Ureterocele

Ureterocele ndikutupa pansi pamodzi mwa oreters. Ureters ndi machubu omwe amanyamula mkodzo kuchokera ku impso kupita ku chikhodzodzo. Malo otupa amatha kulepheretsa mkodzo kutuluka.

Ureterocele ndi vuto lobadwa.

Ureterocele imachitika m'munsi mwa ureter. Ndi gawo lomwe chubu chimalowera chikhodzodzo. Malo otupa amalepheretsa mkodzo kusunthira momasuka mu chikhodzodzo. Mkodzo umasonkhanitsa mu ureter ndikutambasula makoma ake. Imafutukuka ngati buluni yamadzi.

Ureterocele amathanso kuyambitsa mkodzo kuti ubwerere chammbuyo kuchokera chikhodzodzo kupita ku impso. Izi zimatchedwa reflux.

Ureteroceles amapezeka pafupifupi 1 mwa anthu 500. Vutoli ndilofala chimodzimodzi kumanja akumanzere kumanzere.

Anthu ambiri omwe ali ndi ureteroceles alibe zisonyezo. Zizindikiro zikachitika, zimatha kuphatikiza:

• Kupweteka m'mimba
• Ululu wammbuyo womwe ukhoza kukhala mbali imodzi yokha
• Kupweteka kwammbali (m'mbali) ndi zotupa zomwe zimatha kufikira kubuula, maliseche, ndi ntchafu
• Magazi mkodzo
• Kupweteka kopweteka mukakodza (dysuria)
• Malungo
• Zovuta zoyambira kutuluka kwa mkodzo kapena kuchepa kwa mkodzo

Zizindikiro zina ndi izi:

• Mkodzo wonunkha
• Kukodza pafupipafupi komanso mwachangu
• Bulu (misa) m'mimba lomwe lingamveke
• Minofu ya Ureterocele imagwera pansi (prolapse) kudzera mu urethra yachikazi ndikalowa kumaliseche
• Kusadziletsa kwamikodzo

Ma ureteroceles akulu amapezeka nthawi yayitali kuposa ang'onoang'ono. Itha kupezeka pathupi la ultrasound mwana asanabadwe.

Anthu ena omwe ali ndi ureteroceles sakudziwa kuti ali ndi vutoli. Nthawi zambiri, vutoli limapezeka pambuyo pake chifukwa cha impso kapena matenda.

Kusanthula kwamkodzo kumatha kuwulula magazi mkodzo kapena zizindikiro za matenda amkodzo.

Mayesero otsatirawa akhoza kuchitika:

• M'mimba ultrasound
• CT scan pamimba
• Cystoscopy (kuyesa mkati mwa chikhodzodzo)
• Zojambulajambula
• Radionuclide aimpso jambulani
• Kutulutsa cystourethrogram

Kuthamanga kwa magazi kumatha kukhala kwakukulu ngati pali kuwonongeka kwa impso.

Maantibayotiki nthawi zambiri amaperekedwa kuti ateteze matenda ena mpaka atachitidwa opaleshoni.

Cholinga cha chithandizo ndikuthetsa kuyimitsidwa. Mitsinje yomwe imayikidwa mu ureter kapena renal (stents) imatha kupatsa mpumulo kwakanthawi kwa zizindikilo.

Kuchita opaleshoni kuti akonze ureterocele kumachiritsa vutoli nthawi zambiri. Dokotala wanu amatha kudula ureterocele. Opaleshoni ina ingaphatikizepo kuchotsa ureterocele ndikukhazikitsanso ureter ku chikhodzodzo. Mtundu wa opareshoni umadalira msinkhu wanu, thanzi lanu lonse, komanso kuchuluka kwa kutsekeka kwanu.

Zotsatira zimasiyanasiyana. Zowonongekazo zitha kukhala zosakhalitsa ngati kutsekeka kungachiritsidwe. Komabe, kuwonongeka kwa impso kungakhale kosatha ngati vutoli silidzatha.

Impso kulephera ndizachilendo. Impso zina nthawi zambiri zimagwira ntchito bwino.

Zovuta zingaphatikizepo:

• Kuwonongeka kwa chikhodzodzo kwanthawi yayitali (kusunga kwamikodzo)
• Kuwonongeka kwa impso kwakanthawi, kuphatikizapo kutayika kwa ntchito mu impso imodzi
• Matenda a mkodzo omwe amabwereranso

Lumikizanani ndi omwe amakuthandizani ngati muli ndi zizindikiro za ureterocele.

Kusadziletsa - ureterocele

• Thirakiti lachikazi
• Njira yamkodzo wamwamuna
• Ureterocele

Masewera a Guay-Woodford LM. Cholowa nephropathies ndi chitukuko chitukuko cha kwamikodzo thirakiti. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 119.

Stanasel Ine, Peters CA. Ectopic ureter, ureterocele, ndi ureteral anomalies. Mu: Partin AW, Dmochowski RR, Kavoussi LR, Peters CA, olemba. Campbell-Walsh-Wein Urology. Wolemba 12. Philadelphia, PA: Elsevier; 2021: chaputala 41.