Ngaba nawe une-ureters ezimbini kwizintso zakho? (I-Duplex Kidney) Masifunde ngale meko ngokulula!

Umzimba wethu yindalo emangalisayo, akunjalo? Ngamanye amaxesha izinto ziyenzeka ngaphakathi emizimbeni yethu esingazaziyo, esingenakuzicingela. Le yenye yezinto ezikhethekileyo esiza kuthetha ngazo namhlanje. Khawucinge nje, ukuba imibhobho ethwala umchamo ukusuka kwenye yezintso zakho ukuya kwisinyi (esizibiza ngokuba zii-'(ureters)`) idla ngokuba nemibini endaweni yenye! Ewe, yinyani leyo. Oku sikubiza ngokuba yi-'(Duplex Kidney)` okanye `(Duplicated Ureters)` kwisayensi yezonyango. Musa ukoyika xa usiva igama, le yinto engabangeli ngxaki ingako kubantu abaninzi. Masithethe ngale nto ngokweenkcukacha nangokulula.

Yintoni le "Duplex Kidney"? Masiqonde kakuhle!

Ngamafutshane, i-duplex kidney yimeko yokuzalwa eyenzeka xa uzalwa. Oku kwenzeka xa enye okanye zombini izintso zakho zinemibhobho emibini ebizwa ngokuba yi-ureters ethwala umchamo uye kwisinyi. Ngokwesiqhelo, yi-ureter enye kuphela eqhagamshelana nesinyi ukusuka kwisinyi esinye.

Sonke sinezintso ezimbini emzimbeni wethu. Ezi zintso zihluza inkunkuma emzimbeni wethu zize zivelise umchamo. Emva koko, lo mchamo uhamba ngeetyhubhu ezibizwa ngokuba yi-"ureters" kwaye uqokelelane kwisinyi. Xa isinyi sigcwele, siziva sifuna ukuchama. Ngoku, kule meko ye-"Duplex Kidney", iityhubhu ezimbini ziphuma kwisinyi esinye. Esinye siqala kwinxalenye ephezulu yesinyi kwaye esinye sisuka kwinxalenye esezantsi size sithwale umchamo siye kwisinyi. Oku kwenzeka xa izintso kunye nomgudu womchamo zikhula esibelekweni njengomntwana ongekazalwa.

Ziziphi iintlobo eziphambili ze-`(Duplex Kidney)`?

Le meko "ye-Duplex Kidney" inokuchaphazela intso enye kuphela, okanye inokuchaphazela zombini izintso (esizibiza ngokuba yi-"bilateral duplex kidneys"). Kwakhona, inokuba epheleleyo okanye engaphelelanga . Makhe sibone ukuba yintoni na.

• I-Complete Duplex Kidney: Kule meko, ii-ureters ezimbini eziqala kwintso enye zize ziqhagamshele kwisinyi ngokwahlukeneyo. Oku kuthetha ukuba iityhubhu ezimbini zingena kwisinyi.
• I-Duplex Kidney engaphelelanga: Apha, nangona ii-ureters ezimbini ziqala kwintso enye, ziyadibana ngaphambi kokuba zingene kwisinyi, zenze ityhubhu enye edibanisa nesinyi. Cinga ngayo njengonobumba u-'Y'.

Zithini iimpawu zale meko? Ngaba wonke umntu ufumana iimpawu?

Iindaba ezimnandi zezokuba uninzi lwabantu abane-duplex kidney abanazo naziphi na iimpawu . Baphila ubomi obuqhelekileyo. Nangona kunjalo, ngamanye amaxesha, ingakumbi kwiimeko ze-duplex kidney epheleleyo, xa ii-ureters zingadibani kakuhle nesinyi okanye kukho ukuvaleka komchamo, iimpawu zinokuvela ngenxa yeengxaki.

Iimpawu ezinokwenzeka zezi:

• Usulelo oluqhelekileyo lwendlela yomchamo (UTIs)Ukwenzeka. Ngeli xesha, unokufumana ukutsha, iintlungu, kunye nesidingo sokuchama rhoqo.
• Usulelo lwezintso (ukuba i-UTI ihamba nomkhuhlane). Oku kuyingozi kakhulu. Iimpawu zingabandakanya umkhuhlane, ukugodola, kunye nentlungu yomqolo.
• Ukungakwazi ukuzibamba komchamo kukuvuza komchamo ngokungazikhetheliyo nokuba umntwana sele eqeqeshwe ukuya kwindlu yangasese (okwaziwa nangokuqeqeshwa ukuya kwindlu yangasese) . Oku kuxhaphake kakhulu phakathi kwamantombazana.

Khawucinge nje, abanye abantwana badla ngokuba nefiva, ugqirha ubanika amayeza, kodwa bayaqhubeka bewafumana kwakhona. Mhlawumbi unobangela lusulelo lomchamo olubangelwa yi-"Duplex Kidney" efihlakeleyo.

Ngaba i-Duplex Kidney ibangela ukuchama kakhulu?

Hayi, ukuba neDuplex Kidney akukubangela ukuba isinyi sakho sibambe umchamo omninzi, kwaye akukwenzi ukuba ufune ukuchama rhoqo. Ubungakanani bomchamo esiwuvelisayo bulawulwa zezinye iinkqubo emzimbeni wethu. Nangona kunjalo, njengoko benditshilo ngaphambili, ukuba umntu oneDuplex Kidney ufumana i-UTI rhoqo, unokuziva ngathi kufuneka uchame rhoqo ngenxa yosulelo. Oku akubangelwa ngqo yile meko, kodwa luphawu losulelo.

Kutheni le nto "iDuplex Kidney" isenzeka?

Oku kudla ngokubangelwa yimpazamo yokwahlulwa kweeseli ezenzeka kwangethuba ekukhuleni komntwana ongekazalwa esibelekweni. Oku kuthetha ukuba kukho utshintsho oluncinci ekwakhekeni kwezintso kunye nendlela yokuchama. Into ebalulekileyo kukuba akukho bungqina bokuba le meko ibangelwa yinto eyenziwa okanye engenziwanga ngumama ngexesha lokukhulelwa. Ngoko ke musa ukuziva unetyala ngayo.

Ingaba le yinto evela kwizizukulwana ngezizukulwana?

Ewe, ngamanye amaxesha i-Duplex Kidney inokufunyanwa njengelifa . Oku kuthetha ukuba ukuba omnye wabazali unale meko, umntwana wabo unethuba elingama-50% lokufumana esi sifo. Nangona kunjalo, kukho iimeko apho abantwana banokufumana i-Duplex Kidney nokuba abazali abanayo le meko. Ke ngoko, ukuba kukho umntu kusapho onale meko, kulungile ukwazi.

Ziziphi iingxaki ezinokubakho ze-"Duplex Kidney"?

Amaxesha amaninzi, iimpawu zesintso esine-duplex zibonakala kuphela xa kuvela ezinye iingxaki ngophuhliso lwenkqubo yomchamo. Olu tshintsho lunokuthintela ukuhamba komchamo, lubangele ukuba izintso zidumbe (hydronephrosis), okanye lubangele ukuba umchamo ubuyele umva ungene kwizintso (reflux). Nasiphi na kwezi meko sinokukhokelela kwiintsholongwane zomchamo rhoqo (UTIs).

Ezinye iimeko ezinokubonwa ngokunxulumene ne-"Duplex Kidney" zezi:

• `Ureterocele`: Kulapho i`(ureter)` apho iqhagamshela khona kwisinyi iba ngathi yibhaluni. Oku kunokuthintela ukuhamba komchamo.
• I-Ectopic ureter:Apha, i-ureter iqhagamshela kwindawo eyahlukileyo yesinyi (umzekelo, i-urethra okanye i-vagina) endaweni yokuba iqhagamshelane nendawo ekufanele ukuba iqhagamshelwe kuyo. Oku kunokubangela ukuba umchamo uphume ngempazamo (ukungakwazi ukuzibamba).
• I-Vesicoureteral reflux (VUR): Oku kwenzeka xa umchamo ovela kwisinyi ubuyela phezulu kwi-ureters uye kwizintso. Oku kungonakalisa izintso kwaye kubangele usulelo.
• I-Hydronephrosis: Oku kwenzeka xa umchamo uqokelelana kwizintso uze udumbe. Oku kwenzeka xa kukho ukuvaleka kwendlela yomchamo.

Ifunyanwa njani le meko "ye-Duplex Kidney"?

Oogqirha banokuxilonga ii-ureters eziphindaphindwayo ngokusebenzisa uvavanyo olukhethekileyo lokuthatha imifanekiso ukuze bathathe imifanekiso yenkqubo yakho yomchamo. Xa bezama ukufumanisa unobangela weempawu zakho, ugqirha wakho unokukubuza imibuzo efana nale:

• Ngaba uneentlungu zomqolo okanye isisu?
• Ingaba unengxaki yokungakwazi ukuzibamba umchamo?
• Ngaba kukho nabani na kusapho (izalamane zegazi) one-"Duplex Kidney"?

Ii-ureter eziphindaphindwayo zihlala zifunyanwa ebuntwaneni , ingakumbi ukuba zine-UTIs rhoqo okanye ukungakwazi ukuzibamba. Nangona kunjalo, abanye abantu abazi ukuba banale meko de babe ngabantu abadala. Ihlala ifunyanwa ngengozi ngexesha lovavanyo lwenye imeko. Ezinye zeempawu ziyafana nezezinye iimeko, ngoko ke kunokuba nzima ukuzifumanisa.

Zeziphi iimvavanyo ezenziwayo ukufumanisa oku?

Ugqirha wakho unokuyalela iimvavanyo zomfanekiso ezifana nezi ukuze abone ukuba une-Duplex Kidney:

• I-ultrasound yezintso kunye nesinye: Olu luvavanyo olulula nolungenabuhlungu olusebenzisa amaza esandi ukuthatha imifanekiso yezitho zangaphakathi.
• `I-Computed Tomography (CT) scan`: Oku kusebenzisa ii-X-ray kunye nekhompyutha ukuthatha imifanekiso eneenkcukacha zomzimba.
• I-Magnetic Resonance Imaging (MRI): Oku kusebenzisa amasimi emagnethi kunye namaza erediyo ukuvelisa imifanekiso ecacileyo yangaphakathi lomzimba.
• I-retrograde pyelogram: Olu luvavanyo olukhethekileyo. Ikhamera encinci kunye nedayi zidluliselwa kwi-urethra, kwaye kuthathwa imifanekiso ye-X-ray ukuze kubonwe imo kunye nomsebenzi wenkqubo yomchamo.

Ziziphi iindlela zonyango lwe-`(Duplex Kidney)`?

Uninzi lwabantu aludingi naluphi na unyango lwezintso ezimbini. Nangona kunjalo, ukuba une-ureter ectopic, njengoko kukhankanyiwe apha ngasentla, okanye ukuba unezinye iingxaki ezibangela iimpawu, unokufuna utyando kwizintso zakho, kwisinyi, okanye kwi-ureters.

Ngaba uyayisusa "i-Duplex Kidney"?

Oogqirha abafane bayisuse ngokupheleleyo "Izintso Eziphindaphindwayo." Ingxaki ayikokuba nezintso ezimbini, kodwa ziingxaki ezinxulumene nazo. Ukuba kukho iimpawu, kukho iintlobo ezahlukeneyo zotyando ezinokwenziwa:

• `Ureteroureterostomy`: Kule nto, ugqirha udibanisa ii`(ureters)` ezimbini kunye, edala i`(ureter)` ekwimo ye`(Y') ukuze ithwale umchamo iye kwisinyi. Oku kwenziwa ukuze kudityaniswe iityhubhu ezimbini, ezifana ne`(Incomplete Duplex Kidney)`.
• Ukufakelwa kwakhona komchamo: Ukuba une-ureter ectopic, okanye i-ureter evuselela i-reflux, ugqirha uza kudala umngxuma omtsha wokuyidibanisa nesinye. Oku kuya kunceda umchamo ukuba uphume kakuhle kwaye uyeke ukugeleza umva.
• Utyando lwe-Nephrectomy: Oku kuquka ukususa inxalenye okanye yonke intso engasebenzi kakuhle. Oku kunokunciphisa ukungakwazi ukuzibamba kunye nomngcipheko wosulelo. Nangona kunjalo, olu nyango alwenziwa rhoqo. Lwenziwa kuphela xa enye intso yonakele kakhulu kwaye ibangela iingxaki, kwaye enye intso isebenza kakuhle.

Kuthatha ixesha elingakanani ukuphola emva kotyando?

Ixesha eliza kuthatha ukuba uphile emva kotyando liya kwahluka ngokuxhomekeke kwiminyaka yakho kunye nohlobo lotyando olwenzileyo. Umzekelo, umntwana omncinci uhlala esibhedlele usuku olunye okanye ezimbini, aze aye ekhaya aphumle iveki enye okanye ezimbini. Emva kotyando, ugqirha uza kwenza i-ultrasound yezintso ukuqinisekisa ukuba yonke into ilungile.

Ukuba ndine-"Duplex Kidney", ndimele ndilindele ntoni?

Uninzi lwabantu abanezintso ezimbini abanazo iingxaki. Kodwa ukuba uneemeko ezifana nokungakwazi ukuzibamba komchamo, i-reflux, okanye i-UTIs rhoqo, unokufuna utyando ukuze zilungiswe.

Ingaba "i-Duplex Kidney" yimeko embi kakhulu?

I-Duplex Kidney ayisiyongxaki imbi okanye iyingozi . Uninzi lwabantu alunazo iimpawu kwaye aludingi unyango.

Ndingaphila ubomi obuqhelekileyo nge-`(Duplex Kidney)`?

I-Duplex Kidney ayisongeli ubomi. Nangona unyango lufuneka, ludla ngokuba luncedo kakhulu ekunciphiseni iimpawu. Ngoko ke, ungaphila ubomi obuqhelekileyo ngokupheleleyo .

Ndingazinyamekela njani?

Ukuba uyazi ukuba wena okanye umntwana wakho unezintso ezimbini, qaphela iimpawu ezichaphazela inkqubo yomchamo (ezifana ne-UTIs xa kukho umkhuhlane okanye ukuchama ngokungazikhetheliyo). Ukuba wena okanye umntwana wakho niye natyandwa, landela imiyalelo kagqirha wakho ngononophelo .

Ndifanele ndimbone nini ugqirha wam?

Ukuba ufunyenwe une-Duplex Kidney kwaye uneempawu ocinga ukuba zinxulumene nayo, bona ugqirha wakho. Mbuze ngazo naziphi na iimpawu ezintsha okanye into omawuyenze ukuba iimpawu zakho ziya zisiba mandundu.

Ndingaya nini kwiSebe leeNgxamiseko (i-ETU) ?

Ukuba uneempawu zosulelo olukhulu, yiya kwigumbi longxamiseko ngokukhawuleza. Ezi mpawu ziquka:

• Umkhuhlane ophezulu (ngaphezulu kwama-degrees Fahrenheit ayi-102 / ama-degrees Celsius angama-39).
• Intlungu ebuhlungu yesisu ngequbuliso.
• Ukuhlanza rhoqo kunye nokungakwazi ukutya okanye ukusela nantoni na .

Ndingayibuza yiphi imibuzo ugqirha wam?

Kunganceda ukubuza ugqirha wakho imibuzo efana nale:

• Ngaba kukho amayeza ekufuneka ndiwasebenzise?
• Luhlobo luni lwe-"Duplex Kidney" endinalo?
• Ngaba kufuneka ndityandwe? Luhlobo luni?
• Ngaba kufuneka ndidibane nengcali? Ngaba ndifuna i-``(i-referral)`` ukuze ndifumane loo nto?
• Ucinga ukuba iimpawu zam ziza kuphela ngokwazo?
• Ukuba ndine-"Duplex Kidney", ngaba umntwana wam kufuneka avavanywe naye?

Ixhaphake kangakanani i-"Duplex Kidney"?

Izintso eziqhekekileyo zezona zixhaphakileyo ezichaphazela inkqubo yomchamo. Malunga nomntu omnye kwabayi-125 uqhaqho lwezintso olupheleleyo okanye olungaphelelanga.

Okokugqibela, izinto ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

I-Duplex Kidney okanye i-Duplicated Ureters ayisiyongxaki esongela ubomi kwaye ayisoloko ibangela iimpawu. Abantu abaninzi abazi nokuba banale meko. Ukuba wena okanye umntwana wakho nifunyaniswe nine-Duplex Kidney kwaye nineempawu, unyango ludla ngokuba lusebenza kakhulu ekunyangeni. Nangona kunokuba yintloni ukuthetha ngezinto ezifana nokuchama ngokungazikhetheliyo okanye iintlungu xa nichama, kubalulekile ukuthetha nogqirha malunga neempawu zakho . Bakho ukukunceda. Banokufumana unobangela weempawu zakho kwaye bacebise unyango olufanelekileyo ukukunceda uzive ungcono. Eyona nto ibalulekileyo kukungaphakuzeli kwaye ufumane ingcebiso efanelekileyo yezonyango.

Izintso ezimbini , ii-ureters ezimbini, isifo sezintso sokuzalwa, usulelo lomchamo, utyando lwezintso, i-ureterocele, i-vesicoureteral reflux