Ngaba umntwana wakho omncinci ufumana rhoqo i-Urinary Tract Infections (UTIs)? Ugqirha usenokuba ukuxelele ukuba oku kungenxa yokuba umchamo ubuyela umva usuka kwisinyi, uye kwizintso. Ngokwezonyango, le meko ibizwa ngokuba yiVesicoureteral Reflux (VUR) . Musa ukoyika ukuva eli gama uze ucinge ukuba sisifo esibi. Esi sisifo esibonwa ebantwaneni. Ngoku kukho unyango olulula kakhulu, olukhuselekileyo nolusebenzayo loku. Namhlanje, sithetha ngonyango olubizwa ngokuba yiDeflux .
Yintoni iDeflux?
Ngamafutshane, iDeflux yinto engamanzi efana nejeli. Inikwa njengenaliti. Isebenza ngokuthintela umchamo ukuba ungabuyeli ubuyele kwi-ureters, iityhubhu ezithwala umchamo ukusuka kwizintso ukuya kwisinyi.
Cinga ngayo njengevalvu ekwimibhobho evela kwitanki yethu yamanzi ekhaya eyenzelwe ukuvumela amanzi ukuba ahambe kwicala elinye kuphela. Kwakhona, xa le gel yeDeflux ifakwa kwindawo apho i-urethra idibana khona nesinyi, kuvela iqhubu elincinci apho kwaye lisebenza njengevalvu yendalo. Oku kuvumela umchamo ukuba uhambe kwicala elifanelekileyo, oko kukuthi, uphume kwisinyi, kwaye kuyithintela ngokupheleleyo ukuba ingabuyeli umva.
Olu nyango lwenziwa yingcali yezifo zomchamo, ugqirha ogxile kwizifo zomchamo. I-Cystoscopy yinkqubo engaphantsi kakhulu apho kufakwa khona ityhubhu enekhamera (i-cystoscope) kwisinyi.
Ziziphi iimeko ezifuna unyango lweDeflux?
Olu nyango lusetyenziswa kakhulu ukunyanga i-VUR, imeko ebonwa ebantwaneni. Nangona kunjalo, ngamanye amaxesha isetyenziswa nakubantu abadala. I-VUR inokubangela ukuba umchamo ubuyele umva ungene ezintsoni. Ingozi kukuba oku kunokukhokelela kwiintsholongwane zomchamo rhoqo, amanxeba ezintso, kunye nezinye iingxaki ekuhambeni kwexesha.
Kwabaninzi abantwana, i-VUR iya kuzilungisa ngokwayo njengoko bekhula. Nangona kunjalo, i-Deflux sisisombululo esihle sokuthintela umonakalo wezintso ngelixa ulinde ukuba ziphele.
Khawucinge ukuba umntwana wakho ufumana usulelo lomchamo oluhambisana nomkhuhlane rhoqo emva kweenyanga ezimbalwa. Usela amayeza rhoqo, kodwa ahlala ebuya. Kuphela xa ugqirha esenza uvavanyo apho afumanisa ukuba une-VUR. Kulapho unyango lwe-Deflux luba luncedo kakhulu.
| Impembelelo yemeko ye-VUR | Isisombululo esibonelelwe yiDeflux |
|---|---|
| Usulelo oluqhelekileyo lwendlela yomchamo (UTIs). | Iyayithintela imichamo ukuba ingabuyeli umva, ithintela iintsholongwane ukuba zingafiki kwizintso kwaye inciphise umngcipheko wosulelo. |
| Ukuvaleka kwezintso ngokuhamba kwexesha. | Ikhusela izintso, ithintela umonakalo kunye neengxaki zexesha elide. |
| Umntwana unamandla okuphiliswa ngokwendalo njengoko ekhula. | Isebenza njengokhuselo lwezintso de umzimba womntwana uphiliswe ngokwendalo. |
Yenziwe ngantoni le Deflux?
Akukho nto ixhalabisayo ngale mveliso. Yenziwe ngokupheleleyo ngezithako zendalo, ezinokubola.
- I-Dextranomer: Le yi-polysaccharide, i-carbohydrate eyenziwe ngeemolekyuli zeswekile. Ikwasetyenziswa ekwenzeni amayeza kunye neemveliso zokucoca amanxeba.
- Ijeli ye-Hyaluronic acid: Le ikwayi-polysaccharide. Yinto eyenzeka ngokwendalo emizimbeni yethu. Usenokuba ukhe weva ukuba ikwasetyenziswa kakhulu kwiimveliso zobuhle kuba inceda ekufumiseni ulusu.
Le jeli ithathelwa indawo zizicubu zethu ngokuhamba kwexesha kwaye ifunxwa ngumzimba ngokukhuselekileyo. Nangona kunjalo, ayichaphazeli impumelelo yonyango.
Ulungiselela njani unyango kwaye lwenziwa njani?
Ugqirha wakho uza kukunika imiyalelo ecacileyo malunga noku. Ngokwesiqhelo, uza kucelwa ukuba uzile ukutya iiyure ezimbalwa ngaphambi konyango. Kubalulekile nokwazisa ugqirha wakho malunga namanye amayeza owasebenzisayo. Ungaze uyeke ukuthatha amayeza akho okanye omntwana wakho ngaphandle kwengcebiso kagqirha wakho.
Inkqubo yonyango ilula kakhulu:
1. Okokuqala, umntwana unikwa i-anesthesia jikelele . Ngoko ke akayi kuva ntlungu okanye ukungonwabi.
2. Ijeli yokufunxa iintlungu isetyenziswa kwi-urethra.
3. Emva koko, ityhubhu encinci enekhamera eqhotyoshelweyo (i-cystoscope) idluliselwa kwi-urethra iye kwisinyi.
4. Ukuze ibonakale ngcono ngaphakathi kwesinyi, izaliswe yityuwa.
5. Emva koko, kufakwa inaliti kuloo mbhobho kwaye ijeli yeDeflux ifakwa kwindawo apho i-urethra iqhagamshela khona kwisinyi.
6. Xa umsebenzi ugqityiwe, inaliti kunye nombhobho ziyasuswa, kwaye nawaphi na amanzi esinyini ayasuswa.
Lonke olu nyango luthatha ngaphantsi kwemizuzu engama-30 . Olu asilonyango lokunyanga ngaphandle kwesibhedlele. Oku kuthetha ukuba ungagoduka kwangoko emva kokuba unyango lugqityiwe.
Kwenzeka ntoni emva konyango? Kwaye yintoni ekufuneka uyilumkele
Emva konyango, umntwana wakho usenokuziva enesizungu. Kungcono ukuphumla ekhaya imini yonke. Ugqirha angenza olunye uvavanyo (ukuvavanya i-cystourethrogram - i-VCUG) ukuze abone ukuba unyango luphumelele na.
Kuqhelekile ukubona oku kulandelayo kangangeentsuku ezimbini emva konyango:
- Ukungafuni ukuchama okanye ukusela ulwelo.
- Ukuxela ukutsha okanye iintlungu xa uchama.
- Ukungakwazi ukuzibamba okanye ukuchama ebhedini.
- Umbala opinki kumchamo.
Ezi zinto ziya kuphela ngokupheleleyo emva kosuku olunye okanye ezimbini. Qinisekisa ukuba umntwana wakho usela ulwelo oluninzi. Kwakhona, lumka ungadluli iiyure ezisi-8 engachami.
| Ufanele ufowunele ugqirha wakho ngokukhawuleza nini | |
|---|---|
| Ukungakwazi ukuchama | Ukuba umntwana akakachami kangangeeyure ezisi-8-10. |
| Intlungu ebuhlungu | Ukuchama okubuhlungu, okanye iintlungu eziqatha esiswini, emqolo, okanye emacaleni, kuyaqhubeka iintsuku ezimbini emva konyango. |
| Ifiva | Ukuba ubushushu bomzimba bungaphezulu kwama-38.6 Celsius (101.5 Fahrenheit). |
| Ezinye iimpawu | Ukuhlanza rhoqo, ukuqaqamba kwesinyi okuhlala ixesha elingaphezu kweeyure ezingama-24, okanye iintlungu zomqolo/isinqe. |
Unyango lwe-Deflux lunezinga lempumelelo eliphakathi kwe-70% kunye ne-93%. Iziphumo zilungile ngakumbi kwizigaba zokuqala zesifo (i-VUR yebanga eliphantsi).
Umyalezo Wokuya Ekhaya
- I-VUR (retrograde urinary tract infection) yimeko eqhelekileyo ebantwaneni. Inokubangela usulelo oluqhelekileyo lwe-urinary tract kwaye yonakalise izintso.
- I-Deflux lunyango olukhuselekileyo, olulula, nolusebenzayo lokutofa.
- Oku kuthatha ngaphantsi kwemizuzu engama-30, kwenziwa phantsi kwe-anesthesia, kwaye ungagoduka ngaloo mini inye ngaphandle kokuhlala esibhedlele. Ixesha lokuchacha lifutshane kakhulu.
- Unyango ngalunye lunezibonelelo zalo kunye neengxaki zalo. Ngoko ke, khetha ukuba loluphi unyango olulungele umntwana wakho, thetha nogqirha wakho, kwaye ufumane zonke iinkcukacha.
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