Epispadias

I-Epispadias sisiphene esinqabileyo esikhoyo ekuzalweni. Kule meko, i-urethra ayikhuli ibe yityhubhu epheleleyo. I-urethra yityhubhu ehambisa umchamo ngaphandle komzimba kwisinyi. Umchamo uphuma emzimbeni kwindawo engeyiyo ngeepispadias.

Izizathu zeepispadias azaziwa. Inokwenzeka ngenxa yokuba ithambo le-pubic alikhuli ngokufanelekileyo.

I-Epispadias inokwenzeka ngesiphene sokuzalwa esinqabileyo esibizwa ngokuba yi-bladder exstrophy. Kule ngxaki yokuzalwa, i-bladder ivulekile ngodonga lwesisu. I-Epispadias nayo inokwenzeka nezinye iziphene zokuzalwa.

Imeko yenzeka rhoqo kubafana kunamantombazana. Ngokuqhelekileyo kufunyaniswa xa kuzalwa okanye kungekudala emva koko.

Amadoda aya kuba nepipi elifutshane, elibanzi kunye negophe elingaqhelekanga. I-urethra ihlala ivula ngaphezulu okanye kwicala lobudoda endaweni yencam. Nangona kunjalo, i-urethra inokuvulwa kubude bonke bepenisi.

Abafazi banesilungu esingaqhelekanga kunye nelebia. Ukuvulwa kwe-urethral kuhlala kuphakathi kwe-clitoris kunye nelebia, kodwa kunokuba kwindawo yesisu. Banokuba nengxaki yokulawula ukuchama (ukungabikho komchamo).

Iimpawu zibandakanya:

• Ukuvulwa okungaqhelekanga kwintamo yesinyi ukuya kwindawo engaphezulu kokuvula okuqhelekileyo kwe-urethra
• Ukubuyela umva komchamo kwizintso (Reflux nephropathy, hydronephrosis)
• Ukungahambi kakuhle komchamo
• Usulelo lomjelo womchamo
• Ukwandiswa kwethambo le-pubic

Uvavanyo lunokubandakanya:

• Uvavanyo lwegazi
• I-pyelogram efakwa ngaphakathi (IVP), i-x-reyi ekhethekileyo yezintso, isinyi kunye ne-ureters
• I-MRI kunye ne-CT scan, kuxhomekeke kwimeko
• I-x-ray yepelvic
• I-Ultrasound yenkqubo yokuchama kunye namalungu esini

Abantu abanamatyala angaphezu kweepispadias aya kufuna utyando.

Ukuvuza komchamo (ukungasebenzi) kunokuhlala kulungiswa ngaxeshanye. Nangona kunjalo, utyando lwesibini lunokufuneka kwangoko emva kotyando lokuqala, okanye ngamanye amaxesha kwixesha elizayo.

Utyando lunokunceda umntu alawule ukuhamba komchamo. Iya kulungisa nembonakalo yesini.

Abanye abantu abanale meko banokuqhubeka nokungabinayo i-urinary incontinence, kwanasemva koqhaqho.

Ukuphazamiseka komzimba kunye nezintso kunye nokungachumi kunokubakho.

Tsalela umnxeba umboneleli wakho ukuba unemibuzo malunga nokubonakala okanye ukusebenza kwamalungu esini omntwana okanye umchamo.

Isiphene sokuzalwa - i-epispadias

Umdala JS. Iimpawu ezingalunganga zesinyi. Ku: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, ii-eds. Incwadi kaNelson yeNcwadi yePediatrics. Umhla wama-21. IPhiladelphia, PA: Elsevier; 2020: isahluko 556.

UGearhart JP, uDi Carlo HN. Ubunzima be-Exstrophy-epispadias. Ku: UPartin AW, uDmochowski RR, uKavoussi LR, uPeter CA, ii-eds. UCampbell-Walsh Urology. Umhla we-12. IPhiladelphia, PA: Elsevier; 2021: isahluko 31.

UStephany HA. Ost MC. Iingxaki zomchamo. Ku: Zitelli, BJ, McIntire SC, Nowalk AJ, ii-eds. UZitelli no-Davis ’Atlas of Pediatric Physical Diagnosis. Umhla wesi-7. IPhiladelphia, PA: Elsevier; I-2018: isahluko 15.