Patinotarisa dumbu remwana achangoberekwa, tinowanzoona rakatsetseka uye rakazara, handiti? Asi fungidzira, dzimwe nguva, zvisingatarisirwi, tinoona kuti ganda riri padumbu remwana rakakombama zvakanyanya, sechibage cheprune. Uchiona izvi, saamai kana baba, unganzwa kutya uye kushamisika zvikuru. "Oh, chii chakaitika kumwana wangu?" Ungafunga. Ichi chirwere chisingawanzoitiki. Nhasi tiri kutaura nezvechirwere chisingawanzoitiki chinogona kukonzera izvi, chinonzi Prune Belly Syndrome . Usazvidya mwoyo, tichataura nezvezvinhu zvese zviri nyore uye zvakajeka.
Zvichitaurwa zviri nyore, chii chinonzi Prune Belly Syndrome?
Chirwere chePrune Belly Syndrome chirwere chisingawanzoitiki chinoitika pakuzvarwa nacho. Chinonzi zita racho nekuti ganda remudumbu remwana rinoita seprune. Chine zviratidzo zvikuru zvitatu. Ndosaka dzimwe nguva chichinzi 'Triad Syndrome'. Chinonziwo 'Eagle-Barrett Syndrome' vachikudza vanachiremba vakachiwana.
Zvinhu zvikuru zvitatu izvi ndeizvi:
1. Tsandanyama dzemudumbu dzisina simba kana kuti dzisiripo: Dumbu redu rine tsandanyama dzinobatsira kuchengetedza chimiro charo uye kudzivirira nhengo dziri mukati, dzakadai seura. Muvana vacheche vane chirwere ichi, tsandanyama idzi hadzikure zvakanaka. Dzimwe nguva hadzina kuumbwa zvachose. Ndosaka ganda riri padumbu richitaridzika rakakwenya uye rakatetepa.
2. Machende asina kudzika: Mumwana wechirume, machende anowanzo kuwanikwa kunze kwemuviri mudumbu. Zvisinei, muvana vane chirwere ichi, machende acho ari mukati medumbu. Haasati adzika.
3. Matambudziko emudumbu weti: Ichi ndicho chikamu chakakomba chechirwere ichi. Itsvo dzemwana, dundira, nemachubhu anobatanidza (ureters) hazvina kukura zvakakwana. Izvi zvinogona kukonzera matambudziko makuru ekuita weti.
Kuwedzera kune zviratidzo zvikuru zvitatu izvi, vamwe vacheche vanogonawo kuva nematambudziko akasiyana-siyana emwoyo, mapapu, ura, uye mapfupa.
Dambudziko iri rakajairika zvakadii?
Ichi chirwere chisingawanzoitiki. Chinobata mwana mumwe chete pavana vacheche 30,000 kusvika 40,000. Chinoshamisa ndechekuti 95% yezviitiko izvi inoshumwa muvakomana . Izvi zvinodaro nekuti dambudziko remachende asina kusimba ratakataura nezvaro rinobata vakomana chete.
Ndezvipi zviratidzo zvingakubatsira kuziva kana mwana wako ane chirwere ichi?
Chirwere chePrune Belly chinonzi chine zviratidzo zvinopfuura makumi mashanu. Zvisinei, zviratidzo izvi zvinogona kusiyana kubva pamucheche kusvika pamucheche. Vamwe vacheche vanogona kubatwa zvakanyanya, nepo vamwe vangave vasina kurwara zvakanyanya. Chiremba wako achaongorora mwana wako uye oita bvunzo dzinodiwa kuti asimbise izvi zvechokwadi.
Ngatitarisei tafura iri pazasi kuti tione kuti ndeapi zviratidzo zvinonyanya kuzivikanwa.
| Chiratidzo | Tsananguro iri nyore |
|---|---|
| Ganda rakakwenya padumbu | Nekuda kwemhasuru dzemudumbu dzisina simba kana kuti dzisiripo, ganda rinogona kutsveyama roita serakakwenya semazambiringa akaomeswa. |
| Kuva nedumbu guru | Nekuti mudumbu hamuna tsandanyama, zvinhu zvakaita sematumbu ari mukati zvinoita sekunge zviri kusundirwa kunze. Dzimwe nguva, matumbu akakombama anogona kuonekwa kuburikidza neganda rakatetepa. |
| Matumbu Asina Kudzika | Muvana vechirume, chibereko chimwe chete kana zvose zvinosara mudumbu zvisingadzike mudumbu. |
| Matambudziko ehurongwa hweweti | Matambudziko akakomba akadai sekukura kwedundira neitsvo, kuvharika kweurethra, uye vesicoureteral reflux. |
| Matambudziko ekugaya chikafu | Matambudziko emudumbu nemamiriro ezvinhu akadai sekuvimbiwa. |
| Kuchinja muhurongwa hwemapfupa | Zvirwere zvakaita se scoliosis kana clubfoot. |
| Matambudziko emwoyo | Chirwere chemwoyo chakaberekwa nacho kana shanduko dzakati wandei mumaumbirwo emwoyo. |
Sei izvi zvichiitika kuvana vacheche?
Kutaura chokwadi, vanachiremba havasati vawana chikonzero chaicho cheizvi, asi kune dzidziso dzakawanda.
Vamwe vanachiremba vanotenda kuti dambudziko iri rinokonzerwa nekusarongeka kwemudumbu rinokura mwana ari mudumbu. Izvi zvinoreva kuti, kana nzira yeweti yavharika, weti yese inoungana mudumbu yozvimba zvikuru. Dundira parinokura nenzira iyi, rinokanganisa kukura kwetsandanyama dzemudumbu.
Vamwe vanotenda kuti dambudziko iri rinokonzerwa nekuti tsandanyama dzemudumbu hadzikure zvakanaka pakutanga. Vamwe vanoti zvinogona kunge zvichikonzerwa nechikonzero chemajini. Dambudziko iri rakataurwawo pakati pehama nehanzvadzi. Uyewo, vamwe vana vane zvirwere zvemakromosomu zvakaita se 'Trisomy 18 (Edwards Syndrome)' uye 'Trisomy 21 (Down Syndrome)' vanowanawo chirwere ichi chePrune Belly Syndrome.
Ndezvipi zvinetso zvinogona kuitika nekuda kwechirwere ichi?
Kuoma kwechirwere chePrune Belly Syndrome kunoenderana nezvimwe zvinetso zvine chekuita nacho, kunyanya kukura kwekukuvara kwenzira yeweti.
Matambudziko akajairika ndeaya:
- Kuzvimba: Tsandanyama dzemudumbu dzisina simba dzinoita kuti zviome kusunda zvakasimba kuti ubvise tsvina.
- Kuremara kwemapfupa: zvinhu zvakaita sekubuda kwehudyu, kuremara kwemaoko, minwe, kana zvigunwe.
- Kutapurirana kwezvirwere zvemuweti nguva nenguva: Zvirwere zvinogona kuitika nyore nyore nekuti weti haisi kubudiswa zvakanaka. Zvirwere izvi zvinogona kukuvadza itsvo.
- Kusabereka: Kukundikana kwenhengo dzechibereko kuburuka kunogona kukanganisa kugona kwekuva nevana mune ramangwana. Kunewo njodzi yekenza yemazamu.
- Kushaya nzvimbo mudumbu: Mapapu anogona kusakura zvakanaka nekuda kwekushaya nzvimbo mudumbu.
- Kutadza kweitsvo kwenguva refu: Iri ndiro dambudziko guru. Matambudziko anoramba aripo muhurongwa hweweti anogona kukonzera kutadza kushanda kweitsvo zvishoma nezvishoma.
Chirwere ichi chinoonekwa sei?
Kazhinji, chirwere ichi chinogona kuonekwa pakutanga panguva yekuzvitakura kwako nekushandisa ultrasound scan yemwana asati azvarwa.Vanachiremba vanozofungidzira izvi kana scan ikaratidza kuti dundira remwana rakakura zvikuru kana kuti itsvo dzakazvimba. Scan iyi inogonawo kuratidza kuti mwana haana tsandanyama dzemudumbu.
Mushure mekunge mwana azvarwa, chiremba anogona kufungidzira izvi zvichibva pakuonekwa kwemwana kunze, kureva kuti dumbu rake rakaita makwinya. Zvadaro, bvunzo dzakasiyana-siyana dzinoitwa kuti dzisimbise chirwere chacho uye kuona kuti nhengo dzakakuvara zvakadii.
Miedzo ipi inoitiswa?
- Kuongororwa kweRopa: Dzidza nezve mashandiro eitsvo.
- Ultrasound Scan: Tarisa mamiriro enhengo dziri mudumbu, dzakadai seitsvo nedundira.
- X-ray: Kuongorora kana paine matambudziko nehurongwa hwemapfupa.
- CT Scan kana MRI Scan: Wana mufananidzo wakajeka uye wakadzama wenhengo dzemuviri.
- VCUG (Voiding Cystourethrogram): Iyi i X-ray test yakakosha. Izvi zvinosanganisira kubaya mvura yakakosha mudundira uye kutarisa mvura ichiyerera nepakati payo mwana paanoita weti. Izvi zvinobatsira kuona kana weti iri kuyerera ichidzokera kumashure (reflux).
Ndezvipi zvinorapwa izvi?
Kurapa kwePrune Belly Syndrome kunosiyana kubva pamucheche kuenda kumucheche. Nekuti havasi vana vese vanobatwa nenzira imwechete. Kazhinji, timu yenyanzvi, dzakadai sevanachiremba vevana, vanachiremba vezvemaurologist, uye vanachiremba vezvemauropathy, vanoshanda pamwe chete kugadzira hurongwa hwakanakisa hwekurapa mwana wako.
Pakusarudza kurapwa, zvinhu izvi zvinotariswa:
- Hutano hwese hwemwana.
- Zera remwana.
- Kuoma kwechirwere uye nhengo dzemuviri dzakakuvara.
- Kukwanisa kwemwana kutsungirira kuvhiyiwa nekurapwa.
- Mafungiro enyu nezvido zvenyu sevabereki.
Vamwe vacheche vangangoda kuramba vachitora mishonga inorwisa mabhakitiriya kudzivirira hutachiona hwemunzira yeweti kana zviratidzo zvavo zvisina kunyanya kuipa.
Zvisinei, vacheche vazhinji vachazofanira kuvhiyiwa kakawanda. Kuvhiyiwa uku kwakagadzirirwa kusimbisa madziro edumbu, kudzikisa machende, uye kugadzirisa matambudziko ane chekuita nehurongwa hweweti.
Kune mhando dzakasiyana-siyana dzekuvhiya dzinoitwa:
- Kuvhiyiwa kweVesicostomy: Izvi zvinosanganisira kuvhiyiwa nekupa mukana mudiki mudumbu repasi unopinda mudundira. Izvi zvinobvumira weti kubuda zvakananga kunze. Izvi zvinogona kuderedza kukuvara kweitsvo.
- Orchiopexy: Izvi zvinosanganisira kuvhiyiwa kwekutamisa machende, ari mukati medumbu, achidzika mudumbu uye kuagadzirisa.
- Cystoplasty: Uku kuvhiyiwa kwakaoma zvishoma. Kunosanganisira kugadzirazve dundira zvachose.
Mune zvimwe zviitiko zvakakomba, kana itsvo dzikatadza kushanda zvachose,Kuisirwa itsvo kunogonawo kudiwa.
Ramangwana revana ava richave rakaita sei?
Ndinoziva kuti izvi zvakaoma kunzwa. Asi zvakakosha kuziva chokwadi. Hupenyu hwevana ava hunoenderana nekuoma kwechirwere. Zvinosuwisa kuti pakati pe10% ne25% yevana vanofira mudumbu kana kufa nezvirwere mukati memavhiki mashoma ekutanga ekuzvarwa.
Asi, pane divi rakanaka. Vana vanosvika 40% vane Prune Belly Syndrome, pasinei nekuva nematambudziko madiki muhurongwa hwavo hweweti, vanoramba vachishanda zvakanaka uye vanorarama hupenyu hwakajairika.
Vamwe 30% vangangoda kuisirwa itsvo pane imwe nguva muhupenyu hwavo. Chinonyanya kukosha ndechekuti chero ani zvake ane chirwere ichi anofanira kunge ari pasi pekutarisirwa nachiremba kweupenyu hwake hwese. Kugara uchitarisa nzira dzeweti kwakakosha kuderedza kukuvara kweitsvo.
Ungatarisira sei mwana wako uye nguva yekuona chiremba?
Kana mwana wako akaonekwa kuti ane chirwere chePrune Belly Syndrome, chinhu chakakosha kutsvaga chiremba ane ruzivo nezvechirwere ichi. Iye achakutsanangurira zvese uye achakutungamirira kuti ungachengeta sei mwana wako.
Utachiona hweWeti (UTIs) hune njodzi huru kuvana ava. Saka, kana ukaona chiratidzo chidiki chehutachiona hweWeti, unofanira kufonera chiremba wako nekukasika.
| Zviratidzo zvekutarisa kana paine hutachiona hwemunzira yeweti | |
|---|---|
| Fivha kana kutonhora | Kuda kuita weti kakawanda |
| Pane chikonzero chekuda kuita weti nekukurumidza, asi shoma chete ndiyo inobuda. | Kupisa kana kurwadziwa kana uchiita weti |
| Marwadzo emudumbu kana musana | Weti yakasviba kana kuti ine makore |
| Kunhuhwirira kwakasimba, kusingafadzi kunobva muweti | Ropa muweti |
Kana ukaona chimwe chezviratidzo izvi, usanonoka. Tsvaga rubatsiro rwechiremba nekukasika. Zvakare, zvakakosha kuenda kumakiriniki panguva dzakatarwa uye kuti mwana wako aongororwe, sezvinokurudzirwa nachiremba.
Mharidzo Yekuenda Nayo Kumba
- Chirwere chePrune Belly chirwere chisingawanzoitika chinokonzera tsandanyama dzemudumbu dzisina simba, machende asina kusimba, uye matambudziko eweti.
- Zita iri rinobva pakuti ganda riri padumbu remwana rinoita serakakwenya semazambiringa akaomeswa.
- Dambudziko iri rinogona kuonekwa kare kuburikidza nekuskena panguva yekuzvitakura.
- Nzira dzekurapa dzinosiyana zvichienderana nemamiriro emwana, uye kuvhiyiwa kakawanda kunowanzodiwa.
- Utachiona hwemudumbu hweweti hune njodzi huru kuvana ava. Kana ukaona kunyange chiratidzo chidiki chehutachiona, enda kuna chiremba nekukasika.
- Vana ava vanoda kutarisirwa uye kutarisirwa kweupenyu hwavo hwese kubva kuna vanachiremba vane hunyanzvi. Kana vachitarisirwa zvakanaka, vana vazhinji vanogona kurarama hupenyu hwakanaka.
💬 Comments (0)
Hapana zvakataurwa parizvino. Isa mhinduro yako pano kekutanga.
Wedzera zvaunofunga