Ingaba umntwana wakho omncinci uneengxaki zomchamo rhoqo? Oku kusenokuba yiVesicoureteral Reflux (VUR)!

Mama nootata, ngaba umntwana wenu omncinci ufumana usulelo lwe-urinary tract (UTIs) rhoqo? Okanye ngaba unengxaki yokuchama , okanye unomkhuhlane? Ngamanye amaxesha unobangela woku unokuba yimeko esingathethi kakhulu ngayo, kodwa kubalulekile ukwazi ngayo. Namhlanje, masithethe ngale meko ibizwa ngokuba yiVesicoureteral Reflux , okanye iVUR ngamafutshane. Musani ukukhathazeka, le yinto enokunyangeka ngokupheleleyo kwiimeko ezininzi ukuba iqondwa kakuhle kwaye inyangwa ngexesha.

Yintoni iVesicoureteral Reflux (VUR)? Masiyiqonde ngokulula.

Ngamafutshane, i-VUR ithetha ukuba umchamo wethu, oko kukuthi, umchamo, ugeleza kwicala elingalunganga. Cinga ngale ndlela, njengoko kufanele. Inkqubo yomchamo yomzimba wethu isebenza njengesitrato esihamba calanye.

Nantsi indlela eyenzeka ngayo:

• Izintso zethu zivelisa umchamo. Sidla ngokuba nezintso ezimbini.
• Emva koko, lo mchamo uhamba ngemibhobho emibini emincinci ebizwa ngokuba yi-ureters uze uqokeleleke kwisinyi . Isinyi sifana nebhaluni eyandayo ukuze iqokelele umchamo .
• Xa sichama , umchamo oqokelelwe kwisinyi uphuma emzimbeni ngenye ityhubhu ebizwa ngokuba yi-urethra .

Uyaqonda ngoku? Oku kufana namanzi aphuma kwitanki yamanzi ngepayipi aze aphume empompini. Into ebalulekileyo kukuba ii-ureters, apho ziqhagamshela khona kwisinyi, zisebenze njengevalvu enecala elinye . Oko kukuthi, xa umchamo ufikelela kwisinyi, awuvumelekanga ukuba ubuyele phezulu, oko kukuthi, ecaleni kwee-ureters ukuya kwizintso.

Nangona kunjalo, kumntu one-VUR, kukho ingxaki encinci ngale nkqubo. Ngenxa yokuba loo valve ayisebenzi kakuhle, umchamo kwisinyi ubuyela phezulu, uye kwi-ureter enye okanye zombini, kwaye ngamanye amaxesha uye kwizintso. Oku sikubiza ngokuba yi-reflux .

Le meko ixhaphake kakhulu kwiintsana ezisandul’ ukuzalwa, iintsana ezineenyanga ezimbalwa ubudala, kunye nabantwana abaneminyaka engaphantsi kwemibini ubudala . Nangona kunjalo, inokwenzeka nakubantwana abadala, kwaye, kunqabile kakhulu, kubantu abadala.

Eyona nto ibalulekileyo kukuba xa umchamo ubuyela umva ngolu hlobo, iintsholongwane ezikwisinyi zinokuhamba ziye ezintsoni zize zibangele usulelo lwezintso . Ukuba olu sulelo lwezintso alunyangwa kakuhle, lunokubangela umonakalo ongunaphakade kwizintso. Yiyo loo nto kubalulekile ukuba uqaphele i-VUR.

Kodwa ungakhathazeki. Kukho unyango lwe-VUR. Unyango luxhomekeke kubudala bomntwana, uhlobo lweempawu, kunye nobunzima be-VUR. Ezinye iimeko ezincinci azidingi unyango kwaye ziya kuba ngcono ngokwazo njengoko umntwana ekhula. Kodwa abanye abantwana banokufuna amayeza okanye utyando lokuthintela umonakalo kwizintso zabo.

Ngaba kukho iintlobo ze-VUR?

Ewe, kukho iintlobo ezimbini eziphambili ze-VUR.

• I-VUR ePhambili: Olu lolona hlobo luxhaphakileyo. Uninzi lwexesha, luchaphazela icala elinye kuphela le-urethra kunye nezintso (oku kubizwa ngokuba yi -unilateral reflux ). Kwi-VUR ePhambili, kukho isiphene esincinci kwindawo apho i-urethra idibana nesinyi ngexesha lokuzalwa. Ivalvu esithethe ngayo ayivali kakuhle, ngoko umchamo ubuyela umva.
• I-VUR yesibini: Oku kubangelwa kukuvaleka kwenye indawo kwinkqubo yomchamo. Umzekelo, ukuvaleka kwe-urethra kunokubangela ukuba umchamo ubuyele umva, okubangela uxinzelelo ngaphakathi kwesinyi ukuba luqokeleleke. Okanye, kunokubangelwa yingxaki yemithambo-luvo kwisinyi ethintela ukuba singaqini kakuhle kwaye ibangele ukuba umchamo ubuyele umva. Abantwana abane-VUR yesibini badla ngokuba ne-ureters kunye nezintso ezichaphazelekileyo (oku kubizwa ngokuba yi -bilateral reflux ).

Bumiselwa njani ubunzima (inqanaba) le-VUR? (Amanqanaba e-VUR)

Kukho amanqanaba amahlanu, okanye amanqanaba, okuba iVUR inzima kangakanani. Ibanga loku-1 lelona linzima kancinci, kwaye iBanga lesi-5 lelona linzima kakhulu. Eli banga limisela oku kulandelayo:

• Ukuba umchamo ugeleza kangakanani na phezulu nasezantsi kwinkqubo yomchamo.
• Ukuba i-urethra ibanzi okanye idumbile kangakanani.

Nazi ezo zigaba zintlanu:

• Ibanga loku-1: Umchamo ubuyela umva ungene kwi-urethra, kodwa i-urethra inobubanzi obuqhelekileyo.
• Ibanga lesi-2: Umchamo ubuyela umva ecaleni kwe-ureter ude ufikelele kwinxalenye yokuqala yezintso apho umchamo uqokelelana khona (i-kidney pelvis) . Nangona kunjalo, i-ureter okanye loo nxalenye yezintso ayikakhuli.
• Ibanga lesi-3: Ii-ureters, i-kidney pelvis, kunye nee-calyces (indawo apho umchamo uqala ukuqokelelana khona kwisinyi) zikhula kancinci ngenxa yokuhamba komchamo ubuyela umva.
• Ibanga lesi-4: Ii-ureters zijijekile kwaye zivuleke kancinci kuba umchamo omninzi ubuyela umva. Ezo ndawo zezintso nazo zivuleke kancinci.
• Ibanga lesi-5: Ii-ureters zikhubazekile kakhulu kwaye zikhulu ngenxa yokuhamba komchamo ngokugqithisileyo. Imisele eqokelelayo yezintso nayo inkulu kakhulu.

Ixhaphake kangakanani iVUR?

Ukuba ujonge kwihlabathi liphela,Kuqikelelwa ukuba phakathi kwe-1% kunye ne-3% yabantwana bane-VUR. Ngaphezu koko, yi-75% kuphela yabantwana abane-VUR abangamantombazana .

Zithini iimpawu ze-VUR?

Ixesha elininzi, umntwana one-VUR akayi kubonakalisa zimpawu. Nangona kunjalo, ukuba iimpawu ziyenzeka, uphawu oluqhelekileyo lusulelo lomchamo (UTI) . Ezinye iingxelo zibonisa ukuba phakathi kwama-30% nama-50% abantwana abafumana i-UTI banokuba ne-VUR!

Ukuba umntwana une-UTI, khangela iimpawu ezifana nezi:

• Isidingo sokuchama rhoqo.
• Ukutsha kunye nentlungu xa uchama .
• Intlungu yecala yintlungu esiswini okanye emqolo ongezantsi (ecaleni kwesisu).
• Amathontsi ambalwa omchamo .
• Umbala womchamo utshintshile, umdaka omnyama kwaye unevumba elibi.
• Umzimba uba shushu kwaye ube nomkhuhlane.

Nangona kunjalo, kunokuba nzima kancinci ukufumanisa ukuba umntwana oncancisayo une-UTI. Basenokukhala kakhulu, bangaseli, okanye benze izinto ezingaqhelekanga.

Ingaba i-VUR ibuhlungu?

Hayi, i-VUR ngokwayo ayibuhlungu. Nangona kunjalo, ukuba i-VUR ibangela i-UTI, ngoko unokufumana iintlungu xa uchama , iintlungu zezintso/zesisu.

Yintoni ebangela i-VUR?

Iindidi ezimbini ze-VUR esixoxe ngazo ngaphambili, i-VUR yokuqala kunye ne-VUR yesibini, zinezizathu ezahlukeneyo.

• I-VUR eyintloko: Oku kubangelwa sisiphene sokuzalwa kwivalvu ephakathi kwe-ureter kunye nesinyi. Ayivali kakuhle, nto leyo evumela umchamo ukuba ubuyele umva uye kwizintso. Iindaba ezimnandi zezokuba njengoko umntwana ekhula, njengoko amalungu omzimba ekhula, le valve iya kuqala ukuvala kakuhle, kwaye i-VUR eyintloko idla ngokuba ngcono ngokwayo.
• I-VUR yesibini: Eyona nto ibangela oku kukuvaleka okanye ukuncitshiswa kwentamo yesinyi okanye i-urethra. Le ngxaki ibangela ukuba umchamo ubuyele umva uye kwindlela yomchamo endaweni yokuphuma. Okanye, imithambo-luvo elawula isinyi isenokungasebenzi kakuhle. Le ngxaki ibangela ukuba isinyi sinciphe kwaye siphumle, nto leyo ethintela ukuba umchamo ungakhuphi. Kwi-VUR yesibini, i-VUR yamacala omabini ixhaphake kakhulu.

Ziziphi izinto ezibangela umngcipheko wale meko?

Kukho izinto ezithile ezinokubangela umngcipheko ezinokuchaphazela uphuhliso lwe-VUR:

• I-genetics: I-VUR idla ngokusebenza kwiintsapho. Ukuba umntwana omnye kusapho une-VUR, kukho ithuba elingaphezulu kancinci kwelinye kwabane lokuba umnakwenu okanye udadewenu naye abe ne-VUR. Ukuba umzali ngamnye wayene-VUR esengumntwana, kukho ithuba elimalunga nelinye kwamathathu lokuba nomntwana naye abe ne-VUR.
• Iingxaki zokuzalwa:Abantwana abazalwa beneengxaki zezintso okanye inkqubo yomchamo banamathuba amaninzi okufumana i-VUR.
• Ukungasebenzi kakuhle kwesinyi namathumbu (BBD): Abantwana abane-BBD banengxaki yokuchama nokuphuma indle ngendlela efanelekileyo. Oku kudla ngokubangelwa ziingxaki zemisipha okanye imithambo-luvo.
• Uhlanga kunye nesini: Abantwana abamhlophe, abangamabhinqa kuthiwa banamathuba amaninzi okufumana i-VUR (kodwa inokwenzeka nakuwuphi na umntwana).

Ziziphi iingxaki ezinokubakho ngenxa ye-VUR?

Abantwana abane-VUR banokuba neengxaki ezifana nezi:

• Usulelo lwendlela yomchamo (UTIs): Usulelo lwesinye, kuquka usulelo lwezintso.
• Iingxaki zesinyi: ukungakwazi ukulawula umchamo (ukungakwazi ukuzibamba komchamo), ukuchama ebhedini, ukungakwazi ukukhupha umchamo ngokupheleleyo ( ukugcinwa komchamo).
• Igazi elonyukayo.
• Ukuvaleka kwezintso, umonakalo wezintso (umz., isifo se-nephrotic), kwaye kunqabile, ukungasebenzi kakuhle kwezintso okungapheliyo.

Kodwa khumbula, uninzi lwabantwana abane-VUR bayachacha ngaphandle kweengxaki ezihlala ixesha elide. Ngoko ke kubalulekile ukuba ungoyiki kwaye ulandele imiyalelo kagqirha wakho.

I-VUR ikhula njani kubantu abadala? (Oku akupheleli nje kubantwana abancinci)

Nangona kunqabile, abantu abadala nabo banokuba ne-VUR. Izizathu ezinokubakho ziquka:

• Ukwanda kwe-prostate gland (`Benign prostate hyperplasia` - yamadoda)
• Ukungasebenzi kakuhle kwesinyi ngenxa yomonakalo wemithambo-luvo (`Isinyi se-Neurogenic`)
• Utyando olwenziwe kwii-ureters.

Ngaba i-VUR ingabangela amatye ezintso?

Ewe, i-VUR inokubangela amatye ezintso. Inokubangela nokuba kubekho amatye kwezinye iindawo zenkqubo yomchamo, njengesinyi.

Ngaba i-VUR ibeka ubomi esichengeni?

I-VUR ngokwayo ayisongeli ubomi. Nangona kunjalo, i-VUR inokubangela usulelo oluqhelekileyo lwendlela yomchamo (ii-UTI), olunokukhokelela ekonakaleni kwezintso, kwaye ngokuhamba kwexesha, isifo sezintso sinokukhokelela kuxinzelelo lwegazi oluphezulu (uxinzelelo lwegazi lwezintso) kunye nesifo sezintso. Ukuba ufumana isifo sezintso esikwinqanaba lokugqibela, unokufuna i-dialysis okanye ukufakelwa izintso. Yiyo loo nto kufuneka ukhathazeke nge-VUR.

Uyazi njani ukuba une-VUR? (Ukuxilongwa)

Ukuba umntwana wakho urhanelwa ukuba une-VUR, ugqirha wakho wabantwana uza kukuthumela kwi -nephrologist yabantwana okanye kwi-urologist yabantwana .

Ukuze ufumanise ngokuchanekileyo ukuba unayo na i-VUR, ungenza olu vavanyo lulandelayo:

• I-Voiding Cystourethrogram (VCUG): Olu luvavanyo lwe-X-ray. Kufakwa umbhobho omncinci, obhityileyo (i-catheter) kwi-urethra yomntwana kwaye kugalelwa idayi ekhethekileyo kwisinyi. Emva koko, ii-X-ray zithathwa ngelixa umntwana echama , ngaphambi nasemva kokuchama . Ezi X-ray zibonisa ukuba umchamo ubuyela umva kwisinyi ungene kwi-urethra. Oku kungenziwa eofisini kagqirha, kwikliniki yangaphandle, okanye esibhedlele. I-anesthesia ayifuneki, kodwa abanye abantwana banokunikwa amayeza okubanceda baphumle.
• I-ultrasound scan: Olu luvavanyo olungenabuhlungu nolukhuselekileyo. Lusebenzisa amaza esandi ukuthatha imifanekiso yenkqubo yomchamo yomntwana wakho (kuquka izintso kunye nesinyi). Oku kwenziwa nakwiofisi kagqirha, kwicandelo lezigulane ezingalaliswanga, okanye esibhedlele. Ukuba ufuna ukuphepha ukuvezwa kwi-X-ray okanye izinto ezine-radioactive, unokufuna ukwenza i-ultrasound ngaphambi kwe-VCUG. Khumbula, ngamanye amaxesha i-ultrasound scan ngexesha lokukhulelwa inokubonisa iimpawu zokuba umntwana wakho unokuba ne-VUR (ezifana nezintso ezidumbileyo).
• Iskeni se-Dimercaptosuccinic acid (DMSA): Esi siskeni sijonga ukuba izintso zomntwana zonakele na yi-UTI.
• I-Radionuclide cystogram (RNC): Olu luhlobo lwe-nuclear scan. Inani elincinci lezinto ezine-radioactive lifakwa kwisinyi somntwana. Emva koko, nokuba umntwana uyachama okanye emva kokuba isinyi singenanto, i-scanner ikhangela izinto ezine-radioactive. Oku kwenziwa nanguchwephesha oqeqeshwe ngokukodwa, kwaye i-radiologist ihlalutya imifanekiso. Oku akudingi i-anesthesia, kodwa abanye abantwana banokunikwa amayeza okubanceda baphumle. I-RNC inovelwano ngakumbi kune-VCUG, kodwa ayiboneleli ngeenkcukacha ezininzi malunga nolwakhiwo lwesinyi.

Zeziphi ezinye iimvavanyo ekufuneka zenziwe kubantwana abane-VUR?

Ukuba umntwana wakho uqinisekisiwe ukuba une-VUR, olu vavanyo luya kwenziwa rhoqo:

• Ukujonga uxinzelelo lwegazi: Abantwana abaneengxaki zezintso banamathuba amaninzi okuba noxinzelelo lwegazi oluphezulu.
• Uvavanyo lwegazi: Amanqanaba aphezulu eproteni okanye i-creatinine egazini luphawu lomonakalo wezintso.
• Uvavanyo lomchamo kunye nokukhula komchamo: Iiproteni kumchamo luphawu lokonakala kwezintso. Iibhaktheriya kumchamo luphawu losulelo.

Ugqirha womntwana wakho uza kujonga ukuba akukho ngxaki yesinyi kunye namathumbu (BBD) . Iimpawu ze-BBD ziquka:

• Ukufuna ukuchama rhoqo nangokungxamisekileyo.
• Andiyi rhoqo ukuya kuchama , kwaye sele kudlule ixesha elide.
• Ukumanzisa emini.
• Ukuqhinwa - ukuba nesisu esingaphantsi kwezihlandlo ezithathu ngeveki.
• Ukungakwazi ukulawula indle (ukungakwazi ukuzibamba).

Abantwana abaneempawu ze-BBD kunye ne-VUR basengozini enkulu yokonakala kwezintso ngenxa yosulelo.

Iphathwa njani i-VUR?

Ukunyanga i-VUR kufuna uncedo lukagqirha. Unyango luxhomekeke kwiminyaka yomntwana wakho, iimpawu zakhe, uhlobo lwe-VUR, kunye nobunzima bayo. Iindlela zonyango ziquka amayeza okubulala iintsholongwane kunye namanye amayeza, inaliti ye-soluble filler, i-catheterization yexesha elifutshane, kunye notyando. Wena, ugqirha wakho wezingane, kunye nezinye iingcali niza kuxoxa ngezi ndlela zonyango nize nikhethe eyona ifanelekileyo kumntwana wakho.

Unyango lwe-VUR ePhambili

I-VUR yokuqala inokuba ngcono ngokwayo njengoko umntwana ekhula (ngokuqhelekileyo malunga neminyaka emi-5). Ngamanye amaxesha, indlela "yokulinda ubone" iyaphumelela. Kodwa ngamanye amaxesha, kufuneka utyando okanye amayeza.

Amayeza

I-VUR yokuqala idla ngokuba ngcono njengoko umntwana wakho ekhula kwaye inkqubo yakhe yokuchama ikhula. Kude kube ngoko, ugqirha wakho uya kukunika i-antibiotic ukuthintela i-UTI okanye ukuyinyanga ukuba iyenzeka.

Kukho izimvo ezahlukeneyo malunga nokunika amayeza okubulala iintsholongwane ixesha elide ukuthintela iintsholongwane ze-UTI. Oku kungenxa yokuba ukusetyenziswa kwamayeza okubulala iintsholongwane ixesha elide kunokukhokelela ekuchaseni amayeza okubulala iintsholongwane kwiintsholongwane. I-American Academy of Pediatrics (AAP) icebisa ukuba amayeza okuthintela anikwe kuphela abantwana abanamanqanaba aphezulu e-VUR (ngelixa belinde ukuba i-VUR yabo ikhule emva kokwaluphala).

Utyando

Oogqirha basebenzisa iindlela ezahlukeneyo zotyando ukunyanga i-VUR yokuqala. Injongo ephambili yotyando kukulungisa ivalvu yendlela enye (ivalvu yendlela enye) kwindawo edibana kuyo isinyi kunye ne-urethra, ukuthintela umchamo ukuba ungabuyeli umva.

• Ukufakelwa kwakhona komchamo: Oku kuthathwa njengomgangatho "ophezulu" wotyando lwe-VUR. Injongo kukutshintsha i-ureter ukuze idlule kumjelo onobude obufanelekileyo eludongeni lwesinyi, kwenze ivalvu ethintela umchamo ukuba ungabuyeli umva. Ugqirha womntwana wakho angenza olu tyando nokuba lutyando oluvulekileyo (ngokusika isisu somntwana wakho) okanye nge-laparoscopically (ngokusika nje okuncinci). Ugqirha wakho uza kuchaza iingenelo kunye nokungalungi kwendlela nganye, kunye nemiphumo enokubakho. Utyando lufuna i-anesthesia jikelele , kwaye unokufuna ukuhlala esibhedlele iintsuku ezimbalwa.

• Isixhobo sokuqokelela esifakwa ngenaliti: Olunye ukhetho lonyango lwe-VUR yokuqala kukusebenzisa i-infusions.Ukusebenzisa ulwelo olufana nejeli olubizwa ngokuba yi -hyaluronic acid/dextranomer (Deflux®) . Ugqirha womntwana wakho uza kufaka isixa esincinci sale nto eludongeni lwesinyi somntwana wakho, kufutshane nomnyango we-urethra. Inaliti ibangela ukuba izicubu apho zidumbe, zisebenze njengevalvu kwaye zenze kube nzima ukuba umchamo uphinde ubuye. Oku kwenziwa kwisibhedlele sangaphandle (umntwana wakho angaya ekhaya ngaloo mini inye), kodwa ikwafuna ne-anesthesia eqhelekileyo. Ugqirha wakho uza kuthetha nawe malunga neenzuzo kunye neengxaki zolu nyango.

Unyango lwe-VUR yesibini

I-VUR yesibini inyangwa ngokususa ukuvaleka okanye ngokuphucula indlela ekhupha ngayo isinyi. Unyango lungabandakanya:

• Utyando lokususa isithintelo okanye ukulungisa isinyi okanye urethra engamilanga kakuhle.
• Ukunika amayeza okubulala iintsholongwane ukuthintela okanye ukunyanga i-UTI.
• Ukufakwa kwe-catheter rhoqo: Oku kuquka ukufaka ityhubhu encinci kwisinyi nge-urethra ukuze kukhutshwe isinyi.
• Amayeza emisipha yesinyi.

Kuza kwenzeka ntoni ukuba umntwana wam une-VUR?

Ukuba umntwana wakho ufunyaniswe ene-VUR, sebenzisana ngokusondeleyo neqela lakho lezonyango ukuze uphuhlise isicwangciso sonyango esisebenzela usapho lwakho. Ukulawula imeko efana ne-VUR kunokuba nzima kuwe nakwabanye abanakekeli bakho. Thetha neqela lezonyango lomntwana wakho malunga neenkxalabo zakho nemibuzo yakho. Iindaba ezimnandi zezokuba i-VUR inganyangeka kakhulu, kwaye kubantwana abaninzi, ayinayo nayiphi na imiphumo yexesha elide.

Ihlala ixesha elingakanani i-VUR? / Ngaba i-VUR iyancipha xa ukhula?

Umntwana wakho usenokuba ne-VUR ixesha elingaphantsi konyaka, kodwa akukho xesha lichanekileyo, njengoko iyahluka ngokuxhomekeke kwimeko yomntwana. Ngamanye amaxesha ugqirha wakho uya kucebisa indlela "yokulinda ngononophelo", okanye utyando ukuba uvavanyo lubonisa umonakalo omkhulu we-VUR okanye wezintso.

Ewe, umntwana wakho unokukhula aphume kwi-VUR, ingakumbi ukuba i-VUR yokuqala ikwinqanaba eliphantsi (ibanga lokuqala okanye lesibini). Abantwana abanale meko banokuphila ngokwabo kwiminyaka embalwa.

Ngaba umntwana one-VUR angaya esikolweni?

Kuxhomekeke kubukhali beempawu zomntwana wakho. Khumbula, i-VUR ngokwayo ayiyongxaki kubomi bemihla ngemihla bomntwana wakho, kodwa inokuba yingxaki ukuba umntwana wakho ufumana i-UTI. Umntwana wakho usenokuba neentlungu, ukuqhinwa, okanye ukungakwazi ukuzibamba . Thetha nogqirha wakho malunga nokuthumela umntwana wakho esikolweni okanye ukudlala nabahlobo.

Ngaba ikho indlela yokuthintela i-VUR?

Akukho ndlela eyaziwayo yokuthintela i-VUR - kungekhona ngokutya, ukutshintsha indlela yokuphila, okanye amayeza. Nangona kunjalo, umntwana wakhoKukho izinto onokuzenza ukuze ugcine impilo entle yenkqubo yomchamo iyonke:

• Ukunika umntwana amanzi aneleyo okusela .
• Ukutshintsha inabukeni ngokukhawuleza emva kokuba umntwana echamile okanye ephumile.
• Ukukhuthaza umntwana ukuba achame rhoqo, "angabambeleli."
• Funa unyango lweengxaki ezinje ngokuqhinwa, ukungakwazi ukuzibamba, okanye ukungakwazi ukuzibamba ngokukhawuleza.

Kubalulekile ukukhuthaza umthambo kunye nokutya okunesondlo nokulinganiselayo ukuze umntwana wakho ahlale esempilweni.

Ndingambona nini ugqirha malunga ne-VUR?

Ukuba urhanela ukuba une-UTI (esoloko ingumqondiso wokuqala we-VUR), bonana nogqirha wabantwana womntwana wakho ngoko nangoko. Iimpawu ezifana nokungakwazi ukuzibamba komchamo , umkhuhlane ongachazwanga, kunye nentlungu xa uchama nazo zinokubonisa i-VUR. Ukuba ugqirha wabantwana wakho urhanela i-VUR, uza kukuthumela kwingcali.

Yeyiphi imibuzo omele uyibuze ugqirha?

Thetha nogqirha womntwana wakho ukuze ufumane iimpendulo zayo nayiphi na imibuzo onayo malunga ne-VUR. Nazi ezinye zemibuzo onokuyibuza:

• Ngaba i-VUR yokuqala yomntwana wam iya kuba bhetele ngaphandle konyango?
• Ingaba umntwana wam naye unengxaki yezintso?
• Ngaba kufuneka ndidibane nengcali?
• Uyiphatha njani i-VUR yomntwana wam?
• Zithini iziphumo ezinokubakho zokushiya i-VUR inganyangwa?
• Ndingenza ntoni ekhaya ukunceda imeko yomntwana wam iphucuke?
• Ngaba le meko iza kubangela intlungu kumntwana wam?
• Ndingazi njani ukuba i-VUR ichaphazela amanye amalungu okanye imisebenzi yomzimba?
• Ungakuthintela njani ukosuleleka kwindlela yomchamo?
• Ngaba abanye abantwana bam kufuneka bavavanywe i-VUR?

Okokugqibela, yintoni ekufuneka uyikhumbule (Umyalezo Wokuya Ekhaya)

I-VUR ayisoloko ibuhlungu okanye isongela ubomi. Ingalawuleka, kwaye unyango ludla ngokuba yimpumelelo. Nangona kungekho ndlela yokuyithintela, ungamnceda umntwana wakho ahlale enamanzi, enze umthambo, kwaye atye ukutya okunesondlo ukuze agcine impilo yakhe iyonke. Themba ubuchule bukagqirha wakho. Banokukunceda uxilonge kwaye unyange i-VUR yomntwana wakho. Ungathandabuzi ukuthetha naye ngemibuzo yakho nezinto ezikuxhalabisayo. Vula kwaye unyaniseke ngeempawu zomntwana wakho, nokuba kunzima ukuthetha ngazo. Ukuqonda kwakho kunye nokulandela icebiso likagqirha wakho yeyona ndlela ilungileyo yokunceda umntwana wakho aphile.

I- Vesicoureteral reflux, i-VUR, usulelo lwendlela yomchamo, isifo sendlela yomchamo ebantwaneni, usulelo lwendlela yomchamo, i-UTI, usulelo lwezintso, impilo yomntwana