Thursday, August 2, 2012

The girl 4 years old is 3 pieces of kidney

The girl 4 years old is 3 pieces of kidney It is due to that the urine is not wet in 24 hours
The intersection of staff reporter and reporter of Dan this newspaper snow Wang Lin fly to the artistic illustration / Liang JinMing

The human body is like an accurate system, none of can be dispensed with spare part among them. However, if such a spare part is had another set and " backed up " How is it?

4 year old little the intersection of girl and little Qian meet such a situation. People generally have only two pieces of kidney, there were three pieces of kidney when small Qian was born in! But parents and doctor delivering a child do not know. In kindergarten, find this was unusual until her. Recently, she accepted the excision of the surplus kidney in the subsidiary children's hospital of Zhejiang University medical college, the surgeon says: "Like other children after small Qian, it will not be influenced to grow. "

"I am not Lai's urine shrimp! "

The little child is the people of Ningbo suburb county, delicate, the small mouth is very sweet, rather lovely. But she tells reporters very worriedly: I do not have good friend in the kindergarten!

Why? Because she can not always control to urinate since born in, so long as not wet without wearing the urine, the trousers are in " Wet" The state, a suit of urine smell of urine taste. Can not put on the urine wetly, the children will laugh at her again: "Shy, so return the diaper of bag greatly! "

The little child does not come to like the kindergarten very much, even have psychological burden, while speaking the nonsense at night, often outroar: "I am not Lai's urine shrimp! "

In Hangzhou, subsidiary child, chief physician of urology surgery of children's hospital, of Zhejiang University medical college Dr. Tang DaXing has found " urine trousers " for young Qian Reason: She has had another kidney and ureter more than ordinary people.

Small the intersection of Qian and additional kidney grow in right side, moreover long one the intersection of thumb and thick ureter again at the surplus kidney. This kind of situation, is named in medical science: Repeat the kidney and repeat the ureter.

The worried source of small Qian, lie in this set is " backed up " Uncomplete: The additional ureter of right side is open directly have reached the vagina instead of the bladder, there is no muscle of the bladder shank to control, the share of urine can not be controlled at all, run to the trousers directly; Moreover, because such a ureter urinates unusually, little Qian is infected more than ordinary people's easier urine way.

"No wonder, she often calls and urinates to ache! " Mother suddenly sees the light.

If the kidney of the right side two combines the base of a fruit pear, who distinguish surplusly clearly

Repeated the kidneying influences the child's life, Tang DaXing is finding that surplus kidney develops seriously badly after checking in detail for small Qian, so propose: The operation excises right side kidney and ureter. The reporter has witnessed the whole journey of this operation at the scene:

Child's already general anesthesia, lie on one's side on the operating table Soon, right side two kidney it appears to be here at the moment: Two eggs size small kidneys, it is together to suffer tightly; Each kidney has a their own tube to connect the ureter, it seems that two heads are leant against the small fragrant pear of the head, but the handle base of a fruit grows in. Is it false who who is real?

Tang DaXing says, the operation cuts the kidney, should just find out correct " back up " Excise it. Saw suddenly carefully, " squated " In that kidney above, there is unusual water accumulation, and the subsidiary ureter is expanded, twisted, this is causing the source infected, that only fake and poor kidney.

But the fake and poor one " Back up " But kidney has independent blood to support, and is in upper part of the body and lower part of the body vascular " traffic main artery " ,It suffer tightly still it in after at peritoneum,pieces of easy thing to if you can't want, excise by it, it hurts that parietal peritoneum is getting not all more right very.

Only see Tang DaXing separate kidney and peritoneum slightly with the figer tip, then insert and break leading to to " back up " resolutely with the pliers Blood supplt, it excise. At this moment, ruddy kidney is " pale " slightly Click.

Search for by following the clues, Tang DaXing will and " back up the kidney " The ureter linking up has been found out too, block it and lead to the urethral " path " ,By absorbing the suture to sew up.

The operation is finished smoothly. Front and back only half an hour.

Can be found in the mother's womb, but some " back up " Do not influence the health

Tang DaXing tells reporters, the child repeating the kidney and needing the operation to excise, he has already run into more than 40 this year.

Some of these children are 2 years old later, mother finds child's trousers are always wet finding when seek medical advice; More now, find through pre-natal diagnosis, " Ultrasonography B can generally find out, after being born in, if two systems both developed well, did not need the operation. "

He says, in fact this disease, belong to a kind of dissection and make a variation, but a piece of kidney grows into two pieces of small kidney, in most instances, this basically has no one that influences to renal function, do not need treating, it is typical " Ultrasonography B disease " --There is no clinical meaning, not feel unusually and not having any influence on the renal function of liver function by oneself, find its existence only when doing Ultrasonography B. Only when repeating the kidney accompanies the water accumulation of severe kidney and urinary system breaking out repeatedly to infect, or bring the influence in lifing, just need the operation.

Because " back up " Jeopardize the life, so most child's operations about 2~3 years old; The child who only infected seriously repeatedly, did in about 3 months.

Then, " back up " After excising, can donate the person in need of renal transplantation to use?

Tang DaXing says, no way. On one hand, repeating kidney belongs to a kind of congenital malformation, one's own development is bad; On the other hand, the child's kidney is smaller, the burdensome adult's health demand, do not " mix right " either .

The girl 4 years old is 3 pieces of kidney It is due to that the urine is not wet in 24 hours

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