Ingaba izintso zomntwana wakho zidumbile? Masifunde nge-pyelectasis!

Xa ulindele umntwana, kuyinto eqhelekileyo ukuxhalabela impilo yomntwana wakho. Ngamanye amaxesha, ngexesha le-scan, oogqirha banokubona utshintsho oluncinci kwizintso zomntwana wakho, njengokudumba okuncinci. Usenokoyika kancinci xa usiva oko. Yiyo loo nto i -pyelectasis . Kodwa ungakhathazeki, siza kugcina yonke into ilula.

Yintoni iPyelectasis?

Ngamafutshane, i-pyelectasis iyenzeka xa umntwana wakho enomlinganiselo omncinci womchamo phakathi kwenye yezintso zakhe ngelixa esesesibelekweni. Ngokuchanekileyo, indawo ephambili yezintso apho umchamo uqokelelana khona yileyo ibonakala idumbile kancinci.

Oku kubangelwa kukuvinjwa okuncinci, okanye ukuvaleka, kwindlela yomchamo eveliswa kwizintso, ehamba nge-ureter (ekwabizwa ngokuba yi-ureter) ukuya kwisinyi. Okanye, ngamanye amaxesha, umchamo ubuyela phezulu usuka kwisinyi, uye kwizintso (`Urinary reflux`).

Ngamanye amaxesha oogqirha babiza le meko ngokuthi yi-pyelectasis, pelviectasis, pelvocaliectasis, okanye i-caliectasis, kuxhomekeke ekubeni umchamo uqokelelana phi. Kodwa onke la magama abhekisa kwingqokelela yomchamo kwindawo ethile yezintso.

Yintoni umahluko phakathi kwePyelectasis kunye neHydronephrosis?

Omabini la magama abhekisa kwizintso ezivuvukayo ngumchamo, kodwa kukho umahluko omncinci.

• Kwi -pyelectasis , ukuvaleka kwendlela yomchamo kudla ngokuba kuncinci . Ngenxa yoko, umchamo omncinci uqokelelana kwizintso. Oku kubangela ukwanda okuncinci kwenxalenye ephakathi yezintso.
• Kwi -hydronephrosis , oku kuvimbeka kuba nzima ngakumbi, oko kuthetha ukuba kunzima kakhulu . Emva koko umchamo omninzi uqokelelana kwizintso, kwaye kwezinye iimeko ezinzima, izintso zinokudumba njengebhaluni.

Uninzi lwexesha, i-pyelectasis iyaphela yodwa ngaphandle konyango . Nangona kunjalo, malunga ne-10% yamatyala, inokuqhubela phambili ibe yi-hydronephrosis. Kwimeko enjalo, unokufuna ukubona i-nephrologist yabantwana okanye i-urologist emva kokuba umntwana wakho ezelwe.

Ixhaphake kangakanani le meko?

I-Pyelectasis yimeko eqhelekileyo . Iyenzeka kumntu omnye kwabangama-40 abakhulelweyo. Ingachaphazela intso enye kuphela (i-unilateral pyelectasis) okanye zombini izintso (i-bilateral pyelectasis).

Ycinge,Iintsana ezingamaduna zinamathuba aphindwe kathathu okufumana le meko kuneentsana ezingamantombazana.

Ngaba iPyelectasis iyingozi kakhulu?

Kwiimeko ezininzi, i-pyelectasis ayinazo naziphi na iziphumo ezimbi kumntwana wakho. Uninzi lweentsana ezinale meko zizalwa ziphilile kwaye ziphilile.

Nangona kunjalo, kunqabile kakhulu, le meko ye-pyelectasis inokukhula ibe yimeko enzima ebizwa ngokuba yi-hydronephrosis. Kwimeko enjalo, oogqirha banokucebisa utyando (utyando losana olungekazalwa) ngelixa umntwana esesesibelekweni ukuthintela ukonakala kwezintso zomntwana. Nangona kunjalo, oku kunqabile kakhulu.

Ngaba oku kunxulumene ne-Down syndrome?

Ukuba iskeni ye-ultrasound yomntwana wakho ibonisa ukuba une-pyelectasis, kukho ithuba elingaphezulu kancinci lokuba umntwana abe nesifo se-chromosome esibizwa ngokuba yi-Down syndrome . Nangona kunjalo, oku akuthethi ukuba wonke umntwana one-pyelectasis une-Down syndrome. Enyanisweni, uninzi lweentsana ezine-pyelectasis azinazo i-Down syndrome.

Ngamafutshane, ukuba i-pyelectasis ayiphelekwa zezinye iziphumo zovavanyo lwegazi olungaqhelekanga okanye ezinye iingxaki kwi-scan, kudla ngokuthathwa njengotshintsho oluncinci ekukhuleni okuqhelekileyo komntwana ongekazalwa.

Zithini iimpawu?

I-Pyelectasis ngexesha lokukhulelwa ayisoloko ibonakalisa zimpawu . Le meko idla ngokufunyanwa ngexesha lokuhlolwa kwe-ultrasound okucwangcisiweyo ngaphambi kokukhulelwa.

Yintoni ebangela i-pyelectasis kwimveku engekazalwa?

Kukho izizathu ezibini eziphambili.

1. Ukuvaleka kwe-Ureteropelvic junction:

Okwenzekayo kule meko kukuba kukho ukuvaleka okanye ukuvaleka kwindawo apho umbhobho othwala umchamo usuka kwizintso zomntwana (obizwa ngokuba yi-'ureter') udibana nezintso (obizwa ngokuba yi-'ureteropelvic junction'). Emva koko, umchamo awukwazi ukuphuma, oko kukuthi, ungene kwi-urethra, uze ubhajwe ngaphakathi kwizintso. Ngenxa yokuvaleka, uxinzelelo ngaphakathi kwizintso luyanda, nto leyo ebangela i-pyelectasis, kwaye ngokuhamba kwexesha, ukusebenza kwezintso kunokuncipha.

2. Ukuvuvukala kwemithambo yegazi:

Ngokwesiqhelo, umchamo oveliswa kwizintso uhamba nge-ureters uze uqokeleleke kwisinyi. Emva koko uphuma emzimbeni womntwana uze ungene kwi-amniotic fluid esibelekweni.

Nangona kunjalo, kwezinye iimeko, umchamo ovela kwisinyi ubuyela phezulu, oko kukuthi, ecaleni kwe-ureters, uye kwizintso.Yiloo nto ibizwa ngokuba yi-vesicoureteral reflux. Ukuba umchamo obuyela phezulu ngale ndlela uhlala kwizintso ixesha elide kwaye ubangele ukudumba, unokubangela ne-pyelectasis.

Uyifumana njani le nto?

Oogqirha bafumanisa i-pyelectasis ngexesha lokuhlolwa kwe-ultrasound ngaphambi kokukhulelwa . Ukuba ukuvavanywa kwakho kuyakubonisa oko, wena nomntwana wakho kuya kufuneka nijongwe ngokusondeleyo kulo lonke ixesha lokukhulelwa kwenu.

Zithini iindlela zonyango?

Iindaba ezimnandi zezokuba kwiimeko ezininzi, i-pyelectasis iyaphela yodwa ngaphandle konyango olukhethekileyo.

Ugqirha wakho uza kuyijonga le meko ngalo lonke ixesha lokukhulelwa kwakho. Ukuba kuyimfuneko, umntwana wakho uza kuhlolwa yingcali yotyando lwemichamo yabantwana okanye yingcali yezifo zemithambo-luvo yabantwana emva kokuzalwa.

Kwezinye iimeko, ingcali ye-urologist yabantwana inokwenza inkqubo yotyando ebizwa ngokuba yi-pyeloplasty , esetyenziselwa ukunciphisa ukuvaleka phakathi kwezintso kunye ne-ureter.

Ngexesha lokukhulelwa, oogqirha banokucebisa utyando losana olungekazalwa kuphela ukuba imeko, efana ne-pyelectasis okanye i-hydronephrosis, imbi ngokwaneleyo ukubangela umonakalo kwizintso. Nangona kunjalo, oku kunqabile kakhulu .

Ndingayinciphisa na le ngozi kumntwana wam?

I-Pyelectasis lutshintsho oluncinci ekukhuleni komntwana ongekazalwa, ngoko ke akukho ndlela yokuthintela ukuba ingenzeki . Nangona kunjalo, kubalulekile ukuba ne-ultrasound scans rhoqo ngexesha lokukhulelwa kwakho. Eli lixesha apho ugqirha wakho anokujonga imeko aze acebise unyango ukuba kuyimfuneko.

Kuza kwenzeka ntoni ukuba umntwana wam une-pyelectasis?

Ukuba ugqirha wakho ufumanise ukuba une-pyelectasis ngeskeni, wena nomntwana wakho niza kuhlolwa ngexesha lokukhulelwa kwakho nasemva kokuba umntwana wakho ezelwe. Ugqirha wakho uza kwenza iiskeni rhoqo ukuze abone ukuba ukuvaleka kwamazinyo kuya kuba mandundu na.

Ukuba i-pyelectasis iba mandundu ize ibe yi-hydronephrosis, kuya kufuneka ubone ugqirha wezifo zomchamo wabantwana okanye ugqirha wezifo zomchamo wabantwana emva kokuba umntwana wakho ezelwe. Baza kumhlola umntwana wakho baze bagqibe ukuba ngaba kufuneka unyango.

Kunqabile kakhulu ukuba ukuvaleka okubangelwa yi-pyelectasis kube nzima ngokwaneleyo ukuba konakalise izintso ngelixa umntwana esesesibelekweni. Ukuba kurhanelwa oku, ugqirha wakho uza kuthetha nawe ngotyando lomntwana ongekazalwa.

Ngaba iPyelectasis inganyangeka?

Ewe, ngokuqinisekileyo! Kwiimeko ezingaphezu kwama-90%, i-pyelectasis iba ngcono ngokwayo . Ukuba ukuvaleka kukhulu, kunokufuneka utyando ukuze kulungiswe ingxaki.

Iintsana ezine-hydronephrosis enzima zinokuba neengxaki eziqhubekayo emva kokuzalwa. Kwiimeko ezinjalo, umntwana wakho unokufuna utyando.

Ndifanele ndimbone nini ugqirha?

Kubaluleke kakhulu ukuya kuhlolo lwakho lwezonyango rhoqo nakwiiskeni. Oogqirha banokuxilonga i-pyelectasis kuphela ngeskeni ye-ultrasound. Baza kuyijonga imeko yakho ngokusondeleyo baze bacebise unyango ukuba kuyimfuneko.

Ndingayibuza yiphi imibuzo ugqirha?

Ukuba iskeni yakho ibonisa ukuba une-pyelectasis, ungabuza ugqirha wakho imibuzo efana nale:

• Ingaba umntwana uvalekile izintso? Ukuba kunjalo, ziphi?
• Ngaba une-reflux yomchamo?
• Ingaba oku kuxinana kuncinci, kuphakathi, okanye kukhulu?
• Ngaba kukho enye into kwiskeni yam okanye kuvavanyo lwegazi ebonisa ukuba umntwana usenokuba neDown syndrome okanye esinye isifo se-chromosome?
• Angakanani amathuba okuba umntwana wam afune utyando?

Umyalezo Wokuya Ekhaya

Kuqhelekile ukuba noloyiko nokukhathazeka xa ufumanisa ukuba umntwana wakho une-pyelectasis. Kodwa kwiimeko ezininzi, okufunekayo kukujongwa . Ugqirha wakho uza kwenza uvavanyo olufunekayo ukuze abone ukuba le yingxaki engaqhelekanga okanye luphawu lwesinye isifo. Baza kuyijonga imeko yakho ngokusondeleyo kwaye baya kukunceda kuyo yonke inyathelo. Ngoko ke ungoyiki ngokungeyomfuneko. Eyona nto ibalulekileyo kukulandela imiyalelo kagqirha wakho.

I- Pyelectasis, izintso ze-fetal, i-hydronephrosis, i-ultrasound yokukhulelwa, ukuvaleka kwe-ureteropelvic junction, i-vesicoureteral reflux, impilo yomntwana, ukudumba kwezintso, impilo yokukhulelwa