Ngaba umntwana wakho omncinci ufumana usulelo oluqhelekileyo lwendlela yomchamo (UTIs)? Okanye ngaba uchamela kwiimpahla zakhe engaqondanga? Ngamanye amaxesha sicinga ukuba ezi zizinto eziqhelekileyo, kodwa kunokubakho ingxaki encinci yokwakheka emva koku ekhona ukususela ekuzalweni. Yiloo nto siza kuthetha ngayo namhlanje. Oku kubizwa ngokuba yi-ectopic ureter. Ungakhathazeki, siza kuchaza yonke into malunga noku ngokulula.
Yintoni kanye kanye i-Ectopic Ureter?
Ngamafutshane, le yimeko yokuzalwa. Sinezintso ezimbini emzimbeni wethu. Ezi zintso zihluza inkunkuma emzimbeni wethu kwaye zivelise umchamo (umchamo). Umchamo oveliswa ngale ndlela uthwalwa uye kwisinyi somchamo ngemibhobho emibini emincinci. Ezi mibhobho mibini zibizwa ngokuba zii-ureters . Ngokwesiqhelo, kukho i-ureter enye kwintso nganye, zombini ezidibene ngqo nesinyi.
Nangona kunjalo, kwimeko ye-'ectopic ureter', enye (okanye mhlawumbi zombini) yezi tyhubhu ze-ureteral iqhagamshela kwisinyi kwindawo engafanelekanga endaweni yokuqhagamshela kuso.
Cinga ngayo njengendlela ethatha ijika elingalunganga. Kukho iindawo ezininzi apho ungenza khona unxibelelwano olungalunganga ngolu hlobo:
- I-urethra (umbhobho othwala umchamo kwisinyi)
- Intamo yesinyi
- Ingxolo
- Kwabasetyhini, isibeleko, umlomo wesibeleko, okanye ibhinqa
- Kumadoda, imibhobho yesidoda
Le meko idla ngokubonakala kwimeko ebizwa ngokuba yi-'duplex kidney' . Oku kuthetha ukuba ii-ureters ezimbini zidibene kwintso enye. Emva koko, enye yeetyhubhu ezimbini idla ngokudityaniswa kwindawo engafanelekanga.
Zithini iimpawu zale meko?
Esinye isizathu sokuba le meko ibe nzima ukuyifumanisa kukuba iimpawu zayo ziyafana nezezinye izifo eziqhelekileyo, ezifana nosulelo lomchamo (UTIs). Nangona kunjalo, ukuba ezi mpawu zilandelayo ziyaqhubeka, kufuneka ukhathazeke.
| Uphawu | Ingcaciso elula |
|---|---|
| Usulelo oluphindaphindayo lwendlela yomchamo (UTIs) | Ukuba umntwana wakho uhlala efumana usulelo lomchamo olunokutsha kunye nentlungu ngexesha lokuchama (i-dysuria) . |
| Ukungakwazi ukuzibamba komchamo | Ingakumbi kumantombazana, ukuba aqhubeka emanzisa impahla yawo nokuba sele ekwazi ukulawula umchamo. Amathontsi amancinci omchamo ayavuza imini yonke. |
| Ukudumba kwezintso (iHydronephrosis) | Ngenxa yokuba umchamo awukwazi ukuphuma kakuhle, uqokelelana ngaphakathi kwizintso uze ubangele ukuba zidumbe. Oku kubonwa ngeskeni. |
| I-Vesicoureteral Reflux | Umchamo ovela kwisinyi ubuyela umva kwi-ureter uye kwizintso, nto leyo enokubangela usulelo. |
Ingaba le yimeko ebuhlungu?
Imeko ebizwa ngokuba yi-'ectopic ureter' ngokwayo ayibuhlungu. Nangona kunjalo, iziphumo ebezingalindelekanga ezibangelwa yiyo zinokuba buhlungu. Umzekelo:
- Ukudumba kunye nentlungu ebangelwa zizifo zomchamo (UTIs).
- Usulelo kunye nokudumba kwamasende kumadoda (i-Epididymitis).
- Usulelo lweprostate (iProstatitis).
Kutheni oku kusenzeka? Ngubani osengozini enkulu?
Oogqirha abayazi kakuhle imbangela yoku. Oku kubangelwa lutshintsho oluncinci kakhulu kwindlela yokuphuhla kwenkqubo yomchamo njengoko umntwana ekhula esibelekweni. Oku akubangelwa yimpazamo eyenziwa ngumama ngexesha lokukhulelwa.
Nangona kunjalo, kukho amaqela asemngciphekweni omkhulu wokufumana le meko:
- Amantombazana: Nangona isizathu singacacanga, amantombazana anamathuba aphindwe kalishumi okuba nale meko kunamakhwenkwe.
- Imbali yosapho: Ukuba omnye wabazali unale meko, kukho umngcipheko omncinci wokuba nomntwana abe nayo.
Ugqirha uyifumana njani le nto?
Kunokuba nzima ukuxilonga kuba iimpawu ziyafana nezinye iimeko. Ngamanye amaxesha ifunyanwa ngengozi ngexesha lokuhlolwa kwe-ultrasound ngaphambi kokukhulelwa ngelixa umntwana esesesibelekweni.
Kungenjalo, xa usisa umntwana wakho kugqirha, uza kuqala akubuze ngeempawu zakhe, amhlole umntwana, aze emva koko, ukuba kukho amathandabuzo malunga nale meko, amyalele uvavanyo oluthile ukuze aqinisekise ukuba ikhona.
| Igama lovavanyo | Kalula nje... |
|---|---|
| Uvavanyo lokuFanekisa | I-CT scan, i-MRI scan, okanye i-ultrasound scan ingathatha imifanekiso eneenkcukacha zenkqubo yomchamo kwaye ibonise indawo echanekileyo yengxaki. |
| I-Cystoscopy | Ityhubhu encinci kakhulu enekhamera eqhotyoshelweyo idlula kwi-urethra ukuze ijonge ngaphakathi kwisinyi. |
| Iskeni sokuHamba kwezintso | Idayi ene-radioactive ifakwa emzimbeni ukujonga indlela ezisebenza ngayo izintso kunye nendlela umchamo ohamba ngayo. |
| I-VCUG (i-Voiding Cystourethrogram) | Uvavanyo apho kufakwa idayi ekhethekileyo kwisinyi kwaye kuthathwa i-X-ray ngelixa umntwana echama ukuze kubonwe ukuba umchamo ubuyela umva na. |
Wenza ntoni njengonyango?
Eyona ndlela yokulungisa le meko kukuhlinzwa. Ayinakuphiliswa ngamayeza.
Injongo ephambili yolu tyando kukubuyisela i-ureter kwindawo yayo echanekileyo kunye nokuthintela ukonakala kwezintso. Oogqirha basebenzisa iintlobo ezahlukeneyo zotyando kule nto. Utyando olufanelekileyo lukhethwa ngokusekelwe kwimeko yomntwana.
- I-Ureteroureterostomy: Oku kuquka ukudibanisa i-ureter eqhagamshelwe gwenxa kwenye i-ureter echanekileyo, ukudala uqhagamshelo olumile njengo-Y.
- Ukufakelwa kwakhona komchamo: Kule nkqubo, umbhobho we-ureteral ongekho kwindawo yawo uyasuswa uze unamathele kwakhona kwindawo efanelekileyo kwisinyi.
- Ukususwa kwe-Nephrectomy: Ngamanye amaxesha, le ngxaki inokubangela umonakalo omkhulu kwizintso kwaye inciphise kakhulu ukusebenza kwazo. Ukuba enye izintso iphilile ngokugqibeleleyo, kuphela njengesisombululo sokugqibela apho kunokuthi kufuneke ukususa inxalenye yezintso ezonakeleyo (i-partial nephrectomy) okanye yonke intso (radical nephrectomy).
Olu tyando lunika iziphumo eziphumeleleyo kakhulu, ngoko ke akukho mfuneko yokuba uloyike ngokungeyomfuneko.
Kwenzeka ntoni ukuba awuyinyangi? Kwenzeka ntoni emva konyango?
Ukuba le meko ayinyangwa, kukho umngcipheko omkhulu wokufumana usulelo oluqhubekayo lwendlela yomchamo, kwaye ekuhambeni kwexesha, umonakalo osisigxina kwizintso .
Nangona kunjalo, ngokuxilongwa ngexesha elifanelekileyo kunye notyando olufanelekileyo, umntwana unokuphila ubomi obuqhelekileyo ngokupheleleyo. Abantu abaninzi abaziva mahluko. Nokuba kufuneka kususwe izintso, izintso eziseleyo ziba namandla kwaye ziqhubeke nokusebenza ngaphandle kweengxaki emzimbeni. Nangona kunjalo, njengoko ugqirha esitsho, kubalulekile ukuqhubeka nokuhlolwa yingcali yezintso (i-nephrologist).
Le meko ayidli ngokuphazamisa ukusebenza ngokwesondo okanye amandla okufumana abantwana kwixesha elizayo (ukuzala).
Imibuzo kunye noloyiko olufika engqondweni njengomzali
Kunzima ukuchaza ngamazwi ukuba kunjani ukufumanisa ukuba umntwana wakho unengxaki yokuzalwa. Kuqhelekile ukuba nemibuzo emininzi engqondweni yakho, efana nokuthi, 'Kutheni oku kwenzeke kum?', 'Ngaba ndenze into engalunganga?'
Kodwa, nceda ukhumbule oku: oku akulona ityala lakho konke konke.
Kwanoogqirha abazi kakuhle ukuba yintoni ebangela le meko. Ngamanye amaxesha ezi zizinto ezenzeka ngokungacwangciswanga. Asinto obufanele ukuba uyenze, okanye into oyenzileyo ngendlela engalunganga. Ngoko ungazibeki tyala.
Eyona nto ibalulekileyo kukuba xa oku kufunyenwe, imeko iba ntle kakhulu. Unyango lusebenza kakuhle kakhulu. Oku akuyi kumthintela umntwana wakho ukuba aphile ubomi obusempilweni nobonwabisayo. Thetha nogqirha wakho ngayo nayiphi na imibuzo okanye iinkxalabo onokuba nazo. Uza kukuchazela yonke into.
Umyalezo Wokuya Ekhaya
- I-Ectopic ureter yimeko yokuzalwa apho i-urethra idibene kwindawo engafanelekanga.
- Usulelo oluqhelekileyo lwendlela yokuchama kunye nokuchama ngokungazikhetheliyo (ingakumbi kumantombazana) zisenokuba zezona mpawu ziphambili.
- Le meko ayilotyala labazali.
- Oku kunokuxilongwa ngokuchanekileyo ngokusebenzisa iiskeni ezikhethekileyo kunye nezinye iimvavanyo.
- Oku kunokunyangeka ngokupheleleyo ngotyando, kwaye izinga lempumelelo lonyango liphezulu kakhulu.
- Ukuba umntwana wakho unezi mpawu, qhagamshelana nogqirha wakho ngokukhawuleza ukuze akunike icebiso.
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