Utyando lokubuyiselwa kwakhona kubantwana-abantwana

I-ureters yimibhobho ehambisa umchamo kwizintso ukuya kwisinyi. Ukuphinda kubuyiselwe umntu emzimbeni kwakhona kukuhlinzwa ukuze kutshintshwe indawo emi kuyo le mibhobho apho ingena khona eludongeni lwesinyi.

Le nkqubo itshintsha indlela ureter eqhotyoshelwe ngayo kwisinyi.

Utyando lwenzeka esibhedlele ngelixa umntwana wakho elele kwaye engenazintlungu. Olu tyando luthatha iiyure ezimbini ukuya kwezintathu.

Ngexesha lotyando, ugqirha wotyando uya:

• Ukuchonga ureter kwisinyi.
• Yenza itonela entsha phakathi kodonga lwesinyi kunye nemisipha kwindawo engcono kwisinyi.
• Beka ureter kwitonela elitsha.
• Gcoba i-ureter endaweni kwaye uvale isinyi kunye neziqu.
• Ukuba iyafuneka, oku kuyakwenziwa kwenye i-ureter.
• Vala nakuphi na ukusikwa okwenziwe esiswini somntwana wakho ngomthungo okanye ukutya.

Olu tyando lunokwenziwa ngeendlela ezintathu. Indlela esetyenzisiweyo iya kuxhomekeka kwimeko yomntwana wakho kunye nendlela ii-ureters ezifuna ukubotshelelwa ngayo kwisinyi.

• Kutyando oluvulekileyo, ugqirha uya kwenza incision encinci kwisisu esisezantsi ngokusebenzisa izihlunu kunye namafutha.
• Kutyando lwe-laparoscopic, ugqirha uya kwenza inkqubo esebenzisa ikhamera kunye nezixhobo ezincinci zoqhaqho ngokusebenzisa i-3 okanye i-4 encinci yokusika esiswini.
• Utyando lweerobhothi luyafana notyando lwe-laparoscopic, ngaphandle kokuba izixhobo zigcinwe zirobhothi. Ugqirha ulawula irobhothi.

Umntwana wakho uya kukhutshwa emva kweentsuku ezi-1 ukuya kwezi-2 emva kotyando.

Olu tyando lwenziwa ukuthintela umchamo ekubalekeni ubuye umva ukusuka kwisinyi ukuya kwizintso. Oku kubizwa ngokuba yi-reflux, kwaye kunokubangela ukuphindaphinda kosulelo lwe-urinary kunye nokonakalisa izintso.

Olu hlobo lotyando luqhelekile kubantwana kwi-reflux ngenxa yesiphene sokuzalwa kwenkqubo yokuchama. Kubantwana abadala kunokwenziwa ukuphatha i-reflux ngenxa yokulimala okanye isifo.

Iingozi zalo naluphi na utyando zezi:

• Amahlwili egazi emilenzeni anokuhamba aye emiphungeni
• Iingxaki zokuphefumla
• Usulelo, kubandakanya inxeba lotyando, imiphunga (inyumoniya), isinyi, okanye izintso
• Ukuphulukana negazi
• Impendulo kumayeza

Iingozi zale nkqubo zezi:

• Umchamo uphumele ngaphandle kwisithuba esijikeleze isinyi
• Igazi kumchamo
• Usulelo lwezintso
• Ukuqaqamba kwesinyi
• Ukuvalwa kweengubo
• Isenokungayilungisi ingxaki

Umngcipheko wexesha elide ubandakanya:

• Ukuhamba umva okungapheliyo komchamo kwizintso
• Fistula yomchamo

Uya kunikwa imiyalelo ethile yokutya nokusela ngokusekwe kubudala bomntwana wakho. Ugqirha womntwana wakho unokucebisa ukuba:

• Musa ukunika umntwana wakho nakuphi na ukutya okuqinileyo okanye ulwelo olungacacanga, njengobisi kunye nejusi yeorenji, ukuqala ezinzulwini zobusuku ngaphambi kotyando.
• Nika kuphela ulwelo olucacileyo, olufana nencindi ye-apile, kubantwana abadala ukuya kwiiyure ezimbini ngaphambi kotyando.
• Ukuncancisa abantwana ukuya kuthi ga kwiiyure ezi-4 ngaphambi kotyando. Iintsana ezondliwa ngefomula zingondla ukuya kuthi ga kwiiyure ezi-6 ngaphambi kotyando.
• Musa ukunika umntwana wakho nantoni na ukuba asele iiyure ezi-2 ngaphambi kotyando.
• Nika umntwana wakho amayeza acetyiswa ngugqirha.
  
  

Emva kotyando, umntwana wakho uya kufumana ulwelo emthanjeni (IV). Kunye noku, umntwana wakho unokunikwa iyeza lokuphelisa iintlungu kunye nokuzola kwe-bladder spasms.

Umntwana wakho unokuba ne-catheter, ityhubhu eya kuvela kwisinyi somntwana wakho ukucoca umchamo. Kukho ukubakho kwesisu esiswini somntwana wakho ukuvumela ulwelo luphume emva kotyando. Ezi zinokususwa ngaphambi kokuba umntwana wakho aphume. Ukuba akunjalo, ugqirha uza kukuxelela ukuba ubakhathalele njani kwaye uza kubuya nini ukuze basuswe.

Xa umntwana wakho ephuma kwi-anesthesia, umntwana wakho angakhala, abe nexhala okanye adideke, kwaye azive egula okanye egabha. Ezi mpendulo ziqhelekile kwaye ziya kuhamba nexesha.

Umntwana wakho uya kuhlala esibhedlele iintsuku ezi-1 ukuya kwezi-2, kuxhomekeke kuhlobo lotyando umntwana wakho abenalo.

Olu tyando luphumelele kuninzi lwabantwana.

Ureteroneocystostomy - abantwana; Utyando lokubuyisela kwakhona kubantwana - abantwana; Ukubuyiselwa kwakhona kubuntu; I-Reflux ebantwaneni-ukuphinda kuthathwe kwakhona

Umdala JS. Reflux yaseVesicoureteral. Ku: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, ii-eds. Incwadi kaNelson yeNcwadi yePediatrics. Umhla wama-21. IPhiladelphia, PA: Elsevier; 2020: isahluko 554.

Khoury AE, Bägli DJ. Reflux yaseVesicoureteral. Ku: Wein AJ, Kavoussi LR, Partin AW, Peters CA, ii-eds. UCampbell-Walsh Urology. Ngomhla we-11. IPhiladelphia, PA; Elsevier; 2016: isahluko 137.

Upopu JC. Ureteroneocystostomy. Ku: Smith JA Jr, Howards SS, Preminger GM, Dmochowski RR, ii-eds. I-Atlas ye-Hinman yoNyango lwe-Urologic. Ngomhla we-4. IPhiladelphia, PA: Elsevier; I-2018: isahluko 33.

I-Richstone L, iSherr DS. Utyando lwe-Robotic kunye ne-laparoscopic bladder. Ku: Wein AJ, Kavoussi LR, Partin AW, Peters CA, ii-eds. UCampbell-Walsh Urology. Ngomhla we-11. IPhiladelphia, PA; Elsevier; 2016: isahluko 96.