Mwana wako haana itsvo here? Kana kuti ane itsvo imwe chete here? Ngatidzidzei nezve (Renal Agenesis)!

Wakambonzwa here kuti vamwe vana vanozvarwa vaine itsvo imwe chete, kana kuti vasina itsvo dzese? Izvi zvinganzwika sekutyisa, asi zvakakosha kuziva nezvechirwere ichi. Nhasi tichataura nezvechirwere ichi chinonzi `(Renal Agenesis)`. Musazvidya moyo, ngatitsanangurei zvese zviri nyore.

Chii chinonzi `(Renal Agenesis)`? Ngatizvinzwisise zviri nyore, handiti?

Zvichitaurwa zviri nyore, `(Renal Agenesis)` zvinoreva kana mwana achiberekwa aine itsvo imwe chete kana kuti asina itsvo dzose. Tose tinowanzova neitsvo mbiri mumiviri yedu. Itsvo imwe chete inofanira kushanda zvakanaka kuti irarame. Ichi chirwere che`(Congenital)`, zvichireva kuti chinhu chiripo kubva pakuzvarwa.

Zvino kana ukatarisa zvinorehwa nemashoko maviri aya zvakasiyana, zvichava pachena kwauri:

• Itsvo: Iri ndiro zita rekurapa rekuti " itsvo ."
• Kukura kwenhengo: Izvi zvinoreva kutadza kweimwe nhengo kukura zvachose mwana ari mudumbu raamai, kureva chibereko.

Saka patinoti `(Renal Agenesis)`, zvinoreva kuti itsvo dzemwana hadzina kuumbwa zvakanaka.

Ndedzipi mhando huru dze `(Renal Agenesis)`?

Mamiriro ezvinhu aya anogona kuonekwa nenzira mbiri huru:

1. Kuumbwa kweItsvo kweImwe divi

Zvinoitika mune izvi, sezvinoreva zita racho, ndezvekuti mwana anenge asisina itsvo kune rumwe rutivi. Izvi zvinoreva kuti imwe itsvo yakajairika. Nerombo rakanaka, zvinokwanisika kurarama hupenyu hwakajairika, hwakazara neitsvo imwe chete. Kazhinji, itsvo imwe yasara inogona kutanga kutora basa reitsvo isipo, saka inogona kukura zvishoma. Zvakafanana nemwana ari kuita mabasa maviri epamba mukirasi.

2. Kurasikirwa kweitsvo dzese (Bilateral Renal Agenesis)

Ichi chirwere chakakomba zvishoma. Pano, mwana haana itsvo dzese. Zvakare, machubhu madiki e "Ureters" anotakura weti kubva kuitsvo kuenda ku "dundira" haasati atomboumbwa. Pamwe chete neizvi, "Mapapu" emwana haakure zvakanaka, zvichireva kuti madiki kwazvo e "Pulmonary Hypoplasia". Musanganiswa wekushomeka kweitsvo uku nekukundikana kwemapapu kunonziwo "Potter Syndrome". Zvinosuwisa kuti chirwere ichi chinowanzo uraya.

Chii chinoitika kuitsvo dzedu?

Itsvo mbiri dziri mumuviri wedu chikamu chakakosha kwazvo chehurongwa hwedu hweweti. Funga nezvadzo senzira yekurasa marara mumba medu. Basa guru reitsvo nderekusefa nekubvisa tsvina isingadiwe kubva muropa redu. Tsvina idzi dzinozoburitswa mumuviri seweti.

Dambudziko iri `(Renal Agenesis)` rakajairika zvakadii?

Zvichienderana nehuwandu, mwana mumwe chete pavana 2,000 vanoberekwa anogona kunge aine chirwere chinonzi ``Unilateral Renal Agenesis``, umo itsvo imwe chete inoshaikwa. Mamiriro e``Bilateral Renal Agenesis``, umo itsvo dzese dziri kushaikwa, haawanzoitiki. Anoitika muvana vanenge 8,500 vachangoberekwa. Kunyangwe chikonzero chaicho chisingazivikanwi, mamiriro aya ekushaya itsvo dzese anowanzoonekwa muvana vechirume.

Ndezvipi zvinokonzera `(Renal Agenesis)`?

Kazhinji, chikonzero chikuru che `(Renal Agenesis)` kuchinja kana kuchinja kwemajini `(Gene mutation) .` Vaongorori kusvika pari zvino vaona nezvekuchinja kwemajini kunomwe kwakabatana nako. Nekuda kwekuchinja kwemajini uku, kuumbwa kweitsvo mudumbu remwana kunokanganiswa mukati memwedzi mitatu yekutanga yekuzvitakura `(First trimester).`

Zvimwe zvikonzero zvidiki zvinosanganisira:

• Amai vanobatwa nechirwere cheshuga panguva yekuzvitakura (gestational diabetes).
• Kubata pamuviri kakawanda (senge mapatya, vana vatatu).
• Kushandisa mimwe mishonga inokuvadza panguva yekuzvitakura.

Ndezvipi zviratidzo zve `(Renal Agenesis)`?

Mwana ane chirwere chePotter Syndrome, icho chisina itsvo dzese uye mapapu ake asati anyatsokura, anotanga kuva nematambudziko ekufema anotyisidzira hupenyu hwake mushure mekuzvarwa.

Mwana anozvarwa aine itsvo imwe chete anogona kusaratidza zviratidzo. Asi kana zviratidzo zvikaonekwa, zvinogona kusanganisira:

• Kukwira kweropa muvana .
• Kuwedzera kwehuwandu hweprotein muweti (proteinuria).
• Kudzoka kwetsinga dzemudumbu.

Dzimwe nguva vana vanozvarwa vaine itsvo imwe vanogona kusanganawo nezvimwe zvirwere zvakaita se:

• Rutsoka rwechikwata.
• Zvirwere zvemwoyo zvekuzvarwa nazvo, zvakaita semaburi ari pakati peatria kana ventricles yemoyo (ASD kana VSD).
• Zvikanganiso zvemudumbu zvekuzvarwa nazvo.
• Kubuda kwetsvina mudumbu kana kuti Anal atresia.

Nzira yekuongorora `(Renal Agenesis)` panguva yekuzvitakura?

Kazhinji, kuongororwa kwe ultrasound kwemwana asati aberekwa kunoitwa amai pavanenge vane pamuviri.Dambudziko iri rinogona kuonekwa. Kuongororwa uku kunoratidza kuti itsvo hadzipo. Uyewo, kana mvura yemudumbu remwana iri shoma (Oligohydramnios), zvinogonawo kuva chiratidzo chechirwere chinonzi Renal Agenesis. Izvi zvinokonzerwa nekuti itsvo dzemwana hadzisi kugadzira weti, izvo zvinoita kuti mvura iyi iderere. Kana mvura iyi isina kukwana, mapapu emwana haazokure zvakanaka.

Nzira yekuongorora `(Renal Agenesis)` mushure mekunge mwana aberekwa?

Kuongororwa kwemifananidzo kunogona kuitwa mushure mekunge mwana aberekwa kuti zvionekwe kuti chirwere chacho chavepo. Zvisinei, dzimwe nguva chirwere ichi chingasaonekwa kusvika mwana akura zvishoma. Dzimwe nguva chirwere ichi chinogona kuonekwa netsaona kana mwana aine zvimwe zviratidzo uye ari kuongororwa, kana kuti kana ultrasound scan ichiitwa nechimwe chikonzero, senge urinary tract infection (UTI).

Mhando huru dzekuongorora dzinoshandiswa kuongorora `(Renal Agenesis)` ndedzi:

• Ultrasound yedumbu kana Ultrasound yeitsvo .
• Kuongororwa kweCT .
• Kuongororwa kweMRI `(MRI)`.

Kurapwa kweBilateral Renal Agenesis kunorapwa sei?

Kusvika nguva pfupi yadarika, mwana asina itsvo dzose nemapapu asina kukura akanga asina tariro yekurarama kwemaawa mashoma ari kunze kwechibereko. Zvisinei, mishonga mitsva yekuedza ikozvino iri kupa tariro. Izvi zvinosanganisira kubaya mushonga wesaline muchibereko panguva yekuzvitakura kuti pave neamniotic fluid. Mvura iyi inobvumira mapapu emwana kukura. Zvadaro, mushure mekuzvarwa kwemwana, mwana anoiswa padialysis kusvika agona kuiswa itsvo. Asi yeuka, kurapwa uku kuchiri muchikamu chekuedza uye hakusi kwese kwese.

Kurapwa kweUnilateral Renal Agenesis kunorapwa sei?

Vanhu vane itsvo imwe chete dzimwe nguva vangada kunwa mishonga yekuderedza BP yavo . Kana iwe kana mwana wako muine chirwere ichi, zvakakosha kuona nyanzvi yeitsvo (Nephrologist) nguva dzose uye kuongororwa muviri, kuongororwa weti, uye kuskenwa kanenge kamwe chete pagore, kana kakawanda. Mwana wako anogonawo kuva nemiedzo iyi:

• Kuongororwa kwebasa reitsvo.
• Kuongororwa kweprotein yeweti.

Chii chaungaita kuti udzivirire itsvo yako yega?

Vanhu vazhinji vane itsvo imwe chete vanokurudzirwa kutevedzera kudya kunobatsira itsvo (DASH) . Kudya uku kunosanganisira kuderedza munyu neshuga uye kudya chikafu chine fiber nepotassium yakawanda.

Vana nevakuru vane Renal Agenesis vanogona kuita zvinotevera kuchengetedza hutano hweitsvo dzavo:

• Dzivisa kutora mishonga isingashandisi masteroidal anti-inflammatory (NSAIDs) nemimwe mishonga inoderedza marwadzo. Izvi zvinogona kukuvadza itsvo dzako. Shandisa chimwe chinhu chakaita seacetaminophen panzvimbo pezvo.
• Ramba uine huremu hwakanaka uye ramba uchiita maekisesaizi. Zvisinei, zvakanaka kuti usaite mitambo ine simba guru yakaita senhabvu, rugby, uye martial arts, sezvo inogona kuva nengozi kuitsvo yako yasara.
• Tarisa BP yako nguva nenguva kumba.