Mufaro waunonzwa semubereki paunotarisa mwana achangoberekwa hautsananguriki. Asi dzimwe nguva, kana chiremba akaongorora mwana ndokukuudza kuti pane chimwe chinhu chisina kumira zvakanaka mumuviri wake, unganzwa kutya uye kunetseka zvishoma. Nhasi, tiri kutaura nezvedambudziko rekuzvarwa naro risingawanzoitiki, asi rinokosha. Izvi zvinonzi Urogenital Sinus.
Chii chinonzi Urogenital Sinus iyi?
Zvichitaurwa zviri nyore, ichi chirwere chekuzvarwa nacho chinongobata vasikana chete . Fungidzira, musikana anowanzova nemaburi matatu mumuviri wake wepazasi.
1. Kuburika kwenzira yeweti (urethra) uko weti inobuda.
2. Kuvhura kwenhengo yechikadzi (nhengo yechikadzi).
3. Muburi uri mudura (anus) unobuda tsvina.
Zvisinei, mwana ane Urogenital Sinus ane maburi maviri. Rimwe nderekubuda kwetsvina. Rimwe buri rinoumbwa nekubatana kweurethra nemukadzi. Izvi zvinoreva kuti urethra nemukadzi zvakabatana neburi iri rimwe chete.
Sei izvi zviri kuitika?
Kuti tinzwisise izvi, tinofanira kudzokera kumatanho ekutanga ekukura kwemwana mudumbu. Kana mwana ari kukura ari mwana mudumbu, masisitimu matatu atataura (sisitimu yemudumbu, sisitimu yeweti, uye sisitimu yekubereka) anotanga kubatana pamwe chete ovhura mukamuri rimwe chete. Izvi zvinonzi "cloaca". Sezvo mwana achikura mudumbu, masisitimu matatu aya anoparadzana zvishoma nezvishoma oita maburi matatu akasiyana. Asi dzimwe nguva, nekuda kwechimwe chikonzero, sisitimu yeweti nemukadzi hazviparadzani zvakanaka. Ndipo pazvinobatana pamwe chete zvoita chirwere chinonzi "Urogenital Sinus."
Pane mhando huru dzeUrogenital Sinus here?
Ehe, chirwere ichi chinogona kukamurwa kuita mhando mbiri huru, zvichienderana nekuti nzira yakajairika yakareba sei uye kuti inobatanidzwa kupi mumuviri.
| Rudzi | Tsananguro iri nyore |
|---|---|
| Nzvimbo isina kubatana zvakanyanya / isina kubatana zvakanyanya | Murudzi urwu, urethra nemukadzi zvinobatana pedyo nepaburi rekunze remuviri. Nokudaro, nzira inowanikwa ipfupi zvikuru . Urethra nemukadzi zvinogona kunge zvakakura uye zviri panzvimbo yakajairika. Ichi chirwere chisina kunyanya kuipa. |
| Nzvimbo yakabatana zvakanyanya / nzvimbo yakabatana zvakanyanya | Pano, nzira mbiri idzi dzinobatana mukati memuviri, kure nepaburi rekunze. Nokudaro, nzira yakajairika yakareba zvikuru . Ichi chinoonekwa sechirwere chakakomba . Nekuti chinobatanidzwa nenjodzi huru yemamwe matambudziko. |
Ichi chirwere chisingawanzoitiki. Chinowanzoitika muvana vasingasviki mumwe chete pavana 10,000 vanozvarwa. Saka musavhundutswa nemashoko aya.
Ndezvipi zviratidzo zveizvi?
Zviratidzo zvinogona kusiyana zvichienderana nekuoma kwechirwere chacho. Izvi zvinowanzoonekwa kana chiremba achiongorora mwana mushure mekuzvarwa.
- Chinhu chikuru ndechekuti, sezvatakambotaura , kune maburi maviri chete : rimwe retsvina uye rimwe seburi rinowanzo shandiswa re urethra nemukadzi.
- Weti inoungana mukati memukadzi, zvichiita kuti mukadzi azvimbe. Izvi zvinonzi ``hydrocolpos```.
- Dzimwe nguva nhengo yemukadzi inogona kunge isati yanyatsokura.
- Unogonawo kuona nhengo dzemukati dzakadai sechibereko, mazai, kana machubhu efallopian dzisina kukura zvakakwana.
Sei izvi zvichiitika? Ndezvipi zvikonzero?
Kazhinji zvakaoma kuziva chikonzero chaicho, asi kune zvikonzero zvishoma zvikuru zvakaonekwa navanachiremba.
- Congenital Adrenal Hyperplasia (CAH): Ichi chirwere chinokonzerwa nemajini. Mumamiriro ezvinhu aya, adrenal glands yemwana haigadzi enzyme inodiwa kuti igadzire mahormone. Izvi zvinogona kukonzera kusawirirana kwemahormone uye kukura zvisina kujairika kwenhengo dzesikarudzi, kunyanya kuvasikana.
- Kushandiswa kwemasero emuviri kuita kuti mwana asabereke: Izvi zvinogona kukanganisa kukura kwemasero emurume (androgens) mumwana ari mudumbu.
Vanachiremba vanoongorora sei chirwere ichi?
Kuziva chirwere ichi nemazvo kwakakosha zvikuru pakuronga kurapwa. Dzimwe nguva chinogona kuonekwa panguva yekuongorora mwana asati aberekwa. Asi kazhinji, chiremba anoona shanduko iyi panguva yekuongororwa kwekutanga kwemuviri mushure mekuzvarwa kwemwana . Zvadaro, mimwe miedzo yakawanda inorayirwa kusimbisa chirwere chacho uye kuona kuoma kwacho.
| Bvunzo | Zvichitaurwa zviri nyore, unoita sei nazvo? |
|---|---|
| Kuskena kweUltrasound | Izvi zvinobatsira kuona mamiriro enhengo dzemukati dzemwana, dzakadai seitsvo, dundira, nyinyo, uye rectum. Zvinogonawo kutarisa kana nyinyo yakazvimba. |
| Kudzoreredza Genitogram | Iyi bvunzo yeX-ray yakakosha. Chiremba anoisa dhayi yakakosha nepaburi rakajairika otora mifananidzo yeX-ray. Izvi zvinoita kuti chimiro, saizi, uye nzvimbo yenhengo dziri mukati zvionekwe zvakajeka. |
| Kuskena kweMRI | Izvi zvinoita kuti pave nemifananidzo yakajeka uye yakadzama yemukati memuviri. Zvinogonawo kuratidza nzvimbo chaiyo yeUrogenital Sinus pamwe chete nezvimwe zvinetso zvingave zviripo, zvakaita semusana wakakomberedza. |
| Endoscopy | Nzira iyi inoshandisa chubhu tete (endoscope) ine kamera nechiedza kuti zvipinzwe nepaburi revanhu vose uye kuti zvione mukati zvakananga pachidzitiro. |
Inorapwa sei?
Nzira chete yekurapa chirwere ichi ndeyekuvhiya kuparadzanisa chibereko neurethra .
Iyi isarudzo yakaoma zvikuru. Usati wavhiyiwa, uchava nehurukuro refu nechikwata chevanachiremba vemwana wako. Chikwata ichi chinowanzo sanganisira chiremba anonyanya nezvenzira dzekuita weti nedzekubereka ('Urologist') uye chiremba anonyanya nezvemahormone ('Endocrinologist').
Kuvhiyiwa uku kunowanzoitwa mukati megore rekutanga rehupenyu hwemwana . Rudzi rwekuvhiyiwa kunoitwa runoenderana nekuti chirwere chacho chiri `chinobatana zvishoma` here kana kuti `chinobatana zvakanyanya`, zvatakakurukura kare.
- Kune mamiriro asina kubatana zvakanyanya:Kuvhiya kunonzi `flap vaginoplasty` kunowanzoitwa. Mukuita uku, chiremba anoshandisa chikamu cheburi rinowanzoonekwa kuti agadzire maburi maviri akasiyana emukadzi neurethra.
- Kune zvirwere zvine majoini akareba: Kuvhiyiwa kwakaoma, kwakadai se 'pull-through vaginoplasty', kunodiwa. Pano, nhengo yemukadzi inoparadzaniswa nenzira yakajairika uye panobva pagadzirwa buri rakasiyana.
Vamwe vana vangangodawo kuvhiyiwa, senge `clitoroplasty` kana `labiaplasty`, kuti chimiro checlitoris kana labia chidzoke zvakanaka.
Izvi zvichakanganisa ramangwana remwana wangu here?
Uyu mubvunzo mukuru kumubereki wese. Chinangwa chikuru chekuvhiyiwa uku ndechekubvumira mwana kuita mabasa emuviri akajairwa uye kudzorera chitarisiko chenhengo dzesikarudzi kuti chive chakajairika.
- Kuita weti: Mushure mekuvhiyiwa, vana vazhinji vanokwanisa kuita weti zvakanaka pasina matambudziko .
- Kuenda kumwedzi: Izvi hazvizokanganisi kuenderera mberi kwemwedzi mushure mekunge mwana akura.
- Hupenyu hwepabonde: Dzimwe nguva, mwana paanokura, nhengo yemukadzi inogona kutetepa kana kupfupika (vaginal stenosis). Izvi zvinogona kukonzera matambudziko panguva yepabonde mune ramangwana. Unogona kutaura nachiremba wako nezveizvi wotsvaga kurapwa kwakakodzera.
- Kubata pamuviri: Kuva nechirwere ichi hazvirevi kuti mwana haazokwanisi kubata pamuviri mune ramangwana. Zvisinei, kana kuvhiyiwa kwacho kwakaoma, vanachiremba vanogona kukurudzira kuti mwana aitwe cesarean section (C-section) kana mwana azvarwa.
Zvinhu izvi zvinogona kusiyana zvichienderana nemamiriro emwana wako, saka zvakanaka kukurukura zvese pachena nachiremba wako.
Mibvunzo yekubvunza chiremba
Bvunza chiremba wako nezvemibvunzo yako yese nezvaunotya. Semuenzaniso, unogona kubvunza mibvunzo yakaita seiyi:
- Mwana wangu ane rudzii rweUrogenital Sinus?
- Ndivanaani vanokukurudzira kuti uvhiyiwe? Pazera ripi paunofanira kuvhiyiwa?
- Mwana wangu ari kurwadziwa here iye zvino?
- Kuvhiyiwa kwakawanda kuchadiwa here mwana achikura?
- Izvi zvichakanganisa here kuenderera mberi kwemwedzi kwemwana?
- Izvi zvichakanganisa here kutora mwana wevabereki vake mune ramangwana?
Mharidzo Yekuenda Nayo Kumba
- Urogenital sinus idambudziko risingawanzoitika pakuzvarwa kwevasikana, apo urethra nemukadzi zvinobatana paburi rimwe chete.
- Chirwere ichi chinowanzoonekwa panguva yekuongororwa nachiremba mwana achangoberekwa.
- Kurapa kweizvi chete kuparadzanisa nzira mbiri idzi nekuvhiyiwa. Ichi chisarudzo chakakosha chinoitwa nevabereki nechikwata chevanachiremba pamwe chete.
- Mushure mekuvhiyiwa kwakakodzera, vana vazhinji vanogona kurarama hupenyu hwakajairika. Vanokwanisa kuita weti zvakanaka.
- Taura pachena nachiremba wemwana wako nezvekusava nechokwadi kana kutya kwaungave nako. Vachakupa mazano akanakisisa.
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