Ngamanye amaxesha sizalwa sineenguqu ezincinci emizimbeni yethu. Ezinye zezi asizazi nokuba zinjani ebomini bethu. Le yimeko eqhelekileyo ebakho xa sizalwa, kodwa kubantu abaninzi ayibangeli ngxaki, kwaye ibizwa ngokuba yiDuplex Kidney. Usenokoyika kancinci xa ugqirha wakho ekhankanya eli gama. Kodwa akukho sizathu sokoyika. Masithethe ngale nto ngokulula.
Ngamafutshane, yintoni iDuplex Kidney?
Oku kulula kakhulu. Ngokwesiqhelo, sonke sinezintso ezimbini emizimbeni yethu. Umbhobho omnye (ureter) uvela kwintso nganye kwaye uqhagamshela kwisinyi sethu. Umchamo oveliswa kwintso uhamba ngale mbhobho uye kwisinyi.
Nangona kunjalo, kumntu onemeko ebizwa ngokuba yiDuplex Kidney , ii-ureter ezimbini ziphuma kwintso enye . Njengonobumba u-Y. Oku kwenzeka kwangethuba ekukhuleni komntwana esibelekweni. Lo kuphela komahluko kule meko. Oku kukwabizwa ngokuba zii-ureter eziphindaphindwayo.
Ngaba kukho iintlobo zeeNtso zeDuplex?
Ewe, kukho iintlobo ezimbini kuphela. Wakuba ukuqondile oku, imeko iya kucaca kuwe. Masiyijonge ngale ndlela ukuze sikuqonde lula.
| Uhlobo lwezintso zeDuplex | Kwenzekani? |
|---|---|
| Izintso zeDuplex ezipheleleyo | Iityhubhu ezimbini ezivela kwizintso azidibani, kodwa ziza ngokwahlukeneyo kwaye zidibene nesinye. |
| Izintso zeDuplex ezingaphelelanga | Nangona ziqala njengemibhobho emibini evela kwizintso, ziyadibana ngaphambi kokuba zingene kwisinyi kwaye zidibanise isinyi njengetyhubhu enye . |
Le meko ingenzeka kwintso enye kuphela, okanye ingenzeka kuzo zombini izintso.
Zithini iimpawu zale meko?
Nantsi into ebalulekileyo: Abantu abaninzi, uninzi lwabo, abanazo iimpawu.Uninzi lwabantu aluzi ukuba banale meko ubomi babo bonke. Idla ngokufunyaniswa ngengozi, ngokungathi xa kuskenwa ngesinye isizathu.
Nangona kunjalo, ngamanye amaxesha, ingakumbi kwiimeko ze-Duplex Kidney epheleleyo, iingxaki zinokwenzeka ukuba ii-ureters aziqhagamshelwanga kakuhle kwisinyi. Kwimeko enjalo, unokufumana iimpawu ezifana nezi:
- Iintsholongwane Eziqhelekileyo Zomchamo (ii-UTI): Oogqirha baza kujonga oku ukuba abantwana abancinci, ingakumbi abo bafumana izifo zomchamo rhoqo, banengxaki ngako.
- Usulelo lwezintso: Olu lusulelo lomchamo oluhamba nomkhuhlane.
- Ukungakwazi ukuzibamba xa uphuma emchameni: Ukuba umntwana omncinci uyaqhubeka nokuchama kwiimpahla zakhe nasemva kokuba eqeqeshwe ukuya kwindlu yangasese, oko kusenokuba luphawu.
Into ebalulekileyo kukuba nganye kwezi mpawu ibangelwa yingxaki eyahlukileyo yeso simo. Ukuba neetyhubhu ezimbini akuyongxaki.
Ingaba oku kubangela ukuchama kakhulu?
Hayi. Ukuba neDuplex Kidney akuthethi ukuba umzimba wakho uvelisa umchamo omninzi, kwaye akuthethi ukuba kufuneka uchame rhoqo. Nangona kunjalo, ukuba ufumana ii-UTI rhoqo, usulelo lunokubangela ukuba uzive ngathi kufuneka uchame rhoqo.
Yintoni ebangela oku? Ingaba kukufuzwa ngelifa?
Le meko ibangelwa yimpazamo encinci ekwahlulweni kweeseli ngelixa umntwana esakhula esibelekweni sikanina. Akukho nto yenziwe ngumama okanye angayenzanga ngexesha lokukhulelwa eyimbangela. Ngoko ke ungakhathazeki ngayo.
Le meko inokuthi ngamanye amaxesha ifuzwe njengelifa. Ukuba omnye umzali unesi sifo, kukho amathuba angama-50% okuba nomntwana abe naso. Nangona kunjalo, umntwana unokuba naso nangona kungekho mntu usapho lwakhe onayo.
Ziziphi iingxaki ezinokubakho ze-Duplex Kidney?
Njengoko besitshilo ngaphambili, iingxaki aziveli nje ngokuba neetyhubhu ezimbini. Kuphela xa kukho umahluko kwindlela ezidibene ngayo ezo tyhubhu apho ingxaki iyenzeka khona. Oku kunokubangela ukuvaleka kokuhamba komchamo, umchamo ungabuyela umva ungene kwizintso, okanye izintso zingadumba. Ezi zezona zizathu zokuba izifo zidla ngokuvela.
Iimeko eziphambili ezinxulumene noko ezinokubonwa zezi:
- I-Ureterocele: Ukudumba okufana nebhaluni kwi-urethra apho idibana khona nesinyi. Oku kunokuthintela ukuhamba komchamo.
- I-Ectopic ureter: Yityhubhu edibanisa i-ureter kwindawo engeyiyo apho iqhele ukuqhagamshelana khona nesinyi (mhlawumbi ngaphandle kwesinyi).
- I-Vesicoureteral reflux (VUR): Umchamo ovela kwisinyi ubuyela phezulu kwi-ureter, nto leyo enokubangela usulelo lwezintso.
- I-Hydronephrosis: Ukuvaleka komchamo kubangela ukuba umchamo udibane kwizintso, nto leyo ebangela ukuba izintso zidumbe.
Ungayibona njani le meko?
Xa uhlola iimpawu zakho, ugqirha wakho uza kukubuza malunga naziphi na iintlungu zesisu okanye umqolo, iingxaki zokulawula umchamo, kunye nokuba kukho umntu kusapho lwakho okhe waba nale meko.
Iiskeni zisetyenziswa kakhulu ukuqinisekisa oku.
| Uvavanyo | Yintoni onokuyilindela koku |
|---|---|
| Iskeni ye-ultrasound yezintso kunye nesinyi | Ungajonga ngokusisiseko imo, ubungakanani, kunye nokuba izintso zinemibhobho emibini na. |
| I-CT Scan (i-Computed Tomography) | Ukuze ufumane imifanekiso ecacileyo neneenkcukacha ezithe vetshe ngenkqubo yomchamo. |
| Iskeni se-MRI (Umfanekiso weMagnetic Resonance) | Kufana ne-CT scan, ukuze kufunyanwe imifanekiso ecacileyo yezicubu ezithambileyo. |
| I-pyelogram yokubuyisela umva | Uvavanyo olukhethekileyo lwe-X-ray ukuze kubonwe imilo yomzila womchamo kunye nokuba kukho naziphi na izithintelo. |
Ingaba unyango luyimfuneko? Zeziphi iindlela zonyango ezikhoyo?
Kwakhona, uninzi lwabantu aludingi naluphi na unyango. Ukuba awunazo iimpawu, akufuneki wenze nto.
Nangona kunjalo, ukuba uyaqhubeka uneengxaki ngenxa yeengxaki esizixubushe ngaphambili, ugqirha wakho unokucebisa utyando. Ezi azijongani nengxaki yokuba neetyhubhu ezimbini, kodwa zijongana nokuvaleka okanye ukuncipha komchamo okubangelwa zizo.
Kukho iintlobo ezininzi eziphambili zotyando:
I-Ureteroureterostomy
Oku kuquka ukudibanisa imibhobho emibini evela kwizintso ngaphambi kokuba ingene kwisinyi, kudala umbhobho omnye omile njengo-Y. Oku kuvumela umchamo ukuba ungene ngqo kwisinyi.
Ukufakelwa kwakhona komchamo
Ukuba i-ureter iqhagamshelwe kwindawo engafanelekanga (i-ectopic ureter) okanye ukuba umchamo ubuyela umva (i-reflux), ugqirha uza kuyisusa ityhubhu aze ayibuyisele kwakhona kwindawo efanelekileyo kwisinyi.
Utyando lwe-Nephrectomy
Le yinkqubo engaqhelekanga kakhulu . Ibandakanya ukususa inxalenye okanye yonke intso. Kodwa oku kwenziwa kuphela ukuba loo nxalenye yentso ayisebenzi konke konke kwaye ibangela usulelo olungapheliyo okanye ezinye iingxaki. Oku kuqwalaselwa kuphela ukuba enye intso isebenza kakuhle.
Emva kotyando, umntwana uhlala esibhedlele usuku olunye okanye ezimbini aze aphumle ekhaya iveki enye okanye ezimbini. Emva koko, ugqirha uya kwenza i-ultrasound scan ukuqinisekisa ukuba yonke into ilungile.
Udinga nini ukubona ugqirha?
Ukuba uyazi ukuba une-Duplex Kidney kwaye ubonakalisa iimpawu ezintsha, bona ugqirha wakho.
Nangona kunjalo, ukuba uneempawu zosulelo olukhulu, yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele ngoko nangoko. Ezo mpawu ziquka:
- Umkhuhlane ophezulu (ngaphezulu kwama-39 degrees Celsius).
- Intlungu ebuhlungu kakhulu yesinqe ngequbuliso.
- Imeko yokuhlanza okungapheliyo kunye nokungakwazi ukutya okanye ukusela nantoni na.
Umyalezo Wokuya Ekhaya
- I-Duplex Kidney yimeko eqhelekileyo yokuzalwa. Ayisosifo, kodwa lutshintsho nje oluncinci emzimbeni.
- Uninzi lwabantu alunazo naziphi na iimpawu okanye alufuni unyango.
- Iimpawu zibonakala kuphela xa kukho ezinye iingxaki ezinxulumene noko (ezifana nokuphuma komchamo, ukuvaleka kwesisu).
- Ukuba kufuneka unyango, utyando lunokusombulula ezo ngxaki ngempumelelo.
- Ukuba wena okanye umntwana wakho nineengxaki zomchamo (usulelo oluqhelekileyo, ukungakwazi ukuzibamba), musani ukuba namahloni okuthetha nogqirha wenu ngaloo nto.
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