Naute thar neih hi chhungkuaa neih hi a lawmawm hle. Chutih rual chuan nu emaw pa emaw chuan mawhphurhna lian tak a nei a, a chang chuan thil tenawm ber ber pawh hlauhna tlem a nei bawk. Naute chungah engkim a tha em tih leh a hrisel em tih hi kan ngaihtuah vek a ni. Chuvangin, a chang chuan doctor chuan naute chu a enfiah a, a pianpui inthlak danglamna tlemte a hrilh a, thinlunga phurrit lian tak a awm chu thil pangngai a ni. Vawiin hian hetiang dinhmun hi a awm lo hle a, mahse enkawlna hmanga tihdam theih vek kan sawi dawn a ni. Chu chu Epispadias a ni.
A awlsam zawngin, Epispadias chu eng nge ni?
Epispadias hi piansualna hmuh tur awm lo tak a ni. Taksa atanga zun chhuahna tube a nghawng a ni. Urethra kan ti a. A awlsam zawngin, hei hi kan bladder atanga zun chhuak taksa atanga chhuaktu tube a ni. Naute epispadias neiah chuan he urethra hi a lo thang kim lo.
Hetiang dinhmun hi mipaah a tam zawk a, mahse hmeichhiaah pawh a awm tlem hle. Mahse lungngai suh, hei hi naupang zun kawng nena inzawm natna hrang hranga thiam, pediatric urologist-te’n operation hmangin an siam ṭha kim thei a ni.
Epispadias hi nau piangsual dang Bladder Exstrophy tih nen hmuh dun a ni fo thin. Hei hi a rare zawk a, naute zun (bladder) chu a pum chhungah ni lovin a pum pawnah a awm a ni.
Engtin nge Epispadias hian naupang mipa a nghawng?
Mipa naupangin hetiang dinhmun hi a neih chuan a serh chu a danglam deuhin a lang thei. A lan chhuah dan tlangpui chu:
- Penis tawi leh zau: Penis hi a tawi leh zau deuh thei a, chunglam hawiin a ben thei bawk (dorsal chordee).
- Urethral stricture: A tlangpuiin urethral meatus hi penis tip-ah a awm a. Mahse, heng naupangteah hian meatus hi penis chunglam hmun khatah a awm a. A chang chuan, meatus atanga penis tip thlengin groove sei tak a awm thei bawk.
Tlangvalte zingah Epispadia chi hrang hrang
Doctor-te chuan he natna hi urethral meatu awmna dik tak a\angin chi hrang hrangah an thliar hrang a. Hei hi a chhan chu meatus hi penis bul hnaih lutuk hian bladder-in zun a vawn theihna a nghawng thei a ni. A hnuaia table hi ngun zawkin han thlir ila.
| Epispadias chi hrang hrang | Hrilhfiahna awlsam tak |
|---|---|
| Glanular epispadias a awm bawk | Hei hi a tam ber chi a ni. Hetah hian urethral opening hi glans penis (penis lu) chungah a awm a. |
| Penile epispadias a awm a | Hetah hian urethral opening hi penis shaft bulah hmun khatah a awm a. |
| Penopubic epispadias te hi a awm a | Hei hi a buaithlak deuh deuh a ni. Urethral opening hi pubic bone bulah a awm a. Heng naupangte pelvic bones pahnih hi a inzawm tha tawk lo a nih avangin zun control tu sphincter muscle chu a khar kim thei lo. |
Engtin nge Epispadias hian hmeichhe naupang a nghawng?
Hetiang dinhmun hi hmeichhe naupangah a awm lo hle a, mahse a lo awm a nih chuan hengte hi i hmuh tur a ni:
- Urethral opening hi clitoris sir lamah emaw, a chang chuan pum hnuai lamah emaw a awm thei bawk.
- Pubic bones te hi a hlat em avangin vagina hi hmun hnih ah a inthen thei a, a laiah a inzawm lo thei bawk.
- Labia hi a lo thang lo niin a lang thei.
- Bladder neck-ah harsatna a awm thei a, chu chuan zun control harsatna a thlen thei a ni.
Epispadias leh Hypospadias te hi eng nge an danglamna?
Heng hming pahnih hi a ri inang deuh mai thei. An pahnih hian piansualna, zun kawng a lo awm thin an ni. A danglamna chu urethral opening awmna hmun a ni. Epi tih awmzia chu "chunglam" tihna a ni. " Hypo tih awmzia chu "hnuai lam" tihna a ni.
| Mihring ziarang | Epispadias tih a ni | Hypospadias a awm bawk |
|---|---|---|
| Urethral hawnna hmun | Khawi emaw laiah chuan penis chung lamah . | Khawi emaw laiah chuan penis hnuai lam . |
| Tute nge a nghawng? | Mipaah a tam zawk a, hmeichhiaah pawh a awm thei. | Mipa naupang a nghawng ber a ni. |
Hetiang dinhmun a lo awm chhan hi eng nge ni?
Zirchiangtute chuan hei hi a chhan chiang tak an la hmu lo a, mahse he natna hi naute taksa peng hrang hrangte, a bik takin cloacal membrane-a awm, zun, chaw ei leh chi thlah dan siamna hmuna harsatna awm vang niin an ngai.
A pawimawh ber chu, hei hi nu leh pa sualna a ni lo. Naupai laia i thil tih leh tih loh vangin pawi ti suh.
Engtin nge natna hi kan hriat theih ang?
Hetiang dinhmun hi damdawi ina naute a pian hnua doctor-in a check-up hmasak ber ṭumah a hriat chhuah ṭhin. Doctor-te chuan awlsam takin an hre thei a, a chhan chu mipa zang (penis) emaw, hmeichhe naupang scrotum leh labia emaw a lan dan pangngai lo vang a ni.
Mahse, a chang chuan he natna hi a na lo hle a, damdawi inah pawh hmuhchhuah a ni lo thei bawk. Chutiang a nih chuan nu leh pate chuan toilet training neih laiin zun a leak tlem chauh an hmu mai thei. Hmeichhia te hian a hnuah he natna hi an vei tam zawk.
I doctor chuan he natna hi a rinhlelh chuan pediatric urologist hnenah a refer ang che.
Engtin nge enkawl a nih? Surgery neih a ngai em?
Ni e, Epispadias siamthat nan operation neih a ngai a ni. He surgery hian a tum ber chu mipat hmeichhiatna hman dan leh hnathawh dan siam that a ni.
Doctor-te chuan he surgery hi a hma thei ang bera tih a rawt a, chu chu naute a la naupan lai tihna a ni a, a chhan chu chutih hunah chuan bladder control ang chi thilah result tha ber a awm thei a ni. A châng chuan, naupang chu vawi khat aia tam operation neih a ngai mai thei.
Surgery tih tumte
- Mipa naupang tan: Mipa zang hnathawh, a lian leh a lan dan a siam tha a, zun control a pe a, nakin lawka nau neih theihna a humhim bawk.
- Hmeichhe tan: Hmeichhia tan chuan surgery hi a awlsam hle. A bik takin vagina hmun pahnih inzawmkhawm leh urethra chu a awmna tur dik takah dah a ni.
Surgery technique hrang hrang a awm a, chu chu ``Modified Cantwell-Ransley technique'' leh ``Mitchell technique'' te hi a ni. I doctor chuan i fa tan eng method nge tha ber tih a sawipui ang che.
Nu leh pa anga zawhna i neih fo thin
Hetiang hunah hian i rilruah zawhna tam tak a lo chhuak hi thil pangngai tak a ni. Chhan chhuah i tum ang u.
Operation hnuah a dam leh theih nan eng chen nge a duh?
Hei hi surgery buaithlak danah a innghat a ni. Surgery tenau a nih chuan naupang chu a dam thuai ang. Mahse, `(Bladder Exstrophy)` ang chi condition atana surgery tih a nih chuan surgery hrang hrang zinga mi a ni thei a, chuvangin a dam leh theih nan hun rei tak a ngai dawn a ni.
Surgery hian harsatna a thlen thei em?
Tun hma chuan operation hnuah urethra atanga vunah fistula a inhawng theihna a awm thin. Mahse tunlai surgical technique hmasawn tak tak te nen chuan hei hi a tlem hle. Chuti chung pawh chuan chu khur chu a mah chauhin a khar thei a, a nih loh leh operation tenau dang hmanga khar theih a ni bawk.
Eng dinhmunah nge doctor pan nghal a ngai?
Operation hnuah i fain heng symptoms te hi a neih chuan doctor rawn la nghal rawh:
- Khawsik sang tak a nei
- Surgery neihna hmun chu a hring, a sen, a hring chhuak (ozing pus) a nih chuan (infection chhinchhiahna) .
- I rilru tibuaitu symptom dang eng pawh
Hetiang dinhmun hian sexual function a nghawng em?
No. Epispadias surgery dik taka tih hian erectile function a nghawng lo.
Nau neih theihnaah nghawng a nei em?
Hmeichhe nau neih hi a nghawng lo tlangpui. Mahse, mipa, penopubic epispadias emaw exstrophy-epispadias complex ang chi natna khirh tak nei te chuan nau pai kawngah harsatna an nei thei a ni. Mahse, operation hian heng harsatnate hi a tiziaawm thei a ni. Hei hi doctor nen sawiho a pawimawh.
Ka fapa hi serh tan theih a ni em?
I doctor chuan serh tan hun sawn turin a fuih mai thei che a, operation zawh hnuah. Hei hi a chhan chu surgeon hian operation neih laiin penis siam thar leh turin foreskin tissue a mamawh thei a ni. Epispadias surgery hnuah i duh chuan doctor nen serhtan chungchang i sawipui thei ang.
Take-Home Thuchah a ni
- Epispadias hi pianpui natna hmuh tur awm lo tak a ni a, nu leh pa te tihsual vang a ni lo.
- He natna hi naute pian veleh damdawi inah doctor ten an hmuchhuak nghal thin. Chuvangin lungkham a ngai lo.
- Surgery hian he dinhmun hi a siam tha vek thei a, mipat hmeichhiatna lam hawi zawng leh hnathawh dan chu a pangngaiin a awm leh thei a ni.
- A rang thei ang bera surgery neih hian urinary control ang chi thilah result tha tak tak a awm thei a ni.
- I doctor chuan operation hnua i fa enkawl dan tur leh engtikah nge doctor i hmuh leh tur tih chiang takin a hrilh ang che. Chu thupekte chu zawm a pawimawh hle.











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