Ingaba umntwana wakho omncinci unengxaki yokuchama? Isenokuba ibangelwa ziiPosterior Urethral Valves (PUV)!

Njengomama okanye utata, ukhathazeka kakhulu ngempilo yomntwana wakho omncinci, akunjalo? Ngamanye amaxesha, nezona zifo zincinci abantwana bethu abajongene nazo zinokuba ngumthombo woxinzelelo olukhulu. Namhlanje, siza kuthetha ngemeko efuna inkxalabo ethile, kodwa kufuneka uyiqonde ngaphandle kokukhathazeka. Le yimeko yokuzalwa echaphazela amakhwenkwe kuphela , kwaye ibizwa ngokuba yi-'Posterior Urethral Valves' okanye `(PUV)`.

Zithini iiValve zePosterior Urethral (PUV)?

Ngamafutshane, 'iiValve zePosterior Urethral' zimeko apho kukhula iqhekeza elongezelelweyo lesicwili ngaphakathi kwityhubhu apho umchamo wamakhwenkwe ethu uphuma khona, i-urethra (ekwabizwa ngokuba yi-urethra ngoogqirha), ivala indlela yomchamo. Cinga ngayo njengento ebambekayo phakathi kombhobho wamanzi. Le yingxaki yokuzalwa .

Xa i-urethra ivaliwe ngale ndlela, isinyi asiphumi ngokupheleleyo. Kwenzeka ntoni ke ngoko? Umchamo ungabuyela esinyini uze ungene kwizintso. Njengokuba umbhobho wamanzi uvaliwe, ubuyela umva uze unyuke. Oku kungonakalisa isinyi kunye nezintso.

Ngamanye amaxesha oogqirha bayayibona le meko ngexesha lokuhlolwa kwe-ultrasound ngelixa umntwana esesesibelekweni. Okanye inokubonwa emva kokuba umntwana ezelwe okanye ngexesha losana. Kubalulekile ukukhumbula ukuba le meko ichaphazela kuphela abafana . Kwezinye iindawo, ikwabizwa ngokuba yiCongenital Obstructive Posterior Urethral Membrane (COPUM).

Ingaba le meko ayiqhelekanga kakhulu?

Enyanisweni, kuxelwa ukuba malunga neentsana ezingama-500 ezizalwa kwihlabathi liphela minyaka le ziyachaphazeleka yile meko, "Iivalufa ze-Urethral ezingasemva. " Ikwayeyona nto iphambili ekuthintelweni kwendlela yomchamo kumakhwenkwe.

Zithini iimpawu zale meko?

Ngoku makhe sibone ukuba zeziphi iimpawu umntwana azibonisayo kule meko `(PUV)`. Ngamanye amaxesha xa ubona ezi, nawe uya kuqonda ukuba, 'Ah, oku kuyenzeka nakunyana wam, akunjalo?'

• Umphetho womchamo ubuthathaka kakhulu, okanye uyathontsiza: Ngaba umphetho ubonakala ubuthathaka kakhulu xa umntwana echama ? Okanye uyathontsiza nasemva kokuba umntwana egqibile ukuchama ? Olu lolunye uphawu.
• Usulelo oluqhelekileyo lwendlela yomchamo (UTIs): Ukuba umntwana omncinci unomkhuhlane, akaseli ubisi, ukhala kakhulu, okanye unengxaki yokuchama , isenokuba yi-UTI. Abantwana abane-UTI banamathuba amaninzi okuba nosulelo olunjalo.
• Ubunzima bomntwana abunyuki ngokufanelekileyo: Nangona umntwana wakho esela ubisi oluninzi, ukuba ubunzima bakhe buyanda kancinci, nawe kufuneka ukhathazeke ngaloo nto.
• Intlungu ngexesha lokuchama : Kunzima kwaye kubuhlungu ukuchama . Umntwana usenokukhala. Oogqirha babiza oku ngokuthi `(Dysuria)`.
• Ubunzima bokuchama : Ngaba umntwana wakho ubonakala ezama ukuchama ? OkanyeIngaba kuthatha ixesha elide ukuqala ukuchama ?
• Ii-Oligohydramnios: Ngaba ugqirha wakho uthe ubungakanani be-amniotic fluid ejikeleze umntwana wakho buphantsi (ii-oligohydramnios) ngexesha lokuhlolwa kwakho kokukhulelwa? Oko kunokunxulunyaniswa noku.
• I-Hydronephrosis: Oogqirha banokuxela nokuba izintso zibonakala zidumbile (i-Hydronephrosis) ngexesha lokuhlolwa , nokuba ngexesha lokukhulelwa okanye emva kokuba umntwana ezelwe. Oku kuthetha ukuba izintso aziphumi kakuhle kwaye ziphantsi koxinzelelo.

Kutheni oku kusenzeka? Yintoni unobangela?

Kulungile, ngoku mhlawumbi uyazibuza, 'Kutheni oku kwenzeke kunyana wethu?' Yintoni kanye kanye eyabangela oku?

Ezi `Posterior Urethral Valves' zibangelwa kukukhula kwezicubu ezongezelelweyo kwinxalenye ye-urethra ekufutshane nesinyi ngexesha lokukhula kwasekuqaleni kwesibeleko somntwana. Ezi zicubu ezongezelelweyo zinciphisa i-urethra, ngokungathi kukho ityhubhu ngaphakathi. Oku kuvala indlela yokuphuma komchamo .

Nangona kunjalo, oogqirha abakakwazi ukucacisa isizathu esichanekileyo sokuba le tissue yongezelelweyo ikhule ngolu hlobo. Okwangoku ithathwa njengento engaqhelekanga yophuhliso eyenzeka ngexesha lesigaba somntwana osandul’ ukuzalwa.

Zeziphi ezinye iingxaki ezinokubangela oku?

Ukuba le meko "(PUV)" ayinyangwanga ngokufanelekileyo nangokukhawuleza, inokukhokelela kwiingxaki zempilo ezingakumbi. Kungoko ke kubaluleke kakhulu ukukwazi oku ngokukhawuleza nokulandela icebiso likagqirha wakho.

• I-Vesicoureteral reflux (VUR) : Oku kuxa umchamo ovela kwisinyi ubuyela umva nge-ureter uye kwizintso. Khawucinge ukuba kuya kwenzeka ntoni ukuba umchamo ofanele wehle endaweni yoko uyenyuka? Oku kunokukhokelela kwiintsholongwane zezintso kunye nomonakalo wexesha elide.
• Ukugcinwa komchamo: Oku kuthetha ukuba awuphumi wonke umchamo , kwaye kukho into encinci ehlala ngaphakathi. Oku kunokubangela ukuba isinyi sande kwaye kukhokelele kwiintsholongwane.
• Ukudumba kwezintso: Izintso zinokudumba ngenxa yokuvaleka kwenkqubo yomchamo.
• Ukungasebenzi kakuhle kwezintso: Esi sesona siphumo siyingozi kakhulu sale meko. Ekuhambeni kwexesha, izintso zinokonakala kwaye zingasebenzi kakuhle.

Oogqirha bayibona njani le nto?

Ngoku makhe sibone ukuba oogqirha bayixilonga njani ngokuchanekileyo le meko ``(PUV)``, oko kukuthi, indlela yokuxilonga esi sifo.

• I-Ultrasound Scan ngexesha lokukhulelwa: Ngamanye amaxesha, i-ultrasound scan eyenziwa ngelixa ukhulelwe inokunika izikhokelo malunga nale meko (umz., ukwanda kwesinyi, ukudumba kwezintso, ukuncipha kolwelo lwe-amniotic olujikeleze umntwana).
• Uvavanyo olwenziwe emva kokuba umntwana ezelwe:
• I-'Ultrasound Scan' yezintso:I-ultrasound scan eyenziwa emva kokuba umntwana ezelwe inokubona ngokucacileyo naluphi na utshintsho okanye ukuvaleka kwezintso zomntwana, isinyi, kunye nenkqubo yomchamo.
• `Voiding Cystourethrogram (VCUG): Olu lolona vavanyo luphambili lokuqinisekisa ubukho be`(PUV)`. Kule nto, kufakwa ityhubhu encinci (i-catheter) kwi-urethra yomntwana kwaye kudluliswe ulwelo olukhethekileyo (idayi engafaniyo) ngayo iye kwisinyi. Emva koko kuthathwa uthotho lwemifanekiso ye`X-ray` njengoko umntwana echama . Oku kubonisa indlela isinyi esizalisa ngayo, indlela esiphuma ngayo, apho i-urethra ivaliwe khona (`ii-valve`) kunye nokuba umchamo ubuyela umva na kwizintso (`VUR`).
• I-Cystoscopy: Oku kuquka ukudlulisa ityhubhu encinci, eguquguqukayo (isixhobo esinekhamera kunye nokukhanya okuqhotyoshelweyo - i-cystoscope) kwi-urethra ukuze ijonge ngqo kwiivalvu ezivaliweyo. Oku kuvumela ukujonga ngokusondeleyo kwaye ngamanye amaxesha unyango ngexesha lenkqubo.
• Uvavanyo lokusebenza kwezintso: Uvavanyo lwegazi nomchamo lwenziwa ukuze kubonwe ukuba izintso zisebenza kakuhle kangakanani na.

Zithini iindlela zonyango zoku?

Kulungile, masithethe ngonyango lwale nto. Musa ukoyika ukuva oku, kuba ngoku kukho unyango olufanelekileyo lwale nto. Oogqirha baza kunika umntwana wakho unyango olungcono kangangoko.

Injongo ephambili yonyango kukususa ukuvaleka kwendlela yomchamo nokuvumela umchamo ukuba udlule lula.

• `Ukufuthwa` (Ukufuthwa kweevalvu): Oku kudla ngokwenziwa ukuze kususwe izicubu (iivalvu) ezibangela ukuvaleka. Ngexesha le-`cystoscopy`, isixhobo esincinci sidlula kwi-`cystoscope` kwaye, kusetyenziswa umbane okanye ukukhanya kwelaser, izicubu ezigqithisileyo zitshatyalaliswa bubushushu. Oku kubizwa ngokuba yi-`fulguration` okanye i-`valve ablation`. Olu lolona nyango luphambili nolokuqala.

Ngokuxhomekeke kwimeko yomntwana, uhlobo lokuvaleka, kunye nokuba kukho ezinye iingxaki, ugqirha angacebisa ezinye iindlela zonyango:

• Ukufakwa kweCatheterization: Ukufakwa kwetyhubhu okwethutyana ukuze kukhutshwe isinyi. Ngamanye amaxesha oku kwenziwa emva nje kokuba umntwana ezelwe ukuze kuncitshiswe uxinzelelo kwisinyi kunye nezintso.
• Ukwandiswa komchamo: Kwezinye iimeko, umchamo ungandiswa.
• Utyando lweVesicostomy: Abanye abantwana, ingakumbi abo bonileyo kakhulu kwizintso, banokwenza utyando olubizwa ngokuba yi-vesicostomy. Oku kuquka ukwenza umngxuma omncinci eluswini lwesisu ngqo ukusuka kwisinyi, ukuvumela umchamo ukuba uphume kuwo. Oku kudla ngokuba yinto yexeshana kwaye kuya kuvalwa kamva.
• Ii-antibiotics: Ukuba une-urinary tract infection, uya kunikwa ii-antibiotics. Ngamanye amaxesha, ungaqhubeka nokuthatha iidosi ezincinci zee-antibiotics ukuthintela usulelo.
• `I-Dialysis` okanye `Ukufakelwa kwezintso`:Ngelishwa, izintso zabanye abantwana zonakala kakhulu kangangokuba aziphumeleli, nto leyo edinga i-dialysis okanye ukufakelwa izintso.
• I-Antispasmodics: Abanye abantwana banokuba neengxaki zokusebenza kwesinyi. I-Antispasmodics inganikwa ukuze kube lula ukuchama .

Kunqabile kakhulu, ukuba le meko ifunyaniswa ngelixa umntwana esesesibelekweni, ezinye iingcali ziya kuzama ukwenza utyando losana olungekazalwa, kodwa luyinkimbinkimbi kakhulu kwaye aluqhelekanga.

Liza kuba njani ikamva ngale meko? (Ingqikelelo)

Kulungile, kuza kwenzeka ntoni emva konyango? Liza kuba njani ikamva lomntwana? Lo ngumbuzo abazali abaninzi abanawo.

• Ukuhlolwa kwexesha elide: Ukuba umntwana wakho unemeko ebizwa ngokuba yi-(PUV), nokuba unyangiwe, kuya kufuneka ahlolwe ubomi bakhe bonke ukuze kujongwe ukusebenza kwezintso zakhe kunye nempilo yenkqubo yomchamo. Oku kuthetha ukuqhubeka nokubona ugqirha, uvavanyo lwegazi, uvavanyo lomchamo , kunye ne-ultrasound scans.
• Ukungakwazi ukuzibamba umchamo: Abanye abantwana banokuba nengxaki yokungakwazi ukuzibamba umchamo, okanye imfuneko yokuzibamba rhoqo , nokuba besebancinci, beselula, okanye bengabantu abadala.
• Umngcipheko wokungasebenzi kakuhle kwezintso: Izifundo zibonisa ukuba malunga ne-15% yabantwana abane-PUV basengozini yokungasebenzi kakuhle kwezintso ngaxa lithile ebomini babo . Yiyo loo nto kubalulekile ukuhlala phantsi kweliso likagqirha.

Kodwa ungakhathazeki. Ngonyango olufanelekileyo kunye nokulandelelana okuhle, uninzi lwabantwana lunokuphila ubomi obuqhelekileyo nobusempilweni.

Ndifanele ndimbone nini ugqirha?

Ukuba umntwana wakho omncinci uneempawu esizikhankanyileyo, ezinje ngobuthathaka bomchamo , ii-UTIs ezixhaphakileyo, musa ukuchitha ixesha kwaye ubone ugqirha wabantwana okanye ugqirha wabantwana ngoko nangoko. Ukuba ayinyangwa, le meko inokukhokelela kwiingxaki ezinkulu zempilo, ingakumbi umonakalo wezintso.

Yeyiphi imibuzo ebalulekileyo ekufuneka uyibuze ugqirha?

Xa ubona ugqirha wakho, kubalulekile ukumamela yonke into esengqondweni yakho. Kunganceda ukuzibuza le mibuzo:

• Ziziphi iindlela zonyango ezikhoyo kumntwana wam?
• Lusebenza njani olu nyango? Kwenzeka ntoni ngenxa yoko?
• Yintoni esifanele siyilindele ngexesha lonyango kunye nokuchacha?
• Ndingamnyamekela njani umntwana wam ngexesha lokuchacha? Zeziphi ezinye izinto ekufuneka ndiziqwalasele ngokukodwa?
• Sifanele sibuye nini kwakhona kugqirha? (Ukulandelelana)

Mama noTata, khumbulani oku.

Kuqhelekile ukuziva usoyika, ukhathazekile, kwaye ulusizi xa ufumanisa ukuba umntwana wakho unale meko. Kodwa nceda ukhumbule oku:

Akukho nto ubunokuyenza ukuthintela le meko. Oku akubangelwa yimpazamo yakho, into oyenzileyo okanye oyithethileyo, okanye into ongayenzanga. Le yinto eza nokuzalwa.

Ugqirha womntwana wakho kunye neqela lezempilo baya kukunceda kwaye bakuqondise kuyo yonke inyathelo lendlela. Baza kukuchazela yonke into, kuquka into onokuyilindela, iindlela zonyango ezikhoyo, kunye nendlela yokunyamekela umntwana wakho. Ngoko ke qiniseka ukuba uyayigcina imihlangano yokulandelela kagqirha wakho. Musa ukoyika okanye ube neentloni zokubuza nayiphi na imibuzo onayo, nokuba incinci kangakanani na. Kubalulekile ukwazi yonke into ngokucacileyo kuba ufuna okona kulungileyo kumntwana wakho.

Iivalvu ze-Urethral zangasemva , i-PUV, Izifo zoMchamo kubafana, Ukuvaleka komchamo, Izifo zezintso, Impilo yomntwana, Iziphene zokuzalwa