Prune dumbu chirwere
Prune dumbu chirwere iboka reasingawanzo kuremara kwekuzvarwa iyo inosanganisira aya matatu makuru matambudziko:
- Kukura kwakashata kwemhasuru dzemudumbu, zvichikonzera ganda renzvimbo dumbu kuunyana kunge prune
- Machende asina kudzikiswa
- Urinary turakiti matambudziko
Izvo chaizvo zvikonzero zve prune dumbu syndrome hazvizivikanwe. Mamiriro acho anonyanya kubata vakomana.
Paunenge uri mudumbu, dumbu remwana ari kukura rinozvimba nemvura. Kazhinji, chinokonzera chinetso mune weti turakiti. Mvura inonyangarika mushure mekuzvarwa, zvichitungamira padumbu rakakwinyika rinoita kunge remuchinjikwa. Uku kutaridzika kunonyanya kuoneka nekuda kwekushomeka kwemhasuru dzemudumbu.
Misungo isina kusimba yemudumbu inogona kukonzera:
- Kuzvimbirwa
- Kunonoka kugara nekufamba
- Dambudziko rekukosora
Urinary turakiti matambudziko anogona kukonzera kunetseka kuita weti.
Mukadzi ane pamuviri nemwana ane prune belly syndrome anogona kunge asina zvakakwana amniotic fluid (iyo mvura inotenderedza fetus). Izvi zvinogona kukonzera kuti mucheche ave nematambudziko emapapu kubva mukumanikidzwa mudumbu.
Iyo ultrasound inoitwa panguva yekuzvitakura inogona kuratidza kuti mwana ane rakazvimba dundira kana yakawedzera itsvo.
Mune zvimwe zviitiko, nhumbu ultrasound inogona zvakare kubatsira kuona kana mwana ane:
- Zvinetso zvemwoyo
- Mapfupa asina kujairika kana mhasuru
- Dumbu uye matambudziko ematumbo
- Mapapu asina kusimuka
Iyi bvunzo inotevera inogona kuitwa pamwana mushure mekuzvarwa kuti aongorore mamiriro acho.
- Kuongororwa kweropa
- Intravenous pyelogram (IVP)
- Ultrasound
- Kuongorora cystourethrogram (VCUG)
- X-ray
- CT scan
Kuvhiya kwekutanga kunokurudzirwa kugadzirisa tsandanyama dzemudumbu dzisina kusimba, matambudziko eurinary, uye machende asingadiwe.
Mwana anogona kupihwa mishonga inorwisa mabhakitiriya kuti arape kana kubatsira kudzivirira hutachiona hutachiona.
Izvi zvinotevera zviwanikwa zvinogona kupa rumwe ruzivo nezve prune belly syndrome:
- Prune Belly Syndrome Network - prunebelly.org
- National Sangano reRare Dambudziko - rarediseases.org/rare-diseases/prune-belly-syndrome
Prune belly syndrome idambudziko rakakomba uye kazhinji rinotyisidzira hupenyu.
Vazhinji vacheche vane chirwere ichi vanogona kuberekwa vakafa kana kufa mukati memavhiki ekutanga ehupenyu. Chikonzero cherufu chinobva kumatambudziko akakomba emapapu kana itsvo, kana kubva mukubatanidzwa kwematambudziko ekuberekwa.
Vamwe vacheche vanopona uye vanokwanisa kukura zvakajairika. Vamwe vanoramba vaine matambudziko mazhinji ekurapa nekusimudzira.
Zvinetso zvinoenderana nezvinetso zvinoenderana. Akanyanya kuwanda ndeaya:
- Kuzvimbirwa
- Mapfupa akaremara (kirabhu yemakumbo, hudyu yakadambuka, gumbo rakashaikwa, chigunwe, kana chigunwe, chipfuva chefunnel
- Chirwere cheurinary turakiti (inogona kuda dialysis uye itsvo kuisazve)
Machende asina kubviswa anogona kutungamira mukushaya mbereko kana gomarara.
Prune dumbu chirwere chinowanzoonekwa usati waberekwa kana kana mwana achinge azvarwa.
Kana iwe uine mwana ane chirwere chinonzi prune belly syndrome, danaidza mupi wako wezvehutano pachiratidzo chekutanga chehutachiona hwehutachiona kana zvimwe zviratidzo zveweti.
Kana nhumbu inonzi ultrasound ichiratidza kuti mwana wako ane dundira rakazvimba kana itsvo dzakakudzwa, taura nehunyanzvi mune njodzi huru yekubata pamuviri kana perinatology.
Iko hakuna inozivikanwa nzira yekudzivirira iyi mamiriro. Kana mwana akaonekwa aine chirwere chekuvharira asati aberekwa, mune zvisingawanzoitika zviitiko, kuvhiyiwa panguva yekuzvitakura kunogona kubatsira kudzivirira dambudziko kubva mukufambira mberi kuchichera dumbu chirwere.
Eagle-Barrett chirwere; Triad chirwere
Caldamone AA, Denes FT. Prune-dumbu chirwere. Mune: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th ed. Philadelphia, PA: Elsevier; 2016: chitsuwa 140.
Mukuru JS. Kuvhiringidzwa kweiyo weti turakiti. Mune: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Chinyorwa chePediatrics. 21st ed. Philadelphia, PA: Elsevier; 2020: chap 555.
Merguerian PA, Rowe CK. Kuvandudza kusagadzikana kweiyo genitourinary system. Mune: Gleason CA, Juul SE, eds. Zvirwere zveAvery zveMucheche. 10th ed. Philadelphia, PA: Elsevier; 2018: chits. 88.