Ngaba ukhe waphawula ukuba ezinye iintsana zinomswakama omncinci kwindawo yazo yokukhohlela, ngamanye amaxesha kuphuma ulwelo oluncinci? Okanye, ngaba usenentlungu esiswini sakho esisezantsi emva kokuba zikhulile kancinci? Nangona ezi zizinto ngamanye amaxesha esingazinaki kangako, kusenokuba kukho isizathu esincinci sezonyango emva kwazo. Namhlanje siza kuthetha ngesinye sezifo ezinjalo. Sibizwa ngokuba yi-'Urachal Remnant'. Eli gama lisenokuvakala lingaqhelekanga, kodwa masiliqonde ngokulula.
Yintoni le 'iNtsalela yaseUrachal'?
Kulungile, ukuze sikuqonde oku, kufuneka sibuyele umva kancinci ngexesha umntwana wayesesibelekweni sikanina. Yonke imveku esibelekweni sikanina inombhobho wexeshana phakathi kwesinyi (apho umchamo uqokelelana khona) kunye nentambo yomntwana. Oku kubizwa ngokuba yi-'urachus'. Oku kunceda umchamo udlule ngexesha lokukhulelwa.
Ngokwesiqhelo, ngexesha lekota yesibini yokukhulelwa, le tube ebizwa ngokuba yi-urachus iyancipha kancinci kancinci ize ibe yisakhiwo esincinci esifana nentambo esenziwe ngezicubu ezine-fibrous. Oku kubizwa ngokuba yi-median umbilical ligament. Oku kubakho emzimbeni ubomi bonke bomntu ophilileyo.
Nangona kunjalo, ngamanye amaxesha, nasemva kokuba umntwana ezelwe, inxalenye yale tube ebizwa ngokuba yi-'urachus' ihlala inganciphi ngokupheleleyo. Elo candelo liseleyo libizwa ngokuba yi-'urachal residue'. Ngamafutshane, into ethile eyenzeka ngaphakathi esibelekweni kwaye kufuneka inyamalale ayinyamalali kakuhle, kodwa ihlala injalo.
Ixhaphake kangakanani le meko?
Kunzima ukutsho ukuba oku kuqheleke kangakanani na. Nangona kunjalo, oogqirha nabaphandi baqikelela ukuba malunga ne-1% yabantwana banokuba nale meko. Kuthiwa ixhaphake kancinci kubafana kunamantombazana.
Ngaba kukho iintlobo ezahlukeneyo zale 'Euracal Remnant'?
Ewe, kukho iintlobo ezahlukeneyo zale 'eurax' eseleyo kuxhomekeke ekubeni ishiywe njani. Masibone ukuba zeziphi:
- Ivuleke ngokupheleleyo (iPatent Urachus): Oku kuxa umbhobho osuka kwisinyi ukuya kwi-ureter uvulekile ngokupheleleyo. Oku kuthetha ukuba umchamo othile unokuvuza kwi-ureter.
- I-Urachal Cyst: Kule nto, ityhubhu ivalwe macala omabini, kwaye ulwelo luqokelelana embindini, lwenze i-cyst encinci (iqamza). Isenokuba neziqwenga zezicubu.
- Ivuliwe kwicala le-pelvic, ivaliwe kwicala le-bladder (i-Urachal Sinus): Kulapho ityhubhu ivuleka khona kwicala le-pelvic, kodwa ivaliwe kwicala le-bladder. Ngoko ke, ngamanye amaxesha ukukhupha amanzi kungaphuma kwicala le-pelvic.
- I-Vesicourachal Diverticulum: Kule nto, ityhubhu ivulekele kwicala lesinyi, kodwa ivaliwe kwinkaba. Oku kudala inxalenye encinci yesinyi efana nengxowa.
Ngoku mhlawumbi uyaqonda ukuba ayinguye wonke umntu onayo le nto ngendlela efanayo.
Ngaba ngokwenene kufuneka siyisuse le 'Euracal Remnant'?
Le yingxaki abantu abaninzi abanayo. Abanye abantwana kunye nabantu abadala abane-'urachal residue' banokuba neengxaki . Kwiimeko ezinjalo, oogqirha banokugqiba kwelokuba kungcono ukwenza utyando ukuze kususwe le nxalenye iseleyo.
Nangona kunjalo, ayingomntu wonke ofanayo. Abanye abantu banokuphila ngaphandle kweengxaki. Ngenxa yoko, ugqirha uza kukuhlola ngononophelo wena okanye umntwana wakho ukuze agqibe ukuba yeyiphi na engcono. Ngoko ke ungakhathazeki.
Kutheni le nto le 'Euracal Remnant' isenziwa?
Enyanisweni, iingcali azikafumani sizathu sokuba ezinye iintsana zibe nale 'nkunkuma ye-urachal' nasemva kokuzalwa. Ekubeni oku kwenzeka ngexesha lokukhulelwa, kunzima ukukhomba unobangela othile.
Zithini iimpawu zoku?
Kwiimeko ezininzi, kusenokungabikho zimpawu zibonakalayo nokuba kukho 'intsalela ye-urachal'. Kwakhona, ukuba iimpawu ziyenzeka, zinokwahluka ngokuxhomekeke kuhlobo olukhankanyiweyo apha ngasentla.
- Kwiintsana ezisandul’ ukuzalwa: Ezinye iintsana zinokuba nomvakalelo wokuba zimanzi zijikeleze isisu sazo , kwaye kufuneka ukhathazeke ukuba oku kuyaqhubeka kungapheli. Usenokubona nomchamo uvuza.
- Abantwana abadala kunye nabantu abadala banokubona iimpawu ezifana nezi:
- Ifiva.
- Usulelo oluqhelekileyo lwendlela yomchamo (ii-UTI) (ii-UTI ebantwaneni zinokwahluka kancinci kwii-UTI kubantu abadala).
- Ukuba nentlungu esiswini esisezantsi.
- Intlungu nokutsha xa uchama.
Khawucinge nje ngomntwana wakho omncinci esoloko esithi "Mama, isisu sam sibuhlungu," okanye ekhala xa echama , okanye enomkhuhlane nje. Ezi zinokuba ziimpawu zemeko efana nale.
Uyazi njani ukuba le 'yi-Euracal Remnant'?
Ngokwesiqhelo, oogqirha bayakukrokrela oku ukuba usana olusandul’ ukuzalwa luphuma ulwelo olungapheliyo kwi-umbilical cord okanye ezinye iimpawu. Nangona kunjalo, uninzi lwexesha, alufunyaniswa de kubekho iingxaki, nokuba kubuntwana okanye kubudala.
Oogqirha banokufumana ngempazamo 'intsalela ye-urachal' ngelixa bevavanya enye into. Ukuba babona into engaqhelekanga, benza uvavanyo olongezelelekileyo ukuqinisekisa oko.
Loluphi uhlobo lovavanyo olubona oku?
Oogqirha badla ngokwenza i-ultrasound yesisu sakho, isinyi, kunye nendawo ye-pelvic ukujonga ukuba kukho intsalela ye-urachal. Olu luvavanyo olulula kakhulu, olungenabuhlungu.
Kwezinye iimeko, oogqirha banokucebisa uvavanyo olubizwa ngokuba yi-'Voiding Cystourethrogram' (VCUG). Olu vavanyo luthatha imifanekiso (njenge-X-ray) ye-urethra yakho kunye nesinyi ngelixa uchama. Oku kunokunceda ukubona ngokucacileyo ukuba kukho naziphi na iingxaki kule ndawo.
Zithini iindlela zonyango zoku?
Unyango lwe-'urachal residue' luxhomekeke kuhlobo kunye neempawu onazo.
- Ukuba unentsholongwane , ugqirha wakho angakunika amayeza okubulala iintsholongwane kuqala.
- Ukuba une-urachal cyst (iqhubu elizele lulwelo), ugqirha wakho unokukwazi ukusebenzisa inaliti ukukhupha ulwelo. Nangona kunjalo, esi sisisombululo sexeshana nje. Ulwelo lunokuphinda luqokelelane luze lubangele iimpawu.
Kwiimeko ezininzi, isisombululo esihlala sihleli kukwenza utyando lokususa ngokupheleleyo intsalela ye-urachal. Nangona kunjalo, esi sigqibo senziwa ngokusekelwe kwizinto ezininzi, kuquka ubudala kunye nemeko yesigulane. Abantwana abancinci basenokungadingi utyando ngoko nangoko. Ugqirha womntwana wakho uza kukuchazela iindlela zonyango ezilungileyo, ecinga ngempilo yabo yexesha elide kunye nokuphila kakuhle.
Singathetha okungakumbi ngotyando?
Ukuba kugqitywe ngotyando, oogqirha baya kuyisusa le 'ntsalela yomchamo' nokuba ngotyando oluvulekileyo okanye nge-laparoscopically.
Kutyando lwe-'laparoscopic', ugqirha wenza utyando ngokusebenzisa iindlela ezimbalwa ezincinci , esebenzisa ikhamera kunye nezixhobo ezikhethekileyo. Le ndlela ineengenelo ezininzi:
- Intlungu incinci.
- Amanxeba mancinci.
- Ungachacha ngokukhawuleza.
- Ungabuyela ngokukhawuleza kwimisebenzi yemihla ngemihla.
Khumbula, nokuba loluphi uhlobo lotyando oluqhutywayo, lwenziwa kucingelwa impilo-ntle yakho nokhuseleko lwakho.
Ngaba ikho indlela yokuthintela ukuba le 'ntsalela ye-uracular' ingenzeki?
Njengoko bekutshiwo ngaphambili, 'intsalela ye-urachal' yenziwa ngenxa yento eyenzekayo ngexesha lesigaba sokuzalwa. Oko kukuthi, into eyenzekayo ngelixa umntwana esesesibelekweni sikanina. Ngoko ke, akukho nto sinokuyenza ukuthintela oku. Asilotyala lomntu.
Ngaba oku kunokuba nemiphumo yexesha elide?
Ngamanye amaxesha, abantwana kunye nabantu abadala abane-'urachal residue' banokufumana usulelo rhoqo . Le yeyona ngxaki iphambili.
Ukongeza, ukuba ne-'urachal residue' kuthiwa kunyusa kancinci umngcipheko wokuba nohlobo olungaqhelekanga kodwa olubi kakhulu lomhlaza wesinyi (umhlaza we-urachal) . Nangona kunjalo, oku kunqabile kakhulu .Ngoko ke musani ukoyika ngokungeyomfuneko. Oogqirha bayayazi le nto kwaye bathatha amanyathelo afunekayo.
Ingaba le meko ingabuya emva konyango?
Ukuba 'intsalela ye-urachal' isusiwe ngokupheleleyo kutyando olunye, ngokuqhelekileyo akukho thuba lokuba kubekho iingxaki okanye iimpawu eziphinda zivele. Yiyo loo nto utyando ludla ngokuba lolona sisombululo silungileyo.
Sifanele siye kugqirha nini?
Ukuba wena okanye umntwana wakho unenye yezi mpawu, qiniseka ukuba ubonana nogqirha.
- Intlungu engapheliyo esiswini esisezantsi.
- Ubunzima, ukutsha, kunye nentlungu xa uchama.
- Ukuba ufumana usulelo oluhlala lukho kwindlela yomchamo.
- Ukuba inkaba yosana olusandul’ ukuzalwa iyaqhubeka nokuba manzi okanye ivuza amanzi.
Xa ubona ugqirha ngexesha elinje, baya kwenza uvavanyo olufunekayo. Banokuyalela i-ultrasound ukuze babone ukuba kukho 'intsalela yomchamo' na.
Ngoko ke, zeziphi izinto ekufuneka sizikhumbule koku?
'Intsalela ye-urachal' yinxalenye yombhobho ophakathi kwesinyi kunye ne-rectum ehlala ngexesha lokukhula komntwana ongekazalwa xa ingavaleki kakuhle. Uninzi lwexesha, oku akunabungozi, kodwa kwabanye abantu kunokubangela usulelo, iintlungu, kwanomhlaza.
Eyona nto ibalulekileyo kukufuna ingcebiso kagqirha ukuba wena okanye umntwana wakho ninayo nayiphi na kwezi mpawu, ngaphandle kokuzityeshela. Ugqirha nguye oza kukunika ulwazi oluninzi kwaye, ukuba kuyimfuneko, agqibe ngonyango olufanelekileyo. Utyando lunokunyanga ngokupheleleyo oku.
Ngoko ke, ndiyathemba ukuba olu lwazi luluncedo kuwe. Hlala usempilweni!
👩🏽⚕️ Imibuzo eyongezelelweyo (Ii-FAQ)
💬 Ingaba i-urachal residue ngumhlaza okhula kwisinyi?
Hayi! Lo asingomhlaza, sisiqwenga setyhubhu endala eyayisesibelekweni sikanina. Ngexesha lokukhulelwa, umchamo womntwana uya kumama ngentambo yesisu (le tyhubhu ibizwa ngokuba yi-Urachus). Le tyhubhu kufuneka ivale (ifinyeze) yodwa ngaphambi kokuba umntwana azalwe. Kodwa xa ingavali kakuhle kwaye kushiyeke inxalenye, ibizwa ngolu hlobo.
💬 Ngaba umchamo uza kuphuma kwiqhosha lesisu lomntwana ukuba le tube ayivalwanga kakuhle?
Ewe! Ukuba le tube (iPatent Urachus) ivulekile ngokupheleleyo, umchamo kwi-urethra uza kudlula kule tube uze 'uphume' kwiqhosha lenkaba/isisu somntwana. Emva koko inkaba iya kuhlala imanzi. Ngamanye amaxesha, le tube inokuvuleka kuphela embindini ize yenze isinyi samanzi (i-Urachal Cyst) ngaphakathi esiswini.
💬 Yintoni omawuyenze xa umchamo uvuza kwilungu lobufazi?
Oku akunakunyangwa ngamayeza. Kuba iintsholongwane zinokungena ngalo mngxuma zibangele usulelo olukhulu, kwaye kukho nomngcipheko omncinci wokuba ziya kuba ngumhlaza ukuba ziya zikhula. Ke ngoko, esi siqwenga songezelelweyo setyhubhu siyanqunyulwa ngokuqinisekileyo ngotyando oluncinci (utyando lweLaparoscopic), kwaye izintso kunye nesinyi ziyavalwa.
Intsalela ye- Urachal, i-Urethra, usulelo lwendlela yomchamo, iintlungu zesisu, impilo yomntwana, utyando
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