Chordee

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I-Chordee yisimo lapho ikhanda lobudoda ligobele phansi noma phezulu, lapho kuhlangana khona ikhanda nomphimbo wepipi.Ukugoba kuvame ukusobala kakhulu ngesikhathi sokwakhiwa, kepha ukumelana nokuqondiswa kuvame ukubonakala nasesimweni se-flaccid. Ezimweni eziningi kepha hhayi zonke, i-chordee ihlotshaniswa nama- hypospadias.Lesi akusona isimo esifanayo nesifo sikaPeyronie, esibandakanya ukugobeka komgogodla wenduku ikakhulu ngenxa yokulimala ngesikhathi sokuphila komuntu omdala.

Izimpawu nezimpawu[hlela | Hlela umthombo]

Imvamisa kubhekwa njengokuzalwa okungahambi kahle kwesizathu esingaziwa.Kusukela esigabeni sokuqala sokukhula kombungu ipipi ligobele phansi, kuphakanyisiwe ukuthi imiphumela ye-chordee kusuka ekuboshweni kwentuthuko ye-penile ngaleso sikhathi.

Ukuvuthwa kwe-chordee kungabandakanya

  1. ukunamathisela isikhumba nge- urethra kanye ne-corpora yobukhulu obujwayelekile;
  2. ugobile esibangelwa cystic futhi contracture we fascial izicubu ( fascia Buck sika noma dartos ) ezungeze urethra;
  3. i-corpora enkulu ngokungenakulinganiswa maqondana nobude be-urethral ngaphandle kokunye okungajwayelekile okubonakalayo kokunye; noma
  4. i-urethra emfushane, e-fibrotic ebeka umthondo phansi (uhlobo oluvame kakhulu).

Ama-degree amabi we-chordee ajwayele ukuhlotshaniswa nama- hypospadias, kepha ama-degree amancane we-curvature angavela kwabesilisa abaningi abajwayelekile.Lapho i-penis egobile incane futhi ihambisana nama-hypospadias, ukuntuleka komphumela we-androgen ngaphambi kokubeletha kungacatshangelwa.

Imbangela[hlela | Hlela umthombo]

I-chordee ingadalwa yisimo esingaphansi, njengokuphazamiseka kokuthuthuka kwezocansi noma isimo se- intersex, noma kusuka enkingeni yokusoka, [1] [2] yize abanye ochwepheshe bezokwelapha bengakubheki njengokuyiqiniso ngoba i- corporal imizimba ngokuvamile yakhiwa.Kodwa-ke, akuyona yonke i-chordee yokuzalwa efaka phakathi i-corpora engajwayelekile, futhi imibiko yamacala omonakalo we-corpus cavernosum kusuka ekusokeni iyaphawulwa ezincwadini; ikakhulukazi njengenkinga ye-anesthetic yendawo. [3]

Ukwelashwa[hlela | Hlela umthombo]

Ukwelashwa okuyinhloko kwe-chordee kungukuhlinzwa ebuntwaneni, imvamisa kudokotela wezifo zomchamo wabantwana.Ngama-chordees abangelwa ukusoka, indlela encanyelwayo yokwelashwa okuhlinzwa yi- z-plasty . [4]Isikhathi esithandwayo sokuhlinzwa siphakathi kweminyaka yobudala eyisithupha nengu-18 futhi ukulungiswa kuyaphumelela.

Izinkomba[hlela | Hlela umthombo]

  1. , 3 March 1999 
  2. , August 1983 
  3. , June 15, 1979 
  4. Kaplan GW. Complications of circumcision. Urol Clin N Amer 1983;10:543-9.