Epispadias

Epispadias ndi vuto losowa lomwe limakhalapo pakubadwa. Momwemonso, mkodzo sungakhale chubu chonse. Mkodzo ndi chubu chomwe chimatulutsa mkodzo kuchokera mthupi kuchokera kuchikhodzodzo. Mkodzo umatuluka m'thupi kuchokera kumalo olakwika ndi epispadias.

Zomwe zimayambitsa epispadias sizikudziwika. Zitha kuchitika chifukwa fupa la pubic silikukula bwino.

Epispadias imatha kupezeka ndi vuto lobadwa kawirikawiri lomwe limatchedwa chikhodzodzo exstrophy. Mu vuto lobadwa ili, chikhodzodzo chimatsegulidwa kudzera kukhoma kwa pamimba. Epispadias amathanso kuchitika ndi zovuta zina zobadwa.

Vutoli limapezeka kwambiri mwa anyamata kuposa atsikana. Amapezeka nthawi zambiri pakubadwa kapena posakhalitsa pambuyo pake.

Amuna adzakhala ndi mbolo yayifupi, yotakasa yokhala ndi khola losazolowereka. Nthawi zambiri mkodzo umatseguka pamwamba kapena mbali ya mbolo m'malo mwa nsonga. Komabe, mkodzo ukhoza kukhala wotseguka kutalika konse kwa mbolo.

Akazi ali ndi clitoris yachilendo ndi labia. Kutsegula kwa urethral nthawi zambiri kumakhala pakati pa clitoris ndi labia, koma kumatha kukhala m'mimba. Atha kukhala ndi vuto poletsa kukodza (kusagwira kwamikodzo).

Zizindikiro zimaphatikizapo:

• Kutsegula kosazolowereka kuchokera kukhosi la chikhodzodzo kupita kumalo opezeka kutseguka kwachibadwa kwa mkodzo
• Kuthamangira kwamkodzo mu impso (Reflux nephropathy, hydronephrosis)
• Kusadziletsa kwamikodzo
• Matenda a mkodzo
• Fupa lokulira la pubic

Mayeso atha kuphatikiza:

• Kuyezetsa magazi
• Intravenous pyelogram (IVP), x-ray yapadera ya impso, chikhodzodzo, ndi ureters
• Kujambula kwa MRI ndi CT, kutengera chikhalidwe
• X-ray yamtundu
• Ultrasound mwa kwamikodzo ndi ziwalo zoberekera

Anthu omwe ali ndi vuto lochepa la epispadias adzafunika kuchitidwa opaleshoni.

Kutuluka kwa mkodzo (kusadziletsa) kumatha kukonzedwa nthawi yomweyo. Komabe, opaleshoni yachiwiri ingafunike posakhalitsa pambuyo pochita opaleshoni yoyamba, kapena nthawi ina m'tsogolo.

Opaleshoni imatha kuthandiza munthu kuyendetsa mkodzo. Zidzakonzeranso maonekedwe a maliseche.

Anthu ena omwe ali ndi vutoli amatha kupitirizabe kukhala ndi vuto la kukodza, ngakhale atachitidwa opaleshoni.

Kuwonongeka kwa ureter ndi impso komanso kusabereka kumatha kuchitika.

Itanani woyang'anira zaumoyo wanu ngati muli ndi mafunso aliwonse okhudzana ndi mawonekedwe kapena maliseche amwana wanu.

Kobadwa nako chilema - epispadias

Mkulu JS. Anomalies a chikhodzodzo. Mu: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, olemba. Nelson Textbook of Pediatrics. Wolemba 21. Philadelphia, PA: Elsevier; 2020: chap 556.

Gearhart JP, Di Carlo HN. (Adasankhidwa) Exstrophy-epispadias zovuta. Mu: Partin AW, Dmochowski RR, Kavoussi LR, Peters CA, olemba. Urology wa Campbell-Walsh. Wolemba 12. Philadelphia, PA: Elsevier; 2021: chaputala 31.

Stephany HA. Ost MC. Matenda a Urologic. Mu: Zitelli, BJ, McIntire SC, Nowalk AJ, eds. Zitelli ndi Davis ’Atlas of Pediatric Physical Diagnosis. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2018: mutu 15.