Ngaba umntwana wakho omncinci ufumana usulelo rhoqo lwendlela yomchamo ? Okanye usamanzisa ibhedi ebusuku nangona emdala? Mhlawumbi ugqirha ukuxelele ukuba umntwana wakho unengxaki encinci ngezintso zakhe kwaye kufuneka abone ingcali? Kuqhelekile ukuba umzali azive esoyika kakhulu kwaye exhalabile xa esiva izinto ezinje. Kodwa ungakhathazeki. Namhlanje sithetha ngogqirha obaluleke kakhulu onokukunceda wena nomntwana wakho ngexesha elinje. Lowo ngugqirha wezifo zomchamo zabantwana, okanye njengoko sitsho ngesiNgesi, "ugqirha wezifo zomchamo zabantwana".
Ngubani lo gqirha wezifo zomchamo zabantwana?
Ngamafutshane, ingcali yotyando lwemichamo yabantwana ngugqirha ofumene uqeqesho olukhethekileyo ekuxilongeni nasekunyangeni izifo zenkqubo yomchamo kunye nezangasese zeentsana, abantwana abancinci, kunye nabantwana abancinci . Oku sikubiza ngokuba yi-'genitourinary tract'.
Cinga ngale ndlela: Inkqubo yethu yomchamo ifana nenkqubo entsonkothileyo yemibhobho. Ezi ngcali zijonga nayiphi na ingxaki nakweyiphi na inxalenye yale nkqubo. Oko kuthetha ukuba:
- Izintso: Lilungu elibalulekileyo emzimbeni wethu elihluza igazi kwaye lisuse inkunkuma njengomchamo.
- Ii-ureters : Iityhubhu ezimbini ezibhityileyo ezithwala umchamo, oveliswa kwizintso, ukuya kwisinyi.
- Isinyi: Ilungu elifana nengxowa eliqokelela kwaye ligcine umchamo ixesha elifutshane.
- I-Urethra : Umbhobho othwala umchamo kwisinyi uphuma emzimbeni.
- Amasende: Inxalenye yenkqubo yokuzala yamadoda.
- Ipenisi : Isini sangaphandle samadoda.
- Ilungu lobufazi: Liyinxalenye yenkqubo yokuzala yabasetyhini.
Ngokwesiqhelo, xa umntwana wakho enengxaki encinci yomchamo , uqala ngokuya kugqirha wabantwana wosapho lwakho. Loo gqirha unokunyanga izifo eziqhelekileyo. Nangona kunjalo, ngamanye amaxesha, ukuba ugqirha ucinga ukuba iimpawu okanye imeko yomntwana wakho inzima kancinci, uya kukuthumela kwi- urologist yabantwana . Oku kuthetha ukuba umntwana wakho udinga unyango olunzulu nolukhethekileyo.
Yintoni umahluko phakathi kwengcali ye-urologist jikelele kunye nengcali ye-urologist yabantwana?
Lo ngumbuzo olungileyo kakhulu. Zombini zigxile kwizifo zomchamo. Kodwa kukho umahluko omkhulu.
Cinga ngale ndlela. Kukho abantu ababini abathungela abantu abadala impahla, enye yeyabantwana abancinci. Bobabini bayakwazi ukuthunga. Kodwa imo yomzimba womntwana, ukuvakalelwa lusu lwakhe, kunye neemfuno zakhe zokuthuthuzela zahlukile kakhulu kwezomntu omdala, akunjalo? Aba gqirha abaziingcali nabo banjalo.
Ingcali ye-urologist yabantwana ifumana uqeqesho olufanayo nolwengcali ye-urologist enyanga abantu abadala. Emva koko, bafumana iminyaka eyongezelelweyo yoqeqesho olukhethekileyo ngokukodwa kubantwana abancinci. Oku kungenxa yokuba indlela inkqubo yomchamo yomntwana ekhula ngayo kwaye itshintsha ngayo yahlukile ngokupheleleyo kweyomntu omdala. Umzekelo, amandla esinyi somntwana kunye nokukwazi ukulawula umchamo kuyatshintsha ngokuhamba kweminyaka.
Aba gqirha banolwazi olumangalisayo, ingakumbi xa kufikwa kwiimeko zokuzalwa, kuba bazibona kwaye banyanga iimeko ezinjalo ngalo lonke ixesha.
Okubaluleke ngakumbi, aba gqirha bayayazi indlela yokuthetha nomntwana omncinci ngale nto "yobuqu". Ukuthetha ngomchamo kunye namalungu esini kunokuba yintloni kwaye kungakhululeki emntwaneni. Aba ngcali bayayazi indlela yokuthetha ngezi zinto ngobubele, ngolwimi umntwana aluqondayo, ngaphandle kokumoyikisa, kunye nokwenza ingqondo yakhe ikhululeke.
Kutheni umntwana wam kufuneka abone ugqirha wezifo zomchamo wabantwana?
Iingcali zomchamo zabantwana zinyanga nayiphi na imeko echaphazela inkqubo yomchamo yosana, umntwana, okanye umntwana omncinci. Ezinye zezi zinokuba ziingxaki ezikhoyo ekuzalweni, ngelixa ezinye zinokuvela kamva njengoko umntwana ekhula.
Nazi iintlobo zeengcali oqhele ukuzibona ukuze unyange izifo ezinje. Ukuze kube lula, makhe sijonge oku kwitheyibhile .
| Imeko okanye uphawu | Ingcaciso elula |
|---|---|
| Ukukhubazeka kwenkqubo yomchamo ezelwe | Umzekelo, i-vesicoureteral reflux, ukuzaliswa kolwelo okanye ukudumba kwezintso (i-hydronephrosis) , okanye isifo sokuvaleka kwemithambo yegazi kubafana.Iimeko ezifana (varicocele). |
| Amatye ezintso, esinyini, okanye e-ureteral | Abantu abadala nabantwana banokuphuma amatye kwinkqubo yomchamo. Oku kunokubangela iintlungu eziqatha kunye negazi kumchamo. |
| Usulelo oluqhelekileyo lwendlela yomchamo (ii-UTI) okanye ukuvaleka | Ukuba uhlala ufumana usulelo lomchamo kunye nomkhuhlane, le ngcali ingafumana unobangela oyintloko. |
| Amasende angathontsi | Ukuba umntwana oyinkwenkwe uzalwa enamasende angakhuliyo, kufuneka unyango. |
| Iihernias ze-Inguinal | Iimeko ezinje ngokudumba okanye amaqhuma kwindawo yesinqe. |
| Igazi kumchamo (iHematuria) | Ekubeni olu luphawu olufanele luyoyikwe, kubaluleke kakhulu ukufumanisa unobangela ngqo. |
| Ukuchama ebhedini okanye ukungakwazi ukuzibamba emini | Ukuba umntwana wakho umanzisa ibhedi ixesha elide kunokuba bekulindelwe okanye uyachama emini, kufuneka ujonge ukuba kukho isizathu sezonyango na. |
| Iingxaki zomchamo ezibangelwa zizifo zenkqubo yemithambo-luvo | Iimeko ezifana ne -spina bifida, isiphene sokuzalwa somqolo, zinokuchaphazela ukusebenza kwesinyi. |
Xa ugqirha womntwana wakho ekuthumelela kwingcali efana nale, uya kwenza uvavanyo olufunekayo, axilonge imeko echanekileyo, aze akucebise ngolona nyango lufanelekileyo. Olu nyango lunokubandakanya amayeza, okanye ngamanye amaxesha utyando.
Yintoni omele uyilindele xa usiya kubona ugqirha?
Okokuqala, ugqirha uza kukubuza wena nomntwana wakho (ukuba bayakwazi ukuthetha) ngeempawu . Baza kukubuza zonke iinkcukacha, ezifana nokuba umntwana wakho uziva njani, ukuba sele enethuba elingakanani enale ngxaki, kunye novavanyo olwenziwe ngaphambili.
Emva koko, umntwana uhlolwa ngokwasemzimbeni . Oku kwenziwa ngobunono nangendlela yokuba umntwana angaziva engonwabanga.
Emva koko, ugqirha uya kugqiba ukuba ngaba kufuneka ezinye iimvavanyo ukuze kuchongwe ngokuchanekileyo isifo. Ezi vavanyo zingabandakanya:
- Iiskeni : Izinto ezifana ne-MRI (magnetic resonance imaging) okanye iiskeni ze-ultrasound ukujonga ngaphakathi kwamalungu omzimba afana nezintso kunye nesinyi.
- Uvavanyo lomchamo: Kuthathwa isampulu yomchamo ukuze kuhlolwe usulelo, igazi, okanye ezinye iingxaki.
- Uvavanyo lwe-Urodynamic: Olu luvavanyo olukhethekileyo. Lulinganisa izinto ezininzi, kuquka ukuba ingakanani umchamo onokugcinwa sisinyi, ukuba umchamo uhamba ngesantya esingakanani, kunye nokuba ingakanani ingcinezelo esinyini.
Emva kokwenza konke oku nokufumanisa unobangela wesifo, ugqirha uza kukuchazela isicwangciso sonyango. Kungaba ziipilisi , utyando, okanye zombini. Ezi ngcali zezona zide zenze utyando olufunekayo.
Kuqhelekile ukuziva usoyika xa ugqirha wezingane oqhelekileyo womntwana wakho ekuthumelela kwingcali. Kunzima kumzali ukubona umntwana wakhe ebuhlungu. Kodwa khumbula, ezi ngcali ziqeqeshwe kakhulu kwaye zinolwazi malunga nezi ntlobo zeengxaki zabantwana. Ziya kwenza konke okusemandleni azo ukunceda wena nomntwana wakho nizive ngcono.
Umyalezo Wokuya Ekhaya
- Ingcali yezifo zomchamo zabantwana ngugqirha ofumene uqeqesho olukhethekileyo kwizifo zenkqubo yomchamo kunye nezitho zangasese zeentsana nabantwana.
- Bahlukile kwingcali yotyando lomchamo enyanga abantu abadala kuba banolwazi olukhethekileyo noqeqesho kutshintsho emzimbeni nasengqondweni yabantwana.
- Baziingcali ekunyangeni izifo ezinje ngezifo eziphindaphindayo zomchamo, ukuchama ebhedini, amasende angakhuliyo, kunye neengxaki zomchamo wokuzalwa.
- Musa ukoyika ukuba ugqirha wakho wabantwana ukuthumelele olu hlobo lweengcali. Oku kuthetha ukuba basebenza nzima ukunika umntwana wakho unyango olungcono nolukhethekileyo kangangoko.
- Ukuba unamathandabuzo okanye iingxaki malunga nomchamo womntwana wakho, ungaze uwufihle kwaye uthethe ngokukhululekileyo nogqirha wakho.
👩🏽⚕️ Imibuzo eyongezelelweyo (Ii-FAQ)
💬 👨⚕️ Ngubani kanye kanye 'ugqirha wezifo zomchamo'?
Ngamafutshane, 'i-Urologist' ngugqirha ogxile kwizifo ezinxulumene nenkqubo yethu yomchamo. Anganyanga naziphi na iingxaki, ezinje ngamatye kunye nosulelo, kwizintso, kwisinyi, nakwinkqubo yokuzala yamadoda, ngotyando okanye amayeza.
💬 👶 Ngoko ke, 'iPediatric Urologist' yahluke njani kugqirha oqhelekileyo?
Imizimba yabantwana yahlukile kakhulu kweyabantu abadala. Iingcali zomchamo zabantwana zinyanga iingxaki ezifana neziphene zokuzalwa, usulelo oluqhelekileyo lwendlela yomchamo (UTIs), kunye nokuchama ebhedini ngeendlela ezikhethekileyo kubantwana.
💬 🤔 Zeziphi iimpawu umntwana wam afanele azibone ukuba une-urologist elolu hlobo?
Ukuba umntwana wakho uthi kubuhlungu xa echama, ukuba unegazi kumchamo wakhe, ukuba ubona naziphi na iingxaki kwizitho zakhe zangasese, okanye ukuba iskeni sifumanise ingxaki kwizintso zakhe, kubalulekile ukubona ugqirha wezifo zomchamo wabantwana ngokukhawuleza ukuze akunike ingcebiso.
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