Site na nkwarụ nkwupụta nke akụrụ, nwa ebu n'afọ adịghị mma ma nwụọ n'oge mmalite nke afọ ime, mgbe nwa ebu n'afọ nwere nsogbu ndị na-adịghị mma na-adịgide ndụ. Ihe dika pasent 10 nke umuaka amuru na enweghi nsogbu nke usoro genitourinary.
Ịzụlite akụrụ
Mmepe akụrụngwa na-arụ ọrụ na-eme nnọọ mgbagwoju anya. A na-etinye abalị nke mbụ (metanephrosis) n'akụkụ nke ọ bụla nke mpaghara pelvic. Mgbe ahụ, site na uto na-eto eto nke nwa ebu n'afọ, onye ọ bụla n'ime ha na-amalite ije ya gaa n'ebe ebe njedebe ikpeazụ ya (mpụga) ma n'otu oge na-agbanye gburugburu ya (rotation). Ihe dị mkpa maka ọganihu mmepe nke akụrụgwụ oge ochie bụ ngwakọta ha na nkwalite nke ureters. Mbugharị ma ọ bụ mgbanwe ntụgharị dị na obi nke ụbụrụ akụrụ anụ kachasị. Tụkwasị na nke ahụ, na usoro mmepe nke intrauterine, ọ ga-ekwe omume ijikọta akụrụma ochie na nhazi otu nnukwu akụrụ.
Mkpụrụ ọrịa akụrụ
Anomalies nke akụrụ na-eji usoro atọ kachasị elu:
• Lesion nwere ike imetụta otu akụrụ ma ọ bụ abụọ.
• A na-ejikọta ọtụtụ ụbụrụ na otu akụrụ.
• Ụdị nsogbu ụfọdụ na-emebi emebi, ma mmetụta nke ihe ọjọọ, dị ka ọrịa, na-enye aka na nchọpụta nke nkwarụ. N'ihe banyere ọrịa nhụjuanya, nkwonkwo azụ nwere ike ịmalite ozugbo ma ọ bụ n'oge na-adịghị anya mgbe ọmụmụ nwa ahụ gasịrị.
Ọdịiche nke ọnọdụ akụrụ adịghị edozi mgbazi. Ndị a gụnyere:
• Pelvic akụrụ fọdụrụ n'akụkụ pelvic. E guzobere ya n'ihi mmebi nke mpụga na usoro mmepe intrauterine. Ihe ka ọtụtụ n'ime nsogbu ndị a bụ asymptomatic.
• Mmebi akụrụ. Ikekwe na nsụgharị dịgasị iche iche, ihe kachasịkarị bụ akụrụ akpụkpọ anụ. Usoro nke mbugharị a anaghị agbaji.
• Akụrụ "caked" dị n'ụdị nke na-enweghị ntụpọ, nke dị oke ala na mpaghara pelvic. A na-etolite ya n'oge ikpere akụrụ na imebi mbugharị. Akụrụ dị otú ahụ anaghị adịkarị mgbaàmà.
• Dystopia cross nke akụrụ. Otu akụrụ dị n'akụkụ nke ọzọ, na-esote ọkpụkpụ ọzọ.
• Ogwu thoracic. A na-ebi n'ime oghere obi, nke nwere ike ijikọta na mmepe nke diaphragm (fibrous-muscular septum kewapụrụ ekechi na akwara abdominal). Nke a bụ ihe a na - adịghị ahụkebe, ọgwụgwọ ịgwọ ọrịa nke siri ike.
• Na-eto eto (enweghị afọ ojuju) nke akụrụ. A na-ahụ ya, ma ọ bụrụ na embrayo ahụ etinyeghị iyi, nke sitere na akụkụ urogenital kwesịrị ịmalite. Bilateral renal agenesis na-eduga ná ọnwụ nke ẹmbrayo.
Onye na-eri ureter bụ tube ahụ nke na-esi n'ime akụrụ na-abanye n'ime eriri afo ahụ. Na mmalite nke mmepe, a na-enwe ọtụtụ ụbụrụ, nke na-emekarị ka a ghara ịmalite ịmịpụ. Nsogbu nke njikọ nke primordia ureteric (oge ochie na-eme ka mmiri ozuzo) na mesonephros (akụrụma nwa na-eme ka ọkpụkpụ) na-eduga na njide nke mmepe nke akụrụ (aplasia). N'ọnọdụ ndị ọzọ, a na-ahụ n'okpuru ntọala nke akụrụ na nhazi nke usoro mgbọrọgwụ (dysplasia) nke Aplasia na nke dysplasia na-emekarị
Nkewa nke ureters
Ọkpụkpụ ureteric ovula nwere ike ịmịnye ma mee ka ọtụtụ ọgbụgba na-agbachapụ anya bụ ndị a na-eduzi na ndị na-adịghị ọcha. Mgbe ụfọdụ, ọ ga-ekwe omume ibute ihe ndị a na mmepe nke ọrịa mgbu. Mgbanwe ọzọ nke anomaly na-eme mgbe buds nke abụọ ngwọta usoro na - eto n'ime embrayo - na nke a, a na - emegharị akụrụ. Onye obula n'ime ha nwere ureter nke ya, nke na-abanye n'ime eriri afo ya n'onwe ya ma obu jikota ya na onye ozo. Ekwesiri obi nkoropu nke akụrụ a na-ejikọta ya na ihe mgbu site na nkedo mmamịrị site na ihe dị n'ime akụkụ akụrụ.
Mmebi nke septum
N'ihi ihe omuma nke mmepe nke urethral septum (n'agbata ihe omumu nke genital organs na rectum), mgbe ufodu, enwere ihe na-eme ka acure nke ureter na-abanye n'ime lumen nke eriri afo-ureterocele. Akara ogo nke ureterocele na-emekarị ọtụtụ mgbe ma na-emekarị ka ọ ghara ịkpata nsogbu. Ọganihu dị ịrịba ama nwere ike ịghọ ebe e guzobere nkume urinary. Ọkpụkpụ dị warara nke oghere ureteral na-eduga ná mkpọchi. Ọtụtụ mgbe, ureterocele, urine reflux, na akụrụ abụọ na-ejikọta n'otu onye ọrịa. Ihe na - emekarị ihe na - emetụta akụkụ nke akụkụ nke urinary tract bụ:
• ihe na-eme ka ọkpụkpụ urethral nke dị n'azụ - guzobe eriri abụọ nke akpụkpọ anụ mucous nke urethra nke urethra, nke na-eduga ná mmebi nke urination;
• hypospadias - mmepe nke na-ezughị ezu nke urethra, nke mpụga ya dị na mpempe akwụkwọ dị n'elu ala ma ọ bụ ọbụna na scrotum, kama ịmalite n'isi isi.
Obere anomalies
• Exstrophy nke eriri afo - nkwarụ nke mgbapụta mgbidi nke eriri afo na abdominal mgbidi dị n'okpuru otu. N'ọnọdụ a, nrụrụ nke mkpịsị ọbara, na-abaghị uru nke testicles na scrotum na hernia, na na ụmụ agbọghọ - idochi nke clitoris na-hụrụ.
• Ogwugwu Cloaca bụ nkwarụ siri ike nke nwere ụda eriri afo abụọ n'ime abụọ (nke ọ bụla nke ureter na-abanye) na nhazi nke amụ. Ọ ga-ekwe omume ịgụnye eriri afọ na mkpịsị ụkwụ, yana nchikota anomalies na ụbụrụ herracosinal congenital.
• Epispadia - nkwarụ nke mgbidi elu nke urethra. Mgbe ejikọtara ya na sphincter nke eriri afo ahụ, onye ọrịa ahụ nwere ike ịta ahụhụ site n'inwetaghị ọrịa. Nchoputa nke mmalite na ịdọ aka ná ntị nke ịgwọ ọrịa bụ nke kachasị dị mkpa nye ndị ọrịa nwere nkwonkwo nke akụrụ na eriri afo. A na-arụ ọrụ na nnukwu ụlọ ọrụ pụrụ iche nke nwere ahụmịhe zuru oke n'ịgwọ malformations nke urogenital system na ụmụaka. N'aka ndị nwere aka, ọtụtụ ihe ọjọọ nke eriri afo ahụ nwere ike idozi ya.