Ingabe nawe unezimbobo ezimbili zomchamo ezinso lakho? (Izinso Ezimbili) Ake sifunde ngalesi simo kalula!

Umzimba wethu uyindalo emangalisayo, akunjalo? Ngezinye izikhathi izinto zenzeka ngaphakathi emizimbeni yethu esingazazi, esingenakukwazi nokuzicabanga. Leso ngesinye sezinto ezikhethekile esizokhuluma ngazo namuhla. Cabanga nje, ukuthi amapayipi athwala umchamo esuka kwenye yezinso zakho aye kwesinye (esiwabiza ngokuthi '(ama-ureter)') avame ukuba namabili esikhundleni selinye! Yebo, lokho kuyiqiniso. Yilokhu esikubiza ngokuthi '(Ama-Duplex Kidney)' noma '(Ama-Duplicated Ureters)' kwisayensi yezokwelapha. Ungakhathazeki uma uzwa igama, lokhu kuyinto engabangeli inkinga enkulu kubantu abaningi. Ake sixoxe ngalokhu ngokuningiliziwe nangokulula.

Iyini le "Duplex Kidney"? Ake siqonde kahle!

Kalula nje, i-duplex kidney yisimo sokuzalwa esenzeka lapho kuzalwa. Lokhu kwenzeka lapho eyodwa noma zombili izinso zakho zinemibhobho emibili ebizwa ngokuthi ama-ureter athwala umchamo aye kwesinye. Ngokuvamile, i-ureter eyodwa kuphela exhuma kwesinye isuka kwesinye.

Sonke sinezinso ezimbili emzimbeni wethu. Lezi zinso zihlunga imfucuza emzimbeni wethu bese zikhiqiza umchamo. Bese, lo mchamo uhamba ngamapayipi abizwa ngokuthi "ama-ureter" bese eqoqana esinyeni. Uma esinyeni sesigcwele, sizizwa sidinga ukuchama. Manje, kulesi simo "se-Duplex Kidney", amapayipi amabili aphuma kwenye inso. Elinye liqala engxenyeni engenhla yenso kanti elinye lisuka engxenyeni engezansi bese lithwala umchamo liye esinyeni. Lokhu kwenzeka lapho izinso kanye nomgudu womchamo kukhula esibelethweni njengomntwana osanda kuzalwa.

Yiziphi izinhlobo eziyinhloko ze-`(Duplex Kidney)`?

Lesi simo "se-Duplex Kidney" singathinta inso eyodwa kuphela, noma singathinta zombili izinso (esizibiza ngokuthi "izinso ezimbili ze-duplex"). Futhi, singaba siphelele noma singaphelele . Ake sibone ukuthi siyini.

• I-Complete Duplex Kidney: Kulesi simo, ama-ureter amabili aqala enso efanayo futhi axhumane nesinye ngokwehlukana. Lokhu kusho ukuthi amapayipi amabili angena esinyeni.
• Izinso Ezingaphelele Ze-Duplex: Lapha, nakuba ama-ureter amabili eqala enso efanayo, ayahlangana ngaphambi kokungena esinyeni, akhe ithubhu elilodwa elixhuma esinyeni. Cabanga ngalo njengohlamvu 'Y'.

Ziyini izimpawu zalesi simo? Ingabe wonke umuntu uthola izimpawu?

Izindaba ezinhle ukuthi abantu abaningi abanezinso ezimbili ababi nazo izimpawu . Baphila impilo ejwayelekile. Kodwa-ke, ngezinye izikhathi, ikakhulukazi ezimweni zezinso ezimbili eziphelele, lapho ama-ureter engaxhunywanga kahle nesinye noma kukhona ukuvinjelwa kokugeleza komchamo, izimpawu zingavela ngenxa yezinkinga.

Izimpawu ezingase zivele yilezi:

• Ukutheleleka okuvamile komgudu womchamo (UTIs)Ukwenzeka. Phakathi nalesi sikhathi, ungase uzwe ukushisa, ubuhlungu, kanye nesidingo sokuchama njalo.
• Ukutheleleka kwezinso (uma i-UTI ihambisana nomkhuhlane). Lokhu kubi kakhulu. Izimpawu zingase zihlanganise umkhuhlane, amakhaza kanye nobuhlungu emhlane.
• Ukungakwazi ukuzibamba ngomchamo ukuvuza komchamo ngokungazikhetheli ngisho nangemva kokuba ingane isiqeqeshwe ukuya endlini yangasese (eyaziwa nangokuthi iqeqeshwe ebhodweni) . Lokhu kuvame kakhulu phakathi kwamantombazane.

Cabanga nje, abanye abantwana bavame ukuba nomkhuhlane, udokotela ubanikeza imithi, kodwa bayaqhubeka beyithola futhi. Mhlawumbe imbangela ukutheleleka komgudu womchamo okubangelwa "yi-Duplex Kidney" efihliwe.

Ingabe i-Duplex Kidney ibangela ukuchama ngokweqile?

Cha, ukuba ne-Duplex Kidney akubangeli ukuthi isinye sakho sibambe umchamo omningi, futhi akwenzi ukuthi udinge ukuchama kaningi. Ukuthi sikhiqiza umchamo ongakanani kulawulwa ezinye izinhlelo emzimbeni wethu. Kodwa-ke, njengoba ngishilo ngaphambili, uma umuntu one-Duplex Kidney ethola ama-UTI njalo, ungase uzizwe sengathi udinga ukuchama kaningi ngenxa yokutheleleka. Lokhu akuyona imiphumela eqondile yalesi simo, kodwa kuwuphawu lokutheleleka.

Kungani le "Duplex Kidney" yenzeka?

Lokhu kuvame ukubangelwa yiphutha lokuhlukaniswa kwamaseli elenzeka ekuqaleni kokukhula kombungu esibelethweni. Lokhu kusho ukuthi kukhona ushintsho oluncane ekwakhekeni kwezinso kanye nomgudu womchamo. Into ebalulekile ukuthi abukho ubufakazi bokuthi lesi simo sibangelwa yinoma yini umama ayenzile noma angayenzanga ngesikhathi sokukhulelwa. Ngakho-ke ungazizwa unecala ngakho.

Ingabe lokhu kuyinto evela ezizukulwaneni ngezizukulwane?

Yebo, ngezinye izikhathi i-Duplex Kidney ingazuzwa njengefa . Lokhu kusho ukuthi uma omunye wabazali enalesi simo, ingane yabo inethuba elingu-50% lokuba naso. Kodwa-ke, kunezimo lapho izingane zingaba ne-Duplex Kidney ngisho noma abazali bengenaso lesi simo. Ngakho-ke, uma othile emndenini enaso, kuhle ukuqaphela.

Yiziphi izinkinga ezingaba khona ze-"Duplex Kidney"?

Ngokuvamile, izimpawu zezinso ezimbili zivela kuphela lapho kuvela ezinye izinkinga ngokuthuthukiswa kohlelo lomchamo. Lezi zinguquko zingavimba ukugeleza komchamo, zibangele ukuthi izinso zivuvuke (i-hydronephrosis), noma zibangele ukuthi umchamo ugeleze emuva ungene ezinso (i-reflux). Noma yiziphi zalezi zimo zingaholela ekuthelelekeni njalo komgudu womchamo (i-UTI).

Ezinye izimo ezingabonakala zihambisana ne-"Duplex Kidney" yilezi:

• `Ureterocele`: Yilapho i-`(ureter)` lapho ixhuma khona nesinye iba njengebhaluni. Lokhu kungavimba ukugeleza komchamo.
• I-Ectopic ureter:Lapha, i-ureter ixhuma engxenyeni ehlukile yesinye (isibonelo, i-urethra noma isitho sangasese sowesifazane) esikhundleni salapho kufanele ixhumeke khona. Lokhu kungabangela ukuthi umchamo uphume ungahlosile (ukungakwazi ukuzibamba).
• I-Vesicoureteral reflux (VUR): Lokhu kwenzeka lapho umchamo ovela esinyeni ugeleza ubuyela emuva kuma-ureter uye ezinso. Lokhu kungalimaza izinso futhi kubangele ukutheleleka.
• I-Hydronephrosis: Lokhu kwenzeka lapho umchamo uqongelela ezinso bese uvuvukala. Lokhu kwenzeka uma kukhona ukuvaleka endaweni ethile emgudwini womchamo.

Lesi simo "se-Duplex Kidney" sitholakala kanjani?

Odokotela bangaxilonga ama-ureter aphindaphindiwe ngokusebenzisa izivivinyo ezikhethekile zokuthatha izithombe ukuze bathathe izithombe zesistimu yakho yomchamo. Uma bezama ukuthola imbangela yezimpawu zakho, udokotela wakho angase akubuze imibuzo efana nalokhu:

• Ingabe unesihlungu emhlane noma esiswini?
• Ingabe unenkinga yokungakwazi ukuzibamba umchamo?
• Ingabe ukhona emndenini (izihlobo zegazi) one-"Duplex Kidney"?

Ama-ureter aphindaphindiwe avame ukutholakala ebuntwaneni , ikakhulukazi uma ene-UTIs evame kakhulu noma ukungakwazi ukuzibamba. Kodwa-ke, abanye abantu abazi ukuthi banalesi simo kuze kube yilapho sebekhulile. Sivame ukutholakala ngengozi ngesikhathi sokuhlolwa kwesinye isimo. Ezinye zezimpawu zifana nezezinye izimo, ngakho kungaba nzima ukuzixilonga.

Yiziphi izivivinyo ezenziwayo ukuze kutholakale lokhu?

Udokotela wakho angase acele ukuhlolwa kwezithombe okufana nalokhu ukuze kutholakale ukuthi une-Duplex Kidney:

• I-ultrasound yezinso nesinye: Lokhu kuyindlela yokuhlola engenabuhlungu nelula esebenzisa amaza omsindo ukuthatha izithombe zezitho zangaphakathi.
• `I-Computed Tomography (CT) scan`: Lokhu kusebenzisa ama-X-ray kanye nekhompyutha ukuthatha izithombe zomzimba ezinemininingwane ezihlukanisa izingxenye zomzimba.
• I-Magnetic Resonance Imaging (MRI): Lokhu kusebenzisa amasimu kazibuthe namagagasi omsakazo ukukhiqiza izithombe ezicacile zangaphakathi lomzimba.
• I-retrograde pyelogram: Lolu uhlobo lokuhlolwa olukhethekile. Ikhamera encane kanye nodayi kudluliswa nge-urethra, bese kuthathwa izithombe ze-X-ray ukuze kubonwe ukuma kanye nokusebenza kohlelo lomchamo.

Yiziphi izindlela zokwelapha `(Izinso ze-Duplex)`?

Abantu abaningi abadingi ukwelashwa kwezinso ezimbili. Kodwa-ke, uma une-ureter ectopic, njengoba kushiwo ngenhla, noma uma unezinye izinkinga ezibangela izimpawu, ungadinga ukuhlinzwa ezinso zakho, esinyeni, noma kuma-ureter.

Ingabe uyayisusa "i-Duplex Kidney"?

Odokotela abavamile ukususa ngokuphelele "Inso Ephindwe Kabili." Inkinga akuyona ukuba nezinso ezimbili, kodwa izinkinga ezihambisana nazo. Uma kunezimpawu, kunezinhlobo eziningana zokuhlinzwa ezingenziwa:

• `Ureteroureterostomy`: Kulokhu, udokotela ohlinzayo uhlanganisa ama-`(ureter)` amabili ndawonye, ​​​​edala i-`(ureter)` ngesimo se-`(Y') ukuze ithwale umchamo iye esinyeni. Lokhu kwenziwa ukuze kuhlanganiswe amapayipi amabili, afana ne-`(Incomplete Duplex Kidney)`.
• Ukufakelwa kabusha komchamo: Uma une-ureter ectopic, noma i-ureter evuselela i-reflux, udokotela ohlinzayo uzodala isikhala esisha ukuze asixhume esinyeni. Lokhu kuzosiza umchamo ukuthi ugeleze kahle futhi uvimbele ukugeleza emuva.
• Ukususwa kwe-Nephrectomy: Lokhu kuhilela ukususa ingxenye noma yonke inso engasebenzi kahle. Lokhu kunganciphisa ukungakwazi ukuzibamba kanye nengozi yokutheleleka. Kodwa-ke, lokhu kwelashwa akwenziwa njalo. Kwenziwa kuphela uma inso eyodwa yonakele kakhulu futhi ibangela izinkinga, kanti enye inso isebenza kahle.

Kuthatha isikhathi esingakanani ukululama ngemva kokuhlinzwa?

Isikhathi esizokuthatha ukuze ululame ngemva kokuhlinzwa sizohluka kuye ngeminyaka yakho kanye nohlobo lokuhlinzwa okwenzile. Isibonelo, ingane encane ivame ukuhlala esibhedlela usuku olulodwa noma ezimbili, bese iya ekhaya iyophumula elinye isonto noma amabili. Ngemva kokuhlinzwa, udokotela uzokwenza i-ultrasound yezinso ukuqinisekisa ukuthi konke kuhamba kahle.

Uma ngine-"Duplex Kidney", yini okufanele ngiyilindele?

Iningi labantu abanezinso ezimbili ngeke babe nezinkinga. Kodwa-ke, uma unezimo ezifana nokungakwazi ukuzibamba umchamo, i-reflux, noma i-UTI evame ukwenzeka, kungadingeka ukuhlinzwa ukuze kulungiswe.

Ingabe "i-Duplex Kidney" iyisimo esibucayi?

I-Duplex Kidney ngokuvamile ayisona isimo esibucayi noma esiyingozi . Iningi labantu alinazo izimpawu futhi alidingi ukwelashwa.

Ngingaphila impilo ejwayelekile nge-Duplex Kidney?

I-Duplex Kidney ayisongeli impilo. Nakuba ukwelashwa kuyadingeka, ngokuvamile kusebenza kakhulu ekunciphiseni izimpawu. Ngakho-ke yebo, ungaphila impilo evamile ngokuphelele .

Ngizinakekela kanjani?

Uma wazi ukuthi wena noma ingane yakho inezinso ezimbili, qaphela izimpawu ezithinta uhlelo lomchamo (njenge-UTIs enomkhuhlane noma ukuchama okungahleliwe). Uma wena noma ingane yakho nike nahlinzwa, landela imiyalelo kadokotela wakho ngokucophelela .

Kufanele ngimbone nini udokotela wami?

Uma utholakale une-Duplex Kidney futhi ubhekene nezimpawu ocabanga ukuthi zihlobene nayo, bona udokotela wakho. Mbuze nganoma yiziphi izimpawu ezintsha noma ukuthi wenzeni uma izimpawu zakho ziba zimbi kakhulu.

Kufanele ngiye nini eMnyangweni Wezimo Eziphuthumayo (i-ETU) ?

Uma unezimpawu zokutheleleka okukhulu, iya ekamelweni eliphuthumayo ngokushesha. Lezi zimpawu zifaka:

• Umkhuhlane ophezulu (ngaphezu kwama-degrees Fahrenheit angu-102 / ama-degrees Celsius angu-39).
• Ubuhlungu obukhulu besisu obungazelelwe.
• Ukuhlanza njalo nokungakwazi ukudla noma ukuphuza noma yini .

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

Kungaba usizo ukubuza udokotela wakho imibuzo efana nale:

• Ingabe ikhona imithi okudingeka ngiyithathe?
• Uhlobo luni lwe-"Duplex Kidney" enginalo?
• Ingabe ngidinga ukuhlinzwa? Uhlobo luni?
• Ingabe ngidinga ukubona uchwepheshe? Ingabe ngidinga ``(ukudluliselwa)`` ngalokho?
• Ucabanga ukuthi izimpawu zami zizophela zodwa?
• Uma ngine-"Duplex Kidney", ingabe ingane yami kufanele ihlolwe nayo?

Ivame kangakanani i-"Duplex Kidney"?

Izinso ezihlukaniswe ngamaqembu yizona ezivame kakhulu ukuzalwa nazo ezithinta uhlelo lomchamo. Cishe umuntu oyedwa kwabayi-125 uhlukaniswa amagatsha ngokuphelele noma ngokungaphelele.

Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

I-Duplex Kidney noma i-Duplicated Ureters akuyona inkinga esongela impilo futhi ngokuvamile ayibangeli izimpawu. Abantu abaningi abazi nokuthi banalesi simo. Uma wena noma ingane yakho nitholakala nine-Duplex Kidney futhi ninezimpawu, ukwelashwa kuvame ukusebenza kahle kakhulu ekwelapheni. Nakuba kungaba namahloni ukukhuluma ngezinto ezifana nokuchama ngokungazi noma ubuhlungu lapho nichama, kubalulekile ukukhuluma nodokotela ngezimpawu zakho . Bakhona ukukusiza. Bangathola imbangela yezimpawu zakho futhi batuse ukwelashwa okufanele ukukusiza uzizwe ungcono. Into ebaluleke kakhulu ukungesabi futhi uthole iseluleko esifanele sezokwelapha.

Izinso ezimbili , ama-ureter amabili, isifo sezinso sokuzalwa, izifo zomgudu womchamo, ukuhlinzwa kwezinso, i-ureterocele, i-vesicoureteral reflux