Gyaran kayan mafitsara

Gyaran cututtukan mafitsara shine tiyata don gyara matsalar haihuwar mafitsara. Fitsarin ciki yana ciki. An hade shi da bangon ciki kuma an fallasa shi. Hakanan kasusuwa na mara.

Gyaran ƙwayar mafitsara ya ƙunshi tiyata biyu. Tiyata ta farko ita ce a gyara mafitsara. Na biyun shine haɗa ƙasusuwan ƙashin juna.

Aikin farko ya raba mafitsara mafitsara daga bangon ciki. Sannan an rufe mafitsara. An gyara wuyan mafitsara da mafitsara. Ana sanya wani bututu mai sassauci, wanda aka kira catheter domin ya fitar da fitsari daga mafitsara. Ana sanya wannan ta cikin bangon ciki. An bar catheter na biyu a cikin fitsarin don inganta warkarwa.

Tiyata ta biyu, tiyatar ƙashin ƙugu, za a iya yi tare da gyaran mafitsara. Hakanan yana iya jinkirta na makonni ko watanni.

Ana iya buƙatar tiyata ta uku idan akwai nakasar hanji ko kuma wata matsala tare da gyare-gyare biyun farko.

An ba da shawarar yin aikin tiyatar don yara waɗanda aka haifa tare da mafitsara na mafitsara. Wannan lahani yana faruwa sau da yawa a cikin yara maza kuma yana da alaƙa da wasu lahani na haihuwa.

Yin aikin tiyata wajibi ne don:

• Bada yaron ci gaba yadda ya kamata
• Guji matsaloli na gaba tare da aikin jima'i
• Inganta yanayin bayyanar yaron (al'aura zata yi kyau)
• Hana kamuwa da cuta wanda zai cutar da kodar

Wani lokaci, mafitsara ta yi kankanta sosai a lokacin haihuwa. A wannan halin, tiyatar za a jinkirta har sai mafitsara ta girma. Ana tura wadannan jariran zuwa gida kan maganin rigakafi. Dole ne a kiyaye mafitsara, wacce take wajen ciki, a jike da ita.

Zai iya daukar watanni kafin mafitsara ta girma zuwa madaidaitan girma. Medicalungiyar likitocin zata bi jaririn a hankali. Decidesungiyar ta yanke shawara lokacin da ya kamata a yi aikin tiyata.

Hadarin maganin sa barci da tiyata gabaɗaya sune:

• Amsawa ga magunguna
• Matsalar numfashi
• Zub da jini, toshewar jini
• Kamuwa da cuta

Risks tare da wannan hanya na iya haɗawa da:

• Cutar cututtukan fitsari na kullum
• Jima'i / erectile tabarbarewa
• Matsalar koda
• Bukatar aikin tiyata nan gaba
• Rashin kulawar fitsari (rashin nutsuwa)

Mafi yawan gyaran kayan mafitsara na mafitsara ana yin su lokacin da ɗanka bai cika daysan kwanaki kaɗan ba, kafin barin asibiti. A wannan halin, maaikatan asibiti zasu shirya yaron don tiyatar.

Idan ba a yi aikin tiyatar ba lokacin da yaronku jariri ne, ɗanku na iya buƙatar gwaje-gwaje masu zuwa a lokacin aikin tiyata:

• Gwajin fitsari (al’adar fitsari da kuma binciken fitsari) don duba fitsarin yaronka don kamuwa da kuma gwada aikin koda
• Gwajin jini (cikakken jini, electrolytes, da gwajin koda)
• Rikodin fitowar fitsari
• X-ray na ƙashin ƙugu
• Duban dan tayi

Koyaushe gaya wa mai ba da kula da lafiyar ɗanka irin magungunan da yaronku ke sha. Hakanan sanar dasu game da magunguna ko ganyen da kuka siya ba tare da takardar sayan magani ba.

Kwana goma kafin aikin tiyatar, ana iya tambayar yaronka ya daina shan aspirin, ibuprofen, warfarin (Coumadin), da duk wasu magunguna. Wadannan magunguna suna wahalar da jini ga daskarewa. Tambayi mai ba da maganin wadanne irin kwayoyi ne ɗanka zai ci gaba har zuwa ranar tiyata.

A ranar tiyata:

• Yawanci za a umarci ɗanka kada ya sha ko ya ci wani abu har tsawon awanni kafin a yi masa aikin.
• Bada magungunan da mai ba da yaranku ya faɗa muku ku sha da ɗan ƙaramin shan ruwa.
• Mai ba da yaronku zai gaya muku lokacin da ya isa.

Bayan tiyatar kashin ƙashin ƙugu, ɗanka zai buƙaci ya kasance cikin ƙarancin jifa ko majayi na tsawon makonni 4 zuwa 6. Wannan yana taimakawa kasusuwa su warke.

Bayan tiyatar mafitsara, ɗanka zai sami bututu wanda zai malale mafitsara ta bangon ciki (suprapubic catheter). Wannan zai kasance a wurin tsawon sati 3 zuwa 4.

Hakanan ɗanka zai buƙaci kulawa da ciwo, kulawa da rauni, da maganin rigakafi. Mai ba da sabis ɗin zai koya muku game da waɗannan abubuwa kafin ku bar asibiti.

Saboda tsananin haɗarin kamuwa da cuta, ɗanka zai buƙaci yin gwajin fitsari da al'adun fitsari a duk lokacin da yaro ke lafiya. A alamun farko na rashin lafiya, ana iya maimaita waɗannan gwaje-gwajen. Wasu yara suna shan maganin rigakafi akai-akai don hana kamuwa da cuta.

Ikon fitsari yakan fi faruwa bayan wuyan mafitsara ya gyara. Wannan aikin ba koyaushe yake cin nasara ba. Yaron na iya buƙatar maimaita tiyata daga baya.

Ko da maimaitawar tiyata, ƙananan yara ba za su mallaki fitsarinsu ba. Suna iya buƙatar catheterization.

Gyara matsalar haihuwa na mafitsara; Everted mafitsara gyara; Gyara mafitsara da aka fallasa; Gyara kayan fitsari

• Kula da rauni na tiyata - a buɗe

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-Wein Urology. 12th ed. Philadelphia, PA: Elsevier; 2021: babi na 31.

Weiss DA, Canning DA, Borer JG, Kryger JV, Roth E, Mitchell ME. Bladder da suturar cloacal. A cikin: Holcomb GW, Murphy JP, St. Peter SD eds. Holcomb da Ashcraft ta ilimin aikin likita na yara. 7th ed. Philadelphia, PA: Elsevier; 2020: babi na 58.