Ingabe ingane yakho inenkinga yokuchama? Kungenzeka ukuthi ibangelwa ama-Posterior Urethral Valves (PUV)!

Njengomama noma ubaba, ukhathazeka kakhulu ngempilo yengane yakho encane, akunjalo? Ngezinye izikhathi, ngisho nezifo ezincane kakhulu izingane zethu ezibhekene nazo zingaba umthombo wokucindezeleka okukhulu. Namuhla, sizokhuluma ngesimo esidinga ukukhathazeka okuthile, kodwa udinga ukusiqonda ngaphandle kokwethuka. Lesi yisimo sokuzalwa esithinta abafana kuphela , futhi sibizwa ngokuthi 'Ama-Posterior Urethral Valves' noma '(PUV)'.

Ayini Amavalvu E-Urethral Angemuva (i-PUV)?

Kalula nje, 'Ama-Posterior Urethral Valves' ayisimo lapho kukhula khona ingxenye eyengeziwe yezicubu ngaphakathi kwepayipi lapho umchamo wabafana bethu omncane uphuma khona, i-urethra (ebizwa nangokuthi i-urethra ngodokotela), evimba ukudlula komchamo. Cabanga ngakho njengokuthile okubhajwa phakathi kwepayipi lamanzi. Lokhu kuyisifo sokuzalwa .

Uma i-urethra ivaliwe ngale ndlela, isinye asiphumi ngokuphelele. Kwenzekani-ke? Umchamo ungabuyela emuva ungene esinyeni bese ungena ezinso. Njengoba nje ipayipi lamanzi livaliwe, liyabuyela emuva bese liya phezulu. Lokhu kungalimaza isinye kanye nezinso.

Ngezinye izikhathi odokotela bayasithola lesi simo ngesikhathi sokuhlolwa kwe-ultrasound ngesikhathi umntwana esesesibelethweni. Noma singatholakala ngemva kokuzalwa komntwana noma ngesikhathi sobuntwana. Kubalulekile ukukhumbula ukuthi lesi simo sithinta abafana kuphela . Kwezinye izindawo, sibizwa nangokuthi i-Congenital Obstructive Posterior Urethral Membrane (COPUM).

Ingabe lesi simo asivamile kakhulu?

Eqinisweni, kubikwa ukuthi izingane ezingaba ngu-500 ezizalwa emhlabeni wonke minyaka yonke zithinteka yilesi simo, "Ama-Posterior Urethral Valves." Futhi siyimbangela ehamba phambili yokuvaleka komgudu womchamo kubafana.

Ziyini izimpawu zalesi simo?

Manje ake sibone ukuthi yiziphi izimpawu ingane ezibonisa kulesi simo '(PUV)'. Ngezinye izikhathi uma ubona lezi, nawe uzoqaphela, 'Ah, lokhu kuyenzeka nasendodaneni yami, akunjalo?'

• Unqenqema lomchamo lubuthakathaka kakhulu, noma luyaconsa: Ingabe unqenqema lubonakala lubuthakathaka kakhulu lapho umntwana echama ? Noma ingabe luyaconsa ngisho nangemva kokuba umntwana eseqedile ukuchama ? Lolu uphawu olulodwa.
• Ukutheleleka okuvamile komgudu womchamo (UTIs): Uma ingane encane inomkhuhlane, ingaphuzi ubisi, ikhala kakhulu, noma inenkinga yokuchama , kungaba yi-UTI. Izingane ezine-UTI zinamathuba amaningi okuba nalezi zifo.
• Isisindo somntwana asikhuphuki kahle: Uma ingane yakho iphuza ubisi olwanele kodwa ikhula kancane kakhulu, kufanele ukhathazeke ngalokho.
• Ubuhlungu ngesikhathi sokuchama : Kunzima futhi kubuhlungu ukuchama . Ingane ingaze ikhale. Odokotela bakubiza lokhu ngokuthi `(Dysuria)`.
• Ubunzima bokuchama : Ingabe ingane yakho ibonakala izama kanzima ukuchama ? NomaKuthatha isikhathi eside yini ukuqala ukuchama ?
• Ama-oligohydramnios: Ingabe udokotela wakho uthe inani le-amniotic fluid elizungeze ingane yakho liphansi (ama-oligohydramnios) ngesikhathi sokuhlolwa kwakho kokukhulelwa? Lokho kungahlobene nalokhu.
• I-Hydronephrosis: Odokotela bangase babike nokuthi izinso zibonakala zivuvukele (i-Hydronephrosis) ngesikhathi sokuhlolwa , kungaba ngesikhathi sokukhulelwa noma ngemva kokuzalwa komntwana. Lokhu kusho ukuthi izinso aziphumi kahle futhi zingaphansi kwengcindezi.

Kungani lokhu kwenzeka? Iyini imbangela?

Kulungile, manje cishe uyazibuza, 'Kungani lokhu kwenzeke endodaneni yethu?' Yini ngempela eyabangela lokhu?

Lawa ma-'Posterior Urethral Valves' abangelwa ukukhula kwezicubu ezengeziwe engxenyeni ye-urethra eseduze nesinye ngesikhathi sokukhula kwasekuqaleni esibelethweni somntwana. Le zicubu ezengeziwe zinciphisa i-urethra, njengokungathi kunepayipi elinamathele ngaphakathi. Lokhu kuvimbela indlela yokuphuma komchamo .

Kodwa-ke, odokotela abakakwazi ukukhomba isizathu esiqondile sokuthi kungani lesi sicubu esengeziwe sikhula ngale ndlela. Okwamanje kubhekwa njengokungajwayelekile kokukhula okwenzeka ngesikhathi sombungu.

Yiziphi ezinye izinkinga ezingabangelwa yilokhu?

Uma lesi simo "(PUV)" singelashwa ngendlela efanele futhi ngokushesha, singaholela ezinkingeni zempilo ezengeziwe. Yingakho kubaluleke kakhulu ukuqaphela lokhu ngokushesha nokulandela iseluleko sikadokotela wakho.

• I-Vesicoureteral reflux (VUR) : Lokhu kwenzeka lapho umchamo ovela kwesinyeni ugeleza emuva nge-ureter uye ezinso. Cabanga ukuthi kuzokwenzekani uma umchamo okufanele wehle esikhundleni salokho ukhuphuka? Kungaholela ekuthelelekeni kwezinso kanye nomonakalo wesikhathi eside.
• Ukugcinwa komchamo: Lokhu kusho ukuthi akuphumi wonke umchamo , futhi okuncane kuhlala ngaphakathi. Lokhu kungabangela ukuthi isinyi sikhule futhi kuholele ekuthelelekeni.
• Ukuvuvukala kwezinso: Izinso zingavuvukala ngenxa yokuvaleka kohlelo lomchamo.
• Ukwehluleka kwezinso: Lona umphumela oyingozi kakhulu walesi simo. Ngokuhamba kwesikhathi, izinso zingalimala futhi zilahlekelwe ukusebenza kwazo.

Odokotela bakuthola kanjani lokhu?

Manje ake sibone ukuthi odokotela basithola kanjani lesi simo "(PUV)" ngokunembile, okungukuthi, indlela yokusithola lesi sifo.

• Ukuskena nge-Ultrasound ngesikhathi sokukhulelwa: Ngezinye izikhathi, ukuskena nge-ultrasound okwenziwa ngesikhathi ukhulelwe kungakunikeza izinkomba ngalesi simo (isib., isinyi esikhulu, izinso ezivuvukile, ukwehla koketshezi lwe-amniotic oluzungeze umntwana).
• Ukuhlolwa okwenziwa ngemva kokuzalwa komntwana:
• Ukuskena Kwe-Ultrasound Kwezinso:Ukuhlolwa kwe-ultrasound okwenziwa ngemva kokuzalwa komntwana kungabona ngokucacile noma yiziphi izinguquko noma izithiyo ezinso, esinyeni kanye nohlelo lomchamo lomntwana.
• `Voiding Cystourethrogram (VCUG): Lesi isivivinyo esiyinhloko sokuqinisekisa ukuba khona kwe-`(PUV)`. Kulokhu, kufakwa ithubhu elincane (i-catheter) ku-urethra yengane bese kudluliswa uketshezi olukhethekile (udayi ohlukile) ngalo luye kwesinye. Bese kuthathwa uchungechunge lwezithombe ze-`X-ray` njengoba ingane ichama . Lokhu kukhombisa ukuthi isinyi siyagcwala kanjani, ukuthi siphuma kanjani, lapho i-urethra ivaliwe khona (`ama-valve`) nokuthi umchamo ugeleza ubuyela emuva ezinso (`VUR`).
• I-Cystoscopy: Lokhu kuhilela ukudlulisa ithubhu elincane, eliguquguqukayo (idivayisi enekhamera nokukhanya okunamathiselwe - i-cystoscope) phansi kwe-urethra ukuze ibheke ngqo ama-valve avinjiwe. Lokhu kuvumela ukubhekisisa futhi ngezinye izikhathi ukwelashwa ngesikhathi senqubo.
• Ukuhlolwa kokusebenza kwezinso: Ukuhlolwa kwegazi nomchamo kwenziwa ukuze kubonakale ukuthi izinso zisebenza kahle kangakanani.

Yiziphi izindlela zokwelapha lokhu?

Kulungile, manje ake sixoxe ngokwelashwa kwalokhu. Ungesabi ukuzwa lokhu, ngoba manje kunezindlela zokwelapha ezinhle zalokhu. Odokotela bazonikeza ingane yakho ukwelashwa okungcono kakhulu.

Umgomo oyinhloko wokwelashwa ukususa ukuvaleka kwendlela yomchamo nokuvumela umchamo ukuthi udlule kalula.

• `Ukuhlungwa` (Ukususwa kwama-valve): Lokhu kuvame ukwenziwa ukususa izicubu (ama-valve) ezibangela ukuvaleka. Ngesikhathi se-`cystoscopy`, ithuluzi elincane lidlula nge-`cystoscope` futhi, kusetshenziswa ugesi noma ukukhanya kwe-laser, izicubu ezisele zibhujiswa ngokushisa. Lokhu kubizwa ngokuthi `ukuhlungwa` noma `ukuhlungwa kwama-valve`. Lokhu kuyindlela yokwelapha eyinhloko neyokuqala.

Kuye ngesimo sengane, uhlobo lokuvaleka kwayo, nokuthi ngabe kukhona yini ezinye izinkinga, udokotela angase asikisele ezinye izindlela zokwelapha:

• Ukufakwa kwe-catheterization: Ukufakwa kwesikhashana kwepayipi ukuze kukhishwe isinye. Ngezinye izikhathi lokhu kwenziwa ngokushesha ngemva kokuzalwa komntwana ukuze kuncishiswe ingcindezi esinyeni nasezinso.
• Ukwanda komchamo: Kwezinye izimo, umchamo ungandiswa.
• Ukuhlinzwa kwe-Vesicostomy: Ezinye izingane, ikakhulukazi lezo ezinomonakalo omkhulu wezinso, zingase zihlinzwe okubizwa ngokuthi i-vesicostomy. Lokhu kuhilela ukwenza imbobo encane esikhumbeni sesisu ngqo kusuka kwesinye, okuvumela umchamo ukuthi uphume kuso. Lokhu kuvame ukuba okwesikhashana futhi kuzovalwa kamuva.
• Ama-antibiotic: Uma unesifo somgudu womchamo, uzonikezwa ama-antibiotic. Ngezinye izikhathi, ungaqhubeka nokuphuza imithamo ephansi yama-antibiotic ukuze uvimbele ukutheleleka.
• `Ukuhlanza` noma `Ukufakelwa kwezinso`:Ngeshwa, izinso zezingane ezithile ziyalimala kakhulu kangangokuthi ziyahluleka ukusebenza, okudinga i-dialysis noma ukufakelwa izinso.
• Ama-Antispasmodics: Ezinye izingane zingase zibe nezinkinga ngokusebenza kwesinyi. Ama-Antispasmodics anganikezwa ukuze kube lula ukuchama .

Akuvamile kakhulu, uma lesi simo sitholakala ngesikhathi umntwana esesesibelethweni, abanye ochwepheshe bazozama ukwenza ukuhlinzwa kombungu, kodwa kuyinkimbinkimbi kakhulu futhi akuvamile.

Ikusasa lizoba njani ngalesi simo? (Isibikezelo)

Kulungile, kuzokwenzekani ngemva kokwelashwa? Lizoba njani ikusasa lengane? Lona umbuzo abazali abaningi abanawo.

• Ukuqapha isikhathi eside: Uma ingane yakho inesifo esibizwa ngokuthi (i-PUV), noma ngabe yelashwa, kuzodingeka iqashwe impilo yayo yonke ukuze kuqashwe ukusebenza kwezinso zayo kanye nempilo yesistimu yomchamo. Lokhu kusho ukuqhubeka nokubona udokotela, ukuhlolwa kwegazi, ukuhlolwa komchamo , kanye nokuskena kwe-ultrasound.
• Ukungakwazi ukuzibamba umchamo: Abanye abantwana bangase babe nokungakwazi ukuzibamba umchamo, noma isidingo sokuzibamba njalo , kungaba ngabantwana, intsha, noma abantu abadala.
• Ingozi yokwehluleka kwezinso: Ucwaningo lubonisa ukuthi cishe izingane eziyi-15% ezine-PUV zisengozini yokwehluleka kwezinso esikhathini esithile empilweni yazo . Yingakho kubalulekile ukuhlala ngaphansi kokuqashwa ngudokotela.

Kodwa ungakhathazeki. Ngokwelashwa okufanele kanye nokulandelela okuhle, izingane eziningi zingaphila impilo evamile nenempilo.

Kufanele ngimbone nini udokotela?

Uma ingane yakho encane inezimpawu esixoxe ngazo, njengokungasebenzi kahle komgudu womchamo , izifo ze-UTI ezivame ukwenzeka, ungachithi isikhathi futhi ubone udokotela wezingane noma udokotela ohlinzayo wezingane ngokushesha. Uma ingelashwa, lesi simo singaholela ezinkingeni ezinkulu zempilo, ikakhulukazi ukulimala kwezinso.

Yimiphi imibuzo ebalulekile okufanele uyibuze udokotela?

Uma ubona udokotela wakho, kubalulekile ukulalela konke okusengqondweni yakho. Kungaba usizo ukuzibuza le mibuzo:

• Yiziphi izindlela zokwelapha ezitholakalayo enganeni yami?
• Lokhu kwelashwa kusebenza kanjani? Kwenzekani ngenxa yalokho?
• Yini okufanele siyilindele ngesikhathi sokwelashwa nokululama?
• Kufanele ngiyinakekele kanjani ingane yami ngesikhathi sokululama? Yiziphi ezinye izinto okudingeka ngizinake ngokukhethekile?
• Kufanele sibuye nini kudokotela futhi? (Ukulandelela)

Mama noBaba, khumbulani lokhu.

Kuvamile ukuzizwa wesaba, ukhathazekile, futhi udabuke uma uthola ukuthi ingane yakho inalesi simo. Kodwa sicela ukhumbule lokhu:

Akukho obungakwenza ukuvimbela lesi simo. Lokhu akungenxa yephutha lakho, into oyenzile noma oyishilo, noma into ongayenzanga. Lokhu kuyinto eza nokuzalwa.

Udokotela wengane yakho kanye nethimba lezempilo bazokusiza futhi bakuqondise kuzo zonke izinyathelo zendlela. Bazokuchazela konke, okuhlanganisa nalokho ongakulindela, ukuthi yiziphi izinketho zokwelapha ezitholakalayo, nokuthi ungayinakekela kanjani ingane yakho. Ngakho-ke qiniseka ukuthi ugcina ama-aphoyintimenti okulandelela kadokotela wakho. Ungesabi noma ube namahloni okubuza noma yimiphi imibuzo onayo, kungakhathaliseki ukuthi mincane kangakanani. Kubalulekile ukwazi konke ngokucacile ngoba ufuna okungcono kakhulu enganeni yakho.

Ama-Valve E -Urethral Angemuva, i-PUV, Izifo Zomchamo Kwabafana, Ukuvinjelwa Komchamo, Izifo Zezinso, Impilo Yengane, Ukukhubazeka Kokuzalwa