Kodi mwana wanu amadwala matenda a mkodzo pafupipafupi (UTIs)? Dokotala mwina anakuuzani kuti izi zimachitika chifukwa mkodzo umatuluka m'chikhodzodzo kupita ku impso. Malinga ndi madokotala, vutoli limatchedwa Vesicoureteral Reflux (VUR) . Musaope kumva dzinali ndikuganiza kuti ndi matenda oopsa. Uwu ndi matenda omwe amapezeka mwa ana. Tsopano pali mankhwala osavuta, otetezeka komanso ogwira mtima a izi. Lero, tikulankhula za mankhwala otchedwa Deflux .
Kodi Deflux ndi chiyani?
Mwachidule, Deflux ndi chinthu chamadzimadzi chofanana ndi gel. Chimaperekedwa ngati jakisoni. Chimagwira ntchito poletsa mkodzo kuti usayende m'machubu omwe amanyamula mkodzo kuchokera ku impso kupita ku chikhodzodzo.
Taganizirani izi ngati valavu m'mapaipi omwe amachokera ku thanki yathu yamadzi kunyumba yomwe idapangidwa kuti ilole madzi kuyenda mbali imodzi yokha. Komanso, Deflux gel iyi ikalowetsedwa m'malo omwe urethra imalumikizana ndi chikhodzodzo, kutupa pang'ono kumapangika pamenepo ndikuchita ngati valavu yachilengedwe. Izi zimalola mkodzo kuyenda mbali yoyenera, ndiko kuti, kutuluka m'chikhodzodzo, ndikuletsa kwathunthu kubwerera m'mbuyo.
Chithandizochi chimachitidwa ndi dokotala wa matenda a mkodzo, dokotala yemwe ndi katswiri wa matenda a mkodzo. Cystoscopy ndi njira yosavulaza kwambiri yomwe chubu chokhala ndi kamera (cystoscope) chimayikidwa mu chikhodzodzo.
Ndi zochitika ziti zomwe zimafuna chithandizo cha Deflux?
Mankhwalawa nthawi zambiri amagwiritsidwa ntchito pochiza VUR, vuto lomwe limapezeka mwa ana. Komabe, nthawi zina amagwiritsidwanso ntchito kwa akuluakulu. VUR ingayambitse mkodzo kubwerera m'mbuyo kupita ku impso. Choopsa ndichakuti izi zingayambitse matenda opatsirana m'mitsempha ya mkodzo pafupipafupi, zipsera za impso, ndi mavuto ena pakapita nthawi.
Kwa ana ambiri, VUR imatha yokha akamakula. Komabe, Deflux ndi njira yabwino kwambiri yopewera kuwonongeka kwa impso pamene mukudikira kuti itha.
Tangoganizirani kuti mwana wanu amadwala matenda a mkodzo ndi malungo miyezi ingapo iliyonse. Amamwa mankhwala nthawi iliyonse, koma amabwereranso. Dokotala akachita mayeso okha ndiye amapeza kuti ali ndi VUR. Apa ndi pamene chithandizo cha Deflux chimakhala chothandiza kwambiri.
| Zotsatira za vuto la VUR | Yankho loperekedwa ndi Deflux |
|---|---|
| Matenda opatsirana pafupipafupi m'njira ya mkodzo (UTIs). | Zimaletsa mkodzo kuyenda m'mbuyo, kuteteza mabakiteriya kufika ku impso ndikuchepetsa chiopsezo cha matenda. |
| Kutupa kwa impso pakapita nthawi. | Amateteza impso, kuteteza kuwonongeka kwa nthawi yayitali komanso mavuto. |
| Mwanayo ali ndi kuthekera kochira mwachibadwa akamakula. | Zimateteza impso mpaka thupi la mwana litachira mwachibadwa. |
Kodi Deflux iyi imapangidwa ndi chiyani?
Palibe chodetsa nkhawa ndi mankhwalawa. Apangidwa kuchokera ku zosakaniza zachilengedwe, zomwe zimatha kuwola.
- Dextranomer: Iyi ndi polysaccharide, chakudya chopangidwa ndi mamolekyu a shuga. Imagwiritsidwanso ntchito popanga mankhwala ndi zinthu zotsukira mabala.
- Gel ya Hyaluronic acid: Iyi ndi polysaccharide. Ndi chinthu chomwe chimapezeka mwachibadwa m'thupi lathu. Mwina munamvapo kuti imagwiritsidwanso ntchito kwambiri mu zinthu zokongoletsera chifukwa zimathandiza kunyowetsa khungu.
Gel iyi imasinthidwa ndi minofu yathu pakapita nthawi ndipo thupi limayamwa bwino. Komabe, sizimakhudza kupambana kwa chithandizo.
Kodi mumakonzekera bwanji chithandizo ndipo chimachitika bwanji?
Dokotala wanu adzakupatsani malangizo omveka bwino okhudza izi. Nthawi zambiri, mudzapemphedwa kuti musale kudya kwa maola angapo musanalandire chithandizo. Ndikofunikanso kudziwitsa dokotala wanu za mankhwala ena aliwonse omwe mukumwa. Musasiye kumwa mankhwala anu kapena a mwana wanu popanda upangiri wa dokotala wanu.
Njira yochizira ndi yosavuta kwambiri:
1. Choyamba, mwanayo amapatsidwa mankhwala oletsa ululu . Kuti asamve ululu uliwonse kapena kusasangalala.
2. Jeli wothira mano amapakidwa pa mkodzo.
3. Kenako, chubu chopyapyala chokhala ndi kamera yolumikizidwa (cystoscope) chimadutsa mu mkodzo ndikulowa m'chikhodzodzo.
4. Kuti muwone bwino mkati mwa chikhodzodzo, chimadzazidwa ndi mchere.
5. Kenako, singano imadutsa mu chubu chimenecho ndipo jeli ya Deflux imalowetsedwa m'malo omwe urethra imalumikizana ndi chikhodzodzo.
6. Ntchito ikatha, singano ndi chubu zimachotsedwa, ndipo madzi aliwonse omwe ali mu chikhodzodzo amachotsedwa.
Njira yonseyi imatenga mphindi zosakwana 30. Iyi si njira yopitira kuchipatala. Izi zikutanthauza kuti mutha kupita kunyumba nthawi yomweyo chithandizo chikatha.
Kodi chimachitika ndi chiyani mukalandira chithandizo? Ndipo muyenera kusamala ndi chiyani
Pambuyo pa chithandizo, mwana wanu angamve chizungulire pang'ono. Ndi bwino kupuma kunyumba tsiku lonse. Dokotala angachitenso mayeso ena (voiding cystourethrogram - VCUG) kuti aone ngati chithandizocho chayenda bwino.
Ndizachilendo kuona zotsatirazi kwa tsiku limodzi kapena awiri mutalandira chithandizo:
- Kusafuna kukodza kapena kumwa madzi.
- Kufotokoza kutentha kapena kupweteka mukamakodza.
- Kusadziletsa kapena kukodza pabedi.
- Mtundu wa pinki mu mkodzo.
Izi zidzatha kwathunthu patatha tsiku limodzi kapena awiri. Onetsetsani kuti mwana wanu wamwa madzi ambiri. Komanso, samalani kuti musapitirire maola 8 osakodza.
| Nthawi yoti muyimbire dokotala wanu nthawi yomweyo | |
|---|---|
| Kulephera kukodza | Ngati mwana sanakodze kwa maola 8-10. |
| Ululu waukulu | Kupweteka pokodza, kapena kupweteka kwambiri m'mimba, msana, kapena m'mbali, kumapitirira kwa masiku awiri mutalandira chithandizo. |
| Malungo | Ngati kutentha kwa thupi kuli kokwera kuposa 38.6 Celsius (101.5 Fahrenheit). |
| Zina mwazinthu | Kusanza pafupipafupi, kupweteka kwa chikhodzodzo komwe kumatenga maola opitilira 24, kapena kupweteka kwa msana/chiuno. |
Chithandizo cha deflux chili ndi chiwopsezo cha pakati pa 70% ndi 93%. Zotsatira zake zimakhala zabwino makamaka kumayambiriro kwa matendawa (VUR yotsika).
Uthenga Wopita Nawo Kunyumba
- Matenda a VUR (retrograde urinary tract infection) ndi matenda omwe amapezeka kwambiri mwa ana. Angayambitse matenda obwerezabwereza m'mitsempha ya mkodzo komanso kuwononga impso.
- Deflux ndi njira yotetezeka, yosavuta, komanso yothandiza kwambiri yoperekera jakisoni.
- Izi zimatenga mphindi zosakwana 30, zimachitika pansi pa mankhwala oletsa ululu, ndipo mutha kupita kunyumba tsiku lomwelo popanda kukhala m'chipatala. Nthawi yochira ndi yochepa kwambiri.
- Chithandizo chilichonse chili ndi zabwino ndi zoyipa zake. Choncho, sankhani chithandizo chomwe chili chabwino kwa mwana wanu, lankhulani ndi dokotala wanu, ndipo dziwani zonse.
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