Ingaba umntwana wakho unale meko ingaqhelekanga? (Ukukhubazeka kweCloacal) Masithethe ngayo!

Uvuyo oluviwa ngumama okanye ngutata xa bejonga usana olusandul’ ukuzalwa alunakuchazwa. Kodwa ngamanye amaxesha, kunye nolo vuyo, kukho amaxesha apho uziva uloyiko olukhulu kunye nokothuka. Yiloo mvakalelo oyifumanayo xa ugqirha efika ekuxelela ukuba umntwana wakho unengxaki yokuzalwa. I-Cloacal Malformation yimeko engaqhelekanga kakhulu, kodwa eyothusa kakhulu abazali. Namhlanje, siza kuthetha ngale nto ngokulula, ngendlela onokuyiqonda.

Ngamafutshane, yintoni iCloacal Malformation?

Esi sisifo esingaqhelekanga kakhulu esichaphazela amantombazana kuphela kwaye sibonwa xa ezalwa. Ngokwesiqhelo, iperineum yentombazana kufuneka ibe nemingxuma emithathu: i-urethra, i-vagina, kunye ne-anus.

Nangona kunjalo, umntwana one- Cloacal Malformation akanazo zonke ezi zithuba zintathu. Endaweni yoko, kukho isithuba esinye kuphela. Esi simo sikwiqela lezifo ezibizwa ngokuba yi-anorectal malformation.

Khawuthelekelele, xa umntwana ekhula esibelekweni, amathumbu omntwana, indlela yangasese, kunye nendlela yomchamo zonke zidibene njengeyunithi enye. Oku sikubiza ngokuba yi "cloaca." Njengoko umntwana ekhula, le yunithi inye iyahlukana kancinci kancinci ibe ziinxalenye ezintathu, zenze imingxuma emithathu eyahlukeneyo.

Unyango lwale meko lutyando lokwenza imingxuma emithathu eyahlukileyo endaweni yokuvula imingxuma enye. Olu tyando ludla ngokwenziwa kunyaka wokuqala wobomi bomntwana.

Ngaba kukho naziphi na iintlobo zale meko?

Ewe, le meko inokubonwa ngotshintsho oluncinci kumntwana ngamnye. Kodwa into eqhelekileyo kubo bonke abantwana kukuba banomvulo omnye endaweni yemithathu. Lo mvulo uqhagamshelwe ngaphakathi "kwitshaneli eqhelekileyo" esiyikhankanyileyo ngaphambili. Ubude bale channel eqhelekileyo bumisela ubunzima bemeko kunye nonyango umntwana aludingayo. Le channel ingaba naphi na ukusuka kwi-1 ukuya kwi-10 centimeters ubude.

Masiyicacise ngakumbi le nto.

Ixhaphake kangakanani le meko?

Le yimeko engaqhelekanga kakhulu, eyenzeka kwimveku enye kwi-25,000 ukuya kwi-50,000 ezisandula ukuzalwa.

Zithini iimpawu zoku?

Uphawu oluphambili nolucacileyo kukuba ngomnye kuphela umngxuma obonakala ekuzalweni endaweni yezintathu.

Ukongeza, aba bantwana banokuba nezinye iingxaki zempilo.

• I-clitoris ithatha imo yepenis yendoda.
• Inkangeleko engaqhelekanga kwindawo yempundu.
• Iindawo ezingaphezulu kwesinye kwilungu lobufazi, isibeleko, okanye umlomo wesibeleko.
• Ezinye iingxaki zezintso, ii-ureters, okanye inkqubo yomchamo (iingxaki zomchamo).
• Iingxaki zentliziyo okanye zomqolo.
• Ezinye iingxaki zenkqubo yokugaya ukutya (Iingxaki zesisu).

Kutheni oku kusenzeka? Yintoni unobangela?

Oogqirha abakafumani sizathu sithile sale nto. Kuthathwa njengesiganeko esingacwangciswanga, okanye into eyenzeka ngaphandle kwesizathu sithile.

Ungayibona njani le meko?

Le meko ingachongwa ngeendlela ezimbini.

1. Ngaphambi kokuba umntwana azalwe (ngexesha lokukhulelwa)

Ngamanye amaxesha, oku kunokubonwa ngexesha le-anomaly scan okanye i-ultrasound malunga neeveki ezingama-20 zokukhulelwa. Oku kudla ngokubonwa njengoko isini somntwana sidumbile kwaye sizele lulwelo. Ukuba oku kufuneka kuqinisekiswe, i-MRI scan ingenziwa ngexesha lokukhulelwa.

2. Emva kokuba umntwana ezelwe

Oku kudla ngokufunyaniswa emva kokuba umntwana ezelwe xa ugqirha wabantwana ehlola umntwana. Le meko inokuqatshelwa xa kukho umngxuma omnye endaweni yemithathu. Isisu somntwana sisenokudumba. Ugqirha uya kuyalela iimvavanyo ezininzi ukuze abone ukuba kwenzeka ntoni ngaphakathi emzimbeni.

• Uvavanyo lwe-ultrasound: Jonga izintso zomntwana, isinyi, kunye nomqolo.
• Uvavanyo lwe-X-ray: Sebenzisa ubuchwepheshe obukhethekileyo be-X-ray, obufana ne-fluoroscopy, ukuze ubone indlela esebenza ngayo inkqubo yomchamo yomntwana wakho.
• I-Echocardiogram: Uvavanyo lokujonga naziphi na iingxaki zentliziyo.

Inyangwa njani? Masifunde ngotyando

Unyango olulodwa kuphela lwale meko lutyando. Injongo ephambili yotyando kukudala imingxuma emithathu eyahlukeneyo endaweni yokuvula imingxuma enye, ukuvumela umntwana ukuba achame aze akhuphe indle ngendlela eqhelekileyo aze alawule ezi zinto.

Le nkqubo yonyango idla ngokuvela ngamanqanaba aliqela.

Inqanaba lokuqala: Kwangoko nje umntwana ezelwe

Oku kwenziwa kwiiyure ezingama-48 emva kokuzalwa komntwana. Injongo ephambili apha kukuzinzisa impilo yomntwana nokudala iindlela zokuphuma kwendle nomchamo emzimbeni.

• I-Colostomy: Kule nkqubo, ugqirha uzisa inxalenye yamathumbu amakhulu omntwana phezu kolusu olusesiswini aze enze umngxuma. Emva koko indle iphuma emngxuma ize iqokeleleke kwingxowa ekhethekileyo enamathele kuyo. Le yinkqubo yexeshana de umntwana enze utyando olukhulu.
• Ukucoca ngeCatheter: Kufakwa i-catheter ukunceda umntwana ukuba achame kuba isinyi sidumbile okanye sivalekile.
• Ukuqubha kwamathumbu: Ukuba ukuqubha kwamathumbu kumntwana kuvuvukile kwaye ulwelo luqokelelene, lunokukhutshwa ngotyando.

Inqanaba lesiBini: Utyando olukhulu lokwakha ngokutsha

Olu tyando lukhulu lwenziwa phakathi kweenyanga ezi-6 ukuya kwezili-12 ubudala, xa impilo yomntwana izinzile. Kulapho iinkqubo ezintathu ezidityanisiweyo zahlulwa khona kwaye kwenziwa imingxunya emithathu eyahlukeneyo (i-anus, i-vagina, kunye ne-urethra).

• Ukuba ityhubhu ye-fallopian eqhelekileyo imfutshane (ingaphantsi kwe-4 cm), olu tyando lulula kakhulu.
• Ukuba umbhobho oqhelekileyo mde, utyando luba nzima ngakumbi.

Ugqirha wotyando lwabantwana kunye nogqirha womchamo wabantwana onolwazi olukhethekileyo kunye namava kweli candelo babalulekile kolu tyando.

Inqanaba lesithathu: Ukuguqula iColostomy

Akuba umntwana ephilile ngokupheleleyo kutyando oluphambili, i-colostomy yokuqala iyaguqulwa. Oko kukuthi, umngxuma owenziwe esiswini uyavalwa kwaye indle ivunyelwe ukuba idlule ngokuqhelekileyo kwi-anus esandul’ ukwenziwa.

Luhlobo luni lwekamva umntwana wam aza kuba nalo?

Lo ngumbuzo omkhulu engqondweni yabazali bonke. Ngokwesiqhelo iziphumo ziba zintle kakhulu.

• Abantwana abanemibhobho emifutshane eqhelekileyo, oko kuthetha ukuba leyo inganzima kangako, banethuba elingama-90% lokuba nomchamo oqhelekileyo kunye nokulawula amathumbu.
• Kwanabantwana abane-duct ende eqhelekileyo, oko kukuthi, iimeko ezinzima, banethuba elingama-70% lokulawula kakuhle ukuchama kunye nokuphuma kwesisu.

Uninzi lwabantwana luyakwazi ukukhupha indle ngendlela eqhelekileyo. Nangona kunjalo, abanye abantwana banokuba nengxaki yokungakwazi ukuzibamba ngomchamo, oku kukulahlekelwa ngumchamo ngabom. Abanye abantwana banokufuna ukuba bakhuphe isinyi sabo izihlandlo ezininzi ngemini besebenzisa i-catheter.

Malunga nobomi besondo kunye nokukhulelwa

Abantwana abanale meko banokuba nobomi bokwabelana ngesondo obanelisayo xa bekhula. Nangona ukukhulelwa kunokuba nzima kunesiqhelo, akuthethi ukuba akunakwenzeka ukuba nabantwana. Ukuba ulindele umntwana kwixesha elizayo, ungafuna iingcebiso zonyango malunga noko. Utyando lwe-C-section ludla ngokucetyiswa xa ubelekisa umntwana.

Ndingenza ntoni njengomzali?

Olu hambo lunzima kumntwana nakuni.

• Ummeli womntwana wakho: Thetha neqela lezempilo lomntwana wakho rhoqo. Yabelana naye ngayo nayiphi na inkxalabo okanye uloyiko onalo.
• Ungaphoswa ziikliniki ezicwangcisiweyo kunye novavanyo: Emva kotyando, kufuneka uqwalaselwe rhoqo ngugqirha ukuqinisekisa ukuba iinkqubo zomntwana zisebenza kakuhle.
• Qaphela iimpawu: Ukuba ubona naziphi na iingxaki ngokulawula umchamo okanye amathumbu njengoko umntwana wakho ekhula, xelela ugqirha wakho ngoko nangoko.

Imibuzo ethile onokuyibuza ugqirha wakho:

• Olu tyando lwenziwa njani? Lwenziwa xa luneminyaka emingaphi?
• Ngaba umntwana wam uza kuva iintlungu? Ngaba okwangoku usezintlungwini?
• Yintoni endimele ndiyilindele ngexesha lokuchacha emva kotyando?
• Ngaba umntwana uza kufuna utyando olongezelelweyo njengoko ekhula?
• Ngaba ndiza kuba neengxaki nge-rectum, i-urethra, okanye i-vagina kwixesha elizayo?
• Ngaba intombi yam iya kukwazi ukuba nomntwana ngokukhuselekileyo kwixesha elizayo?

Kuqhelekile ukuba nentliziyo ebuhlungu xa ufunda into efana nale. Kodwa khumbula, isayensi yezonyango iphucuke kakhulu namhlanje. Utyando lungayilungisa ngempumelelo le meko, luvumele umntwana wakho ukuba aphile ubomi obuqhelekileyo. Ugqirha wakho kunye neqela lezempilo baya kuba yinkxaso enkulu kuwe nakumntwana wakho kolu hambo.