Kuyamangalisa indlela amalungu omntwana akhula ngayo ngaphakathi esibelekweni sikanina, akunjalo? Ngexesha lale nkqubo inzima, utshintsho oluncinci lunokwenzeka ngamanye amaxesha. 'Izintso zeHorseshoe' yenye yeemeko ezingaqhelekanga ezenzeka ekuzalweni. Usenokuziva usoyika kancinci xa usiva eli gama. Kodwa ungakhathazeki, siza kuthetha ngayo yonke into ngokulula nangokucacileyo.
Ngamafutshane, yintoni le Horseshoe Kidney?
Oku kulula kakhulu. Ngokwesiqhelo, sinezintso ezimbini emzimbeni wethu. Zifumaneka ngaphezulu kwesinqe, kumacala omabini omqolo. Kodwa kwimeko ebizwa ngokuba yi-'Horseshoe Kidney', iziphelo ezisezantsi zezi zintso zimbini ziyadibana njengoko umntwana ekhula esibelekweni, enze imo 'U', okanye isihlangu sehashe. Oku kuthiwa yiRenal Fusion ngokwezonyango . Oku kwenzeka phakathi kweveki yesi-7 neyesi-9 yokukhulelwa.
Le meko ayiqhelekanga kangako. Ichaphazela malunga ne-1 kwiintsana ezingama-500 ezizalwayo. Ikwaxhaphake kancinci kubafana kunamantombazana. Eyona nto ingcono kukuba uninzi lwabantwana abanale meko ababi neengxaki zempilo ezinzulu.
Nangona kunjalo, malunga nesithathu sabantwana abanolu hlobo lokubandakanyeka kwezintso banokufumana ezinye iingxaki ngentliziyo, imithambo yegazi, inkqubo yemithambo-luvo, inkqubo yomchamo, inkqubo yokugaya ukutya, okanye inkqubo yamathambo. Nangona kungekho nyango lweHorseshoe Kidney, ugqirha wakho unokunyanga ezinye iingxaki ezinxulumene noko aze ancede umntwana wakho aphile ubomi obusempilweni.
Zithini iimpawu zale meko?
Okumangalisayo kukuba, malunga nesithathu sabantwana abanazo iimpawu. Nangona kunjalo, abanye abantwana banokuba neengxaki ezithile. Le theyibhile ingezantsi idwelisa ezinye zezona ngxaki zixhaphakileyo kunye neempawu zazo.
| Ingxaki enokwenzeka | Iimpawu eziqhelekileyo |
|---|---|
| Usulelo lomchamo (UTI) |
|
| Amatye Ezintso | |
| Ukudumba kwezintso (iHydronephrosis) (Ukuzaliswa komchamo kunye nokudumba kwezintso ngenxa yokuvaleka kokuhamba komchamo) |
Ezinye iingxaki zempilo ezinokubakho ngeHorseshoe Kidney
Ukongeza kwezi zinto zikhankanyiweyo apha ngasentla, kukho umngcipheko wezinye iingxaki zempilo ezininzi.
- Ithumba likaWilms: Ithumba elinomhlaza elinokwenzeka kwizintso zabantwana abancinci.
- Isifo sezintso esine-polycystic: Ukwakheka kwee-cysts ezininzi ezingezizo zomhlaza kwizintso.
- Umhlaza wezintso: Kukho umngcipheko wokuba oku kwenzeke xa umntu emdala.
- I-Hydrocephalus: Ukuqokelelana kolwelo engqondweni.
- I-Spine bifida: Imeko apho inxalenye yomqolo ingakhuli kakuhle.
Musa ukothuka lolu luhlu. Oku akuthethi ukuba wonke umntu uza kuzifumana zonke ezi zinto. Kuthetha nje ukuba kukho ithuba lokuba zinokuba nazo. Yiyo loo nto kubalulekile ukuba phantsi kweliso likagqirha.
Kutheni oku kusenzeka? Yintoni unobangela?
Isizathu esichanekileyo soku asikaziwa okwangoku, kodwa iingcali zonyango zikholelwa ukuba kusenokwenzeka ukuba kubangelwa yingxaki kwimfuza yomntwana.
Abantwana abanezi meko zilandelayo zemfuza basengozini enkulu yokuphuhlisa iHorseshoe Kidney.
- I-Turner syndrome: Le meko ichaphazela amantombazana kuphela kwaye ibangela ukufutshane komzimba kunye neengxaki kuma-ovari.
- I-Edwards syndrome: Eyaziwa ngokuba yi-"Trisomy 18", le meko ibangela ukukhula okungalindelekanga, ubunzima obuphantsi bokuzalwa, kunye neengxaki ezininzi zempilo ezinzulu esibelekweni.
- I-Down syndrome: Eyaziwa ngokuba yi-``Trisomy 21'', oku kubangelwa yi-chromosome eyongezelelweyo ebangela ukulibaziseka kwengqondo nophuhliso, kunye nezinye iingxaki zempilo.
- I-Patau syndrome: Oku kubizwa ngokuba yi-`(Trisomy 13)` kwaye kubangela iingxaki ezifana nokuqhekeka komlomo kunye nencasa, kunye nobuthathaka bemisipha.
Ugqirha uyixilonga njani le nto? Luluphi unyango?
Le meko ayifumaneki rhoqo nge-prenatal scans. Ekubeni iimpawu zale meko zifana nezezinye izifo, kubalulekile ukubona ugqirha wakho ukuze ufumane ukuxilongwa ngokuchanekileyo.
Ugqirha wakho uza kukubuza ngeempawu zomntwana wakho kunye nembali yakhe yempilo, ahlole umntwana wakho, aze emva koko enze iimvavanyo ezininzi ukuqinisekisa imeko echanekileyo, ezifana nezi:
- Uvavanyo lwegazi: Jonga indlela ezisebenza ngayo izintso zakho.
- Uvavanyo lomchamo: Jonga ukuba kukho usulelo okanye ezinye iingxaki.
- I-ultrasound yezintso: Isebenzisa amaza esandi ukuthatha umfanekiso wezintso ukujonga amatye, iithumba, okanye umhlaza.
- Uvavanyo olukhethekileyo lwe-X-ray: Uvavanyo olufana ne-`(Intravenous pyelogram - IVP)` okanye `(Voiding cystourethrogram - VCUG)` lujonga indlela umchamo ohamba ngayo emzimbeni.
- Iskeni seRadionuclide: Kunikwa idosi encinci kakhulu yento ene-radioactive ukuze kuchongwe iindawo ezinengxaki.
- I-MRI okanye i-CT scan: Ezi zisetyenziselwa ukufumana imifanekiso ecacileyo.
Xa kufikwa kunyango, iHorseshoe Kidney ayinakutshintshwa. Xa izintso zidibene, zihlala zinjalo. Nangona kunjalo, iingxaki ezivela kuyo zinokunyangwa ngempumelelo. Umzekelo, ii-antibiotics zinokunikwa kwisifo somchamo, kwaye utyando lunokwenziwa kwiitshetshe zezintso.
Into ebalulekileyo kukuba ukuba umntwana wakho akanazo iimpawu, usenokungadingi naluphi na unyango.
Ezinye izinto ekufuneka uzazi njengomzali
Ezi zintso zibekwe ngaphantsi kancinci nangaphambili komzimba kunesiqhelo. Ngenxa yoko, zinokulimala kakhulu kwingozi okanye ukuwa. Ngoko ke, qiniseka ukuba uthetha nogqirha wakho malunga nemidlalo yokudibanisa. Kubaluleke kakhulu ukubuza umntwana wakho ukuba zeziphi izinto ezikhuselekileyo amele azenze.
Kukwangumbono omhle ukuba umntwana wakho anxibe isongo sesilumkiso sezonyango.Kwimeko engxamisekileyo, kuya kunceda abo banyanga umntwana ukuba baqaphele le meko ngokukhawuleza baze banike unyango oluchanekileyo.
Umyalezo Wokuya Ekhaya
- IHorseshoe Kidney yimeko ebakho xa umntwana ezalwa. Asikuko ukuba abazali bakhe banetyala.
- Abantwana abaninzi abanale meko baphila ubomi obuqhelekileyo nobusempilweni ngaphandle kweempawu.
- Iingxaki eziqhelekileyo ezifana nosulelo lwendlela yomchamo (UTIs) kunye namatye ezintso zinokunyangwa ngempumelelo.
- Kubaluleke kakhulu ukuhlala unxibelelana nogqirha rhoqo ukuze kujongwe impilo yomntwana kwaye kuhlolwe ngugqirha ngexesha.
- Buza ugqirha wakho ukuba zeziphi imidlalo kunye nemisebenzi efanelekileyo kumntwana wakho, ukhumbule ukhuseleko lwakhe.
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