Ese umwana wawe arwara indwara zo mu nzira y'inkari zigaruka? (Imiyoboro y'amaraso isubiramo) Reka tubiganireho!

Ese umwana wawe rimwe na rimwe aragira ati "Mama, birababaza iyo ndimo ndanyara "? Cyangwa agomba kujya ndanyara kenshi kuruta uko bisanzwe? Ese ibara n'impumuro by'inkari ze byarahindutse? Ibi bishobora kuba ibimenyetso by'indwara zo mu nkari , cyangwa indwara z'imitsi. Iyi ndwara ikunze kugaragara cyane mu bana bato, cyane cyane abakobwa n'abahungu batarakata agahu k'uruhu rwabo. Reka tubiganireho birambuye uyu munsi.

UTI ni iki? UTI zigaruka ni iki?

Mu magambo make, indwara zo mu nzira y'inkari (UTI) ni indwara ziterwa n'udukoko iyo bagiteri zinjiye mu nkari zacu, ni ukuvuga mu mpyiko, mu miyoboro y'inkari, mu ruhago, cyangwa mu muyoboro w'inkari.

Hari abana batarwara indwara zo mu nkari rimwe gusa, ahubwo bakomeza kugaruka . Ibyo ni byo twita indwara zisubira inyuma z’imitsi. Iyo zitavuwe neza, zishobora no kwangiza impyiko, cyane cyane ku bana bari munsi y’imyaka 6. Kubwibyo, ni ngombwa cyane kumenya ibimenyetso by’izi ndwara no gufasha umwana wawe.

Ni ibihe bimenyetso by'indwara zo mu nzira y'inkari?

Ibimenyetso by'indwara yo mu nzira y'inkari bishobora kuba birimo:

• Kubabara cyangwa gushya iyo uri kunyara .
• Umwana agomba kunyara kenshi.
• Ihinduka ry'ibara (urugero: umuhondo wijimye, amaraso afite) cyangwa impumuro (impumuro nk'iy'amafi) y'inkari .
• Umuriro .
• Kumva ubukonje no guhinda umushyitsi (ubukonje).
• Ibiryo nta buryohe bwabyo .
• Isesemi, wenda kuruka.
• Kugira ububabare mu nda yo hasi.
• Kumva ububabare cyangwa kutamererwa neza mu mugongo wo hasi.

Hari igihe n'umwana wigeze kugira imyitwarire myiza ashobora kunyara ku buriri cyangwa kunyara ku myenda ye iyo afite indwara yo mu nzira y'inkari. Abana bato cyane n'abana bato bashobora kugaragaza ibimenyetso rusange nko kugira umuriro , kuruka, kubura ubushake bwo kurya, cyangwa kugabanuka k'imikorere. Kubwibyo, tugomba kwitondera cyane impinduka nk'izo ku bana bato.

Ese hari ubwoko bw'indwara zo mu nzira y'inkari?

Yego, hari ubwoko butandukanye bw'indwara zo mu nzira y'inkari. Ubwoko bukunze kugaragara ni ubu:

• Cystitis: Ubu ni bwo bwoko bukunze kugaragara bw'indwara zo mu nzira y'inkari . Muri make, ni indwara yo mu ruhago. UdukokoIbi bibaho iyo inkari zizamuka mu muyoboro w'inkari (umuyoboro utwara inkari ziva mu ruhago) zikinjira mu ruhago.
• Urethritis: Iyi ni indwara ifata urethra.
• Pyelonephritis : Iyi ni indwara iterwa n'impyiko . Ishobora kubaho iyo inkari zanduye zisubiye mu nzira y'inkari ziva mu ruhago zijya mu mpyiko, cyangwa iyo indwara mu maraso ikwirakwira mu mpyiko. Iyi ni indwara ikomeye .

Ni izihe ndwara zindi zishobora gutera indwara zo mu nzira y'inkari zigaruka?

Indwara zo mu nzira y'inkari zigaruka rimwe na rimwe zishobora kuba zifitanye isano n'izindi ndwara zisanzwe. Dore ingero nke:

• Vesicoureteral Reflux (VUR): Iyi ndwara iboneka ku bana 30%–50% bafite indwara zo mu nzira y'inkari. Iyi ni indwara ivukanwa . Muri iyi ndwara, inkari ziva mu ruhago zisubira inyuma zizamuka mu miyoboro y'inkari (imiyoboro mito itwara inkari ziva mu mpyiko zijya mu ruhago), rimwe na rimwe zikagera mu mpyiko . Niba izi nkari zirimo mikorobe, zishobora gutera indwara y'impyiko yitwa pyelonephritis.
• Hydronephrosis: Ibi bibaho iyo impyiko imwe cyangwa zombi zibyimbye. Ibi biterwa nuko inkari zidashobora gusohoka neza, bigatuma zisubira inyuma kandi zikiyongera mu mpyiko. Ibi bishobora guterwa na VUR ikomeye cyangwa kuziba k'umuyoboro w'inkari. Bamwe mu bana barwaye hydronephrosis bashobora gukenera gufata imiti ya antibiyotike nke buri munsi kugira ngo hirindwe indwara zo mu nzira y'inkari kugeza igihe ikibazo cyazo kirushijeho kuba cyiza cyangwa kigakosorwa no kubagwa.

Ariko, indwara zigaruka mu nzira y'inkari si ko buri gihe ziterwa n'izi ngorane z'imiterere y'umubiri.

Urugero, kubura imyakura mu buryo bufatika - aho imitsi ikenewe kugira ngo ikuremo uruhago idatuje neza iyo umwana arimo kunyara - ni imwe mu mpamvu zikunze gutera indwara zo mu nzira y'inkari. Kubura imyakura kenshi no kutagira impatwe nabyo byongera ibyago byo kongera kwandura indwara.

Ni gake cyane, indwara zidafite aho zihuriye, nk'indwara z'ubudahangarwa bw'umubiri zangiza ubwirinzi bw'umubiri, zishobora gutera indwara z'imiyoboro y'amaraso igaruka. Nanone, gukoresha catheter idasesagura inkari bishobora gutuma mikorobe zinjira mu nzira y'inkari zigatera ubwandu.

Ni gute ibitagenda neza mu njyana y'inkari bigaragazwa?

Niba umwana afite indwara zifata inzira y'inkari zigaruka, ni ngombwa gusuzuma niba hari ikibazo cyihishe inyuma y'urusobe rw'inkari . Ni byiza kohereza abana bafite indwara zifata inzira y'inkari ku muganga w'inkari w'abana kugira ngo amenye icyateye izo ndwara.

Hari ibibazo bishobora kugaragara mbere yo kuvuka . Urugero, indwara yitwa hydronephrosis igaragara mbere yo kuvuka ishobora kugaragara hakoreshejwe ultrasound hakiri kare mu byumweru 16. Ni gake cyane, iyo hydronephrosis igize impyiko zombi kandi ikaba ari ikibazo ku mwana uri mu nda, abaganga bashobora gutekereza kubagwa umwana ukiri muto. Ariko, akenshi, abaganga bavura iyo ndwara nyuma yo kuvuka k'umwana. Kimwe cya kabiri cy'izi ndwara zigaragara mbere yo kuvuka zishira umwana avutse.

Abaganga bahangayikishijwe cyane n'umuvuduko w'amaraso w'umwana uvutse ukekwaho kugira ikibazo cya hydronephrosis cyangwa ikindi kibazo cy'inkari. Ibi biterwa nuko hari ibibazo bimwe na bimwe by'impyiko bishobora gutera umuvuduko ukabije w'amaraso. Bashobora kandi gusaba ko bakorerwa ultrasound kugira ngo bamenye neza uruhago n'impyiko. Iyo iki kibazo gisa n'aho kigize ingaruka ku mpyiko zombi, abaganga bashobora kandi gusaba ko bapima amaraso kugira ngo barebe uko impyiko zikora.

Ni ibihe bizamini bikorwa?

Iyo hari ikibazo gikekwa mu buryo bw'inkari, abaganga bashobora gutumiza ibizamini nk'ibi kugira ngo bamenye neza indwara:

• Ultrasound: Ibi bikoresha amajwi menshi cyane kugira ngo bikore amashusho y'imbere mu mubiri. Bishobora kumenya ibibazo by'impyiko, ureter, n'uruhago. Bishobora kandi gupima ingano n'imiterere y'impyiko.
• Gupima impyiko (Gupima impyiko): Ibi bikubiyemo gutera ibintu bifite imirasire mu mitsi no kureba uko bigenda mu nganda z'inkari. Ibi bikoresho bigaragaza imiterere y'impyiko, uburyo zikora neza, niba hari ibyangiritse ku nyama z'impyiko, n'uko inkari zitembera. Nubwo hari imirasire mike yinjizwa muri iki kizamini, isohoka mu nkari.
• Gukoresha imashini yo gusohora amaraso mu rukenyerero (VCUG cyangwa Cystogram): Ibi bikubiyemo gushyiramo katheteri (umuyoboro woroshye kandi udafite icyobo) mu rukenyerero hanyuma ukayinyuzamo irangi ritagaragara, hanyuma hagakurikiraho X-ray. Ibi bishobora gufasha gusuzuma VUR no kumenya ibibazo biri mu rukenyerero cyangwa urethra.
• Isuzuma rya Ultrasound rikoresha uburyo bwo gupima ibara ry’uruhu (CeVUS):Bisa na `(VCUG)`. Muri ibi, hashyirwamo catheter hanyuma uruhago rwuzuramo umuti utagaragara hakoreshejwe X-rays, ahubwo ugaragara na `(Ultrasound).` Niba uyu muti ugaragara hafi y'impyiko, bivuze ko inkari zitemba inyuma (reflux).
• Cystoscopy: Ibi bikubiyemo gushyiramo igikoresho cyitwa cystoscope (umuyoboro ufite lenzi n'urumuri) binyuze mu muyoboro w'inkari kugira ngo urebe mu ruhago. Bikoreshwa iyo ibindi bipimo cyangwa ibimenyetso bigaragaza ko hashobora kuba hari ikintu kidasanzwe mu ruhago.
• Urography ya Magnetic Resonance (MR-U): Ubu buryo bukoresha MRI scan y’inkari hadakoreshejwe irangi cyangwa ibikoresho bya radiyo. Ni byiza nk’izindi scan. Ubu ikoreshwa cyane aho gukoresha Intravenous Pyelogram.
• Intravenous Pyelogram (IVP): Irangi ritagaragara rishyirwa mu mitsi, hanyuma hagafatwa X-ray kugira ngo harebwe uko irangi rinyura mu nganda z'inkari. Iki kizamini gikoreshwa rimwe na rimwe, ariko mu bihe byinshi cyasimbuwe na Renal MRI na Renal Scan.

Indwara zo mu nzira y'inkari zisubira kuvurwa zite?

Uburyo bwo kuvura indwara zo mu nkari zisubiramo buterwa n'impamvu . Hari igihe bishobora kuba byoroshye nko kwigisha umwana wawe gukuramo amaraso mu nkari ye akimara kumva akeneye kunyara .

Ariko niba ubwandu buterwa n'indwara nka VUR, igisubizo kiba kigoye kurushaho. Abana barwaye VUR bagomba gukurikiranwa cyane , kuko bishobora gutera indwara z'impyiko (pyelonephritis) no kwangirika kw'impyiko. Ariko abana benshi bakura iyo ndwara uko bagenda bakura . Hari abantu bashobora gukenera kubagwa kugira ngo bakosore ikibazo cyo kuruhuka kw'impyiko.

Bamwe mu bana bafite VUR bungukira mu gufata doze nto ya antibiyotike ku munsi. Ibi bishobora gutuma badakenera kubagwa. Abana bafite VUR bagomba koherezwa kwa muganga w’inzobere mu by’imiti y’abana akaba ari we ushobora gufata icyemezo niba imiti igabanya ubukana ari yo nzira nziza yo kuvura.

Mu bihe bimwe na bimwe, kubagwa birakenewe kugira ngo hakosorwe VUR. Kubagwa gukunze gukorwa cyane ni ukongera gutera ureteral . Ibi bisaba guhindura ureteral imwe cyangwa zombi mu buryo butuma inkari zidatemba zivuye mu ruhago. Ubu buryo bwo kubaga busaba gusa gukata gato. Ku bana bamwe, bushobora no gukorwa hakoreshejwe laparoscopy ifashishijwe robo. Niba bikenewe kubagwa, igipimo cyo gutsinda kiba kiri hejuru. Ariko, ntabwo bikwiriye buri wese.

Kubaga kongera gutera urwagashya mu mura bishobora kuba byiza ku bana bafite:

• Niba udashobora kwihanganira imiti igabanya ubukana bw'imiti.
• Niba ukomeje kwandura indwara zisubira inyuma nubwo ufata imiti yica udukoko.
• Niba ufite ikibazo gikomeye cyo kugabanuka k'inkari cyangwa "ku rwego rwo hejuru".
• Abana bakuze, ni ukuvuga abana bato n'ingimbi, bafite ikibazo cyo kudakora inkari.

Ubundi buryo bwo kongera gutera uturemangingo ni ugutera endoscopic . Ibi bikubiyemo gutera ikintu cyihariye mu gace uturemangingo twinjiramo mu ruhago kugira ngo hirindwe VUR. Muri ubu buryo, umuyoboro muto witwa endoscope ushyirwa mu ruhago unyuze mu muyoboro w'inkari. Endoscope ifite kamera nto ku mpera, bityo umuganga ashobora kuyiyobora aho neza no kuyitera. Ibi bifasha kwirinda ko inkari zisubira mu mpyiko. Nubwo gutera endoscopic bidatera cyane nko kubaga, ibisubizo ntabwo ari byiza nko kubaga. Umuganga w'inkari w'abana ashobora gufasha imiryango guhitamo uburyo bwiza bwo kuvura umwana ufite VUR.

Hari abana barwara indwara zisubira inyuma zidaterwa n'ubusembwa bw'umubiri cyangwa izindi ngorane zishobora kuvurwa. Bene abo bana bashobora gukenera gufata imiti yica udukoko mu gihe cy'amezi, ndetse n'imyaka, kugira ngo birinde kongera kwandura. Ubu buryo bwitwa prophylaxis ikomeza ya antibiyotike .

Wafasha ute nk'umubyeyi?

Gukora ibi bintu mu rugo bishobora gufasha abana kwirinda kwandura indwara zo mu nzira y'inkari ku buryo buhoraho:

• Nywa ibinyobwa: Shishikariza umwana wawe kunywa ibirahuri 8-10 by'amazi n'ibindi binyobwa ku munsi. Umutobe wa Cranberry n'ibinyobwa bya Cranberry nabyo bikunze kuvugwa kuko bikekwa ko bifasha mu gukumira bagiteri za E. coli gufata ku nkuta z'uruhago. Ariko, buri gihe uzabaze muganga wawe niba nta kibazo umwana wawe afite cyo kunywa umutobe wa Cranberry cyangwa ibinyobwa, kuko bishobora kugira ingaruka mbi ku miti imwe n'imwe.
• Ingeso nziza zo kwiyuhagira: Kunyara kenshi no kwirinda impatwe bishobora gufasha kwirinda kongera kwandura.
• Ubwiherero Butagira Ibibuno: Irinde gukoresha ubwogero bw'ibibuno n'amasabune arimo impumuro nziza ku bana, kuko bishobora gutuma utwobo tw'inkari tworoha cyane.
• Hindura ama-diaper kenshi: Ama-diaper agomba guhindurwa kenshi. Iyo amabyi agumye mu gitsina igihe kirekire, ashobora gusunika mikorobe zizamuka mu muyoboro w'inkari zikajya mu ruhago.
• Gusukura neza: Abakobwa bagomba guhanagura kuva imbere kugera inyuma nyuma yo kuva mu bwiherero. Ibi bizafasha kurinda inzira y'inkari mikorobe zishobora gutera indwara zo mu nzira y'inkari.
• Imyenda y'imbere ikoze mu ipamba:Kwambara imyenda y'imbere ikoze mu ipamba ituma imikorobe imera hafi y'umuyoboro w'inkari kurusha kwambara imyenda ya nylon cyangwa indi myenda ya sintetike ntibikunze gutera mikorobe hafi y'umuyoboro w'inkari.
• Kwiyuhagira buri gihe: Hari abana bashobora kudashaka gukoresha ubwiherero bw'ishuri. Cyangwa bakaba bahugiye mu kazi cyangwa mu mikino ku buryo batabasha kunyara . Abana bafite indwara zo mu nzira y'inkari bagomba kunyara nibura buri masaha 3 kugeza kuri 4. Ibi bifasha gukura mikorobe mu nzira y'inkari.

Ni ryari ngomba kujya kwa muganga?

Niba utekereza ko umwana wawe afite ubwandu bw'inkari, jya kwa muganga wawe vuba bishoboka . Muganga wawe ashobora kukugira inama yo kongera gupima inkari nyuma yo kuvurwa kugira ngo arebe neza ko ubwandu bwashize burundu.

Niba umwana wawe ahora arwaye indwara zo mu nkari, menya neza ko ugiye kubonana na muganga w’inkari w’abana. Ashobora gukora isuzuma ryuzuye no gutumiza ibizamini kugira ngo arebe niba hari ikibazo kiri mu nzira y’inkari. Hagati aho, kurikiza amabwiriza ya muganga wawe yo kuvura indwara zo mu nkari neza.

Hari ikintu gito kijyanye n'ejo hazaza

Ubushakashatsi buherutse bwagaragaje ko abagore n'abana barwaye indwara zo mu nkari zisubira kuba bafite ubwoko buke bwa immunoglobulines (itsinda rya poroteyine zirwanya indwara). Abashakashatsi bamwe bizera ko urukingo rushobora gukorwa rushobora kongera ikorwa ry'uturemangingo turwanya indwara zo mu nkari. Urukingo rwiza rumaze kugeragezwa kugira ngo rurinde E. coli, bagiteri ikunze gutera indwara zo mu nkari.

Amaherezo, ibuka ibi (Ubutumwa bwo kujyana mu rugo)

Yego, ukurikije ibyo twavuze uyu munsi, ugomba gusobanukirwa indwara zo mu nzira y'inkari mu bana bato, uko ziba iyo zigarutse, n'icyo wakora. Nta cyo ugomba gutinya, ariko ugomba kwitonda .

• Menya ibimenyetso: Itondere ibimenyetso nko kubabara iyo uri kunyara , kwihagarika kenshi, n'umuriro.
• Shaka muganga ako kanya: Niba ufite gushidikanya, hamagara muganga vuba.
• Shaka impamvu z’ishingiro: Niba ufite indwara zisubira inyuma, shaka inama kwa muganga. Ushobora kugira ikibazo nka `(VUR)`.
• Shyiraho ingeso nziza: Reka umwana wawe anywe amazi menshi, umushishikarize kujya kunyara kenshi, kandi umugire isuku.
• Kurikiza amabwiriza ya muganga: Kurikiza neza uburyo bwo kuvura.

Igikuru ni ukwita ku buzima bw'umwana wawe. Ndizera ko aya makuru azaba ingirakamaro kuri wewe!

Indwara zo mu nzira y'inkari, UTI zigaruka, Indwara z'abana, Indwara z'impyiko, VUR, Hydronephrosis, Urwungano rw'inkari