Ngamanye amaxesha umntwana wakho omncinci usenokuba nosulelo oluqhelekileyo lwendlela yomchamo (UTIs). Okanye usenokukhalaza ngeentlungu zesisu. Uninzi lwexesha, sicinga ngezi zinto njengezinto eziqhelekileyo, kodwa ngamanye amaxesha kunokubakho ingxaki encinci ekhoyo ukususela ekuzalweni. Yiyo loo nto imeko ebizwa ngokuba yi-'Ureterocele'. Nangona igama lisenokuvakala lisoyikisa kancinci, ukuba siliqonda kakuhle, yinto enokulawulwa. Ke namhlanje, masithethe ngale nto ngendlela elula onokuyiqonda.
Ngamafutshane, yintoni i-Ureterocele?
Kulungile, masiqonde oku ngale ndlela. Sinezintso ezimbini emzimbeni wethu. Oko kwenziwa zezi zintso kukucoca igazi lethu nokususa inkunkuma engafunekiyo njengomchamo. Umchamo oveliswa ngale ndlela uqokelelwa esinyini ngemibhobho emibini. Sibiza ezi mibhobho mibini ngokuba yi-ureters . I-ureter enye ivela kwintso nganye.
Ngoku khawucinge ukuba isiphelo sale urethra, apho idibana khona nesinyi, sivuthuluka njengebhaluni encinci. Yiloo nto siyibiza ngokuba yi-ureterocele.
Le nxalenye ifana nebhaluni ithintela umchamo ukuba ungangeni ngokukhululekileyo esinyini. Ifana nokuvaleka. Kwenzeka ntoni ke ngoko? Ekubeni umchamo ungakwazi ukuhla kakuhle, uqala ukuhla ubuyela umva uye kwizintso. Ngokwezonyango sibiza oku ngokuthi (vesicoureteral reflux) . Le yeyona ngxaki iphambili nge-ureterocele. Kuba umchamo obuyela umva awulungelanga izintso.
Ngaba kukho iintlobo ze-ureterocele?
Ewe, le meko inokwahlulwahlulwa ibe ziindlela ezininzi eziphambili.
- Kuxhomekeke ekubeni ingaba ikwelinye icala okanye zombini: Abanye abantwana banokuba nale meko kwi-urethra enye kuphela (eyamacala omabini). Le yeyona ixhaphakileyo. Nangona kunjalo, kunqabile kakhulu, oku kwandiswa kunokwenzeka kuzo zombini ii-urethra (eyamacala omabini).
- Ngokwendawo ekuyo iqhubu: Kwakhona, la maqhubu ahlulwa ngokwendawo akuyo ngaphakathi kweqhubu. Amanye ahlala kwiqhubu (ngaphakathi kwemithambo). Nangona kunjalo, uhlobo oluqhelekileyo, ingakumbi kubantwana abancinci (ngaphandle kwemithambo), lunokwehlela ezantsi kwiqhubu, ukuya kwityhubhu ekhupha umchamo (urethra).
Olu hlobo lokwahlulwa-hlulwa lubalulekile koogqirha ukuze bakhethe indlela yonyango efanela umntwana.
Zithini iimpawu ze-ureterocele?
Into engaqhelekanga kukuba, uninzi lwexesha, i-Ureterocele isenokungabonakalisi zimpawu. Nangona kunjalo, njengoko benditshilo ngaphambili, kukho ithuba elikhulu lokufumana i-Urinary Tract Infection (UTI) ngenxa yokuba umchamo awuhambi kakuhle kwaye ubambeke. Kulapho ke iimpawu ziqala ukubonakala khona.
Jonga ukuba umntwana wakho unazo na ezi mpawu. Ezi zinokuba ziimpawu zosulelo lomchamo.
| Uphawu | Kalula nje... |
|---|---|
| Intlungu xa uchama | Umntwana uyakhala xa echama, okanye ukhalaza ngentlungu. Basenokude bathi kuvakala ngathi kuyatsha. |
| Umchamo onukayo | Umchamo unevumba elibi kakhulu kunesiqhelo. |
| Intlungu yesisu okanye iqhubu | Isenokuvakala ngathi yintlungu esezantsi kwesisu okanye iqhuma elincinci elinokuvakala esandleni. |
| Igazi kumchamo | Umchamo ujika ube pinki okanye ube bomvu. |
| Ukudinga rhoqo ukuchama | Ukuthi "Ndifuna ukuchama " rhoqo kunesiqhelo. |
| Ukungakwazi ukulawula umchamo | Kwanomntwana oqeqeshwe kwindlu yangasese usenokuchamela impahla yakhe engaqondanga. |
| Isinyi asiphumi ngokupheleleyo | Ukuziva ngathi kusekho umchamo esinyini nasemva kokuchama. |
Ukuba umntwana wakho ubonakalisa naziphi na kwezi mpawu, bonana nogqirha wakho ngoko nangoko.
Kutheni oku kusenzeka? Yintoni isizathu sale nto?
Le yingxaki ebaluleke kakhulu kubazali.Ingxaki yokuzalwa. Oku kuthetha ukuba ngelixa umntwana ekhula esibelekweni, i-urethra endikhankanyileyo ngaphambili ayikhuli kakuhle apho idibana khona nesinyi.
Oku akubangelwa yimpazamo eyenziwe ngumama ngexesha lokukhulelwa, okanye yinto ayityileyo okanye ayiseleyo, okanye yinto ayithethileyo okanye ayenzileyo. Abaphandi bakholelwa ukuba oku kwenzeka ngengozi. Ngoko ke ungaze ukhathazeke ngayo.
Ngamanye amaxesha iimpawu zale meko zibonakala xa umntu emdala. Kodwa nangona kunjalo, unobangela uyafana. Yinto eyayikho emzimbeni ukususela ekuzalweni.
Ingaba le yimeko enzulu? Zithini iingxaki ezibangelwa yiyo?
I-Ureterocele yimeko enzima ekufuneka inyangwe. Kodwa eyona nto ilungileyo kukuba inganyangeka. Iingxaki ziyavela ukuba ayinyangwa. Ingozi ephambili kukonakala kwezintso.
Njengoko umchamo ubuyela umva ungene kwizintso, izintso zinokudumba, zisuleleke, kwaye ekuhambeni kwexesha, ziphazamise ukusebenza kwezintso ngokusisigxina.
Eyona nto ibalulekileyo kukuba umonakalo wezintso awunakuguqulwa. Oku kuthetha ukuba xa umsebenzi wezintso unciphile ukuya kwinqanaba elithile, kunzima ukuwubuyisela ngokupheleleyo. Yiyo loo nto kubaluleke kakhulu ukuyixilonga nokunyanga le meko ngaphambi kokuba umonakalo wezintso wenzeke.
Ezinye iingxaki zingabandakanya:
- Amatye ezintso.
- Umonakalo wesinyi.
- Usulelo oluphindaphindayo lwendlela yomchamo (UTIs).
Ugqirha uyifumana njani le nto?
Le meko idla ngokufunyaniswa ngaphambi kokuba umntwana azalwe. Ewe, ngexesha le-ultrasound yokukhulelwa . Ngokwesiqhelo xa kwenziwa malunga neeveki ezingama-20, oogqirha banokukrokrela ukuba kukho izintso okanye i-ureter ukuba babona ukudumba. Emva koko, emva kokuba umntwana ezelwe, benza iimvavanyo ezingaphezulu ukuqinisekisa oko.
Kodwa ngamanye amaxesha ifunyanwa emva kokuzalwa, malunga neminyaka emi-2 ubudala. Ingafunyanwa ngengozi nakubantu abadala ngexesha lovavanyo lwamatye ezintso okanye usulelo lomchamo.
Nazi ezinye iimvavanyo ezisetyenziswa ngoogqirha ukuxilonga esi sifo.
| Uvavanyo | Yintoni le iyenzayo? |
|---|---|
| I-Ultrasound yezintso | Ubume, ubungakanani, kunye nokudumba kwezintso kunye nesinyi kuyajongwa. |
| Uvavanyo lwe-VCUG (Voiding Cystourethrogram) | Olu luvavanyo olukhethekileyo lwe-X-ray. Ityhubhu encinci ifakwa kwisinyi ize izaliswe lulwelo olukhethekileyo. I-X-ray ithathwa ngelixa umntwana echama. Oku kungasetyenziselwa ukujonga ukuba akukho reflux (ukuphuma komchamo) ezintso. |
| Iskeni yezintso | Oku kunceda ukujonga, njengepesenti, ukuba izintso zisebenza kakuhle kangakanani na nokuba zonakele na. |
| Iskeni ye-CT okanye ye-MRI | Ezi scan zingasetyenziselwa ukufumana imifanekiso ecacileyo neneenkcukacha ngakumbi yenkqubo yomchamo. |
| Uvavanyo lomchamo | Oku kwenziwa ngokuqinisekileyo ukuqinisekisa ukuba unayo na intsholongwane yendlela yomchamo (UTI). |
Iphathwa njani i-ureterocele?
Indlela yonyango imiselwa ngokuqwalasela izinto ezahlukeneyo, ezinje ngobudala bomntwana, ubungakanani be-ureterocele, ukuba kukho umonakalo kwizintso, nokuba umchamo uyavuza na.
Unyango oluphambili lutyando kunye nokulinda ngononophelo.
Unyango lotyando
Eyona njongo iphambili yolu tyando kukususa ukudumba okufana nebhaluni nokuvumela umchamo ukuba uphume ngokukhululekileyo. Kukho iindlela ezahlukeneyo zotyando zokwenza oku.
| Indlela yotyando | Ingcaciso elula |
|---|---|
| Ukubhoboza ngeTransrethral | Le yeyona ndlela ilula. Apha, ugqirha ufaka ityhubhu encinci enekhamera (i-cystoscope) kwi-urethra ukuze ajonge ngaphakathi kwisinyi. Emva koko, kwenziwa umngxuma omncinci kwi-ureterocele efana nebhaluni. Kufana nokuvuthela ibhaluni. Emva koko, umchamo ovalekileyo uphuma lula. Oku kudla ngokwenziwa phantsi kwe-anesthesia kwaye yinkqubo yokulaliswa ngaphandle. |
| Ukufakelwa kwakhona komchamo | Olu lutyando oluntsonkothileyo kancinci. Kwenziwa utyando oluncinci kwisisu esisezantsi ukuze kuvulwe isinyi. Emva koko, inxalenye ye-ureter ene-ureterocele iyasikwa ize isuswe, kwaye i-ureter ephilileyo ixhunyelelwa kwisinyi, nto leyo ethintela umchamo ukuba ungabuyeli umva (indlela ye-flap valve). Olu tyando luphumelele nge-90%-95%. |
| Utyando lwe-Upper Pole Nephrectomy | Abanye abantwana banemeko ebizwa ngokuba yi-'duplex kidney'. Oku kuthetha ukuba intso enye yahlulwe yaba ziinxalenye ezimbini. Ukuba i-ureterocele yonakalise kakhulu inxalenye engentla yentso ize iyeke ukusebenza, kufuneka utyando ukuze kususwe inxalenye eyonakeleyo. |
Ukulinda Ngokucothayo
Le nkqubo idla ngokusetyenziswa kubantu abadala. Ukuba i-ureterocele ayibangeli zimpawu okanye ayibangeli monakalo kwizintso, ugqirha wakho unokugqiba ekubeni ayiqwalasele le meko okwethutyana ngaphandle kotyando.
Injani imbono yomntwana?
Imbono ilungile kakhulu. Kuba ukugcinwa komchamo yinto yexeshana. Emva kokuba ilungisiwe ngotyando, umntwana unokuphila ubomi obuqhelekileyo. Into ekufuneka uyikhumbule kukuba ukuba i-ureterocele ibangele nawuphi na umonakalo kwizintso, loo monakalo uhlala uhleli. Awunakulungiswa. Esinokukwenza kukuyeka umonakalo ongakumbi. Yiyo loo nto ukuxilongwa kwangoko kunye nonyango lwale meko kubalulekile ebomini.
Umyalezo Wokuya Ekhaya
- I-Ureterocele yimeko yokuzalwa. Ayibangelwanga yimpazamo yabazali.
- Eyona ngxaki inkulu yoku kukuba umchamo ungabuyela umva uze wonakalise izintso.
- Kwiimeko ezininzi, le meko inokubonwa ngeeskeni ngaphambi kokuba umntwana azalwe.
- Utyando lungayinyanga ngokupheleleyo le meko. Iziphumo ziphumelela kakhulu.
- Ukuba umntwana wakho unezifo zomchamo ezixhaphakileyo okanye ukhalaza ngeentlungu xa echama, musa ukumtyeshela. Bonana nogqirha ngokukhawuleza. Unyango olukhawulezileyo lunokunceda ekukhuseleni izintso.
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