Testanƙara mara izini

Wanzuwa mara izini yana faruwa yayin da ƙwaya ɗaya ko duka suka gaza motsawa zuwa cikin mazakuta kafin haihuwa.

Mafi yawan lokuta, kwayoyin halittar yaro suna sauka daga lokacin da yakai wata 9. Icwararrun maniyyi ba na kowa ba ne ga jarirai waɗanda aka haifa da wuri. Matsalar tana faruwa ƙasa da ƙarancin yara.

Wasu jariran suna da yanayin da ake kira testicile testes kuma mai bada sabis na kiwon lafiya bazai iya samo kwayar cutar ba. A wannan yanayin, kwayar cutar ta al'ada ce, amma an sami koma baya daga cikin mahaifa ta hanyar karfin jijiya. Wannan yana faruwa ne saboda kwayayen kwayayen suna kanana tun basu balaga ba. Gwaji zai sauka kwatankwacin lokacin balaga kuma ba a buƙatar tiyata.

Gwajin da baya sauka a cikin mahaifa ana daukar shi mara kyau. Gwajin da ba a so ya fi saurin kamuwa da cutar kansa, koda kuwa an kawo shi cikin mahaifa tare da tiyata. Har ila yau, ciwon daji ya fi dacewa a cikin ɗayan jijiyar.

Shigar da kwayar cutar a cikin mahaifa na iya inganta kwayayen maniyyi da kara damar samun haihuwa mai kyau. Hakanan yana bawa mai ba da damar yin gwaji don gano cutar kansa da wuri.

A wasu yanayin kuma, ba za a iya samun kwayar cutar ba, koda a lokacin tiyata. Wannan na iya faruwa ne saboda matsalar da ta faru yayin da jaririn ke ci gaba kafin haihuwa.

Mafi yawan lokuta babu wasu alamu da suke nuna rashin rashin kwayar cutar a cikin mara. (Wannan ana kiran sa ɓoyayyen ɓaure.)

Jarrabawar da mai bayarwa yayi ya tabbatar da cewa daya ko duka kwayoyin halittar basa cikin mahaifa.

Mai bayarwa na iya ko bazai iya jin kwayar cutar da ba a yiwa ba a cikin bangon ciki sama da maɗaurin mahaifa.

Ana iya yin gwajin hoto, kamar su duban dan tayi ko CT scan.

A mafi yawan lokuta, kwayar cutar za ta sauka ba tare da magani ba yayin shekarar farko ta yaron. Idan wannan bai faru ba, magani na iya haɗawa da:

• Allurar Hormone (B-HCG ko testosterone) don kokarin kawo kwayar cutar a cikin mahaifa.
• Yin aikin tiyata (orchiopexy) don kawo kwayar cutar a cikin mahaifa. Wannan shine babban magani.

Yin tiyata da wuri na iya hana lalacewar ƙwayoyin jijiyoyin kuma ya guji rashin haihuwa. Ana buƙatar cire ƙwarjin da bai dace ba wanda aka samu daga baya a rayuwa. Wannan saboda kwayar cutar ba zata iya aiki da kyau ba kuma tana iya zama haɗarin cutar kansa.

Mafi yawan lokuta, matsalar takan tafi ba tare da magani ba. Magunguna ko tiyata don gyara yanayin yana cin nasara a mafi yawan lokuta. Da zarar an gyara yanayin, ya kamata likitanku ya yi muku gwajin gwaji na yau da kullun.

A cikin kusan kashi 50% na maza masu ƙwayar maraji, ba za a iya samun kwayar cutar a lokacin aikin tiyata ba. Wannan ana kiransa tarar batacce ko ɓacewa. Kamar yadda aka fada a baya, yana iya zama saboda wani abu yayin da jaririn ke ci gaba yayin ɗaukar ciki.

Matsaloli na iya haɗawa da:

• Lalacewa daga kwayar cutar daga tiyata
• Rashin haihuwa daga baya a rayuwa
• Ciwon kwayar cutar a cikin gwaji daya ko duka

Kira mai ba da yaronku idan ya bayyana yana da ƙwayar mara kyau.

Cryptorchidism; Babu komai a cikin mahaifa - gwajin da ba a so ba; Scrotum - komai (gwajin da ba a so); Monorchism; Gwajin da aka ɓace - wanda ba a ba shi ba; Gwajin gwaji

• Jikin haihuwa na namiji
• Tsarin haihuwa na namiji

Barthold JS, Hagerty JA. Etiology, ganewar asali, da kuma kula da gwajin da bai dace ba. A cikin: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th ed. Philadelphia, PA: Elsevier; 2016: babi na 148.

Chung DH. Yin aikin tiyata na yara. A cikin: Townsend CM, Beauchamp RD, Evers BM, Mattox KL, eds. Littafin Sabiston na tiyata. 20th ed. Philadelphia, PA: Elsevier; 2017: babi na 66.

Dattijo JS. Rikice-rikice da ɓacin rai na abubuwan da ke ciki. A cikin: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Littafin koyar da ilimin yara. 21st ed. Philadelphia, PA: Elsevier; 2020: babi na 560.

Meyts ER-D, Main KM, Toppari J, Skakkebaek NE. Ciwon cututtukan dysgenesis na gwaji, cryptorchidism, hypospadias, da ciwace-ciwacen ƙwararraki. A cikin: Jameson JL, De Groot LJ, de Kretser DM, et al, eds. Endocrinology: Manya da Yara. 7th ed. Philadelphia, PA: Elsevier Saunders; 2016: babi na 137.