Kodi mwana wanu amadwala matenda a mkodzo mobwerezabwereza? (Matenda a UTI obwerezabwereza) Tiyeni tikambirane izi!

Kodi mwana wanu nthawi zina amanena kuti, "Amayi, zimandipweteka ndikakodza "? Kapena amayenera kukodza pafupipafupi kuposa masiku onse? Kodi mtundu ndi fungo la mkodzo wake zasintha? Izi zitha kukhala zizindikiro za matenda amkodzo , kapena matenda a mkodzo. Matendawa amapezeka kwambiri mwa ana aang'ono, makamaka atsikana ndi anyamata omwe sanadule khungu lawo. Tiyeni tikambirane mwatsatanetsatane lero.

Kodi matenda a mkodzo (UTI) ndi chiyani? Kodi matenda obwerezabwereza a UTI ndi chiyani?

Mwachidule, matenda a mkodzo (UTIs) ndi matenda omwe amapezeka pamene mabakiteriya alowa m'thupi lathu la mkodzo, kutanthauza impso, ureter, chikhodzodzo, kapena urethra.

Ana ena samangotenga matenda a mkodzo kamodzi kokha, amabwereranso mobwerezabwereza . Ndi zomwe timatcha kuti matenda a UTI obwerezabwereza . Ngati matendawa sanachiritsidwe bwino, amatha kuwononga impso, makamaka kwa ana osakwana zaka 6. Chifukwa chake, ndikofunikira kwambiri kuzindikira zizindikiro za matendawa ndikuthandizira mwana wanu.

Kodi zizindikiro za matenda a mkodzo ndi ziti?

Zizindikiro za matenda a mkodzo zingaphatikizepo:

• Kumva kupweteka kapena kutentha mukamakodza .
• Mwanayo ayenera kukodza pafupipafupi.
• Kusintha kwa mtundu (monga chikasu chakuda, magazi ) kapena fungo (fungo la nsomba) la mkodzo .
• Malungo .
• Kumva kuzizira komanso kunjenjemera (kuzizira).
• Chakudya chilibe kukoma .
• Kusanza, mwina kusanza.
• Kukhala ndi ululu m'mimba.
• Kumva kupweteka kapena kusasangalala m'munsi mwa msana.

Nthawi zina, ngakhale mwana amene wakhala akuchita bwino kale akhoza kuyamba kukodza pabedi kapena kunyowetsa zovala zake akakhala ndi matenda a mkodzo. Makanda ndi ana aang'ono kwambiri angasonyeze zizindikiro wamba monga kutentha thupi , kusanza, kusowa chilakolako cha chakudya, kapena kuchepa kwa zochita. Chifukwa chake, tiyenera kusamala kwambiri ndi kusintha koteroko mwa ana aang'ono.

Kodi pali mitundu ina ya matenda a mkodzo?

Inde, pali mitundu ingapo ya matenda a mkodzo. Mitundu yodziwika kwambiri ndi iyi:

• Matenda a mkodzo: Uwu ndi mtundu wofala kwambiri wa matenda a mkodzo . Mwachidule, ndi matenda a chikhodzodzo .Izi zimachitika pamene mkodzo ukuyenda m'njira ya urethra (chubu chomwe chimatenga mkodzo kuchokera ku chikhodzodzo) ndikulowa m'chikhodzodzo.
• Urethritis: Ichi ndi matenda a mkodzo.
• Pyelonephritis : Iyi ndi matenda a impso . Amatha kuchitika pamene mkodzo womwe uli ndi kachilomboka umabwerera m'mbuyo kuchokera ku chikhodzodzo kupita ku impso, kapena pamene matenda m'magazi afalikira kupita ku impso. Ili ndi vuto lalikulu .

Ndi matenda ena ati omwe angayambitse matenda obwerezabwereza a mkodzo?

Matenda obwerezabwereza a mkodzo nthawi zina amatha kugwirizanitsidwa ndi matenda ena. Nazi zitsanzo zingapo:

• Vesicoureteral Reflux (VUR): Matendawa amapezeka mwa ana 30%–50% omwe ali ndi matenda a mkodzo. Uwu ndi vuto lobadwa nalo . Pa vutoli, mkodzo wochokera m'chikhodzodzo umapita mmbuyo kupita m'mapaipi a ureters (machubu opyapyala omwe amanyamula mkodzo kuchokera ku impso kupita ku chikhodzodzo), nthawi zina mpaka ku impso . Ngati mkodzo wakumbuyo uwu uli ndi majeremusi, ukhoza kuyambitsa matenda a impso otchedwa pyelonephritis.
• Hydronephrosis: Izi zimachitika pamene impso imodzi kapena zonse ziwiri zimatupa. Izi zimachitika chifukwa chakuti mkodzo sungatuluke bwino, zomwe zimapangitsa kuti ubwerere m'mbuyo ndikuwunjikana mu impso. Izi zitha kuchitika chifukwa cha VUR yayikulu kapena kutsekeka kwa mkodzo. Ana ena omwe ali ndi hydronephrosis angafunike kumwa maantibayotiki ochepa tsiku lililonse kuti apewe matenda a mkodzo mpaka vuto lomwe limayambitsa vutoli litakula kapena litakonzedwa ndi opaleshoni.

Komabe, matenda obwerezabwereza a mkodzo si nthawi zonse omwe amayamba chifukwa cha mavuto amenewa m'thupi.

Mwachitsanzo, kutsekeka kwa mkodzo kosagwira ntchito - komwe minofu yofunikira kuti chikhodzodzo chituluke siimamasuka bwino mwana akamakodza - ndi chifukwa chofala cha matenda a mkodzo. Kusakodza pafupipafupi ndi kudzimbidwa kumawonjezera chiopsezo cha matenda obwerezabwereza.

Nthawi zina, matenda osagwirizana, monga matenda a chitetezo chamthupi omwe amawononga chitetezo chamthupi, angayambitse matenda a UTI obwerezabwereza. Komanso, kugwiritsa ntchito catheter yosayera mkodzo kungathandize kuti majeremusi alowe m'njira ya mkodzo ndikuyambitsa matenda.

Kodi matenda olakwika mu mkodzo amapezeka bwanji?

Ngati mwana ali ndi matenda opatsirana m'mitsempha ya mkodzo mobwerezabwereza, ndikofunikira kufufuza ngati pali vuto lenileni m'thupi la mkodzo . Ndi bwino kutumiza ana omwe ali ndi matenda opatsirana mobwerezabwereza kwa dokotala wa urologist wa ana kuti adziwe chomwe chimayambitsa matendawa.

Mavuto ena amatha kupezeka asanabadwe . Mwachitsanzo, vuto lotchedwa hydronephrosis lomwe limayamba asanabadwe limatha kupezeka pa ultrasound patangopita milungu 16. Nthawi zambiri, ngati hydronephrosis imakhudza impso zonse ziwiri ndipo ndi chiopsezo kwa mwana wosabadwayo, madokotala angaganizire za opaleshoni ya makanda obadwa kumene. Komabe, nthawi zambiri, madokotala amachiza vutoli mwana akangobadwa. Pafupifupi theka la matenda amenewa omwe amapezeka mwana asanabadwe amatha nthawi yomwe mwana wabadwa.

Madokotala akuda nkhawa kwambiri ndi kuthamanga kwa magazi kwa mwana wakhanda amene akuganiziridwa kuti ali ndi vuto la hydronephrosis kapena vuto lina la mkodzo. Izi zili choncho chifukwa mavuto ena a impso angayambitse kuthamanga kwa magazi. Angapemphenso kuti apimidwe ndi ultrasound kuti amvetse bwino za chikhodzodzo ndi impso. Ngati vutoli likuoneka kuti likukhudza impso zonse ziwiri, madokotala angapemphenso kuti apimidwe magazi kuti awone momwe impso zikugwira ntchito.

Ndi mayeso ati omwe amachitidwa?

Ngati pali kukayikiridwa kuti pali vuto linalake m'njira ya mkodzo, madokotala angapemphe mayeso ngati awa kuti adziwe matenda molondola:

• Ultrasound: Izi zimagwiritsa ntchito mafunde amphamvu kwambiri kuti zipange zithunzi za mkati mwa thupi. Zingathe kuzindikira mavuto a impso, ureter, ndi chikhodzodzo. Zingathenso kuyeza kukula ndi mawonekedwe a impso.
• Kujambula Impso (Kujambula Nyukiliya): Izi zimaphatikizapo kubaya chinthu chotulutsa ma radiation mu mtsempha ndikuwona chikuyenda m'thupi la mkodzo. Chinthuchi chikuwonetsa mawonekedwe a impso, momwe zikugwira ntchito bwino, ngati pali kuwonongeka kulikonse kwa minofu ya impso, komanso momwe mkodzo umayendera. Ngakhale kuti kuwala kochepa kumayamwa panthawi yoyesererayi, kumatuluka mumkodzo.
• Kuchotsa Cystourethrogram (VCUG kapena Cystogram): Izi zimaphatikizapo kulowetsa catheter (chubu chofewa, chopanda kanthu) mu chikhodzodzo ndikulowetsa utoto wosawoneka bwino, kenako X-ray. Izi zingathandize kuzindikira VUR ndikupeza mavuto ndi chikhodzodzo kapena urethra.
• Kusanthula kwa Ultrasound Yowonjezera Kusamvana (CeVUS):Mofanana ndi `(VCUG)`. Mu izi, catheter imayikidwa ndipo chikhodzodzo chimadzazidwa ndi yankho lomwe silikuwoneka ndi X-ray, koma ndi `(Ultrasound).` Ngati yankho ili likuwoneka pafupi ndi impso, zikutanthauza kuti mkodzo ukuyenderera mmbuyo (reflux).
• Cystoscopy: Izi zimaphatikizapo kulowetsa chipangizo chotchedwa cystoscope (chubu chokhala ndi lenzi ndi gwero la kuwala) kudzera mu urethra kuti chiyang'ane mwachindunji mu chikhodzodzo. Chimagwiritsidwa ntchito pamene mayeso ena kapena zizindikiro zikusonyeza kuti pakhoza kukhala vuto mu chikhodzodzo.
• Magnetic Resonance Urography (MR-U): Njirayi imagwiritsa ntchito MRI scan ya mkodzo popanda kugwiritsa ntchito utoto kapena zinthu zowononga ma radiation. Ndi yolondola ngati scan zina. Masiku ano imagwiritsidwa ntchito kwambiri m'malo mwa Intravenous Pyelogram.
• Intravenous Pyelogram (IVP): Utoto wosawoneka bwino umalowetsedwa mumtsempha, kenako X-ray imatengedwa kuti ione momwe utoto umayendera kudzera mu mkodzo. Mayesowa nthawi zina amagwiritsidwa ntchito, koma nthawi zambiri amasinthidwa ndi Renal MRI ndi Renal Scan.

Kodi matenda obwerezabwereza a mkodzo amachiritsidwa bwanji?

Chithandizo cha matenda obwerezabwereza a mkodzo chimadalira chomwe chimayambitsa . Nthawi zina, zingakhale zosavuta monga kuphunzitsa mwana wanu kutulutsa madzi m'chikhodzodzo chake akangomva kufunikira kukodza .

Koma ngati matendawa ayambitsidwa ndi vuto ngati la VUR, yankho lake ndi lovuta pang'ono. Ana omwe ali ndi VUR ayenera kuyang'aniridwa mosamala kwambiri , chifukwa lingayambitse matenda a impso (pyelonephritis) ndi kuwonongeka kwa impso. Koma ana ambiri amakula akamakula . Anthu ena angafunike opaleshoni kuti akonze vuto la reflux.

Ana ena omwe ali ndi VUR amapindula akamamwa mankhwala opha tizilombo toyambitsa matenda tsiku lililonse. Izi zingalepheretse kufunikira kwa opaleshoni. Ana omwe ali ndi VUR ayenera kutumizidwa kwa dokotala wa urologist wa ana omwe angasankhe ngati chithandizo cha maantibayotiki ndicho njira yabwino kwambiri.

Nthawi zina, opaleshoni imafunika kuti akonze VUR. Opaleshoni yofala kwambiri imatchedwa ureteral reimplantation . Izi zimaphatikizapo kusintha ureter imodzi kapena zonse ziwiri m'njira yoletsa mkodzo kuti usayende kuchokera m'chikhodzodzo. Opaleshoniyi imangofunika kudula pang'ono. Kwa ana ena, itha kuchitikanso pogwiritsa ntchito laparoscopy yothandizidwa ndi robotic. Ngati opaleshoni ikufunika, chiwopsezo cha kupambana chimakhala chachikulu. Komabe, si yoyenera aliyense.

Opaleshoni yobwezeretsa mkodzo ingakhale yoyenera kwa ana omwe:

• Ngati muli ndi vuto la kusalolera mankhwala opha tizilombo.
• Ngati mukupitirizabe kutenga matenda obwerezabwereza ngakhale mukumwa maantibayotiki.
• Ngati muli ndi vuto lalikulu la mkodzo, kapena "lapamwamba kwambiri".
• Ana okalamba, kutanthauza ana aang'ono ndi achinyamata, ali ndi vuto la kusadziletsa mkodzo.

Njira ina yosinthira kuyikanso mkodzo ndi jakisoni wa endoscopic . Izi zimaphatikizapo kubaya chinthu chapadera pamalo omwe ureter imalowa m'chikhodzodzo kuti ipewe VUR. Mu njirayi, chubu chopyapyala chotchedwa endoscope chimayikidwa kudzera mu urethra kupita ku chikhodzodzo. Endoscope ili ndi kamera kakang'ono kumapeto, kotero dokotala wa opaleshoni amatha kuyitsogolera kumalo enieni ndikubaya chinthucho. Izi zimathandiza kuti mkodzo usabwererenso mu impso. Ngakhale kuti jakisoni wa endoscopic siwovulaza kwambiri kuposa opaleshoni, zotsatira zake si zabwino monga opaleshoni. Dokotala wa urologist wa ana angathandize mabanja kusankha chithandizo chabwino kwambiri kwa mwana yemwe ali ndi VUR.

Ana ena amakhala ndi matenda obwerezabwereza omwe samayamba chifukwa cha zilema zilizonse za thupi kapena mavuto ena ochiritsika. Ana otere angafunike kumwa mankhwala opha tizilombo kwa miyezi ingapo, ngakhale zaka, kuti apewe matenda ena. Mankhwalawa amatchedwa prophylaxis yopitilira .

Kodi mungathandize bwanji ngati kholo?

Kuchita zinthu izi kunyumba kungathandize ana kupewa matenda opatsirana m'mitsempha ya mkodzo mobwerezabwereza:

• Imwani zakumwa: Limbikitsani mwana wanu kumwa magalasi 8-10 a madzi ndi zakumwa zina patsiku. Madzi a cranberry ndi cranberry extract nthawi zambiri amatchulidwa chifukwa amaganiza kuti zimathandiza kupewa mabakiteriya a E. coli kuti asamamatire m'makoma a chikhodzodzo. Komabe, nthawi zonse funsani dokotala wanu ngati kuli koyenera kuti mwana wanu amwe madzi a cranberry kapena extract, chifukwa amatha kusokonezana ndi mankhwala ena.
• Makhalidwe abwino a chimbudzi: Kukodza pafupipafupi komanso kupewa kudzimbidwa kungathandize kupewa matenda ena.
• Mabafa Osagwiritsa Ntchito Mabafa: Pewani kugwiritsa ntchito mabafa opaka ndi sopo wonunkhira kwa ana, chifukwa angapangitse kuti mkodzo ukhale wovuta kuugwira.
• Sinthani matewera pafupipafupi: Matewera ayenera kusinthidwa pafupipafupi. Ngati ndowe zikukhala m'malo oberekera kwa nthawi yayitali, zimatha kukankhira majeremusi m'njira ya mkodzo ndikulowa m'chikhodzodzo.
• Kuyeretsa koyenera: Atsikana ayenera kupukuta kuyambira kutsogolo kupita kumbuyo akagwiritsa ntchito chimbudzi. Izi zithandiza kuteteza njira ya mkodzo ku majeremusi omwe ali m'ndowe zomwe zingayambitse matenda a mkodzo.
• Kabudula wamkati wa thonje:Kuvala zovala zamkati za thonje zomwe zimapumira mpweya sikungayambitse majeremusi kufalikira pafupi ndi mkodzo poyerekeza ndi kuvala nayiloni kapena nsalu zina zopangidwa.
• Kusamba m'chimbudzi nthawi zonse: Ana ena angakane kugwiritsa ntchito chimbudzi cha kusukulu. Kapena angakhale otanganidwa kwambiri ndi ntchito kapena masewera moti sangakodze . Ana omwe ali ndi matenda a mkodzo ayenera kukodza osachepera maola atatu kapena anayi aliwonse . Izi zimathandiza kutulutsa majeremusi kudzera mu mkodzo.

Kodi ndiyenera kupita kwa dokotala liti?

Ngati mukuganiza kuti mwana wanu ali ndi matenda a mkodzo, pitani kwa dokotala mwamsanga . Dokotala wanu angakulangizeni kuti muyesedwenso mkodzo mutalandira chithandizo kuti muwonetsetse kuti matendawa atha kwathunthu.

Ngati mwana wanu akudwala matenda a mkodzo mobwerezabwereza, onetsetsani kuti mwaonana ndi dokotala wa urologist wa ana. Iye akhoza kuchita kafukufuku wathunthu ndikuyitanitsa mayeso kuti awone ngati pali vuto lililonse mu mkodzo. Pakadali pano, tsatirani malangizo a dokotala wanu pochiza matenda a mkodzo molondola.

Kanthu kakang'ono kokhudza tsogolo

Kafukufuku waposachedwapa wapeza kuti akazi ndi ana omwe ali ndi matenda obwerezabwereza a mkodzo angakhale ndi mitundu yochepa ya ma immunoglobulins (gulu la mapuloteni omwe amalimbana ndi matenda). Ofufuza ena amakhulupirira kuti katemera angapangidwe omwe angathandize kupanga ma antibodies omwe amalimbana ndi matenda a mkodzo. Katemera wodalirika akuyesedwa kale kuti ateteze ku E. coli, mabakiteriya omwe nthawi zambiri amayambitsa matenda a mkodzo.

Pomaliza, kumbukirani izi (Uthenga Wopita Nawo Kunyumba)

Chabwino, kuchokera pa zomwe takambirana lero, muyenera kumvetsetsa matenda a mkodzo mwa ana aang'ono, zomwe zimachitika akabwereranso, komanso zomwe mungachite. Palibe choopa, koma muyenera kusamala .

• Dziwani zizindikiro: Samalani zizindikiro monga kupweteka pokodza , kukodza pafupipafupi, ndi kutentha thupi.
• Pitani kwa dokotala nthawi yomweyo: Ngati muli ndi kukayikira kulikonse, pitani kwa dokotala nthawi yomweyo.
• Yang'anani zomwe zimayambitsa matenda: Ngati muli ndi matenda obwerezabwereza, funsani upangiri kwa dokotala. Mungakhale ndi vuto ngati `(VUR)`.
• Phunzitsani makhalidwe abwino: Mulole mwana wanu amwe madzi ambiri, mulimbikitseni kukodza pafupipafupi, ndipo muzimusunga aukhondo.
• Tsatirani malangizo a dokotala: Tsatirani chithandizocho molondola.

Chofunika kwambiri ndikusamalira thanzi la mwana wanu. Ndikukhulupirira kuti izi zikuthandizani!

Matenda a mkodzo , Matenda a UTI obwerezabwereza, Matenda a ana, Matenda a impso, VUR, Hydronephrosis, dongosolo la mkodzo