I naute thar diaper i thlak lai hian a taksa peng hrang hrangah inthlak danglamna i hmu em? Urethra hi penis tip-ah a awm lo va, a hniam deuh zawk tih i hre tawh mai thei. Hemi chungchangah hian lungngai suh. Hei hi mipa naupang zingah chuan damdawi lam natna a ni . Vawiin hian he natna ‘Hypospadias’ an tih chungchang leh a siamthat theihna tur surgery chungchang kan sawi dawn a ni.
Hypospadias chu eng nge ni?
A awlsam zawngin hypospadias hi pian tirh atanga awm thin a ni. A tlangpuiin, tlangval urethra, zun leh sperm chhuahna tube chu penis tip-ah a tawp ṭhin . He zun chhuahna kawngkhar hi meatus an ti a.
Mahse, naupang hypospadias neiah chuan he urethral opening (`meatus`) hi hmun dangah a awm a ni. Chu chu:
- A hnuaiah (`Subcoronal`) chu penis tip (lu) bulah a awm.
- Penis (`Midshaft`) chu a zungpui (`Midshaft`) lai takah a awm.
- Penis leh testicles inzawmna hmun (`Penoscrotal`).
Naupang thenkhat chuan a ding lai hian penis-ah hnuai lam hawia curve an nei thei bawk a, hei hi ‘chordee’ tia hriat a ni. Chuvangin doctor te pawhin hypospadias surgery an tih hian he curvature hi an siam tha thin.
He surgery hi mi zawng zawng tan a tul em?
Hei hi nu leh pa tam takin zawhna an neih a ni. Surgery hi a ngai reng reng lo. Naupang dinhmun nasat danah a innghat a ni. He surgery hian thil tum lian tak pahnih a nei a, chungte chu:
1. Urethral opening chu penis tip-ah hruai la, chutiang chuan naupang chu harsatna awm lovin ding chungin a zun theih nan.
2. Nakin lawka mipat hmeichhiatna hman chhunga harsatna awm lova a chhuah theih nan penis buatsaih.
I fain hypospadias na lo tak tak a neih chuan (entir nan, urethra chu a tip hnaih lutuk a nih chuan) operation neih a ngai lo mai thei. Hei hi nang leh i doctor in inrem dun a tha ber.
Hypospadias hi natna tlanglawn tak a ni a, naute mipa 250-300 zinga 1 velin a vei a, chuvangin a tul lo taka ngaihtuah tur a awm lo.
Surgery neih hmain eng nge thleng?
Surgery hma hian nang leh i faNaupang urologist i hmuh a ngai ang . Doctor chuan a hnuaia mite hi a ti ang:
- Naupang hriselna tlangpui enfiah: Khawsik, pulse, leh thisen sang ang chi thil enfiah .
- Taksa enfiahna: I fate zang chu a zun chhuahna hmun dik tak hriat theih nan enfiah a ni ang. Zun kal chak dan te, zun kalna lam te, leh leakage a awm leh awm loh te zawt che a ni ang.
- A tul chuan test dang: A châng chuan cystoscopy ang chi test pawh tih theih a ni a, chu chuan zun kawng a block a awm leh awm loh enfiah a ni.
Nu leh pa anga in chanvo
Hetih lai hian doctor hnena i hrilh tur pawimawh tak tak a awm a:
- I fate damdawi (prescribed emaw over-the-counter emaw) an ei apiang hrilh rawh.
- I fain allergy a neih theih apiang hrilh rawh.
- A natna hi a nasat deuh chuan doctor chuan operation hmain penis tlem a tihzauh nan testosterone hormone injection a rawt thei ang. Hei hian surgery hlawhtlinna atan a pui dawn a ni.
A pawimawh ber: Surgery neih hmain i rilru a hahdam a ngai. I fain a thusawi chu a hrethiam lo a nih pawhin i hmel lan dan te, i aw ri te, leh i hlauhthawn zia te chu a hre thei a ni. I rilru hahdam leh i inrintawkna poh leh i fa chuan operation chu a hlau lo zawk ang.
Engtin nge surgery hi tih a nih?
He surgery hi pediatric specialist team ten an ti thin a ni. Naupang chu anesthetized vek (general anesthesia) a nih avangin natna engmah a nei lo.
Surgeon chuan naupang hmai vun te tak te a la hmasa a, chu chuan zunthlum thar siam nan a hmang thin. Chumi hnuah chuan he tube thar hmang hian urethra chu penis tip-ah an hruai lut leh thin.
Surgery zawhah hian urethra siam thar kaltlangin catheter emaw stent emaw dah a ni ang a, chu chu a dam hma loh chuan a block loh nan a ni. Hei hi kar khat atanga kar hnih chhung a hmunah dah a ngai dawn a ni. He tube atanga zun a chhuah chuan diaper chu a hnim fo ang.
A tawpah chuan dissolvable stitches hmangin hliam chu khar a ni. He surgery hi darkar 2-3 vel a ni tlangpui.
Operation hnuah hian risk leh complication a awm em?
Surgery dang ang bawkin hlauhawmna tenau tak tak a awm a, mahse hengte hi a tlem hle.
| Risk chi hrang hrang | Hrilhfiahna awlsam tak |
|---|---|
| General surgery hlauhawmna a awm | Anesthesia, natna hrik, thisen chhuah tam lutuk, hliam, hliam nasat lutuk avanga chhanna. |
| Surgery-a harsatna awm thei |
|
Complication awm theihna chance a tlem hle. Surgery hian hlawhtlinna rate a nei sang hle a ni . Naupang tam zawk chuan harsatna awm lovin nun hrisel tak an hmang thei a ni.
In lama naupang enkawl dan tur?
Naupang chu a zai zawhah a chau deuhin a hria mai thei. Naupang chu kar hmasa lamah uluk taka enkawl a ngai a ni.
- Thianghlimna: Hliam kai loh nan hliam vel a fai thei ang bera vawn tur a ni. Diaper thlak zawhah sahbawn leh tuiin uluk takin kut sil thin ang che.
- Diaper thlak: Catheter hian zun a tichhuak fo thin. Chuvangin, i diaper chu a tlangpui aia tam i thlak a ngai a ni . A châng chuan, doctor chuan diaper pahnih (pakhat chu catheter atan, pakhat chu stool atan) bun turin a hrilh ang che.
- Inbual: Doctor-in a hrilh hma chuan naute chu tui tub-ah dah suh. Puan hnim (Sponge bath) hmangin taksa chu phihfai thin ang che.
- Activity khapna: I fa chu tlan leh inkhelh theih a nih chuan kar 2-3 chhung chu bike khalh te, tlan te, zuang te kha pumpelh tur a ni.
Heng symptoms te hi i neih chuan doctor ko nghal tur a ni.
Operation hnua in lama i awm laiin a hnuaia thilte hi i hriat chuan i doctor emaw damdawi in emaw ko nghal rawh .
| Ngaihtuah vat ngai symptoms te | |
|---|---|
| 🔴 tih a ni | Hliam atanga thisen chhuak tam lutuk. |
| 🔴 tih a ni | 100° Fahrenheit (38° Celsius) aia sang khawsik nei . |
| 🔴 tih a ni | Infection chhinchhiahna, hliam atanga hliam, sen, emaw pus chhuak emaw te. |
| 🔴 tih a ni | Naupang chu a luak chhunzawm zel a. |
| 🔴 tih a ni | Catheter (tube) chu a lo chhuak thei a , a chhehvel atang chuan zun a chhuak thei bawk. |
| 🔴 tih a ni | Naute diaper chu darkar engemaw zat a vawt ( zun a chhuak lo) a ni. |
Naupang tam zawk chu kar 6 velin an dam vek thin. Naupang chuan catheter lakchhuah hnu ni engemaw zat chhung chu a zun hian natna engemaw zat a nei thei a, mahse hei hi a tlahniam zauh zauh ang.
Take-Home Thuchah a ni
- Hypospadias hi mipa naupangte zingah a awm fo a, an pian tirh lamah a awm thin. Hei hi hlauh a ngai lo.
- He surgery hian hlawhtlinna rate sang tak a nei a, nakin lawkah naupang chu a zun a, a pangngaiin a sexual activity a nei thei a ni.
- Surgery neih a tul leh tul loh chu naupang dinhmun a zirin a ni. Hemi chungchang hi i doctor nen zalen takin sawipui rawh.
- Surgery zawhah i fa enkawl hi a pawimawh hle. Doctor thupek chu uluk takin zawm rawh.
- Emergency symptom i hriat chuan doctor hnenah hriattir nghal rawh.
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