Xa utshintsha i-napkin yosana lwakho olusandul’ ukuzalwa, ngaba ukhe waphawula ukuba icala elinye le-scrotum (iibhola) zalo likhulu kancinci kunelinye? Ngamanye amaxesha ukudumba kuyehla kusasa, kodwa njengoko imini iqhubeka, ingakumbi xa umntwana ekhala okanye ekhala, ukudumba kubonakala kuyanda? Abazali abaninzi bayoyika kancinci xa bebona oku, kwaye kuyinto eqhelekileyo. Kodwa uninzi lwexesha, asiyonto yokoyika. Namhlanje, sithetha ngale meko inabantwana abaninzi, ebizwa ngokuba yiCommunicating Hydrocele .
Kalula nje, yintoni le Communicating Hydrocele?
Kulungile, masiyigcine le nto ilula kakhulu. I-hydrocele sisingxobo esizaliswe lulwelo esifana nesikhwama esakheka sijikeleze i-testicle. Ngoku usenokuba ubuza, "Ngoko ke yintoni le 'Nxibelelwano'?" Yiyo leyo into ebaluleke kakhulu.
Khawucinge nje, ngaphakathi kwesisu sethu (umgodi wesisu) kukho ulwelo kunye namalungu anjengamathumbu nesibindi. Xa umntwana esesibelekweni sikanina, amasende aqala ukukhula ngaphakathi kwesisu somntwana. Emva koko ehla kancinci aze afikelele kwi-scrotum. Njengoko ehla, kwakheka indlela encinci efana nombhobho ukusuka esiswini ukuya kwi-scrotum. Kwizonyango, sibiza oku ngokuthi "processus vaginalis". Ngokwesiqhelo, le ndlela ivala ngokuzenzekelayo ngaphambi okanye emva kokuba umntwana ezelwe.
Kodwa kwezinye iintsana, le ndlela ayivaleki ngokupheleleyo, ishiya umngxuma omncinci. Ngaloo mngxuma, ulwelo olusesiswini luyafika luze luqokeleleke lujikeleze i-scrotum. Oku kubizwa ngokuba yi-communicating hydrocele kuba kukho "unxibelelwano" okanye "unxibelelwano" nolwelo olusesiswini.
Oku kufana namaza aselunxwemeni oluya luphuma. Xa umntwana ephakama aze ashukume, uxinzelelo esiswini luyanda, nto leyo ebangela ukuba ulwelo lwehle kwaye ukudumba kukhule. Xa umntwana elele, ulwelo lubuyela esiswini, nto leyo ebangela ukuba ukudumba kunciphe.
Yintoni umahluko phakathi kwe-hydrocele yokunxibelelana ne-hydrocele engathethiyo?
Kukho umahluko omncinci kodwa obalulekileyo phakathi kwezi ntlobo zimbini. Kubaluleke kakhulu ukuba ukwazi oku.
| Uphawu | Ukunxibelelana ngeHydrocele | I-Hydrocele engathethiyo |
|---|---|---|
| Isizathu | Indlela ephakathi kwesisu kunye ne-scrotum (processus vaginalis) ihlala ivulekile. | Ipaseji ivaliwe, kodwa ulwelo olwaluqokelelene ekuqaleni luhlala luhleli kuba umzimba awulufunxi. |
| Uhlobo lokudumba | Ubungakanani butshintsha imini yonke (buncinci kusasa, bungaphezulu xa uvukile). | Ubungakanani buhlala buzinzile okanye bunyuke kancinci kakhulu. |
| Ukunyaniseka | Kufuneka ulumke ngakumbi, kuba kukho umngcipheko wokwakheka kwe -hernia ngale nto. | Idla ngokuba ayinabungozi kwaye iyaziphilisa ngokwayo. |
Kuza kwenzeka ntoni ukuba ayinyangwa? Umngcipheko we-hernia
Eyona nto iphambili ekufuneka sikhathazeke ngayo malunga ne-'Communicating Hydrocele' kukubeka emngciphekweni wokuba ne -hernia engumlomo . Ukuba loo mngxuma sithethe ngawo uhlala uvulekile, kungekuphela nje ulwelo olusesiswini, kodwa ngamanye amaxesha inxalenye encinci yamathumbu inokwehla ngaloo mngxuma iye kwi-scrotum. Yiloo nto siyibiza ngokuba yi-hernia. Ukuba i-hernia iyavela, ngamanye amaxesha inokubhajwa, nto leyo ebangela utyando olungxamisekileyo. Ke ngoko, ukuba ubona i-'Hydrocele', kubalulekile ukuyibonisa ugqirha.
Ngubani onokuthi abonakale kakhulu kule meko?
Le yimeko eqhelekileyo kakhulu.
- Amakhwenkwe asandul’ ukuzalwa: Le meko inokuchaphazela ukuya kuthi ga kwi-50% yamakhwenkwe asandul’ ukuzalwa. Nangona kunjalo, uninzi lweemeko ziyaphela ngokwazo ngaphandle konyango xa umntwana emalunga nonyaka ubudala.
- Abantwana abadala kunye nabantu abadala: Ngamanye amaxesha inokwenzeka kubantwana abancinci kunye namadoda amadala, kodwa kuloo minyaka inokwenzeka ukuba ivele kunye ne-hernia.
Zithini iimpawu? Uziva njani?
Uphawu oluphambili lwale nto kukudumba okungenazintlungu. Kungathi yibhola encinci ezele ngamanzi ngaphakathi kwi-scrotum.
| Iqela leminyaka | Iimpawu ezibonakalayo |
|---|---|
| Iintsana ezisandul' ukuzalwa |
|
| Abantwana abadala kunye nabantu abadala |
Kubalulekile: Ukuba umntwana omdala ngequbuliso ufumana ukudumba kunye nentlungu eqatha kumasende, inokuba yingxamiseko ebizwa ngokuba yi-'Testicular Torsion'. Ukuba oku kuyenzeka , yiya kwiSebe lezeMpilo eziNgxamisekileyo lesibhedlele esikufutshane (ETU) ngaphandle kokulibazisa.
Ugqirha uyibona njani le nto?
Xa uxelela ugqirha wakho ngokudumba komntwana wakho, into yokuqala aza kuyenza kukuhlolisisa umntwana wakho ngononophelo. Oku kudla ngokuxilongwa ngovavanyo olulula kakhulu.
1. Uvavanyo lomzimba: Ugqirha uza kuva ukudumba. Uza kujonga ukuba kuthambile, kuqinile, kubuhlungu, kwaye bukhulu kangakanani.
2. Ukukhanya okugqithisileyo: Olu luvavanyo olulula kakhulu. Ugqirha usebenzisa isixhobo esincinci esifana netotshi ukukhanyisa isibane kwi-testicle evuvukileyo. Ukuba kukho ulwelo ngaphakathi, ukukhanya kuya kudlula kulo kubonakale kupinki. Oku kuya kuqinisekisa ukuba yi-hydrocele kakhulu.
3. I-Ultrasound Scan: Ngamanye amaxesha, ukuba ukudumba kukhulu kakhulu, ukuba kukho iqhuma eliqinileyo, okanye ukuba kukho ukurhanelwa okuncinci kwengxaki (njengomhlaza), ugqirha uya kuyalela i-'Ultrasound scan'. Olu luvavanyo olungenabuhlungu nolukhuselekileyo.
Inyangwa njani? Ngaba utyando luyimfuneko?
Kulapho ke iindaba ezilungileyo kubazali abaninzi zikhoyo.
Uninzi lwexesha, loo nto imalunga ne-90% yeentsana,Akukho nyango lufunekayo. Xa umntwana efikelela kunyaka omnye ubudala, umngxuma ebesithethe ngawo ngaphambili uza kuvala ngokwawo kwaye ukudumba kuya kuphela.
Ngoko ke ugqirha udla ngokusebenzisa indlela ethi “makhe sibone”. Uza kukuxelela ukuba umzise umntwana ukuze ahlolwe rhoqo emva kweenyanga ezimbalwa.
Ngoko ke, kufuneka nini utyando (iHydrocelectomy)?
- Ukuba umntwana akakhange avuvuke unyaka okanye emibini .
- Ukuba ukudumba kukhulu kakhulu okanye kubangela ukungakhululeki kumntwana.
- Ukuba kuqinisekiswa ukuba kukho i-hernia (i-inguinal hernia) kunye ne-hydrocele.
Olu tyando aluyonto inkulu. Ngokwesiqhelo, kwenziwa umngxuma omncinci (malunga neesentimitha ezi-2) kwindawo yempundu, ulwelo olungaphakathi lukhutshwe, kwaye umngxuma uvalwe. Olu lutyando lwemini, oko kuthetha ukuba ungamsa umntwana wakho ekhaya ngokuhlwa.
Indlela yokunyamekela umntwana emva kotyando?
Umntwana uza kubuyela esiqhelweni kwiintsuku ezimbalwa emva kotyando, kodwa kufuneka uzilumkele ezi zinto kangangeeveki ezimbini ukuya kwezintathu.
- Kuphephe ukuphakamisa izinto ezinzima: Musa ukuvumela umntwana wakho ahlale phezu kwezinto zokudlala ezinamilenze eyoluliweyo, njengamahashe ashukumayo. Nciphisa ubungakanani bokunyuka, ukubaleka, nokutsiba umntwana wakho akwenzayo.
- Lumka xa usika: Kuqhelekile ukuba kubekho ukudumba okuncinci okujikeleze usika. Ugqirha uza kukunika amayeza entlungu.
- Fowunela ugqirha wakho ngoko nangoko: Ukuba ubona ezi mpawu zilandelayo, fowunela ugqirha wakho ngoko nangoko.
- Ukuba inxeba liphuma igazi
- Ukuba intlungu iyanda
- Ukuba umntwana unomkhuhlane
- Ukuba ukudumba kuyanda kakhulu
- Ukuba ubona utshintsho kumbala wolusu (obomvu, omfusa, omdaka, okanye omnyama)
Xa ngokuqinisekileyo kufuneka ubone ugqirha
Nangona i-hydrocele elula ingenabungozi, ukuba umntwana wakho unezinye zeempawu ezilandelayo, isenokuba luphawu lwe-hernia ekrwitshiweyo. Ngoko ke funa ingcebiso kagqirha ngokukhawuleza.
| Iimpawu zesilumkiso ekufuneka uziqaphele | |
|---|---|
| Uphawu | Inkcazo |
| Ukudumba okanye iqhubu | Iqhuma eliqinileyo ngequbuliso kwindawo yesinqe okanye emqolo. |
| Intlungu ecacileyo | Usana luqhubeka lukhala, alukwazi ukuthuthuzelwa, kwaye lukhala ngakumbi xa luchukunyiswa kukudumba. |
| Umnqweno wokutya | Ukuba umntwana akancancisi okanye akatyi njengesiqhelo. |
| Ukuhlanza | Ukuba umntwana uyahlanza ngaphandle kwesizathu esicacileyo. |
| Ukuncipha kokuhamba kwamathumbu | Ukuba umntwana akaphumi njengesiqhelo. |
Umyalezo Wokuya Ekhaya
- Oku kuqhelekile kakhulu: Ukunxibelelana ngeHydrocele kuqhelekile kakhulu kumakhwenkwe asandul’ ukuzalwa. Ngoko ke musani ukoyika ngokungeyomfuneko.
- Iyaziphilisa ngokwayo: Kwiimeko ezininzi, le meko iba ngcono ngokwayo ngaphandle konyango xa umntwana enonyaka omnye ubudala.
- Utshintsho ekudumbeni: Luphawu lwesi sifo ukuba ukudumba kuyanda kwaye kuncipha imini yonke. Oku kuqhelekile.
- Bonisa ugqirha : Ukuba ubona ukudumba emasendeni omntwana wakho, kubalulekile ukubonisa ugqirha ukuze afumane isifo esichanekileyo.
- Lumka nge-hernias: Ukuba ufumana iimpawu ezifana nentlungu ekhawulezileyo, iqhubu eliqinileyo, okanye ukuhlanza, isenokuba yi-hernia, ngoko ke yiya esibhedlele ngokukhawuleza.
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