Ngaba umntwana wakho omncinci ufumana usulelo rhoqo lwendlela yokuchama? Ngaba le meko ngamanye amaxesha iza nomkhuhlane? Abazali abaninzi bayakhathazeka ngale nto. Esinye sezizathu eziphambili zoku ingaba yimeko esithetha ngayo namhlanje, iVesicoureteral Reflux, okanye iVUR ngamafutshane. Musa ukoyika xa usiva eli gama, le yimeko enyangekayo edla ngokuvela ebantwaneni abancinci. Masithethe ngayo ngokulula.
Kalula nje, yintoni iVUR?
Cinga ngezintso emzimbeni wethu njengezihluzo zamanzi ezibini. Zihluza inkunkuma engafunekiyo egazini lethu zize ziyikhuphe njengomchamo. Umchamo oveliswayo uphuma kwiityhubhu ezimbini ezincinci ezibizwa ngokuba zii-ureters uze uqokelele kwisinyi . Kufana nokugcwalisa itanki ngamanzi. Xa itanki igcwele, siziva sifuna ukuchama, size sichame size siyikhuphe. Le yinkqubo eqhelekileyo.
Nangona kunjalo, kumntu one-VUR, kwenzeka okwahlukileyo. Oko kukuthi, umchamo oqokelelene kwisinyi ubuyela phezulu, oko kukuthi, ecaleni kwe-ureter, uye kwizintso. Ufana nomlambo ofanele ukuba uyehla kodwa kufuneka unyuke. Xa umchamo ubuyela phezulu ngale ndlela, unokuthwala iintsholongwane, ezifana neebhaktheriya, uye kwizintso. Le yeyona nto iphambili yosulelo oluqhelekileyo lwendlela yomchamo (UTIs) kunye nomonakalo wezintso.
Yintoni ebangela i-VUR?
I-VUR inokwenzeka ngeendlela ezimbini eziphambili.
1. I-VUR eyintloko
Le yeyona ixhaphakileyo. Ixesha elininzi, oku kungenxa yengxaki encinci ekhoyo xa uzalwa . Apho i-urethra yethu (ureter) idibana khona nesinyi, kukho i-flap encinci efana ne-valve. Umsebenzi wayo kukuvumela umchamo ukuba uhambe ngendlela enye kuphela, oko kukuthi, ungene kwisinyi. Ayivumeli ukuba ubuye unyuke. Ifana nocango oluvula indlela enye kuphela. Nangona kunjalo, kwabanye abantwana, le valve izalwa imfutshane kancinci kwaye isenokungavaleki kakuhle. Emva koko, xa isinyi sizaliseka okanye xa uchama, umchamo ubuyela unyuka.
2. I-VUR yesibini
Oku kubangelwa kukuvaleka kwesinyi okanye kwezinye iindawo zomchamo. Umzekelo, ukuba ukusebenza kwemithambo-luvo yesinyi akulunganga okanye ukuba kukho olunye uvalelo, uxinzelelo ngaphakathi kwesinyi luyanda, nto leyo etyhala umchamo ubuyele phezulu.
Zithini iimpawu zale meko?
Abantwana abaninzi abane-VUR abanazo iimpawu zangaphandle. Nangona kunjalo, ukuba iimpawu ziyabonakala, zihlala ziluphawu losulelo lwendlela yomchamo (UTI). Jonga ukuba umntwana wakho unayo na kwezi mpawu.
| Udidi lweempawu | Iimpawu eziqhelekileyo |
|---|---|
| Iimpawu zosulelo lwendlela yomchamo (UTI) ezidla ngokubonakala kuqala | |
| Ifiva | Ingakumbi umkhuhlane oqala ngaphandle kwesizathu esinye esicacileyo. |
| Intlungu ngexesha lokuchama | Ukutsha okanye intlungu xa uchama, umntwana ekhala. |
| Utshintsho kumchamo | Igazi kumchamo, umbala omnyama, okanye ivumba elibi. |
| Ukuchama rhoqo | Imfuneko engxamisekileyo yokuchama, kodwa kancinci ngexesha. Ukumanzisa impahla. |
| Intlungu yesisu | Intlungu yesisu esisezantsi. |
| Ezinye iimpawu ezinokuthi zinxulumene ne-VUR | |
| Ukungatyebi | Ukulahlekelwa ngumdla wokutya kunye nokuncipha kancinci kobunzima bomntwana. |
| Igazi elonyukayo | Igazi elonyukayo. |
| Ukuqhinwa | Ubunzima bokukhupha indle kunye nokungakwazi ukuyilawula. |
Okubaluleke kakhulu: Ukuba umntwana wakho ubonakalisa naziphi na ezi mpawu zosulelo lomchamo (UTI) , bona ugqirha ngoko nangoko . Musa ukuyityeshela loo nto, ingakumbi ukuba umntwana omncinci unomkhuhlane.
Sifunyaniswa njani esi sifo kanye kanye?
I-VUR ngamanye amaxesha inokubonwa ngexesha lokuhlolwa kwe-ultrasound ngaphambi kokuba umntwana azalwe. Ngaphandle koko, ugqirha wakho unokucebisa olunye okanye ngaphezulu kwezi vavanyo ngokusekelwe kwiimpawu zakho.
- I-Voiding Cystourethrogram (VCUG): Olu lolona vavanyo luphambili olusetyenziselwa ukufumanisa i-VUR. Kolu vavanyo, kufakwa ityhubhu encinci kwisinyi kwaye kufakwa idayi ekhethekileyo kwisinyi. Emva koko, kuthathwa ividiyo ye-X-ray njengoko umntwana echama ukuze kubonwe ukuba idayi ibuyela na ezintsoni. Olu vavanyo lunokuba lungathandeki kancinci ebantwaneni, ngoko ke lwenziwa ngamayeza okugcina umntwana ezolile, ukuba kuyimfuneko.
- I-Ultrasound yesisu: Olu luvavanyo olungenabuhlungu. Lunokujonga imeko yezintso nokuba zonakele okanye zinamanxeba.
- Uvavanyo lwegazi kunye novavanyo lomchamo: Uvavanyo lwegazi lunokunika umbono wokuba izintso zakho zisebenza kakuhle kangakanani. Uvavanyo lomchamo lunokuqinisekisa ukuba unesifo na.
Zithini iindlela zonyango?
Emva kovavanyo, ugqirha uza kunika i-VUR "ibanga" (umz., ukusuka ku-1 ukuya ku-5) ngokusekelwe kubukhali bemeko. Okukhona inani liphezulu, kokukhona imeko inzima ngakumbi. Unyango lumiselwa ngokusekelwe kweli banga, ubudala bomntwana, kunye neempawu.
Iindaba ezimnandi zezokuba kuninzi lwabantwana, i-VUR ekumgangatho ophantsi iyaphucuka yodwa njengoko umntwana ekhula. Oku kungenxa yokuba ivalvu ephakathi kwe-urethra kunye nesinyi iyakhula kwaye iqala ukusebenza kakuhle.
Ezi zilandelayo zisetyenziswa njengonyango:
- Ii-antibiotics: Ezi zinikwa ukuthintela nokunyanga usulelo lomchamo (UTIs). Oku kubaluleke kakhulu ukuthintela usulelo ukuba lungasasazeki kwizintso. Kubalulekile ukuthatha amayeza ixesha lonke elichazwe ngugqirha.
- Inaliti ye-Deflux: Olu asilotyando. Ulwelo olufana nejeli lufakwa kwisinyi kusetyenziswa isixhobo esikhethekileyo, esifakwa kwi-urethra apho iqhagamshela khona kwi-urethra. Oku kubangela ukudumba okuncinci apho, kwaye ivalvu iqala ukuvala ngokuqinileyo. Oku kuthintela umchamo ukuba ungabuyeli phezulu.
- Utyando: Oku kwenziwa kuphela kwiimeko ezinzima kakhulu, xa amayeza engakwazi ukulawula imeko, okanye xa kukho umonakalo oqhubekayo kwizintso. Utyando lulungisa ingxaki yevalvu ngokusisigxina.
Izinto onokuzenza ekhaya njengomzali
Ukuba unomntwana one-VUR, kubaluleke kakhulu ukunyamekela ezi zinto.
- Fundisa umntwana wakho ukuya kwindlu yangasese rhoqo, rhoqo emva kweeyure ezimbini ukuya kwezintathu . Musa ukumvumela ukuba abambe umchamo wakhe ixesha elide.
- Nika amayeza okubulala iintsholongwane anikwe ngugqirha kanye njengoko enikiwe, nokuba anikwe ukuthintela usulelo. Musa ukuyeka ukuwasela phakathi kwesiqingatha sobomi kuba nje umntwana wakho eziva ngcono.
- Qinisekisa ukuba umntwana wakho usela amanzi amaninzi . Oku kuya kunceda ukuhlamba iintsholongwane.
- Nciphisa ukutya kwakho iziselo ezineswekile kunye neesoda, kuba zinokucaphukisa isinyi.
- Ukuba unentlungu esiswini okanye ungonwabanga, beka ibhotile yamanzi ashushu okanye ilaphu elifudumeleyo esiswini sakho uze ulihlikihle. Liza kunceda.
Ngokuqonda le meko nokusebenzisana nogqirha wakho, ungakhusela izintso zomntwana wakho kwaye umncede aphile ubomi obusempilweni.
Umyalezo Wokuya Ekhaya
- I-Vesicoureteral reflux (VUR) kukuphuma komchamo usuka kwisinyi uye kwizintso. Ixhaphakile kubantwana abancinci.
- Uphawu oluphambili noluqhelekileyo lwale meko lusulelo lomchamo (UTI) oluhamba nomkhuhlane.
- Ukuba umntwana wakho ubonakalisa iimpawu zosulelo lomchamo, ingakumbi ukuba unomkhuhlane, funa ingcebiso kagqirha ngoko nangoko.
- Uninzi lwabantwana luyayeka ukukhula kwesi sifo njengoko bekhula, kodwa iindlela zonyango zixhomekeke kubukhulu besifo.
- Kubaluleke kakhulu ukuthatha amayeza okubulala iintsholongwane amiselwe ngugqirha wakho ixesha lonke.
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