Hypospadias - kuyini? Izimbangela, izimpawu, ukwelashwa

Hypospadias ingenye kwezinso ezivamile of imiselekazi urinary, okuyinto kuyagcinwa kubafana, okungenani - emantombazaneni. Ngokusho idatha zakamuva ezivela ezinganeni 125 le nkinga kwenzeka kwabesilisa ababili noma abathathu. Konke hypospadias. Kuyini, yini izimpawu manifest, lokho ixhunyiwe futhi kanjani it iphathwa?

Kuyini hypospadias?

Hypospadias libhekene ezingezona ezemvelo offset izimbobo ku urinary engafanele lokhu ingxenye yomzimba, ezifana perineum, the scrotum noma ebusweni aphansi wenduku.

Ephambi kwezinduna le nkinga kungukuphula egcwele ukuchama umbuso, ivele isikhumba ukucasuka, ukungakhululeki, futhi kukhona uhlobo zangasese.

Hypospadias - kuyini? Kombungu emantombazaneni

Hypospadias abafana nje kuphela kodwa futhi amantombazane. Kodwa lokhu ezingavamile kakhulu. Kulokhu kukhona ukusonteka ebonakalayo kuvulwa urethral. Ngokuvamile kuyenzeka ukuvulwa kwesokudla sangasese. Kulesi ifilimu intombi uqobo, noma ulwelwesi Ubuye cleavage isici.

Yiziphi izimpawu ukungamukeleki?

Hypospadias ezinganeni kuhlanganisa eziningi izici isici. Ikakhulukazi, omunye wabo khona izimbobo endaweni non-bendabuko ngaye. Phakathi kwezinye izimpawu kuyagcinwa ukuchama kaningi futhi nobunzima ephathelene nayo.

Kubantu abadala, wobulili namandla singenzeka ephelele nokunganaki ngokobulili ukuze naye ubulili futhi wamemezela deformity wenduku.

imiphumela engasi mihle hypospadias

In the ukungabikho usizo oluvela ochwepheshe hypospadias (isithombe sale ukuphambuka kungabonwa ngezansi) kuholela nemiphumela akuthandeki. Ezimweni eziningi, endaweni wamasende kunohlobo olulodwa noma ezimbili sokuvuvuka, ngokuthi hydrocele endaweni wezokwelapha. Zimelela isikhwama esincane, kwakheka ngenxa ekuqongeleleni ngokweqile uketshezi ezimbili amagobolondo we amasende.

Ngebanga lalokho, lokhu mkhuba kuholela okwengeziwe ifike hernia inguinal kanye ekuqongeleleni ngokweqile lymph.

Ngaphezu kwalokho, kungase kube dysplasia kwelujwabu kanye nokuthuthukiswa nezifo ezingamahlala khona. Nokho, ukubukeka kwabo encike ngqo kwi zilwane ezikhonjwe ngeziphambeko. Yilokhu kubangela hypospadias. buyisiphi kuzoxoxwa ngezansi.

Abesifazane namantombazane imiphumela hypospadias kungenzeka izifo ezifana cystitis, urethritis, vulvovaginitis, okungenani kulezi iziguli ikhulumelani izimpawu hermaphroditism futhi pseudohermaphroditism.

Yini izinhlobonhlobo hypospadias kukhona?

Kukhona amafomu alandelayo ka kwezinso azalwa naso:

• capitate;
• yenhliziyo;
• ekunqandeni;
• scrotal;
• isizalo;
• chordates.

Yiziphi capitate futhi yenhliziyo anomalies?

Capitatum hypospadias kubhekwa ifomu elula futhi ezivame kakhulu okungavamile. Lezi ziguli bavame ukuba emcimbini wokuvulwa urethra ayisesemikhulu kancane offset kusukela maphakathi enhlokweni yemphambili ukuze inkatho yenhliziyo.

Nge anomalies enjalo ezingabantu ungathola ukungakhululeki ngenxa ingcindezi ku umsele ewumngcingo kokusakaza urinary. Inqubo ukuchama kubo kunzima futhi ine uhlobo kwakuye kwancipha. I ugobile besilisa isitho sobulili ngalesi sigaba sibizwa cishe ningagcini.

Capitatum hypospadias ngokuvamile atholakala 65-80% of amadoda nabafana.

Coronal noma okolovenechnye kuka libhekene imbobo eduze notch offset. Ngo inqubo ukuchama ezigulini ukubonwa yokuqondisa kabusha jet engela wenduku.

In iziguli nge uhlobo olufanayo prepuce anomaly liphinyiselwe, okuyinto uthola imibimbi entsha ezimbalwa futhi yakha uhlobo ephaketheni.

hypospadias coronal ngokuvamile kuholela ugobile umthondo, okuyinto kamuva iba isiqondiso ventral.

Uyini stem futhi ifomu scrotal kwezinso?

Ukuze unqande ukuma kwezinso nobuntu indawo urethra esiqwini wenduku. Ngenxa yalezi iziguli ekugcineni uya ukusonteka eqinile wenduku, futhi inqubo ukuchama kubangela izinkinga ezinkulu. Iqiniso liwukuthi ngesikhathi senqubo ekusakazeni iqondiswa phansi. Ngakho, noma nini lapho nesifiso sokufuna ukuya ethoyilethi kubantu abane kokutshelwa ngokukhubazeka kwengane kufanele ngokoqobo ukudonsa azingabaze ubudoda bakhe esiswini.

hypospadias Scrotal (isithombe lesi sifo kungatholakala esihlokweni sethu) inikeza isiteshi esingokwemvelo offset yokwehlisa the scrotum uqobo, noma ngokusebenzisa umehluko yayo nge isitho emgqonyeni. Iziguli uhlobo olufanayo anomalies kamuva abe ilungu enamandla ukusonteka futhi kungaba kuphela azikhulula nokuzikhulula.

Kuyini isizalo futhi kuzithinta Umumo anomalies?

Ukusuka ukuxhuma ukuma eqala isiteshi offset ngqo ezonini ukuxhuma, khona ukusonteka eqinile wenduku, scrotum futhi eqhekeza ukuchama kunzima (nqubo futhi ohlezi).

umumo Chord kuhlukile abathandekayo sangaphambilini ukuthi ine ukuphambuka abangelutho kusukela kuyinsakavukela. Ngakho, orifice urethral sise phezulu umthondo. Nokho, kakhulu lobuntu ngaleyo ndlela sikhubazekile, ukuthi kwenzeka ngenxa yokubakhona isikhumba dysplasia.

Manje wena ujwayelene a eside ezifana hypospadias. Kuyini futhi iziphi izinhlobo lo anomaly, we thasisela ngenhla. Nokho, kufanele wazi mayelana izimbangela zalesi ukuphambuka.

Yini ebangela hypospadias?

Kuyaphawuleka izimbangela hypospadias, kangako. Nokho, lezi zinto ezilandelayo kungase kubangele anomalies osekukhulunywe ngazo zisikhuthaza:

• ukuthuthukiswa okungavamile umbungu e isikhathi amasonto 7-15 (ngalesi sikhathi Ukwakheka kwezitho nezitho zangasese usana olungakazalwa);
• kwezinso yofuzo noma chromosomal e omama umzimba;
• yobunzima obabangelwa izifo yegciwane owesifazane okhulelweyo (isimungumungwane, Umkhuhlane);
• reception inexpedient ebeletha hormone amalungiselelo;
• intrauterine ukutheleleka nemvelo;
• izimo njalo ezicindezelayo;
• yindlala;
• ukusebenzisa kabi utshwala, nomama ngaphezulu.

Lokhu lonke uhlu izici ezilimazayo, futhi ngezinye izikhathi inhlanganisela abaningana kubo nengxenye kulokho ukuphambuka engadingeki njengoba hypospadias (lokho kuchazwa kulesi sihloko).

Kangakanani uphethwe ukungamukeleki?

Thola noma iyiphi ngeziphambeko kungaba nesineke ngokusebenzisa ukuhlola isimiso. Kuyinto sibonga uchwepheshe yakhe udokotela kalula ukunquma khona isici ezinsukwini zokuqala zokuphila komntwana. Indlela kakhulu efanayo Ihlahlubo ukuthola isifo zihlanganisa lokhu okulandelayo:

• ukuhlolwa olunzulu okubonakalayo sobulili ingane noma umuntu omdala;
• ukucwaninga ngofuzo (wembula chromatin ocansini) ;
• enza kokuxilongwa ultrasound ngomgudu womchamo abese izitho;
• ubambe urography (ivumela ukufunda isakhiwo kanye umsebenzi kohlelo urinary).

ongakhetha Ukwelashelwa hypospadias

Ukuze hypospadias esolwa belulekwa ukuba abhekisele ubuciko ezifana Urologist futhi udokotela ohlinzayo. Nokho, kuyaqondakala ukuthi yokwelapha esezingeni akwanele. Eqeda a anomaly ezifana ezibukwayo hypospadias, ukusebenza. Kulokhu, kuyatuseka iphendukele kokungenela kuhlinzwa eseluphele efanelekayo. Ngokwesibonelo, izingane ezisebenza engcono esikhathini kusuka ezinyangeni eziyisithupha ukwenza iminyaka yakhe eyodwa nengxenye. Kwakuphakathi nalesi sikhathi, zonke izinhlobo zokwelapha ngokomzimba (kuncike nokuvuselelwa okwalandela) iyona ngempumelelo kakhulu futhi idluliselwe kalula enganeni.

Kodwa abanye odokotela bakholelwa ukuthi isebenze izinyane ukuba ngonyaka engcono ubudala, njengoba seziguli ezisencane akukakabi ukulawula ngokuphelele isimo, futhi ngokushesha bayakhohlwa ukugula adlulisiwe.

Uma hypospadias engakaze iqedwe ngiseyingane, kungaba zisuswe ngasiphi yobudala.

Lapho kubalulekile ukuba iphendukele ukuhlinzwa?

Izimpawu zokugula akusho ngaso sonke isikhathi kubonise ukuthi kudingeka ukuba isiguli sibe ukuhlinzwa. Ngokusho kochwepheshe, lokhu kufanele kwenziwe kuphela uma ukusonteka enamandla umthondo ebukhoneni kuvulwa ayisesemikhulu we urethra.

Ukuvimbela hypospadias

Ukuze anomaly lwenzeke nengane yakho, izinyathelo zokuvimbela ukuze kuvinjelwe yayo kufanele sigcwaliswe. Kuze kube yimanje, umama esizayo sincoma iseluleko esilandelayo lochwepheshe:

• ayishiye ngokuphelele imikhuba emibi;
• ngaphandle zokuzelapha nokusetshenziswa okungenasisekelo;
• zama ukugwema izimo ezibangela ukucindezeleka;
• ngesikhathi ibhaliswe ngesikhathi udokotela bese uvakashela njalo kuye;
• ngesikhathi esifanele xhumana Urologist uma izinsolo hypospadias ingane (eneminyaka engaphansi kwengu-izinyanga eziyisithupha).

Kafushane, hypospadias - lokhu akulona umusho. Le nkinga zingaxazululwa ngokushesha. Into esemqoka - isikhathi ukubona onguchwepheshe.