Kwenzeka kangangoko ukuphulwa okunjalo?
Kufuneka kuqatshelwe ukuba ukutshatyalaliswa kwesisu kubhekisela kwisifo se-somatic kwaye kwenzeka ngokungaqhelekanga. Ngokutsho kwemithombo yombhalo, ukuphulwa akuphelelwanga ngaphezu kweyodwa kwi-3000-5000 iintsana. Kule meko, amakhwenkwe aqhelekileyo, - amaxesha angama-2-6.
Ngokuphuhliswa kwesi sifo, ukuphazamiseka kwamagciwane, njenge -hernia inguinal kunye ne- cryptorchidism , zihlala zifunyaniswa .
Unyango lwenziwa njani kwaye yintoni isiphumo sesi sifo?
Indlela yonyango kuphela yongenelelo ngoncedo. Xa engekho, malunga nesiqingatha sabantwana abahlali kwiminyaka eyi-10, kwaye malunga ne-75% bafa ngeminyaka eyi-15. Isizathu esibalulekileyo sokufa kwabantwana kukusuleleka kwintsholongwane yamanzi, okukhokelela ekuphuhliseni i-pyelonephritis engapheliyo, ukungaphumeleli kwezintso. Ezinye iincwadi zineenkcukacha zingazange zisebenze izigulane zisinda kwiminyaka engama-50, kodwa kwiimeko ezinjalo ukuveliswa kwesifo esibi sisanda.
Ukunikezelwa kweengqinisiso ezingentla, utyando lokuphelisa i-bladder exstrophy, ingakumbi kumantombazana, kufuneka kwenziwe kwintsana - kwiminyaka eyi-1-2. Kule meko, unyango olujongene nokunyangwa kufuneka lucombulule iingxaki ezilandelayo:
- ukudalwa kwendawo yamanzi yokuqokelela umchamo;
- Ukuthintela ukusulelwa kwintsholongwane ye-genitourinary system;
ukuxhomekeka kwimeko yokuxhatshazwa kwebhubhile ye-mucous ye-bladder evulekile; - ukwakheka kohlobo lwangaphandle;
- ekudalweni kwe-urethra yokufakelwa (kumakhwenkwe), apho iidonic vesicles ziza kuvulwa.
Kubalulekile ukuba uqaphele ukuba ukuhlolwa kwangaphambili kubaluleke kakhulu, okuqhelekileyo kubandakanya ukuhlolwa kwemisebenzi yengqondo, ukuhlolwa kwegazi, utywala, i-ultrasound, i-colonoscopy, i-irrigography. Emva kokusebenza okusebenzayo, umphumo uphononongwa uviwo lwe-X-radi radiology.