Dzidzɔ si nèsena le ɖokuiwò me abe dzila ene ne èlé ŋku ɖe vidzĩ si wodzi yeyee ŋu la nye nusi womate ŋu aɖɔ o. Gake ɣeaɖewoɣi la, ne ɖɔktaa do vidzĩa kpɔ hegblɔ na wò be nane gblẽ le eƒe ŋutilã ŋu la, vɔvɔ̃ ate ŋu anɔ ŋuwò vie eye nàtsi dzimaɖi. Egbea la, míele nu ƒom tso vidzidzi ƒe gbɔdzɔgbɔdzɔ aɖe si mebɔ kura o, gake wòle vevie ŋu. Woyɔa esia be Urogenital Sinus.
Nukae nye Urogenital Sinus sia?
Kpuie ko la, esia nye nuwɔametɔ si wodzina si dzea nyɔnuviwo ko dzi . Bu eŋu kpɔ, zi geɖe la, ʋuƒo etɔ̃ nɔa nyɔnuvi ƒe ŋutilã ƒe akpa si le anyime.
1. Aɖuɖɔtoe (urethra) si me aɖuɖɔtoe dona le ƒe ʋuʋu.
2. Vidzidɔ ƒe ʋuʋu (vagina).
3. Ʋuʋu si le aɖuɖɔtoe (anus) me si me aɖuɖɔ dona le.
Gake ʋu eve le ɖevi si ŋu Urogenital Sinus le ŋu. Ðeka nye aɖuɖɔ ƒe dodo. Ʋuƒo bubu nye ʋuƒo si bɔ si tsinyegoe kple nyɔnu ƒe ƒoƒo ɖekae wɔ. Esia fia be tsinyegoe kple nyɔnu ƒe vidzidɔ siaa do ƒome kple ʋuƒo sia ke.
Nukatae esia le dzɔdzɔm?
Be míase esia gɔme la, ele be míatrɔ ayi vidzĩ ƒe tsitsi ƒe gɔmedzedze le vidzidɔ me. Ne vidzĩ le tsitsim abe fugboe ene la, ɖoɖo etɔ̃ siwo míeyɔ (dɔgbo ƒe dɔwɔwɔ, aɖuɖɔtoe, kple vidzidzi ƒe dɔwɔwɔ) wɔa ɖeka le gɔmedzedzea me eye woʋuna zua xɔ ɖeka me. Woyɔa esia be ``cloaca''. Ne vidzĩa le tsitsim le vidzidɔa me la, nuɖoanyi etɔ̃ siawo mãna vivivi eye wowɔa ʋuƒo etɔ̃ siwo to vovo. Gake ɣeaɖewoɣi la, le susu aɖewo ta la, aɖuɖɔtoe kple nyɔnu ƒe vidzidɔ me dome klãna nyuie o. Ɣemaɣie wowɔa ɖeka hewɔa nɔnɔme aɖe si woyɔna be ``Urogenital Sinus.''
Ðe Urogenital Sinus ƒomevi vevi aɖewo lia?
Ẽ, woate ŋu ama nɔnɔme sia ɖe hatsotso vevi eve me, le alesi mɔ si bɔ la didi kple afisi wòdo ƒome le le ŋutilãa me nu.
| Ƒomevi | Numeɖeɖe bɔbɔe |
|---|---|
| Low-joined / low-ƒoƒo ƒe ƒuƒoƒo | Le ƒomevi sia me la, tsinyegoe kple nyɔnu ƒe vidzidɔ kpena ɖe ŋutilãa ƒe gotagome ʋuʋu ŋu ŋutɔ. Eyata nya si wogblɔna zi geɖe la le kpuie ŋutɔ . Aɖuɖɔtoe kple nyɔnu ƒe vidzidɔ ate ŋu anye esiwo ƒe lolome kple nɔnɔme sɔ. Esia nye nɔnɔme si mesẽ vie o. |
| High-joined / kɔkɔ ƒe ƒoƒo ɖekae | Le afisia la, mɔ eveawo ƒoa ƒu ɖe ŋutilãa me, le adzɔge tso gotagome ʋuƒoa gbɔ. Eyata mɔ si bɔ la didi wu sã . Wobua esia be enye nɔnɔme si nu sẽ wu . Elabena edo ƒome kple kuxi bubuwo ƒe afɔku si lolo wu. |
Esia nye nɔnɔme si mebɔ kura o. Zi geɖe la, edzɔna le vi siwo mede ɖeka le 10,000 ɖesiaɖe me o me. Eyata nyadzɔdzɔ sia megavɔ̃ o.
Nukae nye esia ƒe dzesiwo?
Dzesiawo ate ŋu ato vovo le alesi nɔnɔmea nu sẽe nu. Zi geɖe la, wokpɔa nusiawo ne ɖɔkta do vidzĩa kpɔ le edzidzi vɔ megbe.
- Nusi koŋ ɖe dzesi enye be, abe alesi míegblɔe va yi ene la , ʋuƒo eve koe li : ɖeka nyea aɖuɖɔ eye evelia nyea ʋuƒo si bɔ na tsinyegoe kple nyɔnu ƒe vidzidɔ.
- Aɖuɖɔ ƒoa ƒu ɖe vidzidɔa me, si wɔnɛ be vidzidɔa vuvu. Woyɔa esia le atikewɔwɔ me be ``hydrocolpos``.
- Ɣeaɖewoɣi la, vidzidɔa mate ŋu atsi bliboe o.
- Àte ŋu akpɔ ŋutinu ememetɔwo abe vidzidɔ, azigolo, alo vidzidɔ ƒe ʋukawo ene hã be wometsi kura o.
Nukatae esia le dzɔdzɔm? Nukawoe nye susu siwo tae?
Zi geɖe la, esesẽna be woade dzesi nusi koŋ gbɔ wòtso, gake nu vevi ʋɛ aɖewo li siwo gbɔ wòtsona siwo ɖɔktawo de dzesii.
- Congenital Adrenal Hyperplasia (CAH): Esia nye domenyiŋusẽfianu ƒe nɔnɔme. Le nɔnɔme sia me la, vidzĩa ƒe adrenal glands mewɔa enzyme si hiã be wòawɔ lãmetsiŋusẽ o. Esia ate ŋu ana lãmetsiŋusẽ ƒe masɔmasɔ kple vidzinuwo natsi le mɔ si mesɔ o nu, vevietɔ le nyɔnuviwo gome.
- Virilization: Kpuie ko la, enye ŋutsu ƒe lãmetsiŋusẽ (androgens) ƒe agbɔsɔsɔ si gbɔ eme le nyɔnu fugboe me. Esia ate ŋu akpɔ ŋusẽ ɖe vidzinuwo ƒe tsitsi hã dzi.
Aleke ɖɔktawo wɔa dea dzesi dɔléle siae?
Dɔléle sia didi nyuie le vevie ŋutɔ le ɖoɖowɔwɔ ɖe atikewɔwɔ ŋu me. Ɣeaɖewoɣi la, woate ŋu ade dzesii le ultrasound scan wɔwɔ do ŋgɔ na vidzidzi me. Gake zi geɖe la, ɖɔktaa dea dzesi tɔtrɔ sia le ŋutilãmedɔdada gbãtɔ me le vidzĩa dzidzi vɔ megbe . Emegbe, woɖea gbe be woagawɔ dodokpɔ geɖe wu atsɔ aɖo kpe dɔlélea dzi ahanya alesi gbegbe wòsẽe.
| Dodokpɔ | Kpuie ko la, nukae nèwɔna kplii? |
|---|---|
| Ultrasound Scan ƒe Dɔwɔnu | Esia kpena ɖe ame ŋu wòkpɔa vidzĩa ƒe ŋutinu ememetɔwo, abe ayiku, tsinyegoe, vidzidɔ, kple dɔgbo ene ƒe nɔnɔme. Ate ŋu alé ŋku ɖe hydrocolpos (vidzidɔ ƒe vuvu) hã ŋu. |
| Vidzinu ƒe Nɔnɔmetata si Wotrɔna Yi Megbe | Esia nye X-ray dodokpɔ tɔxɛ aɖe. Ðɔktaa tsɔa amadede tɔxɛ aɖe toa ʋuƒo si bɔ la me eye wòɖea foto X-ray. Esia wɔnɛ be woate ŋu akpɔ ŋutinu siwo le eme ƒe nɔnɔme, woƒe lolome, kple woƒe nɔƒe nyuie. |
| MRI Scan ƒe Dɔwɔɖoɖo | Esia wɔnɛ be woate ŋu akpɔ ŋutilãa ƒe akpa si le eme ƒe nɔnɔmetata siwo me kɔ ŋutɔ, siwo me kɔ nyuie. Ate ŋu afia afisi tututu Urogenital Sinus le kple kuxi bubu ɖesiaɖe si ate ŋu anɔ eme, abe akɔta si ƒo xlãe ene hã. |
| Endoscopy ƒe dɔwɔwɔ | Mɔnu sia zãa mɔ̃ tsɛ aɖe (endoscope) si me fotoɖemɔ̃ kple akaɖi le be woatsɔ ade nu si bɔ la me eye woakpɔ ememe tẽ le screen dzi. |
Aleke wowɔa atike nɛ?
Mɔ ɖeka kolia si dzi woato ada nɔnɔme siae nye be woawɔ dɔ atsɔ ama nyɔnu ƒe vidzidɔ kple tsinyegoe me .
Esia nye nyametsotso si me kɔ ŋutɔ. Hafi woawɔ dɔa na wò la, àɖo dze didi aɖe kple viwòa ƒe atikewɔlawo. Zi geɖe la, ɖɔkta si bi ɖe aɖuɖɔtoe kple vidzidzi ƒe ɖoɖowo me (`Urologist`) kple ɖɔkta si bi ɖe lãmetsiŋusẽwo me (`Endocrinologist`) nɔa ƒuƒoƒo sia me.
Zi geɖe la, wowɔa amekoko sia le ɖevi ƒe agbe ƒe ƒe gbãtɔ me . Amekoko ƒomevi si wowɔ la nɔ te ɖe nenye be nɔnɔmea nye `low-joined` alo `high-joined`, si ŋu míeƒo nu tsoe va yi.
- Le low-joined nɔnɔme gome la:Wowɔa amekoko si woyɔna be `flap vaginoplasty` zi geɖe. Le dɔ sia wɔwɔ me la, amekolaa zãa ʋuƒo si bɔ la ƒe akpa aɖe tsɔ wɔa ʋuƒo eve vovovowo na nyɔnu ƒe vidzidɔ kple aɖuɖɔtoe.
- Le nɔnɔme siwo me ƒunukpeƒe kɔkɔwo le gome la: Amekoko si sesẽ wu, abe `pull-through vaginoplasty` ene, hiã. Le afisia la, woɖea nyɔnu ƒe vidzidɔa ɖa tso mɔ si bɔ gbɔ eye wowɔa ʋuʋu ɖe vovo nɛ.
Ðewohĩ ahiã be woawɔ dɔ na ɖevi aɖewo hã, abe `clitoroplasty` alo `labiaplasty` ene, be woagbugbɔ clitoris alo labia ƒe nɔnɔme aɖo eƒe nɔnɔme nyuitɔ me.
Ðe esia akpɔ ŋusẽ ɖe vinyea ƒe etsɔme dzia?
Esia nye nyabiase gã aɖe na dzila ɖesiaɖe. Taɖodzinu vevitɔ si le amekokoa ŋue nye be wòana ɖevia nawɔ ŋutilã ƒe dɔwɔwɔ siwo sɔ eye wòana vidzinuwo ƒe dzedzeme nagaɖo eƒe nɔnɔme nyuitɔ me.
- Aɖuɖɔɖɔɖɔ: Le amekoko megbe la, ɖevi akpa gãtɔ te ŋu ɖea aɖuɖɔ abe alesi wòle ene kuxi aɖeke manɔmee .
- Dzinukpɔkpɔ: Esia makpɔ ŋusẽ ɖe dzinukpɔkpɔ si sɔ dzi le ɖevia ƒe tsitsi megbe o.
- Gbɔdɔdɔ ƒe agbenɔnɔ: Ɣeaɖewoɣi ne vidzĩa le tsitsim la, eƒe vidzidɔ ate ŋu anɔ kpuie vie alo anɔ kpuie (vaginal stenosis). Esia ate ŋu ahe kuxi aɖewo vɛ le gbɔdɔdɔ me le etsɔme. Àte ŋu aƒo nu tso esia ŋu kple wò ɖɔkta eye nàdi atike si hiã.
- Fufɔfɔ: Nɔnɔme sia ƒe amesinɔnɔ mefia be ɖevi mate ŋu afɔ fu le etsɔme o. Gake ne amekokoa sesẽ ŋutɔ la, ɖɔktawo ate ŋu aɖo aɖaŋu be woawɔ vidzidɔ (C-section) ne wodzi vidzĩa.
Nu siawo ate ŋu ato vovo le viwòa ƒe nɔnɔme nu, eyata anyo wu be nàdzro nusianu me kple viwòa gaglãa.
Nya siwo wòle be woabia ɖɔktaa
Bia wò ɖɔkta tso wò nyabiasewo kple vɔvɔ̃wo katã ŋu. Le kpɔɖeŋu me, àte ŋu abia nya siawo tɔgbe:
- Urogenital Sinus ka ƒomevie le vinyea ŋu?
- Amekoko ka ƒomevie nèkafu? Ƒe nenie wòanyo wu be woana woawɔe?
- Ðe vinye le veve sem fifia?
- Ðe wòahiã be woawɔ dɔ geɖe wu ne ɖevia le tsitsima?
- Ðe esia akpɔ ŋusẽ ɖe ɖevia ƒe dzinukpɔkpɔ dzia?
- Ðe esia akpɔ ŋusẽ ɖe vixɔxɔnyi dzi le etsɔmea?
Gbedasi si Wotsɔ Yi Aƒeme
- Urogenital sinus nye vidzidzi ƒe gbɔdzɔgbɔdzɔ si mebɔ o le nyɔnuviwo me, afisi tsinyegoe kple vidzidɔ do ƒome kple ʋuƒo ɖeka si bɔ.
- Zi geɖe la, wokpɔa nɔnɔme sia le ɖɔkta ƒe dodokpɔ me le vidzĩa dzidzi megbe kpuie.
- Esia ƒe atikewɔwɔ ɖeka koe nye be woawɔ dɔ atsɔ ama mɔ eveawo dome. Esia nye nyametsotso vevi aɖe si dzilawo kple atikewɔlawo wɔna ɖekae.
- Ne wowɔ dɔ na ɖevi akpa gãtɔ nyuie vɔ la, woate ŋu anɔ agbe si sɔ. Wote ŋu ɖea aɖuɖɔ le mɔ si sɔ nu.
- Ðo dze kple viwòa ƒe ɖɔkta gaglãa tso ɖikeke alo vɔvɔ̃ ɖesiaɖe si ate ŋu anɔ mewò ŋu. Woana mɔfiame nyuitɔ kekeake wò.
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