Kodi mwana wanu amadwala matenda a mkodzo pafupipafupi (UTIs)? Nthawi zina amadwala malungo, mwana wanu samasuka, ndipo muyenera kuti mumaopa kwambiri. Makolo ambiri amada nkhawa ndi vutoli. Nthawi zambiri, limayamba chifukwa cha vuto laling'ono m'njira ya mkodzo. Lero, tikambirana za vuto lotere ndi chithandizo chake chosavuta, chomwe sichili chachikulu ngati opaleshoni.
Kodi mkodzo uwu ukubwerera mmbuyo bwanji? (Vesicoureteral Reflux - VUR)
Mwachidule, mkodzo umapangidwa mu impso ziwiri za thupi lathu. Kuchokera pamenepo, mkodzo umapita ku chikhodzodzo, thumba lomwe mkodzo umasonkhana, kudzera mu machubu awiri. Timatcha machubu awa kuti ``(Ureters)``. Nthawi zambiri, mkodzo umayenda m'machubu awa, kutanthauza, kupita ku chikhodzodzo. Sungabwerere mmwamba, kupita ku impso. Chifukwa cha izi ndikuti malo omwe machubu awa amalumikizana ndi chikhodzodzo amachita ngati valavu yolowera mbali imodzi.
Koma mwa ana ena, 'valavu' iyi sigwira ntchito bwino. Kenako, mkodzo womwe umasonkhana mu chikhodzodzo umabwerera mmwamba kupita ku impso. Izi ndi zomwe timazitcha kuti 'Vesicoureteral Reflux' kapena '(VUR)'.
Tangoganizirani, pakhoza kukhala mabakiteriya mu mkodzo mu chikhodzodzo. Kodi chimachitika n’chiyani akabwerera ku impso? Impso zimatha kutenga kachilomboka. Matendawa akachitika pafupipafupi, pakapita nthawi, impso zimatha kuwonongeka, kutanthauza kuti zimatha kukhala ndi zipsera. Ndicho chifukwa chake ndikofunikira kwambiri kusamala ndi vutoli.
Ndiye kodi chithandizo ichi chotchedwa Deflux ndi chiyani?
Nthawi zambiri, vuto la `VUR` limakhala bwino lokha ana akamakula. Koma mpaka nthawi imeneyo, ndikofunikira kuletsa matenda opatsirana pafupipafupi. Ichi ndichifukwa chake mankhwala otchedwa `Deflux` amagwiritsidwa ntchito.
`Deflux` ndi gel yopangidwa mwapadera. Imapangidwa kuchokera ku zinthu ziwiri zofanana ndi zomwe zimapezeka mwachibadwa m'thupi lathu.
- Dextranomer: Izi zimapangidwa ndi mamolekyu a shuga. Amagwiritsidwanso ntchito mu mankhwala ndi mankhwala oyeretsera mabala.
- Gel ya Hyaluronic acid: Ichi ndi chinthu chomwe chimapangidwa mwachilengedwe m'thupi lathu. Chimagwiritsidwanso ntchito kwambiri pazinthu zokongoletsera.
Popeza jeli iyi imagwirizana ndi thupi, chiopsezo cha zotsatirapo zake chimakhala chochepa kwambiri. Dokotala amachita izi ndi kubaya pang'ono jeli iyi pamalo pomwe pali `valvu` yosagwira ntchito. Kenako, kachidutswa kakang'ono kamapangika pamenepo ndikuyamba kugwira ntchito ngati `valvu` yatsopano. Izi siziletsa mkodzo kutsika, koma zimauletsa kubwerera mmwamba kwathunthu.
Iyi si opaleshoni yaikulu. Iyi ndi njira yochepetsera kuvulala. Izi zikutanthauza kuti palibe mabala akuluakulu.
Pakapita nthawi, jeli iyi imayamwa pang'onopang'ono ndi maselo a thupi lathu, ndikudzaza malowo ndi minofu. Komabe, izi sizikhudza kupambana kwa chithandizocho.
Njira ndi kukonzekera kwa chithandizo cha Deflux
Chithandizochi ndi chosavuta komanso chachangu. Nthawi zambiri chimatenga mphindi zosakwana 30. Popeza ndi njira yopitira kuchipatala, palibe chifukwa chokhalira kuchipatala.
| Mwayi | Chikuchitika ndi chiyani komanso zomwe muyenera kuchita |
|---|---|
| Kukonzekera musanalandire chithandizo |
|
| Pa nthawi ya chithandizo | 1. Mankhwala oletsa ululu amaperekedwa kuti mwanayo asamve kupweteka kapena kusasangalala. 2. Gel imapakidwa kuti igwire urethra. 3. Chubu chopyapyala kwambiri chokhala ndi kamera kumapeto, chotchedwa cystoscope , chimadutsa mu mkodzo ndikulowa m'chikhodzodzo. 4. Chikhodzodzo chimadzazidwa ndi mchere kuti chiwone bwino mkati. 5. Gel ya Deflux imalowetsedwa pamalo oyenera pogwiritsa ntchito singano yopyapyala kwambiri yomwe imadutsa mu kamera. 6. Zipangizo zonse zimachotsedwa ndipo madzi aliwonse omwe ali m'chikhodzodzo amatuluka. |
| Pambuyo pa chithandizo |
|
Kodi ubwino ndi zoopsa za chithandizo cha Deflux ndi ziti?
Monga momwe zimakhalira ndi chithandizo chilichonse chamankhwala, pali zabwino ndi zoopsa zazing'ono, ndipo ndikofunikira kuzidziwa.
Ubwino
- Kuchira mwachangu: Mwanayo akhoza kubwerera ku zochita zake za tsiku ndi tsiku pasanathe tsiku limodzi kapena awiri. Palibe chifukwa chopumula kwa milungu ingapo, monga momwe zimakhalira ndi opaleshoni yayikulu.
- Mavuto ochepa: Popeza palibe kudula kwakukulu, chiopsezo cha matenda ndi ululu wopitirira muyeso chimakhala chochepa kwambiri.
- Zabwino pa thupi: Gel ya `Deflux` imapangidwa kuchokera ku zosakaniza zomwe zimagwirizana ndi thupi, kotero zotsatira zoyipa sizimachitika kawirikawiri.
Zoopsa
Chiŵerengero cha kupambana kwa chithandizochi chili pakati pa 70% ndi 93%. Izi zikutanthauza kuti nthawi zambiri chimakhala chopambana. Koma pali zinthu zina zomwe zingachitike nthawi zina.
- Ngakhale mutalandira chithandizo, matenda a VUR ndi matenda a mkodzo angapitirire.
- Pali mwayi wochepa kwambiri woti mkodzo utseke.
- Pakhoza kukhala kuwonongeka pang'ono kwa chikhodzodzo.
- Kwa ana ena, kugwiritsa ntchito gel kamodzi kokha sikungakhale kokwanira. Ngati zimenezo zitachitika, mungafunike kuchitanso kachiwiri.
Chofunika kwambiri ndikulankhula ndi dokotala wanu za chithandizo chabwino kwambiri cha matenda a mwana wanu. Kupambana kwa chithandizo kungasiyane kutengera giredi ya VUR yomwe mwana wanu ali nayo.
Zinthu zosamalira mwana akalandira chithandizo
Mwana wanu akhoza kumva kupweteka pang'ono kwa tsiku loyamba kapena awiri atatha kulandira chithandizo. Izi ndi zachilendo ndipo musachite mantha.
- Munganene kuti mukumva kutentha pang'ono kapena kupweteka mukamakodza.
- Mungaope kukodza, kupsinjika komanso kusatha kuchita zimenezo.
- Mkodzo ukhoza kukhala pinki.
- Mwina simungathe kugwira mkodzo wanu, kapena mungakhale pabedi.
Ngati zinthuzi zimatenga masiku opitilira awiri, ndi bwino kuyimbira dokotala. Komanso, onetsetsani kuti mwana wanu wamwa madzi ambiri. Akatulutsa mkodzo wambiri, amachira msanga.
Nthawi yoti mukaonane ndi dokotala nthawi yomweyo
Ngati mwana wanu ali ndi zizindikiro zilizonse zomwe zili pansipa, imbani dokotala wanu nthawi yomweyo.
| Zizindikiro zomwe zimafuna chisamaliro chachangu | |
|---|---|
| - Ngati mutatha maola 8-10 osakodza kapena simungathe kukodza konse. | - Ngati mukumvabe ululu waukulu mukamakodza patatha masiku awiri. |
| - Kupweteka kwambiri m'mimba, msana, kapena m'chiuno. | - Ngati malungo ali pamwamba pa madigiri 38.6 Celsius (101.5 Fahrenheit). |
| - Kupweteka kwambiri kwa chikhodzodzo komwe sikutha pambuyo pa maola 24. | - Ngati kusanza kukupitirira. |
Ngati mwana wanu ali ndi VUR, n'zachibadwa kuda nkhawa. Koma tsopano pali njira zosavuta komanso zotetezeka monga Deflux. Izi sizingakhale zoyenera kwa mwana aliyense. Chifukwa chake, lankhulani ndi dokotala wanu za njira zomwe mwana wanu angapeze, zabwino ndi zoyipa zake, ndipo pangani chisankho chabwino kwambiri.
Uthenga Wopita Nawo Kunyumba
- Kubwerera m'mbuyo kwa mkodzo (VUR) ndi chifukwa chachikulu chomwe chimayambitsa matenda opatsirana pafupipafupi m'njira ya mkodzo mwa ana.
- Deflux ndi njira yosavuta komanso yotetezeka yochizira VUR mwa kubaya jeli yothandiza thupi.
- Iyi si opaleshoni yaikulu, ndipo mwanayo akhoza kuchira msanga ndikubwerera ku moyo wabwinobwino.
- Chithandizochi sichingakhale chopambana 100% nthawi zonse, ndipo milandu ina yoopsa ya VUR ingafunike chithandizo china.
- Kambiranani momasuka ndi dokotala wanu za chithandizo chomwe chili chabwino kwa mwana wanu, kuphatikizapo ubwino ndi zoopsa zonse.
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