Ingabe ingane yakho ayinazo izinso? Noma ingabe inenso eyodwa kuphela? Ake sifunde nge-(Renal Agenesis)!

Wake wezwa ukuthi ezinye izingane zizalwa zinenso eyodwa kuphela, noma zingenazo zombili izinso? Lokhu kungase kuzwakale kuyesabisa kancane, kodwa kubalulekile ukuqaphela lesi simo. Namuhla sizokhuluma ngalesi simo esibizwa ngokuthi `(Renal Agenesis)`. Ungakhathazeki, ake sichaze konke kalula.

Kuyini `(Renal Agenesis)`? Ake sikuqonde kalula, akunjalo?

Kalula nje, `(Renal Agenesis)` yilapho umntwana ezalwa enenso eyodwa kuphela noma engenazo zombili izinso. Sonke sivame ukuba nezinso ezimbili emizimbeni yethu. Okungenani inso eyodwa idinga ukusebenza kahle ukuze iphile. Lesi yisimo `(sokuzalwa)`, okusho ukuthi kuyinto ekhona kusukela ekuzalweni.

Manje uma ubheka incazelo yala magama amabili ngokwehlukana, kuzocaca kuwe:

• Izinso: Leli igama lezokwelapha elithi " izinso ."
• I-Agenesis: Lokhu kubhekisela ekuhlulekeni kwesitho esithile ukukhula ngokuphelele ngenkathi umntwana esesiswini sikanina, okungukuthi, esibelethweni.

Ngakho-ke uma sithi `(Renal Agenesis)`, kusho ukuthi izinso zomntwana azakhekanga kahle.

Yiziphi izinhlobo eziyinhloko ze-`(Renal Agenesis)`?

Lesi simo singabonakala ngezindlela ezimbili eziyinhloko:

1. I-Unilateral Renal Agenesis

Okwenzekayo kulokhu, njengoba igama lisho, ukuthi umntwana ulahlekelwe yinso kolunye uhlangothi. Lokho kusho ukuthi enye inso ijwayelekile. Ngenhlanhla, kungenzeka ukuphila impilo evamile, egcwele ngenso eyodwa kuphela. Ezimweni eziningi, inso eyodwa esele ingaqala ukuthatha umsebenzi wenso engekho, ukuze ibe nkulu kancane. Kufana nengane eyenza imisebenzi emibili yasekhaya ekilasini.

2. Ukulahlekelwa yizinso zombili (Bilateral Renal Agenesis)

Lesi yisimo esibucayi kancane. Lapha, ingane ayinazo zombili izinso. Futhi, amapayipi amancane "ama-ureter" athwala umchamo esuka ezinso aye "esinyeni" awakakhiwa ngisho. Kanye nalokhu, "amaphaphu" engane awakhuli kahle, okusho ukuthi mancane kakhulu "ama-Pulmonary Hypoplasia". Ukuhlanganiswa kwalokhu kuntuleka kwezinso kanye nokwehluleka kwamaphaphu kubizwa nangokuthi "i-Potter Syndrome". Ngokudabukisayo, lesi simo sivame ukuba yingozi.

Kwenzekani ezinso zethu?

Izinso ezimbili emzimbeni wethu ziyingxenye ebaluleke kakhulu ohlelweni lwethu lomchamo. Zicabange njengohlelo lokulahla udoti endlini yethu. Umsebenzi oyinhloko wezinso ukuhlunga nokukhipha udoti ongafuneki egazini lethu. Le mikhiqizo yodoti ikhishwa emzimbeni njengomchamo.

Sivame kangakanani lesi simo `(Renal Agenesis)`?

Ngokwezibalo, cishe ingane eyodwa kwezingu-2,000 ezizalwayo ingaba nesifo esibizwa ngokuthi ``Unilateral Renal Agenesis``, lapho inso eyodwa ingekho. Isimo ``Bilateral Renal Agenesis``, lapho izinso zombili zingekho, singavamile kakhulu. Sivela cishe kubantwana abasanda kuzalwa abangu-8,500. Nakuba imbangela eqondile ingaziwa, lesi simo sokulahlekelwa yizinso zombili sivame kakhulu ezinganeni zesilisa.

Yiziphi izimbangela ze-`(Renal Agenesis)`?

Esikhathini esiningi, imbangela eyinhloko ye-`(Renal Agenesis)` ushintsho noma ukuguquka kwezakhi zofuzo `(ukuguquka kwezakhi zofuzo) ` Abacwaningi sebethole cishe izinguquko zezakhi zofuzo eziyisikhombisa ezihlobene nakho. Ngenxa yalokhu kuguquka kwezakhi zofuzo, ukwakheka kwezinso esibelethweni somntwana kuyaphazamiseka phakathi nezinyanga ezintathu zokuqala zokukhulelwa `(ikota yokuqala).`

Ezinye izizathu ezincane zifaka:

• Umama uba nesifo sikashukela ngesikhathi sokukhulelwa (isifo sikashukela sokukhulelwa).
• Ukukhulelwa okuningi (njengamawele, amawele amathathu).
• Ukusetshenziswa kwemithi ethile eyingozi ngesikhathi sokukhulelwa.

Ziyini izimpawu ze-`(Renal Agenesis)`?

Ingane ene-Potter Syndrome, engenazo zombili izinso futhi amaphaphu ayo angakakhuli ngokugcwele, iba nezinkinga zokuphefumula ezisongela impilo ngokushesha ngemva kokuzalwa.

Ingane ezelwe nenso eyodwa ingase ingakhombisi zimpawu. Kodwa uma kuvela izimpawu, zingase zihlanganise:

• Umfutho wegazi ophezulu ezinganeni .
• Ukwanda kwamazinga amaprotheni emchameni (i-Proteinuria).
• Ukuvuvukala kwe-vesicoureteral.

Ngezinye izikhathi izingane ezizalwa zinenso eyodwa zingase zibhekane nezinye izimo ezifana nalezi:

• Izinyawo ze-Clubfoot.
• Izifo zenhliziyo ezizalwa nazo, njengemigobo ephakathi kwe-atria noma ama-ventricle enhliziyo (ASD noma i-VSD).
• Ama-anomalies e-Urological azalwa nawo.
• I-anus engasebenzi kahle noma i-Anal atresia.

Ungayithola kanjani i-`(Renal Agenesis)` ngesikhathi sokukhulelwa?

Ngokuvamile, kwenziwa i-ultrasound ngaphambi kokubeletha ngesikhathi umama ekhulelwe.Lesi simo singatholakala. Lesi skeni sibonisa ukuthi izinso azikho. Futhi, uma uketshezi lwe-amniotic oluzungeze isisu somntwana luphansi (i-Oligohydramnios), kungaba uphawu lwesimo esibizwa ngokuthi i-Renal Agenesis. Lokhu kungenxa yokuthi izinso zomntwana azikhiqizi umchamo, okubangela ukuthi lolu ketshezi lunciphe. Uma lungekho olwanele lolu ketshezi, amaphaphu omntwana ngeke akhule kahle.

Ungayithola kanjani i-`(Renal Agenesis)` ngemva kokuzalwa komntwana?

Ukuskena ngezithombe kungenziwa ngokushesha nje ngemva kokuzalwa komntwana ukuqinisekisa ukuxilongwa. Kodwa-ke, ngezinye izikhathi lesi simo singase singatholakali kuze kube yilapho ingane isikhulile kancane. Ngezinye izikhathi lesi simo singatholakala ngengozi lapho ingane inezinye izimpawu futhi iskenwa, noma lapho kwenziwa ukuskena nge-ultrasound ngesinye isizathu, njengokutheleleka komgudu womchamo (UTI).

Izinhlobo eziyinhloko zokuskena ezisetshenziswa ukuxilonga `(Renal Agenesis)` yilezi:

• I-Ultrasound Yesisu noma I-Ultrasound Yezinso .
• I-CT scan.
• Ukuskena kwe-MRI `(MRI)`.

Iphathwa kanjani i-Bilateral Renal Agenesis?

Kuze kube muva nje, ingane engenazo zombili izinso namaphaphu angakakhuli yayingenalo ithemba lokuphila isikhathi esingaphezu kwamahora ambalwa ngaphandle kwesibeletho. Kodwa-ke, izindlela ezintsha zokwelapha zokuhlola manje sezinikeza ithemba. Lokhu kuhilela ukufaka isisombululo se-saline esibelethweni ngesikhathi sokukhulelwa ukuze kubuyiselwe izinga le-amniotic fluid. Lolu ketshezi luvumela amaphaphu engane ukuba akhule. Ngemuva kwalokho, ngemva kokuzalwa kwengane, ingane ifakwa ku-dialysis kuze kube yilapho kungenziwa ukufakelwa kwezinso. Kodwa khumbula, lokhu kwelashwa kusesesigabeni sokuhlola futhi akutholakali yonke indawo.

Iphathwa kanjani i-Unilateral Renal Agenesis?

Abantu abanenso eyodwa ngezinye izikhathi kungadingeka baphuze imithi yokwehlisa umfutho wegazi . Uma wena noma ingane yakho ninalesi simo, kubalulekile ukubona uchwepheshe wezinso (i-Nephrologist) njalo futhi nihlolwe ngokomzimba, nihlolwe umchamo, futhi nihlolwe okungenani kanye ngonyaka, noma kaningi. Ingane yakho ingase ibe nalezi zivivinyo:

• Ukuhlolwa kokusebenza kwezinso.
• Ukuhlolwa kwephrotheni yomchamo.

Yini ongayenza ukuze uvikele izinso zakho zodwa?

Abantu abaningi abanenso eyodwa bayelulekwa ukuba balandele ukudla okulungele izinso (i-DASH) . Lokhu kudla kuhilela ukunciphisa usawoti noshukela kanye nokudla ukudla okune-fiber ne-potassium eningi.

Izingane kanye nabantu abadala abane-Renal Agenesis bangenza okulandelayo ukuvikela impilo yezinso zabo:

• Gwema ukuthatha imithi engeyona i-steroidal anti-inflammatory (NSAIDs) kanye neminye imithi yokubulala izinhlungu. Lokhu kungalimaza izinso zakho. Sebenzisa into efana ne-acetaminophen esikhundleni salokho.
• Gcina isisindo esinempilo futhi uhlale umatasa. Kodwa-ke, kungcono ukuyeka imidlalo enomthelela omkhulu njengebhola, i-rugby, kanye ne-martial arts, njengoba ingaba yingozi ezinso zakho ezisele.
• Hlola umfutho wegazi lakho njalo ekhaya.