Epispadias

Epispadias kukanganisa kusingawanzo kuripo pakuzvarwa. Mune ino mamiriro, iyo urethra haina kukura kuita yakazara chubhu. Urethra ndiyo chubhu inotakura weti kubva mumuviri kubva mudundira. Weti inobuda mumuviri kubva kunzvimbo isiriyo ine epispadias.

Zvinokonzera epispadias hazvizivikanwe. Zvinogona kuitika nekuti iyo pubic bone haina kukura mushe.

Epispadias inogona kuitika nehurema husingawanzo kuberekwa unonzi bladder exstrophy. Mune hurema uhu hwekuzvara, dundira rakavhurika kuburikidza nemadziro emudumbu. Epispadias inogona zvakare kuitika nezvimwe hurema hwekuzvarwa.

Mamiriro acho anowanzoitika muvakomana kupfuura vasikana. Inowanzoonekwa pakuzvarwa kana munguva pfupi inotevera.

Vanhurume vanozove nepfupi, yakafara mboro ine isina kujairika curve. Urerera inowanzo kuvhurika kumusoro kana padivi penhengo pachinzvimbo chetipi. Nekudaro, iyo urethra inogona kuvhurika pamwe nehurefu hwese hwepenisi.

Vakadzi vane clitoris isina kujairika uye marabi. Iyo yekuvhura urethral inowanzo kuve pakati pecitoris uye labia, asi inogona kunge iri mudumbu nzvimbo. Vangave nedambudziko rekudzora weti (weti kusagadzikana).

Zviratidzo zvinosanganisira:

• Kuvhurika kusingawanzo kubva kumutsipa wedundira kuenda kunzvimbo iri pamusoro peyakajairika urethra kuvhura
• Kudzokera shure kuyerera kwemuti muitsvo (Reflux nephropathy, hydronephrosis)
• Urinary kusagadzikana
• Urinary turakiti hutachiona
• Yakawedzera pubic bone

Miedzo inogona kusanganisira:

• Kuongorora ropa
• Intravenous pyelogram (IVP), yakakosha x-ray yeitsvo, dundira, uye ureters
• MRI uye CT inoongorora, zvinoenderana nemamiriro acho
• Pelvic x-ray
• Ultrasound yeiyo Urinary system uye sikarudzi

Vanhu vane yakawanda kupfuura yakapfava kesi yeepispadias inoda kuvhiyiwa.

Kuvuza kwerini (kusagadzikana) kunogona kugadziridzwa panguva imwe chete. Nekudaro, kuvhiyiwa kwechipiri kunogona kudiwa kana nekukurumidza mushure mekuvhiyiwa kwekutanga, kana imwe nguva mune ramangwana.

Kuvhiya kunogona kubatsira munhu kudzora kuyerera kwerini. Ichagadzirisawo kuoneka kwenhengo dzesikarudzi.

Vamwe vanhu vane chirwere ichi vanogona kuramba vaine kusagadzikana kweweti, kunyangwe mushure mekuvhiyiwa.

Ureter uye itsvo kukuvara uye kushaya mbereko kunogona kuitika.

Fonera wako mupi wezvehutano kana iwe uine chero mibvunzo nezvechitarisiko kana mashandiro enhengo yemurume wako kana sikarudzi.

Kuberekwa chirema - epispadias

Mukuru JS. Anomalies edundira. Mune: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Chinyorwa chePediatrics. 21st ed. Philadelphia, PA: Elsevier; 2020: chap 556.

Gearhart JP, Di Carlo HN. Exstrophy-epispadias yakaoma. Mune: Partin AW, Dmochowski RR, Kavoussi LR, Peters CA, eds. Campbell-Walsh Urology. 12th ed. Philadelphia, PA: Elsevier; 2021: chits.

Stephany HA. Ost MC. Urologic kusagadzikana. Mune: Zitelli, BJ, McIntire SC, Nowalk AJ, eds. Zitelli naDavis 'Atlas yePediatric Panyama Kuongorora. 7th ed. Philadelphia, PA: Elsevier; 2018: chits. 15.