Ngaba wakha waphawula ukuba ipenisi yomntwana wakho omncinci igobile okanye ijijekile ecaleni ngelixa utshintsha inabukeni yakhe okanye uyihlamba? Usenokuba ukhe wacinga ukuba oku kuqhelekile kwaye uza kukhula kuyo. Abazali abaninzi baye baba namava anjalo. Kwizonyango, ipenisi yomntwana izalwa ijijekile kwaye ijijekile kancinci, ebizwa ngokuba yi-'Penile Torsion'. Musa ukoyika ukuva eli gama. Namhlanje, siza kuthetha ngalo ngendlela elula kakhulu onokuyiqonda.
Yintoni kanye kanye iPenile Torsion?
Ngamafutshane, i-'Penile Torsion' yimeko apho ipenisi yenkwenkwe ijijeka kancinci. Ifana nesigqubuthelo sebhotile. Le yimeko yokuzalwa . Oku kuthetha ukuba xa umntwana ekhula ngaphakathi esibelekweni sikanina, ulusu kunye nezicubu ezijikelezileyo zepenisi aziveli kakuhle.
Uninzi lwexesha, olu jikelezo luhamba ngasekhohlo. Oko kukuthi, ngokuchasene newotshi. Oku akuyonto imbi njengoko unokucinga, kwaye kukwayimeko eqhelekileyo kunokuba unokucinga.
Abazali abaninzi bayakubona oku xa umntwana wabo eza koluswa, okanye xa ugqirha ehlola umntwana.
Eyona nto ibalulekileyo ekufuneka uyikhumbule: Ukuba ukrokrela ukuba unyana wakho une-penile torsion, hlehlisa ulwaluko ude ubone ingcali. Umntu ofanelekileyo koku yingcali yomchamo wabantwana.
Ngaba ezinye iingxaki zingavela kule meko?
Ewe, ngamanye amaxesha iPenile Torsion ayizenzeki yodwa, kodwa inokwenzeka kunye nezinye iziphene zokuzalwa. Ezimbini zezi meko ziphambili zezi:
- I-Hypospadias: Oku kuxa i-urethra, ityhubhu apho umchamo kunye nesidoda zidlula khona, ivuleka ndaweni ithile ngaphantsi kwepenis endaweni yokuba ivuleke encamini.
- I-Chordee: Le yimeko apho ipenisi, xa ivukile, ingami kodwa igobe ngqo ezantsi okanye ecaleni.
Ugqirha wakho uza kujonga nezi meko.
Ingaba oku kunzulu? Kuqheleke kangakanani?
Ukujija kwepenis kunokuhluka ukusuka kokuncinci ukuya kokuqatha. Ukuba ipenis ijijekile ngaphezulu kwama-90 degrees, oko kukuthi, ngaphezulu kwe-engile yasekunene, ithathwa njengenzulu ngakumbi.
Oku kuqheleke kakhulu kangangokuba ezinye izifundo zibonisa ukuba kunokuchaphazela naphi na ukusuka kwi-1.5% ukuya kwi-27% yeentsana ezingamaduna. Kodwa njengoko benditshilo ngaphambili, kunqabile kakhulu, ngaphantsi kwe-1%, ukuba negophe elingaphezulu kwama-90 degrees.
Zithini iimpawu kunye neengxaki?
Uphawu oluphambili kukuba ipenisi ijikelwe kwelinye icala.Ngaphandle koko, ngokuqhelekileyo akukho zimpawu zimbi. Ingakumbi ukuba ukujija kungaphantsi kwama-90 degrees, umntwana akayi kuva ntlungu okanye ukungonwabi. Ngoko ke akukho nto ifanele ixhalabe ngayo.
Umbuzo obuzwa ngabazali abaninzi ngulo, "Ngaba oku kuya kubangela iingxaki zokuba nabantwana kwixesha elizayo?" Hayi. I-Penile Torsion ayifunyaniswanga inefuthe kubuchule bokuba nabantwana.
Nangona kunjalo, oku kunokubangela iingxaki ezithile.
| Ingxaki | Inkcazo |
|---|---|
| Utshintsho kumjelo womchamo | Kwisiqingatha sabantu abanale meko, umchamo awuphumi ngokuthe ngqo. Usenokuhamba uye phezulu, ezantsi, okanye uye emacaleni. Ngamanye amaxesha umchamo unokwahluka phakathi. |
| Impembelelo yengqondo yenkangeleko | Ukuba abanyangwa, abanye abantu basenokungakhululeki ngokweemvakalelo malunga nokubonakala kwelungu labo lobudoda xa besebancinci. |
Yintoni isizathu soku?
Oogqirha abakafumani sizathu sithile soku. Kodwa kukho iingcamango ezithile. Esinye kukuba kucingelwa ukuba ukuchatshazelwa kakhulu ziihomoni zabasetyhini, ingakumbi i-estrogen, ngelixa umntwana ongekazalwa ekhula esibelekweni kunokuchaphazeleka. Kusenokubangelwa ziingxaki ezithile ekuphuhlisweni kolusu kunye nezicubu zepenis.
Ugqirha unyanga njani oku?
Okokuqala, ugqirha uza kumhlola umntwana ngononophelo. Le meko ingafunyanwa ngovavanyo olulula lomzimba.
Ngoku makhe sijonge unyango. Kwiimeko ezininzi, ingakumbi ukuba ukujija kungaphantsi kwama-90 degrees, akukho nyango lufunekayo. Akumlimazi umntwana nangayiphi na indlela.
Nangona kunjalo, abanye abazali bakhathazekile ngembonakalo yelungu lobudoda kwaye bafuna ukulinyanga. Kwakhona, ukuba umchamo uya kwicala elingasecaleni, nalo kufuneka lilungiswe. Unyango olulodwa loku lutyando oluncinci.
Olu tyando lwenziwa phantsi kwe-anesthesia eqhelekileyo. Ngexesha lotyando, ugqirha ukhulula ulusu olukwilungu lobudoda, alulungise, aze aluthunge ulusu kwakhona. Oku kubizwa ngokuba yi-degloving. Kufana nokuxobula ulusu lwebhanana ngononophelo uze uludibanise kwakhona.
Ingaba utyando lukhuselekile?
Ewe, ngokubanzi, olu lutyando olukhuselekileyo kakhulu. Njengazo zonke iintlobo zotyando, kukho iingozi ezithile, kodwa olu luphantsi kakhulu. Oogqirha badla ngokucebisa ukuba umntwana atyandwe xa eneminyaka ephakathi kwe-6 ne-18 ubudala. Oku kungenxa yokuba kukho iingozi ezingaphezulu kancinci xa kunikwa abantwana abangaphantsi kweenyanga ezi-6 ubudala i-anesthesia.
Kodwa olu tyando lungenziwa nakweyiphi na iminyaka. Abanye abantu balwenza besebancinci, ngokuzithandela kwabo.
Kubalulekile: I-Penile Torsion ayibi ngcono okanye ibe mbi ngokuhamba kwexesha. Ihlala injalo.
Indlela yokunyamekela umntwana emva kotyando?
Ngokwesiqhelo kuthatha malunga neentsuku ezili-10 ukuba inxeba liphole emva kotyando. Ugqirha wakho uza kuchaza ngokweenkcukacha indlela yokunyamekela umntwana wakho ngeli xesha. Le miyalelo ilandelayo idla ngokunikwa:
- Ukuyigcina icocekile: Ngalo lonke ixesha utshintsha inabukeni yomntwana wakho, faka ijeli encinci yepetroleum (`Vaseline®`) okanye elinye ithambiso elicetyiswe ngugqirha wakho kwindawo yotyando. Oku kuya kunceda ukuthintela iintsholongwane ukuba zingangeni.
- Ngentlungu: Ukuba umntwana uqaqanjelwa, mnike iyeza lokubulala iintlungu elifana neParacetamol kwidosi emiselweyo njengoko kucetyisiwe ngugqirha.
- Indlela yokuhlamba: Njengoko inxeba liphola, hlamba loo ndawo kakuhle nangokucothayo ngesepha namanzi acocekileyo nafudumeleyo.
Nanini na xa ufuna ukubona ugqirha
Ukuba umchamo womntwana wakho awuhambelani ngendlela engaqhelekanga, kungcono ukuthetha nogqirha, kuba oku kusenokungamkhathazi njengoko ekhula.
Ixesha lokuya kwi-ETU emva kotyando
Ukuba ufumana naziphi na iimpawu zokosuleleka emva kotyando, kuya kufuneka uye kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele esikufutshane ngoko nangoko. Ezi mpawu ziquka:
- Ukuba uphuma igazi rhoqo okanye ukuba awukwazi ukuyeka ukopha.
- Ukuba kukho ulwelo olunuka kakubi oluphuma enxebeni.
- Ukuba umntwana akakachami kangangeeyure ezili-12 emva kotyando.
- Ukuba umntwana unomkhuhlane, uyagodola, kwaye uyaqhaqhazela.
- Ukuba ubovu buqokelelene ngeenxa zonke ezithungweni.
- Ukuba ulusu lubomvu, lumfusa, okanye lumnyama kunesiqhelo.
Ukuba ubona into efana nale, musa ukuchitha ixesha uze umse umntwana esibhedlele.
Umyalezo Wokuya Ekhaya
- I-'Penile Torsion' yimeko eqhelekileyo ebonwa kwiintsana ezingamakhwenkwe. Musa ukoyika xa ubona oku.
- Kwiimeko ezininzi, oku akubangeli ntlungu, ingozi, okanye iingxaki zempilo kwixesha elizayo kumntwana.
- Ukuba ukugaywa kuncinci, akukho nyango lufunekayo rhoqo.
- Ukuba unamathandabuzo okanye uloyiko malunga noku, eyona nto ingcono onokuyenza kukubonana nogqirha wabantwana okanye ugqirha wabantwana.
- Ukuba ucinga ngokuluka, qiniseka ukuba uthetha nogqirha ngale meko kwangaphambili.
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