Chii chinonzi Vesicoureteral Reflux? Zviratidzo, Zvinokonzera, & Kurapa

Vesicoureteral reflux inoitika kana weti ikadzoka kubva pabladder yako kuenda kumatembere anobatanidza itsvo dzako nebladder yako. Funga nezvazvo sekwenda kwemotokari munzira imwe chete apo motokari dzinototanga kufamba munzira isiriyo. Iyi chirwere chakajairika muvana vaduku nevana vaduku, kunyange zvazvo ichigona kukanganisa vanhu vemazera ese.

Iyi chirwere chinoitika nekuti sisitimu yekuvhara apo ureter yako inosangana nebladder yako haishande zvakanaka. Mukushanda kwakanaka kwetsvo, weti inoyerera kubva kutsvo dzako ichidzika nemaruboshero anonzi ureters kuenda kubladder yako, wozoenda kunze kwemuviri wako. Kana uine vesicoureteral reflux, imwe yeyeti iyoyo inodzokera kutsvo dzako panzvimbo pekugara mu bladder yako.

Zviratidzo zvevesicoureteral reflux ndeapi?

Vanhu vazhinji vane vesicoureteral reflux havaoni zviratidzo zvachose, kunyanya kana chirwere ichi chichiri chiduku. Kana zviratidzo zvikaonekwa, kazhinji zvine chekuita nehutachiona hwekutambanudza, izvo zvinoitika kazhinji kana weti ikadzoka.

Aya ndiwo maratidzo akajairika anogona kuratidza vesicoureteral reflux, kunyanya muvana:

• Utachiona hwekutambanudza kazhinji hwakabatana nekupisa
• Kunzwa kwekupisa kana kurwadziwa pakuenda kumusana
• Kuda kuenda kumusana nekukurumidza kana kuenda kumusana kazhinji
• Kunetseka kwemwana akapedza kudzidziswa kuenda kumusana
• Weti yakasviba kana ine kunhuhwirira kwakasimba
• Kurwadziwa mudumbu kana divi
• Kunetseka kana kuomesa kwematumbo

Muvana vaduku nevana vaduku kwazvo, unogona kuona kusagadzikana, kudya kusina kunaka, kana kupisa kunosakara. Vana ava havagoni kukuudza zviri kuvavhiringidza, saka kupisa kunodzokororwa pasina chikonzero chakajeka kazhinji kunokurudzira vanachiremba kuti vatarisise matambudziko etsvo.

Vamwe vana vane reflux yakakomba vanogona kuva neBP yakakwira kana kuratidza zviratidzo zvekusakura zvakanaka. Zviratidzo izvi kazhinji zvinoitika kana mamiriro acho achangobva kuvapo kwenguva yakareba uye atanga kukanganisa basa reitsvo.

Marudzi evesicoureteral reflux ndeapi?

Vanachiremba vanokamura vesicoureteral reflux kuva makirasi mashanu zvichienderana nekuti mwando unofamba kure sei shure uye kuti unokanganisa sei system yekumisa mvura. Kirasi 1 ndiyo yakapfava, nepo Kirasi 5 iri yakakomba zvikuru.

MuKirasi 1 reflux, mwando unongodzokera shure muureter. Kirasi 2 inoreva kuti mwando unosvika kutsvo asi hausi kukonzera kuzvimba. Kirasi 3 inosanganisira kuzvimba kwakapfava kweitsvo yekuunganidza system.

Kirasi 4 reflux inokonzera kuzvimba kwakanyanya uye kupera kwemakona akasimba eitsvo. Kirasi 5 ndiyo yakakomba zvikuru, ine kuzvimba kwakanyanya uye kuchinja kukuru kumuitiro weitsvo. Kirasi dzakakwirira dzine njodzi yakakura yekukuvara kwekitsvo uye kazhinji dzinoda kurapwa kwakanyanya.

Kunewo marudzi maviri makuru zvichienderana nekuti mamiriro acho anoitika riini. Primary vesicoureteral reflux iripo kubva pakuberekwa nekuda kweureter pfupi kana matambudziko ekubatanidza kweureter nemarara. Secondary reflux inoitika gare gare nekuda kwekuvhara, hutachiona, kana zvimwe zvinhu zvinokanganisa kufamba kwemwando.

Chii chinokonzera vesicoureteral reflux?

Kazhinji kesi dzevesicoureteral reflux dzinowanikwa nekuda kwekuti system yekumisa mvura yemwana inobudirira sei usati wazvarwa. Iyo valve mechanism kwaunosangana ureter nemarara ingave isina kuumbwa zvakanaka, ichigadzira nzira yekuti mwando uende shure.

Muprimary reflux, ureter inopinda mubladder pane kona isina kunaka kana tunnel kuburikidza nedumbu remadziro iri pfupi zvakanyanya. Izvi zvinoreva kuti system yemuchina chaiyo haina kuvhara zvakanaka kana bladder yazara nemwando. Sezvo vana vakakura, ureters yavo kazhinji inorebesa uye kona inokura, ndosaka nyaya dzakawanda dzichinzwa pachayo.

Secondary reflux inoitika kana chimwe chinhu chakavharika kana kukanganisa kuyerera kwemukaka. Heano makonzo makuru anokonzera rudzi urwu:

• Kusashanda zvakanaka kwevesicle kana tsandanyama dzevesicle dzinoshanda zvakanyanya
• Kutopisa kazhinji kunomanikidza vesicle
• Neurogenic bladder kubva kumatambudziko emutsipa wemutsipa
• Zvinhu zvisina kujairika senge ureters yakawanda
• Zvirwere zvakakomba zvekuyerera kwemukaka zvinokonzera kuzvimba
• Matombo emuviri kana mamwe matambudziko
• Kuoperezwa kare kwemasystem ekutsvaira

Dzimwe nguva reflux inoitika mumhuri, zvichiratidza kuti genetics inogona kutamba basa. Kana mwana mumwe chete ane vesicoureteral reflux, vanin’ina vane mukana we25-30% wekuve nayowo. Uhu hukama hwemhuri ndicho chikonzero nei vanachiremba kazhinji vanokurudzira kuongorora vanin’ina vevana vakabatwa.

Zvisingawanzoitika, mishonga kana nzira dzekurapa dzinogona kukonzera reflux kwenguva pfupi. Mashoko akanaka ndeakuti aya mamiriro kazhinji anovandudzika kana chikonzero chiripo chagadziriswa.

Rini unofanira kuona chiremba nezve vesicoureteral reflux?

Unofanira kubata nachiremba wako kana mwana wako ane zvirwere zvinodzokorora zvekuyerera kwemukaka, kunyanya kana zvichiuya nefevha. Kunyange UTI imwe chete mumwana mudiki ane makore pasi pe2 inoda kuongororwa, sezvo boka iri remakore rine njodzi yakakwira yekubatanidzwa kweitsvo.

Dana kune wako mutariri wehutano kana ukaona zviratidzo zvekuyerera kwemukaka kwechirwere chisingavandudzi nekurapa kana kuramba kuchidzoka. Izvi zvinogona kusanganisira fivha, kurwadziwa panguva yekutsvaira, kuyerera kwemukaka kazhinji, kana mukaka une kunhuhwirira kwakasimba.

Tsvaga rubatsiro rwekurapa nekukurumidza kana mwana wako akawana fivha yakakwira nekurwadziwa kumashure kana padivi, sezvo izvi zvingaratidza chirwere cheitsvo. Zvimwe zviratidzo zvinokurumidza zvinosanganisira kurwadziwa kwakanyanya mudumbu, kurutsa nefivha, kana zviratidzo zvekushaya mvura senge kuderedzwa kwekuyerera kwemukaka kana kusagadzikana kwakanyanya muvana.

Kune vana vakuru nevakuru, shanyirai chiremba kana muine UTIs dzakawanda, ropa mumukaka, kana kurwadziwa kwenguva refu kumusana. Kunyange zvazvo vesicoureteral reflux isingawanzoitika kuvakuru, inogona kuitika uye inoda kuongororwa kwakakodzera.

Zvinhu zvinokonzera ngozi yevesicoureteral reflux ndeapi?

Zvinhu zvakati wandei zvinogona kuwedzera mukana wekuwana vesicoureteral reflux, kunyange zvazvo kuva nezvinhu izvi zvengozi hazvirevi kuti uchawana mamiriro acho. Kunzwisisa izvi kunobatsira mhuri kuziva nguva yekutarisa zviratidzo.

Zera ndiro chinhu chikuru chinokonzera ngozi, mamiriro acho achiwanzoitika kuvana vaduku nevana vaduku. Vasikana vanowirwa zvakanyanya kupfuura vakomana, kunze kwepagore rekutanga rehupenyu apo vakomana vane huwandu hukuru. Anatomy yemukadzi, ine urethra pfupi, inogona kuita kuti hutachiona hwekutambudzika hwemuviri huwedzere kuitika izvo zvinogona kuratidza reflux iri pasi.

Nhoroondo yemhuri ine basa rakakura pakukonzera ngozi. Kana mubereki akave nevesicoureteral reflux semwana, vana vavo vane mukana we25% wekuve nayowo. Hama dzevana vanorwarawo dzine ngozi yakawedzera, ndosaka vanachiremba vachikurudzira kuongorora nhengo dzemhuri.

Zvimwe zvirwere zvinogona kuwedzera zvinhu zvinokonzera ngozi:

• Spina bifida kana mamwe matambudziko emuviri wesponda
• Mamwe matambudziko ekuberekwa eitsvo kana urinary tract
• Kutambudzika kwenguva refu kana matambudziko emudumbu
• Kusashanda kwemukati kana matambudziko ekubuda
• Posterior urethral valves muvakomana
• Prune belly syndrome

Zvinhu zvine chekuita nemafambisirwo emuviri senge kusapinda kazhinji kana kubata mukaka kwenguva yakareba zvinogona kuipa reflux iripo. Vamwe vana vanomirira kwenguva yakareba kushandisa imba yekugezera kana vasina kuzadza mabhura avo zvizere vangave nematambudziko akawanda ne reflux.

Rudzi nerudzi zvinokanganisawo njodzi, nechirwere ichi chiri chakajairika muvana veCaucasian uye chisingawanzoitika muvana veAfrica America. Zvikonzero zvekusiyana uku hazvina kunzwisiswa zvizere asi zvinogona kubatana nezvinhu zvemajini zvinokanganisa kukura kwema urinary tract.

Zvii zvinogona kuitika kana vesicoureteral reflux?

Nyaya huru ine vesicoureteral reflux ndeyekuti inogona kukonzera kukuvara kweitsvo nekufamba kwenguva, kunyanya kana kuzvimba kwema urinary tract kuchitika kakawanda. Kana urine ine mabhakitiriya ikadzoka kutsvo, inogona kukonzera kuzvimba kunokuvadza tishu reitsvo.

Kukuvara kweitsvo, kunonziwo reflux nephropathy, ndicho chikonzero chakakomba kwazvo. Kukuvara uku kunogona kukanganisa mashandiro eitsvo dzako ekuchunga tsvina uye kuchengetedza kumanikidza kwakakodzera kweropa. Muzviitiko zvakakomba, zvinogona kukonzera chirwere cheitsvo chekare, kunyange zvazvo izvi zvisingawanzoitika nekutarisirwa kwakakodzera kwemishonga.

Heano matambudziko makuru anogona kukura pasina kurapwa kana vesicoureteral reflux yakakomba:

• Kuitika kakawanda kwekuzvimba kwema urinary tract
• Kukuvara kweitsvo nekukuvadzwa kwenguva refu
• Kumanikidza kwepamusoro kweropa (hypertension)
• Protein muurine
• Chirwere cheitsvo chekare
• Kukundikana kweitsvo mumamiriro ezvinhu akakomba, asingawanzoitika
• Matambudziko ekukura muvana vane kukuvara kwakakomba kweitsvo

Mashoko akanaka ndeawo ekutarisa nekurapwa kwakakodzera, vana vazhinji vane vesicoureteral reflux vanodzivirira matambudziko akakomba. Zviitiko zvishoma kazhinji zvinopera zvega sezvo vana vakakura, uye kunyange zviitiko zvakanyanya zvinogona kutarisirwa zvakanaka nekutarisirwa kwemishonga.

Pamimba inogona kuve nepfungwa dzakakosha kune vakadzi vaive nevesicoureteral reflux sevana. Kunyange zvazvo vakadzi vazhinji vane nhoroondo yekudzoka kweropa vane pamuviri yakajairika, avo vane kukuvara kweitsvo vangada kutarisirwa kwakanyanya kumanikidza kwepamusoro kweropa kana kuchinja kwemabasa eitsvo.

Zvisinganzowanzowanikwa, kuyerera kwakasimba kwemashure kwemafuta maviri (kutambura neitsvo mbiri) kunogona kukonzera kukuvara kukuru kweitsvo kunoda dialysis kana kupanwa. Zvisinei, nhanho iyi yematambudziko haina kujairika kana vana vakagamuchira kurapwa kwakakodzera uye kutevera.

Kuyerera kwemashure kwevesicoureteral kunogona kudzivirirwa sei?

Sezvo kuyerera kwakawanda kwemashure kwevesicoureteral kuripo kubva pakuberekwa nekuda kwekuti sisitimu yekumisa mvura inokura sei, hapana nzira yekudzivirira fomu huru yeiyi mamiriro. Zvisinei, unogona kutora matanho ekuderedza njodzi yematambudziko uye kuyerera kwemashure kwemashure.

Nzira inokosha yekudzivirira ndeyekudzivirira hutachiona hwekutambudzika, izvo zvinogona kuipa kuyerera kwemashure kuripo kana dzimwe nguva kukonzera kuyerera kwemashure kwemashure. Zvitsidzo zvakanaka zvekugeza zvine basa rakakosha mukugara uine hutano hwesisitimu yekumisa mvura.

Heano matanho anoshanda anogona kubatsira kudzivirira matambudziko:

• Kurudzira kuzadza kwakazara, kwakazara kwenguva dzose
• Iva nechokwadi chekuti unowana mvura yakakwana zuva nezuva
• Kurapa kuvimbiswa nekukurumidza uye zvinobudirira
• Ita zvekuchenesa zvepabonde zvakanaka
• Futa kubva pamberi kusvika kumashure mushure mekubvisa imba yekugezera
• Urinate nekukurumidza mushure mekuita zvepabonde (kune vechidiki nevakuru)
• Dzivisa kugeza mabhabu uye masoseji akaomarara munzvimbo yepabonde

Kune mhuri dzine nhoroondo yekuyerera kwemashure kwevesicoureteral, kuongororwa kwepamberi kwehama kunogona kubatsira kuziva mamiriro acho usati watanga matambudziko. Kunyangwe usingakwanisi kudzivirira kuyerera kwemashure pachako, kuibata nekukurumidza kunobvumira kuongororwa kwakanaka nekurapwa.

Kudzidzisa vana tsika dzekugeza dzakanaka kubva paudiki zvakakosha. Izvi zvinosanganisira kusabata mvura kwenguva yakareba, kutora nguva yekuzadza bhara rakazara, uye kuchengetedza kufamba kwematumbo nguva dzose kudzivirira kuvimbiswa.

Kana mwana wenyu akaonekwa aine vesicoureteral reflux, kutevera zano rerapidziro rakaunzwa nachiremba ndiko kuri nani kudzivirira matambudziko anogara kwenguva refu. Izvi zvinogona kusanganisira kushandisa mishonga inodzivirira mabhakitiriya, kuenda kunokurukura nachiremba nguva nenguva, uye kutarisa zviratidzo zvehutachiona hwemukati memukati.

Vesicoureteral reflux inoonekwa sei?

Kuona vesicoureteral reflux kunowanzo tanga kana mwana ane hutachiona hwemukati memukati hunogara uchizviitika kana vanachiremba vakaona zviratidzo pakuongororwa kwenguva dzose. Mupi wenyu wehutano achatanga nekutora nhoroondo yakakwana yehutano nemubvunzo wemumuviri.

Kuongororwa kukuru kunoshandiswa kuona vesicoureteral reflux kunonzi voiding cystourethrogram (VCUG). Pakuongororwa uku, chubhu duku chinopinzwa mudumbu kuburikidza neurethra, uye ruvara rwekuona runoshandiswa kuzadza mudumbu. Mifananidzo ye-X-ray inotorwa mwana achishandisa mvura kuti aone kana mvura inodzokera kumashure kuenda ku ureters.

Kunyangwe VCUG ichinzwa isingafadzi, inowanzo gamuchirwa zvakanaka uye inopa mufananidzo wakajeka we reflux. Kuongororwa uku kunoratidzawo giredhi re reflux, izvo zvinobatsira chiremba wenyu kuona nzira yekurapa iri nani.

Kuongororwa kuwedzerwa kunogona kukurudzirwa nachiremba wenyu kunosanganisira:

• Kidney ultrasound kuongorora matambudziko emuviri
• Nuclear scan (DMSA) kutsvaga kukuvara kweitsvo
• Urine culture kuongorora hutachiona hunoshanda
• Kuongororwa kweropa kuongorora kushanda kweitsvo
• Contrast-enhanced ultrasound mune dzimwe nguva

Kune vacheche nevana vaduku, vanachiremba vanogona kushandisa bvunzo yemishonga ye nyukliya inonzi nuclear cystogram panzvimbo peVCUG. Bvunzo iyi inoshandisa huwandu hudiki hwezvinhu zvinoratidza panzvimbo pe-X-rays uye inogona kusava nekusagadzikana kune vana vaduku chaizvo.

Kana mwana wenyu akawana UTIs dzakawanda, chiremba wenyu anogona kukurudzira kuongororwa kunyangwe zviratidzo zvimwe zvisiri pachena. Kuongororwa pakutanga kwakakosha nekuti kunobvumira kutarisa uye kurapwa usati kukuvara kweitsvo kwakaita.

Dzimwe nguva reflux inowanikwa netsaona pakuongororwa kwezvimwe zvirwere. Izvi zvakajairika zvikuru kana vana vachinge vaita ultrasounds nezvikonzero zvimwe, uye vanachiremba vakaona kuchinja muitsvo kunoratidza reflux inogona kunge iripo.

Kurapwa kwevesicoureteral reflux ndechii?

Kurapwa kwevesicoureteral reflux kunoenderana nezvinhu zvakati wandei, kusanganisira giredhi re reflux, zera romwana wako, kakawanda kwe UTIs, uye kana paine humbowo hwekukuvara kweitsvo. Zviitiko zvakawanda zvisina kuoma hazvidi kurapwa kunoshanda kunze kwekutarisa kwakanyatsojeka.

Kune reflux yegiredhi riri pasi (giredhi 1-2), vanachiremba vanowanzokurudzira nzira yekumirira nekuona nekuongororwa nguva dzose. Vana vazhinji vanokura reflux yakapfava sezvo ureters yavo ikakura uye nzira yevhavha inokura zvoga. Panguva ino, kudzivirira urinary tract infections kunova chinangwa chikuru.

Kudzivirira neantibiotic kunowanzo shandiswa kune vana vane UTIs inodzokororwa kana giredhi repamusoro re reflux. Mwana wako anotora chikamu chidiki chezuva nezuva cheantibiotic kudzivirira mabhakitiriya kukura munzira yekumisa mvura. Antibiotic dzakajairika dzinoshandiswa dzinosanganisira trimethoprim-sulfamethoxazole kana nitrofurantoin.

Heano maitiro makuru ekurapa chiremba wako angakurudzira:

• Kutarisa nguva dzose nekuongororwa nguva dzose
• Antibiotic shoma yezuva nezuva yekudzivirira
• Maitiro ekushoma ekushoma ekushoma
• Kuporesa kwemishonga (ureteral reimplantation)
• Robotic-assisted laparoscopic surgery

Kune reflux inepakati kusvika yakakomba isina kuvanduka kana inokonzera hutachiona hwakawanda, kurapwa kwemishonga kunogona kudiwa. Sarudzo isina kuoma ndeyekuisa zvinhu zvinowedzera pedyo neapo ureter inopinda mu bladder. Izvi zvinoita nzira yevhavha iri nani uye zvinoitwa sechirongwa chevarwere vekunze.

Kupokaniswa kwekuvhiya, kunonzi ureteral reimplantation, kunosanganisira kuisa ureter zvakare kuitira kuti ipinde mu bladder nekona iri nani ine gomba refu kuburikidza nemadziro e bladder. Kupokaniswa uku kune huwandu hwakakwirira hwekubudirira asi kunoda kugara muchipatara nekugara kwenguva refu.

Kupokaniswa kunobatsirwa nema robotic kunopa mhinduro dzakanaka dzakadai sekupukaniswa kwakajairwa kwekuvhura asi nekucheka duku uye zvichida kugara kwenguva pfupi. Chiremba wenyu achakurukura nzira iri nani zvichibva pane mamiriro ezvinhu emwana wenyu.

Sarudzo yekuti rini kuita kurapwa kwekuvhiya inotsamira pazvinhu zvakaita sekuzara kwehutachiona kunyangwe kuitisa mishonga inorwisa mabhakitiriya, kukuvara kweitsvo, kusarudza kwemhuri, uye kugona kwemwana kwekushandisa mishonga inorwisa mabhakitiriya kwenguva refu.

Maitiro ekutarisira vesicoureteral reflux pamba?

Kutarisira vesicoureteral reflux pamba kunotarisa pakudzivirira hutachiona hwe urinary tract uye kutsigira hutano hwese hwemwana wenyu hwemukati. Zviito zvakanaka zvezuva nezuva zvinogona kuita musiyano mukuru mukuderedza matambudziko uye kubatsira mwana wenyu kunzwa ari nani.

Zviito zvekuenda kuchimbuzi zvakakosha kuvana vane vesicoureteral reflux. Kurudzira mwana wenyu kuti aende kuchimbuzi nguva dzose zuva rese pane kuzvibata kwenguva refu. Iva nechokwadi chekuti vanotora nguva yakakwana yekusunungura bladder yavo zvizere, sezvo kukurumidza kunogona kusiya mvura yakasara inowedzera njodzi yehutachiona.

Heano mazano akakosha ekutarisira pamba:

• Iva nechokwadi chekuti unowana mvura yakakwana zuva nezuva, kunyanya mvura
• Gadzira nguva dzakajairwa dzekuenda kuchimbuzi maawa maviri kusvika matatu ega ega
• Rondedzera kuvimbiswa nekukurumidza nedya uye mvura
• Chengeta kuchena kwakanaka kwezvibatanwa zvepabonde
• Tarisa zviratidzo zvehutachiona hwe urinary tract
• Pa mishonga inorwisa mabhakitiriya yakapihwa sezvakarayirwa
• Chengeta bhuku rezviratidzo kana zvakarayirwa nachiremba wenyu

Kunwa mvura kunoita basa rakakosha mukubvisa mabhakitiriya mumasystem emuviri anotungamira kumuchacha. Kurudzira mwana wenyu kunwa mvura yakawanda zuva rese, asi dzivirirai huwandu hukuru usati warara kana kuchema usiku kuri nyaya.

Kunetsekana kunogona kuwedzera reflux nekumanikidza pamhepo uye kukanganisa maitiro ekumira kwemvura. Gadzirai zvokudya zvine fiber mune zvokudya zvemwana wenyu uye ita shuwa kuti vanonwa mvura yakakwana. Kana kunetseka kuchiramba, taurai nachiremba wenyu nezve nzira dzokurapa dzakachengeteka.

Tarisa zviratidzo zvepakutanga zvehutachiona hwekuchacha, sekufamba, kurwadziwa pakuchacha, kuchacha kazhinji, kana kuchinja muvara wemvura kana kunhuhwirira. Kubata hutachiona pakutanga kunobvumira kurapwa nekukurumidza uye kunogona kudzivirira kubva kusvika kumabvi.

Kana mwana wenyu ari kutora mishonga inodzivirira, mupei panguva imwe chete zuva rega rega uye pedzai kosi yose kunyangwe mwana wenyu achinzwa zvakanaka. Usambofa wakasiya zvikamu kana kumisa mushonga usati wataura nachiremba wako.

Ungagadzirira sei kuenda kuchipatara?

Kugadzirira kushanya kwako kuchipatara kunobatsira kuve nechokwadi chekuti unowana zvakanyanya kubva kumisangano yako uye usakanganwa mibvunzo yakakosha kana ruzivo. Tanga nekugara pasi chero zviratidzo zvawaona uye nguva yavakaitika.

Chengetedza dhairekitori rakareruka remaitiro emwana wako ekugezera, kusanganisira kuti vanochacha kangani, chero kurwadziwa kana kusagadzikana, uye zviratidzo zvehutachiona hunogona. Cherechedza chero zviitiko zvekufamba, kunyangwe zvaionekwa zvisina hukama nezviratidzo zvekuchacha panguva iyoyo.

Uyai nezvinhu izvi zvakakosha kumisangano yenyu:

• Rondedzero yemishonga iripo uye zvinowedzerwa
• Rekhodi yezviratidzo zvechinguva chiduku uye nguva yadzo
• Mhedzisiro yekuedzwa yapfuura uye rekodhi dzevakagadzwa
• Makadhi eInsurance uye zviziviso
• Rondedzero yemibvunzo yaunoda kubvunza
• Ruzivo rwekutaura kune vamwe vanachiremba vanorapira mwana wako

Nyora mibvunzo yako usati wasvika kuitira kuti urege kuikanganwa panguva yekuonana nachiremba. Mibvunzo inowanzo bvunzwa inogona kusanganisira kubvunza nezvemiganho yekufamba, nguva yekufona kana uine zviratidzo zvinotyisa, kana kuti kurapwa kuchatora nguva yakareba sei.

Kana mwana wako akura zvakakwana, muite kuti ave chikamu chekugadzirira kwekuonana nachiremba. Tsanangura zvichaitika nenzira inonzwisisika maererano nezera rake uye mukurudzire kubvunza mibvunzo yake. Izvi zvinomubatsira kunzwa akasununguka uye achibatanidzwa mukutarisirwa kwake.

Funga kuuya nemumwe wemhuri kana shamwari yaunovimba nayo kuti ikubatsire kuyeuka ruzivo rwakakurukurwa panguva yekuonana nachiremba. Kuonana nachiremba kunogona kunetsa, kunyanya kana uchikurukura nezve nzira dzekurapa kana mhinduro dze bvunzo.

Gadzirira kukurukura nhoroondo yemhuri yenyu yezvehutano, kunyanya chero matambudziko etsinga, matambudziko emukati, kana vesicoureteral reflux muhama kana vabereki. Ruzivo urwu runobatsira chiremba wako kuongorora zvinhu zvinokonzera njodzi uye kuronga kutarisirwa kwakakodzera.

Chii chinonyanya kukosha nezve vesicoureteral reflux?

Vesicoureteral reflux chirwere chinogona kudzorwa chinowanzotonhora sezvo vana vakura. Kunyange zvazvo chichioda kuongororwa uye dzimwe nguva kurapwa, vana vazhinji vane reflux vanorarama hupenyu hunowanzoitika, hune hutano pasina matambudziko emangwana.

Chinhu chinonyanya kukosha ndechekuti kuonekwa pakutanga nekurapwa kwakakodzera kunogona kudzivirira matambudziko akakomba. Nekukurukurirana zvakanaka nechikwata chako chehutano uye nekucherechedza hutano hwemwana wako hwemukati, unogona kubatsira kuve nechokwadi chemigumisiro yakanakisa.

Zviitiko zvakawanda zve reflux yakapfava zvinopera zvega kana vana vasvika pazera rekudzidza. Kunyange kana kurapwa kuchidikanwa, nzira dzemazuva ano dzekurapa nekurapa dzinoshanda kwazvo uye hadzina kuoma kupfuura kare.

Rambai makashinga, uye yeuka kuti hamusi vega mukugadzirisa chirwere ichi. Timu yekutarisira utano iripo kuti ikutsigire iwe nemwana wako nhanho imwe neimwe, uye nekutarisirwa kwakakodzera, vesicoureteral reflux haifanire kudzivisa mabasa emwana wako kana hutano hweramangwana.

Mibvunzo inobvunzwa kazhinji nezve vesicoureteral reflux

Mwana wangu achakura here vesicoureteral reflux?

Vana vazhinji vanokura vesicoureteral reflux yakapfava kusvika pakati sezvo vakura. Sezvo mwana wako achikura, ureters yavo inowedzera kureba uye kona yavanobatanidza nemarara inowedzera, ichigadzira mekaniki yakanaka yevhavha. Kudzidza kunoratidza kuti anenge 80% ye vana vane reflux yegiredhi 1-2 ichaona kugadziriswa mukati memakore mashanu. Mapoka epamusoro e reflux haana mukana wekuzvigadzirisa, asi kugadziriswa kukuru kunogona kuitika. Chiremba wako achatarisira kufambira mberi kwemwana wako nekuongororwa kwenguva dzose nemiedzo kuti aone kuti reflux iri kuchinja sei nekufamba kwenguva.

Mwana wangu anogona here kubatanidzwa mumabasa enguva dzose nemitambo?

Vana vane vesicoureteral reflux vanogona kazhinji kubatanidzwa mumabasa ose emwana, kusanganisira mitambo nekubhabhatidza. Iyo mamiriro pachayo haidzivise basa remuviri, uye kuramba uchiita basa kwakakosha kune hutano hwese. Zvisinei, zvakakosha kuchengetedza hydration yakanaka panguva yemitambo uye kukurudzira kuenda kuchimbuzi nguva dzose. Kana mwana wako ari kutora mishonga inodzivirira, ita shuwa kuti vanoramba vachitora mishonga yavo sezvakarayirwa kunyangwe panguva yekurongwa kwakabatikana. Taura nachiremba wako kana uine hanya nezvemabasa chaiwo, asi vana vazhinji havadi chero miganho pane mabasa avo ezuva nezuva.

Vesicoureteral reflux inorwadza here kumwana wangu?

Vesicoureteral reflux pachakazvipi haina kurwadza. Vana vakawanda vane reflux vanonzwa vakajairwa zuva nezuva uye vangatozive kuti vane chirwere ichi. Kurwadziwa kunowanzoitika chete kana hutachiona hwekutambanudza hwemukati hwakakura, izvo zvinogona kukonzera kusagadzikana panguva yekubuda kwemukati, kurwadziwa mudumbu, kana kurwadziwa kumusana. Vamwe vana vangave nekusagadzikana kushoma kana ganda ravo rikava rakazara kwazvo, asi izvi hazvisi kubva ku reflux. Kana mwana wako akachema kurwadziwa kwenguva refu, kunyanya nefevha, taura nachiremba wako nekukurumidza sezvo izvi zvingaratidza hutachiona hunoda kurapwa.

Mwana wangu anoda kuongororwa kazhinji sei?

Zvirongwa zvekuongororwa zvinosiyana zvichienderana nechikamu che reflux nemamiriro ezvinhu emwana wako. Vana vane reflux yakapfava vangada kuongororwa mwedzi mitanhatu kusvika gumi nemaviri, nepo avo vane zvikamu zvakakwirira kana hutachiona hwakawanda vangada kuongororwa kazhinji. Kuongororwa kunowanzoitwa kunosanganisira bvunzo dzemukati kuti uone hutachiona, ultrasound kuti uone kukura kweitsvo nehutano, uye kuongororwa kwenguva dzose kwemifananidzo kuti uone kana reflux iri kuvandudzika. Chiremba wako achaita purogiramu yakakodzera zvinoenderana nezvinodiwa nemwana wako. Pakati pekuongororwa, taura nehutano hwako kana ukaona zviratidzo zvehutachiona hwekutambanudza hwemukati kana zvimwe zviratidzo zvinotyisa.

Vamwe vana vangu vangave vane vesicoureteral reflux here?

Pane mukana wakawedzera wekuti hama dzemwana ane vesicoureteral reflux dzinogonawo kuva nedambudziko iri. Kudzidza kunoratidza kuti vanakomana nehanzvadzi vane mukana we25-30% wekuva nereflux, izvo zvakanyanya kupfuura vanhu vakawanda. Ndosaka vanachiremba vakawanda vanokurudzira kuongorora hama, kunyanya kana vakadzikama kana vakambova nehutachiona hwemukati. Kuongorora kunowanzoita ultrasound uye zvimwe miedzo kana paawanikwa zvinhu zvisina kujairika. Zvisinei, kuva nemwana mumwe chete ane reflux hazvirevi kuti vana vako vose vachava nayo, uye hama dzakawanda dzinoonekwa dzakazara utano. Kurukurai zano rekuongorora nachiremba wenyu zvichienderana nemamiriro emhuri yenyu.