Hypospadias chirwere chechizvaro chemurume apo kuvhurwa kwechikamu chekuvhenekera, urethra, hausi pamucheto wepenisi asi kunotanga chikamu chepamusoro. Hypospadias inokanganisa anenge 1 mumarudzi ose ekuberekwa kwevarume kusvika 150 kusvika ku300 ane zviyero zvakasiyana zvekuoma. Hypospadias ndiyo inokwana 21 muzana inowanzoitika apo imwe nhengo yemhuri yepedyo yakave nechinetso chakafanana.
Kurapa kwe Hypospadias
Hypospadias inoruramisirwa chirwere pasi pechirwere chekuita anesthetic. Rudzi rwekuvhiya runoenderana nekuoma kwemamiriro acho.
Nemhaka yokuti vakomana vanomira kuti vayeke zvakakosha kuti urinary rukova ruchengetedze nyore nyore, kusava nesimba kwekuita nekuda kwe hypospadias kunogona kutungamirira kukunyadzisa kwevanhu mune zvekugara. Ichi ndicho chimwe chezvikonzero izvo zvakanyatsotarisirwa mucheche, zvichida pakati pemakore gumi nemasere ekuberekwa. Kururamiswa kwekutanga kwokutanga kunoreva kuti kushungurudzika kwepfungwa kunogona kuderedzwa. Vana vaduku kazhinji vanoporesa vakanaka uye vabereki vanogona kuratidzirwa ronda ruchazodiwa postoperatively.
Dzimwe nguva mamiriro ezvinhu anozivikanwa sechordee, kuputika kwepenisheni pakusimuka, kunogonawo kuvapo, izvi zvinogona kugadziriswa chirwere munguva yekushanda kwe hypospadias. Nguva yekudzorera inobva pakurema kwedambudziko uye kuoma kwekuvhiyiwa. Zvirwere zvinyoro zvinogona kuporeswa pamusana pepfungwa, dzimwe nguva chirwere chinogona kurapwa chinogona kudiwa, kunyanya apo chordee inopa mwana mumwechete kana kuti munhu asingatendi.
Post-operative Care
- General Anesthetic nemigumisiro: Sezvakaita chero nzira ipi zvayo yekuvhiya iyo inoda kuti munhu ave nemashonga anesheti, zvinogona kuitika zvinogona kuitika. Iko kushandiswa kwekutanga kwekushanda iwe iwe kana mwana wako kugamuchira ndiyo chikamu chinokosha chekuongororwa kwekuchengeteka uye chido chekururamisa hypospadias. Chero zvinetso zvinogona kuitika zvinotsanangurwa nemunhu wako anesthetist, chiremba wevana kana gweta-urinary chirwere asati agadzirira chirongwa.
- Kubuda ropa mushure mekugadzirisa hypospadias: Chero chero upi noupi hwekubuda ropa hunofanira kuudzwa kune chiremba kana chiremba ari mubasa rekuchengetedza kwemashure. Kazhinji, ropa paunenge uchipfekedza hukuru hwediki hudiki hunogona kutarisirwa.
- Postoperative bladder spasm mushure mekugadzirisa hypospadias: Mafasms emukanda dzimwe nguva anowanikwa apo catheter inogara-iripo. Chiremba anowanzobata izvi nemishonga yeantispasmodic, analgesia (painkillers), kana dzimwe nguva nemishonga inorwisa mabhakitiriya.
- Utachiona huri shure kwekugadzira hypospadias: Kuwana rutivi rwakawanda rutivi rwechikamu panzvimbo yekuvhiyiwa. Izvi zvinogona kudzivirirwa kana kuderedzwa nehutano hwakanaka chero hupi hupi hwemashure-operative kana nzvimbo yeganda. Chero mutsvuku, kuzvimba kana kuvapo kwepus kunofanira kuudzwa kune chiremba. Dzimwe nguva mumatambudziko akaoma ehutachiona, inogona kurapwa nemishonga inorwisa mabhakitiriya.
- Postoperative urethral stenosis mushure mekugadzirisa hypospadias: Uku ndiko kuderedza kwechiremba chinogona kuitika mushure mekuvhiyiwa asi hachiwanzoitiki. Kupfuura urwizi kunogona kuoma kana kusakundikana. Stenosis inoda kurapwa nokukurumidza.
- Post operative fistula mushure mekugadzirisa hypospadias: Fistula igomba rinogona kuzaruka mumushure unenge uchangobva kuumbwa kuburikidza nemuguta unokonzera. Izvi zvinoda kuti chirongwa chiduku chigadziriswe.