Phimosis kazhinji haifungidzirwe pathological, asi inogona kuva yakadaro kana ichienderera mberi mushure memakore mashanu ezera. Nhasi tinotsanangura kuti chii, kuti chinozviratidza sei uye kuti chingachigadzirisa sei.
Inonzi phimosis uye ndeye kupera kweganda repamberi, kana mhezi yeganda inovhara muromo wemboro. Physiologically, mumakore ekutanga ehupenyu, mu90% yevana, iyi shanduko yeanatomical 'inogadziriswa' yega.
Zvisinei, zvinogona kuitika kuti dambudziko rinoenderera mberi kwemakore kana kusimuka pakukura, zvichikonzera kupisa paunenge uchiita weti, kurwadziwa panguva yepabonde uye kuwedzera kwengozi yekuita zvirwere, nemigumisiro yakaipa pahutano hwehupenyu.
Kuti izvi zvisaitike, zvakakosha kubva pakatanga kusagadzikana vimba nyanzvi uyo, aona kukura kwedambudziko, achasarudza kurapa kwakakodzera kurigadzirisa uye achasarudza kana kupindira nekuvhiya.
Phimosis: physiological kana pathological?
Iyo inonziwo 'preputial narrowing', iyo inonzi phimosis ishanduko yeanatomy yeganda repamberi, kureva, ye mucocutaneous layer inotenderedza muromo wepeni kana glans. Uku kupfupika inodzivirira kutsvedza kwechikanda chepamberi pamusoro pegirazi.
Mumakore ekutanga ehupenyu, mamiriro aya ndiwo akasarudzika emurume genital anatomical morphology uye kazhinji. inowanzogadzirisa yega mushure memakore mashanu emakore. Nokuda kwechikonzero ichi, phimosis haisi kuonekwa sechirwere pachayo.
Zvisinei, kana chirwere chacho chikaramba chiripo, chikabuda mukukura, kana kuti chikasarapwa zvakanaka, chinogona kuva nemigumisiro yakakomba uye chinokonzera kukanganisa kwehupenyu hwehupenyu yevarume vakabatwa.
Zvikamu zve phimosis
Mamiriro e stenosis (kuderera) kweganda repamberi anogona kurongeka maererano ne Kwakabva dambudziko uye maererano chikamu/simba rinokwevera zvinhu pasi zvakafanana. Muchiitiko chekutanga, tinogona kutaura nezve:
- congenital phimosis: kuderedza kuripo kubva pakuzvarwa. asi kazhinji inogadzirisa pachayo nezera rinosvika 5. Zvisinei, kana ikaramba ichienderera, inogona kukonzera kusagadzikana uye matambudziko.
- Yakawana phimosis: iyo yakasimba mamiriro zvipo mukukura, nokuda yezvirwere zveglans zvinokonzeresa mavanga anonamira paganda repamberi. Muzviitiko izvi, weti, kutunda nekusvirana kusagadzikana kana kurwadziwa. Yakawanikwa phimosis inogona zvakare kuenderana kushungurudzika nekuda kwezvinonzi preputial gymnastics, kana kuti maneuvers ekutsvedza kweganda repamberi dzimwe nguva kunoitwa zvisizvo.
Nekune rumwe rutivi, zvichienderana nekuti yakakura sei chibvumirano, inosiyaniswa mu:
- chikamu phimosis: the glans haina kuvharwa uye zvinowanzoitika panguva ye erection. Ichi chirwere chinogona kukura kuita paraphimosis kana "glans asphyxia": chikanda chepamberi chinodzoreka asi chinoramba "chakanamira uye chakaumburuka" pasi pegirazi.
- tight phimosis: kutetepa kweganda repamberi kwakazara uye hazvibviri kuwana glans. Pamusoro pekukonzera zviratidzo zvakanyanya, chirwere ichi chinokonzeresa kunyara uye kusagadzikana muvarume, izvo zvisingatenderi kumira kwemboro.
Zviratidzo
En vana , phimosis inogona kukonzera kumwe kusagadzikana paunenge uchiita weti. Kazhinji kubva pakuyaruka zviratidzo zvakanyanya zvinowanzoitika izvo, mumhando dzakakomba, ndezvi:
- dysuria (kuoma weti);
- kurwadziwa panguva erections;
- matambudziko pakusangana pabonde.
Imwezve complication yakajairika ye phimosis ndeye kuitika kwezvirwere, inofambiswa nekumira kwe smegma (pasty uye kuchena kuunganidzwa kwezvivharo zvinogadzirwa nemurume genitalia) uye weti. Zvinonyanya kuitika ndezvi:
- balanoposthitis;
- balanitis mune acute fomu.
Chikanda chepamberi chinoonekawo kurwadza, dzimwe nguva kuvava uye kutsvuka. Pakupedzisira, kakawanda kubva muurethral meatus (buri rinobuda weti nembeu) a yellow discharge izvo zvinokonzera kutsamwa.
kuongorora chirwere
Kuti usimbise kuti phimosis ndeye pathological, zvakafanira mirira kuti mwana asvike 5 years. Kana iyo preputial narrowing isina kugadziriswa yega, yakakosha kumbira kubvunza chiremba wevana.
Miedzo yezviridzwa haikodzeri kuongororwa, asi kuti a scan muviri nachiremba. Muchiitiko chekuwana phimosis nekupisa pakurosa, zvisinei, nyanzvi inogona kuraira urinalysis kuti ione chero zviratidzo zvehutachiona hwehutachiwana kana dundira.
The care
Pakurudziro yenyanzvi, zvinyoro zvinyoro zvinogona kurapwa nemishonga yemuno ne cortisone-based mafuta (semuenzaniso betamethasone), kunyanya inobatsira muvana, kuwedzera elasticity yeganda.
Vanogonawo kuitwa preputial gymnastics maekisesaizi, ine mitsindo yakapfava yakagadzirirwa kufukura glans. Zvakadaro, zvakakosha kuti maneuver aya aitwe achitevedzera mirairo yachiremba sezvo, sezvatakambotaura, kana akasaitwa nemazvo, anogona kutowedzera mamiriro acho.
Muchiitiko che phimosis yakamanikana kana iyo inosanganisira kuchinjwa kuri pachena mukunyomba, nyanzvi inogona kusarudza. kuvhiya kupindira nekuchecheudzwa.
Kudzingiswa
Nzira inonyanya kushandiswa kugadzirisa phimosis yakakomba ndeyekudzingiswa, kuvhiyiwa kunosanganisira kubviswa kweganda repamberi.
Iyo nzira inowanzoitwa pasi peanesthesia muvana uye munharaunda kune vanhu vakuru uye zvichibva pakushandiswa kwe sutures muzvinhu zvinonyura, izvo zvinozonyungudika zvega mukati memazuva mashoma.
Kuchecheudzwa kunozoita kupindira kwakanyanya nekuti:
- inobvumira kukurumidza kupora kubva kumabasa ehutano hwepabonde (nguva dzose weti pakarepo mushure mekuita uye kutangazve kuita zvepabonde mushure memavhiki mashomanana);
- zvinoreva a njodzi yakaderera yezvirwere munhengo yesikarudzi.