Kodi chikhodzodzo cha mwana wanu chikutuluka? Tiyeni tikambirane za Kutuluka kwa Chikhodzodzo!

Mayi kapena bambo akamaona mwana wakhanda, amayembekezera kuona mwana wathanzi komanso wathunthu. Koma tangoganizirani, bwanji ngati muwona chikhodzodzo cha mwana chikutuluka pakhungu pa mimba yake? Ndi chinthu chomvetsa chisoni komanso choopsa. Ichi ndi chomwe timachitcha kuti Bladder Exstrophy mu zamankhwala. Ndikoyenera kuchita mantha komanso kuda nkhawa mukaona izi. Koma chofunika kwambiri ndichakuti pali chithandizo chopambana cha izi. Choncho tiyeni tikambirane chilichonse momveka bwino komanso mosavuta.

Mwachidule, kodi Chikhodzodzo Chotuluka M'chikhodzodzo n'chiyani?

Kutuluka kwa chikhodzodzo ndi vuto lobadwa nalo losowa kwambiri. Nthawi zambiri, mwana akamakula m'mimba, ziwalo zamkati, kuphatikizapo chikhodzodzo, zimakula mkati mwa thupi. Komabe, pa vutoli, chikhodzodzo cha mwana chimakula kunja kwa thupi, ndipo chimaonekera pakhungu m'mimba.

Mu mkhalidwe uwu, izi ndi zomwe zimachitika:

• Khungu ndi mafupa a m'chiuno m'mimba mwa pansi sizimalumikizana bwino.
• Chifukwa chake, chikhodzodzo chimawonekera kudzera pakhungu la mimba.
• Chikhodzodzo, chomwe nthawi zambiri chimayenera kukhala ngati buluni, pankhaniyi chimakhala ndi mawonekedwe osalala.
• Zotsatira zake, chikhodzodzo sichingathe kusunga mkodzo kapena kugwira ntchito bwino. Mkodzo umapitirira kutuluka.

Kodi vutoli limakhudza bwanji thupi la mwana?

Tiyeni tiwone momwe njira ya mkodzo imagwirira ntchito nthawi zambiri. Chikhodzodzo chanu chikadzaza ndi mkodzo, chizindikiro chimatumizidwa kuchokera ku dongosolo la mitsempha kupita ku ubongo chomwe chimati, "Chikhodzodzo tsopano chadzaza." Kenako minofu ya chikhodzodzo imakokana (kukokana), ndipo mkodzo umatuluka kudzera mu urethra.

Koma izi sizimachitika mwa mwana amene ali ndi chikhodzodzo. Chifukwa chakuti chikhodzodzo cha mwana chili kunja, palibe malo oti mkodzo usonkhane. Choncho mkodzo wopangidwa ndi impso umatuluka mwachindunji kudzera m'chikhodzodzo chotsegukachi m'mimba.

Kodi pali mitundu yosiyanasiyana ya matenda a chikhodzodzo?

Inde, Chikhodzodzo ndi vuto lomwe limapezeka m'gulu la zilema zobadwa nazo lotchedwa Chikhodzodzo-Epispadias Complex (BEEC). Ana ena akhoza kukhala ndi vuto limodzi lokha, pomwe ena akhoza kukhala ndi zingapo mwa izi pamodzi.

Kodi izi zimachitika kawirikawiri?

Ayi, Chikhodzodzo Chotupa ndi vuto losowa kwambiri . Limakhudza mwana mmodzi yekha mwa ana 50,000 obadwa kumene.

Kodi zizindikiro zazikulu ndi ziti?

Chizindikiro chachikulu komanso chodziwika bwino ndi chikhodzodzo chomwe chimatuluka m'mimba. Kuphatikiza apo, zizindikiro zina zingapo zitha kuwoneka.

• Chifuwa chili pansi kwambiri kuposa masiku onse.
• Mafupa a m'mimba sali ogwirizana, koma m'malo mwake amakhala otalikirana.
• Chimbudzi chingakhale patsogolo kwambiri kuposa masiku onse.
• Mwa anyamata , machende mwina sanatsike m'makonde (machende osadulidwa).
• Ana ena amathanso kukhala ndi hernias , monga inguinal hernias kapena umbilical hernias.

Kodi zifukwa ndi zoopsa zake ndi ziti?

Choyambitsa chenicheni cha vutoli sichinadziwikebe , koma madokotala amakhulupirira kuti kuphatikiza kwa majini ndi zinthu zachilengedwe kungathandize. Ndikofunikira kumvetsetsa kuti palibe cholakwika ndi makolo chomwe chimayambitsa vutoli.

Nazi zina mwa zinthu zomwe zimayambitsa chiopsezo zomwe zapezeka:

• Mbiri ya banja: Ngati m'modzi mwa makolo anali ndi vutoli ali mwana, mwana wawo ali ndi mwayi wa munthu m'modzi pa anthu 70 aliwonse woti adwale matendawa.
• Mtundu: Vutoli lapezeka kuti ndi lofala kwambiri pakati pa anthu oyera.
• Jenda: Anyamata ali ndi mwayi wopeza vutoli katatu kuposa atsikana.
• Mankhwala oletsa kubereka: Kafukufuku wina akusonyeza kuti kugwiritsa ntchito njira monga Assisted Reproductive Technology (IVF) kungawonjezere pang'ono chiopsezochi.

Kodi chithandizo ndi momwe zinthu zilili ndi chiyani?

Mwana amene ali ndi Blodder Exstrophy adzafunika opaleshoni . Iyi ndiyo njira yokhayo yochizira. Kutengera ndi kuopsa kwa vuto la mwana, vutoli lingathe kuthetsedwa kwathunthu ndi opaleshoni imodzi kapena zingapo.

Kawirikawiri pali njira ziwiri zomwe opaleshoni imachitikira:

1. Opaleshoni imodzi: Nthawi zina, m'mimba mumatsekedwa ndipo mkodzo umakonzedwa mu opaleshoni imodzi yochitidwa mkati mwa miyezi ingapo yoyambirira mwana atabadwa.

2. Opaleshoni ya magawo atatu: Iyi ndiyo njira yomwe imachitidwa nthawi zambiri.

• Gawo loyamba (pambuyo pa kubereka): Pakatha masiku ochepa kuchokera pamene mwana wabadwa, chikhodzodzo cha mwana chimayikidwa m'thupi ndipo mimba imatsekedwa. Nthawi yomweyo, opaleshoni (`osteotomy`) imachitika kuti mafupa a m'chiuno, omwe ali kutali, agwirizane.
• Gawo lachiwiri (pafupifupi miyezi 6): Opaleshoni iyi (kukonza epispadias) imakonzanso ziwalo zoberekera ndi mkodzo.
• Gawo 3 (pafupifupi zaka 4-5): Pofika pano mwanayo ali pa msinkhu wophunzirira chimbudzi. Opaleshoni iyi (`augmentation cystoplasty`) imachitika kuti chikhodzodzo chikhale chachikulu mokwanira kuti chigwire mkodzo.

Mavuto omwe angakhalepo kwa nthawi yayitali

Ngakhale atalandira chithandizo, ana ena akhoza kukhala ndi vuto la chikhodzodzo kapena impso.

• Matenda a impso (pyelonephritis)
• Miyala ya impso
• Chiwopsezo chotenga khansa ya chikhodzodzo chimakwera pang'ono mtsogolo.
• Mavuto okhudzana ndi ntchito yogonana.

Azimayi omwe ali ndi vutoli amaonedwa kuti ali ndi mimba yoopsa kwambiri , ndipo nthawi zambiri amafunika opaleshoni ya opaleshoni (C-section) kuti abereke mwana. Amuna angafunike njira zothandizira kubereka monga feteleza wa m'mimba (IVF) kuti abereke ana.

Momwe mumamvera ngati kholo

Kupeza kuti mwana wanu ali ndi vuto lobadwa nalo ndi chinthu chovuta kwa kholo lililonse kuthana nacho. Mungamve mantha, nkhawa, komanso kudzimva kuti ndinu wolakwa. Maganizo onsewa ndi achibadwa.

Koma kumbukirani, si vuto lanu . Ngakhale madokotala sanganene motsimikiza chifukwa chake chiphuphu cha m'mimba chimachitika. Dzipatseni nthawi kuti mumvetse ndikuzolowera vutoli. Mankhwala ndi othandiza kwambiri. Vutoli silingalepheretse mwana wanu kukhala ndi ubwana wabwinobwino. Madokotala amamvetsetsa bwino momwe mukumvera. Alipo kuti akuthandizeni ndikukupatsani upangiri pa sitepe iliyonse. Choncho musaope kulankhula ndi dokotala wanu za chilichonse.