Usana olutsha luyolo olukhulu ukuba nalo kusapho. Kwangaxeshanye, umama okanye utata uziva enoxanduva olukhulu kwaye ngamanye amaxesha uloyiko oluncinci ngezinto ezincinci. Sonke sikhathalele ukuba yonke into ilungile na ngomntwana kwaye nokuba uphilile na. Ngoko ke, ngamanye amaxesha ugqirha uhlola umntwana aze amxelele ngotshintsho oluncinci azalwe nalo, kwaye kuqhelekile ukuba azive ethwele umthwalo omkhulu entliziyweni. Namhlanje siza kuthetha ngesimo esingaqhelekanga, kodwa esinokunyangwa ngokupheleleyo ngonyango. Yiyo loo nto i-Epispadias.
Kalula nje, yintoni i-Epispadias?
I-Epispadias sisifo esingaqhelekanga sokuzalwa. Sichaphazela umbhobho okhupha umchamo emzimbeni. Siwubiza ngokuba yi-urethra. Ngamafutshane, lo ngumbhobho okhupha umchamo kwisinyi sethu uphuma emzimbeni. Kumntwana one-epispadias, le urethra ayikakhuli ngokupheleleyo.
Nangona le meko ixhaphake kakhulu kubafana, inokubakho nakumantombazana kunqabile. Kodwa ungakhathazeki, oku kungalungiswa ngokupheleleyo ngotyando ngoogqirha bezifo zomchamo zabantwana, abagxile kwizifo ezinxulumene nenkqubo yomchamo ebantwaneni.
I-Epispadias idla ngokubonakala kunye nesinye isiphene sokuzalwa esibizwa ngokuba yi-Bladder Exstrophy. Le yimeko engaqhelekanga apho isinyi somntwana singaphandle kwesisu endaweni yokuba singaphakathi kuso.
I-Epispadias ichaphazela njani umntwana oyinkwenkwe?
Ukuba inkwenkwe inale meko, amalungu ayo esini anokubonakala ahluke kancinci. Iimpawu eziqhelekileyo ziquka:
- Ipenisi emfutshane nebanzi: Ipenisi isenokuba mfutshane kwaye ibanzi kancinci, kwaye isenokugoba ibheke phezulu (dorsal chordee).
- Ukuqina komchamo: Ngokwesiqhelo, i-meatus yomchamo ifumaneka kwincam yepenis. Nangona kunjalo, kwaba bantwana, i-meatus ifumaneka kwenye indawo phezulu kwepenis. Ngamanye amaxesha, kunokubakho umngxuma omde ukusuka kwi-meatus ukuya kwincam yepenis.
Iintlobo ze-Epispadias kubafana
Oogqirha bahlula le meko kwiintlobo ezahlukeneyo ngokusekwe kwindawo echanekileyo ye-urethral meatus. Oku kungenxa yokuba indlela i-meatus ekufutshane ngayo nesiseko sepenis inokuchaphazela amandla esinyi okubamba umchamo. Makhe sijonge ngokuthe kratya le theyibhile ingezantsi.
| Uhlobo lwe-Epispadias | Ingcaciso elula |
|---|---|
| Ii-epispadias ezinemisonto | Olu lolona hlobo luxhaphakileyo. Apha, umngxuma we-urethra ubekwe ngaphezulu kwe-glans penis (intloko yepenis). |
| I-penile epispadias | Apha, umngxuma we-urethra ubekwe ndaweni ithile ecaleni komngxuma wepenis. |
| Ii-epispadias zePenopubic | Le yimeko enzima ngakumbi. Umnyango we-urethra ukufutshane nethambo le-pubic. Ngenxa yokuba amathambo amabini e-pelvic kwaba bantwana awadibani kakuhle, umsipha we-sphincter olawula ukuchama awukwazi ukuvala ngokupheleleyo. |
I-Epispadias iyichaphazela njani intombazana?
Le meko ayiqhelekanga kakhulu kumantombazana, kodwa ukuba iyenzeka, nazi iimpawu oza kuzibona:
- Umnyango we-urethra usenokuba kwicala le-clitoris okanye ngamanye amaxesha ube sezantsi kwesisu.
- Ngenxa yokuba amathambo e-pubic ahlukene kakhulu, i-vagina inokwahlulwa ibe ziinxalenye ezimbini kwaye ingadibani phakathi.
- I-labia isenokubonakala ingakhulanga kakuhle.
- Iingxaki ngentamo yesinyi zinokubakho, nto leyo enokubangela ubunzima ekulawuleni umchamo.
Yintoni umahluko phakathi kwe-Epispadias kunye ne-Hypospadias?
La magama mabini asenokuvakala efana kancinci. Omabini ziziphene zokuzalwa ezenzeka kwindlela yokuchama. Umahluko kukuba iphi indawo evulekileyo yomchamo. I-Epi ithetha "ngaphezulu. " I-Hypo ithetha "ngezantsi."
| Uphawu | IiEpispadias | I-Hypospadias |
|---|---|---|
| Indawo yokuvula urethra | Ndaweni ithile phezulu kwepenis. | Ndaweni ithile ngaphantsi kwelungu lobudoda. |
| Ngubani ochaphazelekayo? | Ixhaphake kakhulu kubafana, kodwa inokwenzeka nakumantombazana. | Ichaphazela kakhulu abantwana abangamakhwenkwe. |
Yintoni unobangela wale meko?
Abaphandi abakafumani sizathu sithile soku, kodwa bakholelwa ukuba le meko ibangelwa yingxaki eyenzeka ngexesha lokukhula kwamalungu omzimba womntwana esibelekweni, ngakumbi kwi-cloacal membrane, apho kwakheka khona inkqubo yomchamo, yokwetyisa, kunye neyokuzala.
Eyona nto ibalulekileyo kukuba, oku akulotyala likamama okanye utata. Musa ukuziva kakubi ngenxa yento oyenzileyo okanye ongayenzanga ngexesha lokukhulelwa.
Indlela yokuxilonga esi sifo?
Le meko idla ngokufunyaniswa ngexesha lokuhlolwa kokuqala okwenziwa ngugqirha emva kokuba umntwana ezelwe esibhedlele. Oogqirha banokuyibona ngokulula ngenxa yokubonakala okungaqhelekanga kwepenisi kumfana okanye i-scrotum kunye ne-labia kwintombazana.
Nangona kunjalo, ngamanye amaxesha le meko incinci kakhulu kwaye isenokungabonwa esibhedlele. Kwimeko enjalo, abazali banokubona kuphela ukuvuza komchamo okuncinci ngexesha loqeqesho lokuya kwindlu yangasese. Amantombazana anokuthi afunyanwe enale meko kamva.
Ukuba ugqirha wakho ukrokrela le meko, uza kukuthumela kwingcali yotyando lwabantwana.
Inyangwa njani? Ngaba utyando luyimfuneko?
Ewe, utyando luyimfuneko ukuze kulungiswe i-Epispadias. Iinjongo eziphambili zolu tyando kukubuyisela inkangeleko kunye nokusebenza kwezitho zangasese.
Oogqirha bacebisa ukuba olu tyando lwenziwe kwangethuba kangangoko, oko kuthetha ukuba umntwana usemncinci, kuba kulapho iziphumo ezilungileyo zinokufumaneka khona ngokwezinto ezifana nokulawula isinyi. Ngamanye amaxesha, umntwana unokufuna utyando olungaphezulu kolunye.
Iinjongo zotyando
- Kwabafana: Ibuyisela ukusebenza, ubungakanani, kunye nenkangeleko yepenis, inika ulawulo lomchamo, kwaye igcina ukuzala kwixesha elizayo.
- Kumantombazana: Utyando lwamantombazana lulula kakhulu. Lubandakanya ukudibanisa iindawo ezimbini zesini kunye nokubeka i-urethra kwindawo efanelekileyo.
Kukho iindlela ezahlukeneyo zotyando, ezifana ne-"Modified Cantwell-Ransley technique" kunye ne-"Mitchell technique". Ugqirha wakho uza kuxoxa nawe ukuba yeyiphi indlela elungele umntwana wakho.
Imibuzo eqhelekileyo onayo njengomzali
Kuqhelekile ukuba kuphakame imibuzo emininzi engqondweni yakho ngexesha elinje. Masizame ukuyiphendula.
Kuthatha ixesha elingakanani ukuphola emva kotyando?
Oku kuxhomekeke kubunzima botyando. Ukuba lutyando oluncinci, umntwana uya kuphila ngokukhawuleza. Nangona kunjalo, ukuba utyando lwenzelwe imeko efana ne-`(Bladder Exstrophy)`, lusenokuba lolunye lweenkqubo ezininzi zotyando, ngoko ke kuya kuthatha ixesha ukuba aphile.
Ngaba utyando lungabangela iingxaki?
Ngaphambili, bekukho umngcipheko wokuba i-fistula ivuleke ukusuka kwi-urethra iye eluswini emva kotyando. Kodwa ngenxa yeendlela zotyando eziphucukileyo zanamhlanje, oku kunqabile. Nangona kunjalo, umngxuma ungazivaleka ngokwawo okanye uvalwe ngolunye utyando oluncinci.
Kuphantsi kweziphi iimeko apho kufuneka ubone ugqirha ngokukhawuleza?
Emva kotyando, funa ingcebiso kagqirha ngoko nangoko ukuba umntwana wakho unezi mpawu:
- Umkhuhlane ophezulu
- Ukuba indawo yotyando idumbile, ibomvu, okanye ikhupha ubovu (iimpawu zosulelo)
- Naziphi na ezinye iimpawu ezikukhathazayo
Ingaba le meko iyayichaphazela indlela esebenza ngayo isondo?
Hayi. Utyando lwe-Epispadias olwenziwe kakuhle aluchaphazeli ukusebenza kwe-erectile.
Ngaba kukho impembelelo ekuzaleni?
Ukuzala kwabasetyhini akusoloko kuchaphazeleka. Nangona kunjalo, amadoda aneemeko ezinzima ezifana ne-penopubic epispadias okanye i-exstrophy-epispadias complex anokuba neengxaki zokukhulelwa. Nangona kunjalo, utyando lunokunceda ekunciphiseni ezi ngxaki. Kubalulekile ukuxoxa ngale nto nogqirha wakho.
Ngaba unyana wam angaluswa?
Ugqirha wakho unokukucebisa ukuba uhlehlise ulwaluko de kube emva kotyando. Oku kungenxa yokuba ugqirha usenokufuna izicubu zejwabu ukuze akhe kwakhona ipenis ngexesha lotyando. Emva kotyando lwe-epispadias, ungathetha nogqirha wakho malunga nolwaluko ukuba uyafuna.
Umyalezo Wokuya Ekhaya
- I-Epispadias yimeko engaqhelekanga yokuzalwa engabangelwanga yimpazamo yabazali.
- Le meko ifunyanwa ngoogqirha esibhedlele kwangoko nje ukuba umntwana abelekwe. Ngoko ke akukho mfuneko yokukhathazeka.
- Utyando lungayilungisa ngokupheleleyo le meko, lubuyisele ukubonakala nokusebenza kwezitho zangasese kwimeko eqhelekileyo.
- Ngokwenza utyando ngokukhawuleza, iziphumo ezilungileyo kakhulu zinokufumaneka kwizinto ezifana nokulawula umchamo.
- Ugqirha wakho uza kukunika imiyalelo ecacileyo malunga nendlela yokunyamekela umntwana wakho emva kotyando kunye nexesha lokubona ugqirha kwakhona. Kubaluleke kakhulu ukulandela loo miyalelo.
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