I-Epispadias

I-Epispadias yisici esingajwayelekile esikhona lapho kuzalwa. Kulesi simo, i-urethra ayikhuli ibe yishubhu eligcwele. I-urethra yishubhu elikhipha umchamo emzimbeni lisuka esinyeni. Umchamo uphuma emzimbeni endaweni engafanele ngama-epispadias.

Izimbangela ze-epispadias azaziwa. Kungenzeka ngenxa yokuthi ithambo le-pubic alikhuli kahle.

I-Epispadias ingenzeka ngesici sokuzalwa esingajwayelekile esibizwa nge-bladder exstrophy. Kule nkinga yokuzalwa, isinye sivulekile odongeni lwesisu. I-Epispadias nayo ingenzeka ngezinye izinkinga zokuzalwa.

Isimo senzeka kaningi kubafana kunamantombazane. Ngokuvamile kutholakala lapho kuzalwa noma ngokushesha ngemva kwalokho.

Abesilisa bazoba nepipi elifushane, elibanzi nelinejika elingavamile. I-urethra ivame ukuvula ngaphezulu noma ohlangothini lwendoda esikhundleni sethiphu. Kodwa-ke, i-urethra ingahle ivuleke kulo lonke ubude bendoda.

Abesifazane bane-clitoris engavamile kanye ne-labia. Ukuvulwa kwe-urethral kuvame ukuba phakathi kwe-clitoris ne-labia, kepha kungenzeka kube sesiswini. Bangaba nenkinga yokulawula ukuchama (ukungahambisani nomchamo).

Izimpawu zifaka:

• Ukuvulwa okungajwayelekile kusuka entanyeni yesinye kuya endaweni engaphezulu kokuvulwa kwe-urethra ejwayelekile
• Ukugeleza emuva komchamo ungene ezinso (i-reflux nephropathy, i-hydronephrosis)
• Ukungakwazi ukubamba umchamo
• Ukutheleleka ngomgudu womchamo
• Ithambo le-pubic enwetshiwe

Ukuhlolwa kungafaka:

• Ukuhlolwa kwegazi
• I-intravenous pyelogram (IVP), i-x-ray ekhethekile yezinso, isinye, nama-ureters
• Ukuhlolwa kwe-MRI ne-CT, kuya ngesimo
• I-x-ray ye-pelvic
• I-Ultrasound yohlelo lokuchama kanye nezitho zangasese

Abantu abanecala elincane kune-epispadias bazodinga ukuhlinzwa.

Ukuvuza komchamo (ukungakwazi ukubamba) kungalungiswa ngasikhathi sinye. Kodwa-ke, ukuhlinzwa kwesibili kungadingeka ngemuva nje kokuhlinzwa kokuqala, noma esikhathini esizayo.

Ukuhlinzwa kungasiza umuntu ukulawula ukuhamba komchamo. Kuzolungisa nokubukeka kwezitho zangasese.

Abanye abantu abanalesi simo bangaqhubeka nokuthinteka ekuchameni, ngisho nangemva kokuhlinzwa.

Ukulimala kwesibindi nezinso nokungabi namuntu kungenzeka.

Shayela umhlinzeki wakho wezokunakekelwa kwezempilo uma unanoma yimiphi imibuzo mayelana nokubukeka noma ukusebenza kwesitho sangasese sengane yakho noma umgudu womchamo.

Isici sokuzalwa - i-epispadias

Umdala JS. Okungajwayelekile kwesinye. Ku: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Incwadi kaNelson Yezingane. Umhlaka 21. IPhiladelphia, PA: Elsevier; 2020: isahluko 556.

UGearhart JP, uDi Carlo HN. Inkimbinkimbi ye-Exstrophy-epispadias. Ku: Partin AW, Dmochowski RR, Kavoussi LR, Peters CA, ama-eds. ICampbell-Walsh Urology. Umhla ka-12. IPhiladelphia, PA: Elsevier; 2021: isahluko 31.

UStephany HA. Ost MC. Izinkinga ze-Urologic. Ku: Zitelli, BJ, McIntire SC, Nowalk AJ, ama-eds. UZitelli noDavis ’Atlas of Pediatric Physical Diagnosis. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2018: isahluko 15.