Hypospadias - ntoni na? Oonobangela, iimpawu, unyango

Hypospadias yenye ezingaqhelekanga zixhaphakileyo kwale misele wokuchama, leyo kuvandlakanywa amakhwenkwe, ubuncinane - emantombazaneni. Ngokutsho idatha yakutshanje abantwana 125 kule isiphene kwenzeka kumadoda amabini okanye amathathu. Kuxhomekeke hypospadias. Yintoni na, yintoni iimpawu zibonakale, oko adityaniswe iphathwa njani?

Yintoni hypospadias?

Hypospadias sachaza nemvelo lisisiqalo imingxunya kwi akafanelekanga wokuchama le yinxalenye yomzimba, ezifana perineum, samatyhalarha okanye umphezulu esezantsi lobudoda.

Phambi kwalo isiphako kukwaphula ezele ukuchama korhulumente, kubonakala phezu kwesikhumba, zibe nobunzima, kwaye kukho ubunzima angasese.

Hypospadias - ntoni na? Malformations emantombazaneni

Hypospadias lamakhwenkwe nje kuphela kodwa amantombazana. Kodwa inqabile kakhulu. Kule meko kukho deformation obubonakalayo urethral lokuvula. Amaninzi kuyenzeka ukuvulwa lasekunene lobufazi. Kule intombi umboniso ngokwayo, okanye inwebu kwakhona unalo cleavage isici.

Ziintoni iimpawu ukulahlwa?

Hypospadias kubantwana uquka iqela lemisebenzi esemqoka isici. Ngokukodwa, omnye kubo ubukho mingxuma kwindawo non-zemveli kuye. Phakathi kwezinye iimpawu baqondisiswa ukuchama rhoqo kunye nzima ezinxulumene nayo.

Xa abadala, besini eyomeleleyo ezinokwenzeka namdla ngokwesondo ngokupheleleyo kumaqabane abo ngesondo waza wawisa ukukhubazeka le lobudoda.

nemiphumela emibi yokuba hypospadias

Xa kungekho nayiphi na uncedo kwiingcaphephe hypospadias (ifoto noku kutenxa kokumiselweyo ingabonwa ngezantsi) kukhokelela imiphumo akuthandeki. Kwiimeko ezininzi, indawo wamatyhalarha kukho enye okanye unegalimoya ezimbini, ebizwa hydrocele kwindawo yonyango. Bamele yakutya encinane, kwakheka ngenxa ukuqokelelana ngokugqithisileyo ulwelo kwi kweqokobhe ezimbini amasende.

Ngenxa yoko, le nto ikhokelela ukuphakama ngokubhekele phaya Ithemba inguinal kunye nokwanda ngokugqithisileyo nkovu.

Ukongeza, kusenokubakho dysplasia ijwabu kunye nophuhliso lwezifo ezingapheliyo. Noko ke, ukubonakala kwazo kuxhomekeke ngqo kwi ezichongiweyo ezinxaxhileyo. Le nto ebangela hypospadias. iifom zawo ziya kuxoxwa ngezantsi.

Abasetyhini kunye namantombazana neziphumo hypospadias babe izifo ezifana Ngokuzimela, urethritis, vulvovaginitis, ubuncinane kwezi zigulane zomlomo iimpawu hermaphroditism kunye pseudohermaphroditism.

Ziziphi iintlobo hypospadias na?

Kukho ezi fom zilandelayo ukungaqheleki bekhubazekile:

• capitate;
• semithambo;
• ziqala;
• scrotal;
• isizalo;
• chordates.

Yintoni na le capitate kunye semithambo okungahambi?

Capitatum hypospadias ithathwa ifomu ilula kwaye yeyona ixhaphakileyo angahlangani. Ezi izigulane zikholisa iingqameko ukuvulwa urethra leyo lisisiqalo kancinci ukusuka embindini intloko lobudoda ukuya emseleni sentliziyo.

Ekubeni mgaqweni ezifana ngazo abantu baphile kabi ngenxa uxinzelelo umsele emxinwa esihlambo womchamo. Inkqubo ukuchama nzima kwaye ngohlobo kuthotha. Ugobile inkunzi liqumrhu ngesondo kweli nqanaba Oku anayenza.

Capitatum hypospadias idla ngo-65-80% amadoda namakhwenkwe.

Coronal okanye okolovenechnye aphambuke ebonakala lisisiqalo umngxuma kufuphi kweyona notshi. Xa inkqubo ukuchama xa izigulane sibonile ukuba ezitsalela jet kwi-engile ukuya lobudoda.

Xa izigulane kunye uhlobo olufanayo prepuce anomaly zomlomo wakhe, nto leyo embalwa imibimbi amatsha yenza uhlobo epokothweni.

hypospadias Coronal kudla kukhokelela ugobile lobudoda, leyo kamva uba kwicala ventral.

Yintoni isiqu kunye nefom scrotal ukukhubazeka?

Ukuze ekunqandeni imilo ukungaqheleki uphawu indawo ye urethra esiqwini ye lobudoda. Kuba ezi zigulane ekugqibeleni uza deformation elinqatyisiweyo lobudoda, kunye nenkqubo ukuchama kubangela ingxaki enkulu. Inyaniso kukuba ngexesha inkqubo esihlambo ngqo ezantsi. Ngoko ke, xa ndiyazibamba ukuya kwindlu yangasese kubantu unesifo onjalo kufuneka ukutsala ngokoqobo ebudodeni kwakhe esiswini.

hypospadias Scrotal (ifoto esi sifo inokufumaneka kwinqaku lethu) ibonelela channel semvelo lisisiqalo kwi nokuba samatyhalarha ngokwayo, mhlawumbi umahluko zawo organ umphanda. Izigulane nge uhlobo olufanayo mgceni kamva abe lilungu olomeleleyo deformation kwaye azikhulula ndichopha kuphela.

Yintoni isizalo kunye iimilo usinga okungahambi?

Le ecaleni uhanjiso imilo luthatha channel offset ngqo kwindawo uhanjiso, ubukho deformation elinqatyisiweyo lobudoda, isingxobo samatyhalarha kunye lwahlukane Ukuchama nzima (inkqubo kwakhona ehleli).

imilo kumenze wahlukile ukusuka engaphambili kuba une ecaleni bengabalulekanga kwisiqhelo. Ngenxa yoko, orifice urethral kubekwe phezulu lobudoda. Noko ke, kanye lobuntu ngaloo likhubazeke, oko kwenzeka ngenxa yobukho kwesikhumba dysplasia.

Ngoku uqhelene ne gama ezifana hypospadias. Yintoni na kwaye zeziphi na le anomaly, sasinixelele ngasentla. Nakuba kunjalo, kufuneka wazi ngoonobangela noku kutenxa kunokwenzeka.

Yintoni ebangela hypospadias?

Ngokubonakalayo kwi ezibangela hypospadias, kancinane uyaziwa. Noko ke, ezi zinto zilandelayo luwuphuphumise okungahambi ngentla:

• uphuhliso okungaqhelekanga yosana olungekazalwa kwi ixesha iiveki 7-15 (ngeli xesha ukuyilwa amalungu obuni usana olungekazalwa);
• ukungaqheleki yemfuza okanye chromosomal kwi omama emzimbeni;
• iingxaki ezibangelwa zizifo egazini umfazi omithiyo (imasisi, influenza);
• inexpedient reception ukupha amalungiselelo ukuzalwa hormone ayo;
• uhlobo usuleleko intrauterine;
• kwiimeko ezibangela rhoqo;
• ngokuzila ukudla;
• kakubi kotywala, kunye noomama ngaphezulu.

Olu luhlu yonke zizinto ezimbi, yaye ngamanye amaxesha ukuhlanganiswa abaliqela kubo negalelo ukutenxa ezingafunekiyo ezifana hypospadias (into echazwe kweli nqaku).

Njani na isifo ukulahlwa?

Chonga naziphi lungakho ube nomonde ngokusebenzisa kuxilongo lwesiqhelo. Kuyinto ngenxa yingcali wakhe Ugqirha lula ukufumanisa ubukho yomonakalo ngemihla yokuqala yobomi yosana. Indlela efanayo kakhulu loxilongo kunye ubhaqo izifo zibandakanya oku kulandelayo:

• uhlolo ngokucokisekileyo olubonakalayo welungu obuni umntwana okanye umntu omdala;
• kuphando lwemfuzo (ityhila chromatin ngesondo) ;
• ukwenza uviwo ultrasound womchamo kunye namaziko;
• ebambe urography (ivumela ukufunda isakhiwo kunye nokusebenza kwenkqubo womchamo).

iinketho Treatment for hypospadias

Kuba hypospadias eko acetyiswa ukubhekisela zobugcisa ezifana womchamo kunye ugqirha. Noko ke, kuyaqondakala ukuba unyango standard akwanelanga. Ishenxisa a anomaly olubonakalayo ezifana hypospadias, ukusebenza. Kulo mzekelo, kungakuhle ukubhenela ungenelelo zoqhaqho womelele efanelekileyo. Umzekelo, abantwana ezisebenza kakuhle kwixesha ukusuka kwiinyanga ezintandathu ukwenza iminyaka bakhe enye enesiqingatha. Yaba ngeli xesha, zonke iintlobo zonyango emzimbeni (ngokuxhomekeke kwimeko yesiqhelo elandelayo) enempumelelo kakhulu kwaye lula kudluliselwa usana.

Kodwa abanye oogqirha bakholelwa ukuba ukusebenza itakane ukuya ngunyaka ogqibeleleyo ubudala, njengoko izigulane abaselula Nangoku ngokupheleleyo ukulawula le meko, yaye ngokukhawuleza silibale malunga nokugula kwiCEMIS.

Ukuba hypospadias khange ziphelisiwe njengomntwana, ukuba asuswe na ubudala.

Xa kuyimfuneko ukuba ukubhenela uqhaqho?

Iimpawu zokugula ayisoloko ibonisa ukuba isigulane kufuneka uqhaqho. Ngokutsho kweengcali, oku kufuneka kwenziwe kuphela xa deformation enamandla eveze phambi yokuvulwa iingqameko le urethra.

Prevention of hypospadias

Ukuze anomaly lwenzeke kunye nomntwana wakho, amanyathelo othintelo ukuvimbela wayo kufuneka kwenziwe. Ukuza kuthi ga ngoku, mama elizayo sincoma icebiso ilandelayo leengcali:

• ayishiye ngokuphelele imikhuba emibi;
• ngaphandle self-amayeza kunye nokusetyenziswa angamanga;
• bazame ukuphepha iimeko ezibangela;
• ngexesha ukuze abhaliswe kwi ugqirha kwaye atyelele rhoqo kuye;
• ngexesha udibane womchamo xa kwimeko rhanelwa hypospadias umntwana (ongaphantsi kweminyaka iinyanga ezintandathu).

Ngokufutshane, hypospadias - oku isivakalisi. Le ngxaki ingasombululwa ngokukhawuleza. Eyona nto ibalulekileyo - ixesha ukubona yincutshe.