Itsvo yemwana wako yakazvimba here? Ngatidzidzei nezve pyelectasis!

Kana uchitarisira mwana, zvakajairika kunetseka nezvehutano hwemwana wako. Dzimwe nguva, panguva yekuongororwa, vanachiremba vanogona kuona shanduko diki muitsvo dzemwana wako, senge kuzvimba kudiki. Ungatya zvishoma paunonzwa izvozvo. Ndizvo zvinoreva pyelectasis . Asi usazvidya moyo, ticharamba tichiita zvese zviri nyore.

Chii chinonzi Pyelectasis?

Zvichitaurwa zviri nyore, pyelectasis inyaya yekuti mwana wako ane weti shoma pakati peimwe yeitsvo dzake achiri mudumbu. Kutaura chokwadi, nzvimbo huru yeitsvo inoungana weti ndiyo inoita kunge yakazvimba zvishoma.

Izvi zvinokonzerwa nekuvharika kudiki, kana kuti kuvharika, munzira yeweti inogadzirwa muitsvo, iyo inofamba ichidzika muureter (inonziwo ureter) ichienda kudundira. Kana, dzimwe nguva, weti inodzokera kumusoro kubva kudundira, ichienda kuitsvo (`Urinary reflux`).

Vanachiremba dzimwe nguva vanoti chirwere ichi chinonzi pyelectasis, pelviectasis, pelvocaliectasis, kana caliectasis, zvichienderana nekuti weti yacho inoungana kupi. Asi mazwi aya ese anoreva kuunganidzwa kweweti mune imwe chikamu cheitsvo.

Chii chiri musiyano uripo pakati pePyelectasis neHydronephrosis?

Mazita ese ari maviri aya anotaura nezveitsvo dziri kuzvimba nekuda kweweti, asi pane musiyano mudiki.

• Muchirwere che pyelectasis , kuvharika kwenzira yeweti kunowanzova kushoma . Nokudaro, weti shoma inoungana muitsvo. Izvi zvinokonzera kukura kudiki kwechikamu chepakati cheitsvo.
• Mu hydronephrosis , kuvharika uku kwakanyanya, zvichireva kuti kwakanyanya . Ipapo weti yakawanda inoungana muitsvo, uye mune dzimwe nguva dzakakomba, itsvo inogona kuzvimba sebharumu.

Kazhinji, pyelectasis inongopera yoga pasina kurapwa . Zvisinei, muzviitiko zvinenge gumi muzana, inogona kukura kuita hydronephrosis. Muchiitiko ichi, ungangoda kuona chiremba wezvetsinga dzevana kana chiremba wezvetsinga mushure mekunge mwana wako azvarwa.

Dambudziko iri rakajairika zvakadii?

Kubata kwepyelectasis chirwere chinowanzoitika . Chinoitika mupamuviri mumwe chete pavanhu makumi mana. Chinogona kukanganisa itsvo imwe chete (unilateral pyelectasis) kana itsvo dzese (bilateral pyelectasis).

Funga nezvazvo,Vana vechirume vane mukana wekuwana chirwere ichi kanenge katatu kupfuura vana vechikadzi.

Pyelectasis yakakomba here?

Kazhinji, pyelectasis haina migumisiro yakaipa pamwana wako. Vana vazhinji vane chirwere ichi vanoberekwa vaine hutano uye vakasimba.

Zvisinei, kashoma, chirwere ichi chepyelectasis chinogona kukura kuita chirwere chakanyanya chinonzi hydronephrosis. Kana zvakadaro, vanachiremba vanogona kukurudzira kuvhiyiwa (fetal surgery) mwana achiri mudumbu kudzivirira kukuvara kweitsvo dzemwana. Zvisinei, izvi hazviwanzoitiki.

Izvi zvine chekuita neDown syndrome here?

Kana ultrasound scan yemwana wako ikaratidza kuti ane pyelectasis, pane mukana wakakura wekuti mwana ave nechirwere chechromosome chinonzi Down syndrome . Zvisinei, izvi hazvirevi kuti mwana wese ane pyelectasis ane Down syndrome. Kutaura zvazviri, ruzhinji rwevana vane pyelectasis havana Down syndrome.

Zvichitaurwa zviri nyore, kana pyelectasis isingaenderane nezvimwe zviratidzo zveropa zvisina kujairika kana zvimwe zvirwere paskeni, zvinowanzoonekwa sekuchinja kudiki mukukura kwakajairika kwemwana ari mudumbu.

Zviratidzo zvacho ndezvipi?

Chirwere chePyelectasis panguva yekuzvitakura hachiwanzo ratidza zviratidzo . Chirwere ichi chinowanzoonekwa panguva yekuongororwa kweultrasound kwemwana asati aberekwa.

Chii chinokonzera pyelectasis mumwana ari mudumbu?

Pane zvikonzero zviviri zvikuru.

1. Kuvharika kwenzvimbo yemudumbu:

Chinoitika muchiitiko ichi ndechekuti pane kuvharika kana kuvharika panzvimbo apo chubhu inotakura weti kubva muitsvo yemwana (inonzi `ureter`) inobatana neitsvo (inonzi `ureteropelvic junction`). Zvadaro, weti haigone kubuda, kureva kuti, ichipinda muurethra, yobva yanamira mukati meitsvo. Nekuda kwekuvharika uku, kumanikidzwa kuri mukati meitsvo kunowedzera, zvichikonzera pyelectasis, uye nekufamba kwenguva, mashandiro eitsvo anogona kudzikira.

2. Kubuda kweropa mutsinga dzemutsinga:

Kazhinji, weti inogadzirwa muitsvo inofamba ichidzika nemuma ureters youngana mudundira. Yobva yabuda mumuviri wemwana yopinda mumvura yeamniotic iri mudumbu.

Zvisinei, mune dzimwe nguva, weti inobva mudundira inodzokera kumusoro, kureva kuti, ichitevedza ureters, ichienda kuitsvo.Ndizvo zvinonzi vesicoureteral reflux. Kana weti inodzoka kumusoro nenzira iyi ikaramba iri muitsvo kwenguva yakareba uye ichikonzera kuzvimba, inogonawo kukonzera pyelectasis.

Unozviwana sei izvi?

Vanachiremba vanoongorora chirwere chepyelectasis panguva yekuongorora mwana asati aberekwa . Kana kuongorora kwako kukaratidza izvozvo, iwe nemwana wako muchafanira kutariswa zvakanyanya munguva yese yekuzvitakura kwenyu.

Ndezvipi zviri kurapwa?

Mashoko akanaka ndeekuti kazhinji, chirwere chepyelectasis chinopera chega pasina kurapwa kwakakosha.

Chiremba wenyu achaongorora dambudziko iri panguva yese yekuzvitakura kwenyu. Kana zvichidikanwa, mwana wenyu achaongororwa nachiremba wezvemauro evana kana chiremba wezvemauro evana mushure mekuzvarwa.

Muzviitiko zvimwe, chiremba wezvedundira revana anogona kuita oparesheni inonzi pyeloplasty , iyo inoshandiswa kuderedza kuvharika kuri pakati peitsvo neureter.

Munguva yekuzvitakura, vanachiremba vanogona kukurudzira kuvhiyiwa kwemwana ari mudumbu chete kana chirwere ichi, chakadai se pyelectasis kana hydronephrosis, chakakomba zvekukonzera kukuvara kweitsvo. Zvisinei, izvi hazviwanzoitiki .

Ndingaderedza here njodzi iyi kumwana wangu?

Kubuda kwepyelectasis kuchinja kudiki mukukura kwemwana ari mudumbu, saka hapana nzira yekudzivirira kuti zvisaitike . Zvisinei, zvakakosha kuti ugare uchiongororwa neultrasound panguva yekuzvitakura. Apa ndipo panogona kutariswa nachiremba wako uye kukukurudzira kurapwa kana zvichidikanwa.

Chii chinoitika kana mwana wangu aine pyelectasis?

Kana chiremba wako akaona kuti une pyelectasis kuburikidza nekuskena, iwe nemwana wako mungangotariswa panguva yekuzvitakura kwako uye mushure mekunge mwana wako aberekwa. Chiremba wako achaita scan nguva dzose kuti aone kana kuvharika kwacho kwawedzera.

Kana chirwere chepyelectasis chikawedzera uye chikava hydronephrosis, unofanira kuona chiremba wezvedundira revana kana chiremba wezvedundira revana mushure mekunge mwana wako azvarwa. Ivo vachaongorora mwana wako voona kana zvichidikanwa kurapwa.

Kashoma, kuvharika kunokonzerwa ne pyelectasis kunogona kuva kwakanyanya zvekukuvadza itsvo mwana achiri mudumbu. Kana zvichifungidzirwa kuti izvi zvichaitika, chiremba wako achataura newe nezvekuvhiyiwa kwemwana asati aberekwa.

Pyelectasis inogona kurapwa here?

Ehe, zvechokwadi! Muzviitiko zvinopfuura 90%, pyelectasis inopora yoga . Kana kuvharika kwacho kwakanyanya, kuvhiyiwa kungangodiwa kugadzirisa dambudziko racho.

Vacheche vane hydronephrosis yakanyanya vanowanzova nematambudziko anoramba aripo mushure mekuzvarwa. Muzviitiko zvakadaro, mwana wako angada kuvhiyiwa.

Ndinofanira kuona chiremba rini?

Zvakakosha kuti ugare uchiongororwa nachiremba wako nguva dzose uye uchiongororwa. Vanachiremba vanogona kuona chirwere chepyelectasis chete nekuongororwa kweultrasound. Vachanyatsoongorora mamiriro ako uye vanokurudzira kurapwa kana zvichidikanwa.

Mibvunzo ipi yandinofanira kubvunza chiremba?

Kana scan yako ikaratidza kuti une pyelectasis, unogona kubvunza chiremba wako mibvunzo yakaita seiyi:

• Mwana ane dambudziko reitsvo here? Kana zvakadaro, riri kupi?
• Une weti reflux here?
• Kuzara uku kuri pakati nepakati here, kuri pakati nepakati, kana kuti kwakanyanya?
• Pane chimwe chinhu here pakuongorora kwangu kana kuongororwa ropa chinoratidza kuti mwana anogona kunge aine Down syndrome kana chimwe chirwere chemachromosome?
• Pane mukana wakadini wekuti mwana wangu achazoda kuvhiyiwa?

Mharidzo Yekuenda Nayo Kumba

Zvakajairika kuti unzwe kutya uye kunetseka paunoona kuti mwana wako ane pyelectasis. Asi kazhinji, chinodiwa chete kutariswa . Chiremba wako achaita bvunzo dzinodiwa kuti aone kana iri dambudziko rakasiyana kana kuti chiratidzo chechimwe chirwere. Vachave vachinyatsoongorora mamiriro ako uye vachakubatsira nhanho imwe neimwe yenzira. Saka usatye zvisina kufanira. Chinhu chakakosha kutevedzera mirairo yachiremba wako.

Pyelectasis , itsvo yemwana ari mudumbu, hydronephrosis, prenatal ultrasound, kuvharika kwemugero wemudumbu, vesicoureteral reflux, hutano hwemwana, kuzvimba kweitsvo, hutano hwepamuviri