Ubusazi ngolu nxibelelwano lumangalisayo phakathi kwezintso zeentsana zethu kunye nesinyi? (Urachus)

Molo! Namhlanje siza kuthetha ngento emangalisayo edlala indima ebaluleke kakhulu emzimbeni wethu, ingakumbi xa sisesibelekweni sikamama wethu sisesibelekweni, kodwa ngamanye amaxesha inokubangela iingxaki ezincinci kwanaxa sibadala. Oku sikubiza ngokuba yi-'(Urachus)'. Mhlawumbi awukaze uve eli gama ngaphambili. Kodwa ungakhathazeki, siza kuthetha ngayo yonke into ngale nto ngokulula.

Ngoko ke yintoni le `(Urachus)`? Ngamafutshane nje...

Khawucinge nje, xa umntwana esesibelekweni, oko kukuthi, esesibelekweni, kukho umjelo omncinci, ofana nombhobho, phakathi kwesinyi somchamo somntwana, okanye ingxowa ezele ngumchamo , kunye neqhosha lenkaba/isisu somntwana. Yiloo nto siyibiza ngokuba yi-`(Urachus)`. Olu lulwakhiwo olunemicu.

Umsebenzi wayo ophambili kukunceda ukukhupha umchamo (umchamo) oveliswa ngumntwana ongekazalwa ngexesha lekota yokuqala yokukhulelwa. Ayimangalisi loo nto?

Okuqhele ukwenzeka kukuba njengoko umntwana ekhula esibelekweni, rhoqo ngasekupheleni kweenyanga ezintathu zokuqala, le "Urachus" iyazivalela yodwa. Emva koko, iba njengebhande elinoboya.

Ngaba `(Urachus)` kunye `noPekaniyya` yinto enye?

Hayi, ezo zimbini. I-`(urachus)` ngumjelo onceda umchamo uphume ngexesha lokukhulelwa. I-umbilical cord yindawo apho umntwana wayenamathele khona esibelekweni sikanina. Ugqirha uyayinqumla le umbilical cord emva kokuba umntwana ezelwe. Umntwana ufumana ioksijini kunye nesondlo kwi-umbilical cord, kwaye umchamo kwi-`(urachus)` ukhutshwa nge-placenta kamama.

Yintoni umsebenzi we-`(Urachus)`?

Njengoko besitshilo ngaphambili, kwizigaba zokuqala ze-embryo, oko kukuthi, kwi-trimester yokuqala, i-`(urachus)` inceda umchamo we-fetus ukuba udlule kwi-umbilical cord uye kwi-placenta kamama ukuze ikhuphe. Njengoko i-fetus ikhula, i-bladder yehla iye kwi-pelvis. Emva koko le `(urachus)` iyanwebeka ize ibe yi-band encinci, ene-fibrous (median umbilical ligament). Oku kudla ngokwenzeka.

Ngaba abantu abadala nabo banayo i-`(Urachus)`?

Kwabaninzi abantu abadala, i-urachus sele iyi-band ebizwa ngokuba yi-median umbilical ligament. Nangona kunjalo, ngokumangalisayo, ezinye izifundo zibonisa ukuba ukuya kuthi ga kwi-33% yabantu abadala basenokuba nezicubu ze-urachus ezisele . Nangona kunjalo, abantu abaninzi abazi oku, kuba ngokuqhelekileyo akubangeli ngxaki okanye ukugula.

Ngaba amantombazana nawo analo eli tyala? Ewe, yonke imveku, nokuba injani na isini, ine-"urachus". Ixesha elininzi, iba yi-ligament ebizwa ngokuba yi-ligament ekupheleni kwe-trimester yokuqala.

Iphi i-`(Urachus)`?

I-'urachus' isuka phezulu kwesinyi se-fetal, ukusuka kwinxalenye engaphambili (i-dome) ukuya kwinkaba. Ifana nombhobho otyebileyo, okanye intambo. Ngamanye amaxesha inokuba ncinci kuzo zombini iziphelo, okanye inokuba banzi kwelinye icala njenge-funnel. Inokuba ubude obuyi-1 ukuya kwi-15 centimeters (0.4 ukuya kwi-6 intshi). Oko kuthetha ukuba inokuba mfutshane kancinci kunepilisi ye-aspirin , okanye ibe nde njengepeni.

Zeziphi iimvavanyo ezisetyenziswa ukujonga ukuba kukho ingxaki nge-`(urachus)`?

Ukuba ugqirha ucinga ukuba umntwana wakho unokuba nengxaki nge-urachus, uza kuqala acele i-ultrasound scan. Olu luvavanyo olungenabuhlungu nolulula. Lunokujonga izicwili kunye namalungu angaphakathi komntwana wakho. Ngamanye amaxesha banokucela i-MRI scan. Olu lolunye uvavanyo olungenabuhlungu lwemifanekiso.

Ngoku, ukuba ugqirha ukrokrela ukuba "i-urachus" yomntwana ivulekile ngokupheleleyo (i-urachus yelungelo lobunikazi) kwaye ulwelo olujikeleze inkaba luvela kwisinyi, baya kuvavanya ulwelo ukuze babone ukuba lune -urea okanye i-creatinine . Ezi ziimveliso zenkunkuma ezidla ngokukhutshwa kumchamo .

Kukho olunye uvavanyo olunokubona ngokucacileyo izicubu ezingasemva kwesinyi somntwana, olubizwa ngokuba yi-`(Voiding Cystourethrogram - VCUG)`. Kule meko, ugqirha ufaka idayi kwisinyi ngenkqubo yomchamo . Olu vavanyo lwe-`(VCUG)` luluncedo kakhulu ukuba kukho ingxaki ngesakhiwo sesinyi somntwana.

Yintoni le ntsalela ye-`(Urachus)`?

Ngamafutshane, intsalela ye-`(Urachus)` `(Intsalela ye-Urachal)` yimeko apho umjelo we-`(Urachus)` ungavali kakuhle. Oku kukwabizwa ngokuba yi-`(Urachal abnormality)`. Kukho iintlobo ezahlukeneyo zale nto:

• I-urachus enelungelo lobunikazi: Oku kuxa i-urachus ingavalwanga kakuhle kwaye ivuleke ngokupheleleyo. Oku kunokubangela ukuba ulwelo olufana nomchamo luphume kwinkaba yomntwana . Okanye, kunokubakho indawo emanzi ejikeleze inkaba, mhlawumbi ibe bomvu, ibe mdaka, okanye ibe mfusa, kwaye kunokubakho i-granuloma encinci efana nentlungu. Khawucinge nje, inkaba yomntwana osandul’ ukuzalwa ivuza umchamo , okanye indawo isoloko imanzi... into enjalo.
• I-Urachal cyst: Oku kwenzeka xa i-urachus ingavaleki kakuhle, nto leyo eyenza i-cyst egcwele ulwelo phakathi kwesinyi somntwana kunye ne-urethra. Uninzi lwexesha, akukho zimpawu ekuqaleni. Nangona kunjalo, ukuba kukho usulelo lwebhaktheriya, iimpawu ezifana nentlungu yesisu kunye negazi okanye ulwelo olufana nobovu oluvela kwi-urachus zinokubakho.
• I-Urachal sinus:Kwimeko enjalo, i-"Urachus" ayivali kakuhle kwi-umbilical cord yomntwana, kodwa ivalwa kwisinyi. Oku akusoloko kubange zimpawu. Nangona kunjalo, ukuba kukho usulelo lwebhaktheriya, kunokubakho iintlungu zesisu kunye nokuphuma kwegazi okanye ubomvu kwi-umbilical cord .
• I-Diverticulum: Apha, i-Urachus (isakhiwo esifana nengxowa) ayivali kakuhle kwisinyi somntwana. Oku akusoloko kubangela iimpawu. Nangona kunjalo, ngamanye amaxesha, umchamo unokubanjwa kwesi sakhiwo sifana nengxowa kwaye ubangele izifo zomchamo (UTIs) . Iimpawu ezinje ngomkhuhlane kunye nentlungu ngexesha lokuchama (Dysuria) zinokubakho.

Eyona nto ibalulekileyo kukuba ukuba isisu somntwana wakho sivuza naluphi na ulwelo olungaqhelekanga, okanye ukuba indawo ibomvu, idumbile, okanye ibuhlungu, ngokuqinisekileyo kufuneka ubone ugqirha ngokukhawuleza.

Yintoni umhlaza we-Urachal?

Umhlaza we-urachal luhlobo olungaqhelekanga lomhlaza wesinyi . Uxhaphake kakhulu kubantu abaneminyaka engaphezu kwama-50 ubudala abanezicubu ze-urachus ezisele. Iimpawu zomhlaza we-urachal zingabandakanya:

• Igazi kumchamo (iHematuria)
• I-Mucinuria (izinto ezifana ne-mucus kumchamo )
• Intsholongwane kumchamo (Bacteriuria)
• Intlungu yesisu
• Ubunzima besisu

Ukuba unale mpawu, akuthethi ukuba unomhlaza we-urachus, kodwa kungcono ukubona ugqirha uze uhlolwe.

Ziziphi iindlela zonyango lweengxaki ze-Urachus?

Ungakhathazeki, kukho unyango olufanelekileyo kwiingxaki ezininzi ezinxulumene ne-`(i-Urachus)`.

• Ukuba indawo yenkaba yomntwana wakho ihlala imanzi, ugqirha wakho unokucebisa inkqubo yokubulala iintsholongwane ngeekhemikhali . Oku kubandakanya ukufaka ikhemikhali encinci, efana ne-silver nitrate, kwindawo leyo. Indawo idla ngokuphola kwiintsuku ezimbalwa. Kusenokufuneka uthathe amayeza okubulala iintsholongwane .
• Ii-antibiotics ziyasebenza kakhulu kwi-urachal cysts. Kwezinye iimeko, ugqirha unokufuna ukusebenzisa inaliti ukususa ulwelo kwi-cyst. Emva kokuba i-cyst ipholile, utyando lunokwenziwa ukuze kususwe i-urachus kunye nazo naziphi na iindawo zesinyi ezinamathele kuyo, njengophezulu lwesinyi.Inokwenzeka loo nto. Ukushiya izicubu ze-urachus endaweni yazo kwandisa umngcipheko wokuba nomhlaza, njengomhlaza we-urachal, usulelo, okanye amatye esinyi kwixesha elizayo. Nangona kunjalo, uninzi lwabantu aluphindi lube neengxaki emva kokuba ugqirha esuse izicubu ze-urachus.

Okokugqibela, izinto ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Ndiyathemba ukuba ngoku uyiqonda ngcono i-`(Urachus)`.

• `(Urachus)` ngumjelo onceda ekukhupheni umchamo ngexesha lesigaba somntwana osandul’ ukuzalwa, kodwa kamva uyavaleka.
• Ngamanye amaxesha oku kungahlala "njengentsalela ye-urachal" ngaphandle kokuvala kakuhle, nto leyo enokubangela ukuba kubekho izinto ezinje ngokuvuza kolwelo oluvela kwisinyi kunye nosulelo.
• Ukuba ubona into engaqhelekanga ngesisu somntwana wakho, funa ingcebiso kagqirha ngoko nangoko .
• Iingxaki ezininzi ezinxulumene ne-Urachus zinokunyangwa ngempumelelo.
• Umhlaza we-Urachal yimeko engaqhelekanga kakhulu, kodwa kulungile ukuyiqonda.

Imizimba yethu yindalo emangalisayo ngokwenene, akunjalo? Kuyamangalisa indlela izinto ezincinci kangaka ezinokudlala ngayo indima enkulu kangaka. Ngoko ke, ndiyathemba ukuba olu lwazi luluncedo kuwe!

Umchamo , umntwana ongekazalwa, ibele, isinyi, iintsalela ze-urethra, impilo yosana, usulelo lomchamo