Ingabe ingane yakho encane ithola izifo zomgudu womchamo njalo (UTIs)? Noma ingabe udokotela wakho ukhulume ngento efana nokuvuvukala okuncane ezinso zengane yakho ngesikhathi sokuhlolwa ngesikhathi sokukhulelwa kwakho? Esinye isizathu esingaba khona salezi zinto yisimo esibizwa ngokuthi i-Ureterocele. Kungenzeka ukuthi awukaze uzwe ngaleli gama ngaphambili. Kodwa ungakhathazeki. Lokhu kuyinto entsha kubazali abaningi. Ake sixoxe ngakho kalula nangokucacile namuhla.
Kalula nje, iyini i-Ureterocele?
Kulungile, ake siqale siqonde ukuthi uhlelo lomchamo emzimbeni wethu lusebenza kanjani kalula. Sinezinso ezimbili emzimbeni wethu. Lezi yizo ezihlunga igazi lethu futhi zisuse izinto ezingadingekile njengomchamo, noma umchamo . Umchamo owenziwe ngale ndlela uqoqwa esinyeni eceleni kwamapayipi amabili. Lawo mapayipi amabili abizwa ngokuthi ama-ureter . Uma isinyi sigcwele, sizizwa sidinga ukuchama .
Manje, esimweni esibizwa ngokuthi i-ureterocele, ingxenye yokugcina yomchamo, ethwala umchamo isuka ezinso iye kwesinye, ivuvukala njengebhaluni. Cabanga ukuthi ingxenye yokugcina yombhobho wamanzi ivuvukele kancane. Kufana nalokho. Ngenxa yalokhu kuvuvukala, umchamo awukwazi ukugeleza kahle ungene kwesinye. Ngemuva kwalokho, umchamo uphonswa emuva phezulu, okungukuthi, uye ezinso. Kwezokwelapha, sikubiza lokhu ngokuthi (i-Vesicoureteral Reflux) . Ukubuyela komchamo ezinso kanjena akukuhle empilweni yezinso nhlobo.
Into ebalulekile ukuthi i-ureterocele yisimo sokuzalwa . Lokhu kusho ukuthi sikhula ngesikhathi umntwana ekhula esibelethweni.
Ingabe zikhona izinhlobo eziyinhloko ze-ureterocele?
Yebo, odokotela bahlukanisa lesi simo ngezinhlobo eziningana. Akudingeki ube nolwazi oluningi ngalokhu, kodwa kuhle ukuba nokuqonda okuvamile.
- Kuye ngohlangothi oluthintekile: Ngezinye izikhathi lokhu kungenzeka enso eyodwa kuphela (eyaseceleni). Lolu uhlobo oluvame kakhulu. Akuvamile kakhulu, lesi simo singavela kuzo zombili izinso (eyaseceleni).
- Ngokwendawo:
- I-Extravesical Ureterocele: Lolu uhlobo oluvame kakhulu ezinsaneni nasezinganeni ezincane. Lapha, ukuvuvukala okufana nebhaluni kungadlulela phansi kwesinye, kufaka phakathi intamo yesinye kanye ne-urethra.
- I-Intravesical Ureterocele: Kulolu hlobo, ukuvuvukala kungaphakathi ngokuphelele kwesinye. Akudluleli ngaphandle kwesinye.
Lokhu kuhlukaniswa kwezifo kubaluleke kakhulu kudokotela ukuze anqume izindlela zokwelapha.
Sivame kangakanani lesi simo? Ngubani onamathuba amaningi okusithola?
Lesi akusona isimo esivamile kakhulu. Sithinta cishe ingane eyodwa kwezingu-5,000. Sivame kakhulu emantombazaneni kunabafana.
Ziyini izimpawu ze-ureterocele?
Ezimweni eziningi, i-ureterocele encane ingase ingabingeli zimpawu. Kodwa-ke, inkinga iqala lapho umchamo ungahambi kahle, okuholela ekuthelelekeni komgudu womchamo (UTI) . Lapho ingane iba ne-UTI, ingabonisa lezi zimpawu:
| Isibonakaliso | Kuchazwe kalula |
|---|---|
| Ubuhlungu/ukusha lapho uchama | Uma ingane ikhala noma ikhombisa ukungakhululeki lapho ichama . |
| Umchamo onephunga elimnandi | Umchamo unephunga elinamandla nelingathandeki kakhulu kunokuvamile. |
| Ubuhlungu besisu noma umuzwa wokuba namaqhubu | Ubuhlungu esiswini esingezansi noma umuzwa ofana neqhubu esandleni. |
| Igazi emchameni | Umchamo uphenduka ube pinki noma ube bomvu. |
| Isidingo sokuphuza njalo | Ukudinga ukuchama kaningi kunokujwayelekile. |
| UmchamoUkungakwazi ukulawula amandla | Ukuchama futhi enganeni esivele ifundile ukulawula umchamo wayo . |
| Ukungakwazi ukukhipha ngokuphelele isinyi | Ukuzizwa sengathi kusekhona umchamo ngisho nangemva kokuchama . |
Uma ingane yakho inanoma yiziphi zalezi zimpawu, kubaluleke kakhulu ukubona udokotela ngokushesha .
Kungani lokhu kwenzeka? Iyini imbangela yalokhu?
Njengoba sishilo ekuqaleni, lokhu kungenxa yokuthi ingxenye yokugcina ye-ureter ayikhuli kahle ngesikhathi umntwana esakhula esibelethweni. Ngezinye izikhathi izimpawu zingavela nasebudaleni, kodwa imbangela iyafana.
Nansi into ebaluleke kakhulu okufanele wonke umama nobaba ayikhumbule. Lokhu akuyona into oyenzile kabi ngesikhathi sokukhulelwa, noma into oyidlile noma oyiphuzile, noma into oyenzile. Abacwaningi bakholelwa ukuthi lokhu kwenzeka ngokungahleliwe. Ngakho ungakhathazeki ngakho ngokungadingekile.
Ingabe lokhu kuyingozi? Yiziphi izinkinga ezingaba khona?
I-Ureterocele yisimo esingelapheka, kodwa kufanele sithathwe ngokungathi sína. Uma singalashwa, singadala izinkinga ezinkulu.
Ngoba, uma umchamo ungagelezi kahle futhi ugcwala ezinso (ukugcinwa komchamo), kuvela izifo zomgudu womchamo (UTIs). Uma lezi zifo ziqhubeka nokukhula, ziqala ukulimaza izinso .
Ezinye izingozi yilezi:
- Amatshe ezinso
- Umonakalo wesinye
- Ukutheleleka okuphindaphindiwe kwendlela yomchamo (UTIs)
Into ebaluleke kakhulu okufanele uyikhumbule ukuthi umonakalo wezinso awunakulungiseka . Lokhu kusho ukuthi uma izinso zilahlekelwa umsebenzi othile, azikwazi ukubuyiselwa. Yingakho ukuxilongwa kusenesikhathi kanye nokwelashwa kubalulekile ukuze kulondolozwe ukusebenza kwezinso.
Odokotela bakuthola kanjani lokhu?
Ngenhlanhla, iningi lama-Ureteroceles litholakala ngesikhathi sokuhlolwa kwe-ultrasound kwangaphambi kokubeletha.Kungabonakala ngokuskena ngokwako. Ngokuvamile, ngesikhathi sokuskena okungajwayelekile, okwenziwa cishe emavikini angama-20, udokotela uzosola ukuthi enye yezinso noma i-ureter yengane ivuvukele. Lokhu kungaqinisekiswa ngokuhlolwa ngemva kokuzalwa kwengane.
Ngezinye izikhathi kutholakala ukuthi ingane inesifo ngemva kokuzalwa. Ngokuvamile kutholakala ngesikhathi sokuhlolwa okwenziwa lapho izimpawu zivela ngaphambi kweminyaka emibili. Kungatholakala futhi ngengozi ngesikhathi sokuhlolwa okwenziwa kubantu abadala ngamatshe ezinso noma izifo zomgudu womchamo.
Udokotela wakho angase ancome okukodwa noma ngaphezulu kwalokhu kuhlolwa:
| Ukuhlolwa | Lokho nje okwenzayo |
|---|---|
| I-Ultrasound Yezinso | Izinso, ama-ureter, kanye nesinye kuyahlolwa ukuze kutholakale ukuma nokuvuvukala. |
| Ukuhlolwa kwe-VCUG (Voiding Cystourethrogram) | Kufakwa uketshezi olukhethekile esinyeni, bese kuthathwa i-X-ray ngenkathi ingane ichama ukuze kubonakale ukuthi umchamo ugeleza ubuyela emuva yini ezinso (i-reflux). |
| Ukuskena Kwezinso | Ukuskena okukhethekile ukuze kubonakale ukuthi izinso zisebenza kahle kangakanani nokuthi zonakele yini. |
| Iskeni se-CT noma se-MRI | Lokhu kusetshenziselwa ukuthola izithombe ze-3D ezicacile nezinemininingwane eminingi zesistimu yomchamo. |
| Ukuhlolwa Komchamo | Hlola ukutheleleka komgudu womchamo (UTI). |
Iphathwa kanjani i-ureterocele?
Indlela yokwelapha inqunywa yizici eziningana.
- Lesi sifo sitholakala nini? (Ngesikhathi sokukhulelwa noma ngesikhathi sobuntwana?)
- Ingabe izinso zithintekile?
- Ingabe une-reflux ye-vesicoureteral ?
Uma lokhu kutholakala ngesikhathi sokuhlolwa ngesikhathi sokukhulelwa, ama-antibiotic anganikezwa ukunciphisa ingozi yokutheleleka kuze kube yilapho umntwana ezalwa. Ngemva kokuzalwa komntwana, ukwelashwa okungcono kakhulu kuzonqunywa ngokusekelwe esimweni somntwana.
Indlela eyinhloko yokwelapha ukuhlinzwa.
Ukwelashwa ngokuhlinzwa
Umgomo oyinhloko wokuhlinzwa ukususa ukuvuvukala okufana nebhaluni nokuqeda ukuvaleka kwendlela yomchamo . Kunezindlela eziningana zokwenza lokhu.
1. Ukubhoboza i-Transurethral: Lokhu kufana nokubhoboza ibhaluni ngenaliti. Udokotela ohlinzayo ufaka ithuluzi elincane (i-cystoscope) ngekhamera eduze kwe-urethra, angene esinyeni, bese enza imbobo encane ku-ureterocele evuvukele. Lokhu kuvumela umchamo ovalekile ukuthi ugeleze ngokukhululeka. Lokhu ngokuvamile akuyona inqubo enkulu yokuhlinzwa, futhi ungaya ekhaya ngalolo suku ngaphandle kokuhlala esibhedlela (inqubo yokulaliswa esibhedlela). Kodwa-ke, lokhu kwenziwa ngaphansi kwe-anesthesia ejwayelekile yezingane.
2. Ukufakelwa kabusha komchamo: Lokhu kuyindlela yokuhlinzwa eyinkimbinkimbi kancane. Lapha, udokotela ohlinzayo wenza ukusika okuncane esiswini esingezansi bese kungena esinyeni. Ngemuva kwalokho, ingxenye yomchamo ene-ureterocele iyasikwa bese isuswa, bese ipayipi liphinde lixhunywe esinyeni. I-valve ye-flap evimbela umchamo ukuthi ugeleze emuva nayo iyabekwa kabusha. Lokhu kuhlinzwa kuphumelela kakhulu ezimweni ezingama-90% - 95%.
3. Ukuhlinzwa Kwe-Upper Pole Nephrectomy: Lokhu kuhlinzwa kwenziwa ezimweni ezikhethekile kakhulu. Abanye abantwana bangase babe nenso ephindwe kabili . Lokhu kusho ukuthi inso eyodwa ohlangothini olulodwa ihlukaniswe izingxenye ezimbili. Uma ingxenye ephezulu yale nso yonakaliswe kakhulu yi-ureterocele futhi ingasebenzi nhlobo, ingxenye engasebenzi iyasuswa ngokuhlinzwa.
Ukulinda okuqaphile
Lokhu kuvame ukwenziwa kubantu abadala. Uma i-ureterocele incane kakhulu, ingenazo izimpawu, futhi ingenamonakalo ezinso, udokotela angase anqume ukubheka lesi simo ngaphandle kokuhlinzwa.
Ingabe lesi simo singalapheka ngokuphelele?
Yebo, impela. I-Ureterocele ingelapheka ngokuphelele ngokuhlinzwa. Uma ukuvaleka komchamo sekususiwe, inkinga iyaxazululeka. Kodwa njengoba sishilo ngaphambili, uma sekuvele kunomonakalo ezinso, lowo monakalo awunakulungiswa. Into engcono kakhulu ongayenza ukuvimba umonakalo owengeziwe. Yingakho ukuxilongwa nokwelashwa kusenesikhathi kubaluleke kangaka.
Umlayezo Wokuya Nawe Ekhaya
- I-ureterocele iwukuphuma kwengxenye ye-urethra efana nebhaluni okuzalwe nakho esinqeni.
- Lokhu akubangelwa yinoma yini oyenzile kabi ngesikhathi sokukhulelwa. Kwenzeka nje ngokungahleliwe.
- Uphawu oluyinhloko ukutheleleka njalo komgudu womchamo (UTIs). Ngezinye izikhathi kungase kungabi nazimpawu nhlobo.
- Uma ungelashwa, umchamo ungabuyela emuva futhi ubangele umonakalo ongapheli ezinso.
- Lokhu kungatholakala kaningi ngesikhathi sokuhlolwa kokukhulelwa. Lokho kuyinhlanhla enkulu.
- Lesi simo singalapheka ngokuphelele ngokuhlinzwa. Izindlela zokwelapha ziphumelela kakhulu.
- Uma ingane yakho inezimpawu ze-UTI, njengomkhuhlane, ubuhlungu besisu, noma ubuhlungu lapho ichama , bonana nodokotela ngokushesha.
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