I naute piang thar diaper i thlak hian a penis chungchangah thil mak emaw danglam emaw i hmu em ? Urethra chu a awmna tur hmunah a awm lo va, a hniam deuh zawk niin i hria mai thei. Chutiang thil i hmuh chuan nu emaw pa emaw chuan hlauhna leh lungkhamna nasa tak a neih hi thil pangngai tak a ni. Mahse, lungngai suh. Vawiin hian he dinhmun hi nu leh pa tam takin an zawh thin, hmuh fo thin, naupang mipa tam takah piang thin, chu chu hypospadias tih hi kan sawi dawn a ni.
A awlsam zawngin hypospadias chu eng nge ni?
Okay, hei hi awlsam takin han sawifiah ila. Hypospadias hi piansualna a ni a, mipa naupang zang leh hmai vun a lo thang tha lo. Kan taksaah hian zun leh semen chhuahna tube kan nei a , chu chu urethra kan ti a ni. A tlangpuiin he urethra hi penis tip-ah a tawp thin. He opening hmang hian zun leh semen a chhuak thin. Hei hi meatu kan ti a.
Nausen pum chhunga a dam tirh lamah hian he zunthlum hi kawngkhar inhawng (open canal) angin a lo piang ta niin han ngaihtuah teh. Naute a lo seilian chuan he canal hi a khar a, tube tling tak a lo ni ta a ni. Mahse, naute hypospadias neiah chuan he tube urethra an tih hi a khar kim lo. Chuvangin, urethral opening (meatus) hi hmun dangah, penis hnuai lamah, a tip-ah ni lovin, a awm a ni.
He khur hi penis , scrotum, emaw, anus bulah pawh khawi hmunah pawh a awm thei.
Hei hi pianpui (congenital condition) a ni. He natna nasat dan hi mi hrang hrangah a inang lo thei. Naupang \henkhatin a nalh hle mai thei a, \henkhat erawh chuan na zawkin an nei thei thung.
Hei hi harsatna lian tak a ni em? Ka hlau tur em ni?
Nu i nih angin hei hi i rilruah zawhna lian ber a ni ngei ang. Dik tak chuan he natna hi a na lo atanga a nasat thlengin a awm thei. A na lo hle a nih chuan zai a ngai lo mai thei. Mahse, a tam zawkah chuan operation hian he dinhmun hi a siam tha vek thei a ni. Chuvangin, a hmasa berah chuan hei hi dam chhung zawnga harsatna chinfel theih loh a ni lo tih hre reng ang che. Inenkawlna mumal tak a awm chuan naupang chu nakin lawkah harsatna awm lovin nun pangngaiin a nung thei a ni.
Hypospadia chi hrang hrang eng nge awm?
Doctor-te chuan he natna hi urethra awmna hmun a zirin an thliar hrang thin. Hei hi i tan pawh i hriat a pawimawh.
| Hypospadias chi hrang hrang | Urethra awmna hmun |
|---|---|
| Glanular (balanic) a ni. | Penis lu chungah, mahse a tip-ah chiah erawh a ni lo. Hei hi a tam ber leh a nasat loh ber chi a ni. |
| Coronal a ni | Penis lu hnuai lam chiah, penis lu leh shaft inzawmkhawmna hmun. |
| Midshaft ah a awm | Penis shaft lai takah a awm. |
| Penoscrotal a ni | Penis leh scrotum inzawmna hmun. |
| Scrotal/Perineal atanga chhuak a ni | Scrotum chungah emaw a hnuaiah emaw. Heng chi hrang hrang hi a pawi ber pawl an ni. |
Hetiang natna lan chhuah dan hi engte nge ni?
A lan chhuah dan ber chu urethral opening chu penis tip-ah a awm lo tihna a ni. Chumi piah lamah chuan symptom dang engemaw zat a awm thei bawk.
- I zun dan thlak danglam : Zun chu hmalam hawiin a luang nghal lo thei a, mahse hnuai lam emaw, a sir lamah emaw a luang thei. Squirt gun ang maiin ngaihtuah la, zun chu kawng tinrengah a luang chhuak a ni. Hei hian a chhehvel vun natna a thlen thei bawk .
- Foreskin hmasawn lo:Foreskin hian penis lu a khuh kim lo thei a, mahse a chung lamah hood chauh a ni thei. Hetah hian thil pawimawh tak a awm. Chu chu, i fain he natna hi a nei a nih chuan eng thil vang pawha Doctor rawn hmasa lovin serh tan loh tur a ni. A chhan chu doctor-te chuan operation an tih hian he foreskin hi an hmang a ngai a ni.
- Chordee: Naupang thenkhat penis chu a dinglam ai chuan hook ang maiin hnuai lam hawiin a ben thei.
- Undescended testicles : A châng chuan, mipa naupang hypospadias neiah chuan, testicles pakhat emaw, pahnih emaw chu scrotum-ah a tla thla lo thei .
Hypospadias awm chhan dik tak chu eng nge ni?
Dik tak chuan doctor leh zirchiangtute chuan hei hi a chhan chiang tak an la hmu lo a, mahse he natna vei theihna tipungtu thil engemaw zat an hmuchhuak a ni.
- A hereditary link: Chhungkaw zinga pa, pi leh pu emaw, pa u emaw hian hetiang natna hi a nei tawh a nih chuan naute pawhin a vei theihna chance a awm.
- Naupai laiin nu dinhmun : 1.1.
- Nu kum 35 chunglam a ni.
- Nu taksa rih zawng (BMI) chu 30 (obesity) aia tam a ni.
- Naupai tan naupai theihna enkawlna. A bik takin naupai tirh lamah hormone ``Progesterone`` pek hian nghawng a nei thei tih rinhlelhna engemaw zat a awm.
- Naupai laiin hormone dang hman.
- Environment factors: Naupai laiin nuin chemical leh pesticide thenkhat a hman.
- Meizial zuk: Nuin naupai laiin meizial a zuk.
Engtin nge doctor hian hei hi a hriat theih?
Hei hi a tlangpuiin hriat a awlsam hle. Nausen pian hnua a enfiah hian naupang enkawltu doctor-in awlsam takin a hmu thei a ni. Doctor chuan penis-a urethral opening awmna hmun leh foreskin pianzia enin a hre thei a ni.
Chutih hunah chuan doctor chuan pediatric urologist hnenah a refer ang che.
Engtin nge enkawl a nih? Surgery chungchang hi i zir chiang ang u
Hypospadias enkawlna hlawhtling awmchhun chu operation (hypospadias repair) a ni.
Engtikah nge surgery hi tih a nih?
A tam zawkah chuan specialist doctor-te chuan naute thla 6 leh thla 12 inkar a nih laiin he surgery hi an ti thin. Hetiang kum lama surgery tih hi chhan hrang hrang a awm.
- Operation hnua hliam enkawl a awlsam zawk a, hetiang kum ah hian a thianghlim zawk bawk.
- Hetiang kum naupang tan hian general anesthesia pek hi a him ber.
- Naupang chuan hei hi hriatrengna a nei tawh lovang.
Surgery neih chhung hian eng nge thleng?
Hei hi surgery a ni tlangpui a, darkar tlemte a ni. A tam zawkah chuan naute chu a ni vek (outpatient procedure) in lamah thawn haw theih a ni. Surgery neih chhung hian doctor chuan thil pawimawh engemaw zat a ti ang.
1. Zang dinglam: Mipa zang chu hnuai lam hawia ben (chordee) a nih chuan tihdik hmasak phawt tur a ni.
2. Urethra siam thar leh: Urethra (tube) kim lo chu siam thar lehin penis tip thlengin a inzar pharh a.
3. Foreskin siam thar (Reshaping the Foreskin): Foreskin vun la awmte hi penis hmel pangngai pe turin an hmang thin. Hetih lai hian serhtan hi tih a ni fo.
4. Temporary catheterization: A chang chuan zai zawhah tube te tak te (Foley catheter) dahin zun kawng a dam hma loh chuan zun a chhuah tir thin. Doctor chuan i follow-up visit-ah kar khat emaw kar hnih emaw hnuah tube chu a la chhuak ang.
Operation hnuah eng complication nge awm thei?
Surgery dang ang bawkin hlauhawmna engemaw zat a awm a, mahse hengte hi a tlem hle.
- Infection: Hliam ah hian infection awm theihna a awm.
- Thisen chhuah: Thisen tlem te te a awm thei.
- Urethrocutaneous fistula: Urethra lo awm thar leh penis vun inkarah hian khur te tak te a lo awm a. Hei hian zun a chhuah tir thei a ni.
- Urethral stricture: Surgery neihna hmuna hliam awm avanga urethra tihtlem. Hei hian zun harsatna a thlen thei a, zun kawng a ti tawi thei bawk.
- Urethral diverticulum: Urethra hmun thenkhat chu balloon ang maiin a hring a, a chhungah zun a khawlkhawm thei a ni.
- Recurrent curvature: Operation hnu rei vak lo hnuah penis chu hnuai lam hawiin a curve leh thei.
Hetiang thil hi a thleng a nih chuan surgery tenau dang hmanga siamthat a ngai mai thei. Mahse hengte hi a tlem hle.
Naute chu operation hnuah engtin nge kan enkawl ang?
Surgery hlawhtlinna atan i enkawl hi a pawimawh hle.
- Faina: Doctor thupek dik takin zawm rawh. Diaper i thlak apiangin i naute awmna hmun i khawih hmain sahbawn leh tuiin uluk takin kut sil thin ang che. I naute vunah zun emaw bawlhhlawh emaw a lo lut a nih chuan sahbawn leh tui lum hmangin i kut sil la, puan thianghlim hmangin pat dry rawh.
- Inbual: Naute chu tui tub-ah inbual suh, catheter a chhuah hma loh chuan. Sponge-a inbual a ni. Catheter chu hrual lo turin fimkhur rawh.
- Hnathawh tur: I naute chu kar hnih atanga kar thum a tlin hma chuan a chet tir suh. Tin, infiamna thil, a sir lehlamah ke nei, bicycle, swing, leh sakawr rocking-ah te pawh thut tir suh.
- A hring leh a rawng danglam:Operation hnua penis a hring leh blue-purple a awm hi thil pangngai tak a ni. Lungngai suh. Thla khat emaw thla hnih emaw chhungin a reh zauh zauh ang.
Engtikah nge doctor ka hmuh ang emaw, ETU-ah ka kal ang?
Operation hnua emergency a awm chuan hmalak nghal a pawimawh.
| Symptom a ni | Eng nge tih tur |
|---|---|
| Khawsik chu 38.9 degree Celsius (102 Fahrenheit) aia sang a ni. | Damdawi in hnai ber Emergency Department (ETU) ah kal nghal rawh. |
| Naute hian zun a harsat emaw, a zun loh tak tak emaw a nih chuan. | Damdawi in hnai ber Emergency Department (ETU) ah kal nghal rawh. |
| Naute natna tihdamna damdawi (e.g. persistent, loud crying, inability to be soothed) hmanga enkawl chung pawhin a natna a reh loh chuan. | Damdawi in hnai ber Emergency Department (ETU) ah kal nghal rawh. |
| Surgery hmun atanga thisen chhuak tam lutuk a awm chuan. | Damdawi in hnai ber Emergency Department (ETU) ah kal nghal rawh. |
| Surgery zawhah follow-up appointment neih a ni. | I doctor-in a pek che date-ah chuan i fa chu hruai ngei ang che. |
Take-Home Thuchah a ni
- Hypospadias hi mipa naupang pianpui natna tlanglawn tak a ni. Chuvangin lungngai suh la, a tul lovah hlau suh.
- He dinhmun hi operation hmangin hlawhtling takin siamthat theih a ni. Enkawl hnuah naupang chuan nun pangngai tak a nei thei a ni.
- I naute hian hypospadias a nei nia i rinhlelh chuan doctor thurawn tel lovin i naute chu serh tan ngai suh.
- Surgery zawhah doctor thupek uluk takin zawm thin ang che. I fa thatna chu i enkawl danah a innghat a ni.
- Zawhna emaw rinhlelhna emaw i neih chuan doctor nen zalen takin sawipui rawh.
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