Ubuwazi ngalokhu kuxhumana okumangalisayo phakathi kwezinso zezingane zethu kanye nesinye? (Urachus)

Sawubona! Namuhla sizokhuluma ngento emangalisayo edlala indima ebaluleke kakhulu emzimbeni wethu, ikakhulukazi uma sisesibelethweni sikamama wethu njengengane, kodwa ngezinye izikhathi ingabangela izinkinga ezincane ngisho nalapho sesikhulile. Lokhu sikubiza ngokuthi `(Urachus)`. Mhlawumbe awukaze uzwe leli gama ngaphambili. Kodwa ungakhathazeki, sizokhuluma ngakho konke ngalokhu kalula.

Ngakho-ke kuyini lokhu `(Urachus)`? Kalula nje...

Cabanga nje, lapho umntwana esesibelethweni, okungukuthi, njengomntwana osanda kuzalwa, kunomsele omncane, njengepayipi, phakathi kwesinyi somchamo somntwana, noma isikhwama esigcwala umchamo , kanye nenkaba/inkinobho yesisu somntwana. Yilokho esikubiza ngokuthi `(Urachus)`. Lesi yisakhiwo esinezintambo.

Umsebenzi wayo oyinhloko ukusiza ukukhipha umchamo (umchamo) okhiqizwa yingane ngesikhathi senyanga yokuqala yokukhulelwa. Akumangalisi lokho?

Okuvamile ukwenzeka ukuthi njengoba umntwana ekhula esibelethweni, ngokuvamile ngasekupheleni kwezinyanga ezintathu zokuqala, lo msele we-"Urachus" uyazivala wodwa. Ngemva kwalokho, uba nje njengebhande elinemicu.

Ingabe `(Urachus)` kanye `noPekaniyya` kuyinto efanayo?

Cha, lezo zimbili. I-`(urachus)` iwumzila osiza umchamo ukuthi uphume ngesikhathi sombungu. Intambo yesisu yilapho umntwana ayenamathele khona esibelethweni sikanina. Udokotela usika le ntambo yesisu ngemva kokuzalwa komntwana. Ingane ithola umoya-mpilo kanye nokudla okunempilo kusuka entanyeni yesisu, kanti umchamo ovela ku-`(urachus)` ukhishwa nge-placenta kamama.

Uyini umsebenzi we-`(Urachus)`?

Njengoba sishilo ngaphambili, ezigabeni zokuqala zombungu, okungukuthi, ku-trimester yokuqala, i-`(urachus)` isiza umchamo wombungu ukuthi udlule ngentambo yesisu uye kwi-placenta kamama ukuze ukhishwe. Njengoba umbungu ukhula, isinyi sehlela e-pelvis. Bese le `(urachus)` iyanwebeka ibe yibhande elincane, eline-fibrous (i-median umbilical ligament). Yilokhu okuvame ukwenzeka.

Ingabe abantu abadala nabo banayo i-`(Urachus)`?

Kwabaningi abadala, i-urachus isivele isiyibhande elibizwa ngokuthi i-median umbilical ligament. Kodwa-ke, ngokumangazayo, ezinye izifundo ziphakamisa ukuthi abantu abadala abangafika ku-33% bangase babe nezicubu ezithile ze-urachus ezisele . Kodwa-ke, abantu abaningi abazi ngalokhu, njengoba ngokuvamile kungabangeli izinkinga noma ukugula.

Ingabe amantombazane nawo analo lolu hlobo? Yebo, yonke ingane esanda kuzalwa, kungakhathaliseki ubulili bayo, ine-"urachus". Esikhathini esiningi, iba yi-ligament ebizwa ngokuthi i-ligament ekupheleni kwe-trimester yokuqala.

Ikuphi i-`(Urachus)`?

I-'urachus' isuka phezulu kwesinyi sengane, kusukela engxenyeni engaphambili (i-dome) kuya enkabeni. Ifana nepayipi elijiyile, noma intambo. Ngezinye izikhathi ingaba mncane kuzo zombili izinhlangothi, noma ingaba banzi kolunye uhlangothi njenge-funnel. Ingaba ubude obusukela ku-1 kuya ku-15 cm (0.4 kuya ku-6 inches). Lokho kusho ukuthi ingaba mfushane kancane kunephilisi le-aspirin , noma ibe yinde njengepeni.

Yiziphi izivivinyo ezisetshenziswa ukuhlola ukuthi kunenkinga yini nge-`(urachus)`?

Uma udokotela ecabanga ukuthi ingane yakho ingase ibe nenkinga nge-urachus, uzoqala ngoku-oda ukuskena nge-ultrasound. Lokhu ukuhlolwa okulula nokungebuhlungu. Kungabheka izicubu nezitho ezingaphakathi kwengane yakho. Ngezinye izikhathi bangase futhi ba-oda ukuskena nge-MRI. Lokhu okunye ukuhlolwa kokuthatha izithombe okungenabuhlungu.

Manje, uma udokotela esola ukuthi "i-urachus" yomntwana ivulekile ngokuphelele (i-urachus yelungelo lobunikazi) nokuthi uketshezi oluzungeze inkaba luvela esinyeni, uzohlola uketshezi ukuze abone ukuthi luqukethe i-urea noma i-creatinine . Lokhu kuyimfucuza evame ukukhishwa emchameni .

Kukhona olunye uhlolo olungabona ngokucacile izicubu ezingemuva kwesinyi somntwana, olubizwa ngokuthi `(Voiding Cystourethrogram - VCUG)`. Kulokhu, udokotela ufaka idayi esinyini ngohlelo lomchamo . Lolu hlolo `(VCUG)` luwusizo kakhulu uma kunenkinga ngesakhiwo sesinyi somntwana.

Iyini le nsalela ethi `(Urachus)`?

Kalula nje, i-`(Urachus)` insali `(Urachal residue)` yisimo lapho umsele `(Urachus)` ungavaleki kahle. Lokhu kubizwa nangokuthi `(Urachal abnormality)`. Kunezinhlobo ezahlukene zalokhu:

• I-urachus enelungelo lobunikazi: Lokhu kwenzeka lapho i-urachus ingavaliwe kahle futhi ivulekile ngokuphelele. Lokhu kungabangela ukuthi uketshezi olufana nomchamo luphume enkabeni yengane . Noma, kungase kube nendawo emanzi ezungeze inkaba, okungenzeka ibe bomvu, ibe nsundu, noma ibe nsomi, bese kwakheka i-granuloma encane efana nobuhlungu. Cabanga nje, inkaba yengane esanda kuzalwa ivuza umchamo , noma indawo ihlale imanzi... into efana naleyo.
• I-Urachal cyst: Lokhu kwenzeka lapho i-urachus ingavaleki kahle, okwenza i-cyst egcwele uketshezi phakathi kwesinye somntwana kanye ne-urethra. Esikhathini esiningi, azikho izimpawu ekuqaleni. Kodwa-ke, uma kukhona ukutheleleka ngamagciwane, izimpawu ezifana nobuhlungu besisu kanye negazi noma uketshezi olufana nobomvu oluvela ku-urachus zingase zivele.
• I-Urachal sinus:Kulesi simo, i-"Urachus" ayivali kahle entanjeni yomntwana, kodwa ivalela esinyeni. Lokhu ngokuvamile akubangeli zimpawu. Kodwa-ke, uma kuvela ukutheleleka ngamagciwane, kungase kube nobuhlungu besisu kanye nokuphuma kwegazi noma ubomvu entanjeni yomntwana .
• I-Diverticulum: Lapha, i-Urachus (isakhiwo esifana nesikhwama) ayivali kahle esinyeni somntwana. Lokhu akuvami ukubangela izimpawu. Kodwa-ke, ngezinye izikhathi, umchamo ungabanjwa kulesi sakhiwo esifana nesikhwama futhi ubangele izifo zomgudu womchamo (UTIs) . Izimpawu ezifana nomkhuhlane nobuhlungu ngesikhathi sokuchama (Dysuria) zingase zivele.

Into ebaluleke kakhulu ukuthi uma isisu sengane yakho sivuza noma yiluphi uketshezi olungajwayelekile, noma uma indawo ibomvu, ivuvukile, noma ibuhlungu, kufanele nakanjani ubone udokotela ngokushesha.

Uyini umdlavuza we-Urachal?

Umdlavuza we-urachal uhlobo olungavamile kakhulu lomdlavuza wesinye . Uvame kakhulu kubantu abaneminyaka engaphezu kwengu-50 abanezicubu ze-urachus ezisele. Izimpawu zomdlavuza we-urachal zingafaka:

• Igazi emchameni (i-Hematuria)
• I-Mucinuria (izinto ezifana ne-mucus emchameni )
• Amagciwane emchameni (Bacteriuria)
• Ubuhlungu besisu
• Isisindo sesisu

Uma unalezi zimpawu, akusho ukuthi unomdlavuza we-urachus, kodwa kungcono ukubona udokotela bese uhlolwa.

Yiziphi izindlela zokwelapha izinkinga ze-Urachus?

Ungakhathazeki, kunezindlela zokwelapha ezinhle zezinkinga eziningi ezihlobene ne-'(Urachus)'.

• Uma indawo yenkaba yengane yakho ihlala imanzi, udokotela wakho angase ancome inqubo yokubulala amagciwane ngamakhemikhali . Lokhu kuhilela ukufaka inani elincane lekhemikhali, njenge-silver nitrate, endaweni. Indawo ivame ukuphola zingakapheli izinsuku ezimbalwa. Kungase kudingeke futhi ukuthi uthathe ama-antibiotic .
• Ama-antibiotic nawo asebenza kahle kakhulu kuma-cyst e-urachal. Kwezinye izimo, udokotela angadinga ukusebenzisa inaliti ukususa uketshezi ku-cyst. Ngemva kokuba i-cyst isipholile, kungenziwa ukuhlinzwa ukuze kususwe i-urachus nanoma yiziphi izingxenye zesinye ezinamathele kuso, njengenhla yesinye.Kungenzeka. Ukushiya izicubu ze-urachus endaweni yazo kwandisa ingozi yokuba nomdlavuza, njengomdlavuza we-urachal, izifo, noma amatshe esinyini esikhathini esizayo. Kodwa-ke, abantu abaningi ababi nezinkinga futhi ngemva kokuba udokotela esuse izicubu ze-urachus.

Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Ngithemba ukuthi usuyaqonda kangcono manje `(Urachus)`.

• `(Urachus)` iwumzila osiza ukukhipha umchamo ngesikhathi sokukhulelwa, kodwa ovala kamuva.
• Ngezinye izikhathi lokhu kungahlala "njengensalela ye-urachal" ngaphandle kokuvala kahle, okungaholela ezintweni ezifana nokuvuza koketshezi esinyini kanye nokutheleleka.
• Uma ubona noma yini engavamile ngesinqe sengane yakho, funa iseluleko sezokwelapha ngokushesha .
• Izinkinga eziningi ezihlobene ne-Urachus zingalashwa ngempumelelo.
• Umdlavuza we-Urachal uyisimo esingavamile kakhulu, kodwa kuhle ukuqaphela.

Imizimba yethu iyindalo emangalisayo ngempela, akunjalo? Kuyamangalisa ukuthi izinto ezincane kangaka zingadlala indima enkulu kangaka. Ngakho-ke, ngithemba ukuthi lolu lwazi luwusizo kuwe!

I- Urethra, umbungu, ibele, isinyi, izinsalela ze-urethra, impilo yosana, izifo zomgudu womchamo