Yu pikin gɛt dis sik we nɔ kin apin so ɔltɛm? (Cloacal Malformation) Lɛ wi tɔk bɔt am!

Di gladi at we mama ɔ papa kin gɛt we dɛn luk pikin we dɛn jɔs bɔn, wi nɔ go ebul fɔ ɛksplen. Bɔt sɔntɛnde, wit da gladi at de, tɛm dɛn de we yu kin fil bad bad wan ɛn shɔk. Na da filin de yu kin gɛt we di dɔktɔ kam tɛl yu se yu pikin gɛt prɔblɛm we dɛn bɔn wit. Klɔkal Malfɔmeshɔn na dis kayn sik we nɔ kin apin so ɔltɛm, bɔt we kin mek mama ɛn papa dɛn shɔk bɔku. Tide, wi go tɔk bɔt dis simpul wan, di we we yu go ɔndastand.

Fɔ tɔk am simpul wan, wetin na Klɔkal Malfɔmeshɔn?

Dis na wan sik we nɔ kin apin so ɔltɛm we kin jɔs afɛkt gyal pikin dɛn ɛn dɛn kin no am we dɛn bɔn dɛn. nכmal wan, di gyal pikin in pεriniכm fכ gεt tri opin dεm: di urethra, di vagina, εn di anus.

Bɔt pikin we gɛt Klɔkal Malfɔmeshɔn nɔ gɛt ɔl dɛn tri opin dɛn ya. Bifo dat, na wan say nɔmɔ de fɔ opin . Dis kכndyushכn de pan wan grup כf sik dεm we dεn kכl anorektal malfכmeshכn.

Imajin, we di pikin de divεlכp na di bεlε, di pikin in intestinal trakt, jεnital trakt, εn urinary trakt כl de kכnεkt togeda as wan yunit. Wi de kɔl dis di "cloaca." As di pikin de gro, dis wan pat de sheb smɔl smɔl to tri pat, ɛn i de mek tri difrɛn say dɛn we de opin.

Di tritmɛnt fɔ dis kɔndishɔn na ɔpreshɔn fɔ mek tri difrɛn opin dɛn instead ɔf di wan opin. Dɛn kin du dis ɔpreshɔn insay di fɔs ia we di pikin dɔn liv.

Ɛni kayn tin de fɔ dis sik?

Yɛs, dɛn kin si dis kɔndishɔn wit smɔl difrɛns pan ɛni pikin. Bɔt wetin kɔmɔn fɔ ɔl pikin dɛn na dat dɛn gɛt wan opin insted ɔf tri. dis opin de kכnekt insay to di "kכmכn chanεl" we wi bin tכk bכt. di lεngth fכ dis kכmכn chanεl de sho aw di kכndyushכn at εn us tritmεnt di pikin nid. Dis chanɛl kin lɔng frɔm 1 to 10 sɛntimita ɛnisay.

Lɛ wi ɛksplen dis smɔl mɔ.

Aw kɔmɔn tin dis kin apin?

Dis na tin we nɔ kin apin so ɔltɛm, i kin apin to lɛk wan pan ɛvri 25,000 to 50,000 pikin dɛn we dɛn jɔs bɔn.

Wetin na di sayn dɛm fɔ dis?

di men εn we klia pas ɔl na dat na wan opin nɔmɔ yu kin si we dɛn bɔn am insted ɔf tri.

Apat frɔm dat, dɛn pikin ya kin gɛt ɔda wɛlbɔdi prɔblɛm dɛn.

• di klitoris de tek di fכm fכ man penis.
• Wan abnɔmal apinɛns na di anal eria.
• mכr dan wan ples na di vagina, uterus, כ sεviks.
• Ɔda prɔblɛm dɛn wit di kidni, ureter, ɔ urinary system (urological problems).
• Prɔblɛm dɛn we gɛt fɔ du wit at ɔ spɛnal.
• כda prכblεm dεm na di dijestiv sistεm (Gastrointestinal prכblεm dεm).

Wetin mek dis de apin? Wetin na di rizin?

Dɔktɔ dɛn nɔ dɔn fɛn ɛni patikyula rizin yet fɔ dis. Dɛn kin tek am se na sɔntin we kin apin wantɛm wantɛm, ɔ sɔntin we kin apin fɔ no patikyula rizin.

Aw fɔ no dis sik?

Wi kin no dis sityueshɔn tu we dɛn.

1. Bifo dεn bכn di pikin (we i bεlε) .

sכmtεm, dεn kin no dis we dεn de du anomaly skan כ ultrasound arawnd 20 wiks we di bεlε de. כltu dεn kin si dis as di pikin in vagina swεla εn fulכp wit wata. if dis nid fכ kכnfכm, dεn kin du MRI skan we uman bεlε.

2. Afta di pikin dɔn bɔn

Bɔku tɛm dɛn kin no dis afta dɛn bɔn di pikin we di dɔktɔ we de mɛn pikin dɛn de chɛk di pikin. Dɛn kin no dis kɔndishɔn we wan opin de instead ɔf tri. Di pikin in bɛlɛ kin swel bak. Dɔn di dɔktɔ go tɛl dɛn fɔ du sɔm tɛst dɛn fɔ si di rayt tin we de apin insay di bɔdi.

• Ultrasound egzamin: Chek di pikin in kidni, blad, ɛn spayna.
• X-ray tɛst: Yuz spɛshal ɛkstrem rayt tɛknɔlɔji, lɛk fluoroscopy, fɔ si aw yu pikin in urinary system de wok.
• Echocardiogram: Na tɛst fɔ chɛk fɔ ɛni prɔblɛm wit di at.

Aw dɛn kin trit am? Lɛ wi lan bɔt ɔpreshɔn

Di wangren tritmɛnt fɔ dis sik na ɔpreshɔn. di men gol fכ di כpεrayshכn na fכ mek tri difrεn opin dεm insted fכ di wan opin, we go mek di pikin ebul fכ pis εn fכ pis nכmal wan εn fכ kכntrכl dεn tin ya.

Dis tritmɛnt prɔses kin apin insay sɔm stej dɛm.

Fɔs stej: As soon as di pikin bɔn

Dɛn kin du dis insay 48 awa afta dɛn bɔn di pikin. di men gol ya na fכ mek di pikin in hεlth stebul εn mek wan rod fכ di sכl εn urine fכ kכmכt na di bכdi.

• Kolostomi: Insay dis prosidur, di ɔspitul kin briŋ pat pan di pikin in big intestin to di say we di skin de na di bɛlɛ ɛn mek wan say we opin. Dɔn di stɔl kin kɔmɔt na di say we dɛn opin ɛn gɛda insay wan spɛshal bag we dɛn tay pan am. Dis na tin we dɛn kin du fɔ sɔm tɛm te dɛn du big ɔpreshɔn pan di pikin.
• Kateshɔn: Dɛn kin put kateshɔn fɔ ɛp di pikin fɔ pas urine bikɔs di blad dɔn swel ɔ i dɔn blok.
• Vagina drenaj: If di pikin in vagina drenage swel ɛn wata dɔn gɛda, dɛn kin ɔpreshɔn am bak.

Stej Tu: Big Rikɔnstrɔktiv Ɔpreshɔn

Dɛn kin du dis big ɔpreshɔn bitwin 6 ɛn 12 mɔnt, we di pikin in wɛlbɔdi nɔ de chenj. dis na di say we di tri sistεm dεm we de jכyn togeda de separet εn tri difrεnt opin dεm (anus, vagina, εn urethra) de mek.

• If di kɔmɔn fallopian tiub shɔt (lɛs dan 4 sɛntimita), dis ɔpreshɔn nɔ kin izi.
• If di kɔmɔn dakt lɔng, di ɔpreshɔn kin kɔmplikt smɔl.

Wan dɔktɔ we de mɛn pikin dɛn ɛn wan dɔktɔ we de mɛn pikin dɛn we gɛt spɛshal no ɛn ɛkspiriɛns pan dis wok rili impɔtant fɔ dɛn kayn ɔpreshɔn dɛn ya.

Stej Tri: Fɔ Rivɛns di Kɔlɔstomi

We di pikin dɔn wɛl ɔlsay frɔm di men ɔpreshɔn, dɛn kin rivɛns di fɔs kɔlostomi. dat min se di opin we dεn mek na di bכdi de kכloz εn dεn de alaw di stכl fכ pas nכmal wan tru di nyu an we dεn mek.

Us kayn fiuja mi pikin go gɛt?

Dis na di big kwɛstyɔn we de na ɔl mama ɛn papa dɛn maynd. Bɔku tɛm, di tin dɛn we kin apin kin rili fayn.

• Pikin dεm we gεt sכt kכmכn dakt, we min se dεn nכ kכmpleks, gεt 90% chans f כ gεt komplit nכmal urination εn bכwel kכntrכl.
• ivin pikin dεm we gεt lכng kכmכn dakt, i.e., kכmpleks kכndishכn dεm, gεt 70% chans fכ gεt gud kכntrכl pan urinateshכn εn fεkshכn.

Bɔku pikin dɛn kin ebul fɔ pul dɔti nɔmal wan. Bɔt sɔm pikin dɛn kin gɛt prɔblɛm wit dɛn urinary incontinence, we na di urine we dɛn nɔ want. Sɔm pikin dɛn kin nid fɔ ɛmti dɛn blad bɔku tɛm insay di de we dɛn de yuz kateshɔn.

Bɔt mami ɛn dadi biznɛs layf ɛn bɛlɛ

Pikin dɛm we gɛt dis sik kin gɛt satisfay sɛks layf we dɛn big. Pan ɔl we i kin at fɔ gɛt bɛlɛ pas aw i kin bi, i nɔ min se i nɔ pɔsibul fɔ bɔn pikin. If yu de op fɔ gɛt pikin tumara bambay, yu kin go to dɔktɔ bɔt am. Bɔku tɛm, dɛn kin se dɛn fɔ du C-sekshɔn we dɛn de bɔn di pikin.

Wetin a go du as mama ɔ papa?

Dis waka nɔ kin izi fɔ di pikin ɛn yu.

• Advokate fɔ yu pikin: Tɔk to yu pikin in wɛlbɔdi tim ɔltɛm. Tɔk bɔt ɛnitin we de mɔna yu ɔ we yu de fred.
• Nɔ mis di klinik ɛn tɛst dɛn we dɛn dɔn sɛtul fɔ du: Afta dɛn dɔn du di ɔpreshɔn, i nid fɔ kɔntinyu fɔ wach di pikin fɔ mek shɔ se di pikin in sistɛm dɛn de wok fayn fayn wan.
• Yu fɔ no bɔt di sayn dɛm: If yu notis ɛni prɔblɛm wit di urinary ɔ bowel control as yu pikin de gro, tɛl yu dɔktɔ wantɛm wantɛm.

Sɔm kwɛstyɔn dɛn we yu fɔ aks yu dɔktɔ:

• Aw dɛn kin du dis ɔpreshɔn? Na us ej dɛn kin du am?
• Yu tink se mi pikin go fil pen? Yu tink se i de fil pen naw?
• Wetin a fɔ ɛkspɛkt we a de wɛl afta dɛn dɔn du di ɔpreshɔn?
• Yu tink se di pikin go nid fɔ du mɔ ɔpreshɔn as i de gro?
• A go gɛt prɔblɛm wit mi rɛktum, urethra, ɔ vagina tumara bambay?
• Yu tink se mi gyal pikin go ebul fɔ bɔn pikin sef wan tumara bambay?

Na nɔmal tin fɔ fil bad we yu lan sɔntin lɛk dis. Bɔt mɛmba se, mɛrɛsin sayɛns dɔn rili go bifo tide. Ɔpreshɔn kin kɔrɛkt dis sik fayn fayn wan, ɛn mek yu pikin liv nɔmal layf. Yu dɔktɔ ɛn wɛlbɔdi tim go bi big sɔpɔt fɔ yu ɛn yu pikin pan dis joyn.