Ingaba umntwana wakho akanazintso? Okanye unesintso esinye kuphela? Masifunde nge (Renal Agenesis)!

Ngaba wakha weva ukuba abanye abantwana bazalwa benentso enye kuphela, okanye bengenazo zombini izintso? Oku kusenokuvakala kuyoyikisa kancinci, kodwa kubalulekile ukuqaphela le meko. Namhlanje siza kuthetha ngale meko ibizwa ngokuba yi-`(Renal Agenesis)`. Ungakhathazeki, masichaze yonke into ngokulula.

Yintoni i-`(Renal Agenesis)`? Masiyiqonde ngokulula, akunjalo?

Ngamafutshane, `(Renal Agenesis)` kuxa umntwana ezalwa enentso enye kuphela okanye engenazo zombini izintso. Sonke sidla ngokuba nezintso ezimbini emizimbeni yethu. Ubuncinane izintso enye kufuneka zisebenze ngokufanelekileyo ukuze ziphile. Le yimeko `(yokuzalwa)`, oko kuthetha ukuba yinto ekhoyo ukususela ekuzalweni.

Ngoku ukuba ujonga intsingiselo yala magama mabini ngokwahlukeneyo, kuya kucaca kuwe:

• Izintso: Eli ligama lezonyango elithi " izintso ."
• I-Agenesis: Oku kubhekisa ekungaphuhli ngokupheleleyo kwelungu elithile lomzimba ngelixa umntwana esesibelekweni sikanina, oko kukuthi, isibeleko.

Ngoko ke xa sisithi `(Renal Agenesis)`, oko kuthetha ukuba izintso zomntwana azakhekanga kakuhle.

Ziziphi iintlobo eziphambili ze-`(Renal Agenesis)`?

Le meko inokubonwa ngeendlela ezimbini eziphambili:

1. I-Unilateral Renal Agenesis

Okwenzekayo koku, njengoko igama lisitsho, kukuba umntwana uswele intso kwelinye icala. Oko kuthetha ukuba enye intso iqhelekile. Ngethamsanqa, kunokwenzeka ukuba uphile ubomi obuqhelekileyo nobupheleleyo ngentso enye kuphela. Kwiimeko ezininzi, intso enye eseleyo inokuqala ukuthatha umsebenzi wentso engekhoyo, ukuze ibe nkulu kancinci. Kufana nomntwana owenza imisebenzi yasekhaya emibini eklasini.

2. Ukulahlekelwa zizintso zombini (Bilateral Renal Agenesis)

Le yimeko embi kancinci. Apha, umntwana akanazo zombini izintso. Kwakhona, iityhubhu ezincinci ezithi "Ureters" ezithwala umchamo ukusuka kwizintso ukuya kwi "Bladder" azikakheki. Kunye noku, "Imiphunga" yomntwana ayikhuli kakuhle, nto leyo ethetha ukuba yi "Pulmonary Hypoplasia" encinci kakhulu. Ukudibana kokuswelakala kwezintso kunye nokungaphumeleli kwemiphunga kukwabizwa ngokuba yi "Potter Syndrome". Okubuhlungu kukuba, le meko idla ngokuba yingozi.

Kwenzeka ntoni kwizintso zethu?

Izintso ezimbini emzimbeni wethu ziyinxalenye ebaluleke kakhulu kwinkqubo yethu yomchamo. Zicinge njengenkqubo yokulahla inkunkuma endlwini yethu. Umsebenzi ophambili wezintso kukucoca nokususa inkunkuma engafunekiyo egazini lethu. Ezi nkunkuma zikhutshwa emzimbeni njengomchamo.

Ixhaphake kangakanani le meko `(Renal Agenesis)`?

Ngokwezibalo, malunga nomntwana omnye kwi-2,000 ezizalwayo unokuba nesifo esibizwa ngokuba yi-``Unilateral Renal Agenesis``, apho kukho intso enye engekhoyo. Imeko ye-``Bilateral Renal Agenesis``, apho zombini izintso zingekhoyo, inqabile nangakumbi. Iyenzeka kumntwana omnye kwi-8,500 ezisandula ukuzalwa. Nangona unobangela ochanekileyo ungaziwa, le meko yokungabikho kwezintso zombini ixhaphake kakhulu kwiintsana ezingamaduna.

Zithini izizathu ze-`(Renal Agenesis)`?

Ixesha elininzi, imbangela ephambili ye-`(Renal Agenesis)` kukutshintsha okanye ukuguqulwa kwezakhi zofuzo `(ukuguqulwa kwezakhi zofuzo) .` Abaphandi ukuza kuthi ga ngoku bafumanise malunga nokuguqulwa kwezakhi zofuzo ezisixhenxe okunxulumene nako. Ngenxa yolu tshintsho lwezakhi zofuzo, ukwakheka kwezintso esibelekweni somntwana kuyaphazamiseka ngexesha leenyanga ezintathu zokuqala zokukhulelwa `(ikota yokuqala).`

Ezinye izizathu ezincinci ziquka:

• Umama uba nesifo seswekile ngexesha lokukhulelwa (isifo seswekile sokukhulelwa).
• Ukukhulelwa okuninzi (njengamawele, amawele amathathu).
• Ukusetyenziswa kwamayeza athile ayingozi ngexesha lokukhulelwa.

Zithini iimpawu ze-`(Renal Agenesis)`?

Usana olunePotter Syndrome, olungenayo zombini izintso kwaye olunemiphunga engakakhuli ngokupheleleyo, luba neengxaki zokuphefumla ezisongela ubomi kwangoko emva kokuzalwa.

Umntwana ozelwe enezintso enye usenokungabonakalisi zimpawu. Kodwa ukuba iimpawu ziyavela, zingabandakanya:

• Uxinzelelo lwegazi oluphezulu ebantwaneni .
• Ukwanda kwamanqanaba eeprotheyini kumchamo (i-Proteinuria).
• Ukubuyela kwe-Vesicoureteral.

Ngamanye amaxesha abantwana abazalwa benezintso esinye banokufumana ezinye iimeko ezifana nezi:

• Unyawo lweClub.
• Izifo zentliziyo ezizalwa nazo, ezifana nemingxunya ephakathi kwe-atria okanye ii-ventricles zentliziyo (ASD okanye i-VSD).
• Iimeko ezingaqhelekanga zomchamo ezizalwa nazo.
• Impundu ebuhlungu okanye i-Anal atresia.

Ungayixilonga njani i-`(Renal Agenesis)` ngexesha lokukhulelwa?

Izihlandlo ezininzi, i-ultrasound yokukhulelwa yenziwa ngexesha umama ekhulelwe.Le meko ingafunyanwa. Olu vavanyo lubonisa ukuba izintso azikho. Kwakhona, ukuba ulwelo lwe-amniotic olujikeleze isisu somntwana luphantsi (i-Oligohydramnios), lunokuba luphawu lwemeko ebizwa ngokuba yi-Renal Agenesis. Oku kungenxa yokuba izintso zomntwana azivelisi umchamo, nto leyo ebangela ukuba olu lwelo lunciphe. Xa lungekho lwanele olu lwelo, imiphunga yomntwana ayizukukhula kakuhle.

Ungayixilonga njani i-`(Renal Agenesis)` emva kokuba umntwana ezelwe?

Iiskeni zemifanekiso zingenziwa emva kokuba umntwana ezelwe ukuqinisekisa ukuxilongwa. Nangona kunjalo, ngamanye amaxesha imeko isenokungabonwa de umntwana abe mdala kancinci. Ngamanye amaxesha imeko inokubonwa ngengozi xa umntwana enezinye iimpawu kwaye eskeniwa, okanye xa iskeni ye-ultrasound yenziwa ngesinye isizathu, njengosulelo lwendlela yomchamo (UTI).

Iintlobo eziphambili zeskeni ezisetyenziselwa ukuxilonga `(Renal Agenesis)` zezi:

• I-Ultrasound yesisu okanye i-Ultrasound yezintso .
• Iskeni ye-CT .
• Iskeni se-MRI `(MRI)`.

Iphathwa njani iBilateral Renal Agenesis?

Kude kube kutshanje, umntwana ongenazo zombini izintso kunye nemiphunga engakhulanga wayengenalo ithemba lokuphila iiyure ezingaphezu kwembini ngaphandle kwesibeleko. Nangona kunjalo, unyango olutsha lovavanyo ngoku lunika ithemba. Oku kubandakanya ukufaka isisombululo se-saline kwisibeleko ngexesha lokukhulelwa ukubuyisela inqanaba lolwelo lwe-amniotic. Olu lwelo luvumela imiphunga yomntwana ukuba ikhule. Emva koko, emva kokuba umntwana ezelwe, umntwana ufakwa kwi-dialysis de kube kunokwenziwa ukufakelwa kwezintso. Kodwa khumbula, olu nyango lusesekwinqanaba lovavanyo kwaye alufumaneki kuyo yonke indawo.

Iphathwa njani i-Unilateral Renal Agenesis?

Abantu abanezintso esinye ngamanye amaxesha banokufuna ukuthatha amayeza okunciphisa uxinzelelo lwabo lwegazi . Ukuba wena okanye umntwana wakho unale meko, kubalulekile ukubona ingcali yezintso (iNephrologist) rhoqo kwaye wenze uvavanyo lomzimba, uvavanyo lomchamo, kunye nokuskena ubuncinane kanye ngonyaka, okanye rhoqo. Umntwana wakho usenokuba nezi mvavanyo:

• Uvavanyo lokusebenza kwezintso.
• Uvavanyo lweproteni yomchamo.

Yintoni onokuyenza ukukhusela izintso zakho zodwa?

Abantu abaninzi abanezintso esinye bayacetyiswa ukuba balandele ukutya okulungele izintso (DASH) . Oku kutya kubandakanya ukunciphisa ityuwa neswekile kunye nokutya ukutya okune-fiber ne-potassium eninzi.

Abantwana kunye nabantu abadala abane-Renal Agenesis banokwenza oku kulandelayo ukukhusela impilo yezintso zabo:

• Kuphephe ukusebenzisa amayeza angengo-steroidal anti-inflammatory (NSAIDs) kunye nezinye iintlungu. Ezi zingonakalisa izintso zakho. Sebenzisa into efana ne-acetaminophen endaweni yoko.
• Gcina ubunzima obusempilweni kwaye uhlale usebenza. Nangona kunjalo, kungcono ukuyeka imidlalo enefuthe elikhulu efana nebhola ekhatywayo, iragbi, kunye ne-martial arts, kuba zinokuba yingozi kwizintso zakho ezisele.
• Jonga uxinzelelo lwakho lwegazi rhoqo ekhaya.