Kodi mwana wanu ali ndi mkodzo ndi nyini? (Urogenital Sinus) Tiyeni tikambirane za izi!

Kodi mayi kapena bambo zimawadetsa nkhawa bwanji akayang'ana mwana wakhanda ndikuwona kusintha pang'ono m'thupi lawo? Nthawi zina, ngakhale chinthu chosowa kwambiri, chingakhudze mwana wathu ndikutipangitsa kumva chisoni kwambiri. Lero, tikambirana za vuto lomwe silimamveka kawirikawiri, koma lofunika kwambiri kulidziwa. Timalitcha kuti (Urogenital Sinus).

Kodi ichi (Urogenital Sinus) n'chiyani? Tiyeni timvetse mosavuta?

Mwachidule, Urogenital Sinus ndi vuto lobadwa nalo m'thupi la mkazi lomwe limayambitsa mkodzo ndi kubereka. Tsopano, taonani, nthawi zambiri mwana wamkazi amakhala ndi mipata itatu yotulutsira zinyalala m'thupi: imodzi ndi rectum, komwe ndowe zimatuluka, ina ndi mkodzo, komwe mkodzo umatuluka, ndipo yachitatu ndi nyini . Komabe, mwana yemwe ali ndi Urogenital Sinus amakhala ndi mipata iwiri. Imodzi ndi rectum, komwe ndowe zimatuluka, ndipo inayo ndi mpata wamba wa urethra ndi nyini. Izi zikutanthauza kuti mkodzo umatuluka ndikulumikizana ndi nyini kuchokera pamalo amodzi.

Matendawa (Urogenital Sinus) amapezeka kumayambiriro kwa kukula kwa mwana wosabadwayo. Tangoganizirani, kwa kanthawi kochepa kwambiri mu gawo la mwana wosabadwayo, machitidwe onse atatu - njira ya m'mimba (rectum), njira yoberekera (nyini), ndi njira ya mkodzo (chikhodzodzo cha mkodzo) - onse amalumikizidwa ku dzenje limodzi ndi kutsegula. Timatcha izi ( Cloaca ). Pamene mwana wosabadwayo akukula, machitidwe atatuwa amasiyana ndikupanga mipata itatu yosiyana (nyini, urethra , ndi anus). Koma nthawi zina, pazifukwa zina, njira ya mkodzo ndi njira yoberekera - makamaka urethra ndi nyini - sizimalekanitsa bwino, koma zimapitirizabe kusunga dzenje limodzi. Mpata wambawo umatchedwa (Urogenital Sinus). Anthu ena amatchanso izi (Persistent Urogenital Sinus - PUGS).

Kodi nthawi zambiri chimayambitsa matenda a urogenital sinus ndi chiyani?

Pakukula bwino, dera ili (lotchedwa Urogenital Sinus) pambuyo pake lidzakhala urethra ndipo khungu lozungulira khomo la nyini (vulvar vestibule). Urethra ndi chubu chomwe mkodzo umadutsamo m'thupi lanu. Khungu lozungulira khomo la nyini (vulvar vestibule) ndi khungu lomwe lili mkati mwa labia, pakati pa urethra ndi khomo la nyini.

Kodi Urogenital Sinus ili kuti m'thupi?

Izi (Urogenital Sinus) zimalumikizidwa ndi mkodzo ndi nyini.

Kodi pali mitundu ina ya matenda a urogenital sinus?

Inde, pali mitundu iwiri ikuluikulu ya Urogenital Sinus. Kuzindikira izi ndikofunikira kwambiri pokonzekera chithandizo.

1. Malo olumikizirana ochepa / Malo olumikizirana ochepa: Mu mtundu uwu, mkodzo ndi nyini zimalumikizana pafupi kwambiri ndi khomo lakunja la thupi, kutanthauza pansi. Chifukwa chake, njira yodziwika iyi ndi yayifupi kwambiri. Pankhaniyi, mkodzo ndi nyini zimafanana kwambiri kukula ndi malo ake abwinobwino. Ili ndi vuto lochepa pang'ono.

2. Kulumikizana kwakukulu / Kulumikizana kwakukulu: Pankhaniyi, urethra ndi nyini zimalumikizana patali ndi khomo lakunja la thupi, ndiko kuti, pamwamba. Kenako njira yodziwika iyi imakhala yayitali kwambiri. Mtundu uwu wa kulumikizana kwakukulu ndi woopsa kwambiri. Chifukwa, mavuto ena amatha kuchitika ndi izi. Mwachitsanzo, anus ikhoza kukhala patsogolo kwambiri kuposa momwe imakhalira m'thupi.

Kodi vutoli (Urogenital Sinus) ndi losowa bwanji?

Matenda a m'mphuno mwa mwana ndi vuto losowa kwambiri . Tikanena zoona, limakhudza ana obadwa kumene pafupifupi 0.6 mwa 10,000.

Kodi zizindikiro za matenda a urogenital sinus ndi ziti?

Zizindikiro za Urogenital Sinusitis zimatha kusiyana malinga ndi kuopsa kwa matendawa. Zina mwa zizindikiro zodziwika bwino ndi izi:

• Kukhala ndi njira imodzi yokha yotulutsira ndowe ndi njira ina yotulutsira ndowe ku nyini ndi mkodzo.
• Kutupa kwa nyini chifukwa cha kuchulukana kwa mkodzo. Izi zimatchedwanso (Hydrocolpos).
• Nyini ikhoza kutsekedwa modabwitsa.
• Nthawi zina pangakhale palibe nyini konse.
• Chiberekero, mazira, kapena machubu a fallopian sakukula bwino.

Kodi ndi zifukwa ziti zomwe zimayambitsa matenda a urogenital sinus?

Kunena zoona, ngakhale akatswiri azachipatala zimawavuta kupeza chomwe chimayambitsa matenda a Urogenital Sinus.

Nthawi zina, izi zitha kulumikizidwa ndi vuto lotchedwa Congenital Adrenal Hyperplasia (CAH). CAH ndi gulu la matenda obadwa nawo. Ngati muli ndi CAH, chimodzi kapena zonse ziwiri za adrenal glands sizipanga enzyme yofunikira kuti ipange mahomoni. Izi zingayambitse ziwalo zoberekera kukula modabwitsa. CAH ingakhudze aliyense, koma atsikana nthawi zambiri amakhala ndi ziwalo zoberekera zosazolowereka.

Matenda otchedwa virilization angayambitsenso urogenital sinusitis. Virilization ndi pamene mnyamata ali ndi mahomoni ambiri a amuna (androgens) m'thupi lake. Ma androgen ndi omwe amathandiza thupi kukula, ndipo amakhudzanso zinthu monga kuzama kwa mawu, tsitsi la thupi, ndi kukula kwa minofu.

Kodi matenda a urogenital sinus amapezedwa bwanji?

(Urogenital Sinus) ndi yofunika kwambiri podziwa momwe mungachiritsire vutoli. Izi sizingakhudze ziwalo zoberekera za mwana wanu zokha, komanso kukula ndi chitukuko chake chonse.

Nthawi zina, madokotala amatha kuzindikira vutoli (Urogenital Sinus) panthawi ya ultrasound pamene mwana akadali m'mimba. Komabe, nthawi zambiri, madokotala amapeza vutoli panthawi yoyezetsa thupi koyamba mwana akabadwa. Kenako amatha kuchita mayeso a magazi kuti adziwe zambiri zokhudza thanzi la mwana komanso mavuto a majini.

Dokotala angapemphe mayeso ena kuti atsimikizire matendawa kapena kuti adziwe zambiri za kukula kwa Urogenital Sinus. Izi zingaphatikizepo:

• Ultrasound: Izi zimagwiritsa ntchito mafunde amphamvu kwambiri kuti zijambule kanema kapena zithunzi za ziwalo zomwe zili mkati mwa thupi. Izi zingasonyeze mavuto a impso za mwana wanu, chikhodzodzo, nyini, ndi rectum. Zingathenso kuzindikira ngati mwana wanu ali ndi mkodzo wochuluka mu nyini (hydrocolpos).
• Retrograde genitogram: Iyi ndi mtundu wina wa mayeso ojambulira. Mu mayesowa, dokotala amabaya utoto wapadera mu urethra/nyini ndikujambula X-ray. Utotowu umalola kukula, mawonekedwe, ndi malo a minofu ndi ziwalo kuti zidziwike bwino.
• Kuyesa kwa Magnetic Resonance Imaging (MRI): MRI imagwiritsa ntchito maginito, mafunde a wailesi, ndi kompyuta kuti ijambule zithunzi zomveka bwino za thupi. Izi zingapereke zithunzi zatsatanetsatane za Urogenital Sinus. MRI ingagwiritsidwenso ntchito kufufuza mavuto aliwonse omwe ali ndi chiuno ndi msana wa mwana.
• Endoscopy: Endoscopy imagwiritsa ntchito chubu chopyapyala komanso chachitali (endoscope) chokhala ndi kuwala ndi kamera mbali imodzi. Endoscope iyi imayikidwa mu urethra/nyini wamba kuti ione momwe thupi la munthu lilili mkati.

Kodi mungachiritse bwanji matenda a urogenital sinus?

Njira yokhayo yochiritsira vuto la Urogenital Sinus ndikuchitidwa opaleshoni yolekanitsa nyini ya mwana wanu ndi mkodzo. Nthawi zina, makamaka kwa ana omwe ali ndi kachilombo ka HIV (chifukwa cha Congenital Adrenal Hyperplasia (CAH)) ndipo adapezeka ndi Disordered Sexual Development (DSD), pakhoza kukhala malingaliro osiyanasiyana okhudza opaleshoni. Chifukwa chake, musanachite opaleshoni, muyenera kukambirana mwatsatanetsatane ndi gulu lachipatala lomwe likuchiza mwana wanu. Gululi nthawi zambiri limaphatikizapo:

• Dokotala amene ndi katswiri pa matenda a mkodzo ndi njira zoberekera ((Urologist)).
• Dokotala wa endocrinologist ndi dokotala amene amagwira ntchito yokhudza matenda okhudzana ndi dongosolo la endocrine. Dongosolo lanu la endocrine ndi lomwe limapanga ndi kutulutsa mahomoni.

Opaleshoniyi nthawi zambiri imachitika mkati mwa chaka choyamba cha mwana . Opaleshoniyi imachitidwa ndi dokotala wa urologist.

Pa vuto la Urogenital Sinus lokhala ndi ziwalo zochepa, (Urologist) nthawi zambiri amachita opaleshoni yotchedwa (Flap vaginoplasty). Pachifukwa ichi, amapanga mipata iwiri yosiyana kunja kwa thupi - imodzi ya nyini, ndi inayo ya urethra.

Pa vuto la matenda a Urogenital Sinus omwe ali ndi ziwalo zambiri, dokotala (Urologist) nthawi zambiri amachita opaleshoni yotchedwa (Pull-through vaginoplasty). Iyi ndi opaleshoni yovuta pang'ono. Pankhaniyi, dokotala (Urologist) amalekanitsa nyini ndi khomo lotseguka, amapanga lina, ndikutseka khomo lotseguka. Kenako, mkodzo umapitirira kutuluka pamalo pomwe panali khomo lotseguka.

Nthawi zina matenda a Urogenital Sinus amakhala ndi ziwalo zambiri (Urogenital Sinus), dokotala (Urologist) angachite opaleshoni yotchedwa (Urogenital mobilization) pamodzi ndi (Flap vaginoplasty). Panthawi ya (Urogenital mobilization), adzachita izi:

• Chimbudzi cha m'mimba chalekanitsidwa.
• Mtsempha wa mkodzo ndi nyini zimalekanitsidwa ndi kusunthika pamodzi ndikubweretsedwa ku perineum.
• Chimbudzi cha m'mimba chimalumikizidwa ndi sphincter ya m'makoswe .
• Kenako (flap vaginoplasty) imachitidwa.

Ana ena angafunikenso kuchitidwa opaleshoni yotchedwa Clitoroplasty ndi/kapena Labiaplasty. Clitoroplasty imaphatikizapo kusintha minofu kuti ipange clitoris yabwinobwino. Dokotala wa opaleshoni amayesetsa kusunga mitsempha yambiri momwe angathere kuti mwanayo akhale ndi moyo wabwino wogonana akakula. Labiaplasty imaphatikizapo kusintha mawonekedwe a milomo, yomwe ndi milomo yozungulira nyini.

Kodi mwana amatenga nthawi yayitali bwanji kuti achire pambuyo pa chithandizo cha Urogenital Sinus?

Mwana wanu adzafunika kukhala m'chipatala kwa masiku angapo pambuyo pa opaleshoni ya (Urogenital Sinus). Ululu uyenera kuyamba kuchepa mkati mwa sabata imodzi, ndipo mwanayo ayenera kuchira kwathunthu mkati mwa mwezi umodzi. Komabe, kutengera kuopsa kwa matenda a mwana wanu (Urogenital Sinus), dokotala wa mwana wanu adzakupatsani lingaliro lomveka bwino la izi.

Kodi matenda a urogenital sinus angapewedwe?

Ngati wina m'banja mwanu ali ndi vuto lotchedwa Congenital Adrenal Hyperplasia (CAH), ndipo muli ndi pakati kapena mukufuna kutenga mimba, ndikofunikira kulankhula ndi dokotala wanu. Pofuna kupewa Urogenital Sinus, mahomoni amatha kuperekedwa asanabadwe.

Kodi ndiyenera kuyembekezera chiyani ngati mwana wanga ali ndi Urogenital Sinus?

Zotsatira za mwana wanu zimadalira kukula kwa sinus yake ya urogenital. Cholinga cha opaleshoni ndikupatsa mwana wanu ntchito yabwinobwino komanso mawonekedwe abwino a ziwalo zoberekera. Ana ambiri omwe amachitidwa opaleshoni amatha kukodza bwino akachira.

Pamene mwana akukula, nyini imatha kucheperachepera (vaginal stenosis) komanso kufupika. Izi zingayambitse mavuto panthawi yogonana ndi nyini.

Mwana amene ali ndi vuto la Urogenital Sinus samuletsa kutenga mimba. Komabe, ngati opaleshoniyo inali yaikulu kwambiri, zingakhale bwino kuchitidwa opaleshoni ya cesarean (C-section) panthawi yobereka. Dokotala wanu adzakambirana izi ndi mwana wanu panthawi yoyenera.

Kodi ndingasamalire bwanji mwana wanga?

Madokotala a mwana wanu adzakuuzani momwe mungamuthandizire bwino. Kuopsa kwa (Urogenital Sinus) ndi zotsatira za opaleshoni zidzatsimikizira momwe mudzapitirizire kumusamalira.

Kodi ndiyenera kupita kwa dokotala liti?

Pambuyo pa opaleshoni, mwana wanu adzafunika kukaonana ndi dokotala nthawi zonse kuti atsimikizire kuti thupi lake likuchira bwino komanso likugwira ntchito bwino monga momwe amayembekezera. Onetsetsani kuti mwapezeka pamisonkhano yonseyi.

Ngati muwona zizindikiro zatsopano, monga kusadziletsa kwa mkodzo, lankhulani ndi dokotala wa ana kapena dokotala wa urologist wa mwana wanu.

Ndi mafunso ati omwe ndiyenera kufunsa dokotala wa mwana wanga?

Nazi mafunso ena omwe mungafunse dokotala wanu:

• Kodi mwana wanga ali ndi mtundu wanji wa Urogenital Sinus?
• Ndi opaleshoni iti yomwe mukupangira?
• Kodi opaleshoni imalimbikitsidwa pa msinkhu wanji?
• Kodi mwana wanga adzamva ululu, kapena ali kale ndi ululu?
• Kodi mwanayo adzafunika opaleshoni ina akamakula?
• Kodi mukuyembekezera kuti mwana wanu azikhala ndi vuto ndi mkodzo wake kapena nyini akamakula?
• Kodi izi zidzakhudza nthawi ya msambo ya mwana wanga?
• Kodi izi zingakhudze kuthekera kwanga kutenga pakati?
• Kodi mwana wanga adzatha kubereka bwino?

Chofunika: Musamaope kufunsa dokotala wanu mafunso aliwonse omwe muli nawo, ngakhale atakhala ang'onoang'ono bwanji. Muli ndi ufulu wodziwa chilichonse momveka bwino.

Kodi matenda a urogenital nthawi zambiri ndi chiyani?

Matenda a mkodzo ndi vuto lililonse lomwe limakhudza mkodzo wanu ndi njira yoberekera. Zitsanzo zina ndi izi:

• Zotupa zosavulaza.
• Hernia.
• Matenda opatsirana pogonana (STI).
• Khansa monga khansa ya chikhodzodzo, khansa ya mazira, kapena khansa ya chiberekero.
• Matenda a kupweteka kwa m'mimba/chikhodzodzo (IC/BPS).

Pomaliza, zinthu zoti muzikumbukira (Uthenga Wopita Nawo Kunyumba)

Ndizachibadwa kudabwa komanso kuchita mantha mukazindikira kuti mwana wanu ali ndi Urogenital Sinus. Koma kumbukirani kuti vutoli lingathe kuchiritsidwa ndi opaleshoni yolekanitsa mkodzo ndi nyini ya mwana wanu. Izi zikutanthauza kuti mwana wanu ayenera kukodza bwino.Pamene akukula, ayeneranso kukhala ndi msambo. Komabe, nthawi zina, akamakula, amatha kumva kusasangalala panthawi yogonana ndi mkazi.

Chofunika ndichakuti, simuyenera kuthana ndi mavutowa nokha. Lankhulani ndi dokotala wa mwana wanu. Angayankhe mafunso anu onse, achepetse mantha anu, komanso angakuthandizeni kupeza chithandizo chabwino kwambiri komanso chisamaliro chabwino kwa mwana wanu.

` Mphuno ya m'mimba, PUGS, zilema zobadwa nazo, dongosolo la mkodzo, dongosolo loberekera, opaleshoni, thanzi la mwana