Ese impyiko z'umwana wawe zirabyimbye? Reka twige ku ndwara ya pyelectasis!

Iyo utwite umwana, ni ibisanzwe guhangayikishwa n'ubuzima bw'umwana wawe. Hari igihe, mu gihe cyo gupima umwana, abaganga bashobora kubona impinduka nto mu mpyiko z'umwana wawe, nko kubyimba gato. Ushobora kugira ubwoba gato iyo ubyumvise. Ni cyo pyelectasis ari cyo. Ariko ntugahangayike, tuzakomeza koroshya ibintu byose.

Pyelectasis ni iki?

Muri make, pyelectasis ni igihe umwana wawe afite inkari nke hagati mu mpyiko ye imwe akiri mu nda. Mu by'ukuri, agace k'impyiko aho inkari zihurira ni agace gasa n'akabyimbye gato.

Ibi biterwa no kuziba gato, cyangwa kuziba, inzira y'inkari zikorerwa mu mpyiko, zinyura mu muyoboro w'inkari (witwa kandi ureter) zikagera mu ruhago. Cyangwa, rimwe na rimwe, inkari zisubira inyuma ziva mu ruhago, zigana mu mpyiko (`Urinary reflux`).

Hari igihe abaganga bita iki kibazo nka pyelectasis, pelviectasis, pelvocaliectasis, cyangwa caliectasis, bitewe n'aho inkari zihurira. Ariko aya magambo yose yerekeza ku gukusanya inkari mu gice kimwe cy'impyiko.

Ni irihe tandukaniro riri hagati ya Pyelectasis na Hydronephrosis?

Aya mazina yombi yerekeza ku impyiko zibyimba bitewe n'inkari, ariko hari itandukaniro rito.

• Mu ndwara ya pyelectasis , kuziba kw'inkari mu nzira y'inkari akenshi kuba kugufi . Kubwibyo, inkari nke zirundanya mu mpyiko. Ibi bituma igice cyo hagati cy'impyiko kirushaho kwiyongera.
• Mu gihe cy’indwara ya hydronephrosis , iyi ndwara iba ikomeye cyane, bivuze ko iba ikomeye . Hanyuma inkari nyinshi zirundanya mu mpyiko, kandi mu bihe bimwe na bimwe bikomeye, impyiko ishobora kubyimba nk’inyuma y’impyiko.

Akenshi, pyelectasis irakira ubwayo nta muti . Ariko, hafi 10% by'abayirwaye, ishobora gutera hydronephrosis. Muri iki gihe, ushobora gukenera kubonana na muganga w'indwara z'imitsi y'abana cyangwa umuganga w'inkari nyuma yo kuvuka k'umwana.

Iyi ndwara ikunze kugaragara gute?

Indwara ya Pyelectasis ni indwara ikunze kugaragara . Ibaho ku nda imwe kuri 40. Ishobora gufata impyiko imwe gusa (pyelectasis imwe) cyangwa impyiko zombi (pyelectasis ebyiri).

Tekereza kuri ibyo,Abana b'abahungu bafite amahirwe menshi yo kurwara iyi ndwara inshuro eshatu kurusha abana b'abakobwa.

Ese Pyelectasis irakomeye?

Kenshi na kenshi, pyelectasis nta ngaruka mbi igira ku mwana wawe. Abana benshi bafite iyi ndwara bavuka ari bazima kandi bameze neza.

Ariko, ni gake cyane, iyi ndwara ya pyelectasis ishobora kumera nk'indwara ikomeye yitwa hydronephrosis. Muri icyo gihe, abaganga bashobora gusaba kubagwa (kubagwa umwana akiri mu nda) umwana akiri mu nda kugira ngo hirindwe kwangirika kw'impyiko z'umwana. Ariko, ibi ni gake cyane.

Ese ibi bifitanye isano na Down syndrome?

Niba isuzuma rya ultrasound ry'umwana wawe rigaragaza ko afite pyelectasis, hari amahirwe menshi y'uko yagira ikibazo cya chromosome cyitwa Down syndrome . Ariko, ibi ntibivuze ko buri mwana wese ufite pyelectasis afite Down syndrome. Mu by'ukuri, abana benshi bafite pyelectasis ntabwo bafite Down syndrome.

Mu magambo make, iyo pyelectasis idaherekejwe n'ibindi bisubizo by'amaraso bidasanzwe cyangwa ibindi bibazo byagaragaye kuri scan, akenshi bifatwa nk'impinduka nto mu mikurire isanzwe y'umwana uri mu nda.

Ibimenyetso ni ibihe?

Pyelectasis mu gihe utwite akenshi nta bimenyetso igira . Iyi ndwara ikunze kugaragara mu gihe cyo gupima ultrasound mbere yo kubyara.

Ni iki gitera pyelectasis mu mwana uri mu nda?

Hari impamvu ebyiri z'ingenzi.

1. Kuziba kw'aho uruziga rw'inkari ruhurira:

Icyo bibaho muri iki kibazo ni uko habaho kuziba cyangwa kuziba aho umuyoboro utwara inkari mu mpyiko y'umwana (witwa 'ureter') uhurira n'impyiko (witwa 'ureteropelvic junction'). Hanyuma, inkari ntizishobora gusohoka, ni ukuvuga mu muyoboro w'inkari, ngo zifatirwe mu mpyiko. Kubera uku kuziba, umuvuduko uri mu mpyiko uriyongera, bigatera pyelectasis, kandi uko igihe kigenda gihita, imikorere y'impyiko ishobora kugabanuka.

2. Kugabanuka k'umuvuduko w'amaraso mu muyoboro w'amaraso:

Ubusanzwe inkari zikorerwa mu mpyiko zinyura mu miyoboro y'inkari zikinjira mu ruhago. Hanyuma zisohoka mu mubiri w'umwana zikinjira mu mazi y'umura ari mu nda.

Ariko, hari ubwo inkari ziva mu ruhago zisubira hejuru, ni ukuvuga zinyuze mu miyoboro y'inkari, zigera mu mpyiko.Ibyo nibyo bita vesicoureteral reflux. Iyo inkari zisubira inyuma muri ubu buryo zigumye mu mpyiko igihe kirekire kandi zigatera kubyimba, bishobora no gutera pyelectasis.

Ubibona ute?

Abaganga basuzuma indwara ya pyelectasis mu gihe cyo gupima umwana utwite hakoreshejwe ultrasound . Iyo scan yawe igaragaje ko ari yo, wowe n'umwana wawe muzakenera gukurikiranwa neza mu gihe cyose mutwite.

Ni ubuhe buryo bwo kuvura?

Inkuru nziza ni uko akenshi, pyelectasis ikemuka ubwayo nta buvuzi bwihariye.

Muganga wawe azakurikirana iki kibazo mu gihe cyose utwite. Nibiba ngombwa, umwana wawe azasuzumwa na muganga w’inkari z’abana cyangwa umuganga w’indwara z’imitsi y’abana nyuma yo kuvuka.

Mu bihe bimwe na bimwe, umuganga w’inkari w’abana ashobora kubaga yitwa pyeloplasty , ikoreshwa mu kugabanya kuziba hagati y’impyiko n’umuyoboro w’inkari.

Mu gihe cyo gutwita, abaganga bashobora gusaba ko umwana abagwa gusa iyo indwara, nka pyelectasis cyangwa hydronephrosis, ikomeye bihagije ku buryo yangiza impyiko. Ariko, ibi ni gake cyane .

Ese nshobora kugabanya iyi ngaruka ku mwana wanjye?

Pyelectasis ni impinduka nto mu mikurire y'umwana uri mu nda, bityo nta buryo bwo kuyirinda . Ariko, ni ngombwa ko ukorerwa isuzuma rya ultrasound buri gihe mu gihe utwite. Iki ni cyo gihe muganga ashobora gukurikirana ikibazo no kukugira inama yo kugifata nibiba ngombwa.

Bigenda bite iyo umwana wanjye arwaye pyelectasis?

Muganga wawe aramutse asanze ufite pyelectasis binyuze mu gupima, wowe n'umwana wawe mushobora gukurikiranwa mu gihe utwite ndetse na nyuma yuko umwana wawe avutse. Muganga wawe azajya asuzuma buri gihe kugira ngo arebe niba kuziba kw'imitsi kwarushijeho kwiyongera.

Iyo pyelectasis ikomeje kwiyongera igahinduka hydronephrosis, uzakenera kujya kwa muganga w’inzobere mu by’imirire y’abana cyangwa muganga w’indwara z’imitsi y’abana nyuma yo kuvuka k’umwana wawe. Bazasuzuma umwana wawe hanyuma bafate umwanzuro niba akeneye kuvurwa.

Ni gake cyane, kuziba kw'impyiko guterwa na pyelectasis bishobora kuba bikomeye bihagije kugira ngo byangize impyiko mu gihe umwana akiri mu nda. Niba bikekwa ibi, muganga wawe azakubwira ibijyanye no kubaga umwana uri mu nda.

Ese Pyelectasis ishobora kuvurwa?

Yego rwose! Mu bihe birenga 90%, pyelectasis irakira ubwayo . Iyo kuziba gukomeye, hashobora kuba ngombwa kubagwa kugira ngo ikibazo gikemuke.

Abana bafite hydronephrosis ikomeye bashobora kugira ibibazo bikomeza nyuma yo kuvuka. Muri ibyo bihe, umwana wawe ashobora gukenera kubagwa.

Ni ryari ngomba kubonana na muganga?

Ni ingenzi cyane kujya kwisuzumisha kwa muganga no gupima indwara. Abaganga bashobora gusuzuma indwara ya pyelectasis gusa bakoresheje ultrasound scan. Bazakurikirana neza indwara yawe kandi baguhe inama yo kuyivura nibiba ngombwa.

Ni ibihe bibazo ngomba kubaza muganga?

Niba scan yawe igaragaje ko ufite pyelectasis, ushobora kubaza muganga wawe ibibazo nk'ibi:

• Ese umwana afite ikibazo cy'impyiko? Niba ari byo, kiri he?
• Ese ufite ikibazo cyo kugabanuka k'inkari?
• Ese uku kubyimba kw'ibinure byoroshye, biri hagati, cyangwa bikomeye?
• Ese hari ikindi kintu nakoze kuri scan cyangwa ibizamini by'amaraso bigaragaza ko umwana ashobora kuba afite Down syndrome cyangwa indi ndwara ya chromosomes?
• Ni amahirwe angahe ko umwana wanjye azakenera kubagwa?

Ubutumwa bwo kujyana mu rugo

Ni ibisanzwe kumva ufite ubwoba no guhangayika iyo umenye ko umwana wawe afite pyelectasis. Ariko akenshi, icyo ukeneye ni ukumukurikirana gusa . Muganga wawe azagukorera ibizamini bikenewe kugira ngo arebe niba iki ari ikibazo cyihariye cyangwa ikimenyetso cy'indi ndwara. Bazakurikirana indwara yawe neza kandi bazagufasha muri buri ntambwe. Rero ntugire ubwoba butari ngombwa. Icy'ingenzi ni ugukurikiza amabwiriza ya muganga wawe.

Pyelectasis , impyiko zo mu mwana ukiri mu nda, hydronephrosis, ultrasound yo mu gihe cyo kubyara, kuziba kw'aho ureteropelvic junction, reflux ya vesicoureteral, ubuzima bw'umwana, kubyimba impyiko, ubuzima bwo gutwita