So wo babarima kumaa no nsukorabea no wɔ baabi foforo? Momma yɛnka Hypospadias ho asɛm!

Sɛ wosesa wo ba a wɔawo no foforo no mpaboa a, so woahyɛ nsakrae bi nsow wɔ n’akyi berɛmo mu? Ebia woahyɛ no nsow sɛ urethral no bue no nni baabi a ɛsɛ sɛ ɛkɔ, na mmom ɛba fam kakra. Sɛ́ ɔwofo no, eyi betumi ayɛ hu. Nanso mma ɛnhaw wo. Eyi yɛ tebea a abu so a yenim wɔ nnuruyɛ mu na ebetumi aba nkokoaa mmarima pii mu bere a wɔawo wɔn. Ɛnnɛ yɛreka saa tebea yi a wɔfrɛ no `(Hypospadias)` ho asɛm.

Sɛ yɛbɛka no tiawa a, dɛn ne Hypospadias?

Okay, momma yɛnkyerɛkyerɛ eyi mu tiawa. Wɔ ɔbarima mu no, nsu ne mmadwoa fi ne nipadua mu fa afiri bi a ɛfa ne barima no mu. Yɛfrɛ saa afiri yi urethra . Mpɛn pii no, saa urethra yi ba awiei wɔ tokuru ketewaa bi mu wɔ ɔbarima no akyi. Yɛfrɛ eyi sɛ meatu.

Wɔ akokoaa nyin mfiase wɔ awotwaa mu no, saa nsu a ɛkɔ nsu mu yi yɛ te sɛ ɔkwan a abue. Akyiri yi, asubɔnten yi afã abien no bom yɛ nsukorade a edi mũ. Fa no sɛ ɛte sɛ nea wode zip bɛhyɛ.

Wɔ abofra a ɔwɔ `Hypospadias` mu no, urethra no ntoto koraa na ɛnkɔ awiei te sɛ tube. Ɛte sɛ nea wɔamfa zip no ankɔ soro nyinaa. Enti, abue a nsuo fa mu ba `(Meatus)` no nnyɛ wɔ ɔbarima no ano, na mmom ɛba n’ase kakra, wɔ ɔbarima no akyi baabiara. Ɛtɔ da bi a, saa tokuru yi betumi abɛn awotwaa `(Scrotum)`, anaasɛ mpo ɛbɛn akyi berɛmo `(Anus)`.

So tebea yi yɛ aniberesɛm? So ɛyɛ biribi a ɛsɛ sɛ yesuro?

Hypospadias betumi afi nea emu nyɛ den so kosi nea emu yɛ den so. Wɔ nsɛm bi a emu nyɛ den koraa mu no, ebia ɛho renhia sɛ wɔyɛ oprehyɛn. Nanso, mpɛn pii no, oprehyɛn betumi asiesie tebea no koraa. Enti, ɛho nhia sɛ wohaw wo ho wɔ ho. Sɛ wɔsa abofra no yare yiye a, obetumi atra ase sɛnea ɛsɛ a ɔhaw biara nni ho daakye.

Hypospadias ahorow bɛn na ɛwɔ hɔ?

Nnuruyɛfo kyekyɛ tebea yi mu yɛ no ahorow atitiriw pii, a egyina baabi a nsu a ɛkɔ nsu mu no wɔ so. Momma yɛnhwɛ nea wɔyɛ.

Dɛn ne tebea yi ho sɛnkyerɛnne?

Nsɛnkyerɛnne titiriw ne sɛ nsu a ɛkɔ nsu mu no nhyia. Nea ɛka ho no, wobetumi ahu sɛnkyerɛnne afoforo pii.

• Nsesa a ɛba nsu mu: Sɛ abofra tow nsu a, ebia nsu a ɛreworo so no renkɔ n’anim tẽẽ, na mmom ebetumi akɔ fam anaa akɔ nkyɛn . Eyi betumi ama ayɛ den ama abofra no sɛ ɔbɛtow nsu bere a ogyina hɔ bere a wɔrenyin no.
• Fores skin a enni mũ: Ebia were a ɛkata ɔbarima no ti (anim were) no nnyinii koraa, na ɛkata ɔbarima no atifi nkutoo. Eyi betumi ama ayɛ te sɛ "kap." Ɛho hia paa sɛ abofra a ɔwɔ saa tebea yi kɔ oduruyɛfo nkyɛn ansa na wɔatwa no twetia. Wobetumi de saa were a ɛboro so yi asiesie nsu a ɛkɔ nsu mu no bere a wɔreyɛ oprehyɛn no.
• Chordee: Ebia wɔbɛkotow ɔbarima no akyi akodu baabi, sen sɛ ɛbɛkɔ tẽẽ.
• Nkwaboaa a ɛnsiane: Ebia mmarimaa binom benya saa tebea yi a mmadwoa biako anaa abien no nyinaa kɔ so tra awotwaa no mu, na ɛnsiane nkɔ awotwaa no mu.

Dɛn ne nneɛma a ɛde Hypospadias ba?

Nokwarem no, nnuruyɛfo nnya nhuu nea ɛde hypospadias ba ankasa. Nanso, wɔahu nneɛma pii a ɛma asiane a ɛwɔ tebea yi mu no yɛ kɛse.

• Awosu mu abusuabɔ: Sɛ obi a ɔwɔ abusua no mu (agya, onua) anya saa tebea yi a, hokwan wɔ hɔ sɛ abofra no nso benya bi.
• Ɛnanom tebea horow bere a wɔyem:
• Ɛna a wadi boro mfe 35 bere a onyinsɛn no.
• Ɛna no nipadua mu duru (BMI) boro 30, a ɛkyerɛ sɛ ɔyɛ kɛse mmoroso .
• Wosusuw sɛ awo ho ayaresa, titiriw nkwaadɔm te sɛ progesterone a wɔde ma na ama nyinsɛn no akɔ so atra hɔ no betumi anya nkɛntɛnso.
• Sigaretnom bere a wɔyem.
• Nnuru anaa nnuru bi a wɔde kum mmoawa a wɔde wɔn ho bɛhyɛ mu bere a wɔyem no.

Ɔkwan bɛn so na wɔsa?

Ayaresa a eye sen biara na edi mu sen biara a wɔde sa hypospadias ne oprehyɛn . Wɔtaa yɛ oprehyɛn yi bere a abofra no adi fi asram 6 kosi 12 no . Nneɛma pii nti na wɔyɛ oprehyɛn wɔ mfe yi mu.

• Ɛnyɛ nea asiane biara nni ho sɛ wɔde nnuru a wɔde kum nipadua no nyinaa bɛma abofra wɔ mfe yi mu.
• Ɛnyɛ den sɛ wɔbɛhwɛ kuru no bere a wɔayɛ oprehyɛn awie no.
• Abofra no renkae eyi.

Mpɛn pii no mmofra ho oduruyɛfo a ɔhwɛ ntini mu yare na ɔyɛ oprehyɛn no . Oprehyɛn no wɔ botae atitiriw pii:

1. Ɔbarima no a ɔteɛ: Sɛ `chordee` tebea bi wɔ hɔ a, wɔteɛ ɔbarima no denam benkum a wɔteɛteɛ no so.

2. Nsuo afiri a wɔsan yɛ: Wɔyɛ nsuo a ɛnwie pɛyɛ no yɛ no afiri a ɛdi mũ, na ɛde nsuo a ɛbue no ba ɔbarima no ano. Ebia eyi bɛhwehwɛ sɛ wɔde ntini bi a woyii fi abofra no ankasa awotwaa mu bedi dwuma.

3. Skin reshaping: Wɔsan yɛ penis no were fɛfɛɛfɛ. Mpɛn pii no, wɔyɛ twetiatwa bere koro no ara a wɔyɛ oprehyɛn yi.

Sɛ wɔyɛ oprehyɛn wie a, wobetumi de afiri ketewaa bi (catheter) ahyɛ mu bere tiaa bi de akɔ nsu mu kosi sɛ nsu a ɛkɔ nsu mu no bɛsa. Oduruyɛfo no beyi eyi afi hɔ wɔ dapɛn biako anaa abien mu.

So nsɛnnennen bi wɔ hɔ a ebetumi aba wɔ oprehyɛn akyi?

Sɛnea ɛte wɔ oprehyɛn biara ho no, asiane ne nsɛnnennen bi wɔ hɔ a ebetumi aba wɔ oprehyɛn yi mu, nanso eyinom ho yɛ na koraa.

• Urethrocutaneous fistula a ɛma obi ho yɛ hyew:Tokuru ketewaa bi ba nsu a wɔde fa nsu mu a wɔayɛ no foforo ne honam ani, na ebetumi ama nsu no atu.
• Urethral stricture: Akuru betumi ama urethra no asiw.
• Nkɔso a ɛsan kɔ akyiri: Ebia ɔbarima no akyi berɛmo no bɛsan akɔ fam bio wɔ oprehyɛn no akyi bere bi akyi.

Sɛ eyi ba a, ebia ɛho behia sɛ wɔyɛ oprehyɛn ketewaa foforo de siesie, nanso mmofra pii de oprehyɛn biako pɛ fi mu ba yiye.

Ɔkwan bɛn so na ɛsɛ sɛ mehwɛ akokoaa no bere a wɔayɛ no oprehyɛn awie no?

Ɛho hia paa sɛ wohwɛ wo ba no yiye bere a wɔayɛ no oprehyɛn awie no. Di oduruyɛfo no akwankyerɛ akyi pɛpɛɛpɛ.

• Ahotew: Ma baabi a kuru no ho tew na ɛnyɛ nwunu sɛnea wubetumi. Fa samina ne nsu hohoro wo nsa yiye ansa na woasesa mpaboa no.
• Nguare: Nguare wɔ ahina mu kosi sɛ wo duruyɛfo bɛka akyerɛ wo. Sponge-guare a wɔde guare. Sɛ woyi tube no wie a, wubetumi aguare sɛnea ɛsɛ.
• Kwati nhyɛso: Mfa akokoaa no nto ne yafunu so. Mma no agode a ɛtra hɔ a ne nan atrɛw (ɔpɔnkɔ a ɔwosow, nea ohuruw) adapɛn kakraa bi.
• Ɔhohoro ne kɔla a ɛsakra: Ɛyɛ ade a ɛfata sɛ ɔbarima no akyi berɛmo no ahonhon na ɛwɔ kɔla bruu/kɔla kɔkɔɔ wɔ oprehyɛn akyi. Eyi bɛbrɛ ase nkakrankakra bɛboro ɔsram biako anaa abien.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn anaasɛ mekɔ ETU?

Sɛ ɔhaw bi sɔre wɔ oprehyɛn akyi a, ɛho hia sɛ wɔyɛ ho biribi ntɛm.