Hypospadias: Chii icho, Mhando uye Kurapa
Zvemukati
Hypospadias igeneral malformation muvakomana iyo inoratidzirwa nekuvhurika kusingaenzanisike kweiyo urethra pane imwe nzvimbo iri pasi pechirume kwete pane kumusoro. Urerera ndiwo mugero unobuda nawo weti, uye nekuda kwechikonzero ichi chirwere ichi chinokonzera weti kubuda panzvimbo isiri iyo.
Dambudziko iri rinorapika uye kurapwa kwaro kunofanirwa kuitwa mumakore maviri ekutanga ehupenyu hwemwana, kuburikidza nekuvhiyiwa kugadzirisa kuvhurwa kwerethra.
Mhando huru dze hypospadias
Hypospadias yakakamurwa kuita ina mikuru mhando, yakarongedzwa zvinoenderana nenzvimbo yekuvhura kweiyo urethra, inosanganisira:
- Distal: kuvhura kwerethra kuri kune imwe nzvimbo padyo nemusoro wepenis;
- Penile: Kuvhura kwacho kunoonekwa pamwe nemuviri wepenis;
- Proximal: kuvhura kwerethra kuri mudunhu padyo nechikosoro;
- Perineal: ndiyo mhando isingawanzoonekwa, pamwe nekuvhurwa kweti urera iri padyo nepanhengo, zvichiita kuti nhengo yemurume ive shoma kupfuura zvakajairwa.
Pamusoro pekuumbwa uku, pane zvakare mukana wekuti kuvhurwa kwerethra kunogona kuoneka pamusoro penhengo, zvisinei, mune iyi nyaya kusanzwisisika kunozivikanwa seepispadia. Ona kuti chii chikamu uye kuti inorapwa sei.
Zviratidzo zvinogona kuitika
Hypospadias zviratidzo zvinosiyana zvichienderana nerudzi rwehurema hunoratidzwa nemukomana, asi kazhinji zvinosanganisira:
- Ganda rakawandisa munzvimbo yepamberi, muromo wepenisiti;
- Kushaikwa kwekuvhura kweiyo urethra mumusoro wenhengo yekubereka;
- Iyo genital kana yakamira haina kutwasuka, ichiratidza chimiro chehuku;
- Weti haina kuyerera ichienda kumberi, uye mukomana anoda kuita weti agere.
Kana mukomana aine zviratidzo izvi, zvinokurudzirwa kubvunza kuna chiremba kuti aone dambudziko uye kutanga kurapwa kwakakodzera. Zvisinei, zvakajairika kuti hypospadias ionekwe kunyangwe muwadhi yekubereka, mumaawa ekutanga mushure mekuberekwa apo chiremba paanoongorora muviri.
Kurapwa kunoitwa sei
Iyo chete nzira yekurapa hypospadias ndeye kuvhiyiwa kugadzirisa kuvhurwa kweiyo urethra uye, zvirokwazvo, kuvhiya kunofanira kuitwa pakati pemwedzi mitanhatu nemakore maviri ezera. Naizvozvo, kudzingiswa kunofanirwa kudzivirirwa usati wavhiyiwa, sezvo zvingave zvakakosha kushandisa ganda rechikanda chepamberi kuvaka patsva nhengo yemwana.
Munguva yekuvhiyiwa, kuvhurwa zvisirizvo kweiyo urethra kwakavharwa uye kubuda kutsva kunoitwa panoperera sikarudzi, kunatsiridza aesthetics yebonde uye kubvumira zvakajairika kuita zvepabonde mune ramangwana.
Mushure mekuvhiyiwa, mwana akavharirwa kwemazuva maviri kusvika matatu, uye anogona kuzodzoka kumba oita zvakajairika mabasa. Nekudaro, mukati memasvondo matatu anotevera, vabereki vanofanirwa kungwarira kuoneka kwezviratidzo zvehutachiona panzvimbo yekuvhiya, sekuzvimba, kutsvuka kana kurwadziwa kwakanyanya, semuenzaniso.
Chimwe chirwere chinotadzisa mukomana kuti ataridze kazhinji phimosis, saka ona pano zviratidzo zvake uye maitiro ekurapa aya kesi.