Epispadias

Epispadias bụ ntụpọ na-adịghị ahụkebe dị n'oge a na-amụ nwa. N'ọnọdụ a, ure ahụ anaghị eto n'ime ọkpọkọ zuru ezu. Urethra bụ ọkpọkọ nke na-esi n’ahụ ya apụta mamịrị. Mmamịrị na-apụ n'ahụ site na ebe na-ezighi ezi na epispadias.

Amaghi ihe kpatara epispadias. O nwere ike ime n'ihi na ọkpụkpụ etolite anaghị eto nke ọma.

Epispadias nwere ike ịdapụta site na nkwarụ ịmụ nwa nke ana - akpọ exstrophy eriri afo. N’ime nsogbu ọmụmụ a, eriri afo ghere oghe n’eriri afọ. Epispadias nwekwara ike ibute ntụpọ ọmụmụ ndị ọzọ.

Ọnọdụ a na-apụkarị ụmụ nwoke karịa ụmụ agbọghọ. A na-ahụkarị ya mgbe amụrụ ya ma ọ bụ obere oge.

Mụ nwoke ga-enwe mkpụmkpụ, obosara sara mbara nke nwere usoro na-adịghị mma. Ure na-emepekarị n’elu ma ọ bụ n’akụkụ amụ n’akụkụ ọnụ. Ka osila dị, urethra nwere ike imeghe n'ogologo amụ ya.

Ndi nke nwanyi nwere oria na-adighi nma. Oghere ure ahụ na - adịkarị n’etiti etuto nwanyị na labia, mana o nwere ike ịbụ na mpaghara afọ. Ha nwere ike nwee nsogbu ịchịkwa mmamịrị (urinary incontinence).

Ihe ịrịba ama gụnyere:

• Mmeghe na-adịghị mma site na eriri afo na mpaghara dị n'elu oghere urethra nkịtị
• Mmiri mmamịrị azụ azụ akụrụ (reflux nephropathy, hydronephrosis)
• Urinary ekweghị
• Urinary tract ọrịa
• Okpukpo akwukwo

Ule nwere ike ịgụnye:

• Nnwale ọbara
• Pralogram intravenous (IVP), x-ray pụrụ iche nke akụrụ, eriri afo, na ureters
• MRI na CT na-enyocha, dabere na ọnọdụ ahụ
• Pelvic x-ihe
• Ultrasound nke urinary usoro na kenwe

Ndị mmadụ nwere karịa epispadias dị nro ga-achọ ịwa ahụ.

A na-enwe ike idozi nsị (enweghi ike) n'otu oge. Otú ọ dị, ịwa ahụ nke abụọ nwere ike ịdị mkpa n'oge na-adịghị anya ịwachara ahụ mbụ, ma ọ bụ oge na-eme n'ọdịnihu.

Surwa ahụ nwere ike inyere onye ahụ aka ịchịkwa mmamịrị ya. Ọ ga-edozi ọdịdị nke akụkụ ahụ.

Fọdụ ndị nwere ụdị nsogbu a nwere ike ịna-aga mamịrị mamịrị na-anyụ anyụ, ma mgbe a wachara ha ahụ.

Ureter na mmebi akụrụ na infertility nwere ike ime.

Kpọọ onye nlekọta ahụike gị ma ọ bụrụ na ị nwere ajụjụ ọ bụla gbasara ọdịdị ma ọ bụ ọrụ nke akụkụ ahụ nwa gị ma ọ bụ urinary tract.

Congenital nkwarụ - epispadias

Okenye JS. Anomalies nke eriri afo. Na: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Akwụkwọ ọgụgụ nke Ọrịa edimụaka. 21nke. Philadelphia, PA: Elsevier; 2020: isi 556.

Gearhart JP, Di Carlo HN. Exstrophy-epispadias mgbagwoju anya. Na: Partin AW, Dmochowski RR, Kavoussi LR, Peters CA, ndị ọzọ. Ulology nke Campbell-Walsh. Agba nke iri na abụọ. Philadelphia, PA: Elsevier; 2021: Isi nke 31.

Stephany ha. Ost MC. Ọrịa Urologic. Na: Zitelli, BJ, McIntire SC, Nowalk AJ, eds. Zitelli na Davis 'Atlas nke nyocha umuaka umuaka. Nke 7. Philadelphia, PA: Elsevier; 2018: isi 15.