Kugadziriswa kwepentent urachus

Kugadziriswa kwepentent urachus kuvhiya kugadzirisa kukanganiswa kwedundira. Mune yakavhurika (kana patent) urachus, kune kuvhurika pakati peye dundira uye dumbu bhatani (guvhu). Iyo urachus ichubhu iri pakati peye dundira uye bhatani remudumbu iro riripo usati waberekwa. Kazhinji, inovhara nehurefu hwayo hwese mwana asati azvarwa. Yakavhurika urachus inowanikwa zvakanyanya muvacheche.

Vana vanovhiyiwa vanozove neanesthesia (yekurara uye isina kurwadziwa).

Chiremba anovhiya achacheka mudumbu rezasi remwana. Tevere, chiremba anovhiya anowana iyo urachal chubhu uye kuibvisa. Kuvhura kwedundira kuchagadziriswa, uye iyo yakatemwa ichavharwa.

Kuvhiya kwacho kunogona zvakare kuitwa ne laparoscope. Ichi chishandiso chine kamera diki uye mwenje kumagumo.

• Chiremba anovhiya achaita zvidiki zvitatu zvekuvhiya mudumbu remwana. Chiremba anovhiya anoisa laparoscope kuburikidza nechimwe cheizvi nekucheka nezvimwe zvishandiso kuburikidza nekumwe kucheka.
• Chiremba anovhiya anoshandisa maturusi ekubvisa urachal chubhu uye kuvhara dundira uye nzvimbo iyo chubhu inobatana ne umbilicus (dumbu bhatani).

Kuvhiya uku kunogona kuitwa muvana vadiki semwedzi mitanhatu.

Kuvhiya kunokurudzirwa patent urachus isingavhare mushure mekuzvarwa. Zvinetso zvinogona kuitika kana patent urachal tube isina kugadziriswa inosanganisira:

• Ngozi yakakwira yehutachiona hwehutachiona
• Njodzi yakakwira yekenza yeiyo urachal chubhu gare gare muhupenyu
• Kuenderera mberi nekudonha kweweti kubva kuurachus

Ngozi dzechero anesthesia ndeidzi:

• Zviitiko kumishonga
• Matambudziko ekufema

Ngozi dzekuvhiyiwa chero ndeidzi:

• Kubuda ropa
• Utachiona
• Ropa rinovhara mumakumbo ayo anogona kuenda kumapapu

Dzimwe njodzi dzekuvhiya uku ndedzinotevera:

• Chirwere chedundira.
• Bladder fistula (kubatana pakati pedundira neganda) - kana izvi zvikaitika, kateti (mutete mutete) inoiswa mudundira kubvisa weti. Inosiyiwa munzvimbo kusvikira dundira rapora kana kumwe kuvhiya kungangodiwa.

Chiremba anovhiya anogona kukumbira mwana wako kuti ave:

• Nhoroondo yakakwana yezvokurapa uye kuongorora kwemuviri.
• Itsvo Ultrasound.
• Sinogram yeurachus. Mune maitiro aya, redhiyo-opaque dhayi inonzi musiyano inoiswa mukati meiyo urachal kuvhura uye x-ray inotorwa.
• Ultrasound yeiyo urachus.
• VCUG (voiding cystourethrogram), yakakosha x-ray yekuona kuti bladder iri kushanda.
• CT scan kana MRI.

Nguva dzose udza mupi wehutano hwemwana wako:

• Ndeapi madhiragi ari kutorwa nemwana wako. Sanganisira madhiragi, mahebhu, mavitamini, kana chero zvimwe zvinowedzerwa zvawakatenga pasina mushonga.
• Nezve chero zvoutachiona izvo mwana wako angave nazvo kumushonga, latex, tepi, kana kuchenesa ganda.

Munguva yemazuva asati avhiyiwa:

• Anenge mazuva gumi pamberi pekuvhiyiwa, unogona kukumbirwa kuti urege kupa mwana wako aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), warfarin (Coumadin), uye chero mimwe mishonga inoita kuti ropa rikwanise kugwamba.
• Bvunza kuti ndeapi madhiragi anofanirwa kutorwa nemwana wako pazuva rekuvhiyiwa.

Pazuva rekuvhiyiwa:

• Mwana wako angangodaro asingakwanise kunwa kana kudya chero chinhu kwemaawa mana kusvika masere asati avhiyiwa.
• Ipa mwana wako chero mishonga yawakaudzwa kuti mwana wako anofanirwa kuve nekamwe kadiki kemvura.
• Anopa mwana wako anokuudza nguva yekuuya kuchipatara.
• Iye mupi achaona kuti mwana wako haana zviratidzo zvekurwara asati avhiyiwa. Kana mwana wako achirwara, kuvhiya kwacho kunogona kunonoka.

Vana vazhinji vanogara muchipatara kwemazuva mashoma chete mushure mekuvhiyiwa uku. Vazhinji vanopora nekukurumidza. Vana vanogona kudya chikafu chavo chaicho kana vatanga kudya zvakare.

Usati wabuda muchipatara, iwe unozodzidza maitiro ekuchengeta ronda kana maronda. Kana Steri-Strips yakashandiswa kuvhara ronda, vanofanirwa kusiiwa munzvimbo kusvikira vawa vega mukati meinenge vhiki.

Unogona kuwana mushonga wemishonga inorwisa mabhakitiriya kudzivirira hutachiona, uye mushonga wakachengeteka wekushandisa pakurwadziwa.

Mhedzisiro yacho inowanzo kuve yakanakisa.

Patent urachal chubhu kugadzirisa

• Kuchengeta ronda rekuvhiya - rakavhurika

• Patent urachus
• Kugadziriswa kwepentent urachus - dzakateedzana

Frimberger D, Kropp BP. Bladder anomalies muvana. Mune: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th ed. Philadelphia, PA: Elsevier; 2016: chitsiko 138.

Katz A, Richardson W. Kuvhiya. Mune: Zitelli BJ, McIntire SC, Nowalk AJ, eds. Zitelli naDavis 'Atlas yePediatric Kuziva. 7th ed. Philadelphia, PA: Elsevier; 2018: chits. 18.

Ordon M, Eichel L, Landman J. Zvinokosha zvekuvhiya kweparoscopic uye robotic. Mune: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th ed. Philadelphia, PA: Elsevier; 2016: chits.

Schoenwolf GC, Bleyl SB, Brauer PR, Francis-West PH. Kubudirira kweiyo weti system. Mune: Schoenwolf GC, Bleyl SB, Brauer PR, Francis-West PH, eds. Larsen Yemunhu Embryology. 5 ed. Philadelphia, PA: Elsevier Churchill Livingstone; 2015: chits.