Ngaba umntwana wakho omncinci uqala ukukhala ngequbuliso xa echama ? Okanye wakha waziva ngathi uneentlungu xa echama ? Ngaba wakha waphawula ukuba ngamanye amaxesha umchamo awuhambi ngqo, kodwa endaweni yoko uphuma ngendlela engaqhelekanga? Kuqhelekile ukuba umzali azive esoyika xa ebona into efana nale. Kodwa ungakhathazeki. Namhlanje siza kuthetha ngemeko abantu abaninzi abangayaziyo, kodwa exhaphakileyo ebantwaneni.
Ngamafutshane, yintoni iMeatal Stenosis?
Eli gama lisenokuvakala liyinkimbinkimbi kancinci, kodwa intsingiselo ilula kakhulu. I-Meatal Stenosis yimeko apho umngxuma osencamini yelungu lobudoda lendoda okanye lenkwenkwe (esiyibiza ngokuba yi-meatus ngokwezonyango) apho umchamo uphuma khona uba mxinwa kunesiqhelo. Igama elithi "stenosis" lithetha "ukuncipha."
Le meko isenokuba yinto yokuzalwa, kodwa idla ngokubonakala emva nje kokuba umntwana ezelwe, ingakumbi phakathi kweminyaka emi-3 ne-7 ubudala .
Le meko ayiqhelekanga kakhulu kumadoda amadala. Xa isenzeka, inokubangelwa kukutyandwa kwi-urethra, ukufakwa kwesixhobo (njenge-catheter yexesha elide), okanye ezinye iimeko zesikhumba.
Ehlabathini lonke, kuqikelelwa ukuba phakathi kwe-8% kunye ne-10% yamadoda aneMeatal Stenosis.
Zithini kanye kanye iimpawu zale meko?
Uphawu oluphambili kukuba umngxuma osencamini yepenis ubonakala umxinwa. Oku kuncipha kubangela ukuvaleka komchamo . Emva koko unokufumana enye okanye ngaphezulu kwezi mpawu zingezantsi. Makhe sijonge ezi kwitheyibhile.
| Uphawu | Ingcaciso elula |
|---|---|
| Intlungu okanye ukutsha (iDysuria) | Umntwana uyakhala xa echama , okanye athi kukho intlungu okanye ukutsha. |
| Ukukhuthaza ukungakwazi ukuzibamba | Ndiziva ndinqwenela ngamandla ukuchama , kwaye ngamanye amaxesha andikwazi ukuyeka. |
| Ukuchama rhoqo | Ukufuna ukuchama rhoqo kunesiqhelo. |
| Utshintsho kwindlela yomchamo | I-urethra incinci kakhulu, okanye iphuma ngokukhawuleza. Ngamanye amaxesha ayihambi ngqo kwaye ichitheka (idla ngokunyuka) . |
| Isinyi asiphumi ngokupheleleyo | Ukuziva ngathi kusekho umchamo nasemva kokuba ugqibile ukuchama . |
| Ukubona ithontsi legazi (iHematuria) | Ithontsi legazi livela kwincam yelungu lobudoda emva kokuchama . |
Khawucinge nje, ukuba ucinezela umlomo wombhobho wamanzi kancinci, amanzi aya kuphuma aze atshize ngokukhawuleza, akunjalo? Yiloo nto eyenzekayo nalapha. Ngenxa yokuba umngxuma umxinwa, akukho ndawo yaneleyo yokuba umchamo uphume, kwaye uqala ukutshiza.
Kutheni le meko isenzeka?
Eyona nto iphambili neyona ixhaphakileyo yeMeatal Stenosis kubantwana abancinci kukwaluka . Le meko ayiqhelekanga kakhulu kubantwana abangalukanga.
Kukho ezinye izizathu ezininzi zokuba oku kungenzeka emva kokwaluka:
- Ukudumba okanye ukuba buhlungu kwincam yelungu lobudoda: Emva kokwaluswa, incam yelungu lobudoda ikhuhla ngqo kwi-napkin. Oku kungqubana kunokubangela ukuba ulusu oluthambileyo ludumbe, lube bomvu, kwaye lube nezilonda ezincinci. Njengoko ezi zilonda ziphola, umngxuma ngamanye amaxesha unokuncipha.
- Amanapkeni afakwe umchamo : Umchamo uqulethe inkunkuma ebizwa ngokuba yi-uric acid kunye ne-ammonia. Ezi zinokuqokelelana ngaphakathi kwenapkeni, kwaye ukuba zishiywe zidibene nencam yepenis ixesha elide, zonakalisa ulusu oluthambileyo, okubangela ukudumba kunye nokuncitshiswa komngxuma.
- Ukusetyenziswa ixesha elide kwee-catheter zomchamo: Lo mngxuma unokuba mxinwa nakubantu ababene-catheter yomchamo ixesha elide ngenxa yemeko yempilo.
- Ezinye iindlela zotyando okanye iimvavanyo: Le meko inokubangelwa naziindlela zotyando okanye iimvavanyo ezifaka izixhobo kwi-urethra.
Yintoni enokwenzeka ukuba ayinyangwa?
Lo ngumbuzo abazali abaninzi abanawo. Kukho izimvo ezahlukeneyo phakathi koogqirha malunga nokuba kwenzeka ntoni ukuba iMeatal Stenosis ayinyangwa. Abanye oogqirha bakholelwa ukuba le meko inokukhokelela kwiingxaki ezilandelayo:
- Iintsholongwane zoMchamo (UTIs)
- Iingxaki zezintso
- Ukuchama ngokungeyomfuneko
Nangona kunjalo, abanye oogqirha bakholelwa ukuba ezi ngxaki azibangelwa yiMeatal Stenosis yodwa. Ngenxa yoko, bacebisa ukuba nokuba umngxuma umxinwa, akufuneki utyando ukuba umntwana akaziva buhlungu okanye iingxaki.
Ngoko ke, ukuba umntwana wakho unale meko, kubalulekile ukuthetha ngokukhululekileyo nogqirha wakho malunga nokuba uya kuyinyanga okanye hayi, kunye nokuba kuya kwenzeka ntoni ukuba ayinyangwa, ukuze wenze isigqibo esifanelekileyo.
Ugqirha uyibona njani le nto?
Ugqirha unokubona ngokulula ukuba umntwana unale meko ngokwenza uvavanyo lomzimba. Ngexesha lovavanyo, ugqirha uza kwenza oku kulandelayo:
- Ukulinganisa ububanzi bomngxuma: Nangona kunjalo, ayinguye wonke umntu onobukhulu obufanayo bomngxuma. Abanye abantu banokuzalwa benomngxuma omxinwa kancinci, kodwa oko akuthethi ukuba baneMeatal Stenosis.
- Imibuzo malunga nendlela ochama ngayo : Bakubuza izinto ezifana nokuba umchamo wakho uya phi kwaye nokuba uyachitheka na.
- Ukubukela umntwana echama : Kubantwana abancinci, ugqirha angamjonga umntwana echama ukuze abone uhlobo lomchamo (nokuba uhamba ngokuthe ngqo okanye uyatyibilika).
- Ukulinganisa isantya somchamo : Ngamanye amaxesha, isixhobo esikhethekileyo singasetyenziswa ukulinganisa isantya sokuhamba komchamo.
Zithini iindlela zonyango zoku?
I-Meatal Stenosis ayiziphili yodwa. Ifuna ukunyangwa. Kukho iindlela ezahlukeneyo zonyango eziphambili zoku.
Utyando lwe-Meatotomy
Olu lolona nyango lubalaseleyo noluphumelele kakhulu kwiimeko ezininzi . Asilotyando olukhulu. Lubandakanya ukwenza umngxuma omncinci nokwandisa umngxuma oxineneyo. Kulula kakhulu kwaye kuthatha imizuzu embalwa nje. Amathuba okuba le meko ibuyele emva kotyando aphantsi kakhulu.
Ikrimu yeSteroid
Kwezinye iimeko, endaweni yotyando, ugqirha wakho unokucebisa ikhrimu ye-corticosteroid efakwe kwincam yelungu lobudoda bakho. Le krimu ingadinga ukuthambisa kabini ngemini, ngamanye amaxesha ukuya kuthi ga kwiinyanga ezintathu.
Ukwanda
Olunye unyango kukusebenzisa isixhobo esikhethekileyo ukwandisa umngxuma. Nangona kunjalo, le ndlela ngamanye amaxesha inokukrazula ulusu kwaye ibangele amanxeba. Le ndlela ayisasetyenziswa kakhulu kuba izicubu zamanxeba zinokwenza umngxuma ube mxinwa nangakumbi kunangaphambili.
Kuthatha ixesha elingakanani ukuphola emva kotyando?
Umntwana uza kuqala ukuziva ngcono kwiintsuku ezimbalwa emva kotyando lokususwa kwenyama.
- Ungasebenzisa amayeza okudambisa iintlungu achazwe ngugqirha wakho ukunciphisa iintlungu.
- Ukuhlamba umntwana wakho emanzini afudumeleyo (iibhafu ezifudumeleyo) kunciphisa kakhulu iintlungu kunye nokungonwabi.
- Ukopha akuqhelekanga ukuba kwenzeke. Ukuba kukho ukopha okuncinci, ukufaka uxinzelelo kwindawo leyo ngelaphu elicocekileyo kuya kuyimisa ukopha.
- Ukuze kukhawuleziswe inkqubo yokuphiliswa, ugqirha ucebisa ukuba kusetyenziswe amafutha anjengeVaseline® okanye iAquaphor® kabini ngemini kangangeeveki ezimbalwa.
Ndifanele ndimbone nini ugqirha?
Ukuba wena okanye umntwana wakho unezinye zeempawu ezingezantsi, qiniseka ukuba ubona ugqirha.
- Ukuba unengxaki yokuchama .
- Ukuba awukwazi ukuchama .
- Ukuba uziva iintlungu xa uchama .
Ufanele uye nini kwiYunithi yoNyango oluNgxamisekileyo (i-ETU)?
Ukuba ufumanisa naziphi na iimpawu ezingezantsi emva kokuhlinzwa kwenyama, yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele esikufutshane ngokukhawuleza.
- Ukuba umkhuhlane ungama-38 degrees Celsius (100 Fahrenheit) okanye ngaphezulu.
- Ukuba kukho ukopha okukhulu oko akunakuyekiswa.
- Ukuba intlungu iya isiba mandundu.
- Ukuba uhlanza ngaphezu kwezihlandlo ezithathu ngemini.
- Ukuba unengxaki yokuchama .
- (Ukuba lusana oluncinci) Ukuba i-napkin iyaqhubeka nokoma.
Umyalezo Wokuya Ekhaya
- I-meatal stenosis kukuncitshiswa komnyango we-urethra kwincam yepenis kumakhwenkwe nakumadoda.
- Le meko ixhaphakile phakathi kwamakhwenkwe alukileyo.
- Iimpawu eziphambili ziintlungu xa uchama , ukutsha, kunye nokungakwazi ukuzibamba komchamo .
- Musa ukoyika xa ubona oku. Kunganyangeka ngokupheleleyo ngonyango olulula olufana nokususwa kwenyama.
- Ukuba ukrokrela ukuba unyana wakho unale mpawu, ungathandabuzi ukubonana nogqirha wabantwana okanye ugqirha otyandayo ukuze akunike ingcebiso.
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