Ingaba umntwana wakho omncinci unengxaki yomchamo? Masifunde ngoGqirha wezifo zomchamo zabantwana!

Ukuba ugqirha wakho ukuxelela ukuba umntwana wakho unengxaki okanye imeko yomchamo, unokukuthumela kwingcali yomchamo wabantwana. Kuqhelekile ukuba uzive usoyika kancinci. Kodwa, wakuba uzazi ukuba bangoobani kwaye benza ntoni, uya kuziva ukhululekile kakhulu. Masithethe ngale nto ngokulula.

Ngubani ingcali yotyando lwezifo zomchamo zabantwana?

Ngamafutshane, ingcali yotyando lwemichamo yabantwana ngugqirha ogxile ekuxilongeni nasekunyangeni iingxaki zenkqubo yomchamo kunye namalungu okuzala eentsana zakho, abantwana abancinci, kunye nabantwana abancinci. Oku ngamanye amaxesha kubizwa ngokuba yindlela yokuzala. La ngamalungu ezi ngcali ezigxila kakhulu kuwo:

• Izintso (ezi zizinto ezihluza inkunkuma emizimbeni yethu kwaye zenze umchamo)
• Ii-ureters (Ezi ziityhubhu ezithwala umchamo, oveliswa kwizintso, ukuya kwisinyi)
• Isinyi (indawo efana nengxowa apho umchamo uqokelelana khona)
• I-urethra (umbhobho othwala umchamo ukusuka kwisinyi ukuya ngaphandle komzimba)
• Amasende (kubafana)
• Isini sendoda
• Ilungu lobufazi lomfazi kunye nezinye iindawo ezinxulumene nalo

Ugqirha wezingane womntwana wakho unokunyanga ezinye iingxaki ezincinci zomchamo. Ayizizo zonke iingxaki ezincinci ezifuna ukutyelela ingcali. Nangona kunjalo, ukuba iimpawu okanye imeko yomntwana wakho ingaphaya kolwazi lwakhe, usenokukuthumela kwingcali.

Ingcali yezifo zomchamo zabantwana yahluke njani kwingcali yezifo zomchamo jikelele?

Oku kukwayingxaki kubantu abaninzi. Kukho oogqirha (iingcali ze-urologist) abanyanga izifo zenkqubo yomchamo kubantu abadala. Kutheni ke kukho enye eyahlukileyo yabantwana?

Isizathu sesi. Ingcali yotyando lwemichamo yabantwana ngumntu ofumene uqeqesho olufanayo nolwengcali yotyando lwemichamo enyanga abantu abadala, kunye noqeqesho olongezelelweyo olujoliswe kubantwana abancinci.

Cinga ngale nto, njengoko sikhula, inkqubo yethu yomchamo iyatshintsha. Umzekelo, ubungakanani bomchamo obunokubanjwa sisinyi kunye nokukwazi ukulawula umchamo kuyatshintsha ngokuhamba kweminyaka. Iingcali zomchamo zabantwana zinolwazi oluninzi kwiimeko zokuzalwa. Kuba zihlala zibona kwaye zixilonga izifo ezinjalo kubantwana abancinci.

Enye into ebalulekileyo kukuba ukuthetha nomntwana omncinci malunga nokuchama kunye namalungu akhe esini kunokuba yingxaki enzulu kakhulu. Abantwana banokuziva behlazekile kwaye besoyika. Iingcali zomchamo zabantwana ziyayazi indlela yokuthetha ngezi zinto ngendlela abantwana abayiqondayo nabaziva bekhululekile ngayo.Ingqondo neemvakalelo zomntu omdala zahlukile kakhulu kwezomntwana omncinci. Ngoko ke, aba gqirha banekhono elikhethekileyo lokufikelela kwinqanaba labantwana baze bathethe nabo.

Umntwana wakho ufanele aye nini kwi-urologist yabantwana?

Ezi ngcali zonyango zinyanga nayiphi na imeko echaphazela inkqubo yomchamo yosana, umntwana omncinci, okanye umntwana omncinci. Oku kungabandakanya iingxaki kumalungu abo okuzala. Ezinye iingxaki zenkqubo yomchamo zikhona xa umntwana ezalwa, ngelixa ezinye zinokuvela kamva njengoko umntwana ekhula.

Nazi ezinye zeemeko ezibonwa rhoqo yingcali yomchamo wabantwana kwaye iziphatha:

• Iingxaki zokuzalwa okanye ukungasebenzi kakuhle kwenkqubo yomchamo: Imizekelo yezi zinto yi-vesicoureteral reflux (ukuphuma komchamo usiya kwizintso), i-hydronephrosis (ukudumba kwezintso, oko kuthetha ukuba izintso ziyakhula ngenxa yomchamo), okanye i-varicocele (imithambo ye-varicose kumasende) kumakhwenkwe.
• Amatye ezintso, amatye esinyini okanye amatye e-ureteral: Oku kunokwenzeka nasebantwaneni. Enyanisweni, kuyafana nakubantu abadala, kodwa izizathu kunye nonyango zinokwahluka kancinci.
• Iintsholongwane zoMchamo eziPhinda-phindayo (ii-UTI) okanye ukuvaleka komchamo: Oku kuxhaphake kakhulu kumantombazana, ingakumbi. Oku kunokubangelwa ziingxaki zococeko kunye nezinye izinto ezibangela ukwakheka kwamalungu omzimba.
• Amasende angaphambuki okanye ukudumba okujikeleze isende: Oku kunokubonwa xa kuzalwa kwaye ngamanye amaxesha kufuneka kulungiswe ngotyando oluncinci.
• I-Inguinal hernias: Iindawo zangaphakathi zomzimba, ezinje ngamathumbu, zityhala ulusu kwindawo ye-groin. Oku kunokunyangeka nangotyando.
• Ukungahambi kakuhle kwesini: Kusenokubakho utshintsho oluthile oluvela ekuzalweni.
• Umhlaza wamalungu omzimba: Ezi azixhaphakanga kakhulu, kodwa zikhona. Ukufunyanwa kwangethuba kubalulekile.
• Igazi kumchamo (iHematuria): Olu luphawu ekufuneka ukhathazeke ngalo. Kubalulekile ukufumana unobangela.
• Ukuchama Ebhedini okanye Ukungakwazi Ukulawula Ukuchama: Oku kukungakwazi ukulawula ukuchama. Zininzi izizathu ezahlukeneyo ezibangela oku, kwaye kukho unyango olufumanekayo.
• Iingxaki zomchamo ezibangelwa zizifo zenkqubo yemithambo-luvo okanye ukwenzakala komqolo, okufana ``(spina bifida)`` (isiphene sokuzalwa somqolo).

Ingcali yomchamo yabantwana yomntwana wakho iya kwenza iimvavanyo ezahlukeneyo ukuze ifumanise unobangela weso simo ize emva koko icebise unyango olufanelekileyo, mhlawumbi notyando.

Khumbula:Eyona nto ibalulekileyo kukungaxhalabi xa ufumanisa ukuba umntwana wakho unengxaki efana nale, kodwa kukwenza uvavanyo njengoko ugqirha ecebisa kwaye unikeze unyango olufunekayo. Kukho isisombululo phantse kuzo zonke iingxaki.

Yintoni onokuyilindela xa undwendwela ingcali yotyando lwabantwana?

Kulungile, masithi uya kubona le ngcali nomntwana wakho. Kwenzeka ntoni apho?

Okokuqala, ugqirha uza kukubuza ngeempawu zomntwana wakho, imbali yakhe yempilo, naluphi na utyando lwangaphambili, kunye nazo naziphi na iziphumo zovavanyo lwangaphambili. Ngoko ke xelela ugqirha yonke into oyaziyo, kwaneenkcukacha ezincinci. Ngamanye amaxesha, nezinto ezibonakala zingabalulekanga kuwe zinokuba zibalulekile ekuxilongeni isifo.

Emva koko, ugqirha uza kwenza uvavanyo lomzimba lomntwana. Oku kuquka ukumbamba isisu somntwana, kwaye ukuba kuyimfuneko, ahlole indawo yangasese. Ekubeni umntwana esenokuziva engakhululekanga kwaye eneentloni ngeli xesha, kubaluleke kakhulu ukuba uhlale apho kwaye umxhase umntwana kwaye umchazele nje into eyenziwa ngugqirha.

Emva kwezi mvavanyo zokuqala, ugqirha uya kugqiba ukuba ngaba kufuneka ezinye iimvavanyo ukuze kuchongwe ngokuchanekileyo isifo. Ezi mvavanyo ziquka:

• Ezinye iimvavanyo ze-radiological ezifana nee-MRI (Magnetic Resonance Imaging) kunye nee-ultrasound scans: Ezi zinokuvelisa imifanekiso ecacileyo yamalungu angaphakathi emzimbeni. Ezi vavanyo azibuhlungu.
• Uvavanyo lomchamo: Kungathathwa isampulu yomchamo ukujonga usulelo, igazi, iswekile, nezinye izinto ezininzi. Ukuthatha isampulu yomchamo kubantwana abancinci kunokuba nzima kancinci, kodwa kukho iindlela zokwenza oko.
• Uvavanyo lwe-Urodynamic: Olu luvavanyo olukhethekileyo. Lulinganisa ukuba ingakanani umchamo onokugcinwa sisinyi, ukuba umchamo uphuma ngokukhawuleza kangakanani, kunye nokuba umntwana ulawula njani ukuchama. Oku kubandakanya ukufaka ityhubhu encinci kwi-urethra, kodwa ugqirha uya kuqinisekisa ukuba ayinabuhlungu kangangoko umntwana.

Emva kokuba zonke ezi vavanyo zenziwe kwaye imbangela yeempawu zomntwana wakho ifunyenwe, ugqirha uya kukunika isicwangciso sonyango. Usulelo lomchamo lunokunyangelwa ngamayeza, utyando, okanye indibaniselwano yazo zombini. Iingcali zomchamo zabantwana ziqeqeshwe ukwenza olu tyando. Ngoko ke, ukuba kufuneka utyando, baya kukuchazela, kuquka izinto ezilungileyo, iingxaki kunye neengozi.

Umntu uba njani yi-Pediatric Urologist?

Oku kulungile ukwazi. Ukuba yingcali yotyando lwezifo zomchamo zabantwana akuyonto ilula. Kuthatha ukuzinikela okukhulu nexesha elininzi.

Okokuqala, kufuneka uphumelele icandelo leSayensi yeNqanaba eliPhambili ngemibala emihle kwaye ufumane isidanga sezonyango eyunivesithi. Ngokwesiqhelo, emva kokufunda kwisikolo sezonyango kangangeminyaka emine okanye emihlanu, bafumana inkqubo yokuhlala. Olu luqeqesho olukhethekileyo kwi-urology. Oku kungathatha iminyaka emihlanu okanye nangaphezulu. Emva kolu qeqesho, kuya kufuneka ufumane olunye uqeqesho olukhethekileyo kwi-urology yabantwana, olubizwa ngokuba yi-Fellowship. Olu Fellow lungathatha unyaka omnye, emibini, okanye nangaphezulu.

Iingcali zomchamo zabantwana ziqala ngokufumana isiqinisekiso sokuba yingcali yomchamo jikelele kwintlangano eyaziwayo kwihlabathi liphela njengeBhodi yaseMelika ye-Urology. Emva koko, emva kokuphumelela kwiimviwo ezahlukeneyo ezibhaliweyo nezisebenzayo, bafumana isiqinisekiso sesibini sokuba yingcali yomchamo wabantwana. Ngoko ke, ungaqonda ukuba oku kukuzinikela kangakanani, ukusebenza nzima, kunye nokufunda ixesha elide, ulwazi olukhethekileyo olufuna.

Okokugqibela, umyalezo obalulekileyo kubazali

Kuqhelekile ukuziva usoyika kwaye uxhalabile xa umntwana wakho ethunyelwa kugqirha wabantwana, ugqirha wezifo zomchamo wabantwana. Kunzima nokubona umntwana wakho ebuhlungu kwaye engakhululekanga. Ezo mvakalelo zisengqiqweni kakhulu.

Kodwa, unokuqiniseka ukuba ingcali ye-urologist yabantwana ngumntu ofumene inqanaba eliphezulu lesakhono, ulwazi, kunye noqeqesho lokuqonda nokunyanga iimeko ezichaphazela inkqubo yomchamo yomntwana wakho kunye namalungu okuzala.

Baza kusebenzisana nawe, bamamele imibuzo yakho, baze benze konke okusemandleni abo ukukuthuthuzela wena nomntwana wakho. Ngoko ke, mthembe ugqirha, mamela ngononophelo oko akuthethayo, uze ufumane uvavanyo olufunekayo kunye nonyango lomntwana wakho. Umntwana wakho uza kuphila ngokukhawuleza! Ungakhathazeki, awudluli wedwa kule nto; oogqirha, abahlengikazi, kunye neqela lonke lezonyango lilapha ukukunceda.

I- Urology yabantwana, Ingcali ye-Urology yabantwana, Inkqubo yomchamo, Impilo yabantwana, Izifo zezintso, Usulelo lwendlela yomchamo