Hypospadias - chii? Zvinokonzera, zviratidzo, kurapwa

Hypospadias chimwe chezvinhu zvakafanana abnormalities nezvezvimwe zvinetso zvedundira yaNire, izvo kuchengetwa vakomana, dzinenge - mune vasikana. Maererano ichangobva umboo kubva pavana 125 urema ichi unowanikwa vanhurume zviviri kana zvitatu. Zviri hypospadias zvose. Chii, chii zviratidzo pachena, chii kwakabatana uye sei kubatwa?

Chii hypospadias?

Hypospadias inozivikanwa tyisa zvaizopedza makomba pamusoro Urinary kukodzera kuti chikamu ichi muviri, dzakadai perineum, iri scrotum kana rezasi pechiso mboro.

In pamberi kuremara iri kutyora izere weti nehurumende, kuoneka paganda nokushatiriswa kusagadzikana, uye pane pasikarudzi epfungwa.

Hypospadias - chii? Malformations muvasikana

Hypospadias hakusi chete vakomana asiwo vasikana. Asi ichi ndicho apo neapo. Muchiitiko ichi pane zvinoonekwa deformation pamusoro urethral yokutanga. Kakawanda iri kuitika rworudyi hwomukova nyinyo. In firimu iri mhandara pacharo, kana Kamudzira anewo noruzhinji cleavage.

Ndezvipi zviratidzo kurambwa?

Hypospadias mune vana inosanganisira dzinoverengeka noruzhinji zvinhu. Zvikurukuru, mumwe wavo ari pamberi maburi asiri chetsika nzvimbo pake. Pakati pezvimwe Zviratidzo zvinochengetwa kuita weti kakawanda uye vanoomerwa chokuita nayo.

In vakuru, zvepabonde vakasimba anogona kuitika wakakwana zvepabonde kusakendenga kwavo zvepabonde nemumwe uye akazivisa wakarebesa pakati yemukomana.

Zvisingafadzi zvakaipira hypospadias

Pasina chero rubatsiro kubva nyanzvi hypospadias (mufananidzo kutsauka ichi kunogona kuonekwa pazasi) zvinotisvitsa asingakwezvi chaizvo zvaitika. Kazhinji, ari testicular nzvimbo pane chimwe kana zviviri norukandwe, anonzi hydrocele mune zvokurapa ezvinhu. Dzinomirira homwe duku, aumba somugumisiro kunyanya kuunganidza mvura iri anoshongwa miviri manhu.

Uyewo, chiitiko ichi zvinotungamirira mberi kumuka inguinal heniya uye kunyanya kuunganidza node.

Uyezve, pangava dysplasia chikanda chepamberi uye kukura echirwere zvirwere. Zvisinei, chitarisiko yavo zvakananga novimba mhando vanozivikanwa zvarakasiya. Uku ndiko kunokonzera hypospadias. siyana ayo ichakurukurwa pazasi.

Madzimai nevasikana nemigumisiro hypospadias angava zvirwere zvakadai cystitis, urethritis, vulvovaginitis, dzinenge Varwere izvi wakareva zviratidzo hermaphroditism uye pseudohermaphroditism.

Ndezvipi akasiyana hypospadias vari?

Pane zvinotevera siyana vachiberekwa abnormalities:

• capitate;
• coronary;
• chokumisa;
• scrotal;
• perineal;
• chordates.

Ndezvipi capitate uye coronary anomalies?

Capitatum hypospadias ichaongororwa nyore uye ndicho chimiro abnormality. Varwere ava vanowanzoyemura kujekesa hwomukova urethra iri zvishoma zvaizopedza kubva pakati romusoro yemukomana kuti coronary paburi.

With anomalies zvakadaro vanhu vanogona kuwana kusagadzikana nokuda kumanikidza nhete Canal nezvezvimwe zvinetso zvedundira yorwizi. Pfungwa weti navo zvakaoma uye ane chimiro kwaderera. The curvature ngakuite kurara nhengo Panguva iyi kushanda kwete kuchengetwa.

Capitatum hypospadias kazhinji kuwanikwa 65-80% yevanhu uye vakomana.

In coronal kana okolovenechnye inozivikanwa Kutsauka zvaizopedza buri pedyo notch. In nedanho weti pavarwere aona kuti Redirect kuti ndege pa necheparutivi kuti mboro.

In varwere yakafanana muchimiro anomaly iziviswe prepuce, iyo anowana mashoma wrinkles itsva nokuumba muhomwe ine mhando.

Kazhinji in coronal hypospadias kunotungamirira kuti curvature pakati yemukomana, iyo gare gare inova ventral negwara.

Chii hunde uye chimiro scrotal abnormalities?

Chokumisa chimiro abnormalities yo nzvimbo urethra pamusoro hunde yacho mboro. Varwere izvi pakupedzisira kuenda simba deformation pamusoro mboro, uye weti kwacho kunokonzera matambudziko makuru. Chokwadi ndechokuti panguva muitiro rukova rinotungamirirwa pasi. Naizvozvo, pose uchida kuenda chimbuzi kuti vanhu vane chirwere chakadai chine chaizvoizvo kudhonza murume wake mudumbu.

Scrotal hypospadias (mufananidzo chirwere ichi chinogona kuwanika munyaya yedu) rinopa tinoberekwa gwara zvaizopedza kuti kana ari scrotum pacharo, kana kuburikidza mutsauko waro Upfu nenyere. Varwere yakafanana muchimiro anomalies dzakwidzwa kuva nhengo yakasimba deformation uye anogona chete defecate squatting.

Chii perineal uye Chord zvitarisiko anomalies?

The crotch chimiro kutsauka achipfeka mugero zvaizopedza zvakananga crotch rokufambira, kuvapo yakasimba deformation pakati yemukomana, scrotum uye kukamurwa yakaoma weti (muitiro agere zvakare).

Chord chimiro rakasiyana yapfuura vari kuti ane vasingakoshi zvokutsauka kubva kwose kwose. Saka, urethral orifice riri pamusoro yemukomana. Zvisinei, zvikuru murume saka akaremara, kuti kunoitika nokuda pamberi ganda dysplasia.

Zvino imi vanoziva izwi akadai hypospadias. Chii uye chii siyana zviri anomaly ichi, hatina kuudzwa apa. Zvisinei, unofanira kuziva pamusoro zvinobvira zvinokonzera kutsauka ichi.

Chii chinokonzera hypospadias?

Sezvineiwo pamusoro zvinokonzera hypospadias, zvishoma zvinozivikanwa. Zvisinei, zvinhu zvinotevera zvinogona kukonzera chambotaurwa nezvacho anomalies:

• zvemamiriro kukura ari mudumbu ari nguva vhiki 7-15 (munguva iyi ndiyo paumbwe nhengo dzokubereka nadzo kuti mwana);
• majini kana chromosomal abnormalities mumuviri vanamai;
• yematambudziko akakonzerwa nemavhairasi zvirwere mukadzi pamuviri (gwirikwiti, bembo);
• inexpedient kugamuchira kusununguka hormone kugadzirira;
• intrauterine chirwere nechisikirwo;
• kakawanda anoshungurudza ezvinhu;
• kushaya zvokudya;
• doro, uye amai zvakawanda.

Izvi zvakarongwa rose zvisina zvinhu, uye dzimwe nguva mubatanidzwa anoverengeka vavo kupa kutsauka vasingadiwi vakaita hypospadias (chii chinorondedzerwa munyaya ino).

Sei nechirwere kurambirwa?

Ziva chero zvarakasiya anogona kushivirira kuburikidza purogiramu Diagnostics. Zviri rutendo kwaari nyanzvi chiremba anogona kuona zviri nyore kuvapo akaremara mazuva oupenyu mwana wokutanga chaizvo. The chaizvo chete nzira nechirwere uye kuonekwa zvirwere zvinosanganisira zvinotevera:

• kumbonyatsoongorora chinooneka vaongo- dzokubereka nhengo mwana kana mukuru;
• majini tsvakurudzo (anoratidza zvepabonde chromatin) ;
• achiita Ultrasound pakuongorora Urinary turakiti uye nhengo;
• vakabata urography (anobvumira kudzidza marongerwo uye kushanda nezvezvimwe zvinetso zvedundira).

Marapirwo nokuti hypospadias

Nokuti vanofungidzirwa hypospadias zano rokuti kureva unyanzvi dzakadai chiremba wezvedundira uye chiremba. Zvisinei, zvinonzi kunzwisiswa kuti mureza kurapa hakuna kukwana. Anobvisa munhu chinooneka anomaly akadai hypospadias, oparesheni. Muchiitiko chino, zviri chinodiwa kushandisa kuvhiya kupindira mune rakakodzera zera. Somuenzaniso, vana vari zvakanakisisa kushanda munguva kubva mwedzi mitanhatu kuita makore ake rimwe nehafu. Panguva ino, nemhando dzose mumuviri mishonga (pasi unozotevera vapore) ndiro inonyatsobudirira uye nyore hwakatamisirwa mwana.

Asi vamwe vanachiremba vanodavira kuti kushandisa mbudzana yakanakisisa gore zera, sezvo varwere vechiduku ichiri kudzora zvachose mamiriro ezvinhu, uye nokukurumidza kukanganwa pamusoro Kutamiswa chirwere.

Kana hypospadias asina kupera somwana, rinogona kubviswa chero zera.

Kana zvakakodzera kushandisa kuvhiyiwa?

Zviratidzo chirwere hapasi anoratidza kuti murwere anofanira kuvhiyiwa. Maererano nenyanzvi, ichi chinofanira kuitwa chete kana simba deformation pakati sikarudzi iri pamberi kujekesa Huro urethra.

Kudzivirira hypospadias

To anomaly kumboitika pamwe mwana wako, matanho kuti muzvidzivirire kwayo kunofanira kuitwa. Kuti izvi zvidaro, ramangwana mhamha tinoratidza zano kutevera nyanzvi:

• chose kusiya tsika dzakaipa;
• dzakakudzingai dzokuzvirapa uye kushandiswa kusina pakwakavakirwa;
• edza kudzivisa anoshungurudza ezvinhu;
• munguva inyoreswe panguva gayinakorojisiti uye kugara kumushanyira;
• rakakodzera bvunza mumwe chiremba wezvedundira kana nokusavimbana kuna hypospadias mwana (pasi pemakore mwedzi mitanhatu).

Muchidimbu, hypospadias - ichi hachisi mutongo. dambudziko iri rinogona kugadziriswa nokukurumidza. Chinhu chikuru - nguva kuona nyanzvi.