Kodi Epispadia ndi Momwe Mungachitire
Zamkati
Epispadia ndi vuto loperewera kumaliseche, lomwe limatha kuwonekera mwa anyamata ndi atsikana, ndipo limadziwika msanga ali mwana. Kusintha kumeneku kumapangitsa kutseguka kwa mtsempha, njira yomwe imanyamula mkodzo kuchokera kuchikhodzodzo kutuluka mthupi, kuti isakhale pamalo oyenera, ndikupangitsa mkodzo kudutsa pabowo kumtunda kwa maliseche.
Ngakhale zonsezi ndizomwe zimasintha potsegulira mkodzo, epispadia ndiyosowa kwambiri kuposa ma hypospadias, momwe kutsegula kwa mkodzo kumakhala mdera lakumaliseche. Mvetsetsani bwino zomwe hypospadias ndi momwe mungachitire.
1. Chigawo chamwamuna
Male epispadia, omwe amadziwikanso kuti penile epispadia, amatha kutchedwa distal epispadia, momwe kutsegula kwa mkodzo kuli pafupi ndi glans, kapena epispadia yathunthu, pamene mkodzo umatseguka m'munsi mwa chiwalo chamwamuna ndikupanga chidutswa mpaka kunsonga ya maliseche.
Zizindikiro za epispadia mwa anyamata ndi awa:
- Gulu lalifupi, lotakata komanso lopindika mopindika;
- Kupezeka kwa mng'alu kumtunda kwa mbolo momwe mkodzo umatulukira;
- Kusadziletsa kwamikodzo;
- Nthawi zonse kwamikodzo matenda;
- Fupa lokulitsa likukulitsidwa.
Nthawi yomwe vuto silinakonzedwe kuyambira ali ana, anyamata akatha msinkhu amatha kukhala ndi vuto lakumasulidwa ndipo amakhala osabereka.
2. Gawo lachikazi
Epispadia yaikazi ndiyosowa kwambiri ndipo nthawi zambiri imadziwika ndikutseguka kwa mkodzo pafupi ndi clitoris, pamwamba pa labia majora, ndipo zizindikilo zina za epispadia mwa atsikana zitha kukhala:
- Clitoris adagawika pawiri;
- Reflux mkodzo mu chikhodzodzo;
- Kusadziletsa kwamikodzo;
- Matenda a mkodzo;
- Fupa lokulitsa likukulitsidwa.
Kuzindikira kwa epispadia wamkazi kumakhala kovuta kwambiri kuposa anyamata, komwe kumatha kuvulaza kwambiri chikhodzodzo ndi dera loberekera. Chifukwa chake, zimalimbikitsidwa nthawi zonse kuti wazachipatala azikawunika maliseche ali mwana, kuti atsimikizire kuti mtsikanayo akukula bwino.
Zomwe Zimayambitsa Epispadia
Kupanga ziwalo zoberekera ndizovuta kwambiri zomwe zimachitika panthawi yapakati, chifukwa chake, kusintha kwakung'ono kulikonse kumatha kubweretsa vuto. Epispadia nthawi zambiri amakhala chifukwa chakusintha kwa kapangidwe ka ziwalo zoberekera panthawi yapakati, ndipo sizinganenedwere kapena kupewa.
Momwe mankhwalawa amachitikira
Chithandizo cha epispadia chimakhala ndi kuchitidwa opareshoni kuti chikonze zolakwika ziwalo zoberekera ndipo ziyenera kuchitidwa kuyambira ali mwana.
Pankhani ya anyamata, opaleshoni imachitidwa kuti ikatsegule mkodzo pamalo abwinobwino, kukonza kupindika kwa mbolo ndikupangitsa kuti maliseche azigwirabe ntchito, kuti asawononge kugonana.
Atsikana, opareshoni imachitidwa kuti ikatsegule mkodzo pamalo abwinobwino, kumanganso nkongoyo ndikuwongolera kukodza kwamitsempha.