Kubudiswa kwechirwere ichi chirwere chakakomba chekuvhenekera, umo chironga chisingaiswa mukati memudumbu, asi kunze. Inowanikwa mune imwe yevana 50 000 vacheche. Muvakomana, izvi zvirwere zvinowanikwa kanomwe kanowanzo kazhinji kupfuura vasikana. Kuti iparadze, kupindira kwekuvhiya kunoshandiswa zvinobudirira.
Chirwere chechikwereti - chinokonzera
Zvizhinji zvinokonzera kuonekwa kwezvirwere zvakadaro. Kazhinji kacho kusagadzikana kwebhanyi kunokonzerwa nezvikonzero zvinotevera:
- Genetic predisposition - kana mumwe wehama ane chirwere chakadai, kune mukana mukuru wekuti chirwere ichi chichaitika mumwana.
- Zvirwere zvinotapukira , zvakakanganiswa mukadzi panguva yekuzvitakura - zvinokonzera zvinetso zvakakomba, kusanganisira kukanganisa kunowedzera kwejenitourinary system.
- Chirwere cheshuga chinokonzera chirwere cheshuga - chirwere ichi chinogona kukonzera kusakosha maitiro emukati.
- Chimwe chinhu chinokonzera mhuka - mukadzi ane pamuviri anokosha kuti afambe zvakawanda mumhepo itsva, kuti arege kudzima makamuri uye kusangana nemakemikari ane utsinye. Nzvimbo isina kunaka inogona kukanganisa kukura kwechakaremara chemwana.
- Nzira dzinokuvadza dzomukadzi ane pamuviri - kusvuta , kushandisa zvinodhaka uye kunwa doro zvisina kunaka kunobatsira pakuonekwa kwezvirwere mumucheche.
Kubudiswa kwechirwere - zviratidzo
Ichi chirwere chinosangana nechirevo chinonzi clinic picture. Kubudiswa kwechirwere chekuvheneka muvana kunogona kuona zviri pachena mushure mekuberekwa kwezviratidzo zvakadaro:
- Mumuviri mutsva, chiremera chiri pachena mukati mechidziro chemuviri chinoonekwa - chidimbu chiri pamusoro.
- Urini inogara ichinyorwa, nekuda kweizvi pane ganda riri munzvimbo dzepedyo kune hove yakagadzika.
- Muzviitiko zvakawanda, hapana chimiro chemubilical.
- Iyo urinary system iri pedyo zvikuru neanus.
- Mwana wacho nekuda kwekunetseka kwaanoziva anova nekutya, capricious uye akaipa kudya, izvo zvinoita kuti awedzere kuwanda.
Kubudiswa kwemukaka uye epispadias
Zvose zvirwere zvinokonzera kubatana. Kubuda kwechirwere ndiko kusavapo kweruzhinji rwemadziro emadziro uye kupera kwerutivi rwekunze kwekunze kwekunze. Kune zvikamu zvakadaro zvehutano:
- Dhigirii yekutanga ndiyo kusiyana kwemapfupa emapicki asingasviki masendimita mana (4 cm). Kureba kwechirwere pamakumbo emimba kunopfuura 4 cm.
- Dhigirii rechipiri - mapfupa anotsauka kusvika kure nemamita 4 kusvika ku8-8. Kureba kwegomba pa peritoneum kunosiyana kubva pa5 kusvika ku7 cm.
- Dhigirii yechitatu ndiyo kupararira kwemapfupa emapicki kupfuura 9 cm. Muupamhi, chironda chisina kujairika chinodarika 8 cm.
Epispadia yemukaka yenyuchi ndiko kushandiswa kwepasi kwekunze kwemajini. Muvakomana izvi zvirwere zvinogona kuva:
- musoro;
- trunk;
- complete;
- pubic-stem.
Muvasikana epispadia inoitika nenzira dzakadaro:
- zvizere;
- clitoral;
- subtotal.
Cloacal exstrophy
Ichi chirwere chinonziwo ectopic cloaca kana vesicouca cleft. Icho chimiro chakakomba chekusaly. Chikamu chepamusoro chekugadzirwa ndiyo umbilical hernia, iyo yepasi ndiyo bladder. Nhengo ye excretory system inoparadzaniswa kuva zvikamu zviviri nehutachiona hwemukati. Zvose "hafu-bubble" ine purogiramu yayo. Chimwe chidimbu chemukati chinobuda, chinobva kune 2 kusvika kuchina.
Kuchengetedza kweClaacal yeshungu iri pamwe chete nevanakomana nekushata kwakadaro:
- kuparadzaniswa kwepeni;
- kusagutsikana kwemasti;
- akapararira "akapararira" nemapfupa emapfupa.
Pavanasikana vanopisa vanowedzera panguva imwechete nevakashata vakadaro:
- doubling the vagina;
- cleavage ye clitoris;
- bicornic uterus .
Kubudiswa kwechirwere - kurapwa
Nzira iyo chete yekubvisa urwere uhwu ndeyekuita basa. Pamberi pemaitiro akadaro, kuongororwa kwakazara kwemurwere, kusanganisira:
- Ultrasound;
- cystoscopy;
- CT;
- endoscopic kuongorora;
- kuongorora.
Kwapera mushure mekuongororwa kwekutsvaga kwechirwere chepachiva, epispadia yakazara inobviswa chirwere. Izvo zvakanyanya mabasa zvinotsvakwa nachiremba mune chirwere ichi:
- Tora kuvhura kwakachengeteka kwekuvhenekera, iyo "yakabuda".
- Ita ipurasitiki yekuvakazve nzvimbo yakakanganiswa.
Kubudiswa kwechirwere - kushanda
Kuti kupindira kwekuvhiya kuchaitwa sei zvichienderana nekukura kwechirema. Apo kubwinya kwehutachiona hwepachiviri pamudumbu wemuviri hakupfuuri 4 cm, mishonga yakaswedera inoshandiswa kuvhara iyo. Kana pane huwandu hukuru hwekutsvaira, kurapwa kunosanganisira kushandiswa kwe "chivara" chepachibereko - filimu isina kuchena. Mushure mokunge suture ichiporesa, kupindira kunopindira kunoitwa kunoitwa. Panguva iyi, iyo firimu inobviswa.
Mushure mekuvhiyiwa, kana kuvhaka kwekacacal kana kuti bladder kubviswa, kune ngozi yekutambudza matambudziko akadaro:
- peritonitis;
- enuresis ;
- chibatanidza chirwere;
- hypothermia;
- kusvibiswa kweropa.
Bladder exstrophy clinical - mazano
Mumashure ekuvhiya, chiremba uyo akaita chirwere ichi achange akabatanidza kushandiswa kwema antibacterial therapy. Kupiwa kwemishonga kunoitwa muchipatara pasi pekutarisirwa kwechiremba. Kakawanda kacho kugadzirira kwema antibacterial kunotarisirwa kuvarwere zvisinganzwisisiki kana kuti zvisingatauriki.
Pashure pokupedzwa kwechirwere chakadaro, chiremba achapa murwere zano rake, iro kazhinji kacho rakaderedzwa kusvika kumitemo inotevera:
- Kuda kubuda mumusikana muvasikana kana vakomana ndiyo chirwere chaunofanira kuchinja zvachose mararamiro ako. Izvi zvinoshanda kumushongedzo. Muzvokudya kunofanira kuva zvokudya zvine utano. Zvokudya zvakajeka uye zveyasa, pamwe chete ne diuretics zvichafanirwa kusarudzwa kubva mumenyu.
- Iwe haugoni kudya mvura zhinji. Inwa mudiki sips.
- Upenyu hwose hunotevera hunofanira kudzivisa kukuvara uye kushingaira kwakasimba, kusanganisira mitambo yakasimba.
- Nguva dzose unoda kushanyira chiremba.