Ama-Hypospadias

I-Hypospadias ukukhubazeka kokuzalwa (kokuzalwa) lapho ukuvulwa kwe-urethra kungaphansi kwepipi. I-urethra yishubhu elikhipha umchamo esinyeni. Kwabesilisa, ukuvulwa kwe-urethra kuvame ukuphela kwepipi.

I-Hypospadias ivela ku-4 kwabafana abasanda kuzalwa abayi-1 000. Imbangela ivame ukungaziwa.

Kwesinye isikhathi, lesi simo sidluliselwa emindenini.

Izimpawu zincike ekutheni inkinga inzima kangakanani.

Imvamisa, abafana abanalesi simo bavulelwa umchamo eduze nethiphu lepipi ngaphansi.

Izinhlobo ezinzima kakhulu ze-hypospadias zenzeka lapho ukuvulwa kuphakathi noma phansi kwepenisi. Imvamisa, ukuvulwa kutholakala ngaphakathi noma ngemuva kwesikhwama.

Lesi simo singadala ijika eliphansi lenduku ngesikhathi sokwakhiwa. Izinguquko zivame kubafana bezinsana.

Ezinye izimpawu zifaka:

• Ukufafaza umchamo ngokungajwayelekile
• Kufanele uhlale phansi uchame
• I-Foreskin eyenza ipenisi ibukeke ngathi ine "hood"

Le nkinga ivame ukutholakala ngokushesha ngemuva kokuzalwa ngesikhathi sokuhlolwa komzimba. Ukuhlola ukuhlolwa kungenziwa ukubheka okunye ukukhubazeka okuzelwe.

Izinsana ezine-hypospadias akufanele zisokwe. Ijwabu kufanele ligcinwe liqinile ukuze lisetshenziswe ekulungisweni kokuhlinzwa kamuva.

Ezimweni eziningi, ukuhlinzeka kwenziwa ngaphambi kokuba ingane iqale isikole. Namuhla, odokotela abaningi be-urologists batusa ukulungiswa ngaphambi kokuba ingane ibe nezinyanga eziyi-18 ubudala. Ukuhlinzwa kungenziwa uma unezinyanga ezine ubudala. Ngesikhathi sokuhlinzwa, umthondo uqondiswa bese kuvuleka okulungiswa kusetshenziswa ukufakwa kwezicubu kusuka kujwabu. Ukulungiswa kungadinga ukuhlinzwa okuningana.

Imiphumela ngemuva kokuhlinzwa ivame ukuba mihle. Kwezinye izimo, kudingeka ukuhlinzwa okwengeziwe ukulungisa i-fistula, ukuncipha kwe-urethra, noma ukubuya kwejika lomthondo elingajwayelekile.

Iningi labesilisa lingaba nomsebenzi ojwayelekile wobulili wabantu abadala.

Shayela umhlinzeki wakho wezempilo uma indodana yakho ine:

• Ipipi eligobile ngesikhathi sokumiswa
• Ukuvula i-urethra engekho esihlokweni sowesilisa
• Ijwabu elingaphelele (elifakwe hood)

• Ukulungiswa kwe-Hypospadias - ukukhipha

Umdala JS. Okungafani kwendoda ne-urethra. Ku: Kliegman RM, Stanton BF, St Geme JW, Schor NF, ama-eds. Incwadi kaNelson Yezingane. Umhla ka-20. IPhiladelphia, PA: Elsevier; 2016: isahluko 544.

I-Rajpert-De Meyts E, Main KM, Toppari J, Skakkebaek NE. I-testicular dysgenesis syndrome, i-cryptorchidism, i-hypospadias, nezicubu zamasende. Ku: Jameson JL, De Groot LJ, de Kretser DM, et al, abahleli. I-Endocrinology: Eyabantu Abadala Neyengane. Umhla wesi-7. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 137.

ISnodgrass WT, iBush NC. Ama-Hypospadias. Ku: Wein AJ, Kavoussi LR, Partin AW, Peters CA, ama-eds. ICampbell-Walsh Urology. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2016: isahluko 147.