Ingabe izinso zengane yakho zivuvukele? Ake sifunde nge-pyelectasis!

Uma ulindele umntwana, kuvamile ukukhathazeka ngempilo yengane yakho. Ngezinye izikhathi, ngesikhathi sokuhlolwa, odokotela bangabona izinguquko ezincane ezinso zengane yakho, njengokuvuvukala okuncane. Ungase wesabe kancane uma uzwa lokho. Yilokho okushiwo yi -pyelectasis . Kodwa ungakhathazeki, sizogcina konke kulula.

Kuyini i-Pyelectasis?

Kalula nje, i-pyelectasis iwukuba ingane yakho inomchamo omncane phakathi kwenye yezinso zayo ngesikhathi isesesibelethweni. Uma sikhuluma iqiniso, indawo eyinhloko yezinso lapho umchamo uqoqeka khona yileyo ebonakala ivuvukele kancane.

Lokhu kubangelwa ukuvaleka okuncane, noma ukuvaleka, endleleni yomchamo ekhiqizwa ezinso, ehamba phansi ku-ureter (ebizwa nangokuthi i-ureter) iye kwesinye. Noma, ngezinye izikhathi, umchamo ubuyela phezulu usuka kwesinye, uye ezinso (`Urinary reflux`).

Odokotela ngezinye izikhathi babiza lesi simo ngokuthi i-pyelectasis, i-pelviectasis, i-pelvocaliectasis, noma i-caliectasis, kuye ngokuthi umchamo uqoqeka kuphi. Kodwa wonke la magama abhekisela ekuqoqweni komchamo engxenyeni ethile yezinso.

Uyini umehluko phakathi kwe-Pyelectasis ne-Hydronephrosis?

Womabili la magama abhekisela ezinso ezivuvukala ngenxa yomchamo, kodwa kunomehluko omncane.

• Ku- pyelectasis , ukuvaleka kwendlela yomchamo kuvame ukuba kuncane . Ngakho-ke, inani elincane lomchamo liqongelela ezinso. Lokhu kubangela ukwanda okuncane kwengxenye ephakathi kwezinso.
• Ku- hydronephrosis , lokhu kuvinjelwa kuba kubi kakhulu, okusho ukuthi kuba kubi kakhulu . Bese umchamo omningi uqongelela ezinso, futhi kwezinye izimo ezinzima, izinso zingavuvukala njengebhaluni.

Esikhathini esiningi, i-pyelectasis izophela yodwa ngaphandle kokwelashwa . Kodwa-ke, cishe ezimweni eziyi-10%, ingaqhubekela ku-hydronephrosis. Kulesi simo, kungadingeka ukuthi ubonane nodokotela wezinzwa wezingane noma udokotela wezinzwa ngemva kokuzalwa kwengane yakho.

Sivame kangakanani lesi simo?

I-Pyelectasis yisimo esivame kakhulu . Sivela cishe koyedwa kwabangu-40 abakhulelwe. Singathinta inso eyodwa kuphela (i-pyelectasis eyodwa) noma zombili izinso (i-pyelectasis emibili).

Cabanga ngakho,Izingane zesilisa zinamathuba aphindwe kathathu okuthola lesi simo kunezingane zesifazane.

Ingabe i-Pyelectasis iyingozi kakhulu?

Ezimweni eziningi, i-pyelectasis ayinayo imiphumela emibi kakhulu enganeni yakho. Iningi lezingane ezinalesi simo lizalwa liphilile futhi liphila kahle.

Kodwa-ke, akuvamile kakhulu, lesi simo se-pyelectasis singaba yisimo esibi esibizwa ngokuthi i-hydronephrosis. Kuleso simo, odokotela bangase batuse ukuhlinzwa (ukuhlinzwa kwengane) ngesikhathi ingane isesesibelethweni ukuze kuvinjelwe ukulimala kwezinso zomntwana. Kodwa-ke, lokhu akuvamile kakhulu.

Ingabe lokhu kuhlobene ne-Down syndrome?

Uma ukuhlolwa kwe-ultrasound kwengane yakho kubonisa ukuthi ine-pyelectasis, kunethuba eliphakeme kancane lokuthi ingane inesifo se-chromosome esibizwa ngokuthi i-Down syndrome . Kodwa-ke, lokhu akusho ukuthi yonke ingane ene-pyelectasis ine-Down syndrome. Eqinisweni, iningi lezingane ezine-pyelectasis azinayo i-Down syndrome.

Kalula nje, uma i-pyelectasis ingahambisani neminye imiphumela yokuhlolwa kwegazi okungavamile noma ezinye izinkinga ezitholakala ku-scan, ngokuvamile kubhekwa njengoshintsho oluncane ekukhuleni okuvamile kombungu.

Ziyini izimpawu?

I-Pyelectasis ngesikhathi sokukhulelwa ivame ukungabi nazimpawu . Lesi simo sivame ukutholakala ngesikhathi sokuhlolwa kwe-ultrasound okuhleliwe kokukhulelwa.

Yini ebangela i-pyelectasis embungwini?

Kunezizathu ezimbili eziyinhloko.

1. Ukuvaleka kwe-Ureteropelvic Junction:

Okwenzekayo kulesi simo ukuthi kukhona ukuvaleka noma ukuvaleka endaweni lapho ipayipi elithwala umchamo lisuka ezinso zomntwana (elibizwa ngokuthi i-'ureter') lixhuma khona nezinso (elibizwa ngokuthi i-'ureteropelvic junction'). Ngemuva kwalokho, umchamo awukwazi ukuphuma, okungukuthi, ungene e-urethra, bese ubhajwa ngaphakathi kwezinso. Ngenxa yalokhu kuvimbeka, ingcindezi ngaphakathi kwezinso iyanda, okubangela i-pyelectasis, futhi ngokuhamba kwesikhathi, ukusebenza kwezinso kungancipha.

2. I-reflux ye-vesicoureteral:

Ngokuvamile, umchamo okhiqizwa ezinso uhamba nge-ureter bese uqoqana esinyeni. Bese uphuma emzimbeni womntwana bese ungena ku-amniotic fluid esibelethweni.

Kodwa-ke, kwezinye izimo, umchamo ovela esinyeni ugeleza ubuyela phezulu, okungukuthi, eduze kwe-ureter, uye ezinso.Yilokho okubizwa ngokuthi i-vesicoureteral reflux. Uma umchamo ogeleza phezulu ngale ndlela uhlala ezinso isikhathi eside kakhulu futhi ubangele ukuvuvukala, ungabangela ne-pyelectasis.

Ukuthola kanjani lokhu?

Odokotela baxilonga i-pyelectasis ngesikhathi sokuhlolwa kwe-ultrasound ngaphambi kokubeletha . Uma ukuhlolwa kwakho kubonisa lokho, wena nomntwana wakho kuzodingeka niqashwe ngokucophelela phakathi nokukhulelwa kwenu.

Yiziphi izindlela zokwelapha?

Izindaba ezinhle ukuthi ezimweni eziningi, i-pyelectasis iyazixazulula ngokwayo ngaphandle kokwelashwa okukhethekile.

Udokotela wakho uzoqapha lesi simo phakathi nokukhulelwa kwakho. Uma kudingeka, ingane yakho izohlolwa ngudokotela wezifo zomchamo wezingane noma udokotela wezinzwa wezingane ngemuva kokuzalwa.

Kwezinye izimo, udokotela wezifo zomchamo wezingane angenza inqubo yokuhlinzwa ebizwa ngokuthi i-pyeloplasty , esetshenziselwa ukuqeda ukuvaleka phakathi kwezinso kanye ne-ureter.

Ngesikhathi sokukhulelwa, odokotela bangancoma ukuhlinzwa kombungu kuphela uma isimo, njenge-pyelectasis noma i-hydronephrosis, sibi kakhulu kangangokuba singadala umonakalo wezinso. Kodwa-ke, lokhu akuvamile kakhulu .

Ngingayinciphisa yini le ngozi enganeni yami?

I-Pyelectasis iwushintsho oluncane ekukhuleni kombungu, ngakho-ke ayikho indlela yokukuvimbela ukuthi kungenzeki . Kodwa-ke, kubalulekile ukwenza ukuhlolwa kwe-ultrasound njalo ngesikhathi sokukhulelwa kwakho. Yilapho udokotela wakho engaqapha khona lesi simo futhi ancome ukwelashwa uma kudingeka.

Kwenzekani uma ingane yami ine-pyelectasis?

Uma udokotela wakho ethola ukuthi une-pyelectasis ekuhlolweni, wena nomntwana wakho cishe nizoqashwa ngesikhathi sokukhulelwa kwakho nangemva kokuzalwa komntwana wakho. Udokotela wakho uzokwenza ukuhlolwa njalo ukuze abone ukuthi ukuvaleka kuba kubi yini.

Uma i-pyelectasis iba yimbi kakhulu futhi iba yi-hydronephrosis, kuzodingeka ubone udokotela wezifo zomchamo wezingane noma udokotela wezinzwa wezingane ngemuva kokuzalwa kwengane yakho. Bazohlola ingane yakho bese benquma ukuthi kuyadingeka yini ukwelashwa.

Akuvamile kakhulu, ukuvaleka okubangelwa yi-pyelectasis kungaba kubi ngokwanele ukulimaza izinso ngesikhathi umntwana esesesibelethweni. Uma kusolwa lokhu, udokotela wakho uzokhuluma nawe ngokuhlinzwa kombungu.

Ingabe i-Pyelectasis ingelapheka?

Yebo, impela! Ezimweni ezingaphezu kuka-90%, i-pyelectasis iba ngcono ngokwayo . Uma ukuvaleka kukhulu, kungase kudingeke ukuhlinzwa ukuze kulungiswe inkinga.

Izingane ezine-hydronephrosis enzima zinamathuba amaningi okuba nezinkinga eziqhubekayo ngemva kokuzalwa. Ezimweni ezinjalo, ingane yakho ingadinga ukuhlinzwa.

Kufanele ngimbone nini udokotela?

Kubaluleke kakhulu ukuya ekuhlolweni kwakho njalo kwezokwelapha kanye nokuskena. Odokotela bangaxilonga i-pyelectasis kuphela ngokuskena kwe-ultrasound. Bazoqapha isimo sakho eduze futhi batuse ukwelashwa uma kudingeka.

Yimiphi imibuzo okufanele ngiyibuze udokotela?

Uma ukuskena kwakho kukhombisa ukuthi une-pyelectasis, ungabuza udokotela wakho imibuzo efana nale:

• Ingabe ingane inenkinga yezinso? Uma kunjalo, ikuphi?
• Ingabe une-reflux yomchamo?
• Ingabe lokhu kuxinana kuncane, kuphakathi, noma kukhulu?
• Ingabe kukhona okunye ekuhlolweni kwami ​​​​kwe-scan noma kwegazi okubonisa ukuthi ingane ingase ibe ne-Down syndrome noma esinye isimo se-chromosome?
• Kungenzeka kangakanani ukuthi ingane yami izodinga ukuhlinzwa?

Umlayezo Wokuya Nawe Ekhaya

Kuvamile ukuzizwa wesaba futhi ukhathazekile uma uthola ukuthi ingane yakho ine-pyelectasis. Kodwa ezimweni eziningi, okudingekayo nje ukuqashelwa . Udokotela wakho uzokwenza izivivinyo ezidingekayo ukuze abone ukuthi lokhu kuyinkinga engavamile noma uphawu lwesinye isimo. Bazoqapha isimo sakho eduze futhi bazokusiza kuzo zonke izinyathelo zendlela. Ngakho ungesabi ngokungadingekile. Into ebaluleke kakhulu ukulandela imiyalelo kadokotela wakho.

I- Pyelectasis, izinso zengane esanda kuzalwa, i-hydronephrosis, i-ultrasound yokukhulelwa, ukuvinjelwa kwe-ureteropelvic junction, i-vesicoureteral reflux, impilo yengane, ukuvuvukala kwezinso, impilo yokukhulelwa