Mukudziwa kuti tonsefe tili ndi impso ziwiri, imodzi mbali iliyonse ya msana wathu? Izi zili ngati zosefera ziwiri m'thupi lathu. Ntchito yawo yayikulu ndikuyeretsa magazi ndikuchotsa zinyalala monga mkodzo. Komabe, anthu ena amabadwa ndi impso ziwiri zomwe sizili zosiyana, koma zolumikizidwa pansi, ngati nsapato ya akavalo. Ndicho chifukwa chake timazitcha "Impso ya akavalo" mu mankhwala. Musachite mantha mukamva dzinali. Izi sizowopsa monga momwe mukuganizira. Koma ndikofunikira kwambiri kuti mudziwe izi.
Mwachidule, kodi Horseshoe Kidney iyi ndi chiyani?
Imeneyi ndi vuto lomwe limapezeka pobadwa. Mu zamankhwala, timatcha zinthuzi kuti "congenital anomaly." Mwachidule, ndi chinthu chomwe chimachitika mwana akadali kukula m'mimba.
Taganizirani izi motere. Mwana akayamba kukula m'mimba, impso ziwiri zoyambirira zimapangidwa m'munsi kwambiri m'mimba, m'chiuno. Kenako, pamene mwana akukula, impso ziwirizi zimapita mmwamba pang'onopang'ono ndikulowa m'malo awo oyenera mbali zonse ziwiri za msana.
Komabe, chinthu china chosiyana chimachitika kwa munthu amene ali ndi vuto la Horseshoe Kidney. Pamene impso ziwirizi zikukwera mmwamba, malekezero awo apansi amalumikizana pamodzi. Monga chilembo "U". Zikalumikizana motere, sizingatuluke bwino. Choncho impso yomwe yalumikizidwa pamodzi imakhala yotsika pang'ono kuposa yachibadwa, kutsogolo kwa mimba. Izi zimatchedwanso renal fusion .
Kodi vutoli ndi lalikulu? Kodi pali chilichonse chondidetsa nkhawa nacho?
Ili ndiye vuto lalikulu lomwe anthu ambiri ali nalo. Ndipotu, anthu ambiri omwe ali ndi Horseshoe Kidney sakhala ndi mavuto aakulu azaumoyo. Anthu ambiri omwe ali ndi vutoli amakhala ndi moyo wabwinobwino komanso wokangalika popanda mavuto.
Chofunika kwambiri ndichakuti Horseshoe Kidney nthawi zambiri sichikhudza moyo wanu. Mutha kukhala ndi moyo wautali komanso wathanzi monga wina aliyense.
Komabe, pali chinthu chimodzi chochepa chomwe tiyenera kudziwa. Anthu omwe ali ndi vutoli ali pachiwopsezo chachikulu chotenga khansa ya impso kuposa anthu onse. Tsopano, musachite mantha mukamva izi. Izi sizikutanthauza kuti aliyense adzatenga khansa, koma zimangotanthauza kuti "chiwopsezocho ndi chachikulu pang'ono." Ndicho chifukwa chake ndikofunikira kupita kukayezetsa nthawi zonse monga momwe dokotala wanu akulangizira. Ngati yapezeka msanga, khansa ya impso ndi matenda ochiritsika kwambiri.
Matendawa si ofala kwambiri. Amakhudza munthu m'modzi pa anthu 500 aliwonse. Amafalanso pang'ono mwa amuna kuposa akazi.
Kodi pali matenda ena okhudzana ndi Horseshoe Kidney?
Inde. Nthawi zina Horseshoe Kidney imatha kuchitika yokha. Komabe, nthawi zina, imawoneka limodzi ndi matenda ena a majini kapena a chromosome. Ndi bwino kudziwa izi.
| Gulu la matenda | Matenda omwe angakhalepo okhudzana ndi matendawa |
|---|---|
| Matenda a chromosome |
|
| Matenda ena a majini (Matenda osakhudzana ndi ma chromosome) |
Kodi zizindikiro za vutoli ndi ziti?
Nayi chinthu chodabwitsa. Anthu ambiri omwe ali ndi Horseshoe Kidney samakhala ndi zizindikiro zilizonse pa moyo wawo wonse. Nthawi zambiri, vutoli limapezeka mwangozi panthawi yofufuza ngati pali china chake.
Komabe, anthu ena akhoza kuyamba zizindikiro. Ngati atatero, zizindikiro zodziwika bwino ndi izi:
| Chizindikiro | Kufotokozera kosavuta |
|---|---|
| Matenda opatsirana pafupipafupi m'njira ya mkodzo (UTIs) | Matenda a mkodzo (UTIs) nthawi zambiri amatha kuchitika ndi zizindikiro monga kutentha thupi, kupweteka (dysuria) , ndi malungo mukakodza. |
| Miyala ya impso | Zizindikiro zake zingakhale kupweteka m'mimba, kupweteka m'munsi mwa msana, magazi mu mkodzo (hematuria) , ndi kupweteka pokodza. |
| Kusanza ndi kusanza | Anthu ena amatha kuvutika ndi nseru ndi kusanza chifukwa cha vuto la impso. |
N’chifukwa chiyani izi zikuchitika?
Madokotala ndi ofufuza sakudziwabe chomwe chimayambitsa izi. Izi zimachitika chifukwa cha kusintha kwa momwe majini amagwirira ntchito pamene mwana akukula m'mimba.
Mwana wakhanda akapezeka ndi matenda a Horseshoe Kidney, makolo nthawi zambiri amadabwa ngati adachita cholakwika panthawi ya mimba. Palibe cholakwika ndi zimenezo. Si vuto lanu. Izi zimachitika nthawi zina, ndipo sitikudziwa chifukwa chake. Choncho musadandaule nazo.
Kodi izi zingayambitse mavuto otani?
Ngakhale ngati palibe zizindikiro, kukhala ndi Horseshoe Kidney kumakuikani pachiwopsezo chachikulu chotenga mavuto ena.
- Vuto lofala kwambiri: Ili ndi vuto lotchedwa ureteropelvic junction (UPJ) . Mwachidule, ndi kutsekeka koyambirira kwa ureter, chubu chomwe chimanyamula mkodzo kuchokera ku impso kupita ku chikhodzodzo. Kapangidwe ka impso kamatha kuletsa kuyenda kwa mkodzo. Vutoli limapezeka pafupifupi gawo limodzi mwa magawo atatu (33%) a anthu omwe ali ndi impso ya horseshoe.
- Mavuto ena:
- Kubwerera m'mbuyo kwa mkodzo kuchokera ku chikhodzodzo kupita ku impso (Vesicoureteral reflux) .
- Hydronephrosis: Kutupa kwa impso chifukwa cha mkodzo wosatuluka bwino.
- Matenda a impso a Polycystic (PKD): Kupangidwa kwa ma cysts odzaza madzi m'impso.
- Kuthamanga kwa magazi m'mitsempha: Kuthamanga kwa magazi komwe kumachitika chifukwa cha kuchepa kwa mitsempha yamagazi yomwe imapereka magazi ku impso.
- Khansa ya impso: Monga tanenera kale, chiopsezo chake ndi chachikulu.
Choncho, ngati muli ndi Horseshoe Kidney, ndi bwino kudziwa zizindikiro za khansa ya impso.
- Magazi mu mkodzo
- Kumva chotupa kapena kutupa kwachilendo m'mimba
- Ululu wosazolowereka wochokera kumbali ya msana
Ngati muwona chinthu chonga ichi, pitani kwa dokotala nthawi yomweyo.
Kodi mungazindikire bwanji vutoli?
Monga tanenera kale, izi nthawi zambiri zimapezeka mwangozi. Komabe, ngati muli ndi zizindikiro zokhudzana ndi impso zanu, dokotala wanu adzakuyesani. Kuphatikiza apo, angachitenso mayeso ngati awa.
- Kusanthula mkodzo: Kufufuza magazi kapena matenda mu mkodzo.
- Kuyezetsa magazi: Kuyezetsa kuti aone momwe impso zikugwira ntchito.
- Chiwerengero cha kusefera kwa glomerular (eGFR)
- Kuyesa kwa magazi kwa urea nitrogen (BUN)
- Kuyesa kwa Creatinine
- Mayeso Ojambula (Kujambula): Izi zimathandiza kudziwa bwino mawonekedwe, malo, ndi ntchito ya impso.
- Kuyeza kwa impso: Kuyeza komwe kumachitika kawirikawiri, kopanda ululu.
- Kuyeza kwa voiding cystourethrogram (VCUG): Kuyeza kwapadera kwa X-ray kuti muwone ngati pali reflux ya mkodzo (VUR).
- Kujambula kwa radionuclide: Kuyesa kuona momwe impso zikugwira ntchito komanso momwe zimatulutsa mkodzo.
- Mayeso owonjezera monga MRI scan (Magnetic resonance imaging): ndi CT scan (Computed tomography scan) .
Kodi chithandizo chili chofunikira? Kodi chingachitike n’chiyani?
Zimatengera ngati muli ndi zizindikiro kapena ayi.
Impso ya Horseshoe singathe "kuchiritsidwa" kapena kuchotsedwa chifukwa ndi gawo la thupi lomwe limapezeka pakubadwa. Chifukwa chake, ngati palibe zizindikiro, simudzafunika chithandizo chilichonse.
Komabe, ngati muli ndi zizindikiro kapena zovuta, zitha kuchiritsidwa.
- Pa matenda a mkodzo (UTIs): Dokotala wanu adzakupatsani maantibayotiki .
- Pa miyala ya impso kapena kutsekeka: Nthawi zina, opaleshoni ingafunike kuti muchotse miyala ya impso kapena kuti mkodzo utuluke mosavuta.
Madokotala nthawi zambiri sayesa kuchotsa impso ya horseshoe (nephrectomy) chifukwa si khansa, ndipo anthu ambiri amakhala nayo popanda vuto lililonse.
Kodi ndingakhale bwanji ndi moyo wabwino ndi vutoli?
Kukhala ndi izi sikovuta kwenikweni. Komabe, tiyenera kusamala pang'ono. Popeza Horseshoe Kidney ili patsogolo kwambiri m'mimba kuposa impso wamba,Mwayi woti munthu avulale thupi ndi wokwera pang'ono.
Choncho, samalani ndi zinthu izi:
1. Valani Chibangili cha Chidziwitso cha Zachipatala: Sungani chibangili kapena khadi lolembedwa kuti muli ndi Horseshoe Kidney. Pakagwa ngozi, izi zithandiza madokotala ndi ogwira ntchito zadzidzidzi kudziwa za matenda anu.
2. Pewani masewera okhudzana ndi kukhudzana ndi ana: Izi ndizofunikira kwambiri kwa ana. Masewera okhudzana ndi kukhudzana mwachindunji, monga rugby, mpira wamiyendo, karate, ndi nkhonya, amatha kuwononga impso.
3. Valani lamba woteteza: Ngati inu (kapena mwana wanu) mukuchita masewera kapena zinthu zomwe zingayambitse kuwonongeka kwa impso, valani chotetezera chapadera chomwe chimaphimba mimba (choteteza impso kapena chishango cha impso) .
Ndi bwino kulankhulana ndi dokotala nthawi zonse ndikupita kukayezetsa ndi kusanthula nthawi zonse monga momwe akulangizira.
Uthenga Wopita Nawo Kunyumba
- Impso ya Horseshoe ndi vuto lobadwa nalo lomwe impso ziwiri zimalumikizana pansi. Izi sizowopsa monga momwe mungaganizire.
- Anthu ambiri saona zizindikiro zilizonse ndipo amakhala ndi moyo wabwinobwino komanso wathanzi.
- Anthu ena amatha kukhala ndi mavuto monga matenda opatsirana m'mitsempha ya mkodzo pafupipafupi (UTIs) kapena miyala ya impso. Pali mankhwala abwino a izi.
- Vutoli likhoza kuwononga impso mosavuta. Chifukwa chake, ndikofunikira kwambiri kupewa masewera omwe amakhudza thupi ndikukhala otetezeka.
- Ngati muli ndi mafunso, nkhawa, kapena kukayikira pankhaniyi, kapena ngati mukukumana ndi zizindikiro monga kupweteka m'mimba kapena matenda a mkodzo, chinthu chabwino kwambiri choti muchite ndikulankhula ndi dokotala wanu za izi.
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