Gyara Hypospadias

Yin gyaran Hypospadias tiyata ce don gyara lahani a cikin buɗewar azzakarin da yake yayin haihuwa. Urethra (bututun da ke daukar fitsari daga mafitsara zuwa wajen jiki) baya ƙarewa a ƙarshen azzakari. Madadin haka, ya ƙare a ƙasan azzakari. A cikin yanayi mafi tsanani, fitsarin yakan buɗe a tsakiya ko ƙasan azzakari, ko a cikin ko bayan maƙogwaron.

Ana yin gyaran Hypospadias galibi lokacin da yara maza ke tsakanin watanni 6 zuwa 2. A tiyata aka yi a matsayin outpatient. Yaron ba safai zai kwana a asibiti ba. Kada a yi wa yara da aka haifa da ƙwayar cuta yayin da aka haife su. Arin ƙwayar tsokar za a iya buƙata don gyara hypospadias yayin aikin tiyata.

Kafin tiyata, yaronka zai sami maganin rigakafi na gaba ɗaya. Wannan zai sa shi bacci kuma ya sa ba zai iya jin zafi yayin aikin tiyata ba. Za'a iya gyara lahani mara kyau a cikin hanya ɗaya. Deananan lahani na iya buƙatar matakai biyu ko fiye.

Likitan likita zai yi amfani da ƙaramin fata ko fata daga wani shafin don ƙirƙirar bututu wanda zai ƙara tsawon ƙofar fitsarin. Fadada tsawon fitsarin zai ba shi damar buɗewa a ƙarshen azzakari.

Yayin aikin tiyata, likitan na iya sanya wani bututu (bututu) a cikin fitsarin don sanya shi ya riƙe sabon fasalin. Ana iya dinke catheter ko a ɗora shi a kan azzakarin ya ajiye shi a wurin. Za a cire shi sati 1 zuwa 2 bayan tiyata.

Yawancin dinka ɗin da aka yi amfani da su yayin tiyata za su narke da kansu kuma ba za a cire su ba daga baya.

Hypospadias yana daya daga cikin cututtukan haihuwa na yara maza. Wannan tiyatar ana yin ta ne akan yawancin yara maza waɗanda aka haifa da matsalar.

Idan gyaran bai yi ba, matsaloli na iya faruwa daga baya kamar:

• Matsalar sarrafawa da jagorantar rarar fitsari
• Veunƙwasa a cikin azzakari yayin tashin
• Rage haihuwa
• Abin kunya game da bayyanar da azzakari
  
  

Ba a buƙatar yin aikin tiyata idan yanayin bai shafi yin fitsari na yau da kullun ba yayin tsaye, aikin jima'i, ko ajiyar maniyyi.

Hadarin ga wannan aikin sun hada da:

• Ramin da ke malalar fitsari (yoyon fitsari)
• Babban jini (hematoma)
• Tsanantawa ko rage fitsarin da aka gyara

Mai ba da sabis na kiwon lafiyar yaro na iya neman cikakken tarihin lafiya kuma ya yi gwajin jiki kafin aikin.

Koyaushe gaya wa mai ba da sabis:

• Waɗanne magunguna yaranku suke sha
• Magunguna, ganyayyaki, da bitamin da yaranku ke sha waɗanda kuka saya ba tare da takardar sayan magani ba
• Duk wata cutar rashin lafiyar da yaronka zai sha ga magani, leda, kaset, ko mai tsabtace fata

Tambayi mai ba da yaron wane kwayoyi ne ɗanka zai ci gaba har zuwa ranar tiyata.

A ranar tiyata:

• Sau da yawa za a nemi yaronka kada ya sha ko ya ci komai bayan tsakar dare daren tiyata ko kuma awa 6 zuwa 8 kafin a yi masa tiyata.
• Ka ba ɗanka duk wani ƙwayoyi da mai ba ka ya gaya maka ka ba ɗanka da ɗan shan ruwa.
• Za a gaya muku lokacin da za ku isa don aikin tiyata.
• Mai ba da sabis ɗin zai tabbatar yaranku suna cikin koshin lafiya don yin tiyata. Idan yaro ba shi da lafiya, ana iya jinkirta tiyatar.

Dama bayan tiyata, azzakarin yaron za a iya manna masa a ciki don kada ya motsa.

Sau da yawa, ana sanya ɗumbin miya ko ƙoƙon roba a kan azzakari don kare yankin tiyatar. Za a saka bututun fitsari (bututun da ake amfani da shi don fitar da fitsari daga mafitsara) ta cikin suturar don fitsarin ya iya gudana zuwa cikin diaper

Za'a karfafawa dan ka shan ruwa domin yayi fitsari. Yin fitsari zai hana matsa lamba daga yin fitsari.

Za a iya ba ɗanka magani don rage zafi. Mafi yawan lokuta, yaro na iya barin asibiti a rana guda yayin tiyatar. Idan kuna nesa da asibiti, kuna iya zama a wani otal kusa da asibitin a daren farko bayan tiyatar.

Mai ba ku sabis zai yi bayanin yadda za ku kula da yaronku a gida bayan barin asibiti.

Wannan tiyatar takai tsawon rayuwa. Yawancin yara suna yin kyau bayan wannan tiyatar. Azzakarin zai yi kusan kusan ko cikakkiyar al'ada kuma yayi aiki sosai.

Idan yaronka yana da rikitarwa, zai iya buƙatar ƙarin aiki don inganta bayyanar azzakari ko gyara rami ko ƙuntatawa a cikin mafitsara.

Za a iya buƙatar ci gaba da bin likitan urologist bayan aikin tiyata ya warke. Samari wani lokacin suna bukatar ziyartar likitan mahaifa lokacin da suka balaga.

Maganin fitsari; Meatoplasty; Glanuloplasty

• Gyara Hypospadias - fitarwa
• Ayyukan Kegel - kula da kai
• Kula da rauni na tiyata - a buɗe

• Hypospadias
• Hypospadias gyara - jerin

Carrasco A, Murphy JP. Hypospadias. 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 59.

Dattijo JS. Rashin lafiyar azzakari da 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 559.

Snodgrass WT, Bush NC. Hypospadias. A cikin: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th ed. Philadelphia, PA: Elsevier; 2016: babi na 147.

Thomas JC, Brock JW. Gyara na kusancin jini. A cikin: Smith JA Jr, Howards SS, Preminger GM, Dmochowski RR, eds. Atlas na Yin aikin Urologic na Hinman. 4th ed. Philadelphia, PA: Elsevier; 2018: babi na 130.