Xa utshintsha inabukeni yosana lwakho olusandul’ ukuzalwa, ngaba ukhe waphawula naluphi na utshintsho kwizitho zangasese zalo? Usenokuba uqaphele ukuba ukuvulwa komchamo akukho kwinqanaba apho kufanele ukuba kube khona, kodwa kusezantsi kancinci. Njengomzali, oku kunokuba yinto eyoyikisayo. Kodwa ungakhathazeki. Le yimeko eqhelekileyo esiyaziyo kwezonyango kwaye inokubakho kwiintsana ezininzi ezingamaduna xa zizalwa. Namhlanje sithetha ngale meko ibizwa ngokuba yi-`(Hypospadias)`.
Ngamafutshane, yintoni iHypospadias?
Kulungile, masichaze oku ngokulula. Kwindoda, umchamo kunye nesidoda ziphuma emzimbeni wayo ngetyhubhu ehamba ngepenis yayo. Le tyhubhu siyibiza ngokuba yi-urethra . Ngokwesiqhelo, le tyhubhu iphelela kumngxuma omncinci kwincam yepenis. Oku sikubiza ngokuba yi-meatus.
Kwasekuqaleni kokukhula komntwana esibelekweni, le urethra ifana nomjelo ovulekileyo. Kamva, amacala omabini alo mjelo ayadibana ukuze enze umbhobho opheleleyo. Cinga ngayo njengokufaka uziphu.
Kumntwana one-'Hypospadias', i-urethra ayivalwanga ngokupheleleyo kwaye ayipheli njengetyhubhu. Kufana nokuba i-zipper ayifakwanga phezulu. Ke ngoko, umngxuma ophuma kuwo umchamo '(Meatus)' awuveli encamini yepenis, kodwa uvela ngaphantsi kwayo, naphi na kwipenis. Ngamanye amaxesha lo mngxuma ungafumaneka kufutshane namasende '(Scrotum)', okanye kufutshane ne-anus '(Anus)'.
Le yimeko yokuzalwa. Oko kukuthi, imeko ikhona xa umntwana ezalwa . Le ayilotyala lomntwana okanye ityala lakho.
Ingaba le meko imbi kakhulu? Ngaba yinto ekufuneka uyoyike?
I-Hypospadias inokwahluka ukusuka kwencinci ukuya kwenkulu. Kwezinye iimeko ezincinci kakhulu, utyando lusenokungafuneki. Nangona kunjalo, kwiimeko ezininzi, utyando lunokuyilungisa ngokupheleleyo imeko. Ngoko ke, akukho mfuneko yokukhathazeka ngayo. Ngonyango olufanelekileyo, umntwana unokuphila ubomi obuqhelekileyo ngaphandle kweengxaki kwixesha elizayo.
Ziziphi iintlobo zeHypospadias?
Oogqirha bayahlula le meko ibe ziintlobo ezininzi eziphambili, kuxhomekeke ekubeni iphi i-urethra. Makhe sijonge ukuba zeziphi.
| Uhlobo lwe-Hypospadias | Indawo ye-urethra |
|---|---|
| I-Glanular (okanye i-Balanic) | Ijikeleze intloko (incam) yelungu lobudoda, kodwa kungekhona ngqo encamini. Le yeyona meko ixhaphakileyo nenganzima kangako. |
| I-Coronal | Ngaphantsi nje kwentloko yepenis, apho intloko kunye nomphini zidibana khona. Olu luhlobo oluxhaphakileyo. |
| I-Midshaft | Embindini welungu lobudoda. |
| I-Penoscrotal | Apho ipenisi kunye ne-scrotum kudibana khona. |
| I-Scrotal / i-Perineal | Ngaphantsi okanye ngaphantsi kwe-scrotum, kufutshane ne-anus. Ezi zithathwa njengezona ntlobo zibalulekileyo. |
Zithini iimpawu zale meko?
Uphawu oluphambili kukungalungelelani kakuhle kwe-urethra. Ukongeza, ezinye iimpawu ezininzi zinokubonakala.
- Utshintsho kwindlela umntwana achama ngayo: Xa umntwana echama, umchamo usenokungahambi ngqo phambili, kodwa unokuthontsiza uye ezantsi okanye uye ecaleni . Oku kunokwenza kube nzima kumntwana ukuchama ngelixa emi njengoko ekhula.
- Ijwabu elingaphelelanga: Ulusu olugqume intloko yelungu lobudoda (ijwabu lobudoda) lusenokungakhuli ngokupheleleyo, lugqume kuphela umphezulu welungu lobudoda. Oku kunokubonakala ngathi "ngumnqwazi." Kubaluleke kakhulu ukuba umntwana onesi sifo abonwe ngugqirha ngaphambi kokuba aluke. Olu lusu longezelelweyo lungasetyenziswa ukulungisa i-urethra ngexesha lotyando.
- I-Chordee: Ipenisi isenokugoba iye ezantsi ngandlela ithile, endaweni yokuba iqonde ngqo.
- Amasende angaphumi: Amanye amakhwenkwe anokuba nale meko apho elinye okanye omabini amasende ahlala kwi-scrotum, engehli kwi -scrotum.
Zithini izizathu ze-Hypospadias?
Enyanisweni, oogqirha abakafumani unobangela ochanekileyo we-hypospadias. Nangona kunjalo, bachonge izinto ezininzi ezonyusa umngcipheko wale meko.
- Unxibelelwano lwemfuza: Ukuba kukho umntu kusapho (utata, umnakwabo) oye waba nale meko, kukho ithuba lokuba nomntwana abe nayo.
- Iimeko zoomama ngexesha lokukhulelwa:
- Uneminyaka engaphezu kwama-35 ubudala xa umama ekhulelwe.
- I-BMI (i-BMI) yomzimba kamama ingaphezulu kwama-30, oko kuthetha ukutyeba kakhulu .
- Kucingelwa ukuba unyango lokuzala, ingakumbi iihomoni ezifana neprogesterone, ezinikwa ukugcina ukukhulelwa, lunokuba nefuthe.
- Ukutshaya ngexesha lokukhulelwa.
- Ukuchatshazelwa ziikhemikhali ezithile okanye izibulali-zinambuzane ngexesha lokukhulelwa.
Akuyena wonke umntu oneengozi eziya kuba nale meko, kwaye umntwana unokufumana i-hypospadias nokuba akanazo naziphi na ezi zinto.
Iphathwa njani?
Unyango olungcono noluphumeleleyo lwe-hypospadias lutyando . Olu tyando ludla ngokwenziwa xa umntwana ephakathi kweenyanga ezi-6 nezili-12 ubudala . Kukho izizathu ezahlukeneyo zokwenza utyando kule minyaka.
- Kukhuselekile ukunika umntwana okwiminyaka eli-18 ubudala i-anesthesia.
- Kulula ukunyamekela inxeba emva kotyando.
- Umntwana akayi kukhumbula oku.
Olu tyando ludla ngokwenziwa yingcali yotyando lwabantwana . Olu tyando luneenjongo eziphambili ezininzi:
1. Ukulungisa ipenisi: Ukuba kukho imeko ethi `chordee`, ipenisi ilungiswa ngokulungisa ukugoba kwayo.
2. Ukwakhiwa ngokutsha kwe-urethra: I-urethra engaphelelanga yenziwa ibe yityhubhu epheleleyo, nto leyo ebangela ukuba umgodi we-urethra uye kwincam yelungu lobudoda. Oku kunokubandakanya ukusebenzisa iqhekeza lesicwili elithathwe kwijwabu lomntwana.
3. Ukutshintsha ulusu: Ulusu lwelungu lobudoda luhlengahlengiswa kakuhle. Rhoqo, ulwaluko lwenziwa ngexesha elinye nolu tyando.
Emva kotyando, ityhubhu encinci (i-catheter) inokufakwa okwethutyana ukuze ikhuphe umchamo ide iphole i-urethra. Le nto iya kususwa ngugqirha kwiveki okanye ezimbini.
Ngaba kukho naziphi na iingxaki ezinokwenzeka emva kotyando?
Njengakwezinye iintlobo zotyando, kukho iingozi kunye neengxaki ezinokwenzeka ngolu tyando, kodwa ezi azixhaphakanga kakhulu.
- I-fistula yesikhumba esingaphantsi kolusu:Kuvela umngxuma omncinci phakathi kwe-urethra esandula ukwenziwa kunye nolusu, nto leyo enokubangela ukuba umchamo uvuze.
- Ukuqina komchamo: Isilonda sinokubangela ukuba umchamo uvaleke.
- Ukugoba okuphindaphindiweyo: Ipenisi isenokugoba iye ezantsi kwakhona emva kwexesha elithile emva kotyando.
Ukuba oku kuyenzeka, kunokufuneka olunye utyando oluncinci ukuze kulungiswe oku, kodwa abantwana abaninzi bafumana iziphumo eziphumelelayo kakhulu ngotyando olunye.
Ndingayinyamekela njani umntwana emva kotyando?
Kubaluleke kakhulu ukumnyamekela kakuhle umntwana wakho emva kotyando. Landela imiyalelo kagqirha ngokuchanekileyo.
- Ucoceko: Gcina indawo yenxeba icocekile kwaye yomile kangangoko unako. Hlamba izandla zakho kakuhle ngesepha namanzi ngaphambi kokutshintsha inabukeni.
- Ukuhlamba: Musa ukuhlamba ebhafini de ugqirha wakho akuxelele ukuba wenze njalo. Hlamba ngesiponji. Emva kokuba ityhubhu isusiwe, ungahlamba ngokuqhelekileyo.
- Kuphephe ukucinezelwa: Musa ukumbeka umntwana esiswini. Musa ukumnika izinto zokudlala ezihlala nemilenze yakhe ivulekile (ihashe elishukumayo, ijezi) kangangeeveki ezimbalwa.
- Ukudumba kunye nokutshintsha kombala: Kuqhelekile ukuba ipenisi idumbe kwaye ibe nombala oluhlaza okwesibhakabhaka/omfusa emva kotyando. Oku kuya kuncipha kancinci kancinci kwinyanga okanye ezimbini.
Ndingambona nini ugqirha okanye ndiye kwi-ETU?
Ukuba kuvela ingxaki emva kotyando, kubalulekile ukuba kuthathwe amanyathelo ngokukhawuleza.
| Imeko | Kwenziwe ntoni |
|---|---|
| Yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) elikufutshane nawe ngoko nangoko. | |
| Umkhuhlane ongama-38.9 Celsius (102 Fahrenheit) okanye ngaphezulu. | Yiya esibhedlele ngoko nangoko emva kokuhlolwa ukuba unayo na ifiva. |
| Umntwana unobunzima bokuchama okanye akachami konke konke. | Bona ugqirha ngoko nangoko ngaphandle kokulibazisa. |
| Intlungu yomntwana ayipheli nangona efumana amayeza okudambisa iintlungu (ukukhala rhoqo, ukungakwazi ukuthuthuzelwa). | Oku kungaba luphawu losulelo. |
| Ukopha kakhulu kwindawo yotyando. | Funa ingcebiso yezonyango ngoko nangoko. |
| Bona ugqirha wakho. | |
| Ukuhlolwa kwiintsuku ezicwangcisiweyo emva kotyando. | Oku kubalulekile ukuze kujongwe inkqubo yokuphiliswa. |
| Ukuba unenkxalabo malunga nokuchacha okanye ukunyanyekelwa. | Ukuba unamathandabuzo, buza ugqirha wakho. |
Umyalezo Wokuya Ekhaya
- I-'Hypospadias' yimeko eqhelekileyo ebakho xa kuzalwa abantwana abangamakhwenkwe. Musa ukoyika xa ubona oku.
- Kwiimeko ezininzi, utyando lunokuyilungisa ngokupheleleyo nangokuphumelelayo le meko.
- Ukuba umntwana wakho unale meko, ungaze umsoke ngaphandle kwengcebiso kagqirha.
- Ukulandela imiyalelo kagqirha kanye emva kotyando kubaluleke kakhulu ekupholeni komntwana ngokukhawuleza.
- Ngonyango olufanelekileyo, umntwana wakho angaphila ubomi obusempilweni nobuqhelekileyo, ngaphandle kweengxaki zokuchama okanye ubomi bokwabelana ngesondo kwixesha elizayo.
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