Ingabe ingane yakho encane inezinkinga zomchamo ezivame kakhulu? Lokhu kungaba yi-Vesicoureteral Reflux (VUR)!

Bomama nobaba, ingabe ingane yenu encane ithola izifo zomgudu womchamo njalo (UTIs)? Noma ingabe inenkinga yokuchama , noma ingabe inomkhuhlane? Ngezinye izikhathi imbangela yalokhu kungaba yisimo esingakhulumi kakhulu ngaso, kodwa kufanelekile ukusazi. Namuhla, ake sixoxe ngalesi simo esibizwa ngokuthi i-Vesicoureteral Reflux , noma i-VUR ngamafuphi. Ungakhathazeki, lokhu kuyinto engelapheka ngokuphelele ezimweni eziningi uma iqondwa kahle futhi yelashwa ngesikhathi.

Kuyini i-Vesicoureteral Reflux (VUR)? Masiyiqonde kalula.

Kalula nje, i-VUR isho ukuthi umchamo wethu, okungukuthi, umchamo, ugeleza ngendlela engafanele. Cabanga ngale ndlela, njengoba kufanele. Uhlelo lomchamo lomzimba wethu lusebenza njengomgwaqo ohamba ngendlela eyodwa.

Nakhu ukuthi kwenzeka kanjani:

• Izinso zethu zikhiqiza umchamo. Ngokuvamile sinezinso ezimbili.
• Ngemuva kwalokho, lo mchamo uhamba ngemibhobho emibili emincane ebizwa ngokuthi ama-ureter bese uqoqana esinyeni . Isinye sinjengebhaluni elikhula ukuze liqoqe umchamo .
• Uma sichama , umchamo oqoqwe esinyeni uphuma emzimbeni ngepayipi elibizwa ngokuthi i-urethra .

Uyaqonda manje? Lokhu kufana namanzi aphuma ethangini lamanzi ngepayipi bese ephuma empompini. Into ebalulekile ukuthi ama-ureter, lapho axhuma khona nesinye, asebenze njenge -valve eqondene nenye indlela . Okusho ukuthi, uma umchamo usufike esinyeni, awuvunyelwe ukubuyela phezulu, okungukuthi, eduze kwama-ureter uye ezinso.

Kodwa-ke, kumuntu one-VUR, kunenkinga encane ngale nqubo. Ngenxa yokuthi leyo valve ayisebenzi kahle, umchamo osesinyeni ugeleza ubuyele phezulu, uye kwelinye noma kuzo zombili izitho zomchamo, futhi ngezinye izikhathi uye ezinso. Yilokhu esikubiza ngokuthi i-reflux .

Lesi simo sivame kakhulu ezinsaneni ezisanda kuzalwa, ezinsaneni ezinezinyanga ezimbalwa ubudala, kanye nasezinganeni ezineminyaka engaba mibili ubudala . Kodwa-ke, singase sivele nasezinganeni ezindala kanye, okungavamile kakhulu, kubantu abadala.

Into ebaluleke kakhulu ukuthi uma umchamo ugeleza ubuyela emuva kanje, amagciwane esinyini angahamba aye ezinso futhi abangele ukutheleleka kwezinso . Uma lokhu kutheleleka kwezinso kungelashwa kahle, kungabangela umonakalo ohlala njalo ezinso. Yingakho kubalulekile ukuqaphela i-VUR.

Kodwa ungakhathazeki. Kunezindlela zokwelapha i-VUR. Ukwelashwa kuncike eminyakeni yengane, uhlobo lwezimpawu, kanye nobunzima be-VUR. Ezinye izimo ezincane azidingi ukwelashwa futhi zizolulama ngokwazo njengoba ingane ikhula. Kodwa ezinye izingane zingadinga imithi noma ukuhlinzwa ukuze kumiswe umonakalo wezinso zazo.

Ingabe zikhona izinhlobo ze-VUR?

Yebo, kunezinhlobo ezimbili eziyinhloko ze-VUR.

• I-VUR Eyinhloko: Lolu uhlobo oluvame kakhulu. Esikhathini esiningi, luthinta uhlangothi olulodwa kuphela lwe-urethra kanye nezinso (lokhu kubizwa ngokuthi i-unilateral reflux ). Ku-VUR eyinhloko, kunesici esincane lapho i-urethra ixhumana khona nesinye ngesikhathi sokuzalwa. I-valve esikhulume ngayo ayivali kahle, ngakho-ke umchamo ugeleza ubuyela emuva.
• I-VUR yesibili: Lokhu kubangelwa ukuvaleka endaweni ethile ohlelweni lomchamo. Isibonelo, ukuvaleka kwe-urethra kungabangela ukuthi umchamo ugeleze emuva, okubangela ukucindezeleka ngaphakathi kwesinye ukuthi kuqongelelane. Noma, kungabangelwa inkinga ngemizwa esesinyeni evimbela ukuthi sinciphe kahle futhi ibangele ukuthi umchamo ugeleze emuva. Izingane ezine-VUR yesibili zivame ukuba ne-ureter nezinso ezithintekile (lokhu kubizwa ngokuthi i-bilateral reflux ).

Ubunzima (isigaba) se-VUR bunqunywa kanjani? (Amabanga e-VUR)

Kunezigaba ezinhlanu, noma amamaki, okuthi i-VUR inzima kangakanani. Ibanga loku-1 lincane kakhulu, kanti iBanga lesi-5 linzima kakhulu. Leli banga linquma:

• Ukuthi umchamo ugeleza kangakanani uye phezulu naphansi ohlelweni lomchamo.
• Ukuthi i-urethra ibanzi noma ivuvukele kangakanani.

Nazi lezo zigaba ezinhlanu:

• Ibanga 1: Umchamo ugeleza ubuyela emuva ungene ku-urethra, kodwa i-urethra inobubanzi obujwayelekile.
• Ibanga lesi-2: Umchamo ugeleza ubuyela emuva eduze kwe-ureter uze ufike engxenyeni yokuqala yezinso lapho umchamo uqoqana khona (i-kidney pelvis) . Kodwa-ke, i-ureter noma leyo ngxenye yezinso ayikakhuli.
• Ibanga lesi-3: Ama-ureter, i-kidney pelvis, kanye nama-calyces (indawo lapho umchamo uqala ukuqoqana khona esinyeni) akhula kancane ngenxa yokugeleza komchamo emuva.
• Ibanga lesi-4: Ama-ureter asontekile futhi avuleke kancane ngoba umchamo omningi ugeleza emuva. Lezo zingxenye zezinso nazo zivuleke kancane.
• Ibanga lesi-5: Ama-ureter akhubazeke kakhulu futhi akhulisiwe ngenxa yokugeleza komchamo ngokweqile emuva. Imigudu eqoqayo yezinso nayo inkulu kakhulu.

Ivame kangakanani i-VUR?

Uma ubheka umhlaba wonke,Kulinganiselwa ukuthi phakathi kuka-1% no-3% wezingane zine-VUR. Ngaphezu kwalokho, ama-75% kuphela ezingane ezine-VUR angamantombazane .

Ziyini izimpawu ze-VUR?

Esikhathini esiningi, ingane ene-VUR ngeke ibonise zimpawu. Kodwa-ke, uma kuvela izimpawu, uphawu oluvame kakhulu ukutheleleka komgudu womchamo (UTI) . Eminye imibiko iphakamisa ukuthi phakathi kuka-30% no-50% wezingane ezithola i-UTI zingase zibe ne-VUR!

Uma ingane ine-UTI, bheka izimpawu ezifana nalezi:

• Isidingo sokuchama njalo.
• Ukusha kanye nobuhlungu lapho uchama .
• Ubuhlungu besifuba ubuhlungu esiswini noma emhlane ongezansi (ohlangothini lwesisu).
• Amaconsi ambalwa omchamo .
• Umbala womchamo ushintshile, waba nsundu omnyama futhi unephunga elibi.
• Umzimba uyashisa futhi ushise.

Kodwa-ke, kungaba nzima kancane ukubona ukuthi umntwana oncelisayo une-UTI. Angase akhale kakhulu, angaphuzi, noma enze izinto ezidala ukungezwani.

Ingabe i-VUR ibuhlungu?

Cha, i-VUR ngokwayo ayibuhlungu. Kodwa-ke, uma i-VUR ibangela i-UTI, khona-ke ungase uzwe ubuhlungu lapho uchama , ubuhlungu bezinso/besisu.

Yini ebangela i-VUR?

Izinhlobo ezimbili ze-VUR esixoxe ngazo ngaphambilini, i-VUR eyinhloko kanye ne-VUR yesibili, zinezimbangela ezahlukene.

• I-VUR Eyinhloko: Lokhu kubangelwa ukukhubazeka kokuzalwa ku-valve ephakathi kwe-ureter kanye nesinye. Ayivali kahle, okuvumela umchamo ukuthi ugeleze emuva ungene ezinso. Izindaba ezinhle ukuthi njengoba ingane ikhula, njengoba izitho zomzimba zivuthwa, le valve izoqala ukuvala kahle, futhi i-VUR eyinhloko ivame ukuba ngcono ngokwayo.
• I-VUR yesibili: Imbangela eyinhloko yalokhu ukuvaleka noma ukuncipha kwentamo yesinye noma i-urethra. Le nkinga ibangela ukuthi umchamo ugeleze emuva uye emgudwini womchamo esikhundleni sokuphuma. Noma, imizwa elawula isinye ingase ingasebenzi kahle. Le nkinga ibangela ukuthi isinye sifinyele futhi siphumule, okuvimbela ukukhishwa komchamo . Ku-VUR yesibili, i-VUR yamazwe amabili ivame kakhulu.

Yiziphi izinto ezibangela lesi simo?

Kunezici ezithile eziyingozi ezingathinta ukuthuthukiswa kwe-VUR:

• Izakhi zofuzo: I-VUR ivame ukwenzeka emindenini. Uma ingane eyodwa emndenini ine-VUR, kunethuba elingaphezu kwelilodwa kwabane lokuthi umfowabo noma udadewabo nabo bazoba ne-VUR. Uma noma yimuphi umzali ene-VUR esengumntwana, kunethuba elicishe libe linye kwathathu lokuthi ingane nayo izoba ne-VUR.
• Izinkinga zokuzalwa:Izingane ezinezinkinga zokuzalwa nezinso noma uhlelo lomchamo zinamathuba amaningi okuthuthukisa i-VUR.
• Ukungasebenzi kahle kwesinyi kanye namathumbu (BBD): Izingane ezine-BBD zinenkinga yokuchama kanye nokuphuma indle ngendlela efanele. Lokhu kuvame ukubangelwa izinkinga zemisipha noma imizwa.
• Uhlanga nobulili: Izingane ezimhlophe, abesifazane kuthiwa zinamathuba amaningi okuthola i-VUR (kodwa kungenzeka kunoma yimuphi umntwana).

Yiziphi izinkinga ezingaba khona ngenxa ye-VUR?

Izingane ezine-VUR zingase zibe nezinkinga ezifana nalezi:

• Ukutheleleka komgudu womchamo (UTIs): Ukutheleleka kwesinyi, okuhlanganisa nokutheleleka kwezinso.
• Izinkinga zesinyi: ukungakwazi ukulawula umchamo (ukungakwazi ukuzibamba komchamo), ukuchama embhedeni, ukungakwazi ukukhipha umchamo ngokuphelele ( ukugcinwa komchamo).
• Umfutho wegazi ophezulu.
• Ukusha kwezinso, ukulimala kwezinso (isb., i-nephrotic syndrome), kanye nokwehluleka kwezinso okungapheli.

Kodwa khumbula, iningi lezingane ezine-VUR liyalulama ngaphandle kwezinkinga zesikhathi eside. Ngakho-ke kubalulekile ukungesabi futhi ulandele imiyalelo kadokotela wakho.

I-VUR ikhula kanjani kubantu abadala? (Lokhu akusikho okwezingane ezincane kuphela)

Nakuba kungavamile, abantu abadala nabo bangaba ne-VUR. Izimbangela ezingaba khona zifaka:

• Ukwanda kwendlala ye-prostate (`i-Benign prostate hyperplasia` - yamadoda)
• Ukungasebenzi kahle kwesinye ngenxa yokulimala kwemizwa (`Isinyi se-Neurogenic`)
• Ukuhlinzwa okwenziwe kuma-ureter.

Ingabe i-VUR ingadala amatshe ezinso?

Yebo, i-VUR ingabangela amatshe ezinso. Ingabangela futhi ukwakheka kwamatshe kwezinye izingxenye zesistimu yomchamo, njengesinyi.

Ingabe i-VUR isongela ukuphila?

I-VUR ngokwayo ayisongeli impilo. Kodwa-ke, i-VUR ingabangela izifo ezivame ukwenzeka emgudwini womchamo (ama-UTI), okungaholela ekulimaleni kwezinso, futhi ngokuhamba kwesikhathi, isifo sezinso singaholela ekucindezelekeni kwegazi okuphezulu (umfutho wegazi ophakeme wezinso) kanye nesifo sezinso. Uma uba nesifo sezinso esigabeni sokugcina, ungase udinge i-dialysis noma ukufakelwa izinso. Yingakho kufanele ukhathazeke nge-VUR.

Wazi kanjani ukuthi une-VUR? (Ukuxilongwa)

Uma ingane yakho kusolwa ukuthi ine-VUR, udokotela wakho wezingane uzokudlulisela kudokotela wezinzwa wezingane noma kudokotela wezinzwa wezingane .

Ukuze unqume ngokunembile ukuthi une-VUR, ungenza izivivinyo ezilandelayo:

• I-Voiding Cystourethrogram (VCUG): Lokhu ukuhlolwa kwe-X-ray. Kufakwa ipayipi elincane, elincane (i-catheter) e-urethra yengane bese kuthelwa idayi ekhethekile esinyini. Ngemuva kwalokho, kuthathwa ama-X-ray ngenkathi ingane ichama , ngaphambi nangemva kokuchama . La ma-X-ray abonisa ukuthi umchamo ugeleza usuka esinyini ungene e-urethra. Lokhu kungenziwa ehhovisi likadokotela, emtholampilo weziguli ezingalaliswa esibhedlela, noma esibhedlela. I-anesthesia ayidingeki, kodwa ezinye izingane zingase zinikezwe umuthi wokuzisiza ziphumule.
• Ukuskena nge-ultrasound: Lokhu ukuhlolwa okungenabuhlungu nokuphephile. Kusebenzisa amaza omsindo ukuthatha izithombe zesistimu yomchamo yengane yakho yonke (kufaka phakathi izinso kanye nesinye). Lokhu kwenziwa nasehhovisi likadokotela, emnyangweni weziguli ezingalaliswa esibhedlela, noma esibhedlela. Uma ufuna ukugwema ukuchayeka kuma-X-ray noma ezintweni ezikhipha imisebe, ungase ufune ukwenza i-ultrasound ngaphambi kwe-VCUG. Khumbula, ngezinye izikhathi ukuskena nge-ultrasound ngesikhathi sokukhulelwa kungabonisa izimpawu zokuthi ingane yakho ingaba ne-VUR (njengezinso ezivuvukele).
• Isikeni se-Dimercaptosuccinic acid (DMSA): Lokhu kuhlola ukuthi izinso zengane zonakaliswe yi-UTI.
• I-Radionuclide cystogram (RNC): Lolu futhi uhlobo lokuskena kwe-nuclear. Inani elincane lezinto ezikhipha imisebe lifakwa esinyeni sengane. Bese kuthi lapho ingane ichama noma ngemva kokuba esinyeni singenalutho, iskena sibheke izinto ezikhipha imisebe. Lokhu kwenziwa futhi nguchwepheshe oqeqeshwe ngokukhethekile, futhi udokotela we-radiologist uhlaziya izithombe. Lokhu futhi akudingi i-anesthesia, kodwa ezinye izingane zingase zinikezwe umuthi wokuzisiza ziphumule. I-RNC inozwela kakhulu kune-VCUG, kodwa ayinikezi imininingwane eminingi mayelana nesakhiwo sesinyeni.

Yiziphi ezinye izivivinyo okufanele zenziwe ezinganeni ezine-VUR?

Uma ingane yakho iqinisekisiwe ukuthi ine-VUR, lezi zivivinyo zizokwenziwa njalo:

• Ukuhlola umfutho wegazi: Izingane ezinezinkinga zezinso zinamathuba amaningi okuba nomfutho wegazi ophakeme.
• Ukuhlolwa kwegazi: Amazinga aphezulu e-protein noma i-creatinine egazini ayisibonakaliso sokulimala kwezinso.
• Ukuhlolwa komchamo kanye nokukhula kwawo: Amaprotheni emchameni awuphawu lokulimala kwezinso. Amagciwane emchameni awuphawu lokutheleleka.

Udokotela wengane yakho uzohlola nokungasebenzi kahle kwesinyi kanye namathumbu (i-BBD) . Izimpawu ze-BBD zifaka:

• Isidingo esiphuthumayo sokuchama njalo.
• Angivamile ukuya kochama , futhi sekuphele isikhathi eside.
• Ukumanzisa emini.
• Ukuqunjelwa - ukuhamba kwamathumbu okungaphansi kwezikhathi ezintathu ngesonto.
• Ukungakwazi ukulawula indle (ukungakwazi ukuzibamba).

Izingane ezinezimpawu ze-BBD kanye ne-VUR zisengozini enkulu yokulimala kwezinso ngenxa yokutheleleka.

Iphathwa kanjani i-VUR?

Ukwelapha i-VUR kudinga usizo lukadokotela. Ukwelashwa kuncike eminyakeni yengane yakho, izimpawu, uhlobo lwe-VUR, kanye nobunzima bayo. Izinketho zokwelapha zifaka phakathi ama-antibiotics kanye neminye imithi, umjovo wokugcwalisa okuncibilikayo, ukufakwa kwe-catheter yesikhathi esifushane, kanye nokuhlinzwa. Wena, udokotela wakho wezingane, kanye nabanye ochwepheshe nizoxoxa ngalezi zinketho zokwelapha bese nikhetha eyodwa engcono kakhulu enganeni yakho.

Ukwelashwa kwe-VUR Eyinhloko

I-VUR eyinhloko ingase ibe ngcono ngokwayo njengoba ingane ikhula (ngokuvamile cishe eminyakeni emi-5). Ngezinye izikhathi, indlela "yokulinda nokubona" ​​iyaphumelela. Kodwa ngezinye izikhathi, kudingeka ukuhlinzwa noma imithi.

Imithi

I-VUR eyinhloko ivame ukuba ngcono njengoba ingane yakho ikhula futhi uhlelo lwayo lomchamo luvuthwa. Kuze kube yileso sikhathi, udokotela wakho uzokunikeza umuthi wokulwa namagciwane ukuze avimbele i-UTI ukuthi ingenzeki noma ukuze ayiphathe uma isenzeka.

Kunemibono exubile mayelana nokunikeza ama-antibiotic isikhathi eside ukuze kuvinjelwe ama-UTI. Lokhu kungenxa yokuthi ukusetshenziswa kwama-antibiotic isikhathi eside kungaholela ekumelaneni nama-antibiotic kuma-bacteria. I-American Academy of Pediatrics (AAP) itusa ukuthi ama-antibiotic okuvimbela anikezwe kuphela izingane ezinamazinga aphezulu e-VUR (ngesikhathi zilinde ukuthi i-VUR yazo ikhule kusukela ebudaleni bazo).

Ukuhlinzwa

Odokotela basebenzisa izindlela ezahlukene zokuhlinzwa ukuze baphathe i-VUR eyinhloko. Umgomo oyinhloko wokuhlinzwa ukulungisa i-valve yendlela eyodwa (i-valve yendlela eyodwa) lapho kuhlangana khona isinyi ne-urethra, ukuvimbela umchamo ukuthi ugeleze emuva.

• Ukufakelwa kabusha kwe-Ureteral: Lokhu kubhekwa "njengendinganiso yegolide" yokuhlinzwa kwe-VUR. Umgomo uwukubeka kabusha i-ureter ukuze idlule emhubheni onobude obufanele odongeni lwesinye, kudalwe i-valve evimbela umchamo ukuthi ugeleze emuva. Udokotela ohlinzayo wengane yakho angenza lokhu kuhlinzwa njengokuhlinzwa okuvulekile (ngokusika esiswini sengane yakho) noma nge-laparoscopically (ngokusika okuncane nje). Udokotela ohlinzayo uzochaza izinzuzo kanye nokungalungi kwendlela ngayinye, kanye nemiphumela emibi engaba khona. Ukuhlinzwa kudinga i-anesthesia ejwayelekile , futhi kungadingeka uhlale esibhedlela izinsuku ezimbalwa.

• I-ejenti yokuhlanganisa ejovwayo: Enye indlela yokwelapha i-VUR eyinhloko iwukubaUkusebenzisa uketshezi olufana nejeli olubizwa ngokuthi i-hyaluronic acid/dextranomer (Deflux®) . Udokotela wengane yakho uzofaka inani elincane lalokhu odongeni lwesinyi sengane yakho, eduze komnyango we-urethra. Umjovo ubangela ukuthi izicubu lapho zivuvuke, zisebenze njenge-valve futhi zenze kube nzima ukuthi umchamo uphinde ugeleze phezulu. Lokhu kwenziwa emtholampilo wangaphandle (ingane yakho ingaya ekhaya ngalolo suku), kodwa futhi kudinga i-anesthesia ejwayelekile. Udokotela wakho uzokhuluma nawe ngezinzuzo kanye nokubi kwalokhu kwelashwa.

Ukwelashwa kwe-VUR yesibili

I-VUR yesibili yelashwa ngokususa ukuvaleka noma ngokuthuthukisa indlela isinye esikhipha ngayo amanzi. Ukwelashwa kungafaka:

• Ukuhlinzwa ukuze kususwe isithiyo noma kulungiswe isinyi noma i-urethra engakhekile ngendlela engavamile.
• Ukunikeza ama-antibiotic ukuvimbela noma ukwelapha i-UTI.
• Ukufakwa kwe-catheter ngezikhathi ezithile: Lokhu kuhilela ukufaka ipayipi elincane esinyeni ngokusebenzisa i-urethra ukuze kukhishwe isinye.
• Umuthi wemisipha yesinye.

Kwenzekani uma ingane yami ine-VUR?

Uma ingane yakho itholakale ine-VUR, sebenzisana eduze nethimba lakho lezokwelapha ukuze wakhe uhlelo lokwelapha olusebenzela umndeni wakho. Ukuphatha isimo esifana ne-VUR kungaba nzima kuwe nakwabanye abanakekeli bakho. Khuluma nethimba lezokwelapha lengane yakho mayelana nokukhathazeka kwakho nemibuzo. Izindaba ezinhle ukuthi i-VUR ingelapheka kakhulu, futhi ezinganeni eziningi, ayinayo imiphumela yesikhathi eside.

I-VUR ihlala isikhathi esingakanani? / Ingabe i-VUR iyancipha ngokuguga?

Ingane yakho ingase ibe ne-VUR isikhathi esingaphansi konyaka, kodwa asikho isikhathi esiqondile, njengoba kuyahlukahluka kuye ngesimo sengane. Ngezinye izikhathi udokotela wakho uzoncoma indlela "yokulinda ngokuqapha", noma ukuhlinzwa uma ukuhlolwa kubonisa ukulimala okukhulu kwe-VUR noma kwezinso.

Yebo, ingane yakho ingakhula iphume ku-VUR, ikakhulukazi uma i-VUR yokuqala iyibanga eliphansi (ibanga lokuqala noma lesibili). Izingane ezinalesi simo zivame ukululama zodwa phakathi neminyaka embalwa.

Ingabe ingane ene-VUR ingaya esikoleni?

Kuncike ebunzimeni bezimpawu zengane yakho. Khumbula, i-VUR ngokwayo ayiyona inkinga empilweni yansuku zonke yengane yakho, kodwa ingaba yinkinga uma kuvela i-UTI. Ingane yakho ingase ibe nobuhlungu, ukuqunjelwa, noma ukungakwazi ukuzibamba . Khuluma nodokotela wakho mayelana nokuthumela ingane yakho esikoleni noma ukudlala nabangani.

Ingabe ikhona indlela yokuvimbela i-VUR?

Ayikho indlela eyaziwayo yokuvimbela i-VUR - hhayi ngokudla, ukushintsha indlela yokuphila, noma ngemithi. Kodwa-ke, ingane yakhoKunezinto ongazenza ukuze ugcine impilo enhle yesistimu yomchamo iyonke:

• Ukunikeza ingane amanzi anele okuphuza .
• Ukushintsha inabukeni ngokushesha ngemva kokuba ingane ichamile noma ikhiphe indle.
• Ukukhuthaza ingane ukuthi ichame njalo, hhayi "ukuyibamba."
• Funa ukwelashwa kwezinkinga ezifana nokuqunjelwa, ukungakwazi ukuzibamba, noma ukungakwazi ukuzibamba ngokushesha okukhulu.

Kubalulekile futhi ukukhuthaza ukuzivocavoca umzimba nokuhlinzeka ngokudla okunempilo nokulinganiselayo ukuze ingane yakho ihlale iphilile.

Kufanele ngimbone nini udokotela mayelana ne-VUR?

Uma usola ukuthi une-UTI (okuvame ukuba uphawu lokuqala lwe-VUR), bona udokotela wezingane wengane yakho ngokushesha. Izimpawu ezifana nokungakwazi ukuzibamba komchamo , umkhuhlane ongachazeki, kanye nobuhlungu lapho uchama nazo zingabonisa i-VUR. Uma udokotela wezingane esola i-VUR, uzokudlulisela kuchwepheshe.

Yimiphi imibuzo okufanele uyibuze udokotela?

Khuluma nodokotela wengane yakho ukuze uthole izimpendulo zanoma yimiphi imibuzo onayo mayelana ne-VUR. Nansi eminye imibuzo ongayibuza:

• Ingabe i-VUR eyinhloko yengane yami izoba ngcono ngaphandle kokwelashwa?
• Ingabe ingane yami nayo inezinkinga zezinso?
• Ingabe kufanele ngibone uchwepheshe?
• Uphatha kanjani i-VUR yengane yami?
• Yimiphi imiphumela engaba khona yokushiya i-VUR ingelashwa?
• Yini engingayenza ekhaya ukusiza isimo sengane yami sithuthuke?
• Ingabe lesi simo sizobangela ubuhlungu enganeni yami?
• Ngingazi kanjani ukuthi i-VUR ithinta ezinye izitho noma imisebenzi yomzimba?
• Ungakuvimbela kanjani ukutheleleka komgudu womchamo?
• Ingabe ezinye izingane zami kufanele zihlolwe i-VUR?

Okokugcina, okufanele ukukhumbule (Umyalezo Wokuya Ekhaya)

I-VUR ngokuvamile ayibuhlungu noma ayibeki engcupheni impilo. Ingalawulwa, futhi ukwelashwa kuvame ukuphumelela. Nakuba kungekho ndlela yokuyivimbela, ungasiza ingane yakho ukuthi ihlale inamanzi, ivivinye umzimba, futhi idle ukudla okunomsoco ukuze ilondoloze impilo yayo iyonke. Themba ulwazi lukadokotela wakho. Bangakusiza ukuthi uxilonge futhi welaphe i-VUR yengane yakho. Unganqikazi ukukhuluma nayo ngemibuzo nezinto ezikukhathazayo. Vula futhi uthembeke ngezimpawu zengane yakho, noma ngabe kunzima ukukhuluma ngazo. Ukuqaphela kwakho nokulandela iseluleko sikadokotela wakho kuyindlela engcono kakhulu yokusiza ingane yakho ukuthi ibe ngcono.

` I-Vesicoureteral reflux, i-VUR, ukutheleleka komgudu womchamo, isifo somgudu womchamo wezingane, ukutheleleka komgudu womchamo, i-UTI, ukutheleleka kwezinso, impilo yengane