Amasende onyana wakho akakahla? Masithethe ngotyando lwe-Orchiopexy!

Ngaba ukhe waphawula ukuba elinye lamasende omntwana wakho omncinci alikho kwi-scrotum? Okanye ngaba unyana wakho omncinci ukhalaza ngentlungu eqatha kumasende? Namhlanje siza kuthetha ngotyando olubaluleke kakhulu oluza kunceda kuzo zombini ezi meko. Musa ukoyika ukuva oku. Olu lutyando oluqhelekileyo noluphumeleleyo.

Ngamafutshane, yintoni i-Orchiopexy?

I-Orchiopexy (ebizwa ngokuba yi-'o-kee-yo-pek-see') yinkqubo yotyando. Yenza izinto ezimbini eziphambili. Eyokuqala kukuhambisa amasende ngotyando, azalwa esiswini, aye kwi-scrotum, ukuba akakho kwindawo efanelekileyo. Enye kukulungisa i-torsion yamasende, okukujika komthambo wegazi ohambisa i-scle, kunye nokudibanisa kwakhona i-scle ngaphakathi kwi-scrotum.

Ngamanye amaxesha, ngaxeshanye nolu tyando, oogqirha baya kulungisa i-hernia ukuba ikhona, okanye ukuba kuyimfuneko, banokufaka i-prosthesis yamasende. Olu tyando lukwabizwa ngokuba yi-'Orchidopexy'.

Kuxa kutheni apho olu tyando luyimfuneko?

Njengoko besitshilo ngaphambili, utyando lwe-Orchiopexy lusetyenziswa kakhulu ukunyanga iimeko ezimbini. Masiziqonde ngokucacileyo ezi meko zimbini.

Ngowuphi umnyaka ofanelekileyo wokwenza utyando?

Oku kugqitywa yimeko yesigulana.

• Kwi-testicles ezingaphakamanga: Ukuba elinye lama-testicles onyana wakho alikahla, oogqirha badla ngokulinda malunga neenyanga ezi-6 ukuze babone ukuba liza kwehla ngokwalo na. Ukuba alikahla, kucetyiswa ukuba lenze olu tyando phakathi kweenyanga ezi-6 nezingama-24 (iminyaka emi-2) . Utyando ngeli xesha lunokunciphisa umngcipheko wokungazali kunye nomhlaza wama-testicles kwixesha elizayo.

• Kwi-Testicular Torsion: Akukho mda weminyaka yoku. Le yimeko engxamisekileyo . Kufuneka uye kwiSebe lezeMpilo eziNgxamisekileyo (ETU) esibhedlele ngokukhawuleza emva kokuba intlungu iqalile. Ukuba utyando alwenziwanga kwiiyure ezi-6 kwaye ukuhamba kwegazi akubuyiswanga, i-testicle inokonakala kwaye kusenokufuneka isuswe. Ngoko ke, ukuba ufumana olu hlobo lwentlungu, ungalibazisi nomzuzwana.

Uzilungiselela njani ngaphambi kotyando?

Xa umntwana wakho ecwangciselwe ukwenza i-orchiopexy, ugqirha wakho uya kukunika yonke imiyalelo oyifunayo. Kubaluleke kakhulu ukulandela le miyalelo ngokuchanekileyo ukuze kuncitshiswe iingxaki.

• Musa ukunika umntwana ukutya okuqinileyo iiyure ezisi-8 ngaphambi kotyando .
• Yeka ukunika ubisi oluyimpuphu okanye ubisi lwenkomo iiyure ezi-6 ngaphambi kotyando .
• Yeka ukuncancisa kwiiyure ezi-4 ngaphambi kotyando .
• Yeka ukunika umntu izinto ezicacileyo ezifana namanzi kunye nejusi yeziqhamo iiyure ezi-2 ngaphambi kotyando .
• Ngosuku olungaphambi kotyando nakusasa lotyando, hlamba uze ugcine isisu somntwana kunye nendawo yamathumbu icocekile.

Ukuba uza kwenziwa utyando olungxamisekileyo ngenxa yokugoba kwamasende, awuyi kuba nexesha lokulungiselela ngolu hlobo. Ungalibali ukuxelela ugqirha wakho ngamayeza owasebenzisayo ngelo xesha.

Kwenzeka ntoni ngexesha lotyando?

Olu tyando lwenziwa liqela leengcali zabantwana, kuquka ugqirha wotyando lwabantwana okanye ingcali yomchamo wabantwana, ingcali yokubulala iintlungu zabantwana, kunye nabasebenzi bomongikazi babantwana.

Utyando lwe-testicle engaphakamanga

1. Okokuqala, umntwana unikwa i-anesthesia jikelele . Oku kuthetha ukuba umntwana ulele ngokugqibeleleyo ngexesha lotyando. Akayi kuva okanye akhumbule nantoni na.

2. Ugqirha uza kwenza umngxuma omncinci kwimiqolo okanye kwi-scrotum yomntwana.

3. Ngayo, kufunyanwa i-testicle engaphakamanga kunye nomthambo wegazi (intambo yesidoda) edibene nayo.

4. I-testicle iyahlolwa. Ukuba impilo yayo ayilunganga, kusenokufuneka isuswe ize ithathelwe indawo yeyokwenziwa (prosthesis).

5. Kwenziwa indawo encinci (isikhwama seDartos) ngaphakathi kwiscrotum ukuze kubambeke i-testicle.

6. Emva koko, i-testicle ingeniswa kancinci kuloo ndawo ize iqiniswe ngezititshi ezinyibilikayo .

7. Ekugqibeleni, amanxeba ayavalwa kwaye kufakwa uhlobo lweglu okanye amabhandeji.

Utyando lwe-Testicular Torsion

1. Ugqirha wenza i-incision kwi-scrotum.

2. Intambo yesidoda ejijekileyo iyalungiswa kwaye i-testicle iyahlolwa.

3. Ukuba i-testicle iphilile (ukuhamba kwegazi kubuye), iyaqiniswa ngaphakathi kwingxowa ukuze ingajiki kwakhona.

4. Ukuba i-testicle ayiphilile (ukuba ukuhamba kwegazi kuye kwamiswa ixesha elide), kuya kufuneka isuswe. Ukuba kuyimfuneko, kunokufakwa eyenziweyo endaweni yayo.

5. I-incision ivalwa ngezititshi ezinyibilikayo kwaye kufakwa iplasta.

Olu tyando ludla ngokuthatha malunga neyure .

Kwenzeka ntoni emva kotyando?

Emva kotyando, umntwana uza kudluliselwa kwigumbi lokuchacha. Apho, abasebenzi bezonyango baza kujonga imeko yomntwana kangangeeyure ezimbini. Le yinkqubo edla ngokuba yeyokungalali esibhedlele, oko kuthetha ukuba ungaya ekhaya ngaloo mini inye ngaphandle kokuhlala esibhedlele. Ngoko ke ukuba yonke into ihamba kakuhle, ungaya ekhaya ngaloo mini inye.

Zithini iingenelo zolu tyando?

• Iingenelo zempilo: Olu tyando lunokuthintela ukungazali komntwana kwixesha elizayo. Kwakhona, ukuba namasende kwindawo efanelekileyo kwenza kube lula ukuzihlola umhlaza wamasende xa umntwana sele emdala.
• Umngcipheko onciphileyo wokwenzakala: Xa i-testicle ikwindawo efana ne-groin, kukho ithuba elikhulu lokwenzakala ngenxa yokubanjwa ngebhanti yesihlalo okanye impahla eqinileyo ngelixa udlala imidlalo. Le ngozi iyanyamalala emva kotyando.
• Ukhuseleko: I-Orchiopexy lutyando olukhuselekileyo oluneengxaki ezimbalwa.

Ngaba kukho naziphi na iingozi koku?

Njengakwezinye iintlobo zotyando, kukho iingozi ezithile ezibandakanyekileyo, kodwa ezi azixhaphakanga kakhulu.

• Iimpendulo ezingalunganga kwi-anesthesia
• Usulelo
• I-Hematoma (ihlwili legazi) enxebeni
• Ukudumba kunye nokugruzuka
• Amanxeba

Kunqabile kakhulu ukuba i-testicle ikwazi ukunyuka kwakhona (i-testicle enyukayo) emva kotyando. Ukuba oku kuyenzeka, kuya kufuneka olunye utyando.

Ungazinyamekela njani ekhaya emva kotyando?

Umntwana usenokuva iintlungu okanye ukungakhululeki kangangeentsuku ezimbalwa emva kotyando. Izititshi ziya kunyibilika malunga neeveki ezimbini. Umntwana unokuziva ediniwe kancinci kangangeentsuku ezimbalwa ngenxa ye-anesthesia kwaye unokulala kakhulu kunokuba ephaphile. Kusenokuba nokuhlanza ngosuku lokuqala.

Xa unyamekela umntwana wakho, khumbula ezi zinto zilandelayo:

• Ukulawula iintlungu: Ukuba umntwana wakho uneentlungu , buza ugqirha wakho umnike iyeza lokunciphisa iintlungu elifana ne-Acetaminophen (Panadol) okanye i-Ibuprofen (Bruffen) kuphela ngomlinganiselo awucebisayo .
• Umkhenkce: Ukufaka ipakethe yomkhenkce egqunywe ngelaphu elicocekileyo enxebeni imizuzu eli-10-20 kane ngemini kunokunceda ekunciphiseni ukudumba, ukukrweleka, kunye nentlungu.
• Ukutya: Nika ukutya okulula, okumanzi okufana namanzi, isuphu, ipapa, iyogathi, kunye nerayisi kwiiyure ezingama-24 zokuqala.
• Uthintelo Lomsebenzi: Oku kubaluleke kakhulu . Ubuncinane iiveki ezimbini emva kotyando, umntwana wakho kufuneka athintelwe ngokupheleleyo ekubalekeni, ekutsibeni, ekukhweleni ibhayisekile, okanye ekuhlaleni kwiithoyi ezifana namahashe aqengqelekayo. Ukwenza ezi zinto kungonakalisa imithungo.
• Ukugcina inxeba licocekile: Ukuthintela usulelo, gcina inxeba kunye nendawo ejikelezileyo icocekile kangangoko kunokwenzeka. Hlamba izandla zakho ngesepha namanzi ngaphambi kokuba uchukumise inxeba lomntwana wakho. Buza ugqirha wakho malunga nokuhlamba umntwana wakho.

Uninzi lwabantwana luyakwazi ukubuyela esikolweni okanye kwindawo yokugcina abantwana kwiintsuku ezintathu ukuya kwezintlanu.

Ufuna ukuphinda umbone ugqirha kwakhona nini?

Ugqirha wakho uza kukucela ukuba ubuye emva kweeveki ezimbini emva kotyando lwakho. Ukongeza, ukuba unezinye zeempawu ezilandelayo, kufuneka ufowunele ugqirha wakho ngoko nangoko.

Kuqhelekile ukuba nabani na oyike xa esiva ngotyando lomntwana wakhe. Kodwa ungaqiniseka ukuba i-orchiopexy yindlela ekhuselekileyo, emfutshane eneziphumo eziphumelelayo kakhulu. Ukuba unemibuzo okanye iinkxalabo, qiniseka ukuba uzixoxa ngokukhululekileyo nogqirha wakho.