Ingabe ingane yakho encane ithola izifo zomgudu womchamo njalo (UTIs)? Noma ingabe iyachamela ezingutsheni zayo ingazi? Ngezinye izikhathi sicabanga ukuthi lezi yizinto ezivamile, kodwa kungaba nenkinga encane yesakhiwo ngemuva kwalokhu ekhona kusukela ekuzalweni. Yilokho esizokhuluma ngakho namuhla. Lokhu kubizwa ngokuthi i-ectopic ureter. Ungakhathazeki, sizochaza konke ngalokhu ngamagama alula.
Iyini ngempela i-Ectopic Ureter?
Kalula nje, lesi yisimo sokuzalwa. Sinezinso ezimbili emzimbeni wethu. Lezi zinso zihlunga imfucuza emzimbeni wethu bese zikhiqiza umchamo (umchamo). Umchamo okhiqizwa ngale ndlela uyiswa esinyeni somchamo ngamapayipi amabili amancane. Lawa mapayipi amabili abizwa ngokuthi ama-ureter . Ngokuvamile, kuba ne-ureter eyodwa ngenso, zombili ezixhunywe ngqo kwesinyeni.
Kodwa-ke, endabeni 'ye-ectopic ureter', elilodwa (noma mhlawumbe womabili) lala mapayipi e-ureteral lixhuma esinyeni endaweni engafanele esikhundleni sokuxhuma kuso.
Cabanga ngakho njengomgwaqo ojika ngendlela engafanele. Kunezindawo eziningana lapho ungenza khona uxhumano olungalungile kanje:
- I-urethra (ipayipi elithwala umchamo kusuka kwesinye)
- Intamo yesinye
- I-Rectum
- Kwabesifazane, isibeletho, umlomo wesibeletho, noma isitho sangasese sowesifazane
- Kwabesilisa, imigudu yesidoda
Lesi simo sivame ukubonakala ngesimo esibizwa ngokuthi 'i-duplex kidney' . Lokhu kusho ukuthi ama-ureter amabili axhunywe enso efanayo. Bese kuthi, elinye lamapayipi amabili lixhunywe endaweni engafanele.
Ziyini izimpawu zalesi simo?
Esinye isizathu esenza kube nzima ukuthola lesi simo ukuthi izimpawu zaso zifana nezezinye izifo ezivamile, njengokutheleleka komgudu womchamo (UTIs). Kodwa-ke, uma izimpawu ezilandelayo ziqhubeka, kufanele ukhathazeke.
| Isibonakaliso | Incazelo elula |
|---|---|
| Ukutheleleka okuphindaphindiwe komgudu womchamo (UTIs) | Uma ingane yakho ivame ukuba nezifo zomchamo ezihambisana nokusha kanye nobuhlungu ngesikhathi sokuchama (i-dysuria) . |
| Ukungakwazi ukuzibamba komchamo | Ikakhulukazi kumantombazane, uma eqhubeka nokumanzisa izingubo zawo ngisho nangemva kokuba esekwazi ukulawula umchamo. Amaconsi amancane omchamo ayavuza usuku lonke. |
| Ukuvuvukala kwezinso (i-Hydronephrosis) | Ngenxa yokuthi umchamo awukwazi ukuphuma kahle, uqoqana ngaphakathi kwezinso bese ubangela ukuthi zivuvuke. Lokhu kutholakala ngokuskena. |
| I-Vesicoureteral Reflux | Umchamo ovela kwesinyeni ubuyela emuva e-ureter uye ezinso, okungase kubangele nokutheleleka. |
Ingabe lesi yisimo esibuhlungu?
Isimo esibizwa ngokuthi 'i-ectopic ureter' ngokwaso asibuhlungu. Kodwa-ke, imiphumela emibi esiyibangela ingaba buhlungu. Isibonelo:
- Ukuvuvukala nobuhlungu obubangelwa izifo zomgudu womchamo (UTIs).
- Ukutheleleka kanye nokuvuvukala kwamasende kwabesilisa (i-Epididymitis).
- Ukutheleleka kwe-prostate (i-Prostatitis).
Kungani lokhu kwenzeka? Ubani osengozini enkulu?
Odokotela abazi ngempela imbangela eqondile yalokhu. Kubangelwa ushintsho oluncane kakhulu ekuthuthukisweni kwesistimu yomchamo njengoba umntwana ekhula esibelethweni. Lokhu akubangelwa yiphutha likamama ngesikhathi sokukhulelwa.
Kodwa-ke, kunezinhlobo ezisengozini enkulu yokuthola lesi simo:
- Amantombazane: Nakuba isizathu singacacile, amantombazane anamathuba aphindwe kayishumi okuthola lesi simo kunabafana.
- Umlando womndeni: Uma omunye wabazali enalesi simo, kunengozi encane yokuthi nengane nayo izoba naso.
Udokotela ukuthola kanjani lokhu?
Kungaba nzima ukuxilonga ngoba izimpawu zifana nezinye izimo. Ngezinye izikhathi kutholakala ngengozi ngesikhathi sokuhlolwa kwe-ultrasound kwangaphambi kokubeletha ngesikhathi umntwana esesesibelethweni.
Uma kungenjalo, uma uyisa ingane yakho kudokotela, izoqala ikubuze ngezimpawu, ihlole ingane, bese kuthi uma kukhona ukungabaza ngalesi simo, i-oda ukuhlolwa okukhethekile ukuze kuqinisekiswe.
| Igama lokuhlolwa | Kalula nje... |
|---|---|
| Ukuhlolwa Kwezithombe | I-CT scan, i-MRI scan, noma i-ultrasound scan ingathatha izithombe ezinemininingwane zesistimu yomchamo futhi ithole indawo eqondile yenkinga. |
| I-Cystoscopy | Ipayipi elincane kakhulu elinekhamera enamathiselwe lidlula e-urethra ukuze libheke ngaphakathi kwesinye. |
| Ukuskena Kokugeleza Kwezinso | Kufakwa idayi enemisebe emzimbeni ukuze kuhlolwe ukuthi izinso zisebenza kanjani nokuthi umchamo ugeleza kanjani. |
| I-VCUG (i-Voiding Cystourethrogram) | Ukuhlolwa lapho kufakwa khona idayi ekhethekile esinyeni bese kuthathwa i-X-ray ngenkathi ingane ichama ukuze kubonakale ukuthi umchamo ugeleza ubuyela emuva yini. |
Wenzani njengokwelashwa?
Ukuphela kwendlela yokulungisa lesi simo ukuhlinzwa. Asikwazi ukwelapha ngemithi.
Umgomo oyinhloko wokuhlinzwa ukuxhuma kabusha i-ureter elahlekile endaweni yayo efanele nokuvimbela ukulimala kwezinso. Odokotela basebenzisa izinhlobo eziningana zokuhlinzwa kulokhu. Ukuhlinzwa okufanele kakhulu kukhethwa ngokusekelwe esimweni sengane.
- I-Ureteroureterostomy: Lokhu kuhilela ukuxhuma i-ureter exhunywe ngendlela engafanele kwenye i-ureter efanele, okudala uxhumano olunomumo we-Y.
- Ukufakelwa kabusha kwe-Ureteral: Kule nqubo, ipayipi le-ureteral elilahlekile liyasuswa bese linamathiselwa kabusha endaweni efanele esinyeni.
- Ukususwa kwe-Nephrectomy: Ngezinye izikhathi, le nkinga ingabangela umonakalo omkhulu ezinso futhi inciphise kakhulu ukusebenza kwazo. Uma enye izinso iphilile ngokuphelele, kuphela njengesinyathelo sokugcina lapho kungadingeka khona ukususa ingxenye yezinso eyonakele (i-nephrectomy engaphelele) noma yonke inso (i-radical nephrectomy).
Lokhu kuhlinzwa kunikeza imiphumela ephumelela kakhulu, ngakho-ke asikho isidingo sokukwesaba ngokungadingekile.
Kwenzekani uma ungayilaphi? Kwenzekani ngemva kokwelashwa?
Uma lesi simo singelashwa, kunengozi enkulu yokuthola izifo eziqhubekayo zomgudu womchamo, futhi ngokuhamba kwesikhathi, ukulimala okungapheli kwezinso .
Kodwa-ke, ngokuxilongwa ngesikhathi esifanele kanye nokuhlinzwa okufanele, ingane ingaphila impilo ejwayelekile ngokuphelele. Abantu abaningi abazizwa umehluko. Ngisho noma kufanele kususwe inso, inso esele iba namandla futhi iqhubeke nokusebenza ngaphandle kwezinkinga emzimbeni. Kodwa-ke, njengoba udokotela esho, kubalulekile ukuqhubeka nokuhlolwa nguchwepheshe wezinso (udokotela wezinso).
Lesi simo ngokuvamile asithinti ukusebenza kocansi noma ikhono lokuba nabantwana esikhathini esizayo (ukuzala).
Imibuzo nokwesaba okufika engqondweni njengomzali
Kunzima ukuchaza ukuthi kunjani ukuthola ukuthi ingane yakho inenkinga yokuzalwa nayo. Kuvamile ukuba nemibuzo eyinkulungwane egijima engqondweni yakho, njengokuthi, 'Kungani lokhu kwenzeke kimi?', 'Ingabe ngenze into engalungile?'
Kodwa, sicela ukhumbule lokhu: lokhu akulona iphutha lakho nhlobo.
Ngisho nodokotela abazi kahle ukuthi yini ebangela lesi simo. Lezi ngezinye izikhathi ziyizinto ezingahleliwe ezenzekayo. Akuyona into obekufanele uyenze, noma into oyenzile kabi. Ngakho ungazibeki icala.
Into ebaluleke kakhulu ukuthi uma lokhu sekutholakale, isimo siba sihle kakhulu. Ukwelashwa kusebenza kahle kakhulu. Lokhu ngeke kuvimbele ingane yakho ukuba iphile impilo enempilo nejabulisayo. Khuluma nodokotela wakho nganoma yimiphi imibuzo noma ukukhathazeka ongase ube nakho. Uzokuchazela konke.
Umlayezo Wokuya Nawe Ekhaya
- I-Ectopic ureter yisimo sokuzalwa lapho i-urethra ixhunywe khona endaweni engafanele.
- Ukutheleleka njalo komgudu womchamo kanye nokuchama okungahleliwe (ikakhulukazi emantombazaneni) kungaba yizimpawu eziyinhloko.
- Lesi simo akusona iphutha labazali.
- Lokhu kungahlolwa ngokunembile ngokusebenzisa amaskeni akhethekile kanye nezinye izivivinyo.
- Lokhu kungelapheka ngokuphelele ngokuhlinzwa, futhi izinga lempumelelo lokwelashwa liphezulu kakhulu.
- Uma ingane yakho inalezi zimpawu, xhumana nodokotela wakho ngokushesha okukhulu ukuze uthole iseluleko.
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