Ngezinye izikhathi ingane yakho encane ingaba nezifo zomgudu womchamo ezivame ukwenzeka (UTIs). Noma ingase ikhale ngezinhlungu zesisu. Esikhathini esiningi, sicabanga ngalezi zinto njengezinto ezivamile, kodwa ngezinye izikhathi kungaba nenkinga encane ekhona kusukela ekuzalweni. Yilokho isimo esibizwa ngokuthi 'i-Ureterocele'. Nakuba igama lingase lizwakale liyesabeka kancane, uma siliqonda kahle, liyinto engaphathwa. Ngakho-ke namuhla, ake sixoxe ngalokhu ngendlela elula ongayiqonda.
Kalula nje, iyini i-Ureterocele?
Kulungile, ake sikuqonde lokhu ngale ndlela. Sinezinso ezimbili emzimbeni wethu. Lokho okwenziwa yilezi zinso ukuhlunga igazi lethu nokususa imfucuza engafuneki njengomchamo. Umchamo okhiqizwa ngale ndlela uqoqwa esinyeni ngamapayipi amabili. Sibiza lawa mapayipi amabili ngokuthi ama-ureter . I-ureter eyodwa ivela ezinso ngayinye.
Manje ake ucabange ukuthi ukuphela kwale urethra, lapho ixhumeka khona nesinye, kuqubuka njengebhaluni elincane. Yilokho esikubiza ngokuthi i-ureterocele.
Le ngxenye efana nebhaluni ivimbela umchamo ukuthi ugeleze ngokukhululeka ungene esinyeni. Kufana nokuvaleka. Kwenzekani-ke? Njengoba umchamo ungakwazi ukwehla kahle, uqala ukugeleza ubuyela emuva uye ezinso. Ngokwezokwelapha sikubiza lokhu ngokuthi (vesicoureteral reflux) . Lena yinkinga enkulu nge-ureterocele. Ngoba umchamo ogeleza ubuyela emuva awulungele izinso.
Ingabe kukhona izinhlobo ze-ureterocele?
Yebo, lesi simo singahlukaniswa ngezindlela eziningana eziyinhloko.
- Kuye ngokuthi ngabe ihlangothini olulodwa noma zombili: Ezinye izingane zingaba nalesi simo ku-urethra eyodwa kuphela (ehlangothini olulodwa). Yilokho okuvamile. Kodwa-ke, akuvamile kakhulu, lokhu kukhula kungenzeka kuzo zombili i-urethra (ehlangothini zombili).
- Ngokwendawo lapho kuqhume khona: Futhi, la maqhubu ahlukaniswa ngokuthi atholakala kuphi ngaphakathi kwesinye. Amanye avaleleke kwesinye (ngaphakathi kwesisu). Kodwa-ke, uhlobo oluvame kakhulu, ikakhulukazi ezinganeni ezincane (ngaphandle kwesisu), lungadlulela phansi kwesinye, luye epayipini elikhipha umchamo (urethra).
Lokhu kuhlukaniswa kwezifo kubalulekile kodokotela ukuze bakhethe indlela yokwelapha efanele ingane.
Ziyini izimpawu ze-ureterocele?
Into exakile ukuthi, esikhathini esiningi, i-Ureterocele ingase ingakhombisi zimpawu. Kodwa-ke, njengoba ngishilo ekuqaleni, kunethuba elikhulu lokuthola i-Urinary Tract Infection (UTI) ngenxa yokuthi umchamo awugelezi kahle futhi ubhajwe. Yilapho izimpawu ziqala khona ukuvela.
Hlola ukuthi ingane yakho inayo yini kulezi zimpawu. Lezi kungaba izimpawu zokutheleleka komgudu womchamo.
| Isibonakaliso | Kalula nje... |
|---|---|
| Ubuhlungu lapho uchama | Ingane iyakhala lapho ichama, noma ikhala ngobuhlungu. Bangase bathi kuzwakala sengathi kuyasha. |
| Umchamo onephunga elimnandi | Umchamo unephunga elinamandla nelibi kakhulu kunokuvamile. |
| Ubuhlungu besisu noma iqhubu | Kungase kuzwakale njengobuhlungu besisu esingezansi noma iqhubu elincane elingazwakala esandleni. |
| Igazi emchameni | Umchamo uba pinki noma ubomvu. |
| Isidingo sokuphuza njalo | Ukuthi "Ngidinga ukuchama " kaningi kunokujwayelekile. |
| Ukungakwazi ukulawula umchamo | Ngisho nengane eqeqeshwe ukuya endlini yangasese ingase ikwazi ukuchamela ezingutsheni zayo ingazi. |
| Isinyi asiphumi ngokuphelele | Ukuzizwa sengathi kusenomchamo esinyeni ngisho nangemva kokuchama. |
Uma ingane yakho ikhombisa noma yiziphi zalezi zimpawu, bona udokotela wakho ngokushesha.
Kungani lokhu kwenzeka? Iyini imbangela yalokhu?
Lena indaba ebaluleke kakhulu kubazali. I-Ureterocele iyinkinga enkulu.Isimo sokuzalwa. Lokhu kusho ukuthi ngesikhathi umntwana ekhula esibelethweni, i-urethra engikhulume ngayo ekuqaleni ayikhuli kahle lapho ixhumeka khona nesinye.
Lokhu akubangelwa yiphutha elenziwe ngumama ngesikhathi ekhulelwe, noma okuthile akudlile noma akuphuzile, noma okuthile akushilo noma akwenzile. Abacwaningi bakholelwa ukuthi lokhu kuyinto eyenzeka ngokungahleliwe. Ngakho ungakhathazeki ngakho.
Ngezinye izikhathi izimpawu zalesi simo zivela lapho umuntu ekhula. Kodwa noma kunjalo, imbangela iyafana. Kuyinto eyayikhona emzimbeni kusukela ekuzalweni.
Ingabe lesi yisimo esibucayi? Yiziphi izinkinga?
I-Ureterocele yisimo esibi esidinga ukwelashwa. Kodwa into engcono kakhulu ukuthi ingelapheka. Izinkinga ziyavela uma ingelashwa. Ingozi enkulu ukulimala kwezinso.
Njengoba umchamo ugeleza ubuyela emuva ezinso, izinso zingavuvukala, zitheleleke, futhi ngokuhamba kwesikhathi, ziphazamise ukusebenza kwezinso unomphela.
Into ebaluleke kakhulu ukuthi umonakalo wezinso awunakuguqulwa. Lokhu kusho ukuthi uma umsebenzi wezinso usunciphile ngezinga elithile, kunzima ukuwubuyisela ngokuphelele. Yingakho kubaluleke kakhulu ukuxilonga nokwelapha lesi simo ngaphambi kokuba umonakalo wezinso wenzeke.
Ezinye izinkinga zingase zihlanganise:
- Amatshe ezinso.
- Ukulimala kwesinye.
- Ukutheleleka okuphindaphindiwe kwendlela yomchamo (UTIs).
Udokotela ukuthola kanjani lokhu?
Lesi simo sivame ukutholakala ngaphambi kokuba umntwana azalwe. Yebo, ngesikhathi sokuhlolwa kwe-ultrasound ngaphambi kokubeletha . Ngokuvamile kwenziwa cishe emavikini angama-20, odokotela bangase basole ukuthi kukhona izinso noma i-ureter uma bebona ukuvuvukala. Ngemuva kwalokho, ngemva kokuzalwa komntwana, benza izivivinyo ezengeziwe ukuze baqinisekise lokho.
Kodwa ngezinye izikhathi kutholakala ukuthi kunesifo ngemva kokuzalwa, cishe eminyakeni emibili. Kungatholakala nangengozi nakubantu abadala ngesikhathi sokuhlolwa kwamatshe ezinso noma izifo zomgudu womchamo.
Nazi ezinye izivivinyo ezisetshenziswa odokotela ukuthola lesi simo.
| Ukuhlolwa | Lokhu kwenzani? |
|---|---|
| I-Ultrasound Yezinso | Kuhlolwa ukuma, usayizi, kanye nokuvuvukala kwezinso kanye nesinye. |
| Ukuhlolwa kwe-VCUG (Voiding Cystourethrogram) | Lokhu ukuhlolwa kwe-X-ray okukhethekile. Kufakwa ipayipi elincane esinyini bese ligcwaliswa ngoketshezi olukhethekile. Kuthathwa i-X-ray ngenkathi ingane ichama. Lokhu kungasetshenziswa ukuhlola i-reflux (ukuphuma komchamo emuva) ezinso. |
| Ukuskena Kwezinso | Lokhu kusiza ukuqapha, njengephesenti, ukuthi izinso zisebenza kahle kangakanani nokuthi ngabe zonakele yini. |
| Iskeni se-CT noma se-MRI | Lezi ziskeni zingasetshenziswa ukuthola izithombe ezicacile nezinemininingwane eminingi zesistimu yomchamo. |
| Ukuhlolwa Komchamo | Lokhu kwenziwa ukuqinisekisa ukuthi unesifo somgudu womchamo (UTI). |
Iphathwa kanjani i-ureterocele?
Indlela yokwelapha inqunywa ngokucabangela izici eziningana, njengobudala bengane, ubukhulu be-ureterocele, ukuthi kukhona yini ukulimala kwezinso, nokuthi umchamo uyavuza yini.
Izindlela zokwelapha eziyinhloko ukuhlinzwa kanye nokulinda ngokuqapha.
Ukwelashwa Kokuhlinzwa
Umgomo oyinhloko wokuhlinzwa ukususa ukuvuvukala okufana nebhaluni nokuvumela umchamo ukuthi ugeleze ngokukhululeka. Kunezindlela ezahlukene zokuhlinzwa zalokhu.
| Indlela yokuhlinzwa | Incazelo elula |
|---|---|
| Ukubhoboza kwe-Transthral | Lena indlela elula kakhulu. Lapha, udokotela ohlinzayo ufaka ithubhu elincane elinekhamera (i-cystoscope) nge-urethra ukuze abheke ngaphakathi kwesinye. Bese kuba nembobo encane e-ureterocele efana nebhaluni. Kufana nokuqhuma ibhaluni. Bese kuba nomchamo ovalekile ugeleza kalula. Lokhu kuvame ukwenziwa ngaphansi kwe-anesthesia futhi kuyinqubo yokulaliswa esibhedlela. |
| Ukufakelwa Kabusha Kwe-Ureter | Lokhu ukuhlinzwa okuyinkimbinkimbi kancane. Kwenziwa ukusikwa okuncane esiswini esingezansi ukuze kuvulwe esinyeni. Bese kuthi ingxenye ye-ureter ene-ureterocele inqunywe bese isuswa, bese i-ureter enempilo ixhunywa nesinyeni, kuvinjwe ukuthi umchamo ungagelezi emuva (indlela ye-flap valve). Lokhu kuhlinzwa kuphumelele ngo-90%-95%. |
| Ukuhlinzwa Kwe-Upper Pole Nephrectomy | Abanye abantwana banesifo esibizwa ngokuthi 'i-duplex kidney'. Lokhu kusho ukuthi inso eyodwa ihlukaniswa ibe izingxenye ezimbili. Uma i-ureterocele ilimaze kakhulu ingxenye engenhla yenso futhi iyeke ukusebenza, kudingeka ukuhlinzwa ukuze kususwe ingxenye eyonakele. |
Ukulinda Okuqaphile
Le nqubo ivame ukusetshenziswa kubantu abadala. Uma i-ureterocele ingabangeli zimpawu noma ingabangela ukulimala kwezinso, udokotela wakho angase anqume ukubheka lesi simo isikhashana ngaphandle kokuhlinzwa.
Uyini umbono wengane?
Umbono muhle kakhulu. Ngoba ukugcinwa komchamo kungokwesikhashana. Ngemva kokulungiswa ngokuhlinzwa, ingane ingaphila impilo evamile. Okuwukuphela kwento okufanele uyikhumbule ukuthi uma i-ureterocele ibangele noma yimuphi umonakalo ezinso, lowo monakalo uhlala unomphela. Awukwazi ukuhlehliswa. Esingakwenza nje ukuvimba umonakalo owengeziwe. Yingakho ukuxilongwa kusenesikhathi kanye nokwelashwa kwalesi simo kubalulekile empilweni.
Umlayezo Wokuya Nawe Ekhaya
- I-Ureterocele yisimo sokuzalwa. Akubangelwa yiphutha labazali.
- Ingozi enkulu yalokhu ukuthi umchamo ungabuyela emuva futhi wonakalise izinso.
- Ezimweni eziningi, lesi simo singatholakala ngokuskena ngaphambi kokuba umntwana azalwe.
- Ukuhlinzwa kungayelapha ngokuphelele le nkinga. Imiphumela iphumelela kakhulu.
- Uma ingane yakho inezifo zomchamo njalo noma ikhala ngobuhlungu lapho ichama, ungayinaki. Bonana nodokotela ngokushesha. Ukwelashwa okusheshayo kungasiza ekuvikeleni izinso.
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