Ngaba umntwana wakho omncinci ufumana usulelo oluqhelekileyo lwendlela yomchamo (UTIs)? Okanye ngaba ugqirha wakho ukhankanye into efana nokudumba okuncinci kwizintso zomntwana wakho ngexesha lokuhlolwa ngexesha lokukhulelwa kwakho? Esinye isizathu esinokubakho sezi zinto yimeko ebizwa ngokuba yi-Ureterocele. Usenokuba awukaze uve ngeli gama ngaphambili. Kodwa ungakhathazeki. Le yinto entsha kubazali abaninzi. Masithethe ngayo ngokulula nangokucacileyo namhlanje.
Ngamafutshane, yintoni i-Ureterocele?
Kulungile, masiqale siqonde indlela esebenza ngayo inkqubo yomchamo emzimbeni wethu ngokulula. Sinezintso ezimbini emzimbeni wethu. Ezi zezo zihluza igazi lethu kwaye zisuse izinto ezingafunekiyo njengomchamo, okanye umchamo . Umchamo owenziwe ngale ndlela uqokelelwa kwisinyi ecaleni kwemibhobho emibini. Ezo mibhobho mibini zibizwa ngokuba zii-ureters . Xa isinyi sigcwele, siziva sifuna ukuchama .
Ngoku, kwimeko ebizwa ngokuba yi-ureterocele, isiphelo se -ureter, esithwala umchamo ukusuka kwintso ukuya kwisinyi, sivuvukala njengebhaluni. Khawuthelekelele ukuba isiphelo sombhobho wamanzi sivuvukile kancinci. Yinto efana naleyo. Ngenxa yokudumba, umchamo awukwazi ukuhamba kakuhle ungene kwisinyi. Emva koko, umchamo utyhalelwa phezulu, oko kukuthi, uye kwizintso. Kwizonyango, sibiza oku ngokuthi (Vesicoureteral Reflux) . Ukuba nomchamo ubuyela kwizintso ngolu hlobo akulunganga kwimpilo yezintso konke konke.
Into ebalulekileyo kukuba i-ureterocele yimeko yokuzalwa . Oku kuthetha ukuba ikhula ngelixa umntwana ekhula esibelekweni.
Ngaba kukho iintlobo eziphambili ze-ureterocele?
Ewe, oogqirha bayahlulahlula le meko ibe ziintlobo ezahlukeneyo. Akunyanzelekanga ukuba ube nolwazi oluninzi ngezi zinto, kodwa kulungile ukuba nokuqonda ngokubanzi.
- Kuxhomekeke kwicala elichaphazelekileyo: Ngamanye amaxesha oku kunokwenzeka kwintso enye kuphela (eyamacala omabini). Leyo yeyona hlobo ixhaphakileyo. Kunqabile kakhulu, le meko inokwenzeka kuzo zombini izintso (eyamacala omabini).
- Ngokwendawo:
- I-Extravesical Ureterocele: Olu lolona hlobo luxhaphakileyo kwiintsana nabantwana abancinci. Apha, iqhubu elifana nebhaluni linokufikelela kwisinye, kuquka intamo yesinyi kunye ne-urethra.
- I-Intravesical Ureterocele: Kolu hlobo, iqhubu lingaphakathi ngokupheleleyo kwisinyi. Aliphumi ngaphandle kwesinyi.
Olu hlobo lokwahlulahlula lubaluleke kakhulu kugqirha ukuze amisele iindlela zonyango.
Ixhaphake kangakanani le meko? Ngubani onokuba nayo kakhulu?
Esi asiyongxaki ixhaphakileyo. Sichaphazela malunga nomnye kubantwana abayi-5,000. Sixhaphake kakhulu nakumantombazana kunamakhwenkwe .
Zithini iimpawu ze-ureterocele?
Kwiimeko ezininzi, i-ureterocele encinci isenokungabangeli zimpawu. Nangona kunjalo, ingxaki iqala xa umchamo ungahambi kakuhle, nto leyo ekhokelela kusulelo lomchamo (UTI) . Xa umntwana efumana i-UTI, unokubonisa ezi mpawu:
| Uphawu | Icacisiwe ngokulula |
|---|---|
| Intlungu/ukutsha xa uchama | Ukuba umntwana uyakhala okanye ubonakalisa ukungakhululeki xa echama . |
| Umchamo onukayo | Umchamo unevumba elibi nelinamandla kunesiqhelo. |
| Intlungu yesisu okanye ukuziva ngathi unamaqhuqhuva | Intlungu esiswini esisezantsi okanye ukuziva ngathi yiqhubu esandleni. |
| Igazi kumchamo | Umchamo ujika ube pinki okanye ube bomvu. |
| Ukudinga rhoqo ukuchama | Ukufuna ukuchama rhoqo kunesiqhelo. |
| UmchamoUkungakwazi ukulawula amandla | Ukuchama kwakhona kumntwana osele efunde ukulawula umchamo wakhe . |
| Ukungakwazi ukukhupha yonke into kwisinyi | Ukuziva ngathi kusekho umchamo nasemva kokuchama . |
Ukuba umntwana wakho unenye yezi mpawu, kubaluleke kakhulu ukubona ugqirha ngoko nangoko .
Kutheni oku kusenzeka? Yintoni isizathu sale nto?
Njengoko besitshilo ngaphambili, oku kungenxa yokuba isiphelo se-ureter asiphuhli kakuhle ngelixa umntwana esakhula esibelekweni. Ngamanye amaxesha iimpawu zinokubonakala nasebudaleni, kodwa unobangela uyafana.
Nantsi into ebaluleke kakhulu ekufuneka wonke umama notata ayikhumbule. Le asiyonto oyenzileyo kakubi ngexesha lokukhulelwa, okanye into oyityileyo okanye oyiseleyo, okanye into oyenzileyo. Abaphandi bakholelwa ukuba oku kwenzeka ngengozi. Ngoko ke ungakhathazeki ngayo ngokungeyomfuneko.
Ingaba oku kuyingozi? Zeziphi iingxaki ezinokwenzeka?
I-Ureterocele yimeko enokunyangeka, kodwa kufuneka ithathwe nzulu. Ukuba ayinyangwa, inokukhokelela kwiingxaki ezinkulu.
Kuba, xa umchamo ungaphumi kakuhle kwaye ugcwala kwizintso (ukugcinwa komchamo), kuvela izifo zomchamo (UTIs). Xa ezi zifo ziqhubeka nokukhula, ziqala ukonakalisa izintso .
Eminye imingcipheko yile:
- Amatye ezintso
- Umonakalo wesinyi
- Usulelo oluphindaphindayo lwendlela yomchamo (UTIs)
Eyona nto ibalulekileyo ekufuneka uyikhumbule kukuba umonakalo wezintso awunakulungiseka . Oku kuthetha ukuba xa izintso ziphulukene nomsebenzi othile, azinakubuyiselwa kwimeko yazo. Yiyo loo nto ukuxilongwa kwangethuba kunye nonyango kubalulekile ukuze kugcinwe ukusebenza kwezintso.
Oogqirha bayifumana njani le nto?
Ngethamsanqa, uninzi lwee-Ureteroceles zifunyaniswa ngexesha le-ultrasound scans yokukhulelwa.Ingabonwa ngeskeni ngokwayo. Ngokwesiqhelo, ngexesha leskeni engaqhelekanga, eyenziwa malunga neeveki ezingama-20, ugqirha uya kukrokrela ukuba enye yezintso okanye i-ureter yomntwana idumbile. Oku kunokuqinisekiswa ngovavanyo emva kokuba umntwana ezelwe.
Ngamanye amaxesha ifunyaniswa emva kokuba umntwana ezelwe. Idla ngokufunyaniswa ngexesha lovavanyo olwenziweyo xa iimpawu zibonakala ngaphambi kokuba zibe neminyaka emi-2 ubudala. Ingafunyaniswa ngengozi ngexesha lovavanyo olwenziwe kubantu abadala lwamatye ezintso okanye usulelo lomchamo.
Ugqirha wakho unokucebisa olunye okanye ngaphezulu kwezi mvavanyo:
| Uvavanyo | Yinto nje oyenzayo |
|---|---|
| I-Ultrasound yezintso | Izintso, ii-ureters, kunye nesinyi ziyahlolwa ukuze kujongwe imo kunye nokudumba. |
| Uvavanyo lwe-VCUG (Voiding Cystourethrogram) | Kufakwa ulwelo olukhethekileyo kwisinyi, kwaye kuthathwa i-X-ray ngelixa umntwana echama ukuze kubonwe ukuba umchamo ubuyela umva na ungene kwizintso (i-reflux). |
| Iskeni yezintso | Iskeni ekhethekileyo ukuze kubonwe ukuba izintso zisebenza kakuhle kangakanani na nokuba zonakele na. |
| Iskeni ye-CT okanye ye-MRI | Ezi zisetyenziselwa ukufumana imifanekiso ye-3D ecacileyo neneenkcukacha ngakumbi yenkqubo yomchamo. |
| Uvavanyo lomchamo | Jonga ukuba kukho usulelo lwendlela yomchamo (UTI). |
Iphathwa njani i-ureterocele?
Indlela yonyango imiselwa zizinto ezininzi.
- Sifunyaniswa nini esi sifo? (Ngexesha lokukhulelwa okanye ngexesha lobuntwana?)
- Ingaba izintso zichaphazelekile?
- Ngaba une -vesicoureteral reflux?
Ukuba oku kufunyenwe ngexesha lokuhlolwa ngexesha lokukhulelwa, amayeza okubulala iintsholongwane anokunikwa ukunciphisa umngcipheko wokosuleleka de umntwana azalwe. Emva kokuba umntwana ezelwe, unyango olungcono luya kugqitywa ngokusekwe kwimeko yomntwana.
Indlela ephambili yonyango lutyando.
Unyango lotyando
Eyona njongo iphambili yolu tyando kukususa ukudumba okufana nebhaluni kunye nokunciphisa ukuvaleka kwendlela yomchamo . Kukho iindlela ezahlukeneyo zokwenza oku.
1. Ukubhoboza i-Transurethral: Oku kufana nokuhlaba ibhaluni ngenaliti. Ugqirha ufaka isixhobo esincinci (i-cystoscope) esinekhamera ecaleni kwe-urethra, angene kwisinyi, aze enze umngxuma omncinci kwi-ureterocele evuvukileyo. Oku kuvumela umchamo ovalekileyo ukuba uphume ngokukhululekileyo. Olu ayilotyando olukhulu, kwaye ungaya ekhaya ngaloo mini inye ngaphandle kokuhlala esibhedlele (inkqubo yokulaliswa ngaphandle). Nangona kunjalo, oku kwenziwa phantsi kwe-anesthesia eqhelekileyo yabantwana.
2. Ukufakelwa kwakhona komchamo: Olu lutyando olunzima kancinci. Apha, ugqirha wenza utyando oluncinci esiswini esisezantsi aze angene kwisinyi. Emva koko, inxalenye yomchamo ene-ureterocele iyasikwa ize isuswe, kwaye ityhubhu iqhotyoshelwe kwakhona kwisinyi. Ivalvu yeflap ethintela umchamo ukuba ungabuyeli umva nayo ibekwa endaweni yayo. Olu tyando luphumelele kakhulu kwi-90% - 95% yamatyala.
3. Utyando lwe-Upper Pole Nephrectomy: Olu tyando lwenziwa kwiimeko ezikhethekileyo kakhulu. Abanye abantwana banokuba ne- duplex kidney. Oku kuthetha ukuba i-kidney enye kwelinye icala yahlulwe yangamacandelo amabini. Ukuba i-top pole yale kidney yonakaliswe kakhulu yi-ureterocele kwaye ayisebenzi konke konke, inxalenye engasebenziyo iyasuswa ngotyando.
Ukulinda ngononophelo
Oku kudla ngokwenziwa kubantu abadala. Ukuba i-ureterocele incinci kakhulu, akukho zimpawu, kwaye akukho monakalo kwizintso, ugqirha unokugqiba ekubeni ayijonge le meko ngaphandle kotyando.
Ngaba le meko inganyangeka ngokupheleleyo?
Ewe, ngokuqinisekileyo. I-Ureterocele inganyangeka ngokupheleleyo ngotyando. Nje ukuba ukuvaleka komchamo kususwe, ingxaki isonjululwe. Kodwa njengoko besitshilo ngaphambili, ukuba sele kukho umonakalo kwizintso, loo monakalo awunakulungiswa. Eyona nto ingcono yokwenza kukuyeka umonakalo ongakumbi. Yiyo loo nto ukuxilongwa kwangoko kunye nonyango kubaluleke kangaka.
Umyalezo Wokuya Ekhaya
- I-ureterocele kukuphuma okufana nebhaluni kwesiphelo se-urethra ukuya kwisinyi.
- Oku akubangelwa yinto oyenzileyo engalunganga ngexesha lokukhulelwa. Kwenzeka nje ngengozi.
- Uphawu oluphambili lusulelo oluqhelekileyo lwendlela yomchamo (UTIs). Ngamanye amaxesha kusenokungabikho zimpawu konke konke.
- Ukuba awunyangwa, umchamo ungabuyela umva uze ubangele umonakalo ongunaphakade kwizintso.
- Oku kunokubonwa rhoqo ngexesha lokuhlolwa kokukhulelwa. Kuyithamsanqa kakhulu oko.
- Le meko inokunyangeka ngokupheleleyo ngotyando. Iindlela zonyango ziphumelela kakhulu.
- Ukuba umntwana wakho uneempawu ze-UTI, ezinje ngomkhuhlane, iintlungu zesisu, okanye iintlungu xa echama , bonana nogqirha ngokukhawuleza.
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