Ukuba ungumama okhulelweyo, mhlawumbi ukhe woyika ukubona igama elithi 'megaureter' kwingxelo yakho yeskeni. Okanye mhlawumbi umntwana wakho omncinci ebesoloko efumana usulelo lwendlela yomchamo. Kuqhelekile ukuba novalo xa usiva okanye ubona into efana nale. Kodwa ungakhathazeki, oku akusoloko kuyimeko enzima. Namhlanje, siza kuthetha ngayo yonke into ngendlela elula necacileyo.
Kalula nje, yintoni le Megaureter?
Kulungile, masiqale sikuqonde oku. Sonke sinezintso ezimbini emizimbeni yethu, akunjalo? Ezi zintso zivelisa umchamo (umchamo). Emva koko, lo mchamo uthwalwa uye kwisinyi somchamo ngeetyhubhu ezimbini. Njengokuba amanzi ethwalwa etankini yamanzi ngeetyhubhu ezimbini. Ezo tyhubhu zimbini zibizwa ngokuba 'ziireters'.
Ngokwesiqhelo, ezi tyhubhu kumntu ophilileyo zincinci kakhulu. Kodwa ngamanye amaxesha, ingakumbi ekuzalweni, enye okanye zombini ezi tyhubhu zinokuba banzi kwaye zibe nkulu kunesiqhelo. Yiloo nto siyibiza ngokuba yi-megaureter kwezonyango. Igama elithi 'Mega' lithetha 'elikhulu'. Ngoko ke igama elithi 'Megaureter' lithetha 'i-urethra ekhulisiweyo'.
Oogqirha badla ngokubona oku ngexesha lokuhlolwa kokukhulelwa. Kulungile ukukwazi ukukubona kwangethuba, kuba emva koko ungathatha amanyathelo afunekayo kwangoko emva kokuba umntwana ezelwe.
Ziziphi iintlobo ze-megaureter ezikhoyo?
Le meko inokwahlulwa ibe ziintlobo ezininzi eziphambili ngokuxhomekeke kwindlela eyenzeka ngayo. Nangona oku kungabonakala kunzima kancinci, kulula ukukuqonda. Makhe sijonge le theyibhile.
| Uhlobo lweMegaureter | Ngamafutshane, oku kwenzekayo. |
|---|---|
| I-Megaureter yokuhlaziya kwakhona | Umchamo ovela kwisinyi ubuyela umva, unyuke ureter, uze uye kwizintso. Oku kubizwa ngokuba yi -vesicoureteral reflux ngokwezonyango. Uxinzelelo oluvela kulo mchamo ubuyela umva lubangela ukuba ityhubhu ikhule kancinci kancinci. |
| I-Megaureter ePhambili eVimbekileyo | I-urethra incinci kakhulu apho idibana khona nesinyi. Ifana nombhobho wamanzi ovalekileyo. Oku kuthintela umchamo ukuba ungaphumi kakuhle kwaye kubangela ukuba ityhubhu igcwale, nto leyo ebangela ukuba idumbe kwaye ibe nkulu. |
| I-megaureter eyintloko engathintelwanga, engaphindi ivuseleleke | Apha, zombini ezi zizathu zingasentla azikho. Oko kukuthi, umchamo awubuyeli umva, kwaye akukho nto ivalelekileyo. Kodwa umbhobho mkhulu. Uninzi lwexesha, olu hlobo luba ngcono ngokwalo ngokuhamba kwexesha. |
| IiMegaureters zesibini | Oku kunokwenzeka njengesiphumo esingesihle senye imeko yezonyango, njengokuvaleka kwe-urethra, isiphene sokuzalwa esifana nesifo sesisu esibizwa ngokuba yi-prune belly syndrome , okanye umonakalo kwimithambo-luvo yesinyi (i-neurogenic bladder) . |
Ingaba umntwana unazo ezi mpawu?
Ixesha elininzi, abantwana abanale meko ababonisi zimpawu . Yiyo loo nto idla ngokubonwa kuphela ngeeskeni. Kodwa abanye abantwana banokuba neempawu ezifana nezi:
- Usulelo oluqhelekileyo lwendlela yomchamo (UTIs): Olu lolona phawu luqhelekileyo.
- Intlungu esecaleni: Intlungu evela ecaleni lomqolo, ngaphantsi kwembambo.
- Igazi kumchamo (i-hematuria).
- Umkhuhlane oqhelekileyo.
- Ubunzima bokulawula umchamo (ukungakwazi ukuzibamba komchamo).
Kubalulekile: Ayingabo bonke abantwana abaneempawu ezifanayo. Abanye abantwana basenokungabi nazo naziphi na kwezi mpawu.
Kutheni oku kusenzeka? Yintoni unobangela?
Ixesha elininzi, oku kwenzeka ngenxa yotshintsho oluncinci oluvela njengoko umntwana ekhula esibelekweni.
Cinga nge-urethra njengetyhubhu eyenziwe ngezihlunu. Umchamo uhamba ukusuka kwizintso ukuya kwisinyi kuba ezi zihlunu ziyafinyela njengegagasi, zityhala umchamo wehle. Kodwa ngamanye amaxesha, xa umntwana ekhula, inxalenye yale tyhubhu iba lukhuni kancinci, njengezicubu ezine-fibrous, endaweni yemisipha. Emva koko inkqubo yokutyhala umchamo wehle njengegagasi ayisebenzi kakuhle. Ngoko ke umchamo uyaqokelelana kwaye ityhubhu iba nkulu.
Esinye isizathu kukuvaleka kombhobho apho umbhobho udibana nesinyi. Oku kunokubangelwa ziimeko ezifana ne -ureterocele . Kwimeko enjalo, umbhobho uzaliswa ngumchamo uze ukhule.
Ngokuphathelele ukuba ngubani onokuba nayo, inokuchaphazela naluphi na usana, kodwa uphando lufumanise ukuba ixhaphake ngokuphindwe kane kubafana kunamantombazana .
Oogqirha bayifumana njani le nto?
Njengoko kukhankanyiwe ngasentla, oku kudla ngokubonwa ngexesha lokuhlolwa kwe-ultrasound ngaphambi kokukhulelwa kwakho ngexesha lokukhulelwa kwakho.
Emva kokuba umntwana ezelwe, ugqirha uza kumhlola umntwana. Emva koko, ukuqinisekisa imeko yakhe ngakumbi, kunokwenziwa ezi mvavanyo zilandelayo:
- I-Voiding Cystourethrogram (VCUG): Olu luhlobo lwe-X-ray. Ityhubhu encinci ifakwa kwi-urethra yomntwana kwaye kufakwa idayi ekhethekileyo kuyo. Emva koko i-X-ray ijonga ukuba ulwelo lukwisinyi okanye lubuyela umva na kwityhubhu.
- I-ultrasound yezintso: Olu vavanyo lwenziwa ukuze kubonwe ukuba izintso zomntwana kunye nesinyi zingakanani na kunye nokuba imibhobho ikhule kangakanani.
- Iskeni yezintso: Apha, kufakwa inani elincinci kakhulu lezinto ezinemisebe emthanjeni womntwana. Emva koko, kusetyenziswa iskeni ekhethekileyo ukujonga indlela ezi zinto ezidlula ngayo ezintso. Oku kunokumisela ngokuchanekileyo ukuba izintso zisebenza kakuhle kangakanani na kwaye nokuba kukho na ukuvaleka.
- Uvavanyo lwegazi (iphaneli ye-Electrolyte): Olu vavanyo lwegazi lunceda ukubona ukuba izintso zisebenza kakuhle na.
- Uhlalutyo lomchamo: Kuthathwa isampulu yomchamo ize ivavanywe ukuba ayinasosulelo na.
Inyangwa njani? Ngaba utyando luyimfuneko?
Umbuzo ofika engqondweni yomntu wonke xa esiva oku ngulo, "Owu, ngaba umntwana wam kuya kufuneka enziwe utyando ngoku?"
Iindaba ezimnandi zezokuba uninzi lwabantwana aludingi naluphi na utyando.
Uninzi lwabantwana luyaphucuka ngokwabo njengoko bekhula, ngoko ugqirha wakho usenokuthatha indlela "yokulinda nokulinda". Oku kuthetha:
- Iiskeni eziqhelekileyo: Umntwana uskeniwa rhoqo ukuze kujongwe ukuba izintso zikhula kakuhle na nokuba ubungakanani bemibhobho buyancipha na.
- Ukunika ii-Antibiotics: Ukuze kuncitshiswe umngcipheko wosulelo lomchamo, ugqirha wakho unokukunika i-antibiotic yedosi ephantsi ekufuneka ithathwe yonke imihla.
Kunini apho kufuneka khona utyando?
Nangona kunjalo, ukuba imeko ayiphucuki kunyaka wokuqala womntwana, ukuba umbhobho uyakhula, ukuba kukho usulelo oluqhubekayo lwendlela yomchamo kunye nomkhuhlane, okanye ukuba ukusebenza kwezintso kuyachaphazeleka, ugqirha unokucebisa utyando.
Kukho iintlobo ezimbini eziphambili zotyando:
1. Ureterostomy:Apha, ugqirha udibanisa okwethutyana i-urethra ekhulisiweyo nomngxuma omncinci (i-stoma) owenziwe esiswini somntwana. Emva koko, umchamo uqokelelana ngqo kwi-napkin endaweni yokuya kwisinyi. Oku kunika izintso kunye ne-urethra ukuphumla kwaye kuvumela ukuba ziphinde ziphile. Emva kweenyanga ezimbalwa, le tube iphinda ixhunywe kwisinyi kwenye i-operation.
2. I-Pyeloplasty: Kolu tyando, inxalenye evalekileyo okanye encitshisiweyo ye-urethra iyasuswa kwaye ityhubhu ixhunyelelwa kwakhona ngokufanelekileyo.
Izinga lempumelelo yolu tyando liphezulu kakhulu. Ngoko ke musa ukoyika. Ugqirha wakho uza kukuchazela unyango olufanelekileyo kumntwana wakho.
Umntwana kufuneka aye nini esibhedlele?
Ukuba umntwana wakho une-megaureter, kufuneka ulumke kakhulu malunga neempawu zosulelo lomchamo. Ukuba umntwana wakho unezinye zezi mpawu zilandelayo kunye nosulelo lomchamo , mse kwisebe likaxakeka lesibhedlele esikufutshane (ETU) ngoko nangoko :
- Umkhuhlane ophezulu
- Intlungu yomqolo okanye yentamo
- Ukuhlanza kunye nesicaphucaphu
Ezi mpawu zibonisa ukuba usulelo lusenokuba luchaphazele izintso. Ngoko ke musa ukulibazisa.
Umyalezo Wokuya Ekhaya
- I-Megaureter yimeko apho i-ureter yomntwana omnye okanye bobabini bakhulu kunesiqhelo ekuzalweni. Oku kudla ngokubonwa ngexesha le-scan ngexesha lokukhulelwa.
- Musa ukoyika xa usiva oku. Uninzi lwabantwana aludingi utyando . Le meko iza kuba ngcono ngokwayo ngokuhamba kwexesha.
- Eyona nto ibalulekileyo kukusa umntwana wakho kwiklinikhi ngexesha elifanelekileyo, njengoko ugqirha esitsho. Ungaphoswa.
- Ukuba umntwana wakho unomkhuhlane kunye neempawu zosulelo lomchamo (ukuchama rhoqo, ukukhala ngelixa echama, umchamo onevumba elibi), bona ugqirha ngokukhawuleza.
- Lilungelo lakho ukuxoxa ngokukhululekileyo ngayo nayiphi na imibuzo okanye uloyiko onalo nogqirha wakho.
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