Ingabe ingane yakho encane ithola izifo zomgudu womchamo ezivame ukwenzeka (UTIs)? Ngezinye izikhathi iba nomkhuhlane, ingane yakho ayikhululekile, futhi kumelwe ukuthi wesaba kakhulu. Abazali abaningi bakhathazekile ngale nkinga. Isikhathi esiningi, ibangelwa iphutha elincane emgudwini womchamo. Namuhla, sizokhuluma ngesimo esinjalo kanye nokwelashwa kwaso okulula, okungesikhulu njengokuhlinzwa.
Yini le ebuyela emuva lomchamo? (I-Vesicoureteral Reflux - VUR)
Kalula nje, umchamo ukhiqizwa ezinso ezimbili zomzimba wethu. Ukusuka lapho, umchamo uya kwesinye, isikhwama lapho umchamo uqoqana khona, ngamapayipi amabili. Sibiza lawa mapayipi ngokuthi ``(ama-Ureters)``. Ngokuvamile, umchamo uhamba phansi kula mapayipi, okungukuthi, uye kwesinye. Awukwazi ukubuyela phezulu, uye ezinso. Isizathu salokhu ukuthi indawo lapho la mapayipi axhumeka khona kwesinye isebenza njenge-valve enendlela eyodwa.
Kodwa kwezinye izingane, le 'valve' ayisebenzi kahle. Bese kuthi, umchamo oqoqana esinyeni ubuyele phezulu uye ezinso. Lokhu yilokho esikubiza ngokwezokwelapha ngokuthi 'i-Vesicoureteral Reflux' noma '(VUR)'.
Cabanga nje, kungaba namagciwane emchameni osesinyeni. Kwenzekani uma ebuyela ezinso? Izinso zingangenwa yileli gciwane. Uma lokhu kutheleleka kwenzeka njalo, ngokuhamba kwesikhathi, izinso zingalimala, okungukuthi, zingaze zibe nezibazi. Yingakho kubaluleke kakhulu ukunaka lesi simo.
Ngakho-ke kuyini lokhu kwelashwa okubizwa ngokuthi i-Deflux?
Esikhathini esiningi, lesi simo se-'VUR' siba ngcono ngokwaso njengoba izingane zikhula. Kodwa kuze kube yileso sikhathi, kuyadingeka ukuvimba ukutheleleka okuvamile. Yingakho kusetshenziswa ukwelashwa okubizwa ngokuthi 'i-Deflux'.
I-'Deflux' iyijeli eklanywe ngokukhethekile. Yenziwe ngezithako ezimbili ezifana nalezo ezitholakala ngokwemvelo emizimbeni yethu.
- I-Dextranomer: Lezi zakhiwe ngama-molecule kashukela. Zisetshenziswa futhi emithini nasemikhiqizweni yokuhlanza amanxeba.
- Ijeli ye-Hyaluronic acid: Lokhu futhi kuyinto ekhiqizwa ngokwemvelo emizimbeni yethu. Isetshenziswa kabanzi emikhiqizweni yobuhle.
Ngenxa yokuthi le jeli iyahambisana nomzimba, ingozi yemiphumela emibi iphansi kakhulu. Okwenziwa udokotela ukufaka kancane le jeli endaweni lapho kukhona khona i-'valve' engasebenzi kahle. Bese kuba nokuqubuka okuncane lapho bese kuqala ukusebenza njenge-'valve' entsha. Lokhu akuvimbeli ukuthi umchamo wehle, kodwa kuyawuvimba ukuthi ungaphinde ukhuphuke ngokuphelele.
Lokhu akuyona inqubo enkulu yokuhlinzwa. Lena inqubo engadingi ukungenelela okukhulu. Lokho kusho ukuthi azikho izimbobo ezinkulu.
Ngokuhamba kwesikhathi, leli jeli limuncwa kancane kancane futhi limuncwa amangqamuzana omzimba wethu, ligcwalisa indawo ngezicubu. Kodwa-ke, lokhu akuthinti impumelelo yokwelashwa.
Inqubo yokwelashwa kwe-Deflux kanye nokulungiselela
Lokhu kwelashwa kuyindlela elula kakhulu futhi esheshayo. Ngokuvamile kuthatha imizuzu engaphansi kwengu-30. Njengoba kuyinqubo yokulaliswa esibhedlela, asikho isidingo sokuhlala esibhedlela.
| Ithuba | Kwenzekani nokuthi yini okufanele uyenze |
|---|---|
| Ukulungiselela ngaphambi kokwelashwa |
|
| Ngesikhathi sokwelashwa | 1. Kunikezwa umuthi wokubulala izinzwa ojwayelekile ukuze ingane ingazizwa ubuhlungu noma ukungakhululeki. 2. Ijeli isetshenziswa ukuze kuncishiswe i-urethra. 3. Ipayipi elincane kakhulu elinekhamera ekugcineni, elibizwa ngokuthi i-cystoscope , lidlula nge-urethra liye esinyeni. 4. Isinyi sigcwele usawoti ukuze sibone kangcono ngaphakathi. 5. Ijeli le-Deflux lifakwa endaweni efanele kusetshenziswa inaliti encane kakhulu edlula ngqo ekhamera. 6. Zonke izinto zokusetshenziswa ziyasuswa futhi noma yimaphi amanzi esinyeni ayakhishwa. |
| Ngemva kokwelashwa |
|
Yiziphi izinzuzo nezingozi zokwelashwa nge-Deflux?
Njenganoma yikuphi ukwelashwa kwezokwelapha, kunezinzuzo nezingozi ezincane, futhi kubalulekile ukuzazi.
Izinzuzo
- Ukululama okusheshayo: Ingane ingabuyela emisebenzini evamile zingakapheli izinsuku ezimbili. Asikho isidingo sokuphumula amasonto, njengasekuhlinzweni okukhulu.
- Izinkinga ezimbalwa: Njengoba kungekho ukusikwa okukhulu, ingozi yokutheleleka kanye nobuhlungu obukhulu iphansi kakhulu.
- Kuhle emzimbeni: Ijeli ethi `Deflux` yenziwe ngezithako ezihambisana nomzimba, ngakho-ke ukusabela okubi akuvamile ukwenzeka.
Izingozi
Izinga lempumelelo yalokhu kwelashwa liphakathi kuka-70% no-93%. Lokho kusho ukuthi kuphumelela isikhathi esiningi. Kodwa kunezinto ezithile ezingenzeka ngezinye izikhathi.
- Ngisho noma ukwelashwa kwelashwa, izifo ze-VUR kanye nomgudu womchamo zingase ziqhubeke.
- Amathuba okuvaleka kwe-urethra mancane kakhulu.
- Kungase kube nomonakalo omncane esinyeni.
- Kwabanye abantwana, ukusebenzisa ijeli kanye kungase kunganeli. Uma lokho kwenzeka, kungase kudingeke ukwenze okwesibili.
Into ebaluleke kakhulu ukukhuluma nodokotela wakho mayelana nokwelashwa okungcono kakhulu kwesimo sengane yakho. Impumelelo yokwelashwa ingahluka kuye ngokuthi ingane yakho inaso yini i-VUR.
Izinto okufanele uzinakekele ingane ngemva kokwelashwa
Ingane yakho ingase izwane nokungakhululeki okuthile osukwini lokuqala noma ezimbili ngemva kokwelashwa. Lokhu kuvamile futhi akufanele kwesabe.
- Ungasho ukuthi uzwa ukushisa okuncane noma ubuhlungu lapho uchama.
- Ungase wesabe ukuchama, ukukhandleka futhi ungakwazi ukukwenza.
- Umchamo ungase uphenduke ube pinki.
- Ungase ungakwazi ukubamba umchamo wakho, noma ungase ulale embhedeni.
Uma lezi zinto zihlala isikhathi esingaphezu kwezinsuku ezimbili, kungumqondo omuhle ukushayela udokotela ucingo. Futhi, qiniseka ukuthi ingane yakho iphuza uketshezi oluningi. Uma ikhiqiza umchamo omningi, izophola ngokushesha.
Isikhathi sokubona udokotela ngokushesha
Uma ingane yakho inezinye zezimpawu ezingezansi, shayela udokotela wakho oyelaphayo ngokushesha.
| Izimpawu ezidinga ukunakekelwa okusheshayo | |
|---|---|
| - Uma uchitha amahora angu-8-10 ungachami noma ungakwazi nhlobo ukuchama. | - Uma usenobuhlungu obukhulu lapho uchama ngemva kwezinsuku ezimbili. |
| - Ubuhlungu obukhulu esiswini, emhlane, noma ethangeni. | - Uma umkhuhlane ungaphezu kwama-degree Celsius angu-38.6 (101.5 Fahrenheit). |
| - Ukuqina okukhulu kwesinye okungaphezi ngemva kwamahora angu-24. | - Uma ukuhlanza kuqhubeka. |
Uma ingane yakho ine-VUR, kungokwemvelo ukukhathazeka. Kodwa manje kunezindlela zokwelapha ezilula neziphephile ezifana ne-Deflux. Lokhu kungase kungabi kuhle kuyo yonke ingane. Ngakho-ke, khuluma nodokotela wakho mayelana nezinketho ezitholakalayo enganeni yakho, izinzuzo nezingozi, bese wenza isinqumo esingcono kakhulu.
Umlayezo Wokuya Nawe Ekhaya
- I-Urinary reflux (VUR) iyimbangela enkulu yokutheleleka njalo komgudu womchamo ezinganeni.
- I-Deflux iyindlela elula nephephile yokwelapha i-VUR ngokujova ijeli enobungani nomzimba.
- Lokhu akusilo ukuhlinzwa okukhulu, futhi ingane ingalulama ngokushesha futhi ibuyele empilweni evamile.
- Lokhu kwelashwa kungase kungabi yimpumelelo eyi-100% ngaso sonke isikhathi, futhi amanye amacala anzima e-VUR angadinga okunye ukwelashwa.
- Khuluma nodokotela wakho ngokukhululekile ngokuthi yikuphi ukwelashwa okungcono kakhulu enganeni yakho, okuhlanganisa zonke izinzuzo nezingozi.
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