Ngaba kukho into engaqhelekanga oyibonileyo xa umntwana wakho echama ? Mhlawumbi umchamo awuhambi ngqo, kodwa endaweni yoko uphuma kwicala elinye uye kwelinye, okanye uvakala ngathi uyabuhlungu xa echama ? Kuqhelekile ukuba umzali azive esoyika xa ebona ezi zinto. Kodwa ungakhathazeki. Namhlanje sithetha ngemeko ebizwa ngokuba yi-'Meatal Stenosis' enokubangela oku kunye notyando oluncinci ukuze lunyangwe.
Ngamafutshane, yintoni iMeatoplasty?
I-Meatoplasty yinkqubo yotyando eyandisa i-urethral meatus, umngxuma osencamini yelungu lobudoda lenkwenkwe. Lo mngxuma usekugqibeleni kwe-urethra. Umchamo uphuma kulo mngxuma.
Kodwa kusenokwenzeka ukuba ukhe weva ngotyando lwenyama. Ezi zimbini ziyafana kakhulu. Kwi-meatoplasty, ugqirha wenza umngxuma omncinci kwincam yelungu lobudoda aze awubumbe ngokutsha umngxuma, ngamanye amaxesha ngokuthungwa. I-meatotomy ilula kancinci. Iyandisa nje umngxuma, kwaye kwiimeko ezininzi, akukho kuthunga kusetyenziswa. Nangona kunjalo, abantu abaninzi basebenzisa la magama mabini ngokutshintshana.
Yintoni isizathu solu tyando? (Meatal Stenosis)
Olu tyando lwenziwa ikakhulu ukunyanga imeko ebizwa ngokuba yi -meatal stenosis, engumngxuma omxinwa kakhulu kwi-urethra. Oku kunokuba yinto yokuzalwa kwabanye abantwana. Nangona kunjalo, kudla ngokukhula phakathi kweminyaka emi-3 ne-7. Ixhaphake kakhulu kubafana abalukileyo.
Ukuba ukrokrela ukuba unyana wakho unale meko, xhalaba kancinci ngezi mpawu.
| Uphawu | Inkcazo |
|---|---|
| Ubunzima bokuchama | Umntwana unobunzima bokuchama ngokuthe nkqo. Umchamo uphuma uye phezulu okanye uye ecaleni. |
| Uhlobo lwendlela yomchamo | Umchamo omncinci kakhulu, okhawulezayo okanye otshizayo kwicala elinye. |
| Ukuchama rhoqo | Ukufuna ukuchama rhoqo kunesiqhelo. |
| Intlungu okanye ukudumba | Ukuva intlungu okanye ukutshisa xa uchama. |
Ukongeza, olu tyando ngamanye amaxesha lwenziwa kubantwana abanesiphene esincinci sokuzalwa esibizwa ngokuba yi-hypospadias.
Kutheni umngxuma we-urethra uncipha ngolu hlobo?
Isizathu esiphambili soku ngamanxeba amancinci kunye nezibazi ezenzeka kwincam yelungu lobudoda. Zininzi izizathu ezinokubangela oku:
- Ulwaluko: Amanxeba amancinci avela emva kotyando lokususa ijwabu lelungu lobudoda.
- Ukuqhambuka kwenapukeni: Khawuthelekelele, xa usana lunxibe inapukeni, incam yelungu lobudoda balo ikhuhlana rhoqo nenapukeni. Amanxeba amancinci abangelwa kukukhuhlana oku anokuba ziingxwelerha.
- Ukusetyenziswa kwee-catheter zomchamo: Ukuba i-catheter yomchamo ishiywe endaweni yayo ixesha elide ngenxa yemeko yempilo, oko kungaba yimbangela.
Uzilungiselela njani ngaphambi kotyando?
Okokuqala, kufuneka uyise unyana wakho kugqirha. Ugqirha uza kujonga impilo yomntwana ngokubanzi. Ukongeza,
- Ungahlola i-penis yonyana wakho uze ulinganise ububanzi bomngxuma womchamo.
- Bakubuza imibuzo. Umzekelo, izinto ezinje ngokuba umchamo uya ngayiphi indlela nokuba uyachama na.
- Usenokukwazi nokubukela umntwana echama kwaye ulinganise izinga lokuphuma kwamanzi emzimbeni.
Eyona nto ibalulekileyo: Kukho izinto ezimbalwa ekufuneka uzixelele ugqirha wakho. Qiniseka ukuba uyamxelela ukuba unyana wakho unengxaki yokopha , naziphi na izinto ezibangela ukuba angabi namdla kumayeza , kunye namayeza awasebenzisayo . Amanye amayeza, anjengee-NSAID, anokunyusa umngcipheko wokopha ngexesha lotyando.
Njengomzali, kubaluleke kakhulu ukuba uhlale uzolile. Nokuba abantwana bakho abakuqondi amazwi akho, banokuyibona indlela oziphatha ngayo kunye nembonakalo yobuso bakho. Ukuba uhlala uzolile, unyana wakho naye akayi koyika.
Lwenziwa njani utyando?
Olu lutyando olulula kakhulu oludla ngokuthatha ixesha elingaphantsi kweyure.
1. Ukungaziva buhlungu kunye ne-Anesthesia: Okokuqala, umongikazi ucoca i-penis yenkwenkwe aze ayithambise nge-cream yokuyilalisa. Emva koko, ugqirha we-anesthesia ulala inkwenkwe ngokupheleleyo. Ngoko ke, inkwenkwe ayiva ntlungu ngexesha lotyando.
2. Utyando: Emva kokuba umntwana elele kakuhle, ugqirha wotyando (Pediatric Urologist) wenza umngxuma omncinci ofana no-'V' kwicala elingaphantsi kwepenis, ngaphantsi komngxuma we-urethra, ukuze kwandiswe umngxuma.
3. Izititshi okanye iglu: Emva koko, uhlobo oluthile lweglu yotyando okanye izititshi ezinyibilikayo ziyasetyenziswa ukuphilisa inxeba.
Emva kolu tyando, umntwana angaya ekhaya ngaloo mini inye. Emva kokuba umntwana evukile, abongikazi bayamnyamekela kakuhle.
Indlela yokunyamekela umntwana emva kotyando?
Iveki yokuqala emva kotyando ibaluleke kakhulu. Nika umntwana wakho ukuphumla. Usenokulala ixesha elide kunesiqhelo, nto leyo eya kumnceda ukuba aphile.
- Intlungu: Kunokubakho ukutshisa okanye intlungu xa uchama kangangeveki okanye ezimbini. Ungathatha iyeza lokubulala iintlungu elifana neParacetamol njengoko ugqirha wakho ekuyalele.
- Iioyile: Thambisa ioyile yokubulala iintsholongwane okanye into efana neVaseline oyinikwe ngugqirha wakho encamini yelungu lobudoda malunga nezihlandlo ezithathu ngemini.
- Ucoceko: Tshintsha ii-napkin zomntwana wakho rhoqo. Ukuba kunokwenzeka, mshiye umntwana wakho engenazo ii-napkin iiyure ezimbalwa ngosuku. Xa uhlamba umntwana wakho, hlamba loo ndawo ngesepha namanzi kancinci, uze uyomise kancinci.
- Dlala: Ziphephe izinto zokudlala ezifuna ukuba ujike imilenze yakho ukusuka kwelinye icala ukuya kwelinye, njengeebhayisekile , amahashe aqengqelekayo, kunye neeswings, ubuncinane iveki. Kungcono ukunciphisa ukubaleka nokutsiba komntwana wakho kwimidlalo embalwa.
Iimeko zomngcipheko kunye nexesha lokuya esibhedlele ngoko nangoko
Nangona le yinkqubo ekhuselekileyo kakhulu, kukho iingozi ezithile kuyo nayiphi na inkqubo yotyando. Ukopha, usulelo, kunye namanxeba anqabile kakhulu.
Nangona kunjalo, ukuba ubona naziphi na iimpawu ezilandelayo, thatha umntwana wakho uye kwiSebe leeNgxamiseko (ETU) elikufutshane ngokukhawuleza.
| Iimpawu zeNgxamiseko | |
|---|---|
| 🌡️ | Ukuba nomkhuhlane we-100 Fahrenheit (38 Celsius) okanye ngaphezulu. |
| 🩸 | Ukuba nokopha kakhulu okungapheliyo. |
| 😫 | Intlungu iya isiba mandundu. |
| 🤢 | Ukuhlanza ngaphezu kwezihlandlo ezithathu ngemini. |
| 🚽 | Ubunzima obukhulu bokuchama okanye inabukeni yomntwana isoloko yomile. |
Umyalezo Wokuya Ekhaya
- I-meatal stenosis yimeko eqhelekileyo ebonwa kumakhwenkwe. Musa ukothuka ngokungeyomfuneko yile nto.
- I-Meatoplasty lutyando olukhuselekileyo, oluphumelelayo, nolulula kakhulu koku.
- Kubaluleke kakhulu ukunika umntwana ukuphumla okuhle emva kotyando nokulandela imiyalelo kagqirha ngokuchanekileyo.
- Ukuba ubona naziphi na iimpawu ezingaqhelekanga ngexesha lokuchacha komntwana wakho, musa ukulibazisa ukwazisa ugqirha.
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