Kodi mulinso ndi ma ureter awiri mu impso yanu? (Duplex Kidney) Tiyeni tiphunzire za vutoli mosavuta!

Thupi lathu ndi cholengedwa chodabwitsa, sichoncho? Nthawi zina zinthu zimachitika mkati mwa matupi athu zomwe sitikuzidziwa, zomwe sitingathe kuziganizira. Ndicho chimodzi mwa zinthu zapadera zomwe tikambirane lero. Tangoganizani, kuti machubu omwe amanyamula mkodzo kuchokera ku impso imodzi kupita ku chikhodzodzo (zomwe timazitcha '(ureters)') nthawi zambiri amakhala ndi ziwiri m'malo mwa chimodzi! Inde, ndizowona. Izi ndi zomwe timazitcha '(Duplex Kidney)' kapena '(Duplicated Ureters)' mu sayansi ya zamankhwala. Musachite mantha mukamva dzinalo, ichi ndi chinthu chomwe sichimayambitsa vuto lalikulu kwa anthu ambiri. Tiyeni tikambirane za izi mwatsatanetsatane komanso mosavuta.

Kodi "Duplex Kidney" iyi ndi chiyani? Tiyeni timvetse bwino!

Mwachidule, impso ziwiri ndi vuto lobadwa nalo lomwe limachitika munthu akangobadwa. Izi zimachitika pamene impso imodzi kapena zonse ziwiri zili ndi machubu awiri otchedwa ma ureter omwe amanyamula mkodzo kupita ku chikhodzodzo. Kawirikawiri, ureter imodzi yokha ndi yomwe imalumikizana ndi chikhodzodzo kuchokera ku impso imodzi.

Tonsefe tili ndi impso ziwiri m'thupi mwathu. Impso zimenezi zimasefa zinyalala m'thupi mwathu ndikupanga mkodzo. Kenako, mkodzo uwu umayenda kudzera m'machubu otchedwa ``ureters``` ndikusonkhana m'chikhodzodzo. Chikhodzodzo chikadzaza, timamva kufunikira kukodza. Tsopano, mu vuto la ``Duplex Kidney`` ili, machubu awiri amatuluka mu impso imodzi. Limodzi limayamba kuchokera kumtunda kwa impso ndipo lina kuchokera kumunsi ndikunyamula mkodzo kupita ku chikhodzodzo. Izi zimachitika impso ndi njira ya mkodzo zikukula m'mimba ali mwana wosabadwayo.

Kodi mitundu ikuluikulu ya `(Duplex Kidney)` ndi iti?

Matenda a "Duplex Kidney" amenewa angakhudze impso imodzi yokha, kapena angakhudze impso zonse ziwiri (zomwe timazitcha "bilateral duplex kidneys"). Komanso, akhoza kukhala athunthu kapena osakwanira . Tiyeni tiwone chomwe chili.

• Impso Yonse ya Duplex: Pankhaniyi, ma ureter awiri omwe amayamba kuchokera ku impso imodzi ndikulumikizana ndi chikhodzodzo padera. Izi zikutanthauza kuti machubu awiri amalowa m'chikhodzodzo.
• Impso Zosakwanira za Duplex: Apa, ngakhale kuti ma ureter awiri amayamba kuchokera ku impso imodzi, amalumikizana asanalowe m'chikhodzodzo, ndikupanga chubu chimodzi chomwe chimalumikizana ndi chikhodzodzo. Taganizirani ngati chilembo 'Y'.

Kodi zizindikiro za matendawa ndi ziti? Kodi aliyense amakumana ndi zizindikiro?

Nkhani yabwino ndi yakuti anthu ambiri omwe ali ndi impso ya duplex samakhala ndi zizindikiro zilizonse . Amakhala moyo wabwinobwino. Komabe, nthawi zina, makamaka ngati impso ya duplex yonse ili ndi duplex, pamene ureter siilumikizidwa bwino ndi chikhodzodzo kapena pali kutsekeka kwa mkodzo, zizindikiro zimatha kuchitika chifukwa cha zovuta zina.

Zizindikiro zomwe zingachitike ndi izi:

• Matenda opatsirana pafupipafupi m'njira ya mkodzo (UTIs)Kuchitika. Panthawiyi, mungamve kutentha, kupweteka, komanso kufunikira kukodza pafupipafupi.
• Matenda a impso (ngati matenda a UTI akubwera limodzi ndi malungo). Izi ndi zoopsa kwambiri. Zizindikiro zake zingakhale malungo, kuzizira, ndi kupweteka kwa msana.
• Kusadziletsa mkodzo ndi kutuluka kwa mkodzo kosafunikira ngakhale mwana ataphunzitsidwa chimbudzi (chomwe chimadziwikanso kuti kuphunzitsidwa m'mimba) . Izi zimachitika makamaka pakati pa atsikana.

Tangoganizirani, ana ena amadwala malungo pafupipafupi, dokotala amawapatsa mankhwala, koma amapitiriza kuwalandiranso. Mwina chifukwa chake ndi matenda a mkodzo omwe amayamba chifukwa cha "Duplex Kidney" yobisika.

Kodi Duplex Kidney imayambitsa kukodza kwambiri?

Ayi, kukhala ndi Duplex Kidney sikupangitsa kuti chikhodzodzo chanu chisunge mkodzo wambiri, komanso sikukupangitsani kuti mukodze pafupipafupi. Kuchuluka kwa mkodzo womwe timapanga kumayendetsedwa ndi machitidwe ena m'thupi lathu. Komabe, monga ndanenera kale, ngati munthu amene ali ndi Duplex Kidney akupeza matenda a UTI pafupipafupi, mungamve ngati mukufunika kukodza pafupipafupi chifukwa cha matendawa. Izi sizichitika mwachindunji chifukwa cha matendawa, koma ndi chizindikiro cha matendawa.

Nchifukwa chiyani "Duplex Kidney" iyi imachitika?

Izi nthawi zambiri zimachitika chifukwa cha kusokonekera kwa maselo komwe kumachitika msanga mwana wosabadwayo akamakula m'mimba. Izi zikutanthauza kuti pali kusintha pang'ono pakupanga impso ndi njira ya mkodzo. Chofunika kwambiri ndichakuti palibe umboni woti vutoli limayamba chifukwa cha chilichonse chomwe mayiyo adachita kapena sanachite panthawi ya mimba. Choncho musamadzimve mlandu nazo.

Kodi izi ndi zinthu zomwe zimachokera ku mibadwomibadwo?

Inde, nthawi zina Duplex Kidney imatha kutengera cholowa . Izi zikutanthauza kuti ngati kholo limodzi lili ndi vutoli, mwana wawo ali ndi mwayi wa 50% woti adwale. Komabe, pali nthawi zina pomwe ana amatha kudwala Duplex Kidney ngakhale makolowo alibe vutoli. Chifukwa chake, ngati wina m'banjamo ali nalo, ndi bwino kudziwa.

Kodi mavuto omwe angakhalepo chifukwa cha "Duplex Kidney" ndi ati?

Kawirikawiri, zizindikiro za impso ziwiri zimangowoneka pokhapokha ngati mavuto ena ayamba chifukwa cha kukula kwa njira ya mkodzo. Kusintha kumeneku kumatha kuletsa kuyenda kwa mkodzo, kupangitsa impso kutupa (hydronephrosis), kapena kupangitsa mkodzo kubwerera m'mbuyo kupita ku impso (reflux). Matenda aliwonsewa angayambitse matenda opatsirana m'mitsempha ya mkodzo pafupipafupi (UTIs).

Matenda ena omwe angawonekere pokhudzana ndi "Duplex Kidney" ndi awa:

• `Ureterocele`: Apa ndi pamene `(ureter)` pomwe imalumikizana ndi chikhodzodzo imakhala ngati baluni. Izi zitha kuletsa kuyenda kwa mkodzo.
• Ureter wa m'mimba:Apa, ureter imalumikizana ndi gawo lina la chikhodzodzo (monga urethra kapena nyini) m'malo mwa komwe iyenera kukhalira. Izi zingayambitse kutuluka kwa mkodzo mwangozi (kusadziletsa).
• Vesicoureteral reflux (VUR): Apa ndi pamene mkodzo wochokera m'chikhodzodzo umabwerera m'mbuyo kupita ku impso. Izi zitha kuwononga impso ndikuyambitsa matenda.
• Hydronephrosis: Izi zimachitika pamene mkodzo umadzaza mu impso ndipo umatupa. Izi zimachitika ngati pali chotseka kwinakwake m'njira ya mkodzo.

Kodi vuto la "Duplex Kidney" limeneli limapezedwa bwanji?

Madokotala amatha kuzindikira ma ureter obwerezabwereza pogwiritsa ntchito mayeso apadera ojambulira kuti ajambule zithunzi za mkodzo wanu. Poyesa kudziwa chomwe chimayambitsa zizindikiro zanu, dokotala wanu angakufunseni mafunso monga:

• Kodi mukumva kupweteka msana kapena m'mimba?
• Kodi muli ndi vuto la kusadziletsa kwa mkodzo?
• Kodi pali aliyense m'banjamo (abale a m'magazi) amene ali ndi "Duplex Kidney"?

Ma ureter obwerezabwereza amapezeka ali ana , makamaka ngati ali ndi matenda a UTI kapena kusadziletsa. Komabe, anthu ena sadziwa kuti ali ndi vutoli mpaka atakula. Nthawi zambiri amapezeka mwangozi panthawi yoyezetsa matenda ena. Zizindikiro zina zimafanana ndi za matenda ena, kotero zimakhala zovuta kuzizindikira.

Ndi mayeso ati omwe amachitidwa kuti adziwe izi?

Dokotala wanu angakupatseni mayeso ojambulira zithunzi ngati awa kuti adziwe ngati muli ndi Duplex Kidney:

• Kuyeza kwa impso ndi chikhodzodzo: Iyi ndi njira yosavuta komanso yopanda ululu yomwe imagwiritsa ntchito mafunde a phokoso kujambula zithunzi za ziwalo zamkati.
• `Kujambula kwa Computed Tomography (CT)`: Izi zimagwiritsa ntchito X-ray ndi kompyuta kujambula zithunzi za thupi lonse mwatsatanetsatane.
• Kujambula Magnetic Resonance (MRI): Izi zimagwiritsa ntchito mphamvu zamaginito ndi mafunde a wailesi kuti zipange zithunzi zomveka bwino za mkati mwa thupi.
• Kujambula poyikira mkodzo (retrograde pyelogram): Iyi ndi njira yapadera yoyezera. Kamera yaying'ono ndi utoto zimadutsa mu urethra, ndipo zithunzi za X-ray zimatengedwa kuti zione mawonekedwe ndi ntchito ya mkodzo.

Kodi mankhwala a `(Duplex Kidney)` ndi ati?

Anthu ambiri safuna chithandizo chilichonse cha impso ziwiri. Komabe, ngati muli ndi ectopic ureter, monga tafotokozera pamwambapa, kapena ngati muli ndi mavuto ena omwe amayambitsa zizindikiro, mungafunike opaleshoni pa impso zanu, chikhodzodzo, kapena ureter.

Kodi mumachotsa "Duplex Kidney"?

Madokotala nthawi zambiri sachotsa kwathunthu "Impso Yobwerezabwereza." Vuto si kukhala ndi impso ziwiri, koma mavuto omwe amabwera chifukwa cha impsozo. Ngati pali zizindikiro, pali mitundu ingapo ya opaleshoni yomwe ingathe kuchitidwa:

• `Ureteroureterostomy`: Pa izi, dokotala wa opaleshoni amalumikiza `(ureters)` ziwiri pamodzi, kupanga `(ureter)` yooneka ngati `(Y') kuti inyamule mkodzo kupita ku chikhodzodzo. Izi zimachitika kuti zigwirizane ndi machubu awiriwa, ofanana ndi `(Incomplete Duplex Kidney)`.
• Kubwezeretsa mkodzo: Ngati muli ndi ectopic ureter, kapena refluxing ureter, dokotalayo adzapanga mpata watsopano wolumikizira ku chikhodzodzo. Izi zithandiza mkodzo kuyenda bwino ndikuletsa kuti usayende m'mbuyo.
• Kuchotsa impso: Izi zimaphatikizapo kuchotsa mbali kapena impso zonse zomwe sizikugwira ntchito bwino. Izi zimachepetsa kusadziletsa komanso chiopsezo cha matenda. Komabe, chithandizochi sichimachitika kawirikawiri. Chimachitika pokhapokha ngati impso imodzi yawonongeka kwambiri ndikuyambitsa mavuto, ndipo impso inayo ikugwira ntchito bwino.

Kodi zimatenga nthawi yayitali bwanji kuti munthu achire pambuyo pa opaleshoni?

Nthawi yomwe imatenga kuti muchire kuchokera ku opaleshoni imasiyana malinga ndi zaka zanu komanso mtundu wa opaleshoni yomwe mudachita. Mwachitsanzo, mwana wamng'ono nthawi zambiri amakhala m'chipatala kwa tsiku limodzi kapena awiri, kenako amapita kunyumba kukapuma kwa sabata ina kapena ziwiri. Pambuyo pa opaleshoni, dokotalayo adzafufuza impso kuti atsimikizire kuti zonse zili bwino.

Ngati ndili ndi "Duplex Kidney", ndiyenera kuyembekezera chiyani?

Anthu ambiri omwe ali ndi impso ziwiri alibe vuto lililonse. Koma ngati muli ndi matenda monga kusadziletsa kwa mkodzo, reflux, kapena UTIs pafupipafupi, mungafunike opaleshoni kuti muwakonze.

Kodi "Duplex Kidney" ndi vuto lalikulu?

Impso ya Duplex nthawi zambiri si matenda oopsa kapena oopsa . Anthu ambiri alibe zizindikiro ndipo safuna chithandizo.

Kodi ndingathe kukhala moyo wabwinobwino ndi `(Duplex Kidney)`?

Impso ya Duplex siiopseza moyo. Ngakhale kuti chithandizo chikufunika, nthawi zambiri chimakhala chothandiza kwambiri pochepetsa zizindikiro. Inde, mutha kukhala moyo wabwinobwino .

Kodi ndimadzisamalira bwanji?

Ngati mukudziwa kuti inu kapena mwana wanu ali ndi impso ziwiri, dziwani zizindikiro zomwe zimakhudza dongosolo la mkodzo (monga matenda a UTI chifukwa cha malungo kapena kukodza kosafunikira). Ngati inu kapena mwana wanu mwachitidwa opaleshoni, tsatirani malangizo a dokotala wanu mosamala .

Ndiyenera kupita liti kwa dokotala wanga?

Ngati mwapezeka ndi matenda a Duplex Kidney ndipo mukukumana ndi zizindikiro zomwe mukuganiza kuti zikugwirizana ndi matendawa, onani dokotala wanu. Mufunseni za zizindikiro zatsopano kapena zomwe mungachite ngati zizindikiro zanu zikuipiraipira.

Kodi ndiyenera kupita ku Dipatimenti Yothandiza Anthu Odwala Pangozi (ETU) liti?

Ngati muli ndi zizindikiro za matenda oopsa, pitani kuchipatala mwamsanga. Zizindikiro izi zikuphatikizapo:

• Malungo aakulu (oposa madigiri 102 Fahrenheit / madigiri 39 Celsius).
• Kupweteka kwambiri m'mimba mwadzidzidzi .
• Kusanza pafupipafupi komanso kusatha kudya kapena kumwa chilichonse .

Ndi mafunso ati omwe ndiyenera kufunsa dokotala wanga?

Zingakhale zothandiza kufunsa dokotala wanu mafunso monga awa:

• Kodi pali mankhwala aliwonse omwe ndiyenera kumwa?
• Kodi ndili ndi mtundu wanji wa "Duplex Kidney"?
• Kodi ndikufunika opaleshoni? Ya mtundu wanji?
• Kodi ndikufunika kuonana ndi katswiri? Kodi ndikufunika ``(cholembera)``` pa zimenezo?
• Kodi mukuganiza kuti zizindikiro zanga zidzatha zokha?
• Ngati ndili ndi "Duplex Kidney", kodi mwana wanga ayeneranso kuyezedwa?

Kodi "Duplex Kidney" ndi yofala bwanji?

Impso zodulidwa m'magawo awiri ndi vuto lobadwa nalo lomwe limakhudza kwambiri njira ya mkodzo. Pafupifupi munthu m'modzi pa anthu 125 aliwonse amadulidwa m'magawo awiri kapena kuposerapo.

Pomaliza, zinthu zoti muzikumbukira (Uthenga Wopita Nawo Kunyumba)

Matenda a Duplex Kidney kapena Duplicated Ureters si matenda oopsa ndipo nthawi zambiri samayambitsa zizindikiro. Anthu ambiri sadziwa ngakhale kuti ali ndi vutoli. Ngati inu kapena mwana wanu mwapezeka ndi matenda a Duplex Kidney ndipo muli ndi zizindikiro, chithandizo nthawi zambiri chimakhala chothandiza kwambiri pochiza matendawa. Ngakhale zingakhale zochititsa manyazi kulankhula za zinthu monga kukodza kosafunikira kapena kupweteka mukamakodza, ndikofunikira kulankhula ndi dokotala za zizindikiro zanu . Alipo kuti akuthandizeni. Akhoza kupeza chomwe chimayambitsa zizindikiro zanu ndikukulangizani chithandizo choyenera kuti akuthandizeni kumva bwino. Chofunika kwambiri ndichakuti musachite mantha ndikupeza upangiri woyenera wachipatala.

Impso ziwiri , ureter ziwiri, matenda a impso obadwa nawo, matenda a mkodzo, opaleshoni ya impso, ureterocele, vesicoureteral reflux