Ureterocele

I-ureterocele ukuvuvukala ezansi kwelinye lama-ureters. Ama-Ureters yizibhubhu ezithwala umchamo kusuka ezinso ziye esinyeni. Indawo evuvukile ingavimba ukugeleza komchamo.

I-ureterocele ukukhubazeka kokuzalwa.

I-ureterocele yenzeka engxenyeni engezansi ye-ureter. Kuyingxenye lapho ishubhu lingena khona esinyeni. Indawo evuvukele ivimbela umchamo ekuhambeni ngokukhululeka ungene esinyeni. Umchamo uqoqa ku-ureter bese welula izindonga zawo. Iyanweba njengebhaluni lamanzi.

I-ureterocele nayo ingadala ukuthi umchamo uhlehle emuva ubuya esinyeni uye ezinso. Lokhu kubizwa ngokuthi yi-reflux.

Ama-Ureteroceles avela kubantu abacishe babe ngu-1 kwabangu-500. Lesi simo sivame ngokulingana kuwo womabili ama-ureters angakwesokunxele nangakwesokudla.

Iningi labantu abane-ureteroceles abanazo izimpawu. Lapho izimpawu zenzeka, zingabandakanya:

• Ubuhlungu besisu
• Ubuhlungu beqolo obungaba ohlangothini olulodwa kuphela
• Ubuhlungu obukhulu ohlangothini (ohlangothini) nobuhlungu obungafinyelela emgodini, esithweni sangasese nasethangeni
• Igazi emchameni
• Ukushisa izinhlungu ngenkathi uchama (dysuria)
• Imfiva
• Kunzima ukuqala ukugeleza komchamo noma ukunciphisa ukuhamba komchamo

Ezinye izimpawu yilezi:

• Umchamo onuka kabi
• Ukuchama njalo futhi okuphuthumayo
• Isigaxa (isisindo) esiswini esingazwakala
• Izicubu ze-Ureterocele ziwela phansi (ziqhume) ngokusebenzisa i-urethra yabesifazane kanye nesitho sangasese sowesifazane
• Ukungakwazi ukubamba umchamo

Ama-ureteroceles amakhulu avame ukutholakala ngaphambi kwesikhathi kunezincane. Kungatholwa ku-ultrasound yokukhulelwa ngaphambi kokuba ingane izalwe.

Abanye abantu abane-ureteroceles abazi ukuthi banesimo. Imvamisa, inkinga itholakala kamuva empilweni ngenxa yamatshe ezinso noma ukutheleleka.

Ukuhlolwa komchamo kungaveza igazi emchameni noma izimpawu zokutheleleka ngomgudu womchamo.

Ukuhlolwa okulandelayo kungenziwa:

• I-ultrasound yesisu
• I-CT scan yesisu
• I-cystoscopy (ukuhlolwa kwengaphakathi lesinye)
• I-Pyelogram
• Ukuskena kabusha kwe-Radionuclide renal
• Ukuvala i-cystourethrogram

Umfutho wegazi ungaphakama uma kukhona ukulimala kwezinso.

Imithi elwa namagciwane ivame ukunikezwa ukuvimbela ukutheleleka okuqhubekayo kuze kube yilapho kungenziwa ukuhlinzwa.

Inhloso yokwelashwa ukuqeda ukuvinjelwa. Amapayipi abekwe ku-ureter noma endaweni yezinso (ama-stents) anganikeza ukukhululeka kwesikhashana kwezimpawu.

Ukuhlinzwa ukulungisa i-ureterocele kwelapha lesi simo ezimweni eziningi. Udokotela wakho ohlinzayo angahle anqume i-ureterocele. Okunye ukuhlinzwa kungafaka ukususa i-ureterocele nokufaka kabusha i-ureter esinyeni. Uhlobo lokuhlinzwa luxhomeke kubudala bakho, impilo yonke, kanye nobubanzi bokuvinjelwa.

Umphumela uyehluka. Umonakalo ungaba wesikhashana uma ukuvinjelwa kungalapheka. Kodwa-ke, ukulimala kwezinso kungahlala unomphela uma isimo singapheli.

Ukuhluleka kwezinso akuvamile. Ezinye izinso zivame ukusebenza ngokujwayelekile.

Izinkinga zingafaka:

• Ukulimala kwesinye isikhathi eside (ukugcinwa komchamo)
• Ukulimala kwezinso isikhathi eside, kufaka phakathi ukulahleka komsebenzi ensozini eyodwa
• Ukutheleleka kwe-urinary tract okuhlala kubuya

Xhumana nomhlinzeki wakho wezokunakekelwa kwezempilo uma unezimpawu ze-ureterocele.

Ukungazibambi - ureterocele

• Umgudu womchamo wabesifazane
• Umgudu womchamo wabesilisa
• Ureterocele

IGuay-Woodford LM. I-nephropathies yefa kanye nokungajwayelekile kokukhula komgudu womchamo. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 119.

UStanasel I, uPeter CA. I-ectopic ureter, i-ureterocele, kanye ne-ureteral anomalies. Ku: Partin AW, Dmochowski RR, Kavoussi LR, Peters CA, ama-eds. ICampbell-Walsh-Wein Urology. Umhla ka-12. IPhiladelphia, PA: Elsevier; 2021: isahluko 41.