Ukushisa kwesisu kuyisifo esibuhlungu sokubeletha kwesimiso somchamo, lapho isitho singeniswa ngaphakathi esiswini, kodwa ngaphandle. Kuyenzeka kwenye yezingane ezisanda kuzalwa ezingu-50 000. Kwabafana, lokhu kutholakala kutholakala kaningi kaningi kunamantombazane. Ukuqeda, ukungenelela kokuhlinzwa kusetshenziswe ngempumelelo.
Ukukhishwa kwesisu - izimbangela
Kunezici eziningi ezenza kube khona ukukhubazeka okunjalo. Ngokuvamile izinkinga zesisu zibangelwa izizathu ezilandelayo:
- I-Genetic predisposition - uma esinye sezihlobo sinesifo esinjalo, kunethuba elikhulu lokuthi lokhu kuhlasela kuyokwenzeka emntwaneni.
- Izifo ezithathelwanayo , okuyinto owesifazane ahlupheka ngayo ngesikhathi sokukhulelwa - zivuselela izinkinga ezinkulu, kuhlanganise nokukhubazeka kokuthuthukiswa kwesistimu ye-genitourinary.
- Isifo sikashukela sikashukela sikashukela - lesi sifo singabangela ukwakheka okungalungile kwezitho zangaphakathi.
- Isici sezemvelo - owesifazane okhulelwe kubalulekile ukuhamba ngaphezulu emoyeni omusha, ukugwema amakamelo okubhema nokuxhumana namakhemikhali anonya. Indawo engalungile ingabangela ukuthuthukiswa kwesiphambeko somntwana.
- Imikhuba emibi yowesifazane okhulelwe - ukubhema , ukuthatha izidakamizwa nokuphuza ukuphuza utshwala kubangela ukubonakala kwamathologi emntwaneni.
Ukufakwa kwesibindi - izimpawu
Lesi sifo sihambisana nesithombe esitholakala emtholampilo. Ukufakwa kwesisu esibelethweni ezinganeni kungabonwa ngokushesha ngemuva kokuzalwa ngezibonakaliso ezinjalo:
- Esikhathini esiswini esingaphansi, isici esicacile emgodini wesisu sibonakala - isambiso sisebusweni.
- I-urine igxiliwe ngaso sonke isikhathi, ngenxa yesikhumba esikhungweni sezindawo eziseduze kune-rasher rash.
- Ezimweni eziningi, ayikho inhlamvu embilical.
- Uhlelo lwe-urinary luyiseduze kakhulu ne-anus.
- Ingane ngenxa yokuphazamiseka okuhlangenwe nakho iba ne-nervous, ingenangqondo futhi idla kabi, eyithinta inzuzo yakhe yesisindo.
Ukufakwa kwesikhumba kanye ne-epispadias
Zombili izifo zitholile. Ukufakwa kwesikhumba kuyinto yokungabi khona kwendonga yangasese yangasese kanye nokuphelelwa kwesistimu ye-excretory ngaphandle. Kunezigaba ezinjalo zokukhubazeka:
- I-degree lokuqala yikuhlukana kwamathambo ashicilelo okungaphezu kuka-4 cm. Ububanzi besilonda esiswini esiswini singaphansi kuka-4 cm.
- I-degree yesibili - amathambo ahlukanisa kude no-4.5-8 cm. Ububanzi bomgodi ku-peritoneum buhluka kusuka ku-5 ukuya ku-7 cm.
- I-degree yesithathu ukuhlukana kwamathambo ashicilelwe ngaphezu kwe-9 cm. Ububanzi, lesi sifo esingavamile sidlula u-8 cm.
I-Epispadia ye-vestiva ye-urinary yi-inferior development of the genitalia yangaphandle. Kulaba bafana lesi sifo singaba:
- ikhanda;
- i-trunk;
- qedela;
- ishicilelo-stem.
Emantombazane epispadia kwenzeka ngezindlela ezinjalo:
- inani;
- i-clitoral;
- i-subtotal.
Ukushisa kwe-Cloacal
Lezi zifo zibizwa nangokuthi i-ectopic cloaca noma i-vesicouca cleft. Kuyindlela enzima ye-anomaly. Engxenyeni engenhla yokwakheka yi-hernia yomzimba, ophansi uyisisindo. Isitho se-excretory system sihlukaniswa sibe izingxenye ezimbili yi-isthmus yamathumbu. I-"bubble-half" ngayinye inokuvula kwayo. Ingxenyana efanayo yamathumbu ephuma, isuka ku-2 kuya ku-4 izibani.
Ukuqothula kwesisu kuhambisana nabafana ngezindlela ezimbi:
- ukuhlukaniswa kwepenisi;
- ukungafani kwamathambo;
- kabanzi "isakazeka" ngamathambo e-bony.
Emantombazaneni i-exstrophy iqhubeka kanyekanye nalezi zinkinga:
- ukuphinda kabili ubulili;
- ukucacisa kwe-clitoris;
- i-bicornic uterus .
Ukufakwa kwesisu - ukwelashwa
Indlela yodwa yokuqeda lesi sifo ukukwenza umsebenzi. Ngaphambi kwenqubo enjalo, ukuhlolwa okuphelele kwesiguli, kubandakanya:
- I-Ultrasound;
- i-cystoscopy;
- I-CT;
- ukuhlolwa kwe-endoscopic;
- ukuhlolwa.
Kuphela emva kokucwaninga kokuxilongwa kwesifo sokudla kwesisu, i-epispadia ingqikithi isuswa ngokuhlinzwa. Imisebenzi esemqoka elandelwa udokotela kulokhu kukwelashwa yilokhu:
- Yenza ukuvalwa okuphephile kwesistimu ye-urinary, "ephuma".
- Yenza kabusha ipulasitiki yendawo ethintekile.
Ukufakwa kwesikhumba - ukusebenza
Ukuthi ukungenelela kokuhlinzwa kuzokwenziwa kanjani ngokuyinhloko kuxhomeke kubukhulu besici. Lapho ububanzi bomgogodla obuncane emzimbeni wesisu akudluli ku-4 cm, izicubu eziseduze zisetshenziselwa ukuwuvala. Uma kukhona ubukhulu obukhulu bokushisa, ukwelashwa kuhilela ukusebenzisa "isikhumba" esiyingxenye - ifilimu oyinyumba. Ngemuva kokuba i-suture iphilise, ukuhlinzwa okuphindaphindiwe okuphindaphindiwe kwenziwa. Phakathi nale nqubo, ifilimu isusiwe.
Ngemuva kokuhlinzwa, lapho kukhishwa i-cloacal noma i-vestiva, kuyingozi yokuba nezinkinga ezinjalo:
- i-peritonitis;
- enuresis ;
- isifo sokunamathisela;
- i-hypothermia;
- ukungcola kwegazi.
Ukwelashwa kwesisu kwesilonda - izincomo
Esikhathini sokuhamba kwesikhathi, udokotela owenza lo msebenzi ohlinzekwayo uzohlinzekela ukwelapha okulwa nomzimba wokulwa ne-antibacterial. Ukwamukelwa kwemithi kwenziwa esibhedlela ngaphansi kokuqondiswa udokotela. Amalungiselelo amaningi okulwa nama-antibacterial ahlinzekwa iziguli ngokungenakulinganiswa noma nge-intravenously.
Ngemva kokuqeda ukwelapha okunjalo, udokotela uzonikeza isiguli izincomo zakhe, okuyizikhathi eziningi ezanciphisa imithetho elandelayo:
- Ukushiswa kwesisu emantombazaneni noma kubafana kuyinkinga lapho kufanele ushintshe ngokuphelele indlela yakho yokuphila. Lokhu kusebenza ekudleni. Ekudleni kufanele kube ukudla okunempilo. Ukudla okunomsoco nosawoti, kanye nama-diuretics kuzodingeka kukhishwe kwimenyu.
- Awunakudla amanzi amaningi. Phuza nge-sips encane.
- Ukuphila okulandelayo kufanele kugweme ukulimala nokuzikhandla okuqinile ngokomzimba, kuhlanganise nemidlalo enamandla.
- Njalo udinga ukuvakashela udokotela.