Kuyamangalisa ukuthi izitho zomntwana zikhula kanjani ngaphakathi esibelethweni sikanina, akunjalo? Phakathi nale nqubo eyinkimbinkimbi, ngezinye izikhathi kungenzeka izinguquko ezincane. 'Izinso zeHorseshoe' zingenye yezimo ezingavamile ezenzeka lapho kuzalwa. Ungase uzizwe wesaba kancane uma uzwa leli gama. Kodwa ungakhathazeki, sizoxoxa ngakho konke kalula nangokucacile.
Kalula nje, iyini le Horseshoe Kidney?
Lokhu kulula kakhulu. Ngokuvamile, sinezinso ezimbili emzimbeni wethu. Zitholakala ngaphezu kwesinqe, kuzo zombili izinhlangothi zomgogodla. Kodwa esimweni esibizwa ngokuthi 'iHorseshoe Kidney', izingxenye ezingezansi zalezi zinso ezimbili ziyahlangana njengoba umntwana ekhula esibelethweni, akha isimo 'se-U', noma isicathulo sehhashi. Lokhu kubizwa ngokwezokwelapha ngokuthi i-Renal Fusion . Lokhu kuvame ukwenzeka phakathi kwamasonto esi-7 nelesi-9 okukhulelwa.
Lesi simo asivamile kakhulu. Sithinta cishe ingane eyodwa kwezingu-500 ezizalwayo. Sivame kakhulu nakubafana kunamantombazane. Ingxenye engcono kakhulu ukuthi izingane eziningi ezinalesi simo azibi nezinkinga ezinkulu zempilo.
Kodwa-ke, cishe ingxenye yesithathu yezingane ezinalolu hlobo lokubandakanyeka kwezinso zingase zibe nezinye izinkinga ngenhliziyo, imithambo yegazi, uhlelo lwezinzwa, uhlelo lomchamo, uhlelo lokugaya ukudla, noma uhlelo lwamathambo. Nakuba kungekho ikhambi le-Horseshoe Kidney, udokotela wakho angelapha ezinye izinkinga ezihlobene nalo futhi asize ingane yakho iphile impilo enempilo.
Ziyini izimpawu zalesi simo?
Ngokumangalisayo, cishe ingxenye yesithathu yezingane ayinazo izimpawu. Kodwa-ke, ezinye izingane zingase zibe nezinkinga ezithile. Ithebula elingezansi libala ezinye zezinkinga ezivame kakhulu kanye nezimpawu zazo.
| Inkinga engaba khona | Izimpawu ezivame ukubonakala |
|---|---|
| Ukutheleleka komgudu womchamo (UTI) |
|
| Amatshe Ezinso | |
| Ukuvuvukala kwezinso (i-Hydronephrosis) (Ukugcwala komchamo nokuvuvukala kwezinso ngenxa yokuvaleka komchamo) |
Ezinye izinkinga zempilo ezingase zenzeke nge-Horseshoe Kidney
Ngaphezu kwezinto ezishiwo ngenhla, kunengozi yezinye izinkinga eziningana zempilo.
- Isimila sikaWilms: Isimila somdlavuza esingavela ezinso zezingane ezincane.
- Isifo sezinso esine-polycystic: Ukwakheka kwama-cyst amaningi angewona umdlavuza ezinso.
- Umdlavuza wezinso: Kukhona ingozi yokuthi lokhu kwenzeke lapho umuntu esemdala.
- I-Hydrocephalus: Ukuqongelela koketshezi ebuchosheni.
- I-Spine bifida: Isimo lapho ingxenye yomgogodla ingakhuli kahle khona.
Ungakhathazeki ngalolu hlu. Lokhu akusho ukuthi wonke umuntu uzothola konke lokhu. Kusho nje ukuthi kungenzeka ukuthi bangase bakuthole. Yingakho kubalulekile ukuba ngaphansi kokuqondisa kukadokotela.
Kungani lokhu kwenzeka? Iyini imbangela?
Imbangela eqondile yalokhu ayaziwa okwamanje, kodwa ochwepheshe bezokwelapha bakholelwa ukuthi kungenzeka ukuthi ibangelwa inkinga ezizakhini zofuzo zengane.
Izingane ezinezimo zofuzo ezilandelayo zisengozini enkulu yokuthola i-Horseshoe Kidney.
- I-Turner syndrome: Lesi simo sithinta amantombazane kuphela futhi sibangela ukufinyela kanye nezinkinga ngama-ovari.
- I-Edwards syndrome: Eyaziwa nangokuthi "i-Trisomy 18", lesi simo sibangela ukukhula okungavamile, isisindo esiphansi sokuzalwa, kanye nezinkinga eziningi zempilo ezimbi esibelethweni.
- I-Down syndrome: Eyaziwa nangokuthi ``Trisomy 21'', lokhu kubangelwa yi-chromosome eyengeziwe ebangela ukubambezeleka kwengqondo nokukhula, kanye nezinye izinkinga zempilo.
- I-Patau syndrome: Lokhu kubizwa ngokuthi `(Trisomy 13)` futhi kubangela izinkinga ezifana nokuqhekeka komlomo nolwelwesi, kanye nobuthakathaka bemisipha.
Udokotela ukuxilonga kanjani lokhu? Kuyini ukwelashwa?
Lesi simo asivamile ukutholakala ngokusebenzisa ama-prenatal scan. Njengoba izimpawu zalesi simo zifana nezezinye izifo, kubalulekile ukubona udokotela wakho ukuze uthole ukuxilongwa okunembile.
Udokotela wakho uzokubuza ngezimpawu zengane yakho kanye nomlando wempilo yayo, ahlole ingane yakho, bese enza izivivinyo eziningana ukuqinisekisa isimo sayo esiqondile, njengokuthi:
- Ukuhlolwa kwegazi: Hlola ukuthi izinso zakho zisebenza kanjani.
- Ukuhlolwa komchamo: Hlola ukutheleleka noma ezinye izinkinga.
- I-ultrasound yezinso: Isebenzisa amaza omsindo ukuthatha isithombe sezinso ukuhlola amatshe, izimila, noma umdlavuza.
- Ukuhlolwa okukhethekile kwe-X-ray: Ukuhlolwa okufana nokuthi `(Intravenous pyelogram - IVP)` noma `(Voiding cystourethrogram - VCUG)` kuhlola ukuthi umchamo ugeleza kanjani emzimbeni.
- Ukuskena kwe-Radionuclide: Kunikezwa umthamo omncane kakhulu wento enomsebe ukuze kutholakale izindawo eziyinkinga.
- I-MRI noma i-CT scan: Lokhu kusetshenziselwa ukuthola izithombe ezicacile.
Uma kukhulunywa ngokwelashwa, i-Horseshoe Kidney ayinakushintshwa. Uma izinso sezihlanganisiwe, zihlala zinjalo. Kodwa-ke, izinkinga ezivela kuyo zingelashwa ngempumelelo. Isibonelo, ama-antibiotic anganikezwa ukutheleleka komgudu womchamo, futhi kungenziwa ukuhlinzwa kwamatshe ezinso.
Into ebalulekile ukuthi uma ingane yakho ingenazo izimpawu, ingase ingadingi ukwelashwa.
Ezinye izinto okufanele uzazi njengomzali
Lezi zinso zitholakala phansi kancane nangaphambili komzimba kunokujwayelekile. Ngakho-ke, zinamathuba amaningi okulimala engozini noma ekuweni. Ngakho-ke, qiniseka ukuthi ukhuluma nodokotela wakho ngemidlalo yokuxhumana. Kubaluleke kakhulu ukubuza ingane yakho ukuthi yimiphi imisebenzi ephephile ukuba iyenze.
Kungumqondo omuhle futhi ukuthi ingane yakho igqoke isongo lesaziso sezokwelapha.Esimweni esiphuthumayo, kuzosiza labo abelapha ingane ukuthi baqaphele lesi simo ngokushesha futhi banikeze ukwelashwa okufanele.
Umlayezo Wokuya Nawe Ekhaya
- I-Horseshoe Kidney yisimo esiba khona lapho umntwana ezalwa. Akulona iphutha labazali.
- Izingane eziningi ezinalesi simo ziphila impilo ejwayelekile, enempilo ngaphandle kwezimpawu.
- Izinkinga ezivamile ezifana nokutheleleka komgudu womchamo (UTIs) kanye namatshe ezinso zingelashwa ngempumelelo.
- Kubaluleke kakhulu ukuhlala uxhumana nodokotela njalo ukuze uqaphe impilo yengane futhi uhlolwe ngesikhathi.
- Buza udokotela wakho ukuthi yimiphi imidlalo nemisebenzi efanele ingane yakho, ukhumbule ukuphepha.
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