Mwana wako mudiki anotanga kuchema here paanoita weti ? Kana kuti wakambonzwa sekuti ari kurwadziwa paanenge achiita weti ? Wakamboona here kuti dzimwe nguva weti haifambi zvakanaka, asi inoyerera nenzira isinganzwisisike? Zvakajairika kuti mubereki anzwe kutya zvishoma paanoona chimwe chinhu chakadai. Asi usazvidya mwoyo. Nhasi tichataura nezvechirwere chisingazivikanwe nevanhu vazhinji, asi chinowanzoitika pakati pevana.
Zvichitaurwa zviri nyore, chii chinonzi Meatal Stenosis?
Zita racho ringanzwika serakaoma, asi zvarinoreva zviri nyore. Meatal Stenosis chirwere apo muromo wenhengo yemurume kana yemurume (yatinoti meatus) unobuda weti unova mutete kupfuura zvakajairika. Izwi rekuti "stenosis" rinoreva "kutetepa."
Dambudziko iri rinogona kunge riri rekuzvarwa naro, asi rinowanzoonekwa nguva pfupi mwana aberekwa, kunyanya pakati pemakore matatu nemanomwe .
Dambudziko iri hariwanzoitiki kuvarume vakuru. Kana rikaitika, rinogona kukonzerwa nekuvhiyiwa kweurethra, kuiswa kwechishandiso (senge catheter yenguva refu), kana mamwe matambudziko eganda.
Pasi rose, zvinofungidzirwa kuti pakati pe8% ne10% yevarume vane Meatal Stenosis.
Ndezvipi chaizvo zviratidzo zvechirwere ichi?
Chiratidzo chikuru ndechekuti muromo uri pamucheto wenhengo yemurume unoita sewakatetepa. Kutetepa uku kunokonzera kuvharika kwemvura yemudumbu . Ipapo unogona kusangana nechimwe kana kupfuura chezviratidzo zviri pazasi. Ngatizvitarisei mutafura.
| Chiratidzo | Tsananguro iri nyore |
|---|---|
| Kurwadziwa kana kupisa (Dysuria) | Mwana anochema paanenge achiita weti , kana kuti anoti pane kurwadziwa kana kutsva. |
| Kurudzira Kusazvidzora | Ndinobva ndanzwa kuda kuita weti zvakanyanya, uye dzimwe nguva handigoni kurega. |
| Kuita weti kakawanda | Kuda kuita weti kakawanda kupfuura zvakajairika. |
| Kuchinja kwenzira yeurinary | Weti yacho inenge yakatetepa zvikuru, kana kuti inoyerera nekukurumidza. Dzimwe nguva haiende yakatwasuka yobuda (kazhinji ichikwira kumusoro) . |
| Dundira harisi kubuda zvachose | Kunzwa sekuti weti ichiripo kunyangwe wapedza kuita weti . |
| Kuona donhwe reropa (Hematuria) | Donhwe reropa rinoonekwa pamucheto wenhengo yemurume mushure mekuita weti . |
Fungidzira, kana ukadzvanya muromo wepombi yemvura zvishoma, mvura inobuda yobuda nekukurumidza, handiti? Ndizvo zvinoitikawo pano. Nekuti buri diki, hapana nzvimbo yakakwana yekuti weti ibude, uye inotanga kubuda.
Sei mamiriro ezvinhu aya achiitika?
Chikonzero chikuru uye chinonyanya kukonzerwa neMeatal Stenosis muvana vadiki kudzingiswa . Dambudziko iri hariwanzoitiki muvana vasina kudzingiswa.
Kune zvimwe zvikonzero zvakawanda nei izvi zvichigona kuitika mushure mekuchecheudzwa:
- Kuzvimba kana kurwadziwa pamucheto wenhengo yemurume: Mushure mekuchecheudzwa, mucheto wenhengo yemurume unokwesha zvakananga pamanapukeni. Kukweshana uku kunogona kukonzera ganda rakapfava kuzvimba, kutsvuka, uye kuita maronda madiki. Maronda aya paanopora, muromo wacho unogona kutetepa dzimwe nguva.
- Manapukeni akanyikwa weti : Weti ine tsvina inonzi uric acid neammonia. Izvi zvinogona kuungana mukati menukuri uye, kana zvikasiyiwa zvakabata muromo wenhengo yemurume kwenguva yakareba, zvinokuvadza ganda rakapfava, zvichikonzera kuzvimba uye kutetepa kweburi.
- Kushandisa macatheter emuweti kwenguva refu: Muburi uyu unogonawo kutetepa kune vanhu vane catheter yemuweti kwenguva yakareba nekuda kwechirwere.
- Kumwe kuvhiyiwa kana bvunzo: Dambudziko iri rinogonawo kukonzerwa nekuvhiyiwa kana bvunzo dzinoisa zvishandiso kuburikidza neurethra.
Chii chingaitika kana chikasarapwa?
Uyu mubvunzo une vabereki vazhinji. Kune maonero akasiyana pakati pevanachiremba pamusoro pezvingaitika kana Meatal Stenosis ikasarapwa. Vamwe vanachiremba vanotenda kuti chirwere ichi chinogona kukonzera matambudziko anotevera:
- Utachiona hweWeti (UTIs)
- Matambudziko eitsvo
- weti isingatarisirwi
Zvisinei, vamwe vanachiremba vanotenda kuti matambudziko aya haakonzerwi neMeatal Stenosis chete. Nokudaro, vanokurudzira kuti kunyangwe buri racho rakatetepa, kuvhiyiwa hakudiwi kana mwana asiri kusangana nekusagadzikana kana matambudziko.
Saka, kana mwana wako aine chirwere ichi, zvakakosha kutaura pachena nachiremba wako nezvekuti ochirapa here kana kuti kwete, uye chii chichaitika kana chikarapwa, kuti uite sarudzo yakanakisisa.
Chiremba anoziva sei izvi?
Chiremba anogona kuona zviri nyore kana mwana ane chirwere ichi nekumuongorora muviri. Panguva yekuongororwa uku, chiremba achaita zvinotevera:
- Kuyera upamhi hwegomba: Zvisinei, havasi vese vane saizi yakaenzana yegomba iri. Vamwe vanhu vanogona kuzvarwa vaine gomba rakatetepa zvishoma, asi hazvirevi hazvo kuti vane Meatal Stenosis.
- Mibvunzo yekuti unoita weti sei : Vanokubvunza zvinhu zvakaita sekuti weti yako inoenda kupi uye kuti inodurukira here.
- Kutarisa mwana achiita weti : Kune vana vadiki, chiremba anogona kutarisa mwana achiita weti kuti aone rudzi rwenzira yeweti (ingave yakatwasuka kana kuti ichidonha mvura).
- Kuyera kumhanya kwemvura inoyerera : Dzimwe nguva, mudziyo wakakosha unogona kushandiswa kuyera kumhanya kwemvura inoyerera.
Ndezvipi zvinorapwa izvi?
Meatal Stenosis haipori yoga. Inofanira kurapwa. Kune nzira dzakawanda dzekurapa nadzo.
Kuvhiyiwa kwemeatectomy
Uku ndiko kurapa kwakanakisa uye kunobudirira zvikuru muzviitiko zvakawanda . Hakusi kuvhiyiwa kukuru. Kunosanganisira kugadzira kucheka kudiki uye kuwedzera buri rakamanikana. Zviri nyore kwazvo uye zvinotora maminetsi mashoma chete. Mikana yekuti chirwere ichi chidzokezve mushure mekuvhiyiwa uku ishoma kwazvo.
Kirimu yeSteroid
Mune zvimwe zviitiko, pachinzvimbo chekuvhiyiwa, chiremba wako anogona kukurudzira kirimu ye corticosteroid inoiswa pamusoro penhengo yako yemurume. Kirimu iyi ingangoda kuiswa kaviri pazuva, dzimwe nguva kwemwedzi mitatu.
Kukura
Imwe nzira yekurapa ndeyekushandisa mudziyo wakakosha kuti gomba rikure. Zvisinei, nzira iyi dzimwe nguva inogona kubvarura ganda uye kukonzera mavanga. Nzira iyi haichashandiswi zvakanyanya nekuti mavanga anogona kuita kuti gomba rive rakatetepa kupfuura kare.
Zvinotora nguva yakareba sei kuti munhu apore mushure mekuvhiyiwa?
Mwana anotanga kunzwa zviri nani mukati memazuva mashoma mushure mekuvhiyiwa kwemetatotomy.
- Unogona kushandisa mishonga inonyaradza marwadzo yawakanyorerwa nachiremba wako kuderedza marwadzo.
- Kugeza mwana wako mumvura inodziya (mvura inodziya) kunoderedza marwadzo nekusagadzikana zvakanyanya.
- Kubuda ropa hakuwanzoitiki. Kana kubuda ropa kudiki, kuisa jira rakachena panzvimbo iyoyo kunomisa kubuda ropa.
- Kuti kukurumidzise kupora, chiremba anokurudzira kushandisa mafuta akaita seVaseline® kana Aquaphor® kaviri pazuva kwemavhiki mashoma.
Ndinofanira kuona chiremba rini?
Kana iwe kana mwana wako muine chimwe chezviratidzo zviri pazasi, iva nechokwadi chekuona chiremba.
- Kana uchinetseka kuita weti .
- Kana usingakwanise kuita weti .
- Kana uchinzwa kurwadziwa paunenge uchiita weti .
Unofanira kuenda kuEmergency Treatment Unit (ETU) riini?
Kana ukaona chimwe chezviratidzo zviri pazasi mushure mekuvhiyiwa kwenyama, enda kuchipatara chiri pedyo neEmergency Department (ETU) nekukurumidza.
- Kana fivha iri 38 degrees Celsius (100 Fahrenheit) kana kupfuura.
- Kana ropa rakawanda rikabuda , hazvigoneke kumira.
- Kana kurwadziwa kuri kuwedzera.
- Kana ukarutsa kanopfuura katatu pazuva.
- Kana uchinetseka kuita weti .
- (Kana ari mwana mudiki) Kana manapukeni akaramba achioma.
Mharidzo Yekuenda Nayo Kumba
- Kudzikira kwehuremu hwemudumbu (meatal stenosis) kuchekwa kweburi remudumbu riri pamucheto wenhengo yemurume muvakomana nevarume.
- Dambudziko iri rinowanzoitika pakati pevakomana vakadzingiswa.
- Zviratidzo zvikuru kurwadziwa panguva yekuzviitira weti , kupisa, uye kusazvidzora weti .
- Usatya kana ukaona izvi. Zvinogona kurapwa zvizere nekurapwa kuri nyore senge meatotomy.
- Kana uchifungidzira kuti mwanakomana wako ane zviratidzo izvi, usazeza kubvunza chiremba wevana kana chiremba wekuvhiya kuti akupe mazano.
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