GIPOSPADIYA

GIPOSPADIYA (Hypospadia; az gipo… va yun. spao – yozonidan, kandan), nuqsi inkishof, ki dar mavridi on devorai poyonii naychai peshobbaror qisman vujud nadorad. G. faqat dar jinsi mard ba mushohida merasad. Muvofiqi baze malumot ba G. az 200 – 500 naf. navzodon yak nafar giriftor ast. Hangomi G. surokhi beruni rohi peshob dar zeri uzvi tanosul, dar nazdi khoya va hatto dar qadkashak joygir ast. Vobasta ba in se darajai G.-ro farq mekunand: darajai I – gipospadiyai saraki oloti tanosul; darajai II – gipospadiyai oloti tanosul; darajai III – gipospadiyai khoya yo khoyayu qadkashak.
Dar natijai G. azoi tanosul kaj meshavad; dar baze holatho (G.-hoi darajai II va III) on to hadde kaj megardad, ki bemor nametavonad durust peshob ronad (peshob posh mekhurad, ba khoya, ronho va libos merasad), binobar in u faqat nishasta peshob mekunad. Dar chunin bemoron aloqai jinsi niz bo dushvori surat megirad. Hangomi G. surokhi beruni rohi peshob tang meshavad. Dar mavridi G.-i darajai III bisyor vaqt muqarrar kardani jinsi kudak dushvori pesh meorad, zero oloti tanosul binobar inkishof nayoftan, ba nazar misli klitori zakhim (gipertrofi) va khoyai «dukafon» shabehi labhoi farj menamoyad. Dar in guna holatho mashvarati dukhturoni mutakhassis – urologho va endokrinologho hatmist.
Ziyoda az 300 usuli isloh namudani G. mavjud ast. G.-i darajai I muolijaro taqozo namekunad. Hangomi G.-i darajai II va III amaliyoti jarrohi zarur ast. Jarrohii G. zina ba zina surat megirad; maqsad az on rost kardani oloti tanosul va barqaror sokhtani peshobroha meboshad. Bino ba malumoti solhoi okhir bisyor mutakhassison az jarrohii yakzinavii G. jonibdori mekunand. On imkon medihad, ki nuqsi oloti tanosul dar muddati kutoh bartaraf karda shavad. YAke az chunin rohhoi muolija usuli S. Salinas meboshad. Afzaliyathoi usuli mazkur dar mavridi tabobati G. az jonibi olimoni jumhuri (U. A. Qurbonov, A. A. Davlatov, S. M. Janobilova) isbot shudaand.
Kudakon boyad az sinni 3 – 5-solagi jarrohi karda shavand, chunki dar in sinnu sol deformatsiyai oloti tanosul hanuz ustuvor nest.
Ad.: Lopatkin N.A., SHevsova I.P., Operativnaya urologiya, M., 1986; Kurbanov U.A., Davlatov A.A., Djanobilova S.M., Hirurgicheskoe lechenie gipospadii sposobom Salinas. Dar maj. «Payomi Sino», D., 2009, № 4.