. Ahakoa kāore he huarahi hei ārai, ka taea e koe te āwhina i tāu tamaiti kia noho makuku, kia whakakorikori tinana, kia kai i ngā kai totika hei pupuri i tōna hauora whānui. Whakawhirinaki ki te tohungatanga o tō tākuta. Ka taea e rātou te āwhina i a koe ki te tātaritanga me te rongoā i te VUR o tāu tamaiti. Kaua e mangere ki te kōrero ki a rātou mō ō pātai me ō āwangawanga. Kia tuwhera, kia pono hoki mō ngā tohu o tāu tamaiti, ahakoa he uaua ki te kōrero. Ko tō mōhio me te whai i ngā tohutohu a tō tākuta te huarahi pai hei āwhina i tāu tamaiti kia ora ake.

` Te reflux ureteral, VUR, mate mimi, mate mimi o ngā tamariki, mate mimi, UTI, mate tākihi, hauora tamariki