Ingaba unyana wakho omncinci unale meko? Masithethe ngeHypospadias

Xa utshintsha i-napkin yosana lwakho olusandul’ ukuzalwa, ngaba ukhe waphawula into engaqhelekanga okanye eyahlukileyo ngepenis yakhe? Mhlawumbi uvakalelwa kukuba i-urethra ayifanele ukuba kwindawo ekufanele ukuba ibe kuyo, kodwa isezantsi kancinci. Kuqhelekile ukuba umama okanye utata azive esoyika kakhulu kwaye ekhathazekile xa ubona into enjalo. Kodwa ungakhathazeki. Namhlanje sithetha ngale meko ibuzwa ngoomama nootata abaninzi, eqhele ukubonwa, kwaye izalwa kubantwana abaninzi abangamakhwenkwe, oko kukuthi i-hypospadias.

Ngamafutshane, yintoni i-hypospadias?

Kulungile, masichaze oku ngokulula. I-Hypospadias sisiphene sokuzalwa apho ipenis kunye nejwabu lenkwenkwe zingakhuli kakuhle. Sinetyhubhu emzimbeni wethu ekhupha umchamo kunye nembewu , esiyibiza ngokuba yi- urethra . Ngokwesiqhelo, le ntsholongwane iphelela kwincam yepenis. Umchamo kunye nembewu ziphuma ngale ndawo ivulekileyo. Oku sikubiza ngokuba yi-meatus.

Khawuthelekelele ukuba ngexesha lokuqala kobomi bomntwana esibelekweni, le urethra yenziwa njengomjelo ovulekileyo. Njengoko umntwana ekhula, lo mjelo uyavaleka uze ube yityhubhu epheleleyo. Nangona kunjalo, kumntwana one-hypospadias, le tube ebizwa ngokuba yi-urethra ayivaleki ngokupheleleyo. Ke ngoko, ukuvulwa komjelo (inyama) kukwindawo ethile, ngaphantsi kwepenis, endaweni yokuba kusencamini.

Lo mngxuma ungafumaneka naphi na kwipenis , kwi-scrotum, okanye kufutshane ne-anus.

Ingaba le yingxaki enkulu? Ngaba kufuneka ndoyike?

Njengomama, mhlawumbi lo ngumbuzo omkhulu engqondweni yakho. Enyanisweni, le meko inokwahluka ukusuka kwencinci ukuya kwembi kakhulu. Ukuba incinci kakhulu, utyando lusenokungafuneki. Nangona kunjalo, kwiimeko ezininzi, utyando lunokuyilungisa ngokupheleleyo le meko. Ngoko ke, okokuqala, khumbula ukuba le ayiyongxaki yobomi bonke engenakulungiswa. Ngonyango olufanelekileyo, umntwana unokuphila ubomi obuqhelekileyo ngaphandle kweengxaki kwixesha elizayo.

Ziziphi iintlobo ze-hypospadias ezikhoyo?

Oogqirha bahlula le meko ngokusekwe kwindawo ekuyo i-urethra. Kubalulekile ukuba nawe ukwazi oku.

Zithini iimpawu zale meko?

Uphawu oluphambili kukuba umngxuma womchamo awukho kwincam yelungu lobudoda. Ngaphandle koko, kunokubakho ezinye iimpawu ezininzi.

• Utshintsho kwindlela ochama ngayo : Umchamo usenokungaphumi ngqo phambili, kodwa usenokuphuma uye ezantsi okanye uye emacaleni. Cinga ngawo njengompu wokutshiza, umchamo uphuma kuwo onke amacala. Oku kunokubangela usulelo lolusu olujikelezileyo .
• Ijwabu elingaphuhliswanga kakuhle:Ijwabu lisenokungaligqumi ngokupheleleyo intloko yelungu lobudoda, kodwa lisenokuba yingubo ephezu kwalo kuphela. Nantsi into ebaluleke kakhulu. Oko kukuthi, ukuba umntwana wakho unale meko, musa ukumoluka ngaphandle kokubonisana nogqirha nangasiphi na isizathu. Kuba oogqirha kufuneka basebenzise eli jwabu xa besenza utyando.
• I-Chordee: Iipenisi zabanye abantwana zisenokugoba njengehoko endaweni yokuba zithe tye.
• Amasende angaphambukiyo: Ngamanye amaxesha, kumakhwenkwe ane-hypospadias, elinye okanye omabini amasende asenokuba akangenanga kwi- scrotum.

Yintoni ebangela i-hypospadias?

Inyaniso kukuba, oogqirha nabaphandi abakafumani sizathu siqinisekileyo soku, kodwa bafumanise izinto ezininzi ezonyusa umngcipheko wale meko.

• Ikhonkco elivela kwilifa: Ukuba utata, utatomkhulu, okanye umalume kusapho lwakhe ube nale meko, kukho ithuba lokuba nomntwana naye abe nayo.
• Iimeko zoomama ngexesha lokukhulelwa :
• Umama uneminyaka engaphezu kwama-35 ubudala.
• Isalathisi sobunzima bomzimba kamama (BMI) singaphezulu kwama-30 (ukutyeba kakhulu).
• Unyango lokuzala xa ukhulelwe. Kukho amathandabuzo athile okuba i-hormone ethi ``Progesterone`` enikwayo, ingakumbi kumanqanaba okuqala okukhulelwa, inokuba nefuthe.
• Ukusetyenziswa kwezinye iihomoni ngexesha lokukhulelwa.
• Izinto ezisingqongileyo: Ukuvezwa kukamama kwiikhemikhali ezithile kunye nezibulali-zinambuzane ngexesha lokukhulelwa.
• Ukutshaya: Umama utshaya ngexesha lokukhulelwa.

Ugqirha uyibona njani le nto?

Oku kudla ngokuba lula kakhulu ukukubona. Kubonwa lula ngugqirha wabantwana xa ehlola umntwana emva kokuzalwa. Ugqirha angamchonga ngokujonga indawo ekuyo umngxuma we-urethra kwilungu lobudoda kunye nokuma kwejwabu.

Ngelo xesha, ugqirha uza kukuthumela kwi-urologist yabantwana.

Inyangwa njani? Masifunde ngotyando

Unyango oluphumelelayo kuphela lwe-hypospadias lutyando (ukulungiswa kwe-hypospadias).

Luza kwenziwa nini utyando?

Amaxesha amaninzi, oogqirha abaziingcali benza olu tyando xa umntwana ephakathi kweenyanga ezi-6 ukuya kwezili-12 ubudala. Kukho izizathu ezahlukeneyo zokwenza olu tyando xa ekwiminyaka eli-12 ubudala.

• Kulula ukunyamekela inxeba emva kotyando nokuligcina licocekile kule minyaka.
• Kukhuselekile ukuba umntwana okule minyaka anikwe i-anesthesia jikelele.
• Umntwana akayi kukhumbula oku.

Kwenzeka ntoni ngexesha lotyando?

Olu lutyando oludla ngokuthatha iiyure ezimbalwa. Kwiimeko ezininzi, umntwana angathunyelwa ekhaya ngaloo mini inye (inkqubo yokulaliswa ngaphandle). Ngexesha lotyando, ugqirha uya kwenza izinto ezininzi eziphambili.

1. Ukulungisa ipenisi: Ukuba ipenisi igobile ezantsi (chordee), ilungiswa kuqala.

2. Ukwakhiwa ngokutsha kwe-urethra: I-urethra engaphelelanga (ityhubhu) iyakhiwa kwakhona ize yolulelwe kwincam yepenis.

3. Ukutshintsha ijwabu: Ulusu oluseleyo lwejwabu lusetyenziselwa ukunika ipenis imbonakalo eqhelekileyo. Ulwaluko ludla ngokwenziwa ngeli xesha.

4. Ukufakwa kwe-catheter okwethutyana: Ngamanye amaxesha, emva kotyando, kufakwa ityhubhu encinci (i-Foley catheter) ukuze kukhutshwe umchamo de i-urethra iphole. Ugqirha uza kuyisusa ityhubhu kutyelelo lwakho olulandelayo kwiveki okanye ezimbini.

Ziziphi iingxaki ezinokwenzeka emva kotyando?

Njengakwezinye iindlela zotyando, kukho iingozi ezithile, kodwa ezi azixhaphakanga kakhulu.

• Usulelo: Kukho umngcipheko wosulelo enxebeni.
• Ukopha: Ukopha okuncinci kunokwenzeka.
• I-Urethrocutaneous fistula: Kukho umngxuma omncinci owenzeka phakathi kwe-urethra esandula ukwakheka kunye nolusu lwepenis. Oku kunokubangela ukuba umchamo uphume endleleni.
• Ukuqina komchamo: Ukuncitshiswa komchamo okubangelwa sisilonda kwindawo yotyando. Oku kunokubangela ubunzima ekuchameni nasekuncipheni komchamo .
• I-Urethral diverticulum: Inxalenye ye-urethra idumba njengebhaluni, kwaye umchamo unokuqokelelwa ngaphakathi kuyo.
• Ukugoba okuphindaphindiweyo: Ipenisi isenokugoba iye ezantsi kwakhona emva kwexesha elithile emva kotyando.

Ukuba into efana nale iyenzeka, kusenokufuneka ilungiswe ngolunye utyando oluncinci. Kodwa ezi zizinto ezingaqhelekanga kakhulu.

Indlela yokunyamekela umntwana emva kotyando?

Ukhathalelo lwakho lubaluleke kakhulu kwimpumelelo yotyando.

• Ucoceko: Landela imiyalelo kagqirha wakho ngokuchanekileyo. Ngalo lonke ixesha utshintsha inabukeni, hlamba izandla zakho kakuhle ngesepha namanzi ngaphambi kokuba uchukumise indawo yomntwana wakho. Ukuba umchamo okanye ilindle lingena eluswini lomntwana wakho, hlamba izandla zakho ngesepha namanzi afudumeleyo uze uzomise ngelaphu elicocekileyo.
• Ukuhlamba: Musa ukuhlamba umntwana kwisitya samanzi de ikhutshwe i-catheter. Hlamba ngesiponji. Lumka ungayitsali i-catheter.
• Imisebenzi: Musa ukuvumela umntwana wakho ukuba akhase ade abe neeveki ezimbini ukuya kwezintathu ubudala. Kwakhona, musa ukumvumela ahlale phezu kwezinto zokudlala ezinemilenze macala omabini, njengeebhayisekile, iiswings, kunye namahashe aqengqelekayo.
• Ukudumba kunye nokutshintsha kombala:Kuqhelekile ukuba ipenisi idumbe kwaye ibe mfusa emva kotyando. Ungakhathazeki. Iya kuncipha kancinci kancinci emva kwenyanga okanye ezimbini.

Ndingambona nini ugqirha okanye ndiye kwi-ETU?

Ukuba kwenzeka imeko engxamisekileyo emva kotyando, kubalulekile ukuba kwenziwe into ngokukhawuleza.