Ureterocele

I-ureterocele kukudumba ezantsi kwenye ye-ureters. Ama-Ureters yimibhobho ehambisa umchamo kwizintso ukuya kwisinyi. Indawo edumbileyo inokuthintela ukuhamba komchamo.

I-ureterocele sisiphene sokuzalwa.

I-ureterocele yenzeka kwindawo esezantsi ye-ureter. Le yinxalenye apho ityhubhu ingena kwisinyi. Indawo edumbileyo ithintela umchamo ekuhambeni ngokukhululekileyo kwisinyi. Umchamo uqokelela kwi-ureter kwaye wolule iindonga zayo. Iyanda njengebhaluni yamanzi.

I-ureterocele inokubangela ukuba umchamo ubuye umva ukusuka kwisinyi ukuya kwizintso. Oku kubizwa ngokuba yi-reflux.

I-Ureteroceles yenzeka malunga ne-1 kubantu abangama-500. Le meko ixhaphake ngokufanayo kuzo zombini i-ureters yasekhohlo nasekunene.

Uninzi lwabantu abane-ureteroceles abanazo iimpawu. Xa iimpawu zenzeka, zingabandakanya:

• Intlungu zesisu
• Umqolo obuhlungu unokuba kuphela kwicala elinye
• Icala elibukhali (iflank) iintlungu kunye ne-spasms ezinokuthi zifike kwi-groin, kwisini nakwithanga
• Igazi kumchamo
• Ukutsha kweentlungu ngelixa uchama (dysuria)
• Ifiva
• Kunzima ukuqala ukuhamba komchamo okanye ukunciphisa ukuhamba komchamo

Ezinye zeempawu zezi:

• Umchamo onuka kakubi
• Ukuchama rhoqo nangxamisekileyo
• Isigaxa (ubunzima) esiswini esinokuviwa
• Izicubu ze-Ureterocele ziwela phantsi (ziyanda) nge-urethra yabasetyhini nakwilungu lobufazi
• Ukungahambi kakuhle komchamo

Ii-ureteroceles ezinkulu zihlala zichongwa kwangoko kunezo ezincinci. Inokufunyanwa kwi-ultrasound yokukhulelwa ngaphambi kokuba umntwana azalwe.

Abanye abantu abane-ureteroceles abazi ukuba banayo le meko. Rhoqo, ingxaki ifunyanwa kamva ebomini ngenxa yamatye ezintso okanye usulelo.

Uvavanyo lokuchama lunokutyhila igazi kumchamo okanye iimpawu zosulelo lomchamo.

Olu vavanyo lulandelayo lunokwenziwa:

• I-ultrasound yesisu
• Ukuvavanywa kwe-CT kwesisu
• ICystoscopy (uvavanyo lwangaphakathi lwesinyi)
• Iipyogram
• Ukuskena kwe-Radionuclide renal
• Ukuhamba ngecystourethrogram

Uxinzelelo lwegazi lunokuba phezulu ukuba kukho umonakalo wezintso.

Amayeza okubulala iintsholongwane ahlala enikwa ukuthintela ukosuleleka ngakumbi de kwenziwe utyando.

Injongo yonyango kukuphelisa ukubhloka. Imijelo ebekwe kwi-ureter okanye indawo ye-renal (i-stents) inokubonelela ngoncedo lwexesha elifutshane lweempawu.

Utyando lokulungisa i-ureterocele inyanga imeko kwiimeko ezininzi. Ugqirha wakho ugqirha unokusika kwi-ureterocele. Olunye utyando lunokubandakanya ukususwa kwe-ureterocele kunye nokufaka kwakhona i-ureter kwisinyi. Uhlobo lotyando luxhomekeke kubudala bakho, impilo iyonke, kunye nobungakanani bokucinywa.

Iziphumo ziyahluka. Umonakalo unokuba ngowethutyana ukuba ukuvalwa kunganyangeka. Nangona kunjalo, umonakalo kwizintso unokuba sisigxina ukuba imeko ayihambi.

Ukusilela kwezintso akuqhelekanga. Esinye sezintso sihlala sisebenza ngesiqhelo.

Iingxaki zinokubandakanya:

• Ukulimala kwexesha elide (ukugcinwa kwamanzi)
• Umonakalo wexesha elide wezintso, kubandakanya ukuphulukana nomsebenzi wentso enye
• Usulelo lwe-Urinary tract oluhlala lubuya

Nxibelelana nomboneleli wakho wezempilo ukuba uneempawu ze-ureterocele.

Ukungakwazi ukuzibamba-ureterocele

• Iphecana lomchamo labasetyhini
• Indoda yokuchama
• Ureterocele

IGuay-Woodford LM. Ilifa nephropathies kunye nokukhula ngendlela engaqhelekanga kwendlela yokuchama. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 119.

UStanasel I, uPeter CA. I-ectopic ureter, ureterocele, kunye ne-ureteral anomalies. Ku: UPartin AW, uDmochowski RR, uKavoussi LR, uPeter CA, ii-eds. ICampbell-Walsh-Wein Urology. Umhla we-12. IPhiladelphia, PA: Elsevier; 2021: isahluko 41.