Yu smɔl bɔbɔ gɛt dis sik? Mek wi tok abaut Hypospadias

We yu chenj yu nyu bɔn pikin in dayapɛt, yu dɔn notis ɛnitin we strenj ɔ difrɛn bɔt in penis ? Sɔntɛm yu bin fil se di urethra nɔ de usay i fɔ de, bɔt i bin de dɔŋ smɔl. I rili nɔmal fɔ mek mama ɔ papa fil bad bad wan ɛn wɔri we yu si sɔntin lɛk dat. Bɔt nɔ wɔri. Tide wi de tɔk bɔt dis kɔndishɔn we bɔku mama ɛn papa dɛn kin aks bɔt, we dɛn kin si bɔku tɛm, ɛn we dɛn kin bɔn pan bɔku man pikin dɛn, dat na hypospadias.

Fɔ tɔk am simpul wan, wetin na hypospadias?

Okay, mek wi ɛksplen dis rili simpul wan. Hypospadias na difεkt we dεn bכn pikin we bכy pikin in penis εn fכs skin n כ de divεlכp fayn. Wi gɛt wan tiub na wi bɔdi we de kɛr di urine ɛn semen kɔmɔt, we wi kɔl di urethra . nכmal wan, dis urethra de εnd na di tכp pan di penis. Yurin ɛn swɛlin kin kɔmɔt tru dis opin. Wi de kɔl dis di meatus.

Imajin se di fכs stej dεm we di pikin de liv na di bεlε, dis urethra de fכm lεk wan opin kanal. as di pikin de gro, dis kanal de kכloz εn i de bi komplit tכb. Bɔt pan pikin we gɛt haypospadia, dis tiub we dɛn kɔl di urethra nɔ kin lɔk ɔl. fכ dat, di urethral opin (meatus) de כda say, na di כndasay na di penis, insted fכ de na di tכp.

dis ol kin de enisay na di penis , na di skrotum, כ ivin nia di anus.

Yu tink se dis na siriɔs prɔblɛm? A fɔ fred?

As mama, sɔntɛm dis na di big kwɛstyɔn we de na yu maynd. Infakt, dis sik kin bigin frɔm we i nɔ kin izi fɔ am to we i kin rili bad. If i rili smɔl, i nɔ go nid fɔ du ɔpreshɔn. Bɔt bɔku tɛm, ɔpreshɔn kin kɔrɛkt dis sik kpatakpata. So, fɔs, mɛmba se dis nɔto prɔblɛm we yu go gɛt fɔ ɔl yu layf we yu nɔ go ebul fɔ sɔlv. If dɛn trit di pikin di rayt we, i go ebul fɔ liv nɔmal layf we nɔ go gɛt ɛni prɔblɛm tumara bambay.

Us kayn hypospadias de?

Dɔktɔ dɛn kin klas dis sik bay usay di urethra de. I impɔtant fɔ mek yusɛf no dis.

Wetin na di sayn dɛm fɔ dis sik?

di men simptom na dat di urethral opin nכ de na di tכp pan di penis. Apat frɔm dat, sɔm ɔda sayn dɛn kin de.

• Chenj di we aw yu de pis : Yu nɔ kin flɔ stret fɔ go bifo, bɔt i kin flɔ dɔŋ ɔ go na di sayd dɛm. Tink bɔt am lɛk swɛt gɔn, wit urine we de flɔ ɔlsay. Dis kin mek bak infekshɔn na di skin we de rawnd am .
• Fɔs skin we nɔ de divɛlɔp:di fכs skin kin nכ kכba di ed fכ di penis kכmplit wan, bכt i kin bi כnli hud na di tכp. Na dis na sɔntin we rili impɔtant. Dat min se if yu pikin gɛt dis sik, nɔ sakɔmsayz am we yu nɔ go to dɔktɔ fɔ ɛni rizin. Na bikɔs dɔktɔ dɛn fɔ yuz dis fɔs skin we dɛn de du di ɔpreshɔn.
• Chordee: Sɔm pikin dɛn penis kin bɛn dɔŋ lɛk huk instead fɔ bi stret.
• di tεstikul dεm we nכ dכn dכn : sכmtεm, pan bכy pikin dεm we gεt haypospadia, wan כ tu tεstikul dεm kin nכ dכn dכn insay di skrotum.

Wetin na di rayt tin we kin mek pɔsin gɛt hypospadia?

Fɔ tɔk tru, dɔktɔ ɛn risach pipul dɛn stil nɔ dɔn fɛn ɛni patikyula rizin fɔ dis, bɔt dɛn dɔn no bɔku tin dɛn we kin mek pɔsin gɛt dis sik mɔ ɛn mɔ.

• Wan tin we pɔsin kin gɛt frɔm in mama ɛn papa: If papa, granpa, ɔ ɔnkul na di famili dɔn gɛt dis sik, chans de fɔ mek di pikin gɛt am bak.
• di kכndishכn dεm we di mama kin gεt we i bεlε : .
• Mama in ej pas 35 ia.
• di mama in bכdi mas indeks (BMI) pas 30 (obesity).
• Fεtiliti tritmεnt fכ bεlε. sכm pipul dεn de saspek se di כmon ``Progesterone`` we dεn gi, spεshal wan we di bεlε bigin, kin gεt ifekt.
• Yuz ɔda ɔmon dɛn we yu gɛt bɛlɛ.
• Di tin dɛn we de apin na di envayrɔmɛnt: We di mama gɛt sɔm kemikal ɛn peshɛnt sayd dɛn we i gɛt bɛlɛ.
• Smok: Mama de smok we i gɛt bɛlɛ.

Aw dɔktɔ kin no dis?

Bɔku tɛm, i kin rili izi fɔ no dis. I izi fɔ mek dɔktɔ we de mɛn pikin dɛn si am we i de chɛk di pikin afta dɛn bɔn am. di dכkta kin no am bay we i luk usay di urethral opin na di penis εn di shep fכ di fכs skin.

Da tɛm de, di dɔktɔ go sɛn yu to dɔktɔ we de mɛn pikin dɛn we de mɛn yu uro.

Aw dɛn kin trit am? Lɛ wi lan bɔt di ɔpreshɔn

di onli tritmεnt we kin wok fayn fכ hypospadias na כpεrayshכn (hypospadias ripair).

Ustɛm dɛn kin du di ɔpreshɔn?

Bɔku tɛm, spɛshal dɔktɔ dɛn kin du dis ɔpreshɔn we di pikin ol bitwin 6 ɛn 12 mɔnt. Bɔku rizin dɛn de fɔ mek dɛn du di ɔpreshɔn we dɛn ol dis ej.

• I izi fɔ tek kia ɔf di wund afta dɛn dɔn ɔpreshɔn am ɛn kip am klin na dis ej.
• I fayn fɔ mek dɛn gi pikin we gɛt dis ej jenɛral anestezi.
• Di pikin nɔ go mɛmba dis.

Wetin kin apin we dɛn de du ɔpreshɔn?

Dis na ɔpreshɔn we kin tek sɔm awa. Bɔku tɛm, dɛn kin sɛn di pikin na os di sem de (outpatient procedure). We dɛn de du di ɔpreshɔn, di dɔktɔ go du sɔm men tin dɛn.

1. Fɔ mek di penis stret: If dɛn bɛn di penis dɔŋ (chordee), dɛn kin stret am fɔs.

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3. Fכ shep di fכs skin bak: dεn de yuz di fכs skin we rεst fכ gi di penis nכmal luk. Bɔku tɛm, dɛn kin sakɔmsayz dis tɛm.

4. Temporary catheterization: Sɔntɛnde, afta dɛn dɔn du di ɔpreshɔn, dɛn kin put smɔl tiub (Foley catheter) fɔ pul di urine te di urethra wɛl. Di dɔktɔ go pul di tiub we yu go fala am insay wan ɔ tu wik.

Us prɔblɛm dɛn kin apin afta dɛn dɔn du di ɔpreshɔn?

Jɔs lɛk ɛni ɔpreshɔn, sɔm prɔblɛm dɛn de we kin apin, bɔt dɛn tin ya nɔ kin apin so ɔltɛm.

• Infεkshכn: Risk de fכ infεkshכn na di wund.
• Blɔd: Smɔl blɔd kin kɔmɔt.
• urethrocutaneous fistula: wan sכmכl ol de fכm bitwin di nyu urethra we dεn fכm εn di skin fכ di penis. Dis kin mek di urine lik kɔmɔt na di rod.
• Yurethral stricture: Na di urethra we de smɔl we yu gɛt ska na di say we dɛn de du di ɔpreshɔn. Dis kin mek i nɔ izi fɔ pis ɛn di urethra kin smɔl.
• urethral diverticulum: wan pat pan di urethra de swel lεk balכn, εn urine kin kכlekt insay am.
• di kכva we de kכba bak: di penis kin kכba dכn bak afta sכm tεm afta dεn du di כpεrayshכn.

If sɔntin lɛk dis apin, dɛn kin nid fɔ kɔrɛkt am wit ɔda smɔl ɔpreshɔn. Bɔt dɛn tin ya na tin dɛn we nɔ kin apin so ɔltɛm.

Aw fɔ kia fɔ di pikin afta dɛn dɔn du di ɔpreshɔn?

Di kia we yu de kia fɔ yu rili impɔtant fɔ mek di ɔpreshɔn go bifo.

• Klin: Du wetin yu dɔktɔ tɛl yu fɔ du. Ɛnitɛm we yu chenj dayapɛt, was yu an fayn fayn wan wit sop ɛn wata bifo yu tɔch yu pikin in eria. If urine ɔ fes go na yu pikin in skin, was yu an wit sop ɛn wam wata ɛn pat dray wit klin klos.
• Fɔ was: Nɔ was di pikin insay tub we gɛt wata te dɛn pul di kateshɔn. Spɔnj-bath we dɛn kin yuz fɔ was. Tek tɛm mek yu nɔ pul di kateshɔn.
• Di tin dɛn we yu fɔ du: Nɔ mek yu pikin kray te i ol tu to tri wik. Dɔn bak, nɔ mek i sidɔm pan tɔys dɛn we gɛt leg na di tu say, lɛk baysikul, swing, ɛn ɔs we de rɔk.
• Swel ɛn di kɔlɔ we de chenj:I rili nɔmal fɔ mek di penis swel ɛn blu-pɔpul afta dɛn dɔn ɔpreshɔn am. Nɔ wɔri. I go stɔp smɔl smɔl fɔ pas wan ɔ tu mɔnt.

Ustɛm a fɔ si dɔktɔ ɔ go na di ETU?

If ɛnitin apin afta dɛn dɔn du di ɔpreshɔn, i impɔtant fɔ du sɔntin wantɛm wantɛm.