Ngaba ugqirha uthe ngexesha lokuhlolwa kwakho ngaphambi kokukhulelwa ukuba enye yezintso zomntwana wakho ibonakala idumbile kancinci? Okanye umntwana wakho omncinci uhlala efumana usulelo lwendlela yomchamo? Mhlawumbi uthetha ngentlungu encinci ecaleni lesisu sakho? Namhlanje, siza kuthetha ngemeko enokubangela oku, kodwa akuthethwa kakhulu ngayo. Oku kubizwa ngokuba yi-Ureteropelvic Junction Obstruction, okanye i-UPJ Obstruction ngamafutshane.
Ngamafutshane, yintoni i-UPJ Obstruction?
Ukuze siqonde oku, masiqale sijonge indlela ezisebenza ngayo izintso zethu. Cinga ngezintso zethu njengezihluzo zamanzi ezibini. Igazi elisemzimbeni wethu liyahluzwa, kwaye inkunkuma namanzi angafunekiyo aqokelelwa aze enziwe umchamo.
Umchamo owenzeka ngolu hlobo uqokelelana kwindawo efana ne-funnel ngaphakathi kwintso (i-renal pelvis) . Emva koko, umchamo uhamba ngetyhubhu encinci (i-ureter) eqala kule funnel ize iqokeleleke kwisinyi.
Indawo apho i-kidney funnel kunye ne-ureter eqala khona zidibana khona yile nto siyibiza ngokuba yi-Ureteropelvic Junction (UPJ).
Ngoku uyaqonda, akunjalo? Ukuvalwa kwe-UPJ kuxa kukho ukuvaleka okanye ukuvaleka kuloo ndawo idibana kuyo, oko kukuthi, apho i-funnel kunye nombhobho kudibana khona. Njengokuba umbhobho okwisinki uvaleka, umchamo awukwazi ukwehla uze uqale ukuzalisa ngaphakathi kwizintso. Ngokwezonyango, oku kubizwa ngokuba yi- (Hydronephrosis) xa izintso zizele ngumchamo.
Le meko idla ngokuzalwa kwaye idla ngokuchaphazela izintso enye kuphela.
Ingaba le meko imbi kakhulu?
Ewe, i-UPJ Obstruction yimeko ekufuneka inyanyekelwe. Kuba, ukuba ayinyangwa kakuhle, izintso zinokonakala kwaye umsebenzi wazo ungancitshiswa ngenxa yokuzaliswa komchamo ngaphakathi kwizintso ixesha elide. Kwiimeko ezimbi kakhulu, izintso zisenokungasebenzi kakuhle ngokupheleleyo (ukungasebenzi kakuhle kwezintso).
Kodwa ungakhathazeki. Ukuba ifunyenwe kwangethuba kwaye inyangwa ngokufanelekileyo, inokuphiliswa ngokupheleleyo. Uninzi lwabantwana lunokuphila ubomi obusempilweni ngaphandle kwemiphumo yexesha elide.
Zithini iimpawu zale meko?
Iimpawu ze-UPJ Obstruction zingahluka ngokweminyaka. Ngamanye amaxesha umntwana omncinci usenokungabonakalisi zimpawu. Nangona kunjalo, kukho iimpawu eziqhelekileyo ezinokubonakala.
| Uphawu | Ingcaciso elula |
|---|---|
| Iqhina esiswini elibamba isandla | Xa izintso zidumba ngenxa yokuzaliswa kwesinyi, zingavakala ngathi yiqhuma ecaleni kwesisu. |
| Usulelo oluqhelekileyo lwendlela yomchamo (UTIs) | Ngenxa yokuba umchamo uhlala kwindawo enye, usulelo lweebhaktheriya lunokukhula lula, nto leyo enokubangela umkhuhlane. |
| Intlungu yesifuba | Usenokuba nemvakalelo yokurhawuzelelwa ngaphezulu kwesinqe nangasemva, ingakumbi emva kokusela ulwelo oluninzi, olufana namanzi. |
| Amatye ezintso | Ngenxa yokuba umchamo uhlala kwindawo enye, kukho umngcipheko wokuba kubekho amatye ezintso ngokuhamba kwexesha. |
| Igazi kumchamo (iHematuria) | Ngamanye amaxesha umchamo unokuba pinki okanye ube bomvu. |
| Isicaphucaphu nokuhlanza | Ucaphucaphu nokuhlanza kusenokubakho, ingakumbi ngexesha lokuqaqamba kwesisu. |
| Ukulibaziseka kokukhula | Ukwanda kobunzima nokukhula kwabantwana abancinci kunokubangela ukuphazamiseka. |
Yintoni isizathu soku? Kutheni oku kusenzeka?
Izizathu zokuzalwa
Kwiimeko ezininzi, ngaphezulu kwama-95%, i-UPJ Obstruction yimeko yokuzalwa.Oku kuthetha ukuba ukuvaleka kwenzeka kuba izintso kunye nomchamo azenzeki kakuhle ngelixa umntwana ekhula esibelekweni. Isizathu esichanekileyo soku asikafumaneki. Kuyenzeka nje.
Eyona nto ibalulekileyo kukuba oku akubangelwanga yimpazamo yakho (okanye yabazali bakho). Musa ukuziva ungonwabanga xa ucinga ukuba oku kungenxa yento oyityileyo, oyiseleyo, okanye oyenzileyo ngexesha lokukhulelwa.
Ngamanye amaxesha, oku kuvimbeka kunokubangelwa ngumthambo wegazi ohambisa igazi kwizintso odlula kwindawo engafanelekanga, oko kukuthi phezu kwelungu le-UPJ.
Izizathu ezenzeka kubantu abadala
Le meko ayiqhelekanga kubantu abadala. Ukuba iyenzeka, inokubangelwa zezi zinto zilandelayo:
- Ukuvaleka kwamatye ezintso
- Usulelo lwendlela yomchamo ephezulu
- Amanxeba emva kotyando kuloo ndawo
- Ukudumba kwinxalenye ephezulu yenkqubo yomchamo
Uyifumana njani le nto, Gqirha?
Le meko idla ngokufunyaniswa ngexesha lokukhulelwa, ngaphambi kokuba umntwana azalwe, ngexesha lokuhlolwa kwe-ultrasound . Ukuba ukuvavanywa kubonisa ukuba enye yezintso zomntwana idumbile ngaphezu kobukhulu obuqhelekileyo (hydronephrosis), oogqirha baya kukrokrela oku.
Emva kokuba umntwana ezelwe, kunokwenziwa ezinye iimvavanyo ezininzi ukuqinisekisa le meko nokubona ukuba monakalo mkhulu kangakanani owenzekileyo kwizintso.
| Uvavanyo | Yintoni le iyenzayo? |
|---|---|
| Uvavanyo lwegazi nomchamo (Uvavanyo lomchamo) | Jonga ukusebenza kwezintso (i-BUN, i-Creatinine) kunye nosulelo lwendlela yomchamo. |
| Iskena se-Ultrasound | Fumana umfanekiso ocacileyo wobukhulu, ukudumba, kunye nokwakheka kwezintso. |
| Ukuskena Kwezintso (Ukuskena Kwezintso / Ukuskena Kwenyukliya) | Yile nto kanye abayenzayo. Bafaka inani elincinci lezinto ezinemisebe emthanjeni baze bajonge ukuba idlula ngokukhawuleza kangakanani kwizintso kwaye ihla ngokukhawuleza kangakanani. Ukuhamba komchamo ecaleni apho kukho ukuvaleka kuhamba kancinci kakhulu. |
| Iskeni ye-CT okanye ye-MRI | Ngamanye amaxesha ezi zisetyenziselwa ukufumana imifanekiso eneenkcukacha ezithe vetshe ngezintso neendawo ezingqongileyo. |
Zithini iindlela zonyango zoku?
Indlela yonyango imiselwa zizinto ezininzi, ezinje ngobunzima bokuvaleka, ukusebenza kwezintso, kunye nobudala bomntwana.
1. Ukulinda Ngokulinda
Musa ukumangaliswa, uninzi lweentsana ezizelwe nale meko zinyangwa ngokujongwa ngaphandle kotyando. Oku kungenxa yokuba kukho ithuba elihle lokuba ukuvaleka kuya kuziphelela ngokwako njengoko umntwana ekhula. Oku kunokwenzeka kwiinyanga ezili-18 zokuqala zobomi bomntwana.
Ngeli xesha, ugqirha uza kwenza ii-ultrasound scans rhoqo ukujonga ukuba akukho na ukudumba kwizintso. Usenokuqhubeka nokunika amayeza okubulala iintsholongwane aphantsi ukuthintela usulelo lomchamo.
2. Utyando
Ukuba ukudumba kwezintso kuyanda ngexesha lokujonga, ukuba ukusebenza kwezintso kwehla, ukuba umntwana unamahlwili rhoqo, okanye ukuba ukuxinana akuphucuki emva kweenyanga ezili-18, ugqirha uya kucebisa utyando.
Utyando oluphambili olwenziwayo ngenxa yoku lubizwa ngokuba yiPyeloplasty .
- I-Pyeloplasty: Oku kuquka ukusika inxalenye evalekileyo ye-ureter kunye nokudibanisa i-ureter ephilileyo nezintso. Oku kudala indlela ebanzi yokuphuma komchamo. Olu tyando luphumelele kakhulu (luphumelele ngaphezu kwe-95%).
- Olu tyando lunokwenziwa njengotyando oluqhelekileyo oluvulekileyo okanye ngokusikwa okuncinci, njengotyando lwe-laparoscopic.
Enye indlela yonyango yi -Endopyelotomy . Kule meko, ngaphandle kokusikwa, ikhamera encinci (i-endoscope) idluliselwa kwi-urethra, kwaye ukuvaleka kuyasikwa ngaphakathi kwaye kwandiswe. Nangona kunjalo, oku akuphumelelanga kangako kunePyeloplasty.
Kwenzeka ntoni emva konyango?
Kudla ngokuthatha malunga neeveki ezimbini ukuya kwezine ukuze umntu aphile ngokupheleleyo emva kotyando. Kodwa kuyahluka kumntu nomntu. Ugqirha wakho uza kukuchazela oku ngokweenkcukacha.
Ukuba ifunyenwe kwangethuba kwaye inyangwa ngokufanelekileyo, ikamva lale meko lihle kakhulu . Uninzi lwabantwana lunokuphila ubomi obuqhelekileyo ngaphandle kweengxaki zexesha elide.
Udinga nini ukubona ugqirha?
Ukuba wena okanye umntwana wakho unezi mpawu zilandelayo, bonana nogqirha ngokukhawuleza.
- Ukuba kukho igazi kumchamo
- Ukuba kukho iqhina esiswini sakho ongenakukwazi ukulifumana
- Ukuba unentlungu esiswini esingaphezulu okanye emqolo
- Ukuba unomkhuhlane (ingakumbi xa une-urinary tract infection)
- Ukuba umntwana omncinci akatyebi kwaye ubonakala engaphumeleli kakuhle
Kubaluleke kakhulu: Ukuba awukwazi ukuchama, oko kuthetha ukuba umchamo wakho uvalekile ngokupheleleyo, yiya kwigumbi likaxakeka lesibhedlele elikufutshane (ETU) ngoko nangoko.
Kuqhelekile ukuba uzive uloyiko olukhulu kunye nexhala xa usiva ngale meko, ingakumbi kumama okhulelweyo. Usenokuzibuza, "Ngaba ndenze into engalunganga?" Kodwa khumbula, oku akungomntu unetyala. Kuyenzeka nje. Into ebalulekileyo kukuba, kukho unyango olusebenzayo kakhulu koku. Thetha nogqirha wakho ngale nto ngokukhululekileyo. Mbuze nayiphi na imibuzo onokuba nayo.
Umyalezo Wokuya Ekhaya
- Ukuvalwa kwe-UPJ kukuvalwa okwenzeka kwindawo apho izintso kunye nomchamo zihlangana khona.
- Oku kudla ngokuba yimeko yokuzalwa, kwaye akubangelwanga yimpazamo yabazali.
- Le meko idla ngokubonwa okokuqala ngeskeni ngexesha lokukhulelwa.
- Kukho ithuba elihle lokuba le meko kwiintsana ezincinci iya kuziphelela ngokwayo ngokuhamba kwexesha, ngaphandle konyango.
- Ukuba ayipholi okanye imeko imbi kakhulu, utyando olubizwa ngokuba yiPyeloplasty lunokunyangeka ngempumelelo enkulu.
- Ukuba uneempawu zosulelo lomchamo ezifana negazi kumchamo wakho, iintlungu zecala, okanye umkhuhlane, bona ugqirha wakho ngoko nangoko.
💬 Comments (0)
Akukho zimvo zithunyelweyo okwangoku. Faka uluvo lwakho apha okokuqala.
Faka uluvo lwakho