Wakambonzwa sekuti mwanakomana wako mudiki ari kunetseka kuita weti here? Kana kuti anonzwa sekuti urethra yake yakamanikana uye inodonha mvura here? Kunyange hazvo vamwe vabereki vangasanyatsoteerera zvinhu izvi, izvi zvinogona kunge zviri chiratidzo chedambudziko rekuzvarwa naro rinongobata vakomana chete. Nhasi tiri kutaura nezvechimwe chezvirwere zvakadaro, Posterior Urethral Valves (PUV).
Chii chaizvo chinonzi Posterior Urethral Valves (PUV)?
Zvichitaurwa zviri nyore, maPosterior Urethral Valves (PUV) chirwere chekuzvarwa nacho chinongobata vakomana chete. Chinoitika muchiitiko ichi ndechekuti chikamu chakafanana nemembrane chinokura mukati mechubhu inotakura weti (tinoidaidza kuti urethra). Funga nezvayo sechinhu chakanamirwa mupombi yemvura. Nenzira iyi, membrane haigone kuyerera zvakanaka nekuda kweweti.
Chii chinoitika nekuda kweizvi? Dundira remwana haribudi zvakanaka. Saka weti iyi yakaungana inoyerera ichidzokera kumashure yotanga kukuvadza dundira neitsvo . Dambudziko iri rinoitika mwana achiri mudumbu. Nokudaro, dzimwe nguva rinogona kuonekwa kuburikidza nekuskena mwana asati aberekwa, kana mushure mekuzvarwa, kana panguva yehudiki. Rimwe zita reizvi ndi `(Congenital Obstructive Posterior Urethral Membrane - COPUM)`.
Izvi zvinowanzoitika here?
Kwete, ichi hachisi chirwere chinokanganisa munhu wese. Asi chirwere ichi, chinonzi PUV, ndicho chinokonzera kuvharika kwenzira dzeweti muvakomana vadiki.
Ndezvipi zviratidzo zvechirwere ichi?
Zviratidzo izvi zvinogona kusiyana kubva pamwana nemwana. Dzimwe nguva, vanachiremba vanoona zviratidzo izvi mumaskeni aamai vasati vaberekwa. Dzimwe nguva, zviratidzo izvi zvinogona kuonekwa mushure mekunge mwana aberekwa.
| Hunhu | Tsananguro iri nyore |
|---|---|
| Weti isina simba kana kuti inodonha zvishoma nezvishoma | Kana mwana achiita weti , weti haibude nesimba, asi inobuda muhuwandu hudiki, hwakaita sehwemadonhwe. |
| Utachiona hwemunzira weti hunowanzoitika (UTIs) | Nekuti weti haibudiswi zvakanaka, mabhakitiriya anogona kukura zviri nyore uye kukonzera hutachiona. |
| Kuderedza uremu hwemwana | Kuwedzera huremu kunogona kunonoka nekuti mwana haasi kuwana chikafu chakakodzera chinodiwa kuti akure. |
| Marwadzo panguva yekuzviitira weti (dysuria) | Kana mwana wako achichema kana kuratidza kusagadzikana paanenge achiita weti , zvinogona kunge zvichikonzerwa nekurwadziwa. |
| Kuoma kwekuita weti | Kana mwana achifanira kushanda nesimba kuti aite weti, izvozvowo chiratidzo. |
| Mvura yeamniotic yakaderera `(oligohydramnios)` | Izvi zvinoonekwa panguva yekuongororwa kwemwana ari mudumbu. |
| Kuzvimba kweitsvo (hydronephrosis) | Vanachiremba vanogonawo kuona izvi kuburikidza nekuskena panguva yekuzvitakura. |
Sei izvi zviri kuitika?
Chikonzero chaicho cheizvi hachisati chazivikanwa, asi tinoziva kuti zvinoitika nekuti membrane iyi inoumbwa muurethra panguva yekutanga kwekukura kwemwana ari mudumbu.
Chinhu chinonyanya kukosha ndechekuyeuka kuti ichi hachisi chinhu chawakanganisa . Ichi chikamu chekukura kwemuviri wemwana.
Ndezvipi zvinetso zvinogona kukonzera izvi?
Kana chirwere ichi chikasarapwa nenguva, chinogona kukonzera matambudziko makuru ehutano, sezvo itsvo dzichigara dzichikuvara nekuda kwekuyerera kweweti kumashure.
| Dambudziko | Zvinorevei izvo? |
|---|---|
| Kudzokera kweweti muitsvo (vesicoureteral reflux/VUR) | Weti inozadza dundira inodzokera kumusoro, kureva kuti, ichienda kuitsvo. Izvi zvinokuvadza itsvo. |
| Kusakwanisa kubvisa zvese zviri mudundira (weti inochengetwa) | Nguva dzose panogara paine weti yasara mudundira. Ichi ndicho chikonzero chikuru chehutachiona. |
| Kuzvimba kweitsvo | Itsvo dzinotanga kuzvimba nekuda kwekumanikidzwa kweweti. |
| Kukundikana kweitsvo | Ichi ndicho chirwere chakakomba zvikuru chinogona kuitika. Nekufamba kwenguva, itsvo dzinogona kukuvara dzorega kushanda. |
Vanachiremba vanozviwana sei izvi?
Chiremba achaongorora mwana uye, kana zvichidikanwa, achakurudzira mimwe yemiedzo iyi.
| Bvunzo | Unoitei neizvi? |
|---|---|
| Kuongororwa kweitsvo ne ultrasound | Izvi zvichatarisa chitarisiko cheitsvo dzemwana, dundira, uye nzira yeweti, uye zvichatarisa kana paine zvipingamupinyi. |
| Kuvhiyiwa kweCystourethrogram (VCUG) | Iyi i X-ray test yakakosha inogona kuratidza kuti dundira rinozadza sei uye rinobudisa mvura sei, uye kuti panenge paine zvivhariso muurethra. |
| Cystoscopy | Kuongororwa uko chubhu ine kamera diki inopfuudzwa muurethra uye kuvharika kuri mukati kunoonekwa zvakananga. |
| Kuongororwa kwebasa reitsvo | Kuongororwa kweropa neweti kunoongorora kuti itsvo dzemwana dziri kushanda zvakanaka sei. |
Ndezvipi zvinorapwa izvi?
Kurapa kukuru kweizvi kuvhiyiwa kubvisa membrane inovhara. Izvi zvinowanzoitwa uchishandisa nzira inonzi ``fulguration.'' Izvi zvinoreva kushandisa kupisa kubva kumagetsi kuparadza nyama yakawedzerwa.
Pamusoro pezvo, chiremba anogona kukurudzira mamwe marapirwo zvichienderana nemamiriro emwana.
- Kuisa weti mu catheter: Chubhu yenguva pfupi (catheter) inogona kuiswa kuti ibudise weti kubva mudundira.
- Mishonga inorwisa mabhakitiriya: Kana uine chirwere chemudumbu, uchapihwa mishonga inorwisa mabhakitiriya kuti irapwe.
- Kana itsvo ikatadza kushanda: Kana dambudziko racho rikanyanya uye itsvo ikatadza kushanda, dialysis kana kutoisirwa itsvo zvinogona kudiwa.
- Mimwe mishonga: Mishonga inorwisa kupwanya tsinga inogonawo kupihwa kuti weti ive nyore.
Kashoma, kuvhiyiwa kunogona kuitwa mwana achiri mudumbu.
Chii chinoitika mushure mekurapwa? Ndeipi tarisiro?
Mwana ane PUV achada kutarisirwa nachiremba kweupenyu hwake hwese, kunyangwe mushure mekurapwa. Kuongororwa ropa nguva dzose, kuskenwa, uye kushanda kweitsvo zvinofanirwa kuongororwa.
Vamwe vana vanogona kutanga kusazvidzora pakuita weti vachiri vadiki kana kuti sevanhu vakuru. Ongororo dzinoratidza kuti vana vanosvika 15% vane dambudziko iri vari panjodzi yekukundikana kweitsvo. Zvisinei, dambudziko nderekuti vana 85 pavana 100 havaiti dambudziko iri rakakomba . Saka, zvakakosha kuti uzvione nekukurumidza, uzvirape zvakanaka, uye ugare uchitaurirana nachiremba wako.
Ndinofanira kuona chiremba rini?
Kana muchifunga kuti mwana wenyu ane chimwe chezviratidzo zvatakurukura, ndapota musanonoka.Endai nemwana wenyu kuna chiremba nekukurumidza. Kana zvikasarapwa, izvi zvinogona kukonzera matambudziko makuru ehutano.
Mibvunzo ipi yaunofanira kubvunza chiremba?
Paunoenda kunoona chiremba, zvichabatsira kubvunza mibvunzo iyi.
- Ndezvipi zvingasarudzwa pakurapa izvi?
- Kurapa uku kunoitwa sei chaizvo?
- Chii chaunofanira kutarisira panguva yekupora mushure mekurapwa?
- Ndinofanira kutarisira sei mwana panguva iyoyo?
- Tinofanira kuuya kunoona chiremba zvakare riini?
Zvakajairika kuti unzwe kutya kana ukaona kuti mwana wako ane dambudziko rehutano rakadai. Asi chinonyanya kukosha kunzwisisa kuti iyi haisi mhosva yako. Chiremba wako nechikwata chehutano vachakubatsira nhanho imwe neimwe. Saka usatya. Tevedzera mirairo yachiremba wako nemazvo, uye bvunza chero mibvunzo yauinayo.
Mharidzo Yekuenda Nayo Kumba
- Mavharuvhu ePosterior Urethral (PUV) chirwere chekuzvarwa nacho chinongobata vakomana chete uye chinovhara kuyerera kweweti.
- Kushaya simba kwenzira yeweti, kutapukirwa nezvirwere zveweti nguva nenguva, uye kudzikira kwehuremu mumwana zvinogona kunge zviri zviratidzo zvikuru.
- Dambudziko iri rinogona kuonekwa kuburikidza nekuongororwa kwemasero mwana asati aberekwa.
- Kurapa kukuru kubvisa kuvharika kweurethra kuburikidza nekuvhiyiwa.
- Kunyangwe mushure mekurapwa, kuongororwa kwechiremba kwehupenyu hwese kwakakosha zvikuru kuchengetedza hutano hweitsvo dzemwana.
- Zvakakosha kunzwisisa kuti iyi haisi mhosva yevabereki.
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