Ureterocele

Ureterocele ndiko kuzvimba pazasi peimwe yeiyo ureters. Ureters ndiwo machubhu anotakura weti kubva kuitsvo kuenda kudundira. Iyo yakazvimba nzvimbo inogona kuvhara weti kuyerera.

Ureterocele kukanganisa kuberekwa.

A ureterocele inoitika mune yepazasi chikamu chereteri. Icho chikamu chinopinda chubhu dundira. Nzvimbo yakazvimba inodzivirira weti kuti isafambe zvakasununguka ichienda mudundira. Weti inounganidza mune ureter uye inotambanudza madziro ayo. Inokura sebhaluni remvura.

Iyo ureterocele inogona zvakare kukonzera weti kuyerera neshure kubva ku bladder kuenda kuitsvo. Izvi zvinonzi reflux.

Ureteroceles inoitika mune angangoita 1 mu500 vanhu. Aya mamiriro akaenzana zvakaenzana mune ese ari kuruboshwe uye kurudyi ureters.

Vazhinji vanhu vane ureteroceles havana chero zviratidzo. Kana zviratidzo zvikaitika, zvinogona kusanganisira:

• Marwadzo emudumbu
• Kushungurudza kumashure uko kunogona kunge kuri kune rumwe rutivi
• Yakakomba divi (parutivi) kurwadziwa uye kupora uko kunogona kusvika kune iyo gura, sikarudzi, uye chidya
• Ropa mune weti
• Kupisa kurwadziwa uchiita weti (dysuria)
• Kupindwa nechando
• Zvakaoma kutanga weti kuyerera kana kunonoka kwekuyerera weti

Zvimwe zviratidzo ndezvi:

• Weti inonhuwa
• Kakawanda uye nekukurumidza kuita weti
• Bundu (uremu) mudumbu rinogona kunzwika
• Ureterocele tishu inowira pasi (prolapse) kuburikidza neyemukadzi urethra uye mukati memukadzi
• Urinary kusagadzikana

Makuru ureteroceles anowanzo kuongororwa kare pane madiki. Inogona kuwanikwa mune yepamuviri ultrasound mwana asati azvarwa.

Vamwe vanhu vane ureteroceles havazive kuti vane mamiriro. Kazhinji, dambudziko rinowanikwa gare gare muhupenyu nekuda kweitsvo matombo kana hutachiona.

Kuongorora urinal kunogona kuburitsa ropa mumurini kana zviratidzo zvehutachiona hwehutachiona.

Iyi bvunzo inotevera inogona kuitwa:

• Abdominal ultrasound
• CT scan yemudumbu
• Cystoscopy (kuongororwa kwemukati merunda)
• Pyelogram
• Radionuclide renal scan
• Kuongorora cystourethrogram

Ropa BP inogona kunge yakakwira kana paine kukuvara kweitsvo.

Mishonga inorwisa mabhakitiriya inowanzo kupihwa kudzivirira kumwe kutapuriranwa kusvikira kuvhiya kwaitwa.

Chinangwa chekurapa ndechekubvisa iyo blockage. Mapaipi akaiswa muretera kana renal nzvimbo (stents) inogona kupa kuzorodzwa kwenguva pfupi kwezviratidzo.

Kuvhiya kugadzirisa iyo ureterocele kunorapa iyo mamiriro muzviitiko zvakawanda. Chiremba wako anovhiya anogona kutema mukati meiyo ureterocele. Kumwe kuvhiyiwa kunogona kusanganisira kubvisa iyo ureterocele uye kuisazve iyo ureter kune bladder. Mhando yekuvhiya inoenderana nezera rako, hutano hwese, uye kukura kwekuvharwa.

Mhedzisiro yacho inosiyana. Iko kukuvara kunogona kuve kwenguva pfupi kana iko kuvharika kukagona kurapwa. Nekudaro, kukuvara kune itsvo kunogona kuve kwechigarire kana mamiriro acho asingaendi.

Itsvo kutadza kwakajairika. Imwe itsvo inowanzo shanda zvakajairika.

Zvinetso zvinogona kusanganisira:

• Yenguva refu-dundira kukuvara (urinary chengetedzo)
• Yenguva refu-itsvo kukuvara, kusanganisira kurasikirwa kwebasa mune imwe itsvo
• Urinary turakiti hutachiona hunoramba huchidzoka

Bata wako mupi wezvehutano kana iwe uine zviratidzo zveureterocele.

Kusagadzikana - ureterocele

• Yechikadzi weti turakiti
• Varume urinary turakiti
• Ureterocele

Guay-Woodford LM. Hereditary nephropathies uye kukura kwakasarudzika kweiyo weti turakiti. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chits. 119.

Stanasel I, Peters CA. Ectopic ureter, ureterocele, uye ureteral anomalies. Mune: Partin AW, Dmochowski RR, Kavoussi LR, Peters CA, eds. Campbell-Walsh-Wein Urology. 12th ed. Philadelphia, PA: Elsevier; 2021: chitsauko 41.