Hypospadias

Hypospadias ndi vuto lobadwa nalo (lobadwa nalo) momwe kutsegula kwa mkodzo kuli kumunsi kwa mbolo. Mkodzo ndi chubu chomwe chimatulutsa mkodzo kuchokera mu chikhodzodzo. Mwa amuna, kutsegula kwa mkodzo nthawi zambiri kumakhala kumapeto kwa mbolo.

Hypospadias amapezeka pafupifupi 4 mwa anyamata 1,000 obadwa kumene. Chifukwa chake nthawi zambiri sichidziwika.

Nthawi zina, vutoli limaperekedwa kudzera m'mabanja.

Zizindikiro zimadalira kukula kwa vutoli.

Nthawi zambiri, anyamata omwe ali ndi vutoli amatsegulira mkodzo pafupi ndi nsonga ya mbolo kumunsi.

Mitundu yowopsa kwambiri ya ma hypospadias imachitika pomwe kutsegula kuli pakati kapena pamunsi pa mbolo. Nthawi zambiri, kutsegula kumakhala mkati kapena kuseli kwa chikopa.

Vutoli limatha kuyambitsa kutsika kwa mbolo nthawi yakumapeto. Zosintha ndizofala mwa anyamata achichepere.

Zizindikiro zina ndizo:

• Kupopera kwachilendo mkodzo
• Kukhala pansi kukodza
• Chikopa chomwe chimapangitsa kuti mbolo iwoneke ngati ili ndi "hood"

Vutoli limapezeka nthawi zonse atangobadwa panthawi yoyezetsa. Kuyesa kuyesa kungachitike kuti mufufuze zovuta zina zobadwa nazo.

Makanda omwe ali ndi hypospadias sayenera kudulidwa. Nkhumba ziyenera kusungidwa bwino kuti zigwiritsidwe ntchito pokonzanso maopareshoni pambuyo pake.

Nthawi zambiri, opaleshoni imachitika mwanayo asanayambe sukulu. Masiku ano, madokotala ambiri amalimbikitsa kuti akonze mwanayo asanakwanitse miyezi 18. Kuchita opaleshoni kumatha kuchitidwa ali ndi miyezi inayi. Pakati pa opaleshoniyi, mbolo imawongoka ndipo kutsegula kumakonzedwa pogwiritsa ntchito zolumikizira minofu yakhungu. Kukonzekera kungafune maopaleshoni angapo.

Zotsatira pambuyo pa opaleshoni nthawi zambiri zimakhala zabwino. Nthawi zina, pamafunika kuchitidwa opaleshoni yambiri kuti athetse fistula, kuchepa kwa mtsempha, kapena kubwerera kwa mbolo yachilendo.

Amuna ambiri amatha kuchita zachiwerewere monga achikulire.

Itanani yemwe akukuthandizani ngati mwana wanu ali:

• Mbolo yokhota kumapeto
• Kutsegulira mkodzo wosakhala kumapeto kwa mbolo
• Chikopa chosakwanira (chophimba)

• Kukonzekera kwa Hypospadias - kutulutsa

Mkulu JS. Zovuta za mbolo ndi urethra. Mu: Kliegman RM, Stanton BF, St. Geme JW, Schor NF, olemba. Nelson Textbook of Pediatrics. Wolemba 20th. Philadelphia, PA: Elsevier; 2016: chap 544.

Rajpert-De Meyts E, Main KM, Toppari J, Skakkebaek NE. Testicular dysgenesis syndrome, cryptorchidism, hypospadias, ndi testicular zotupa. Mu: Jameson JL, De Groot LJ, de Kretser DM, et al, olemba. Endocrinology: Akuluakulu ndi Ana. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier Saunders; 2016: chap 137.

Snodgrass WT, Chitsamba Choyaka NC. Hypospadias. Mu: Wein AJ, Kavoussi LR, Partin AW, Peters CA, olemba. Urology wa Campbell-Walsh. 11th ed. Philadelphia, PA: Elsevier; 2016: chap 147.