Kuqhelekile ukuba umama okanye utata ononyana osandul’ ukuzalwa azive esoyika kwaye ekhathazekile xa ugqirha ebaxelela ukuba kukho umahluko omncinci kwilungu lobudoda lonyana wakhe, ukuba indawo apho umchamo uphuma khona ayikho apho ufanele ukuba khona. Le yinto esiyibiza ngokuba yi-'Hypospadias' kwezonyango. Ekubeni abazali abaninzi bengazange beve ngeli gama, amakhulu amawaka emibuzo afika engqondweni, njengokuthi ingaba esi sisifo esinzulu, ngaba kufuneka kwenziwe utyando, kwaye ngaba unyana wabo uya kuziva iintlungu. Ngoko ke, namhlanje silungiselela ukuphendula yonke le mibuzo engqondweni yakho kwaye sithethe ngale meko ngokulula.
Ngamafutshane, yintoni i-hypospadias?
Kulungile, masiqale kwasekuqaleni. I-Hypospadias yimeko yokuzalwa. Oko kukuthi, utshintsho oluncinci oluvela xa umntwana ekhula esibelekweni. Ayisosifo, lutshintsho nje oluncinci oluvela ngexesha lokukhula komzimba.
Ngokwesiqhelo, umchamo wenkwenkwe uphuma emzimbeni ngomngxuma osencamini yepenis. Lo mngxuma siwubiza ngokuba yi-meatus. Umbhobho othwala umchamo, i-urethra, uphela kulo mngxuma.
Nangona kunjalo, kumntwana one-hypospadias, umngxuma we-urethra ufumaneka kwenye indawo ngaphantsi kwepenis, kunokuba ube sencamini. Kukho iintlobo ezahlukeneyo ze-hypospadias, kuxhomekeke ekubeni ikuphi:
- Ngaphantsi kancinci kwentloko yepenis (Subcoronal): Olu lolona hlobo luqhelekileyo nolungabalulekanga kangako.
- I-Midshaft: I-urethra ikwindawo ethile embindini wobude bepenis .
- I-Penoscrotal: Le yeyona meko inzima neyinkimbinkimbi. Umngxuma usekuqaleni kwepenis.
Ukongeza, abanye abantwana banokuba nomkhwa wokuba ipenisi igobe kancinci ezantsi xa imile (oku kubizwa ngokuba yi-chordee). Konke oku kuya kuhlolwa ngugqirha kwaye, ukuba kuyimfuneko, kulungiswe ngotyando.
Ingaba olu tyando (Hypospadias Repair) luyimfuneko ngokwenene?
Lo ngumbuzo abazali abaninzi abanawo: "Asinakuphila ngaphandle kotyando?"
Enyanisweni, ayizizo zonke iimeko ze-hypospadias ezifuna utyando. Ukuba umgodi womchamo usondele kakhulu kwincam yepenis, oko kuthetha ukuba kukho umahluko omncinci, umntwana akayi kuba nangxaki yokuchama okanye kwixesha elizayo. Kwimeko ezinjalo, ugqirha usenokungacebisi utyando.
Nangona kunjalo, ukuba umngxuma usezantsi kakhulu, utyando lubaluleke kakhulu. Kukho izizathu ezininzi eziphambili zoku:
1. Ukuchama lula: Xa umngxuma usezantsi, kunzima kumntwana ukuchama ngelixa emi nkqo. Umchamo uchithekela ezantsi. Oku kunokubangela ukungakhululeki kwengqondo xa umntwana ekhula kancinci kuba akanakuchama ngelixa emi njengabanye abantwana.
2. Ucoceko:Ngenxa yokuba umchamo utsalwa uye ezantsi, ngamanye amaxesha unokuhla uye emilenzeni. Oku kukwathintela ucoceko.
3. Ukusebenza ngokwesondo kwixesha elizayo: Xa umntwana eba ngumntu omdala, ukuchama ngokufanelekileyo kuyimfuneko ukuze ubomi bakhe buphumelele. Ukuba i-urethra isezantsi, iingxaki zokuchama zinokubakho.
Olu tyando ludla ngokwenziwa xa umntwana ephakathi kweenyanga ezi-6 neminyaka emi-2 ubudala . Kuloo minyaka, ukuchacha kuyakhawuleza, kwaye umntwana akayi kukukhumbula. Nangona kunjalo, isigqibo sokugqibela sixhomekeke kuwe, bazali. Thetha nogqirha ngononophelo, mamela yonke into esengqondweni yakho, kwaye wenze isigqibo.
Kwenzeka ntoni ngaphambi kotyando?
Ukulungiselela umntwana utyando luxanduva olukhulu kubazali. Makhe sijonge okwenzekayo ngeli xesha.
Okokuqala, kuya kufuneka ubone ugqirha wezifo zomchamo wabantwana. Uza kumhlola umntwana wakho ngononophelo.
- Impilo yomntwana iyonke iyajongwa.
- Ipenisi iyahlolwa ukuze kufunyanwe indawo echanekileyo ekuyo i-urethra.
- Uza kubuzwa imibuzo. Umzekelo, izinto ezinje, "Injani indlela umchamo wonyana wakho ohamba ngayo? Ingaba uyakhawuleza? Ingaba ungena kanye okanye uyachitheka yonke indawo?"
- Uvavanyo olukhethekileyo (iCystoscopy okanye iUrethrogram) lunokwenziwa ukujonga ezinye izithintelo kwi-urethra.
Kubalulekile ukuxelela ugqirha wakho ngayo nayiphi na imithi esetyenziswa ngumntwana wakho, kuquka amayeza kagqirha, amayeza athengiswa ngaphandle kwemvume kagqirha, iivithamini, kwanezongezo zezityalo. Amanye amayeza anokufuneka amiswe ngaphambi kotyando kuba andisa umngcipheko wokopha.
Ngosuku olungaphambi kotyando, ugqirha wakho okanye umongikazi uza kukunika imiyalelo ecacileyo malunga nokuba kufuneka uyeke nini ukutyisa umntwana wakho. Kubaluleke kakhulu ukulandela le miyalelo ngqo. Oku kungenxa yokuba ukuba umntwana wakho unokutya esiswini sakhe ngexesha le-anesthesia, usenokuhlanza aze akrwitshwe. Oku kunokubangela iingxaki ezinkulu.
Lwenziwa njani utyando?
Olu tyando lwenziwa liqela loogqirha abanolwazi oluphezulu kwizifo zabantwana.
Ngaphambi kokuba utyando luqale, ingcali yokubulala iintlungu iza kumnika umntwana i-anesthesia. Oku kuthetha ukuba umntwana uza kube elele ngokupheleleyo. Ngoko ke umntwana akayi kuva ntlungu, akayi kuba sezingqondweni, akayi kwazi nto. Musa ukoyika loo nto.
Emva kokuba umntwana ephumle kakuhle, ugqirha otyandayo uqala utyando. Izinto eziphambili ezenzeka apha zezi:
1. Ukudala i-urethra entsha: Ugqirha udla ngokuthatha iqhekeza elincinci lethishu kwijwabu lepenis, alibumbe libe yityhubhu, aze alidibanise ne-urethra ekhoyo ukuze liyolule.
2.Ukufaka i-urethra endaweni yayo: I-urethra ende iziswa encotsheni yepenis, nto leyo eyenza kubekho umngxuma omtsha we-urethra (inyama) encotsheni yepenis.
3. Ukulungisa ipenisi: Ukuba umntwana unegophe elijonge ezantsi (i-chordee) kwipenisi yakhe, nayo iya kulungiswa ngexesha lotyando.
Emva kotyando, kufakwa ityhubhu yeplastiki ebhityileyo (i-catheter okanye i-stent) kwi-urethra entsha ukuze ingavaleki kwaye ivumele umchamo ukuba uphume lula. Le tyhubhu ishiywa endaweni yayo kangangeentsuku ezisi-7 ukuya kwezili-14. Umchamo uyaqhubeka nokuphuma ungene kwisinyi ngale tyhubhu.
Ekugqibeleni, inxeba livalwa kusetyenziswa izititshi ezinyibilikayo. Ezi zititshi azidingi kunqunyulwa, kwaye ziyanyibilika zodwa emva kweeveki ezimbini. Lonke utyando lungathatha malunga neeyure ezimbini ukuya kwezintathu.
Umnyamekela njani unyana wakho emva kotyando?
Ukuze utyando luphumelele, kubaluleke kakhulu ukumnyamekela kakuhle umntwana emva kotyando.
Emva kotyando, xa umntwana eziswa kwigumbi lomntwana, oogqirha kunye nabongikazi bayamnyamekela de avuke emva kotyando lokubulala iintlungu. Ngokwesiqhelo, unokuya ekhaya ngaloo mini inye emva kotyando. Emva kokuba ubuyele ekhaya, unoxanduva olukhulu.
- Ulawulo lweentlungu: Umntwana wakho usenokuba neentlungu. Ugqirha uza kukunika iyeza lokubulala iintlungu elifana neParacetamol. Mnike ngexesha elifanelekileyo nangedosi efanelekileyo.
- Ucoceko: Kubaluleke kakhulu ukugcina inxeba licocekile kwaye lomile. Hlamba izandla zakho kakuhle ngesepha namanzi ngalo lonke ixesha utshintsha inabukeni. Ukuba inxeba lingcolile, licoce ngobunono ngesepha namanzi afudumeleyo, uze womise ngobunono ngelaphu elicocekileyo.
- Ukutshintsha ii-diapers: I-catheter (ityhubhu) ihlala ivuza umchamo. Yiyo loo nto i-diapers ihlala imanzi. Tshintsha i-diapers ubuncinci rhoqo emva kweeyure ezi-2-3. Ngamanye amaxesha oogqirha baya kukuxelela indlela yokunxiba ii-diapers ezimbini, wenze umngxuma ngaphakathi kwe-diapers uze ukhuphe i-catheter, uze uvumele umchamo uqokelele kwi-diapers engaphandle.
- Ukuhlamba: Akulunganga ukuhlamba umntwana wakho emanzini de kususwe i-catheter. Manzisa isiponji ngamanzi uze usule umzimba (ibhafu yesiponji).
- Imiqathango yemisebenzi: Kuphephe ukubaleka, ukutsiba, ukukhwela ibhayisekile, okanye ukuzilolonga ngamandla iiveki ezi-2-3 emva kotyando. Ukuba unomntwana omncinci, kuphephe ukumfaka kwiithoyi ezinemilenze ethe tyaba (umz., abahamba ngeenyawo, abakhweli).
Zithini iingozi kunye neengxaki?
Njengakwezinye iindlela zotyando, kukho iingozi ezithile, kodwa ezi azixhaphakanga kakhulu.
- Iingozi ngokubanzi: Iingozi ezinxulumene ne-anesthesia, usulelo lwamanxeba, ukwakheka kwamahlwili egazi (i-hematoma), ukudumba, ukukrweleka, njl.njl.
- Iingozi ezithile:
- I-Fistula (i-Urethrocutaneous fistula):Le yingxaki eqhelekileyo. Ngamafutshane, umngxuma omncinci uvela ndaweni ithile kwi-urethra esandula ukwenziwa kwaye umchamo uqala ukuvuza. Ukuba oku kuyenzeka, kuya kufuneka olunye utyando oluncinci ukuze lulungiswe.
- Ukuqina komchamo: Kunokubakho isilonda kwindawo yotyando kwaye sivale umchamo, nto leyo ebangela ukuncipha kokuhamba komchamo.
- Inxeba alipholi kakuhle: Ngamanye amaxesha izicubu ezifakelweyo zisenokunganamatheli kakuhle.
Ukuba kwenzeka into efana nale, musa ukoyika. Ugqirha wakho uza kuyiphatha njengoko kufuneka. Izinga lempumelelo yolu tyando lingaphezulu kwama-90%. Ngoko ke kubalulekile ukucinga ngendlela eyakhayo.
| Ufanele ufowunele ugqirha wakho ngokukhawuleza nini | |
|---|---|
| Uphawu | Inkcazo kunye nento ekufuneka uyiqwalasele |
| Ukopha kakhulu | Kuqhelekile ukuba igazi elincinci liphume enxebeni. Nangona kunjalo, ukuba ukopha kukhulu kangangokuba inabukeni imanziswe ligazi, yixele ngoko nangoko loo nto. |
| Ifiva | Ukuba ubushushu bomzimba bungaphezulu kwe-100 F (38 C), oko kungaba luphawu losulelo. |
| Iimpawu zosulelo | Ububomvu obujikeleze inxeba, ukwanda kokudumba, kunye nolwelo olufana nobovu oluphuma kulo. |
| Intlungu eyandayo | Ukuba intlungu yomntwana ayipheli nangona enikwa amayeza, aze aqhubeke ekhala. |
| Ukususwa kweCatheter (ityhubhu) | Ukuba i-catheter iphuma ngaphambi kwexesha, mse umntwana esibhedlele ngoko nangoko. |
| Ukungakwazi ukuzibamba | Ukuba inabukeni yomntwana wakho ihlala yomile kangangeeyure eziliqela, nokuba i-catheter ikwindawo yayo okanye emva kokuba isusiwe, oko kungaba luphawu lokuvaleka kwendlela yomchamo. |
Umyalezo Wokuya Ekhaya
- I-Hypospadias yimeko eqhelekileyo, yokuzalwa. Akukho mfuneko yokoyika okanye ukuba neentloni ngayo. Awuwedwa.
- Olu tyando (Hypospadias Repair) lwenzelwe ukunika umntwana ithuba lokuphila ubomi obuqhelekileyo ngaphandle kokungonwabi kwixesha elizayo.
- Olu lutyando olukhuselekileyo olunezinga eliphezulu lempumelelo.
- Kubalulekile ukulandela imiyalelo kagqirha ngendlela yokunyamekela umntwana wakho emva kotyando ukuqinisekisa ukuba inxeba liphola ngokukhawuleza nangendlela efanelekileyo.
- Ukuba unemibuzo okanye amathandabuzo, ungaze ungathandabuzi ukubuza ugqirha wakho. Unelungelo lokwazi ukuba yintoni elungele umntwana wakho.
💬 Comments (0)
Akukho zimvo zithunyelweyo okwangoku. Faka uluvo lwakho apha okokuqala.
Faka uluvo lwakho