Kana uri amai vane pamuviri, pamwe unoziva maskeni anoongorora hutano hwemwana wako. Dzimwe nguva, kana izwi rekuti "megaureter" rikaonekwa paskeni, zvakajairika kuti unzwe kutya uye kunetseka. Asi usazvidya mwoyo. Kana uchinyatsoziva nezvechirwere ichi, uchasimba zvakanyanya pakuchitarisana nacho. Nhasi, ngatitaurei kuti chii, nei chichiitika, uye chii chingaitwe nezvazvo.
Zvichitaurwa zviri nyore, chii chinonzi Megaureter ichi?
Zvakanaka, ngatitangei tanzwisisa zvishoma nezve mashandiro anoita weti mumuviri wedu. Tine itsvo mbiri. Idzi ndidzo dzinosefa ropa redu uye dzinogadzira weti (weti) kubva mutsvina isingadiwi. Zvadaro, kune machubhu maviri matete anotakura weti iyi kuenda kudundira. Machubhu maviri aya ndiwo atinodaidza kuti maureter .
Kazhinji, urethra mumunhu ane hutano inenge iri chubhu yakatetepa inosvika masendimita gumi nemashanu uye yakafara masendimita gumi nerimwe. Zvisinei, mune chirwere chinonzi ``megaureter``, urethra iyi yakakura uye yakafara kupfuura zvakajairwa. Zvichitaurwa zviri nyore, i "mega" (hombe) "ureter" (ureter) sezvinoreva zita racho.
Ichi chinowanzova chirwere chekuzvarwa nacho chinoitika mwana achiri mudumbu. Ndosaka chichiwanzoonekwa panguva yekuongororwa kwemwana asati aberekwa. Kana chikarapwa zvakanaka, chirwere chakakomba chinonzi ``Megaureter`` chinogona kukuvadza weti yemwana.
Kune mhando huru dzema megaureter here?
Ehe, chirwere ichi chinogona kukamurwa kuita mhando huru dzakasiyana zvichienderana nekuti chinoitika sei. Kana chiremba wako achishandisa mazwi aya, ngatidzidze nezvawo kuti zvive nyore kunzwisisa.
| Rudzi rweMegaureter | Zvinoitika zviri nyore. |
|---|---|
| Megaureter yekudzorera mweya | Apa ndipo panobva weti kubva mudundira ichiyerera ichidzokera shure, ichikwira, ichidzika pasi peureter ichienda kuitsvo. Kuyerera uku kwekudzokera shure (vesicoureteral reflux) kunoita kuti ureter itambanuke uye ikure zvishoma nezvishoma. |
| Megaureter Yakavharirwa Yekutanga | Chinoitika apa ndechekuti urethra, painobatanidza nedundira, inovharika uye inotetepa. Zvakafanana nekudzvanya pombi yemvura kumagumo. Izvi zvinoita kuti weti ibude (blockage) uye chubhu inozadzwa neweti, zvichiita kuti izvimbe uye ikure. |
| Megaureter yekutanga isina kuvharwa, isingadzoreki | Muchiitiko ichi, hapana chimwe chezvikonzero zvataurwa pamusoro apa chiripo. Kureva kuti, weti haidzokeri kumashure, uye hapana kana kuvharika. Asi urethra yakura. Kazhinji, chirwere ichi chinopora chega mwana paanokura. |
| Megaureters yechipiri | Izvi zvinokonzerwa nezvimwe zvirwere, zvakaita sekuvharika kweurethra, prune belly syndrome , kana kuti neurogenic dundira . |
Ndezvipi zviratidzo zvingava nemwana wangu kana aine chirwere ichi?
Kazhinji, vana vane megaureter havana zviratidzo . Ndosaka kuongorora pamuviri kuchikosha zvikuru. Zvisinei, vamwe vana, kunyanya mushure mekuzvarwa, vanogona kuva nezviratidzo. Izvi zvinosanganisira:
- Kurwadziwa kwepachipfuva: Kurwadziwa kunobva kumusana, pasi pembabvu.
- Ropa muweti (hematuria): Kana weti ikashanduka kuita pingi, tsvuku, kana shava.
- Kutapurirana kwezvirwere zvemudumbu (UTIs) kakawanda: Kutapurirana kwezvirwere zvemudumbu kunogona kukonzera fivha, kutonhora, uye kupisa paunenge uchiita weti.
- Fivha isina chikonzero.
- Kutadza kudzora weti: Kana mwana wako akura zvishoma, zvinogona kuoma kudzora weti yake.
Chinhu chakakosha ndechekuti havasi vana vese vane hunhu uhwu. Hunhu hwemwana mumwe hunogona kusiyana zvikuru nehwemumwe.
Sei izvi zvichiitika kuvana vacheche? Chikonzero chacho ndechei?
Zvakaoma kutaura chikonzero chimwe chete cheizvi, asi kune zvikonzero zvikuru zvishoma zvakawanikwa.
Kana mwana ari kukura mudumbu, urethra inoumbwa netsandanyama dzinogona kukwenya. Tsandanyama idzi dzinokwenya semafungu kuti dzisundire weti kubva muitsvo kuenda kudundira. Tinoidaidza kuti maitiro aya "peristalsis".
Zvisinei, dzimwe nguva, panzvimbo petsandanyama iyi, nyama yakasimba, isingachinjiki, ine fibrous inokura muchikamu cheurethra. Chikamu ichi chakaoma hachigone kupwanyika saizvozvo. Nekuda kweizvozvo, kuyerera kweweti kunovharika, uye chubhu inozadzwa neweti, zvishoma nezvishoma ichikura.
Pamusoro pezvo, kuvharika kwemusuwo weurethra kuenda kudundira, kana kusashanda zvakanaka kwemucheto weurethra (ureterocele), zvinogonawo kukonzera chirwere chinonzi ``megaureter'', chinotadzisa kuyerera kweweti.
Ongororo yakawana kuti chirwere ichi chinowanikwa nevakomana kanenge ka4 kupfuura vasikana.
Vanachiremba vanoongorora sei izvi? Ndedzipi bvunzo dzinoitwa?
Sezvambotaurwa, izvi zvinowanzoonekwa panguva yekuzvitakura kuburikidza ne ultrasound scan (ultrasound/sonogram) , iyo inobvumira itsvo dzemwana, ureter, uye dundira kuti zvionekwe zvakajeka.
Kana mwana wako akaratidza zviratidzo zvakaita sezvirwere zvemunzira yeweti nguva nenguva mushure mekuzvarwa, chiremba wako achaongorora mwana wako uye achakurudzira kuongororwa kwakawanda kana vachifungidzira kuti ane chirwere ichi.
- VCUG (Voiding Cystourethrogram): Iyi imhando yeX-ray yakakosha. Pano, chubhu yakatetepa kwazvo (catheter) inopinzwa muurethra yemwana, uye mvura yakakosha (contrast dye) inopfuudzwa nepakati payo ichipinda mudundira. Zvadaro, kana mwana aita weti, X-ray inotorwa kuti ione kana mvura yacho ichibuda neweti kana kuti inodzokera kuurethra.
- Kuongororwa kweitsvo neultrasound: Izvi zvinogona kukubatsira kuona saizi, chimiro, uye kuvapo kwezvipingamupinyi muitsvo nedundira remwana wako.
- Kuongororwa kweRenal: Muongororo iyi, huwandu hushoma hwezvinhu zvine radioactive (radiotracer) hunopinzwa mutsinga yemwana. Zvadaro, scanner yakakosha inoshandiswa kuona kuti zvinhu izvi zvinopinda sei muitsvo. Izvi zvinogona kubatsira kuona kuti itsvo dziri kushanda zvakanaka sei uye kana paine kuvharika kwemvura yeweti.
- Kuongororwa kweropa (Electrolyte panel): Maerekitiroti ari muropa anoongororwa kuti itsvo dzemwana dziri kushanda zvakanaka here.
- Kuongororwa kweweti: Muenzaniso weweti unotorwa woongororwa kana paine zviratidzo zvehutachiona hweweti.
Izvi zvingarapwa sei? Kuvhiyiwa kunodiwa here?
Kurapwa kwechirwere ichi kunosiyana zvichienderana nemwana. Zvinoenderana nezera remwana, rudzi rwezviratidzo, uye hutano hwake hwese.
Mashoko akanakisa ndeekuti,Vana vazhinji havadi kurapwa kwakanyanya kana kuvhiyiwa. Dambudziko racho rinowanzovandudzika roga sezvo mwana achikura.
Saka, vanachiremba vanotanga nepfungwa yekuti "tarisa-uye-mirira" . Munguva iyi:
- Kuongororwa kweultrasound nguva dzose kunoitwa kuti vaone kana itsvo dzemwana dziri kukura zvakanaka.
- Mishonga inorwisa mabhakitiriya inogona kuramba ichishandiswa kuderedza njodzi yehutachiona hwemunzira yeweti (UTIs).
Zvisinei, kana chirwere chacho chikasavandudzika mugore rekutanga remwana, kana urethra ikawedzera kukura (yakakura), kana hutachiona hwemudumbu hukaramba huripo, kana kuti itsvo dzikakanganiswa, saka kuvhiyiwa kunogona kudiwa.
Kune mhando mbiri huru dzekuvhiya:
1. Ureterostomy: Pano, chiremba anovhiya anobatanidza urethra yemwana neburi diki (stoma) rinogadzirwa mudumbu. Zvadaro, weti inoyerera zvakananga kubva paburi ichipinda mumanapukeni emwana pane kupinda mudundira. Izvi zvinopa urethra neitsvo zororo uye zvinoita kuti zvidzoke. Mushure memwedzi mishoma, kana urethra yadzokera pahukuru hwayo hwenguva dzose, kumwe kuvhiyiwa kunoitwa kuti idzokezve nedundira.
2. Pyeloplasty: Kuvhiyiwa uku kunosanganisira kubvisa kana kugadzirisa chikamu chakavharika kana chakamanikana cheurethra, uye kubatanidzazve zvikamu zviviri zvasara zveurethra.
Kubudirira kwemabasa ekuvhiyiwa uku kwakanyanya kwazvo. Saka hapana chikonzero chekuzvitya. Chiremba achakutsanangurira zvakadzama kuti ndeapi marapirwo akanakira mwana wako.
Pane dzimwe nguva dzaunofanira kuendesa mwana wako kuETU here?
Ehe. Kana mwana wako aine chirwere chinonzi ``Megaureter'' uye aine chimwe chezviratidzo zvinotevera pamwe chete nehutachiona hweweti (UTI), muendese kuEmergency Department (ETU) yechipatara chiri pedyo nekukasika .
- Kurwadziwa kwemusana
- Fivha yakanyanya
- Kusvotwa nekurutsa
Usagare pamba panguva yakaita seiyi. Zvakakosha kutsvaga rubatsiro rwechiremba nekukasika.
Mharidzo Yekuenda Nayo Kumba
- Megaureter kukura kusingawanzoitiki kwechubhu inotakura weti kubva kuitsvo yemwana kuenda kudundira. Ichi chinowanzova chirwere chekuzvarwa nacho.
- Usazvidya moyo kana ukawana ruzivo nezveizvi panguva yekuongororwa panguva yekuzvitakura. Vana vazhinji havadi kuvhiyiwa , uye dambudziko racho rinopera roga mwana paanokura.
- Kana chiremba wako achikurudzira nzira ye "kumirira wakangwarira", iva nechokwadi chekuti waendesa mwana wako kunoongororwa pazuva rakarongwa.
- Kutapukirwa nehutachiona hwemunzira yeweti nguva nenguva chiratidzo chinowanzoitika chechirwere ichi. Saka, tora mishonga inorwisa mabhakitiriya yawakanyorerwa nachiremba wako sezvawakanyorerwa.
- Kana kuvhiyiwa kuchidikanwa, mwero wekubudirira wakakwira zvikuru, saka usazvitya zvisina kufanira.
- Kana mwana aine zviratidzo zvakaita sefivha, kurwadziwa kwemusana, uye kurutsa, muendesei kuchipatara kuEmergency Treatment Unit (ETU) nekukasika.
- Bvunza chiremba wako chero mibvunzo kana zvinokunetsa. Vachakupa ruzivo rwese nerutsigiro rwaunoda.











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