Yintoni i-vesicoureteral reflux, indlela yokuchonga nokunyanga

Umxholo

• Kutheni le nto isenzeka
• Indlela yokuchonga
• Unyango lwenziwa njani

I-reflux ye-Vesicoureteral lutshintsho apho umchamo ofikelela kwisinyi ubuyela kwi-ureter, eyonyusa umngcipheko wokufumana usulelo lwe-urinary. Le meko ihlala ichongwa ebantwaneni, kwimeko apho ithathwa njengotshintsho lokuzalwa, kwaye kwenzeka ngenxa yokusilela kumatshini othintela ukubuya komchamo.

Ke, njengokuba umchamo uphethe nezinto ezincinci ezikhoyo kumchamo, kuqhelekile ukuba umntwana avelise iimpawu zosulelo lomchamo, njengentlungu xa uchama kunye nomkhuhlane, kwaye kubalulekile ukuba umntwana enze uvavanyo lokucinga ukuvavanya ukusebenza kwenkqubo emva koko kunokwenzeka ukugqiba ukuxilongwa kunye nokuqala unyango olufanelekileyo.

Kutheni le nto isenzeka

I-Reflux ye-Vesicoureteral yenzeka kwiimeko ezininzi ngenxa yokusilela kwindlela ethintela umchamo ekubuyeleni emva kokufikelela kwisinyi, okwenzeka ngexesha lokukhula komntwana ngexesha lokukhulelwa kwaye, ke, kuthathwa njengotshintsho lwasekhaya.

Nangona kunjalo, le meko inokubangelwa yimfuza, ukungasebenzi kakuhle kwesinyi okanye ukuphazamiseka kokuhamba komchamo.

Indlela yokuchonga

Olu tshintsho luhlala luchongwa ngokusebenzisa iimviwo zokucinga ezifana nesinyi kunye ne-urethral radiography, ebizwa ngokuba yi-voiding urethrocystography. Olu vavanyo luyacelwa ngugqirha wabantwana okanye ugqirha womchamo xa kubonakala iimpawu zosulelo lomchamo okanye ukudumba kwezintso, okubizwa ngokuba yi-pyelonephritis. Kungenxa yokuba kwezinye iimeko umchamo ungabuyela kwizintso, ukhokelela kusulelo kunye nokudumba.

Ngokutsho kweempawu eziqwalaselwe kuvavanyo kunye neempawu zomntu, ugqirha unokuhlela i-vesicoureteral reflux ngeedigri, ngokuba:

• IBakala I, apho umchamo ubuyela kuphela kwi-ureter kwaye ke uthathwa njengowona mgangatho ulula;
• IBakala II, apho kukho ukubuyela kwizintso;
• IBakala III, apho ukubuyela kwizintso kunye nokwanda kwilungu kungqinisisiwe;
• IBakala IV, apho ukubuyela okukhulu kwezintso kunye nokwanda komzimba, iimpawu zokuphulukana nomsebenzi kunokubonwa;
• IBakala V, apho ukubuyela kwizintso kukhulu kakhulu, kukhokelela kukwanda okukhulu kunye notshintsho kwi-ureter, kuthathelwa ingqalelo njengelona zinga liphezulu le-vesicoureteral reflux.

Ke, ngokwenqanaba le-Reflux, iimpawu kunye neempawu ezibonisiweyo kunye nobudala bomntu, ugqirha uyakwazi ukubonisa olona hlobo lonyango lungileyo.

Unyango lwenziwa njani

Unyango lwe-vesicoureteral reflux kufuneka lwenziwe ngokwesindululo se-urologist okanye ugqirha wabantwana kwaye lunokwahluka ngokwenqanaba le-reflux. Ke, kwi-Refluxes ukusuka kwibanga loku-1 ukuya kwelesi-3, kuqhelekile ukubonisa ukusetyenziswa kwee-antibiotics, njengoko kunokwenzeka ukunciphisa iimpawu ezinxulumene nosulelo lwebacteria, ukukhuthaza umgangatho wobomi bomntu. Ngokukodwa kuba xa isenzeka kubantwana abangaphantsi kweminyaka emi-5 ubudala, ukuphilisa okuzenzekelayo kuhlala kuqhelekile.

Nangona kunjalo, kwimeko yebakala IV kunye ne-V refluxes, utyando luhlala lucetyiswa ukuze kuphuculwe ukusebenza kwezintso kunye nokunciphisa ukubuya komchamo. Ukongeza, unyango lotyando lungabonakaliswa nakubantu abangaphendulanga kakuhle kunyango lwe-antibiotiki okanye abanesifo esiphindaphindayo.

Kubalulekile ukuba abantu abafunyaniswe benesifo se-vesicoureteral reflux babekwe esweni rhoqo ngugqirha, njengoko kunokwenzeka ukubek'esweni ukusebenza kwezintso, ukukhuthaza ukusebenza kwayo ngokufanelekileyo.