Gyara kwanciya mara kyau

Gyaran kwancen mara mara kyau shine tiyata don gyara ƙwarjiyoyin da ba su sauka ƙasa cikin madaidaicin matsayi ba.

Gwaji yana ci gaba a cikin cikin jariri yayin da jariri ya girma a cikin mahaifar. Sun fadi a cikin mazakutar a watannin baya kafin haihuwa.

A wasu lokuta, kwaya daya ko duka ba ta faduwa cikin madaidaicin matsayi. Kimanin rabin waɗannan maganganun za su sauka a cikin shekarar farko ta rayuwa ba tare da magani ba.

An ba da shawarar yin tiyatar gyara ƙwanji marar ƙyama ga maza waɗanda ƙwararru ba sa sauka da kansu.

Ana yin aikin ne yayin da yaron yake barci (a sume) kuma ba tare da jin zafi ba a ƙarƙashin maganin rigakafi na gaba ɗaya. Likitan likitan ya yi yanka a makwancinsa. Wannan shine wurin da yawancin gwajin da ba'a yarda dasu suke ba.

Bayan an gano igiyar da ke rike da kwayar cutar a cikin kwalataron, sai likitan ya kwance shi daga abin da ke kewaye da shi. Wannan yana bawa igiyar damar tsawaita zuwa tsawonta. Ana yin ƙaramar yanka a cikin mahaifa, kuma an ƙirƙiri jaka. Ana jan gorar jikin mahaifar a cikin mahaifa, a dinke ta a wuri. Ana amfani da dinki don rufe raunin tiyatar.

A wasu lokuta, ana iya yin aikin laparoscopically. Wannan ya ƙunshi ƙananan cututtukan tiyata.

Lokacin da kwayar cutar ta kasance sosai, gyara na iya bukatar matakai biyu. Ana yin aikin tiyata daban na watanni da yawa.

Wannan tiyatar ana ba da shawarar ne ga jarirai da suka girmi shekara 1 waɗanda ƙwarjininsu ba su sauka cikin maƙarƙashiya ba (cryptorchidism).

Testarjin da bai dace ba ya bambanta da kwayayen "retractile". A wannan yanayin, kwayar halittar jikin mutum ta diga cikin kwararon mahaifa sannan ta ja da baya. Gwajin baya baya bukatar tiyata

Hadarin ga duk wani maganin sa barci shine:

• Amsawa ga magunguna
• Matsalar numfashi

Hadarin ga kowane tiyata shine:

• Zuban jini
• Kamuwa da cuta

Hadarin ga wannan tiyatar sun hada da:

• Raguwar ƙwarjin jikin mutum ko gazawar kwayar cutar har ya girma zuwa girman ta.
• Rashin iya shigar da kwayar halitta a cikin mazakutar, wanda hakan ya haifar da cirewar ƙwarjin.

Gyara kwancen da ba a kula da shi ba ya yi nasara a mafi yawan lokuta. Percentageananan maza za su sami matsalolin haihuwa.

Mazajen da suka sami ƙwarjiyoyin da ba na fata ba ya kamata su yi gwajin kansu kowane wata har ƙarshen rayuwarsu don neman yiwuwar ciwace-ciwace. Mazajen da basuda tiyata suna da yawan kamuwa da cutar sankarar mahaifa fiye da waɗanda suke da ciwan ƙwanji na yau da kullun, koda kuwa suna da cikakkiyar kwayar halitta a ɗaya gefen. Har ila yau, akwai haɗari mafi girma ga ciwon sankara a cikin ɗayan kwayar da ta sauka daidai. Saukar da kwayar halittar mahaifar zai saukaka sa ido kan ciwace ciwace a gaba.

Za'a iya yin aikin tiyatar ne bisa tsarin asibiti. Ana bada shawarar a huta da kwana 2 na farko zuwa 3. Guji aiki mai wahala, gami da hawa keke, na aƙalla wata 1.

Orchidopexy; Ingincin orchidopexy; Orchiopexy; Gyaran ƙwayar maniyyi; Gyara Cryptorchidism

• Jikin haihuwa na namiji
• Kafin da bayan gyaran ƙwarji

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.

Dattijo JS. Rikice-rikice da ɓacin rai na abubuwan da ke ciki. A cikin: Kliegman RM, Stanton BF, St. Geme JW, Schor NF, eds. Nelson Littafin koyar da ilimin yara. 20th ed. Philadelphia, PA: Elsevier; 2016: babi na 545.

Srinivasan A, Ghanaat M. Laparoscopic orchiopexy. A cikin: Bishoff JT, Kavoussi LR, eds. Atlas na Laparoscopic da Robotic Urologic Surgery. 3rd ed. Philadelphia, PA: Elsevier; 2017: babi na 42.