Mwana wako ane urethra nemukadzi here? (Urogenital Sinus) Ngatikurukurei nezvazvo!

Zvinonetsa sei amai kana baba pavanotarisa mwana achangoberekwa voona shanduko diki mumuviri wavo? Dzimwe nguva, kunyangwe chimwe chinhu chisingawanzoitiki, chinogona kukanganisa mwana wedu uye chinoita kuti tinzwe kusuruvara zvikuru. Nhasi, tichataura nezvechirwere chisingawanzonzwikwa nezvacho, asi chakakosha kuziva nezvacho. Tinochidana kuti (Urogenital Sinus).

Chii ichi (Urogenital Sinus)? Ngatinzwisise zviri nyore?

Zvichitaurwa zviri nyore, Urogenital Sinus idambudziko rekuzvarwa naro muhurongwa hweweti uye nzira yekubereka yemukadzi. Zvino, tarisai, kazhinji mwana wechikadzi ane maburi matatu ekubuda kwetsvina mumuviri: rimwe irectum, panobuda tsvina, rimwe iburi reurethra, panobuda weti, uye rechitatu iburi remukadzi . Zvisinei, mwana ane Urogenital Sinus ane maburi maviri. Rimwe irectum, panobuda tsvina, uye rimwe iburi rinowanzoonekwa kune urethra nemukadzi. Izvi zvinoreva kuti weti inobuda yobatana nemukadzi kubva panzvimbo imwe chete.

Dambudziko iri (Urogenital Sinus) rinoitika panguva yekutanga kwekukura kwemwana ari mudumbu. Fungidzira, kwenguva pfupi muchikamu chemwana ari mudumbu, masisitimu ese matatu - nzira yemudumbu (rectum), nzira yekuzvitakura (vagina), uye nzira yeweti (dundira reweti) - zvese zvakabatana kune imwe nzvimbo uye buri rimwe. Tinozvidaidza kuti ( Cloaca ). Sezvo mwana ari mudumbu achikura, masisitimu aya matatu anoparadzana uye anoumba maburi matatu akasiyana (vagina, urethra , uye anus). Asi dzimwe nguva, nekuda kwechimwe chikonzero, nzira yeweti uye nzira yekubereka - kunyanya urethra nebeche - hazviparadzani zvakanaka, asi zvinoramba zvichichengetedza buri rimwe chete. Buri iroro rinowanzo shandiswa rinonzi (Urogenital Sinus). Vamwe vanhu vanodanawo izvi kuti (Persistent Urogenital Sinus - PUGS).

Chii chinowanzo kukonzera Urogenital Sinus?

Pakukura kwakanaka, nzvimbo iyi (inonzi Urogenital Sinus) inozova urethra uye ganda rakatenderedza muromo wemukadzi (vulvar vestibule). Urethra ndiyo chubhu inobuda weti mumuviri wako. Ganda rakatenderedza muromo wemukadzi (vulvar vestibule) iganda riri mukati me labia, pakati pe urethra nemuromo wemukadzi.

Ko Urogenital Sinus iri kupi mumuviri?

Iyi (Urogenital Sinus) yakabatana neurethra nemukadzi.

Kune mhando dzeUrogenital Sinus here?

Ehe, kune mhando mbiri huru dzeUrogenital Sinus. Kuziva izvi kwakakosha zvikuru pakuronga kurapwa.

1. Kusangana kwakabatana zvishoma / Kusabatana kwakaderera: Murudzi urwu, urethra nemukadzi zvinobatana pedyo nepaburi rekunze remuviri, ndiko kuti, pasi. Nokudaro, nzira iyi ipfupi zvikuru. Muchiitiko ichi, urethra nemukadzi zvakafanana zvikuru muhukuru nenzvimbo yakajairika. Ichi chirwere chisina kunyanya kuipa.

2. Kubatana kwakabatana zvakanyanya / Kubatana kwakanyanya: Panyaya iyi, urethra nemukadzi zvinobatana zviri kure nepaburi rekunze remuviri, ndiko kuti, pamusoro. Ipapo nzira iyi yakajairika yakareba kwazvo. Rudzi urwu rwekubatana kwakabatana kwakanyanya ndirwo rwakakomba. Nekuti, mamwe matambudziko anogona kuitika neizvi. Semuenzaniso, anus inogona kunge iri kure zvakanyanya kupfuura zvakajairika mumuviri.

Dambudziko iri (Urogenital Sinus) hariwanzoitiki kangani?

Sinus yeUrogenital chirwere chisingawanzoitiki . Zvichitaurwa zviri nyore, inobata vana vanenge 0.6 pavana 10,000 vachangoberekwa.

Ndezvipi zviratidzo zveUrogenital Sinus?

Zviratidzo zveUrogenital Sinusitis zvinogona kusiyana zvichienderana nekuoma kwechirwere chacho. Zvimwe zvezviratidzo zviri pachena zvinosanganisira:

• Kuva nechinhu chimwe chete chinoburitsa tsvina uye chimwe chinoburitsa tsvina chinowanikwa munhengo yemukadzi neyemureti.
• Kuzvimba kwechikadzi nekuda kwekuungana kweweti. Izvi zvinonziwo (Hydrocolpos).
• Nhengo yemukadzi inogona kunge yakavharwa zvisina kujairika.
• Dzimwe nguva panogona kunge pasina nhengo yemukadzi zvachose.
• Chibereko, mazai, kana machubhu efallopian hazvina kukura zvakanaka.

Ndezvipi zvikonzero zveUrogenital Sinus?

Kutaura chokwadi, kunyange nyanzvi dzezvekurapa dzinoomerwa nekuwana chikonzero chaicho cheUrogenital Sinus.

Mune zvimwe zviitiko, izvi zvinogona kusanganiswa nechirwere chinonzi Congenital Adrenal Hyperplasia (CAH). CAH iboka rezvirwere zvemajini. Kana uine CAH, rimwe kana ese ari maviri eadrenal glands ako haagadzire enzyme inodiwa kugadzira mahormone. Izvi zvinogona kukonzera kuti nhengo dzepabonde dzikure zvisina kujairika. CAH inogona kukanganisa chero ani zvake, asi vasikana vanowanzova nenhengo dzepabonde dzisina kujairika.

Dambudziko rinonzi virilization rinogonawo kukonzera urogenital sinusitis. Virilization inoitika kana mukomana aine mahormone echirume akawanda (androgens) mumuviri wake. Androgens ndiwo anobatsira muviri kukura, uye anokanganisawo zvinhu zvakaita sekudzika kwezwi, bvudzi remuviri, uye kukura kwetsandanyama.

Chirwere cheUrogenital Sinus chinoonekwa sei?

(Urogenital Sinus) inokosha zvikuru pakusarudza nzira yekurapa chirwere ichi. Izvi zvinogona kukanganisa kwete nhengo dzesikarudzi dzemwana wako chete, asiwo kukura kwake kwese.

Dzimwe nguva, vanachiremba vanogona kuona chirwere ichi (Urogenital Sinus) panguva yekuongorora mwana achiri mudumbu. Zvisinei, kazhinji, vanachiremba vanochiwana panguva yekuongororwa kwekutanga kwemuviri mushure mekuzvarwa kwemwana. Vanogona kuita bvunzo dzeropa kuti vazive zvakawanda nezvehutano hwemwana uye matambudziko ekuberekwa.

Chiremba anogona kuraira mimwe miedzo yekusimbisa chirwere kana kuti kudzidza zvakawanda nezvehukuru hweUrogenital Sinus. Izvi zvinogona kusanganisira:

• Ultrasound: Izvi zvinoshandisa mafungu eruzha ane ruzha rwakanyanya kutora vhidhiyo kana mifananidzo yenhengo dziri mumuviri. Izvi zvinogona kuratidza matambudziko neitsvo dzemwana wako, dundira, nyinyo, uye rectum. Zvinogonawo kuona kana mwana wako aine weti yakawanda munyinyo (hydrocolpos).
• Retrograde genitogram: Iyi imhando yekuongorora mifananidzo. Mukuongorora uku, chiremba anobaya dhayi yakakosha muurethra/vagina obva atora X-rays. Dhayi iyi inobvumira saizi, chimiro, uye nzvimbo yenyama nenhengo kuti zvionekwe zvakajeka.
• Kuongororwa kweMagnetic Resonance Imaging (MRI): MRI inoshandisa magineti, mafungu eredhiyo, nekombiyuta kutora mifananidzo yakajeka yemuviri. Izvi zvinogona kupa mifananidzo yakadzama yeUrogenital Sinus. MRI inogona kushandiswawo kutarisa matambudziko aripo muchiuno nemusana wemwana.
• Endoscopy: Endoscopy inoshandisa chubhu yakatetepa, yakareba (endoscope) ine chiedza nekamera kune rumwe rutivi. Endoscope iyi inoiswa muurethra/nhengo yemukadzi kuti ione muviri uri mukati.

Nzira yekurapa sinus yeurogenital?

Nzira chete yekurapa chirwere cheUrogenital Sinus ndeyekuvhiyiwa kuti kupatsanurwe nhengo yemukadzi yemwana wako neurethra. Dzimwe nguva, kunyanya kuvana vane hutachiona hweHIV (nekuda kweCongenital Adrenal Hyperplasia (CAH)) uye vakaonekwa kuti vane Disordered Sexual Development (DSD), panogona kuva nemafungiro akasiyana-siyana nezvekuvhiyiwa. Saka, usati wavhiyiwa, unofanira kutaura zvakadzama nechikwata chekurapa chiri kurapa mwana wako. Chikwata ichi chinowanzo sanganisira:

• Chiremba ane hunyanzvi muzvirwere zvemudumbu uye zvenhengo dzekubereka ((Urologist)).
• Nyanzvi ye endocrinologist chiremba anonyanya kubata zvirwere zvine chekuita ne endocrine system. Endocrine system yako ndiyo inogadzira uye inoburitsa mahormone.

Kuvhiyiwa uku kunowanzoitwa mukati megore rekutanga remwana . Kuvhiyiwa uku kunoitwa nachiremba wezvedundira.

Panyaya yeUrogenital Sinus ine mitsetse midiki, chiremba weUrologist anowanzoita oparesheni inonzi (Flap vaginoplasty). Pakuita izvi, vanogadzira migero miviri yakasiyana yekunze kwemuviri - imwe yemukadzi, uye imwe yeurethra.

Panyaya yeUrogenital Sinus ine mitsetse yakakwira, chiremba weUrologist anowanzoita oparesheni inonzi (Pull-through vaginoplasty). Uku kuvhiya kwakaoma zvishoma. Pakuita izvi, chiremba weUrologist anoparadzanisa nhengo yemukadzi nepaburi rakajairika, ogadzira rimwe rakasiyana, uye ovhara buri iroro rakajairika. Zvadaro, weti inoramba ichiyerera ichibva panzvimbo yaimbova neburi rakajairika.

Mune zvimwe zviitiko zveUrogenital Sinus ine mitsetse yakawanda (Urogenital Sinus), (Urologist) anogona kuita oparesheni inonzi (Urogenital mobilization) pamwe chete ne (Flap vaginoplasty). Munguva ye (Urogenital mobilization), vacha:

• Mudumbu wakaparadzaniswa.
• Urethra nemukadzi zvinoparadzaniswa uye zvinounganidzwa pamwe chete zvoendeswa kuperineum.
• Rectum yakabatana ne sphincter yekumashure .
• Zvadaro (flap vaginoplasty) inoitwa.

Vamwe vana vangadawo kuvhiyiwa kunonzi Clitoroplasty uye/kana Labiaplasty. Clitoroplasty inosanganisira kugadzirisa tsinga kuti igadzire clitoris yakajairika. Chiremba anoedza kuchengetedza tsinga dzakawanda sezvinobvira kuitira kuti mwana agone kuva nehupenyu hwakanaka hwepabonde paanokura. Labiaplasty inosanganisira kugadzirisa tsinga dzemuromo, idzo dziri miromo yakakomberedza nhengo yemukadzi.

Zvinotora nguva yakareba sei kuti mwana apore mushure mekurapwa kweUrogenital Sinus?

Mwana wako achafanira kugara muchipatara kwemazuva mashoma mushure mekuvhiyiwa (Urogenital Sinus). Marwadzo acho anofanira kutanga kudzikira mukati mevhiki, uye mwana anofanira kupora zvachose mukati memwedzi. Zvisinei, zvichienderana nekuoma kweUrogenital Sinus yemwana wako, chiremba wemwana wako achakupa pfungwa yakajeka yeizvi.

Sinus yeUrogenital inogona kudzivirirwa here?

Kana mumwe munhu mumhuri yako aine chirwere chinonzi Congenital Adrenal Hyperplasia (CAH), uye uri nepamuviri kana kuti uri kuedza kubata pamuviri, zvakakosha kutaura nachiremba wako. Kuti udzivise Urogenital Sinus, mahormone anogona kupihwa panguva yekuzvitakura.

Chii chandinofanira kutarisira kana mwana wangu aine Urogenital Sinus?

Mhedzisiro yemwana wako inoenderana nehukuru hwesinus yake ye urogenital. Chinangwa chekuvhiyiwa ndechekupa mwana wako mashandiro akanaka uye chitarisiko chenhengo dzake dzesikarudzi. Vana vazhinji vanovhiyiwa vanokwanisa kuita weti zvakanaka mushure mekupora.

Mwana paanokura, nhengo yemukadzi inogona kutetepa (vaginal stenosis) uye kupfupika. Izvi zvinogona kukonzera matambudziko panguva yepabonde.

Mwana ane chirwere cheUrogenital Sinus haamudziviriri kubata pamuviri. Zvisinei, kana kuvhiyiwa kwacho kwakakura, zvingave zvakanaka kuti mwana avhiyiwe panguva yekusununguka. Chiremba wako achakurukura izvi nemwana wako panguva yakakodzera.

Ndingatarisira sei mwana wangu?

Vanachiremba vemwana wenyu vachakuudzai nzira yakanakisisa yekurapa mwana wenyu. Kuoma kwe (Urogenital Sinus) uye mhedzisiro yekuvhiyiwa ndizvo zvichasarudza kuti mucharamba muchimutarisira sei.

Ndinofanira kuona chiremba rini?

Mushure mekuvhiyiwa, mwana wako achafanirwa kugara achiongororwa kuti ave nechokwadi chekuti muviri wake uri kupora zvakanaka uye unoshanda sezvaitarisirwa. Iva nechokwadi chekuenda kumisangano yese iyi.

Kana mukaona zviratidzo zvitsva, zvakaita sekutadza kudzora weti, taurai nachiremba wevana kana chiremba wezvedundira wemwana wenyu.

Mibvunzo ipi yandinofanira kubvunza chiremba wemwana wangu?

Heano mimwe mibvunzo yaunogona kubvunza chiremba wako:

• Mwana wangu ane rudzii rweUrogenital Sinus?
• Ndekupi kuvhiyiwa kwamunokurudzira?
• Kuvhiyiwa kunokurudzirwa pazera ripi?
• Mwana wangu acharwadziwa here, kana kuti atorwadziwa?
• Mwana achada kuvhiyiwa kakawanda here sezvaanokura?
• Munotarisira kuti mwana wenyu achava nematambudziko here neurethra yake kana nhengo yemukadzi sezvaanokura?
• Izvi zvichakanganisa here kuenderera mberi kwemwedzi kwemwana wangu?
• Izvi zvichakanganisa here kugona kwangu kubata pamuviri?
• Mwana wangu achakwanisa kubereka zvakachengeteka here?

Zvakakosha: Usambotya kubvunza chiremba wako chero mibvunzo yaunayo, zvisinei nekuti midiki sei. Une kodzero yekuziva zvese zvakajeka.

Chii chinonzi Urogenital Disorder?

Dambudziko reUrogenital chirwere chero chipi zvacho chinokanganisa nzira yako yeweti uye nzira yekubereka. Mimwe mienzaniso inosanganisira:

• Mabundu asina kunaka.
• Hernia.
• Zvirwere Zvepabonde (STIs).
• Magomarara akadai segomarara remudumbu, gomarara remuchibereko, kana gomarara remudumbu.
• Interstitial cystitis/dundira rekurwadziwa (IC/BPS).

Pakupedzisira, zvinhu zvekurangarira (Mharidzo Yekuenda Kumba)

Zvakajairika kunzwa kushamisika uye kutya paunoziva kuti mwana wako ane Urogenital Sinus. Asi yeuka, chirwere ichi chinogona kurapwa nekuvhiyiwa kuparadzanisa urethra yemwana wako nenhengo yemukadzi. Izvi zvinoreva kuti mwana wako anofanira kukwanisa kuita weti zvakanaka.Paanenge achikura, anofanirawo kuenda kumwedzi. Zvisinei, dzimwe nguva, paanokura, anogona kunzwa kusagadzikana panguva yebonde.

Chinhu chakakosha ndechekuti, haufanirwe kugadzirisa zvinhu izvi wega. Taura nachiremba wemwana wako. Vanogona kupindura mibvunzo yako yese, kuderedza kutya kwako, uye kukubatsira kuwana kurapwa kwakanakisa uye kutarisirwa kwemwana wako.

Sinus yeUrogenital , PUGS, zvirema zvekuzvarwa nazvo, system yeweti, system yekubereka, kuvhiyiwa, hutano hwemwana