Ingabe udokotela ushilo ngesikhathi sokuhlolwa kwakho kokukhulelwa ukuthi enye yezinso zengane yakho ibukeka ivuvukele kancane? Noma ingabe ingane yakho encane ivame ukuthola izifo zomgudu womchamo? Mhlawumbe ukhuluma ngobuhlungu obuncane ohlangothini lwesisu sakho? Namuhla, sizokhuluma ngesimo esingabangela lokhu, kodwa akukhulunywa kakhulu ngaso. Lokhu kubizwa ngokuthi i-Ureteropelvic Junction Obstruction, noma i-UPJ Obstruction ngamafuphi.
Kalula nje, kuyini i-UPJ Obstruction?
Ukuze siqonde lokhu, ake siqale sibheke ukuthi izinso zethu zisebenza kanjani. Cabanga ngezinso zethu njengezihlungi ezimbili zamanzi. Igazi elisemzimbeni wethu liyahlungwa, bese ukungcola namanzi angadingekile akulo kuqoqwa bese kwenziwa umchamo.
Umchamo owakheka ngale ndlela uqoqana engxenyeni efana ne-funnel ngaphakathi kwezinso (i-renal pelvis) . Bese, umchamo uhamba ngepayipi elincane (i-ureter) eliqala kulo mchamo bese liqoqana esinyeni.
Indawo lapho i-kidney funnel kanye ne-ureter eqala khona kuhlangana khona yilokho esikubiza ngokuthi i-Ureteropelvic Junction (UPJ).
Manje usuyaqonda, akunjalo? Ukuvalwa kwe-UPJ kwenzeka lapho kukhona ukuvaleka noma ukuvinjelwa kuleyo ndawo yokuhlangana, okungukuthi, lapho i-funnel kanye ne-tube kuhlangana khona. Njengoba nje ipayipi elikusinki livaleka, umchamo awukwazi ukwehla bese uqala ukugcwala ngaphakathi kwezinso. Ngokwezokwelapha, lokhu kubizwa ngokuthi (i-Hydronephrosis) lapho izinso zigcwala umchamo.
Lesi simo sivame ukuzalwa futhi sivame ukuthinta inso eyodwa kuphela.
Ingabe lesi simo sibucayi?
Yebo, i-UPJ Obstruction yisimo esidinga ukunakekelwa. Ngoba, uma singelashwa kahle, izinso zingalimala futhi umsebenzi wazo ungancishiswa ngenxa yokugcwala komchamo ngaphakathi kwezinso isikhathi eside. Ezimweni ezimbi kakhulu, izinso zingase zingabi naso nhlobo isidingo sokusebenza kahle (ukwehluleka kwezinso).
Kodwa ungakhathazeki. Uma itholakale kusenesikhathi futhi yelashwa kahle, ingelapheka ngokuphelele. Iningi lezingane lingaphila impilo enempilo ngaphandle kwemiphumela yesikhathi eside.
Ziyini izimpawu zalesi simo?
Izimpawu ze-UPJ Obstruction zingahluka ngokweminyaka. Ngezinye izikhathi ingane encane ingase ingakhombisi zimpawu. Kodwa-ke, kunezimpawu ezithile ezivamile ezingabonakala.
| Isibonakaliso | Incazelo elula |
|---|---|
| Ifindo esiswini elibamba isandla | Uma izinso zivuvukala ngenxa yokugcwala kwesinyi, zingase zizwakale njengeqhubu ohlangothini lwesisu. |
| Ukutheleleka okuvamile komgudu womchamo (UTIs) | Ngenxa yokuthi umchamo uhlala endaweni eyodwa, izifo ezibangelwa amagciwane zingavela kalula, okungaholela ekushiseni. |
| Ubuhlungu besifuba | Ungase ube nomuzwa wokuqaqamba ngaphezu kwesinqe kanye nasemhlane, ikakhulukazi ngemva kokuphuza uketshezi oluningi, njengamanzi. |
| Amatshe ezinso | Ngenxa yokuthi umchamo uhlala endaweni eyodwa, kunengozi yokuthola amatshe ezinso ngokuhamba kwesikhathi. |
| Igazi emchameni (i-Hematuria) | Ngezinye izikhathi umchamo ungaba pinki noma ube bomvu. |
| Isicanucanu nokuhlanza | Ukucanuzela nokuhlanza kungase kwenzeke, ikakhulukazi ngesikhathi sokuqaqamba kwemisipha. |
| Ukukhubazeka kokukhula | Ukwanda kwesisindo nokukhula ezinganeni ezincane kungase kuphazamiseke. |
Iyini imbangela yalokhu? Kungani lokhu kwenzeka?
Izimbangela zokuzalwa
Ezimweni eziningi, ngaphezu kwama-95% wamacala, i-UPJ Obstruction yisimo sokuzalwa.Lokhu kusho ukuthi ukuvaleka kwenzeka ngoba izinso kanye nomgudu womchamo akwakhi kahle ngesikhathi umntwana ekhula esibelethweni. Imbangela yangempela yalokhu ayikatholakali. Kuyenzeka nje.
Into ebaluleke kakhulu ukuthi lokhu akubangelwa yiphutha lakho (noma labazali bakho). Ungazizwa kabi uma ucabanga ukuthi lokhu kungenxa yokuthile okudlile, okuphuzile, noma okwenzile ngesikhathi sokukhulelwa.
Ngezinye izikhathi, lokhu kuvinjelwa kungabangelwa nawumthambo wegazi ohambisa igazi ezinso elidlula endaweni engafanele, okungukuthi ngaphezu kwejoyinti le-UPJ.
Izimbangela ezenzeka ebudaleni
Lesi simo asivamile kakhulu kubantu abadala. Uma sivela, singabangelwa yilokhu okulandelayo:
- Ukuvaleka kwamatshe ezinso
- Ukutheleleka kwepheshana lomchamo eliphezulu
- Izibazi ngemva kokuhlinzwa kuleyo ndawo
- Ukuvuvukala engxenyeni engenhla yesistimu yomchamo
Ukuthola kanjani lokhu, Dokotela?
Lesi simo sivame ukutholakala ngesikhathi sokukhulelwa, ngaphambi kokuba umntwana azalwe, ngesikhathi sokuhlolwa kwe-ultrasound . Uma ukuhlolwa kukhombisa ukuthi enye yezinso zomntwana ivuvukele ngaphezu kobukhulu obujwayelekile (i-hydronephrosis), odokotela bazosola lokhu.
Ngemva kokuzalwa komntwana, kungase kwenziwe ezinye izivivinyo eziningana ukuqinisekisa lesi simo nokubona ukuthi umonakalo ongakanani owenzekile ezinso.
| Ukuhlolwa | Lokhu kwenzani? |
|---|---|
| Ukuhlolwa kwegazi nomchamo (Ukuhlolwa Komchamo) | Hlola ukusebenza kwezinso (i-BUN, i-Creatinine) kanye nokutheleleka komgudu womchamo. |
| Ukuskena kwe-Ultrasound | Thola isithombe esicacile sobukhulu, ukuvuvukala, kanye nokwakheka kwezinso. |
| Ukuskena Kwezinso (Ukuskena Kwezinso / Ukuskena Kwenuzi) | Yilokho kanye abakwenzayo. Bafaka inani elincane lezinto ezikhipha imisebe emthanjeni bese bebheka ukuthi lidlula ngokushesha kangakanani ezinso nokuthi ligeleza ngokushesha kangakanani. Ukugeleza komchamo ohlangothini lapho kukhona khona ukuvaleka kuhamba kancane kakhulu. |
| Iskeni se-CT noma se-MRI | Ngezinye izikhathi lokhu kusetshenziselwa ukuthola izithombe ezinemininingwane eminingi zezinso nezindawo ezizungezile. |
Yiziphi izindlela zokwelapha lokhu?
Indlela yokwelapha inqunywa yizici eziningi, njengobunzima bokuvinjelwa, ukusebenza kwezinso, kanye nobudala bengane.
1. Ukulinda Ngokuqaphile
Ungamangali, iningi lezingane ezizalwa nalesi simo ziqale zelashwe ngokuhlolwa ngaphandle kokuhlinzwa. Lokhu kungenxa yokuthi kunethuba elihle lokuthi ukuvaleka kuzophela ngokwako njengoba ingane ikhula. Lokhu kungenzeka ezinyangeni ezingu-18 zokuqala zokuphila kwengane.
Phakathi nalesi sikhathi, udokotela uzokwenza ukuhlolwa kwe-ultrasound ngezikhathi ezithile ukuhlola noma yikuphi ukuvuvukala kwezinso. Angase futhi aqhubeke nokunikeza ama-antibiotic aphansi ukuvimbela ukutheleleka komgudu womchamo.
2. Ukuhlinzwa
Uma ukuvuvukala kwezinso kukhuphuka ngesikhathi sokubheka, uma ukusebenza kwezinso kwehla, uma ingane iba nezinhlungu njalo, noma uma ukuminyana kungathuthuki ngemva kwezinyanga ezingu-18, udokotela uzoncoma ukuhlinzwa.
Ukuhlinzwa okuyinhloko okwenziwa kulokhu kubizwa ngokuthi i-Pyeloplasty .
- I-Pyeloplasty: Lokhu kuhilela ukusika ingxenye evalekile, encishisiwe ye-ureter bese uxhumanisa i-ureter enempilo nezinso. Lokhu kudala indlela ebanzi yokugeleza komchamo. Lokhu kuhlinzwa kuphumelele kakhulu (kuphumelele ngaphezu kuka-95%).
- Lokhu kuhlinzwa kungenziwa njengokuhlinzwa okuvamile okuvulekile noma ngokusikwa okuncane, njengokuhlinzwa kwe-laparoscopic.
Enye indlela yokwelapha i- Endopyelotomy . Kulokhu, ngaphandle kokusikwa, ikhamera encane (i-endoscope) idluliselwa ku-urethra, bese ukuvaleka kuyasikwa ngaphakathi futhi kukhuliswe. Kodwa-ke, lokhu akuphumelelanga kangako kune-Pyeloplasty.
Kwenzekani ngemva kokwelashwa?
Ngokuvamile kuthatha cishe amasonto amabili kuya kwamane ukululama ngokuphelele ngemva kokuhlinzwa. Kodwa kuyahlukahluka kumuntu nomuntu. Udokotela wakho uzokuchazela lokhu ngokuningiliziwe.
Uma kutholakale kusenesikhathi futhi kwelashwa kahle, isimo salesi simo siba sihle kakhulu . Iningi lezingane lingaphila impilo evamile ngaphandle kwezinkinga zesikhathi eside.
Kunini lapho udinga ukubonana nodokotela?
Uma wena noma ingane yakho ninezimpawu ezilandelayo, bonana nodokotela ngokushesha.
- Uma kukhona igazi emchameni
- Uma kukhona ifindo esiswini sakho ongeke ukwazi ukulithola
- Uma uzwa ubuhlungu esiswini noma emhlane
- Uma unomkhuhlane (ikakhulukazi uma unesifo somgudu womchamo)
- Uma ingane encane ingakhuli futhi ibonakala sengathi ayiphumeleli kahle
Kubaluleke kakhulu: Uma ungakwazi ukuchama, okusho ukuthi umchamo wakho uvalekile ngokuphelele, hamba uye egumbini lezimo eziphuthumayo esibhedlela esiseduze (ETU) ngokushesha.
Kuvamile ukuzizwa ukwesaba okukhulu nokukhathazeka uma uzwa ngalesi simo, ikakhulukazi kumama okhulelwe. Ungase uzibuze, "Ingabe ngenze into engalungile?" Kodwa khumbula, lokhu akulona iphutha lomuntu. Kuyenzeka nje. Into ebalulekile ukuthi, kunezindlela zokwelapha eziphumelela kakhulu zalokhu. Khuluma nodokotela wakho ngalokhu ngokukhululekile. Mbuze noma yimiphi imibuzo ongase ube nayo.
Umlayezo Wokuya Nawe Ekhaya
- Ukuvalwa kwe-UPJ ukuvaleka okwenzeka lapho kuhlangana khona izinso kanye ne-ureter.
- Lokhu kuvame ukuba yisimo sokuzalwa, futhi akubangelwa yiphutha labazali.
- Lesi simo singatholakala okokuqala ngokuskena ngesikhathi sokukhulelwa.
- Kunethuba elihle lokuthi lesi simo ezinganeni ezincane sizozixazulula ngokwaso ngokuhamba kwesikhathi, ngaphandle kokwelashwa.
- Uma kungapholi noma uma isimo sibi kakhulu, ukuhlinzwa okubizwa ngokuthi i-Pyeloplasty kungelashwa ngempumelelo enkulu.
- Uma unezimpawu zokutheleleka komgudu womchamo njengegazi emchameni wakho, ubuhlungu besisu, noma umkhuhlane, bona udokotela wakho ngokushesha.
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho