Ingaba amasende omntwana wakho avuvukile? Isenokuba yi-'Communicating Hydrocele'!

Ngaba wakha waphawula ukuba icala elinye le-scrotum yomntwana wakho likhulu kancinci kunelinye, kwaye libonakala ngathi lidumbile? Mhlawumbi xa ulijonga kusasa, ukudumba kuye kwehla, kodwa emva kokudlala imini yonke, kubonakala ngathi lidumbile kwakhona ngokuhlwa? Kuqhelekile ukuba umama okanye utata azive esoyika kwaye ekhathazekile xa ebona into efana nale. Kodwa ungakhathazeki, uninzi lwexesha ayisiyonto imbi kangako. Namhlanje, siza kuthetha ngemeko eqhelekileyo enokubangela oku, ebizwa ngokuba yiCommunicating Hydrocele .

Ngamafutshane, yintoni iHydrocele?

Masiqale sibone ukuba yintoni le hydrocele. Kulula kakhulu. Amasende endoda afumaneka ngaphakathi kwiscrotum. Siyibiza ngokuba yi-'Hydrocele' xa ingxowa encinci ijikeleza enye yala masende, izaliswe lulwelo olumanzi. Yiyo le nto ibangela ukuba iscrotum ibonakale idumbile.

Ngoku unombuzo, yintoni le Communicating Hydrocele ? Igama elithi "Communicating" lithetha "ukuba nonxibelelwano." Kwenzeka into efanayo apha.

Olu nxibelelwano, okanye into yokuba indlela ivulekile, luvumela ulwelo ukuba luhambe luze lubuye umva. Umzekelo, xa umntwana elele phantsi okanye elele, ulwelo lubuyela umva lusiya esiswini, nto leyo enciphisa ukudumba. Xa umntwana emi, eqhaqhazela, okanye ekhala, uxinzelelo esiswini luyanda, nto leyo ebangela ukuba ulwelo luye ezantsi, nto leyo enyusa ukudumba.

Ingaba le meko imbi kakhulu?

I-'Hydrocele' eqhelekileyo (engathethiyo) ayisiyonto imbi kangako. Yinto encinci nje yolwelo oluqokelelana lujikeleze i-testicle. Ayidibani nesisu. Ke ngoko, ukudumba kuhlala kufana ngobukhulu, okanye kube kukhulu kakhulu.

Kodwa imeko ebizwa ngokuba yiCommunicating Hydrocele yinto efuna ingqalelo engakumbi, kuba unxibelelwano nesisu, oko kukuthi, loo ndlela ivulekileyo, lunokubangela iingxaki.

Kuza kwenzeka ntoni ukuba ayinyangwa?

Ukuba le meko ayiphucuki yodwa okanye ayinyangwa, umngcipheko ophambili kukukhula kwe -hernia ye-inguinal .

Ngamafutshane, ukuba indlela yokungena kolo lwelo iba nkulu kancinci, nenxalenye yamathumbu esiswini inokwehla ngaloo ndlela, iye kwi-scrotum. Yiloo nto siyibiza ngokuba yi-hernia. I-hernia yimeko enzulu kakhulu kune-'Communicating Hydrocele'. Ngokuqinisekileyo ifuna utyando. Yiyo loo nto kufuneka ulumke ngale nto.

Ngubani ofumana oku? Kwenzeka njani?

Le meko ixhaphake kakhulu kumakhwenkwe asandul’ ukuzalwa . Enyanisweni, ukuya kuthi ga kwi-50% yamakhwenkwe asandul’ ukuzalwa anokuba nale meko. Ixhaphake kakhulu.

Kutheni ke iintsana ezincinci zikhula oku?

Ukuze siqonde oku, kufuneka sibuyele kwixesha umntwana esesiswini. Xa umntwana ekhula esibelekweni, amasende aqala ukukhula ngaphakathi esiswini. Emva koko ehla kancinci aze angene kwi-scrotum. Njengoko ehla, inxalenye encinci efana nombhobho (i-'processus vaginalis') eyenziwe nge-membrane egubungela ingaphakathi lesisu nayo iyehla.

Xa umntwana eza kuzalwa okanye emva kokuzalwa, le nxalenye efana netyhubhu kufuneka izivale ngokwayo. Emva koko unxibelelwano phakathi kwesisu kunye ne-scrotum luyaphela.

Le meko idla ngokuvela kubantu abadala okanye kubantwana abancinci abane-hernia.

Zithini iimpawu zale meko?

Iimpawu zoku zinokwahluka kancinci ngokuxhomekeke kubudala bomntwana.

Kubalulekile: Ukuba inkwenkwe endala ngequbuliso ifumana iqhuma elinje, lisenokuba libangelwa yenye into. Umzekelo, lisenokuba lusulelo, ukugoba kwamasende, okanye, ngokungafane kwenzeke, iqhuma. Ngoko ke , ukuba ubona iqhuma kwi-scrotum nangaliphi na ixesha, kubalulekile ukubona ugqirha.

Uyifumana njani le nto, Gqirha?

Kwiimeko ezininzi, ugqirha unokumxilonga umntwana, akubuze iinkcukacha, aze akuxelele ngqo ukuba imeko injani.

• Uvavanyo lomzimba: Ugqirha uza kuhlola indawo enokudumba ngokuyichukumisa.
• Uvavanyo lokuKhanyisa: Olu luvavanyo olulula kakhulu, olungenabuhlungu. Ugqirha ukhanyisa ukudumba ngesixhobo esincinci esifana netotshi. Ukuba kukho ulwelo olufana namanzi ngaphakathi, ukukhanya kuya kubonakala ngokucacileyo kwelinye icala. Kufana nokukhanyisa itotshi ebhotileni yamanzi. Oku kunokuqinisekisa ngokulula ukuba yi-'Hydrocele'.
• I-Ultrasound Scan: Ngamanye amaxesha, ukuba ukudumba kukhulu kakhulu, kuvakala ngathi lilitye, okanye ukuba kukho nakuphi na ukurhanelwa kwengxaki, ugqirha unokuyalela i-'Ultrasound Scan'. Oku akunabuhlungu. Oku kunokuqinisekisa ngokupheleleyo ukuba kukho ulwelo ngaphakathi okanye enye into.

Inyangwa njani? Ngaba kuyimfuneko utyando?

Lo ngumbuzo omkhulu abazali abanawo: "Ngaba umntwana wethu omncinci kuya kufuneka atyandwe?"

Ngokwesiqhelo, xa umntwana emalunga nonyaka ubudala , i-processus vaginalis esiyikhankanyileyo iyavaleka yodwa. Emva koko, ulwelo oluvela esiswini luyayeka ukuphuma, kwaye umzimba uyafunxa ulwelo oluseleyo, ukuphelisa ngokupheleleyo ukudumba.

Ngoko ke ugqirha uhlala esenza into ebizwa ngokuba "kukulinda ngononophelo." Uza kukuxelela ukuba ubuyisele umntwana wakho emva kweenyanga ezimbalwa. Ngeli xesha, uza kujonga ukuba ukudumba kuyancipha okanye kuyanda.

Kunini apho kufuneka khona utyando?

Ugqirha wakho angacebisa utyando (hydrocelectomy) kwezi meko zilandelayo:

• Ukuba ukudumba akuyeki ngokwako nokuba umntwana sele eneminyaka eli-1 ukuya kwemibini ubudala .
• Ukuba ukudumba kuya kusanda kancinci kancinci .
• Ukuba umntwana uneentlungu okanye uneentlungu ezinzulu ngenxa yokudumba.
• Ukuba kuqinisekiswa ukuba kukho i-hernia (Inguinal Hernia) kunye ne-hydrocele.

Olu tyando lulula kakhulu kwaye lukhuselekile. Ugqirha wenza umngxuma omncinci kakhulu (malunga ne-2 cm) emqolo, asuse ulwelo olugqithisileyo, aze avale unxibelelwano nesisu (umngxuma). Olu lutyando lwemini. Oku kuthetha ukuba ukuba ungeniswe kusasa, ungamthatha umntwana wakho aye naye ekhaya ngaloo ngokuhlwa.

Indlela yokunyamekela umntwana emva kotyando?

Umntwana uza kubuyela esiqhelweni kwiintsuku ezimbalwa emva kotyando, kodwa kuya kufuneka uqaphele kancinci kwiiveki ezimbini ukuya kwezintathu ezizayo.

• Intlungu: Ugqirha uza kukunika isiraphu efana neParacetamol yentlungu. Yinike xa kuyimfuneko, ngokwemilinganiselo emiselweyo.
• Imisebenzi: Umntwana angadlala ngendlela eqhelekileyo. Nangona kunjalo, izinto zokudlala ezifuna umntwana akhwele emqolo (umz., iibhayisekile ezincinci), ukutsiba, kunye nokukhasa maziphetshwe kangangeeveki ezi-2-3 , njengoko ezi zinto zinokubeka uxinzelelo olungeyomfuneko kwindawo yokusikwa.
• Inxeba: Indawo yokusikwa kufuneka igcinwe icocekile kwaye yomile. Ugqirha wakho uza kukunika imiyalelo ngale nto.
• Ukutya: Umntwana anganikwa ukutya ngendlela eqhelekileyo.

Ukuba unale mpawu, fowunela ugqirha wakho ngokukhawuleza.

Ukuba unezinye zezi mpawu zilandelayo emva kotyando, fowunela ugqirha wakho okanye isibhedlele ngokukhawuleza.

• Ukuba inxeba liphuma igazi .
• Ukuba intlungu yomntwana iyanda .
• Ukuba umntwana unomkhuhlane .
• Ukuba ukudumba okujikeleze inxeba kuyanda kakhulu .
• Ukuba umbala wolusu kwindawo yenxeba utshintshe waba bomvu, mfusa, mdaka, okanye mnyama .

Ngaba ikho indlela yokuthintela le meko?

Akukho nto abazali abanokuyenza ukuthintela usana olusandul’ ukuzalwa ukuba lungabi ne-'Communicating Hydrocele', njengoko ibangelwa lutshintsho oluncinci kwinkqubo yendalo eyenzeka ngelixa umntwana ekhula esibelekweni.

Kodwa ngenxa yokuba i-hydroceles kubantu abadala ngamanye amaxesha inxulunyaniswa ne-hernias, kunokubakho inzuzo ethile ekwenzeni izinto ukuthintela i-hernias:

• Sebenzisa indlela echanekileyo xa uphakamisa iintsimbi kwaye uzilolonga ejimini. Ungazami ukuphakamisa iintsimbi ongenakukwazi ukuziphakamisa.
• Ukugcina ubunzima bomzimba busempilweni .
• Ukuthintela ukuqhinwa. Ukuze wenze oku, kubalulekile ukusela amanzi amaninzi nokutya ukutya okunefayibha eninzi, njengemifuno eluhlaza, imifuno kunye neziqhamo.