Ðe tsinyegoe kple vidzidɔ le viwòa ŋua? (Urogenital Sinus) Mina míaƒo nu tso esia ŋu!

Aleke gbegbe wòtsia dzimaɖi na vidada alo vifofo ne wokpɔ vidzĩ si wodzi yeyee eye wokpɔ tɔtrɔ sue aɖewo le woƒe ŋutilã me? Ɣeaɖewoɣi la, nane si mebɔ kura o gɔ̃ hã ate ŋu akpɔ ŋusẽ ɖe mía vi dzi eye wòana míalé blanui ŋutɔ. Egbea, míele nu ƒom tso nɔnɔme aɖe si ŋu womesea nu tsoe ƒã o, gake wòle vevie ŋutɔ be woanya nu tso eŋu. Míeyɔa esia be (Urogenital Sinus).

Nukae nye esia (Urogenital Sinus)? Mina míase egɔme bɔbɔea?

Kpuie ko la, Urogenital Sinus nye nyɔnu ƒe aɖuɖɔtoe kple vidzidzi ƒe gbɔdzɔgbɔdzɔ si wodzina. Fifia, kpɔ ɖa, zi geɖe la, ʋɔtru etɔ̃ nɔa vidzĩ nyɔnu ŋu be gbeɖuɖɔwo nado le ŋutilã me: ɖeka nye dɔgbo, afisi aɖuɖɔ dona le, evelia nye tsinyegoe ƒe ʋuƒo, afisi aɖuɖɔ dona le, eye etɔ̃lia nye nyɔnu ƒe vidzidɔ . Gake vidzĩ si ŋu Urogenital Sinus le la ƒe ʋuʋu eve. Ðekae nye aɖuɖɔtoe, afisi aɖuɖɔ dona le, eye evelia nye ʋuƒo si bɔ na tsinyegoe kple nyɔnu ƒe vidzidɔ siaa. Esia fia be aɖuɖɔ dona eye wòdoa ka kple nyɔnu ƒe vidzidɔ tso teƒe ɖeka.

Nɔnɔme sia (Urogenital Sinus) dzɔna le fugboe ƒe tsitsi ƒe gɔmedzedze. Bu eŋu kpɔ, le ɣeyiɣi kpui aɖe ŋutɔ me le fugboe ƒe nɔnɔme me la, ɖoɖo etɔ̃awo katã – dɔgbo ƒe mɔnu (aɖuɖɔtoe), vidzidɔ ƒe mɔ (vagina), kple aɖuɖɔtoe (aɖuɖɔtoe) – katã do ƒome kple do ɖeka kple ʋuƒo ɖeka. Míeyɔa esia be ( Cloaca ). Ne fugboea le tsitsim la, nuɖoanyi etɔ̃ siawo mãna eye wowɔa ʋuƒo vovovo etɔ̃ (vagina, urethra , kple anus). Gake ɣeaɖewoɣi la, le susu aɖewo ta la, aɖuɖɔtoe kple vidzidzi ƒe dɔwɔwɔ – vevietɔ aɖuɖɔtoe kple nyɔnu ƒe vidzidɔ – meklãna nyuie o, ke boŋ woyia edzi léa ʋuʋu ɖeka me ɖe asi. Woyɔa ʋuʋu ma si bɔ la be (Urogenital Sinus). Ame aɖewo hã yɔa esia be (Persistent Urogenital Sinus - PUGS).

Nukae hea Urogenital Sinus vɛ zi geɖe?

Le tsitsi si sɔ me la, teƒe sia (si woyɔna be Urogenital Sinus) ava zu tsinyegoe kple ŋutigbalẽ si ƒo xlã nyɔnu ƒe nyɔnu ƒe ʋuʋu (vulvar vestibule) emegbe. Aɖuɖɔtoe nye mɔ̃ si me aɖuɖɔ tona dona le wò ŋutilã me. Ŋutilã si ƒo xlã nyɔnu ƒe nyɔnu ƒe ʋuʋu (vulvar vestibule) nye ŋutigbalẽ si le lãkusi ƒe eme, le tsinyegoe kple nyɔnu ƒe ʋuʋu dome.

Afikae Urogenital Sinus le le ŋutilãa me?

Esia (Urogenital Sinus) do ƒome kple tsinyegoe kple nyɔnu ƒe vidzidɔ.

Ðe Urogenital Sinus ƒomevi aɖewo lia?

Ẽ, Urogenital Sinus ƒomevi vevi eve li. Esia nyanya le vevie ŋutɔ na ɖoɖowɔwɔ ɖe atikewɔwɔ ŋu.

1. Low-joined / Low confluence: Le ƒomevi sia me la, tsinyegoe kple nyɔnu ƒe vidzidɔ kpena ɖe ŋutilãa ƒe gotagome ʋuʋu ŋu ŋutɔ, si fia be le ete. Eyata kpukpui sia si bɔ la le kpuie ŋutɔ. Le go sia me la, tsinyegoe kple nyɔnu ƒe vidzidɔ ƒe lolome kple nɔƒe sɔ kple alesi wòle dzɔdzɔmee ŋutɔ. Esia nye nɔnɔme si mesẽ vie o.

2. High-joined / High confluence: Le go sia me la, tsinyegoe kple nyɔnu ƒe vidzidɔ kpena ɖe wo nɔewo ŋu le adzɔge tso ŋutilãa ƒe gotagome ʋuʋu gbɔ, si fia be le etame. Ekema kpukpui sia si bɔ la didi ŋutɔ. Kpekpe kɔkɔ sia ƒomevie nye esi nu sẽ wu. Elabena, kuxi bubuwo ate ŋu ado mo ɖa kple esia. Le kpɔɖeŋu me, aɖuɖɔtoea ate ŋu anɔ ŋgɔgbe sã wu alesi wòle le ŋutilãa me.

Aleke gbegbee nɔnɔme sia (Urogenital Sinus) mebɔ o?

Urogenital Sinus nye dɔléle si mebɔ kura o . Ne míagblɔe kpuie la, edzea vidzĩ yeye siwo ade 0.6 le 10,000 ɖesiaɖe me dzi.

Nukae nye Urogenital Sinus ƒe dzesiwo?

Urogenital Sinusitis ƒe dzesiwo ate ŋu ato vovo le nɔnɔmea ƒe sesẽ nu. Dzesi siwo bɔ wu dometɔ aɖewoe nye:

• Aɖuɖɔtoe ɖeka ko ƒe amesinɔnɔ kple do bubu ɖeka si bɔ ɖe nyɔnu ƒe vidzidɔ kple aɖuɖɔtoe siaa me.
• Vidzidɔ ƒe vuvu le aɖuɖɔ ƒe ƒuƒoƒo ta. Wogayɔa esia be (Hydrocolpos).
• Ðewohĩ wotu nyɔnu ƒe vidzidɔa le mɔ si mesɔ o nu.
• Ɣeaɖewoɣi la, ate ŋu anye be vidzidɔ manɔ anyi kura o.
• Vidzidɔ, azigolo, alo vidzidɔ me tsi metsi nyuie o.

Nukawoe hea Urogenital Sinus vɛ?

Ne míagblɔe tututu la, esesẽna na atikewɔlawo gɔ̃ hã be woade dzesi nusi tututu gbɔ Urogenital Sinus tso.

Le go aɖewo me la, woate ŋu atsɔ esia asɔ kple nɔnɔme aɖe si woyɔna be Congenital Adrenal Hyperplasia (CAH). CAH nye domenyiŋusẽfianu ƒe dɔlélewo ƒe ƒuƒoƒo. Ne CAH le ŋuwò la, wò adrenal gland ɖeka alo evea siaa mewɔa enzyme si hiã be woatsɔ awɔ lãmetsiwo o. Esia ate ŋu ana gbɔdɔdɔ ƒe ŋutinuwo natsi le mɔ si mesɔ o nu. CAH ate ŋu adze ame sia ame dzi, gake nyɔnuviwo ƒe gbɔdɔdɔ ƒe ŋutinu siwo mesɔ o ate ŋu anɔ wo ŋu.

Nɔnɔme aɖe si woyɔna be virilization hã ate ŋu ahe urogenital sinusitis vɛ. Virilization nye ne ŋutsuvi ƒe gbɔdɔdɔ ƒe lãmetsiwo (androgens) sɔ gbɔ akpa le eƒe ŋutilã me. Androgens ye kpena ɖe ŋutilãa ŋu wòtsina, eye wokpɔa ŋusẽ ɖe nuwo abe gbe ƒe goglome, ŋutilã ƒe fu, kple lãmekawo ƒe tsitsi hã dzi.

Aleke wokpɔa Urogenital Sinus dɔlélea?

(Urogenital Sinus) le vevie ŋutɔ le alesi woada dɔléleae me. Menye viwòa ƒe vidzinuwo ɖeɖeko ate ŋu akpɔ ŋusẽ ɖe esia dzi o, ke ate ŋu akpɔ ŋusẽ ɖe eƒe tsitsi kple tsitsi bliboa hã dzi.

Ɣeaɖewoɣi la, ɖɔktawo te ŋu dea dzesi nɔnɔme sia (Urogenital Sinus) le ultrasound wɔwɔ me esime vidzĩa gakpɔtɔ le vidzidɔa me. Gake zi geɖe la, ɖɔktawo kpɔnɛ le ŋutilãmedɔdada gbãtɔ me le vidzĩa dzidzi vɔ megbe. Emegbe woate ŋu awɔ ʋudodokpɔ be woanya nu geɖe tso vidzĩa ƒe lãmesẽ bliboa kple domenyiŋusẽfianu ƒe kuxiwo ŋu.

Ðɔktaa ate ŋu aɖe gbe be woagawɔ dodokpɔ bubuwo atsɔ aɖo kpe dɔlélea dzi alo be yeanya nu geɖe tso alesi Urogenital Sinus keke tae ŋu. Esiawo ate ŋu anye:

• Ultrasound: Esia zãa gbeɖiɖi ƒe ƒutsotsoe siwo ƒe tsɔtsɔme sesẽ tsɔ ɖea ŋutinu siwo le ŋutilãa me ƒe video alo fotowo. Esia ate ŋu aɖe kuxi siwo le viwòa ƒe ayiku, tsinyegoe, nyɔnu ƒe vidzidɔ, kple dɔgbo ŋu afia. Ate ŋu ade dzesii hã ne aɖuɖɔ ƒo ƒu ɖe viwòa ƒe vidzidɔ me (hydrocolpos).
• Retrograde genitogram: Esia hã nye nɔnɔmetatawo dodokpɔ ƒomevi aɖe. Le dodokpɔ sia me la, ɖɔkta doa amadede tɔxɛ aɖe ɖe tsinyegoe/nyɔnu ƒe vidzidɔ me eye wòwɔa X-ray. Amadede sia wɔnɛ be woate ŋu ade dzesi lãkusiwo kple ŋutinuwo ƒe lolome, woƒe nɔnɔme, kple afisi wole nyuie.
• Magnetic Resonance Imaging (MRI) Dodokpɔ: MRI zãa magnet, radio ƒutsotsoewo, kple kɔmpiuta tsɔ ɖea ŋutilãa ƒe foto siwo me kɔ. Esia ate ŋu ana Urogenital Sinus ƒe nɔnɔmetata siwo me kɔ ŋutɔ. Woate ŋu azã MRI hã atsɔ akpɔe ɖa be kuxi aɖeke le ɖevia ƒe akɔta kple akɔta ŋu hã.
• Endoscopy: Endoscopy zãa mɔ̃ tsɛ aɖe si didi (endoscope) si me akaɖi kple fotoɖemɔ̃ le le eƒe nugbɔ ɖeka. Wotsɔa endoscope sia dea tsinyegoe/nyɔnu ƒe vidzidɔ si bɔ me be woatsɔ alé ŋku ɖe ŋutilã ƒe wɔwɔme si le eme ŋu.

Aleke woawɔ ada Urogenital Sinus?

Mɔ ɖeka kolia si dzi woato ada Urogenital Sinus ƒe nɔnɔme aɖee nye be woawɔ dɔ na viwòa ƒe vidzidɔ kple tsinyegoe me. Ɣeaɖewoɣi la, vevietɔ le ɖevi siwo wotsɔ ŋutsunyenye wɔ (le Congenital Adrenal Hyperplasia (CAH) ta) eye wokpɔe be gbɔdɔdɔ ƒe Tsitsi ƒe Tɔtɔ (DSD) le wo ŋu gome la, nukpɔsusu vovovowo ate ŋu anɔ wo si ku ɖe amekoko ŋu. Eyata hafi woawɔ dɔ na wò la, ele be nàƒo nu tsitotsito kple atikewɔlawo ƒe ƒuƒoƒo si le viwòa dam. Zi geɖe la, ƒuƒoƒo sia ƒe akpa aɖewoe nye:

• Ðɔkta si bi ɖe dɔléle siwo le aɖuɖɔtoe kple vidzidzi ƒe dɔwɔwɔ me ((Urologist)).
• Dɔlékuiŋutinunyala nye ɖɔkta si bi ɖe dɔléle siwo do ƒome kple lãmenugbagbeviwo ƒe dɔwɔwɔ me. Wò lãmenugbagbeviwo ƒe dɔwɔwɔe nye nusi wɔa lãmetsiŋusẽwo heɖea wo ɖe go.

Zi geɖe la, wowɔa dɔa le vidzĩa ƒe ƒe gbãtɔ me . Aɖuɖɔtoedɔdala aɖee wɔa dɔ sia.

Le ƒunukpeƒetetedɔ (Urogenital Sinus) ƒe nɔnɔme gome la, zi geɖe la, (Urologist) awɔ amekoko si woyɔna be (Flap vaginoplasty). Le esia me la, wowɔa ʋuƒo vovovo eve siwo yia ŋutilãa ƒe gota gome – ɖeka na nyɔnu ƒe vidzidɔ, eye evelia na tsinyegoe.

Le ƒunukpeƒetetedɔ (Urogenital Sinus) ƒe nɔnɔme gome la, zi geɖe la, (Urologist) wɔa dɔ si woyɔna be (Pull-through vaginoplasty). Esia nye amekoko si sesẽ vie wu. Le esia me la, (Aɖuɖɔtoedɔdala) ma nyɔnu ƒe vidzidɔa kple ʋuƒo si bɔ la dome, wɔa ɖeka si to vovo, eye wòtua ʋuƒo ma si bɔ. Emegbe, aɖuɖɔ yia edzi le sisim tso teƒe si ʋuƒo si bɔ la nɔ tsã.

Le ƒunukpeƒe kɔkɔwo (Urogenital Sinus) ƒe nɔnɔme aɖewo me la, (Urologist) ate ŋu awɔ dɔ aɖe si woyɔna be (Urogenital mobilisation) kpe ɖe (Flap vaginoplasty) ŋu. Le (Urogenital mobilization) me la, woawɔ:

• Woɖea aɖuɖɔtoea ɖe vovo.
• Woɖea tsinyegoe kple nyɔnu ƒe vidzidɔ dome eye woƒoa wo nu ƒu ɖekae hetsɔa wo vaa tsinyegoea me.
• Aɖuɖɔtoea do ƒome kple akɔta ƒe lãkusi.
• Emegbe wowɔa (flap vaginoplasty).

Ðewohĩ ahiã hã be woawɔ dɔ na ɖevi aɖewo si woyɔna be Clitoroplasty kple/alo Labiaplasty. Clitoroplasty bia be woatrɔ asi le lãkusia ŋu be wòawɔ vidzidɔ si sɔ. Amekola la dzea agbagba be yeakpɔ lãmeka geɖe ta ale be ɖevia nate ŋu anɔ gbɔdɔdɔ ƒe agbe nyui me ne etsi. Labiaplasty bia be woatrɔ asi le labia, si nye nuyi siwo ƒo xlã nyɔnu ƒe vidzidɔ ŋu.

Ɣeyiɣi didi kae wòxɔna hafi vidzĩ haya le Urogenital Sinus ƒe atikewɔwɔ vɔ megbe?

Ahiã be viwòa nanɔ kɔdzi ŋkeke ʋɛ aɖewo le (Urogenital Sinus) dɔwɔwɔ vɔ megbe. Ele be vevesesea nadze egɔme aɖiɖi le kwasiɖa ɖeka me, eye ɖevia nahaya keŋkeŋ le ɣleti ɖeka me. Gake le viwòa ƒe (Urogenital Sinus) ƒe sesẽ nu la, viwòa ƒe ɖɔkta ana nàkpɔ esia nyuie wu.

Ðe woate ŋu axe mɔ ɖe Urogenital Sinus nua?

Ne dɔléle aɖe le wò ƒomea me si woyɔna be Congenital Adrenal Hyperplasia (CAH), eye nèfɔ fu alo nèle agbagba dzem be yeafɔ fu la, ele vevie be nàƒo nu kple wò ɖɔkta. Be woaxe mɔ ɖe Urogenital Sinus nu la, woate ŋu ana lãmetsiwo do ŋgɔ na vidzidzi.

Nukae wòle be makpɔ mɔ na ne Urogenital Sinus le vinye ŋu?

Viwòa ƒe emetsonu nɔ te ɖe eƒe aɖuɖɔtoeme ƒe lolome dzi. Taɖodzinu si le amekoko ŋue nye be wòana viwòa nawɔ dɔ nyuie eye eƒe vidzinuwo nadze nyuie. Ðevi siwo wowɔ dɔ na ƒe akpa gãtɔ te ŋu ɖea aɖuɖɔ le mɔ si sɔ nu ne wohaya.

Ne vidzĩa le tsitsim la, eƒe vidzidɔ ate ŋu anɔ kpuie (vaginal stenosis) eye wòanɔ kpuie. Esia ate ŋu ahe kuxiwo vɛ le gbɔdɔdɔ to vidzidɔ me.

Ðevi si ŋu Urogenital Sinus dɔléle le mexea mɔ na wo be woagafɔ fu o. Gake ne amekokoa keke ta ŋutɔ la, anyo wu be woawɔ vidzidɔ (C-section) le vidzidziɣi. Wò ɖɔkta adzro nya sia me kple viwòa le ɣeyiɣi si sɔ me.

Aleke malé be na vinyea?

Viwòa ƒe ɖɔktawo agblɔ alesi nàdae nyuie wu na wò. Alesi (Urogenital Sinus) ƒe sesẽ kple amekokoa me tsonue afia alesi nàyi edzi akpɔ edzii.

Ɣekaɣie wòle be makpɔ ɖɔkta?

Le amekoko vɔ megbe la, ahiã be viwòa nawɔ ɖoɖo ɖe eŋu edziedzi be wòakpɔ egbɔ be yewoƒe ŋutilã le hayahayam nyuie eye wòle dɔ wɔm abe alesi wokpɔ mɔe ene. Kpɔ egbɔ be yede ɖoɖo siawo katã.

Ne ède dzesi dzesi yeye aɖewo, abe aɖuɖɔtoetetedɔ ene la, ƒo nu kple viwòa ƒe ɖeviwo ƒe dɔdala alo aɖuɖɔtoedɔdala.

Nya kawoe wòle be mabia vinye ƒe ɖɔkta?

Nya aɖewo siwo nàte ŋu abia wò ɖɔktae nye esi:

• Urogenital Sinus ka ƒomevie le vinyea ŋu?
• Amekoko kae nèkafu?
• Ƒe nenie wokafui be woawɔ dɔ na amea?
• Ðe vinyea le veve sem, alo ɖe wòle veve sem xoxoa?
• Ðe wòahiã be woawɔ dɔ na ɖevia geɖe wu ne ele tsitsim?
• Ðe nèle mɔ kpɔm be viwòa nakpɔ kuxiwo le eƒe tsinyegoe alo vidzidɔ me ne ele tsitsima?
• Ðe esia akpɔ ŋusẽ ɖe vinyea ƒe dzinukpɔkpɔ dzia?
• Ðe esia akpɔ ŋusẽ ɖe nye ŋutete be mafɔ fu dzia?
• Ðe vinye ate ŋu adzi vi dediea?

Vevietɔ: Mègavɔ̃ gbeɖe be yeabia nya aɖeke wò ɖɔkta, aleke kee wòɖale sue o. Gome le asiwò be nànya nusianu nyuie.

Nukae nye Aɖuɖɔtoemedɔléle le goawo katã me?

Urogenital Disorder nye nɔnɔme ɖesiaɖe si gblẽa nu le wò aɖuɖɔtoe kple vidzidzi ŋu. Kpɔɖeŋu bubuwoe nye:

• Dɔdzẽ siwo me dɔlékui aɖeke mele o.
• Hernia ƒe ʋuʋu.
• Gbɔdɔdɔ ƒe Dɔlékuiwo (STIs).
• Kansa abe tsinyegoe me kansa, azigolo me kansa, alo vidzidɔ me kansa ene.
• Interstitial cystitis/tsinyegoe me vevesese ƒe dɔléle (IC/BPS).

Mlɔeba la, nusiwo dzi wòle be woaɖo ŋkui (Take-Home Message) .

Enye nusi sɔ be nàtsi dzodzodzoe eye nàvɔ̃ ne èva nya be Urogenital Sinus le viwòa ŋu. Gake ɖo ŋku edzi be woate ŋu ada nɔnɔme sia to amekoko me be woama viwòa ƒe tsinyegoe kple vidzidɔ dome. Esia fia be ele be viwòa nate ŋu aɖu aɖuɖɔ le dziɖeɖi me.Ne ele tsitsim la, ele be wòakpɔ dzinu hã. Gake ɣeaɖewoɣi la, ne ele tsitsim la, ate ŋu ase veve aɖe le eƒe vidzidɔ me.

Nu vevitɔe nye be, mehiã be wò ɖeka nakpɔ nusiawo gbɔ o. Ƒo nu kple viwòa ƒe ɖɔkta. Woate ŋu aɖo wò biabiawo katã ŋu, aɖe wò vɔvɔ̃ dzi akpɔtɔ, eye woakpe ɖe ŋuwò nàkpɔ atikewɔwɔ nyuitɔ kekeake ahalé be na viwòa.

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