Itsvo yako yakavharwa here nekuvharika kweureter? (Ureteropelvic Junction - UPJ Obstruction) Ngatikurukurei nezveizvi!

Dzimwe nguva mwana wedu mudiki anonzwa sebundu diki mudumbu make, kana kuti anowanzobatwa nezvirwere zvemudumbu, handiti? Pamwe nefivha. Chimwe chikonzero chezvinhu izvi chinogona kunge chiri kuvharika kwenzvimbo inotangira weti kubva muitsvo. Nhasi, tichataura zvakadzama, zviri nyore, nezvechirwere ichi chinonzi `(Ureteropelvic Junction Obstruction)` kana `(UPJ Obstruction)`.

Chii chinonzi 'ureteropelvic junction obstruction'?

Zvichitaurwa zviri nyore, pane nzvimbo yakaita sefunnel pamusoro peitsvo dzako dzese, yatinodaidza kuti `(Renal Pelvis)` . Weti inoyerera kubva muitsvo inoungana mu`(Renal Pelvis)` iyi. Wobva wanyura muchubhu inonzi `(Ureter)` youngana mudundira. Panosangana `(Renal Pelvis)` ne`(Ureter)` inonzi `(Ureteropelvic Junction - UPJ)`. Kana paine kuvharika, kureva kuti, kuvharika, panosangana uku nekuda kwechimwe chikonzero, weti haidzike zvakanaka. Izvi ndizvo zvatinodaidza kuti `(UPJ Obstruction)`.

Kazhinji, itsvo imwe neimwe ine `(Ureter)` imwe chete. Itsvo dzedu dzinosefa tsvina nemvura yakawandisa kubva muropa dzoburitsa weti. Weti inogadzirwa nenzira iyi inoungana mu`(Renal Pelvis)`, inopfuura nemu`(UPJ)`, uye inofamba nemu`(Ureter)` ichienda kudundira. Kana paine `(UPJ Obstruction)`, kuyerera kweweti uku kunononoka, uye dzimwe nguva kunogona kumira zvachose. Izvi zvinowedzera njodzi yekukuvara kweitsvo.

Kazhinji, chirwere ichi chinonzi `(UPJ Obstruction)` chinhu chinowanikwa pakuzvarwa (kureva kuti, `(Congenital urinary abnormality)`). Uye chinowanzo kanganisa itsvo imwe chete. Mamwe mazita eizvi ndeanoti `(UP junction obstruction)`, `(Obstruction of the ureteropelvic junction)`, kana kuti `(UPJO)` muchidimbu.

Ko `(UPJ Obstruction)` chirwere chakakomba here?

Ehe, UPJ Obstruction chirwere chakakomba. Kana chikarapwa zvakanaka, chinogona kutokonzera kutadza kushanda kweitsvo . Ndosaka zvichikosha kuti uzvizive uye utore matanho anodiwa. Hapana chekunetseka nacho, asi unofanira kungwarira.

Mamiriro ezvinhu aya akajairika zvakadii?

Zvichienderana nehuwandu, mwana mumwe chete pavana 1,500 vanoberekwa ane chirwere ichi (UPJ Obstruction). Izvi zvinoreva kuti, kunyange zvazvo chisingawanzoitiki, chinogona kuitika kune chero ani zvake.

Ndezvipi zviratidzo zve `(Ureteropelvic Junction Obstruction)`?

Pane zviratidzo zvakawanda zvinowanzoonekwa kana munhu arwara nechirwere ichi. Zvisinei, dzimwe nguva, kunyanya kuvana vacheche, panogona kunge pasina zviratidzo zvekunze.

• Kunzwa kunge bundu mudumbu, kunyanya parutivi pedumbu. Izvi zvinokonzerwa nekuzvimba kweitsvo nekuda kwekuvharika kweweti. Zvinoita sebharumu remvura.
• Matumbu emunzira yeweti anowanzo wanikwa (UTIs), pamwe nefivha. Kana mwana mudiki achiwanzobatwa neUTIs, ichi chinhu chekufunga nezvacho.
• Kurwadziwa kwepahuro. Uku kurwadziwa kunonzwa kumashure kweitsvo. Dzimwe nguva kurwadziwa uku kunouya kwopera.
• Matombo eitsvo. Matombo eitsvo anowanzo umbwa kana weti yavharika.
• Ropa muweti (`(Hematuria)`) .
• Kusvotwa nekurutsa.
• Kunonoka kukura kwemwana kana kudzikira kwehuremu . Dzimwe nguva mamiriro ezvinhu aya anogona kuonekwawo.

Chii chinonyanya kukonzera UPJ Obstruction?

Ndakatotaura kuti zvirwere zvakawanda zveUPJ Obstruction ndezvekuzvarwa nazvo . Izvi zvinoreva kuti kana mwana ari mudumbu, zvikamu zveweti, kunyanya ureter kana itsvo, hazvina kuumbwa zvakanaka. Dzimwe nguva, kuvharika uku kunogonawo kukonzerwa nekumanikidzwa kwetsinga yeropa inopfuura nepaUPJ. Izvi zvinowanzova zviitiko zvisingatarisirwi. Zvisinei, kana mumwe munhu mumhuri yako akambova nechirwere ichi, unogona kunge uri panjodzi shoma yekuchibatawo.

Kashoma kuti vakuru vaone ``UPJ Obstruction``. Zvisinei, zvinogona kuitika muvakuru nekuda kwezvikonzero zvinotevera:

• Nekuda kwematombo eitsvo .
• Nekuda kwehutachiona muchikamu chepamusoro cheweti (`Upper UTIs`) .
• Mushure mekuvhiyiwa munzvimbo iyoyo.
• Nekuda kwekuzvimba (`(Kuzvimba)`) muchikamu chepamusoro cheweti .

Ndiani anonyanya kukanganiswa nemamiriro ezvinhu aya?

Zvichienderana nedata riripo parizvino, varume vane mukana wakapetwa kaviri wekuwana UPJ Obstruction kupfuura vakadzi. Ongororo yakawanawo kuti dambudziko iri rine mukana wakapetwa kaviri wekuitika muitsvo yekuruboshwe pane itsvo yerudyi.

Ndezvipi zvinetso zvinogona kuitika nekuda kweUPJ Obstruction?

Kana chirwere ichi (UPJ Obstruction) chikasarapwa zvakanaka, matambudziko akasiyana-siyana anogona kuitika.

• Utachiona hwemunzira weti hunodzokororwa (UTIs) . Dzimwe nguva, mafuta ari muitsvo anogona kuzvimba (perinephric stranding).
• Marwadzo asingaperi anogona kuitika munzvimbo yakakanganiswa .
• Mamwe matombo eitsvo (``mamwe matombo eitsvo``) anogona kuumbwa.

Chinhu chinonyanya kukosha ndechekuti kana ikasarapwa kwenguva yakareba, `(UPJ Obstruction)` iyi inogona kukuvadza itsvo uye pakupedzisira inokonzera kutadza kushanda kweitsvo . Ndosaka zvichikosha kuongororwa uye kurapwa nekukurumidza.

Nzira yekuongorora sei chirwere che `(UPJ Obstruction)`?

Muzviitiko zvakawanda,Vanachiremba vanogona kuona UPJ Obstruction panguva yekuongorora mwana achiri mudumbu. Izvi zvinokonzerwa nekuti kuvharika kweweti kunoisa kumanikidzwa kumashure kweitsvo, zvichiita kuti izvimbe kupfuura zvakajairika. Izvi zvinonzi hydronephrosis . Izvi zvinoonekwa zvakajeka paultrasound.

Kunyangwe mwana aberekwa, vanachiremba vanogona kuraira bvunzo dzakasiyana-siyana kuti vaone kuti itsvo dziri kugadzira uye dziri kuburitsa weti zvakanaka sei. Izvi zvinosanganisira:

• Kuongororwa kweropa neweti (`(Kuongororwa kweropa nekuongororwa kweweti)`). Kuongororwa kwakadai se` (Blood Urea Nitrogen - BUN)` uye `(Creatinine Clearance)` kunogona kuratidza kuti itsvo dziri kusefa ropa zvakanaka sei.
• Kuongororwa kunonzi ``Intravenous Pyelogram - IVP'' kunosanganisira kubaya dhayi rakakosha mutsinga iri muruoko rwako wotora mifananidzo ye``X-ray''. Dhayi rinogona kuonekwa parinofamba nemuitsvo, ``Renal Pelvis'', uye ``Ureter'' kuti zvionekwe kana paine kuvharika.
• Kuongororwa kweRenal. Muongororo iyi, huwandu hushoma hwechinhu chine radioactive hunopinzwa mutsinga uye kamera yakakosha inoshandiswa kuona ichipfuura nemuitsvo. Izvi zvinogona kupa pfungwa yakanaka yekuti itsvo dziri kushanda zvakanaka sei uye kuti dzakavharika zvakadii.
• Ultrasound, CT scan, uye MRI. Kuongororwa uku kunogona kuona zvakajeka chimiro cheitsvo, ureter, uye dundira, pamwe nechero chipingamupinyi chiri muitsvo.

`(UPJ Obstruction)` inorapwa sei?

Izvi zvinoenderana nemamiriro ezvinhu. Kana mwana wako aine UPJ Obstruction, dzimwe nguva anogona kunaya ega mukati memwedzi gumi nemisere yekutanga yehupenyu hwake. Munguva iyi, chiremba wemwana wako achaita ultrasound scans nguva dzose uye mimwe miedzo kuti ave nechokwadi chekuti kuvharika kwacho hakuna kukonzera kukuvara.

Zvisinei, kana mwana achiri kutadza kuita weti mushure memwedzi gumi nemisere, zvichireva kuti kuvharika kwacho kuchiripo, angangoda kuvhiyiwa kunonzi ``Open Pyeloplasty'' . Mukuita izvi, chiremba wezvemauro ...

Muzvimwe zviitiko, chiremba anogona kuita kuvhiya uku achishandisa nzira inonzi `(Minimally invasive pyeloplasty)`, inova nzira yerobhoti (`(surgical robot)`) . Zvadaro, kucheka kudiki kunogadzirwa uye `(Laparoscope)` nezvimwe zvinoshandiswa pakuvhiya zvinoitwa kuburikidza nerobhoti. Kubudirira kwenzira iyi kwakafanana nekwe `(Open Pyeloplasty).` Zvisinei, izvi zvinoda hunyanzvi hwakawanda kubva kuna chiremba. Zvinoenderanawo nezera nehukuru hwemwana.

Imwe nzira ndeye nzira inonzi "Endopyelotomy".Mukuita izvi, chiremba anovhiya anopfuudza mudziyo unonzi ``Endoscope`` (chubhu diki ine kamera) nepaburi remutsinga (``Urethra``), nepaburi remutsinga, otarisa pakavharwa. Zvadaro, waya inopfuudzwa nepaburi remutsinga mu``Endoscope``, yocheka vhara racho, uye ``drain```, kureva chubhu, inoiswa ipapo. ``drain`` iyi inosiyiwa panzvimbo yayo kwemavhiki akati wandei kusvika yapora. Mu``Endopyelotomy``, hapana kuchekwa kunodiwa, uye zviri nyore kupfuura mamwe maoperesheni maviri. Zvisinei, mwero wekubudirira wakaderera zvishoma. Dzimwe nguva izvi zvinogona kuitwa kanopfuura kamwe chete.

Ndichakurumidza sei kunzwa zviri nani mushure mekurapwa?

Zvinoenderana nekurapwa kwawakaitwa paUPJ Obstruction yako. Vanhu vazhinji vanopora mukati memavhiki maviri kusvika mana. Zvisinei, muviri wako wakasiyana, saka nguva yako yekupora inogona kusiyana. Chiremba wako achakupa pfungwa yakanaka yeizvi.

Kuvharirwa kweUPJ kunogona kudzivirirwa here?

Vaongorori vezvekurapa havasati vawana hukama huripo pakati pechikafu nekudya panguva yekuzvitakura uye kukura kweUPJ Obstruction mumwana ari mudumbu. Izvi zvinoreva kuti hapana chatingaita kudzivirira UPJ Obstruction pakuzvarwa.

Zvisinei, kune vakuru vasina kuzvarwa vaine UPJ Obstruction, kudzivisa zvinhu zvinotevera kunogona kubatsira kuderedza njodzi iyi:

• Kudzivirira kuumbwa kwematombo eitsvo .
• Kudzivirira kubva kuzvirwere zvemunzira yeweti (UTIs) .
• Kudzivirira kukuvara kweitsvo dzako .

Chii chiri kutarisira chirwere ichi (UPJ Obstruction)?

Kana chirwere ichi chikaonekwa nekukurumidza uye chikarapwa nemazvo, tarisiro yeUPJ Obstruction yakanaka kwazvo. Vana vazhinji havazove nematambudziko kwenguva refu. Uyewo, kana chikaonekwa vasati vaberekwa, dzimwe nguva chinogona kupera pasina kurapwa.

Zvisinei, kana ukaonekwa uine UPJ Obstruction gare gare muhupenyu hwako, unenge uri panjodzi yakakura yekukuvara kweitsvo. Muzviitiko zvakakomba, kana zvikasarapwa, UPJ Obstruction inogona kukonzera kutadza kushanda kweitsvo uye kutofa. Ndosaka kuongororwa nekukurumidza uye kurapwa kwakakosha.

Unofanira kuona chiremba rini?

Kana iwe kana mwana wako muine chimwe chezviratidzo izvi, kurumidza kuonana nachiremba:

• Kana ropa riri muweti (`(Hematuria)`) .
• Kana zvikabata muruoko rwako sebundu riri mudumbu mako.
• Kana uchirwadziwa mudumbu repamusoro kana kumusana (`(kurwadziwa kweparutivi)`) .
• Kana uine fivha.
• Kana kukura kwemwana kwakaderera (`(Kukura kwacho kunonoka / kutadza kukura zvakanaka)`) .

Ndeipi nguva yaunofanira kuenda kuEmergency Treatment Unit (ETU) ?

Kana usingakwanise kuita weti, enda kuchipatara chiri pedyo nekukurumidza.Ichi hachisi chinhu chekunonotsa.

Mibvunzo ipi yaunofanira kubvunza chiremba?

Unogona kubvunza chiremba mibvunzo yakaita seiyi:

• Ungaongorora sei chirwere ichi `(Ureteropelvic Junction Obstruction)`?
• Unofunga kuti UPJ Obstruction yemwana wangu ichapora here kana isina kurapwa?
• Ndezvipi zvingasarudzwa pakurapa?
• Kana kuvhiyiwa kuchidikanwa, ndeipi nzira yaunokurudzira?
• Ndeipi mukana wekuti UPJ Obstruction idzokezve?

Ndeupi musiyano uripo pakati pe `(Ureteropelvic Junction Obstruction)` uye `(Ureterovesical Junction - UVJ) Obstruction`?

Zvichitaurwa zviri nyore, kuvharika kweUreteropelvic Junction (UPJ) neUreterovesical Junction (UVJ) kunoitika kumagumo eurethra yako (ureter). UVJ ndipo panosangana ureter yako nedundira rako. Kuvharika kweUVJ kunoitika ipapo. Asi kuvharika kweUPJ kunoitika paRenal Pelvis, uko ureter inosangana neitsvo yako.

Saka, chii chatinofanira kuyeuka kubva mune izvi zvese?

Zvakajairika kuti unzwe kutya paunonzwa kuti mwana wako anogona kunge aine dambudziko iri, kungave kuri panguva yekuongororwa mwana wako achiri mudumbu kana mushure mekuzvarwa. Unganzwa uchida kuzvipa mhosva, uchifunga kuti, 'Ndakaita chimwe chinhu chisina kunaka here? Pane chandaigona kuita here kudzivirira izvi kuti zvisaitike?' Asi muchokwadi, chirwere ichi chinonzi `(Ureteropelvic Junction Obstruction)` chimwe chinhu chinongoitika. Kunyangwe vanachiremba havagone kutaura kuti chii chinokonzera dambudziko iri.

Chinhu chinonyanya kukosha ndechekuti vanhu vazhinji vagone kupora kubva kuchirwere ichi (UPJ Obstruction)`. Saka, usatya kuona chiremba wotaura naye. Vanonzwisisa mibvunzo yese nezvaunotya. Vachakubatsira nenzira yavanogona uye vanopindura mibvunzo yako yese. Kuongororwa nekukurumidza uye kurapwa kwakakodzera ndizvo zvinhu zvinonyanya kukosha pano.

Itsvo , Nzira yeWeti, Kuvhara kweUPJ, Vana, Sisitimu yeWeti, Kuvhiya, Kuvhara Ureteropelvic Junction