Hypospadias muvana

Maererano nedzimwe nhepfenyuro, kuwanda kwekuberekwa kwevana ne hypospadias kune katatu mumakore makumi matatu apfuura. Hypospadias is analyal of the development of the urethra, inokonzera izvo vana vasina nzvimbo yekusimudza mushure mutsva. Izvi zvirwere zvinowanzoonekwa kune vakomana vane nguva yakawanda ye1 mhosva pamwana mitsva 150.

Hypopodium muvasikana inonyanya kushoma. Nehutachiona ichi, urethra inoparadzaniswa pamushure penzvimbo yepamusoro, uye rutivi rwekunze rwemadzimai uye hymen dzakaparadzaniswa. Muzviitiko zvakawanda, kuvhurwa kwechiremba uri mumudzimai, nekuda kweizvi, vakadzi hypospadias vanoratidzwa neukirini incontinence.

Zvinokonzera hypospadias

1. Chikonzero chikuru chekuitika kwe hypospadias muchecheche inotorwa sehutachiona hwehutoni mumuviri, izvo zvinogona kuitika mushure mekutora mishonga yemishonga inokonzerwa nemahomoni neamai vemucheche mumazera ekutanga ekudzivirira.
2. Kushungurudzika panguva yekuzvitakura kunogona kukonzera kukurudzirwa kwemasanganiswa ehomoni, izvo panguva imwe zvingakanganisa kuumbwa kwenhengo dzepabonde mumwana.
3. Genetic uye chromosomal mutations: kuvapo kwekusakanganiswa kwekondomome dzepabonde mujenome.

Mafomu e hypospadias

• iyo fomu yepamusoro : mukova we urethra uri pamusoro wepenis, asi kwete nzvimbo yayo yawanzogara;
• chimiro chemukati: gomba riri pamucheto wezasi wepeni, apo kune kuvhara kwepenisheni uye kuderera kwechiremba;
• chekuita chimiro : kuvhurwa kwechiremba chiri munzvimbo yekona, apo kune kuvhaka kwepenisi uye kuderera kukuru muhukuru hwayo;
• crotch : gomba iri munharaunda yepineineal, uye kuvhurwa kwechiremba kunogona kuwedzerwa, pane dzimwe nguva chikanda chinogona kuparadzaniswa.

Kurapa kwe hypospadias

Nehutori hwemusoro we hypospadias, apo kuvhara kwepenisi hakusi, hazvibviri kuita kunze kwekuvhiyiwa. Kusvika iye zvino, nzira chete yekugadzirisa mhando dzakawanda dze hypospadias, umo muvheti we urethra yakaderedzwa kana kuti peni yakanyatsovharwa, ndiko kushanda. Basa rekupindira achiri muduku rinoita kuti zviboneke kuti zvisakakuvadza psyche yemwana uye zvizadzikise chikonzero chakanaka. Nguva yakanakisisa yebasa iri nguva kubva kune rimwe gore kusvika zviviri, kuitira kuti mwana ave nemukana wepanyama uye wepfungwa anovandudza zvakanaka (semuenzaniso, kudzidza kudzidza kunyora, semunhu). Kushanda ne hypospadias kunoda ruzivo rwakawanda rwekuvhiya, nokuti runofungidzirwa seimwe yezvinonyanya kushandiswa muhutachiwana urology-andrology. Izvo zvakaoma zvekushanda ndekuzadzikisa zvakanaka patency ye urethra, kuumbwa kwepenisheni yakanaka kwazvo, kubvisa fistula, zvirwere uye zvimwe zvinetso pashure pokuvhiyiwa.

Kugona kuva nevana uye hutano

Maererano nemigumisiro yekutsvakurudza, nhaka ye hypospadias haigoneki, nokuti chikonzero chechirwere chiri muhutoni hwemadzimai. Kunyangwe, pane mienzaniso yekuti mune dzimwe mhuri hypospadias inoparidzirwa kuburikidza nemurume. Nekubudirira kuburikidza achiri muduku, varume havatamburi nekushaya vana, kunyange vangave vane matambudziko pamwe nekubudirira kwekuita zvepabonde. Nokudaro, vabereki vanofanira kubhadhara zvakanyanya pakusarudza chiremba anokwanisa uyo anogona kuita kuvhiyiwa nemukana muduku wekugadzikana kwepasoperative.