Kutulutsa chikhodzodzo - chifukwa chiyani kukulitsa ana, komanso kuthetsa vutoli?

Kuchotsa chikhodzodzo ndi matenda aakulu omwe amabwera m'mimba, pamene chiwalo sichiikidwa m'mimba, koma kunja. Amapezeka m'modzi mwa ana okwana 50,000. Mwa anyamata, matendawa amapezeka kawiri nthawi zambiri kuposa atsikana. Kuchotsa izo, kupaleshoni kwa opaleshoni kumagwiritsidwa ntchito bwino.

Kutaya chikhodzodzo - zimayambitsa

Zinthu zambiri zimapangitsa kuti mavitaminiwa azioneka. Kawirikawiri ziphuphu za chikhodzodzo zimayambitsidwa ndi zifukwa zotsatirazi:

1. Mmene thupi limapangidwira - ngati mmodzi mwa achibale ake ali ndi nthendayi, pali mwayi waukulu kuti matendawa adzachitika mwa mwanayo.
2. Matenda opatsirana , omwe mayiyo anavutika panthawi ya mimba - amachititsa mavuto aakulu, kuphatikizapo zovuta zapangidwe ka mavitamini.
3. Matenda a shuga chifukwa cha matenda a shuga - matendawa angayambitse mapangidwe a ziwalo.
4. Chilengedwe - Mkazi wapakati ndi ofunika kuyendayenda mu mpweya watsopano, kupeŵa zipinda zosuta ndi kuyanjana ndi mankhwala amwano. Malo osokonezeka angayambitse chilema cha mwana.
5. Zizolowezi zovulaza za amayi apakati - kusuta , kumwa mankhwala osokoneza bongo ndi kumwa mowa mopitirira muyeso kumapangitsa kuti maonekedwe a mwanayo asokonezeke.

Kutulutsa chikhodzodzo - zizindikiro

Matendawa akuphatikizidwa ndi chithunzi chovomerezeka chachipatala. Kuchotsa chikhodzodzo cha mkodzo kwa ana kungawoneke mwamsanga atangobereka ndi zizindikilo izi:

1. M'kati mwa mimba, chidziwitso chodziwikiratu m'mimba mwa m'mimba chikuwoneka - chikhodzodzo chiri pamwamba.
2. Mitsempha imatulutsidwa nthawi zonse, chifukwa cha khungu lomwe lili m'malo amodzi komwe kuli malo otetezeka.
3. Kawirikawiri, palibe chifuwa cha umbilical.
4. Mankhwala oyambitsa mkodzo ali pafupi kwambiri ndi anus.
5. Mwanayo chifukwa cha kuvutika kwake akukhala wamanjenje, wosazindikira ndipo amadya kwambiri, zomwe zimakhudza kulemera kwake.

Kutulutsa chikhodzodzo ndi epispadias

Zonse ziwiri zimakhala zobadwa. Kutuluka kwa chikhodzodzo ndiko kusowa kwa khoma la m'mimba m'mimba komanso kupyolera kwa machitidwe opitilira kunja. Pali zigawo zoterezi:

1. Degree yoyamba ndi kusiyana kwa mafupa a pubic osaposa masentimita 4. Kulemera kwake kwa chifuwa pamimba pamimba ndi osachepera 4 cm.
2. Kalasi yachiwiri - mafupa amachoka pamtunda wa 4.5-8 masentimita. Kuzungulira kwa phando pa peritoneum kumasiyana pakati pa 5 ndi 7 masentimita.
3. Gawo lachitatu ndi kusiyana kwa mafupa a pubic kuposa masentimita 9. M'mimba mwake, chotupa chachilendochi chimadutsa 8 masentimita.

Epispadia wa chikhodzodzo cha mkodzo ndi kusamalidwa kwa ziwalo zakunja zakunja. Mwa anyamata izi zikhoza kukhala:

• mutu;
• thunthu;
• kumaliza;
• ma pubic-stem.

Kwa atsikana epispadia amapezeka mwa mitundu iyi:

• chiwerengero;
• chithunzi;
• zochepa.

Kuchotsa mimba

Matendawowa amatchedwanso ectopic cloaca kapena vesicouca cleft. Ndiwo mawonekedwe aakulu a osalimba. Mbali yam'mwamba ya mapangidwe ndi umbilical hernia, m'munsi ndi chikhodzodzo. Chiwalo cha excretory dongosolo chimagawidwa mu magawo awiri ndi chigawo cha m'mimba. "Khofi" iliyonse imatha kutseguka. Chidutswa chomwecho cha matumbo omwe amatuluka, chimachokera ku 2 mpaka 4 kuwala.

Kuchotsa mimba kwa chikhodzodzo kumaphatikizidwa ndi anyamata ndi zoterezi:

• kupatukana kwa mbolo;
• kusakanikirana kwa mitsempha;
• ambiri "kufalikira" ndi mafupa a bony.

Atsikana amayamba kupuma nthawi imodzimodzimodzi ndi zolakwika izi:

• kuwirikiza kachiwiri;
• chisokonezo cha clitoris;
• bicornic chiberekero .

Kutulutsa chikhodzodzo

Njira yokhayo yothetsera vutoli ndikuchita opaleshoni. Musanayambe kuchita zimenezi, kufufuza mozama wodwala, kuphatikizapo:

• Ultrasound;
• chithunzithunzi;
• CT;
• zolemba;
• kuyendera.

Pokhapokha ataphunzira kafukufuku wa chikhodzodzo, chiwerengero cha epispadia chikuchotsedwa opaleshoni. Ntchito zazikulu zomwe dokotala akutsatira pa chithandizochi ndi izi:

1. Chitani chitetezo chosungira cha urinary system, chimene "chinatuluka".
2. Gwiritsani ntchito pulasitiki yokonzanso malo omwe akukhudzidwa.

Kutulutsa chikhodzodzo - ntchito

Momwe angapangire opaleshoni makamaka malinga ndi kukula kwa chilema. Pamene kutalika kwake kwa pakhosi pamimba pamimba sikupitirira 4 masentimita, minofu yayitali imagwiritsidwa ntchito kuti imitseke. Ngati pali kukula kwakukulu koyeretsa, mankhwalawa amatanthauza kugwiritsa ntchito "khungu" - filimu yopanda kanthu. Pambuyo pa mankhwalawa, amachititsa opaleshoni mobwerezabwereza. Panthawiyi, filimuyi imachotsedwa.

Pambuyo pa opaleshoni, pamene chiwonongeko cha cloacal kapena chikhodzodzo chichotsedweratu, pamakhala chiopsezo chokhala ndi mavuto ngati awa:

• peritonitis;
• enuresis ;
• matenda othandizira;
• chithandizo;
• kuipitsidwa kwa magazi.

Kachilombo koyambitsa chikhodzodzo - malingaliro

Pambuyo pake, dokotala amene adachita opaleshoniyo adzalamula kuti mankhwala othandiza antibacterial adziphatikizidwe. Kulandila kwa mankhwala kumachitika kuchipatala moyang'aniridwa ndi dokotala. Kawirikawiri kukonzekera kwa antibacterial kumaperekedwa kwa odwala mosavuta kapena mwachangu.

Pambuyo pomaliza mankhwalawa, dokotala amupatsa wodwalayo malangizo ake, omwe nthawi zambiri amachepetsedwa ndi malamulo otsatirawa:

1. Kugonana kwa chikhodzodzo kwa atsikana kapena anyamata ndi matenda omwe muyenera kusintha kwambiri moyo wanu. Izi zimakhudza zakudya. Mu zakudya ayenera kukhala chakudya chabwino. Zakudya zamchere komanso zamchere, komanso diuretics ziyenera kuchotsedwa pa menyu.
2. Simungathe kumwa madzi ambiri. Imwani ndi sips zing'onozing'ono.
3. Moyo wotsatira umayenera kupeŵa kuvulazidwa ndi kuyesetsa mwamphamvu, kuphatikizapo masewera olimbitsa thupi.
4. Nthawi zonse muyenera kupita kuchipatala.