Epispadias

Epispadias nakasa ce wacce ake samu yayin haihuwa. A wannan yanayin, mafitsara ba ta ci gaba zuwa cikakken bututu. Urethra shine bututun da ke fitar da fitsari daga cikin mafitsara. Fitsarin yana fita daga jiki daga wuri mara kyau tare da epispadias.

Ba a san dalilan epispadias ba. Hakan na iya faruwa saboda kashin gaban mutum baya bunkasa yadda yakamata.

Epispadias na iya faruwa tare da rashi haihuwar haihuwa wanda ake kira mafitsara exstrophy. A wannan matsalar ta haihuwar, mafitsara a bude take ta bangon ciki. Epispadias na iya faruwa tare da wasu lahani na haihuwa.

Yanayin yakan fi faruwa ga yara maza fiye da yan mata. Ana yawan gano shi lokacin haihuwa ko kuma jim kadan daga baya.

Mazaje zasu sami gajere, mai azzakari mara faɗi tare da lanƙwasa mara kyau. Opensofar fitsari galibi tana buɗewa a saman ko gefen azzakari maimakon tip. Koyaya, fitsarin zai iya zama a bude tare da tsawon azzakari.

Mata suna da mahimmin ciwan ciki da na labia. Budewar bututun mahaifa galibi yana tsakanin tsakanin keritiya da laɓɓanta, amma yana iya kasancewa a yankin ciki. Suna iya samun matsala wajen sarrafa fitsari (matsalar rashin fitsari).

Alamomin sun hada da:

• Budewar da ba ta dace ba daga wuyan mafitsara zuwa yankin sama da buɗewar fitsarin al'ada
• Fitsarin baya zuwa cikin koda (reflux nephropathy, hydronephrosis)
• Rashin fitsari
• Cututtukan fitsari
• Boneasasshen kasusuwa

Gwaje-gwaje na iya haɗawa da:

• Gwajin jini
• Pyelogram na jijiyoyi (IVP), x-ray na musamman na kodan, mafitsara, da mafitsara
• MRI da CT scans, gwargwadon yanayin
• X-ray na mahaifa
• Duban dan tayi na tsarin fitsari da kuma al'aura

Mutanen da ke da cutar epispadias fiye da sauƙaƙa za su buƙaci tiyata.

Zubar da fitsari (rashin fitan fitsari) galibi ana iya gyara shi a lokaci guda. Koyaya, ana iya buƙatar tiyata ta biyu ko dai jim kaɗan bayan tiyatar farko, ko wani lokaci a nan gaba.

Yin aikin tiyata na iya taimaka wa mutum wajen sarrafa yawan fitsari. Hakanan zai gyara bayyanar al'aura.

Wasu mutanen da ke da wannan yanayin na iya ci gaba da samun matsalar yoyon fitsari, koda bayan tiyata.

Ureter da lalata koda da rashin haihuwa na iya faruwa.

Kira mai kula da lafiyar ku idan kuna da wasu tambayoyi game da bayyanar ko aikin al'aurar ɗan ku ko kuma hanyoyin fitsari.

Ciwon mara - epispadias

Dattijo JS. Abubuwa na mafitsara. 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 556.

Gearhart JP, Di Carlo HN. Exstrophy-epispadias hadaddun. A cikin: Partin AW, Dmochowski RR, Kavoussi LR, Peters CA, eds. Campbell-Walsh Urology. 12th ed. Philadelphia, PA: Elsevier; 2021: babi na 31.

Stephany HA. Ost MC. Rashin lafiyar Urologic. A cikin: Zitelli, BJ, McIntire SC, Nowalk AJ, eds. Zitelli da Davis 'Atlas na Ciwon Lafiyar Jiki na Yara. 7th ed. Philadelphia, PA: Elsevier; 2018: babi na 15.