Ingaba umntwana wakho une-urethra kunye ne-vaginal? (I-Urogenital Sinus) Makhe sithethe ngale nto!

Kumkhathaza kangakanani umama okanye utata xa ejonga usana olusandul’ ukuzalwa aze abone utshintsho oluncinci emzimbeni wakhe? Ngamanye amaxesha, nokuba yinto engaqhelekanga, inokuchaphazela usana lwethu ize isenze sizive sibuhlungu kakhulu. Namhlanje, siza kuthetha ngemeko engaqhelekanga ukuviwa ngayo, kodwa kubaluleke kakhulu ukuyazi. Oku sikubiza ngokuba yi-Urogenital Sinus.

Yintoni le (i-Urogenital Sinus)? Masiyiqonde ngokulula?

Ngamafutshane, i-Urogenital Sinus sisifo esizalwa naso kwinkqubo yomchamo nakwinkqubo yokuzala yebhinqa. Ngoku, khangela, ngesiqhelo umntwana obhinqileyo unemingxuma emithathu yokuphuma emzimbeni: enye yi-rectum, apho kuphuma khona ilindle, enye yimingxuma yomchamo, apho kuphuma khona umchamo, kwaye eyesithathu yi - vagina . Nangona kunjalo, umntwana one-Urogenital Sinus unemingxuma emibini. Enye yi-rectum, apho kuphuma khona ilindle, kwaye enye yimingxuma eqhelekileyo kwi-urethra nakwi-vagina. Oku kuthetha ukuba umchamo uphuma kwaye uqhagamshelane ne-vagina ukusuka kwindawo enye.

Le meko (i-Urogenital Sinus) yenzeka ngexesha lokuqala kophuhliso lwe-fetus. Khawuthelekelele, ixesha elifutshane kakhulu kwisigaba se-fetus, zonke iinkqubo ezintathu - indlela yamathumbu (i-rectum), indlela yangasese (i-vagina), kunye nendlela yomchamo (isinyi somchamo) - zonke zidibene nomngxuma omnye kunye nomnyango. Oku sikubiza ngokuba yi- Cloaca ). Njengoko i-fetus ikhula, ezi nkqubo zintathu zahlukana kwaye zenze imingxuma emithathu eyahlukeneyo (i-vagina, i-urethra , kunye ne-anus). Kodwa ngamanye amaxesha, ngesizathu esithile, indlela yomchamo kunye nenkqubo yokuzala - ngakumbi i-urethra kunye ne-vagina - azihlukani ngokufanelekileyo, kodwa ziqhubeka nokugcina umngxuma omnye. Loo mngxuma uqhelekileyo ubizwa ngokuba yi-Urogenital Sinus). Abanye abantu babiza oku ngokuba yi-Persistent Urogenital Sinus - PUGS.

Yintoni edla ngokubangela i-Urogenital Sinus?

Ngexesha lokukhula okuqhelekileyo, le ndawo (ebizwa ngokuba yi-Urogenital Sinus) kamva iya kuba yi-urethra kwaye ulusu olujikeleze umgodi welungu lobufazi (i-vulvar vestibule). I-urethra yityhubhu apho umchamo uphuma khona emzimbeni wakho. Ulusu olujikeleze umgodi welungu lobufazi (i-vulvar vestibule) lulusu olungaphakathi kwi-labia, phakathi kwe-urethra kunye nomgodi welungu lobufazi.

Iphi i-Urogenital Sinus emzimbeni?

Le (i-Urogenital Sinus) iqhagamshelwe kwi-urethra nakwi-vagina.

Ngaba kukho iintlobo ze-Urogenital Sinus?

Ewe, kukho iintlobo ezimbini eziphambili ze-Urogenital Sinus. Ukuchonga oku kubaluleke kakhulu ekucwangciseni unyango.

1. Ukudibana okuphantsi/okuncinci: Kolu hlobo, i-urethra kunye ne-vagina zidibana kufutshane kakhulu nomnyango wangaphandle womzimba, oko kukuthi, ezantsi. Ke ngoko, le ndlela iqhelekileyo imfutshane kakhulu. Kwimeko enjalo, i-urethra kunye ne-vagina zifana kakhulu ngobukhulu kunye nendawo eqhelekileyo. Le yimeko engembi kangako.

2. Ukudibana okuphezulu/ Okuphezulu: Kule meko, i-urethra kunye ne-vagina zidibana kumgama ukusuka kwindawo engaphandle yomzimba, oko kukuthi, phezulu. Emva koko le ndlela iqhelekileyo inde kakhulu. Olu hlobo lokudibana okuphezulu lolona lunzima kakhulu. Kuba, ezinye iingxaki zinokwenzeka ngale nto. Umzekelo, i-anus ingafumaneka phambili kakhulu kunesiqhelo emzimbeni.

Ingaba le meko (ye-Urogenital Sinus) inqabile kangakanani?

I-Urogenital Sinus yimeko engaqhelekanga kakhulu . Xa sithetha nje, ichaphazela malunga ne-0.6 kwi-10,000 yeentsana ezisandul’ ukuzalwa.

Ziziphi iimpawu ze-Urogenital Sinus?

Iimpawu ze-Urogenital Sinusitis zinokwahluka ngokuxhomekeke kubukhali bemeko. Ezinye zeempawu ezicacileyo ziquka:

• Ukuba nomngxuma omnye kuphela wokukhupha ilindle kunye nomnye umngxuma oqhelekileyo kwilungu lobufazi nakwi-urethra.
• Ukudumba kwelungu lobufazi ngenxa yokuqokelelwa komchamo. Oku kukwabizwa ngokuba yi (Hydrocolpos).
• Ilungu lobufazi lisenokuba livalekile ngendlela engaqhelekanga.
• Ngamanye amaxesha kusenokungabikho kwaphela isini.
• Isibeleko, ii-ovari, okanye iityhubhu ze-fallopian azikhuli kakuhle.

Ziziphi izizathu ze-Urogenital Sinus?

Inyaniso kukuba, neengcali zonyango zikufumanisa kunzima ukukhomba unobangela oqinisekileyo we-Urogenital Sinus.

Kwezinye iimeko, oku kunokunxulunyaniswa nesifo esibizwa ngokuba yiCongenital Adrenal Hyperplasia (CAH). I-CAH liqela lezifo zemfuza. Ukuba une-CAH, elinye okanye omabini amadlala akho e-adrenal awavelisi i-enzyme efunekayo ukwenza iihomoni. Oku kunokubangela ukuba amalungu esini akhule ngendlela engaqhelekanga. I-CAH inokuchaphazela nabani na, kodwa amantombazana anokuba namalungu esini angaqhelekanga.

Imeko ebizwa ngokuba yi-virilization inokubangela i-urogenital sinusitis. I-virilization ibangelwa kukuba inkwenkwe inee-hormone zesini zamadoda ezininzi kakhulu (androgens) emzimbeni wayo. Ii-Androgens zezona zinceda umzimba ukuba ukhule, kwaye zikwachaphazela izinto ezifana nokujula kwelizwi, iinwele zomzimba, kunye nokukhula kwemisipha.

Isifo se-Urogenital Sinus sifunyanwa njani?

(Urogenital Sinus) ibaluleke kakhulu ekumiseleni indlela yokunyanga esi sifo. Oku kunokuchaphazela kungekuphela nje amalungu esini omntwana wakho, kodwa nokukhula nophuhliso lwakhe luphela.

Ngamanye amaxesha, oogqirha banokuyibona le meko (i-Urogenital Sinus) ngexesha le-ultrasound ngelixa umntwana esesesibelekweni. Nangona kunjalo, amaxesha amaninzi, oogqirha bayifumana ngexesha lovavanyo lokuqala lomzimba emva kokuba umntwana ezelwe. Banokwenza uvavanyo lwegazi ukuze bafunde ngakumbi ngempilo yomntwana iyonke kunye neengxaki zemfuza.

Ugqirha angayalela iimvavanyo ezongezelelweyo ukuqinisekisa ukuxilongwa okanye ukufunda okungakumbi malunga nobungakanani be-Urogenital Sinus. Ezi zingabandakanya:

• I-Ultrasound: Oku kusebenzisa amaza esandi asebenza rhoqo ukuthabatha ividiyo okanye imifanekiso yamalungu angaphakathi emzimbeni. Oku kunokubonisa iingxaki ngezintso zomntwana wakho, isinyi, i-vagina kunye ne-rectum. Kunokufumanisa nokuba umntwana wakho uqokelele umchamo kwi-vagina (hydrocolpos).
• I-genitogram yokubuyisela umva: Olu luhlobo lovavanyo lomfanekiso. Kolu vavanyo, ugqirha ufaka idayi ekhethekileyo kwi-urethra/kwilungu lobufazi aze athathe ii-X-ray. Le dayi ivumela ubungakanani, imilo, kunye nendawo yezicubu kunye namalungu ukuba zichongwe ngokucacileyo.
• Uvavanyo lweMagnetic Resonance Imaging (MRI): I-MRI isebenzisa imagnethi, amaza erediyo, kunye nekhompyutha ukuthatha imifanekiso ecacileyo yomzimba. Oku kunokubonelela ngemifanekiso eneenkcukacha ezininzi ze-Urogenital Sinus. I-MRI ingasetyenziselwa ukujonga naziphi na iingxaki kwi-pelvis kunye nomqolo womntwana.
• I-Endoscopy: I-endoscopy isebenzisa ityhubhu ende ebhityileyo (i-endoscope) enokukhanya kunye nekhamera kwelinye icala. Le endoscope ifakwa kwi-urethra/ilungu lobufazi ukuze ijonge umzimba ngaphakathi.

Indlela yokuphatha i-Urogenital Sinus?

Eyona ndlela yokunyanga imeko ye-Urogenital Sinus kukwenza utyando lokwahlula i-vagina yomntwana wakho kunye ne-urethra. Ngamanye amaxesha, ingakumbi kubantwana abane-viral (ngenxa ye-Congenital Adrenal Hyperplasia (CAH)) kwaye bafunyaniswe benesifo se-Disordered Sexual Development (DSD), kunokubakho izimvo ezahlukeneyo malunga nokwenza utyando. Ke ngoko, ngaphambi kokuba wenze utyando, kufuneka uthethe ngokweenkcukacha neqela lezonyango elinyanga umntwana wakho. Eli qela lidla ngokuquka:

• Ugqirha ogxile kwizifo zenkqubo yomchamo kunye nenkqubo yokuzala ((Urologist)).
• Ingcali ye-endocrinologist ngugqirha ogxile kwizifo ezinxulumene nenkqubo ye-endocrine. Inkqubo yakho ye-endocrine yiyo eyenza kwaye ikhuphe iihomoni.

Olu tyando lwenziwa kunyaka wokuqala womntwana . Olu tyando lwenziwa yingcali yotyando lomchamo.

Kwimeko ye-Urogenital Sinus enezihlunu ezisezantsi, ingcali ye-Urologist idla ngokwenza utyando olubizwa ngokuba yi-Flap vaginoplasty. Kule meko, benza imingxuma emibini eyahlukileyo ngaphandle komzimba - enye yeyangasese, kwaye enye yeyasemngciphekweni.

Kwimeko ene-high-joint (Urogenital Sinus), i-(Urologist) idla ngokwenza utyando olubizwa ngokuba yi-(Pull-through vaginoplasty). Olu lutyando olunzima ngakumbi. Kule meko, i-(Urologist) yahlula i-vagina kwindawo eqhelekileyo, yenze enye eyahlukileyo, ize ivale loo ndawo iqhelekileyo. Emva koko, umchamo uyaqhubeka nokuphuma kwindawo apho yayikhona indawo eqhelekileyo.

Kwezinye iimeko ze-high-joins (Urogenital Sinus), ingcali ye-Urologist ingenza inkqubo ebizwa ngokuba yi-Urogenital mobilization) kunye ne-Flap vaginoplasty. Ngexesha le-Urogenital mobilization, baya:

• I-rectum yahlulwe.
• Umchamo kunye nelungu lobufazi ziyahlulwa kwaye zihlanganiswe kunye zize zisiwe kwi-perineum.
• I-rectum iqhagamshelwe kwi- anal sphincter.
• Emva koko kwenziwa (i-flap vaginoplasty).

Abanye abantwana banokufuna utyando olubizwa ngokuba yiClitoroplasty kunye/okanye iLabiaplasty. I-Clitoroplasty ibandakanya ukutshintsha izicubu ukuze kudalwe i-clitoris eqhelekileyo. Ugqirha uzama ukugcina imithambo-luvo emininzi kangangoko kunokwenzeka ukuze umntwana abe nobomi bokwabelana ngesondo obusempilweni xa ekhula. I-Labiaplasty ibandakanya ukutshintsha i-labia, eziyimilebe ejikeleze isini.

Kuthatha ixesha elingakanani ukuba umntwana aphile emva konyango lwe-Urogenital Sinus?

Umntwana wakho kuya kufuneka ahlale esibhedlele iintsuku ezimbalwa emva kotyando (lwe-Urogenital Sinus). Intlungu kufuneka iqale ukuncipha kwiveki, kwaye umntwana kufuneka aphile ngokupheleleyo kwinyanga. Nangona kunjalo, ngokuxhomekeke kubukhali be-Urogenital Sinus yomntwana wakho, ugqirha womntwana wakho uya kukunika umbono ocacileyo ngale nto.

Ngaba i-Urogenital Sinus ingathintelwa?

Ukuba kukho umntu kusapho lwakho onesifo esibizwa ngokuba yiCongenital Adrenal Hyperplasia (CAH), kwaye ukhulelwe okanye uzama ukukhulelwa, kubalulekile ukuthetha nogqirha wakho. Ukuthintela i-Urogenital Sinus, iihomoni zinokunikwa ngaphambi kokukhulelwa.

Yintoni endimele ndiyilindele ukuba umntwana wam une-Urogenital Sinus?

Isiphumo somntwana wakho sixhomekeke kubungakanani be-urogenital sinus yakhe. Injongo yotyando kukunika umntwana wakho ukusebenza okuqhelekileyo kunye nokubonakala kwezangasese. Uninzi lwabantwana abenza utyando bayakwazi ukuchama ngokuqhelekileyo emva kokuba bephilile.

Njengoko umntwana ekhula, isini sinokuba sincinci (i-vaginal stenosis) kwaye sibe mfutshane. Oku kunokubangela iingxaki ngexesha lokwabelana ngesondo ngesini.

Umntwana one-Urogenital Sinus imeko ayimthinteli ukuba akhulelwe. Nangona kunjalo, ukuba utyando belubanzi kakhulu, kungcono ukuba abelekwe ngotyando (C-section) ngexesha lokubeleka. Ugqirha wakho uza kuxoxa ngale nto nomntwana wakho ngexesha elifanelekileyo.

Ndingamnyamekela njani umntwana wam?

Oogqirha bomntwana wakho baza kukuxelela indlela engcono yokumnyanga. Ubunzima be-(Urogenital Sinus) kunye neziphumo zotyando ziya kugqiba indlela oza kuqhubeka ngayo umnyamekela.

Ndifanele ndimbone nini ugqirha?

Emva kotyando, umntwana wakho kuya kufuneka enze idinga rhoqo lokulandela ukuze aqinisekise ukuba umzimba wakhe uphilile kakuhle kwaye usebenza njengoko kulindelekile. Qiniseka ukuba uyaya kuzo zonke ezi dinga.

Ukuba ubona naziphi na iimpawu ezintsha, ezinje ngokungakwazi ukuzibamba komchamo, thetha nogqirha wabantwana okanye ugqirha wezifo zomchamo womntwana wakho.

Yeyiphi imibuzo endifanele ndiyibuze ugqirha womntwana wam?

Nantsi eminye imibuzo onokuyibuza ugqirha wakho:

• Luhlobo luni lweSinus ye-Urogenital umntwana wam anayo?
• Loluphi utyando olucebisayo?
• Utyando lucetyiswa xa luneminyaka emingaphi?
• Ngaba umntwana wam uza kuba sentlungwini, okanye sele esentlungwini?
• Ngaba umntwana uza kufuna utyando olongezelelweyo njengoko ekhula?
• Ngaba ulindele ukuba umntwana wakho abe neengxaki nge-urethra okanye kwi-vaginal yakhe njengoko ekhula?
• Ngaba oku kuya kuyichaphazela indlela umntwana wam ahamba ngayo ukuya exesheni?
• Ngaba oku kuya kuyichaphazela indlela endikwazi ngayo ukukhulelwa umntwana?
• Ngaba umntwana wam uza kukwazi ukuzala ngokukhuselekileyo?

Kubalulekile: Ungaze woyike ukubuza ugqirha wakho nayiphi na imibuzo onayo, nokuba mincinci kangakanani na. Unelungelo lokwazi yonke into ngokucacileyo.

Yintoni i-Urogenital Disorder ngokubanzi?

Ingxaki ye-Urogenital yiyo nayiphi na imeko echaphazela inkqubo yakho yomchamo kunye nenkqubo yokuzala. Eminye imizekelo ibandakanya:

• Iithumba ezingenobungozi.
• I-Hernia.
• Izifo ezidluliselwa ngesondo (iiSTI).
• Umhlaza ofana nomhlaza wesinyi, umhlaza wesibeleko, okanye umhlaza wesibeleko.
• I-Interstitial cystitis/intlungu yesinyi (IC/BPS).

Okokugqibela, izinto ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Kuqhelekile ukuba wothuke kwaye woyike xa ufumanisa ukuba umntwana wakho une-Urogenital Sinus. Kodwa khumbula, le meko inokunyangeka ngotyando lokwahlula i-urethra kunye ne-vagina yomntwana wakho. Oku kuthetha ukuba umntwana wakho ufanele akwazi ukuchama kamnandi.Njengoko ekhula, kufuneka abe sexesheni. Nangona kunjalo, ngamanye amaxesha, njengoko ekhula, unokufumana ukungakhululeki ngexesha lokwabelana ngesondo kwilungu lobufazi.

Into ebalulekileyo kukuba, akufuneki ujongane nezi zinto wedwa. Thetha nogqirha womntwana wakho. Bangaphendula yonke imibuzo yakho, banciphise uloyiko lwakho, kwaye bakuncede ufumane unyango olungcono kunye nokhathalelo lomntwana wakho.

I- Urogenital sinus, ii-PUGS, iziphene zokuzalwa, inkqubo yomchamo, inkqubo yokuzala, utyando, impilo yomntwana