Koj tus menyuam puas muaj qhov urethra thiab qhov chaw mos? (Urogenital Sinus) Cia peb tham txog qhov no!

Thaum ib tug niam los yog txiv saib ib tug menyuam mos thiab pom qee yam kev hloov me me hauv lawv lub cev, nws ua rau lawv txhawj npaum li cas? Qee zaum, txawm tias qee yam uas tsis tshua muaj, tuaj yeem cuam tshuam rau peb tus menyuam thiab ua rau peb tu siab heev. Hnub no, peb yuav tham txog ib qho mob uas tsis tshua muaj neeg hnov ​​​​txog, tab sis nws tseem ceeb heev uas yuav tsum paub txog. Peb hu qhov no (Urogenital Sinus).

Qhov no (Urogenital Sinus) yog dab tsi? Cia peb nkag siab yooj yim xwb?

Hais yooj yim xwb, Kab Mob Urogenital Sinus yog ib qho teeb meem uas muaj txij thaum yug los hauv lub cev tso zis thiab lub cev yug me nyuam ntawm ib tug poj niam. Tam sim no, saib, feem ntau ib tug me nyuam ntxhais muaj peb qhov rau cov khib nyiab tawm hauv lub cev: ib qho yog lub qhov quav, qhov twg cov quav tawm los, lwm qhov yog qhov qhib urethral, ​​qhov twg cov zis tawm los, thiab qhov thib peb yog lub qhov chaw mos . Txawm li cas los xij, ib tug me nyuam uas muaj Kab Mob Urogenital Sinus muaj ob qhov. Ib qho yog lub qhov quav, qhov twg cov quav tawm los, thiab lwm qhov yog qhov qhib rau ob qho tib si urethra thiab qhov chaw mos. Qhov no txhais tau tias cov zis tawm los thiab txuas mus rau qhov chaw mos los ntawm tib qho chaw.

Qhov mob (Urogenital Sinus) no tshwm sim thaum lub sijhawm pib ntawm kev loj hlob ntawm tus menyuam hauv plab. Xav txog, rau lub sijhawm luv luv hauv theem menyuam hauv plab, tag nrho peb lub cev - txoj hnyuv (qhov quav), txoj hnyuv (qhov chaw mos), thiab txoj hlab zis (zais zis) - txhua tus txuas nrog ib lub qhov thiab qhov qhib. Peb hu qhov no ( Cloaca ). Thaum tus menyuam hauv plab loj hlob, peb lub cev no sib cais thiab tsim peb qhov qhib sib cais (qhov chaw mos, qhov zis , thiab qhov quav). Tab sis qee zaum, rau qee qhov laj thawj, txoj hlab zis thiab lub cev yug me nyuam - tshwj xeeb tshaj yog qhov zis thiab qhov chaw mos - tsis sib cais kom zoo, tab sis txuas ntxiv tswj ib qho qhib. Qhov qhib dav dav ntawd hu ua (Urogenital Sinus). Qee tus neeg kuj hu qhov no (Persistent Urogenital Sinus - PUGS).

Feem ntau dab tsi ua rau muaj mob Urogenital Sinus?

Thaum lub sijhawm loj hlob li qub, thaj chaw no (hu ua Urogenital Sinus) tom qab ntawd yuav dhau los ua qhov zis thiab daim tawv nqaij nyob ib puag ncig qhov qhib ntawm lub qhov chaw mos (vulvar vestibule). Lub zis yog lub raj uas cov zis tawm hauv koj lub cev. Daim tawv nqaij nyob ib puag ncig qhov qhib ntawm lub qhov chaw mos (vulvar vestibule) yog daim tawv nqaij sab hauv ntawm lub labia, ntawm qhov zis thiab qhov qhib ntawm lub qhov chaw mos.

Qhov Urogenital Sinus nyob qhov twg hauv lub cev?

Qhov no (Urogenital Sinus) txuas nrog lub qhov zis thiab qhov chaw mos.

Puas muaj hom Urogenital Sinus?

Yog, muaj ob hom kab mob Urogenital Sinus tseem ceeb. Kev txheeb xyuas qhov no yog qhov tseem ceeb heev rau kev npaj kho mob.

1. Qis sib koom ua ke / Qis sib koom ua ke: Hauv hom no, txoj hlab zis thiab qhov chaw mos sib koom ua ke ze heev rau qhov qhib sab nraud ntawm lub cev, uas yog, nyob rau hauv qab. Yog li ntawd, txoj kev sib koom ua ke no luv heev. Hauv qhov no, txoj hlab zis thiab qhov chaw mos zoo sib xws hauv qhov loj me thiab qhov chaw ntawm ib txwm muaj. Qhov no yog ib qho mob uas tsis hnyav heev me ntsis.

2. Sib koom siab / Sib koom siab: Hauv qhov no, qhov zis thiab qhov chaw mos sib koom ua ke ntawm qhov deb ntawm qhov qhib sab nraud ntawm lub cev, uas yog, nyob rau sab saum toj. Tom qab ntawd qhov kev hla no ntev heev. Hom kev sib koom siab no yog qhov loj tshaj plaws. Vim tias, lwm yam teeb meem tuaj yeem tshwm sim nrog qhov no. Piv txwv li, lub qhov quav tuaj yeem nyob deb dua li qub hauv lub cev.

Qhov mob (Urogenital Sinus) no tsawg npaum li cas?

Kab mob Urogenital Sinus yog ib yam mob tsis tshua muaj . Yog hais li ntawd, nws cuam tshuam txog li 0.6 ntawm 10,000 tus menyuam mos.

Cov tsos mob ntawm Urogenital Sinus yog dab tsi?

Cov tsos mob ntawm Urogenital Sinusitis tuaj yeem sib txawv nyob ntawm qhov mob hnyav ntawm tus mob. Qee cov tsos mob pom tseeb dua suav nrog:

• Tsuas muaj ib qho chaw tawm rau cov quav thiab ib qho chaw tawm rau ob qho tib si ntawm lub qhov chaw mos thiab txoj hlab zis.
• Qhov chaw mos o vim muaj zis ntau dhau. Qhov no kuj hu ua (Hydrocolpos).
• Qhov chaw mos yuav kaw tsis zoo li qub.
• Qee zaum yuav tsis muaj qhov chaw mos li.
• Lub tsev menyuam, zes qe menyuam, lossis cov raj fallopian tsis loj hlob zoo.

Dab tsi yog cov ua rau mob Urogenital Sinus?

Yuav kom ncaj ncees, txawm tias cov kws kho mob pom tias nws nyuaj rau txheeb xyuas qhov ua rau Urogenital Sinus.

Qee zaum, qhov no tuaj yeem txuas nrog rau tus mob hu ua Congenital Adrenal Hyperplasia (CAH). CAH yog ib pawg ntawm cov kab mob caj ces. Yog tias koj muaj CAH, ib lossis ob qho ntawm koj cov qog adrenal tsis tsim cov enzyme uas xav tau los ua cov tshuaj hormones. Qhov no tuaj yeem ua rau cov kab mob sib deev loj hlob tsis zoo. CAH tuaj yeem cuam tshuam rau txhua tus, tab sis cov ntxhais feem ntau yuav muaj cov kab mob sib deev tsis zoo.

Ib qho mob hu ua virilization kuj tseem tuaj yeem ua rau mob urogenital sinusitis. Virilization yog thaum ib tug tub hluas muaj ntau cov tshuaj hormones txiv neej (androgens) hauv nws lub cev. Androgens yog cov uas pab lub cev loj hlob, thiab lawv kuj cuam tshuam rau tej yam xws li lub suab tob zuj zus, cov plaub hau ntawm lub cev, thiab cov leeg nqaij loj hlob.

Yuav kuaj mob li cas rau tus kab mob Urogenital Sinus?

(Urogenital Sinus) yog ib qho tseem ceeb heev rau kev txiav txim siab seb yuav kho tus mob li cas. Qhov no tsis yog tsuas yog cuam tshuam rau koj tus menyuam lub noob qes xwb, tab sis kuj cuam tshuam rau lawv txoj kev loj hlob thiab kev txhim kho tag nrho.

Qee zaum, cov kws kho mob tuaj yeem kuaj pom qhov mob no (Urogenital Sinus) thaum lub sijhawm ultrasound thaum tus menyuam tseem nyob hauv plab. Txawm li cas los xij, feem ntau, cov kws kho mob pom nws thaum lub sijhawm kuaj lub cev thawj zaug tom qab tus menyuam yug los. Tom qab ntawd lawv yuav ua qhov kev kuaj ntshav kom paub ntau ntxiv txog tus menyuam txoj kev noj qab haus huv thiab cov teeb meem caj ces.

Tus kws kho mob yuav kom kuaj ntxiv kom paub tseeb tias kuaj tau los yog kom paub ntau ntxiv txog qhov loj ntawm Urogenital Sinus. Cov no suav nrog:

• Ultrasound: Qhov no siv cov suab nrov siab los thaij duab lossis duab ntawm cov kab mob hauv lub cev. Qhov no tuaj yeem qhia txog teeb meem nrog koj tus menyuam lub raum, zais zis, qhov chaw mos, thiab qhov quav. Nws kuj tseem tuaj yeem kuaj pom tias koj tus menyuam puas muaj zis sib sau ua ke hauv qhov chaw mos (hydrocolpos).
• Retrograde genitogram: Qhov no kuj yog ib hom kev kuaj duab. Hauv qhov kev kuaj no, tus kws kho mob txhaj tshuaj tshwj xeeb rau hauv qhov urethra / qhov chaw mos thiab thaij duab X-rays. Cov xim no tso cai rau qhov loj me, cov duab, thiab qhov chaw ntawm cov nqaij thiab cov kabmob kom pom tseeb.
• Kev Ntsuas Duab Sib Nqus (MRI): Kev ntsuas MRI siv lub hlau nplaum, cov nthwv dej xov tooj cua, thiab lub khoos phis tawj los thaij duab ntawm lub cev kom meej. Qhov no tuaj yeem muab cov duab ntxaws ntxaws ntawm Urogenital Sinus. MRI kuj tseem siv tau los kuaj xyuas seb puas muaj teeb meem nrog tus menyuam lub duav thiab tus txha nqaj qaum.
• Kev Siv Endoscopy: Kev siv endoscopy siv ib lub raj nyias, ntev (endoscope) nrog lub teeb thiab lub koob yees duab ntawm ib kawg. Lub endoscope no raug ntxig rau hauv qhov urethra/qhov chaw mos kom saib cov qauv sab hauv.

Yuav kho tus kab mob Urogenital Sinus li cas?

Tib txoj kev kho mob Urogenital Sinus yog phais kom cais koj tus menyuam lub qhov chaw mos thiab txoj hlab zis. Qee zaum, tshwj xeeb tshaj yog rau cov menyuam uas tau virilized (vim yog Congenital Adrenal Hyperplasia (CAH)) thiab tau kuaj pom tias muaj Disordered Sexual Development (DSD), yuav muaj kev xav sib xyaw txog kev phais. Yog li ntawd, ua ntej phais, koj yuav tsum tham nrog pab pawg kws kho mob uas kho koj tus menyuam kom meej. Pab pawg no feem ntau suav nrog:

• Ib tug kws kho mob uas tshwj xeeb hauv cov kab mob ntawm lub tso zis thiab lub cev yug me nyuam ((Urologist)).
• Kws kho mob endocrinologist yog ib tug kws kho mob uas tshwj xeeb hauv cov kab mob ntsig txog lub cev endocrine. Koj lub cev endocrine yog tus tsim thiab tso cov tshuaj hormones.

Feem ntau qhov kev phais mob no yuav ua tiav rau lub sijhawm tus menyuam muaj ib xyoos . Tus kws kho mob urologist yuav ua qhov kev phais mob no.

Rau qhov mob uas sib txuas qis (Urogenital Sinus), tus kws kho mob (Urologist) feem ntau yuav ua qhov phais hu ua (Flap vaginoplasty). Hauv qhov no, lawv tsim ob lub qhov sib cais rau sab nraud ntawm lub cev - ib qho rau lub qhov chaw mos, thiab lwm qhov rau txoj hlab zis.

Rau qhov mob uas sib txuas siab (Urogenital Sinus), tus kws kho mob (Urologist) feem ntau ua qhov phais hu ua (Pull-through vaginoplasty). Qhov no yog qhov phais nyuaj me ntsis. Hauv qhov no, tus kws kho mob (Urologist) cais lub qhov chaw mos ntawm qhov qhib, tsim ib qho sib cais, thiab kaw qhov qhib ntawd. Tom qab ntawd, cov zis txuas ntxiv ntws tawm ntawm qhov chaw uas qhov qhib feem ntau nyob.

Qee zaum ntawm qhov mob siab (Urogenital Sinus), tus (Urologist) yuav ua ib qho txheej txheem hu ua (Urogenital mobilization) nrog rau (Flap vaginoplasty). Thaum lub sijhawm (Urogenital mobilization), lawv yuav:

• Lub qhov quav raug cais tawm.
• Cov zis thiab qhov chaw mos raug sib cais thiab txav mus ua ke thiab coj mus rau perineum.
• Lub qhov quav txuas nrog lub qhov quav sphincter.
• Tom qab ntawd (flap vaginoplasty) raug ua.

Tej zaum yuav muaj ib txhia menyuam yaus yuav tsum tau phais hu ua Clitoroplasty thiab/lossis Labiaplasty. Clitoroplasty yog kev kho dua cov nqaij kom zoo li qub. Tus kws phais sim ua kom cov hlab ntsha ntau li ntau tau kom tus menyuam muaj lub neej kev sib deev zoo thaum lawv loj hlob tuaj. Labiaplasty yog kev kho dua cov labia, uas yog daim di ncauj ncig lub qhov chaw mos.

Tom qab kho mob Urogenital Sinus, yuav siv sijhawm ntev npaum li cas rau tus menyuam kom rov zoo?

Koj tus menyuam yuav tsum tau nyob hauv tsev kho mob ob peb hnub tom qab phais (Urogenital Sinus). Qhov mob yuav tsum pib ploj mus hauv ib lub lim tiam, thiab tus menyuam yuav tsum zoo tag nrho hauv ib hlis. Txawm li cas los xij, nyob ntawm seb koj tus menyuam qhov mob hnyav npaum li cas (Urogenital Sinus), koj tus menyuam tus kws kho mob yuav muab lub tswv yim meej dua rau koj txog qhov no.

Puas tiv thaiv tau kab mob Urogenital Sinus?

Yog tias ib tug neeg hauv koj tsev neeg muaj tus mob hu ua Congenital Adrenal Hyperplasia (CAH), thiab koj cev xeeb tub lossis tab tom sim cev xeeb tub, nws yog ib qho tseem ceeb uas yuav tsum nrog koj tus kws kho mob tham. Txhawm rau tiv thaiv Urogenital Sinus, cov tshuaj hormones tuaj yeem muab ua ntej yug menyuam.

Yog tias kuv tus menyuam muaj Urogenital Sinus, kuv yuav tsum xav li cas?

Koj tus menyuam qhov tshwm sim nyob ntawm seb nws qhov urogenital sinus loj npaum li cas. Lub hom phiaj ntawm kev phais yog kom koj tus menyuam ua haujlwm thiab zoo li qub ntawm qhov chaw mos. Feem ntau cov menyuam uas tau phais lawm tuaj yeem tso zis tau li qub tom qab zoo lawm.

Thaum tus me nyuam loj hlob tuaj, qhov chaw mos yuav nqaim dua (qhov chaw mos stenosis) thiab luv dua. Qhov no tuaj yeem ua rau muaj teeb meem thaum sib deev hauv qhov chaw mos.

Ib tug me nyuam uas muaj mob Urogenital Sinus tsis tiv thaiv lawv kom tsis txhob xeeb tub. Txawm li cas los xij, yog tias qhov kev phais mob hnyav heev, tej zaum yuav zoo dua yog phais cesarean (C-section) thaum yug me nyuam. Koj tus kws kho mob yuav tham txog qhov no nrog koj tus me nyuam thaum lub sijhawm tsim nyog.

Kuv yuav saib xyuas kuv tus menyuam li cas?

Cov kws kho mob ntawm koj tus menyuam yuav qhia koj tias yuav kho nws li cas zoo tshaj plaws. Qhov hnyav ntawm (Urogenital Sinus) thiab cov txiaj ntsig ntawm kev phais yuav txiav txim siab seb koj yuav txuas ntxiv saib xyuas nws li cas.

Kuv yuav tsum mus ntsib kws kho mob thaum twg?

Tom qab phais lawm, koj tus menyuam yuav tsum tau mus ntsib kws kho mob tas li kom paub tseeb tias lawv lub cev kho tau zoo thiab ua haujlwm tau raws li qhov xav tau. Nco ntsoov mus koom txhua lub sijhawm teem tseg no.

Yog koj pom muaj cov tsos mob tshiab, xws li tso zis tsis tau, nrog koj tus menyuam tus kws kho mob menyuam yaus lossis tus kws kho mob urologist tham.

Kuv yuav tsum nug kuv tus menyuam tus kws kho mob li cas?

Nov yog qee cov lus nug uas koj tuaj yeem nug koj tus kws kho mob:

• Kuv tus menyuam muaj hom Urogenital Sinus twg?
• Koj pom zoo kom phais mob dab tsi?
• Yuav pom zoo kom phais thaum muaj hnub nyoog li cas?
• Puas yog kuv tus me nyuam yuav mob, los yog nws twb mob lawm?
• Tus me nyuam puas yuav tsum tau phais ntau ntxiv thaum nws loj hlob tuaj?
• Koj puas xav tias koj tus menyuam yuav muaj teeb meem nrog lawv txoj hlab zis lossis qhov chaw mos thaum lawv loj hlob tuaj?
• Qhov no puas yuav cuam tshuam rau kuv tus menyuam lub voj voog kev coj khaub ncaws?
• Qhov no puas yuav cuam tshuam rau kuv lub peev xwm xeeb tub?
• Kuv tus menyuam puas yuav yug tau menyuam yam tsis muaj teeb meem?

Tseem Ceeb: Tsis txhob ntshai nug koj tus kws kho mob txog tej lus nug uas koj muaj, txawm tias me me los xij. Koj muaj cai paub txhua yam kom meej.

Feem ntau, Urogenital Disorder yog dab tsi?

Kab mob Urogenital yog txhua yam mob uas cuam tshuam rau koj lub cev tso zis thiab lub cev yug me nyuam. Lwm yam piv txwv suav nrog:

• Cov qog nqaij hlav zoo.
• Kab mob qog.
• Cov Kab Mob Sib Kis Los Ntawm Kev Sib Deev (STIs).
• Cov mob qog noj ntshav xws li mob qog noj ntshav ntawm lub zais zis, mob qog noj ntshav ntawm zes qe menyuam, lossis mob qog noj ntshav ntawm lub tsev menyuam.
• Mob cystitis interstitial/mob zis (IC/BPS).

Thaum kawg, tej yam yuav tsum nco ntsoov (Cov Lus Coj Mus Tsev)

Nws yog ib qho ib txwm muaj uas koj yuav xav tsis thoob thiab ntshai thaum koj pom tias koj tus menyuam muaj Urogenital Sinus. Tab sis nco ntsoov, qhov mob no tuaj yeem kho tau los ntawm kev phais kom cais koj tus menyuam lub qhov zis thiab qhov chaw mos. Qhov no txhais tau tias koj tus menyuam yuav tsum tso zis tau yooj yim.Thaum nws loj hlob tuaj, nws kuj yuav tsum muaj nws lub hlis. Txawm li cas los xij, qee zaum, thaum nws loj hlob tuaj, nws yuav hnov ​​​​​​qee qhov tsis xis nyob thaum sib deev hauv qhov chaw mos.

Qhov tseem ceeb yog, koj tsis tas yuav daws cov teeb meem no ib leeg xwb. Tham nrog koj tus menyuam tus kws kho mob. Lawv tuaj yeem teb tag nrho koj cov lus nug, txo koj qhov kev ntshai, thiab pab koj tau txais kev kho mob thiab kev saib xyuas zoo tshaj plaws rau koj tus menyuam.

` Kab mob Urogenital Sinus, PUGS, cov teeb meem uas muaj txij thaum yug los, lub cev tso zis, lub cev yug me nyuam, kev phais, kev noj qab haus huv ntawm menyuam yaus