Xa ujonga i-crotch yomntwana wakho omncinci, ngaba ukhe waphawula ukuba imanzi, okanye inendawo encinci emanzi? Ngamanye amaxesha inokuba nevumba elincinci. Kuqhelekile ukuba nawuphi na umama wosana olusandul' ukuzalwa abe noloyiko xa ebona into efana nale. Esinye sezizathu zoku kungaba yingxaki ngento ebizwa ngokuba yi-'urachus'. Musa ukoyika igama, oku akuyonto imbi njengoko ucinga. Makhe sithethe ngale nto ngokulula nangokucacileyo namhlanje.
Kalula nje, yintoni le Urachus?
Khawuthelekelele, xa umntwana wakho esesibelekweni sakho, kukho inxalenye encinci efana nombhobho ephuma kwisinyi sakhe somchamo iye kwiqhosha lesisu sakhe. Yiloo nto siyibiza ngokuba yi-Urachus. Umsebenzi wayo ophambili kukukhupha umchamo womntwana emzimbeni wakhe kwiiveki zokuqala zokukhulelwa. Isebenza njengombhobho wamanzi wexeshana.
Njengoko umntwana ekhula ngaphakathi esibelekweni, inkqubo yakhe yomchamo ikhula ngokufanelekileyo. Emva koko imfuneko yale urachus iyanyamalala. Ngenxa yoko , uninzi lwexesha, ngaphambi kokuba umntwana azalwe, kwiinyanga ezintathu zokuqala zokukhulelwa, le tube ivala ngokuzenzekelayo ize ibe yintambo ye-fibrous. Kwizonyango, oku sikubiza ngokuba yi-median umbilical ligament.
Ngoko khumbula, i-urachus yinto eqhelekileyo ebakho ngexesha lokukhulelwa komntwana kwaye iya kuvala ngokwayo kamva.
Ngoko ke, ngaba i-Urachus inye kunye ne-umbilical cord zimbini?
Ewe, ezi zizinto ezimbini ezahlukeneyo ngokupheleleyo. Abantu abaninzi bayayibhidanisa le nto.
- I-Urachus: Le ifumaneka ngaphakathi emzimbeni womntwana . Yityhubhu edibanisa isinyi somntwana kunye nesibeleko.
- Intambo yoMbilical: Le ingaphandle komzimba womntwana . Kungeso sizathu umntwana ufumana ioksijini kunye nezondlo kumama.
Ngamafutshane, kwizigaba zokuqala, umchamo ophuma kwi-urachus udlula kwi-umbilical cord uze uphume uye emzimbeni kamama. Ngoko ke nangona ezi zimbini zisebenza kunye, zizinto ezimbini ezahlukeneyo.
Kuza kwenzeka ntoni ukuba le tube ayivaleki kakuhle?
Kulapho kufuneka sikhathazeke khona. Ngamanye amaxesha, kunqabile kakhulu, le tube ye-Urachus ayivaleki ngokupheleleyo ngaphambi kokuba umntwana azalwe. Le meko siyibiza ngokuba yi-Urachal Remnant okanye i-Urachal Abnormality. Kukho iintlobo ezine eziphambili zale meko.
| Igama leMeko | Kwenzeka ntoni ngale nto? (Kalula nje) |
|---|---|
| Ilungelo lomenzi wePatent Urachus | Kulapho umbhobho uvulekile ngokupheleleyo. Oku kuthetha ukuba kukho indlela esuka kwisinyi ukuya kwisinyi. Oku kunokubangela ukuba umchamo uphume kwisinyi somntwana . Oku kunokubonakala ngakumbi xa umntwana ekhala okanye ekhohlela. |
| I-Urachal Cyst (ithumba) | Okwenzekayo apha kukuba omabini amacala esinyini kunye nenkaba yombhobho ayavaleka, kwaye ulwelo luyaqokelelana embindini , nto leyo eyenza i-cyst. Amaxesha amaninzi akukho zimpawu. Nangona kunjalo, ukuba oku kusulelekile, unokufumana iintlungu zesisu, umkhuhlane, kunye nokubomvu kufutshane nenkaba. |
| I-Urachal Sinus | Kule meko, icala lesinyi lombhobho livaliwe, kushiyeka icala lesinqe livulekile kuphela. Lifana nombhobho omncinci onecala elinye livaliwe. Oku kunokubangela ukuba kuphume ulwelo oluqhubekayo, olumanzi, olufana nobovu kwi-pelvis. Kunokubangela nosulelo. |
| I-Diverticulum | Okwenzekayo apha kukuba icala le-pelvic letyhubhu livaliwe kwaye icala lesinyi livulekile. Inxalenye encinci efana nengxowa iyenzeka ngaphandle kwesinyi. Uninzi lwexesha akukho zimpawu. Nangona kunjalo, umchamo unokuqokelelwa ngaphakathi kwesi sinyi uze ubangele usulelo oluqhelekileyo lwendlela yomchamo (UTIs) . |
Oogqirha bafumanisa njani ukuba umntwana unengxaki elolu hlobo?
Xa uxela ukuba unerhashalala enamabele amanzi, ugqirha uya kuqala amhlole umntwana ngononophelo. Emva koko, banokwenza iimvavanyo ezininzi ukuqinisekisa imeko.
- I-Ultrasound Scan: Olu lolona vavanyo luqhelekileyo. Lukuvumela ukuba ujonge amalungu omzimba angaphakathi emzimbeni womntwana ngaphandle kwentlungu. Lunokujonga ngokulula ukuba ityhubhu ye-urachus ivaliwe okanye ukuba kukho ithumba.
- I-MRI Scan: Ngamanye amaxesha, olu vavanyo lunokwenziwa ukuba kufuneka umfanekiso ocacileyo.
- Uvavanyo lolwelo:Kuthathwa isampulu yolwelo oluvela kwisinyi luze luvavanywe ukuba lukhona na iikhemikhali kumchamo ezibizwa ngokuba yi-urea kunye ne-creatinine . Ukuba zikhona, kunokuqinisekiswa ukuba umchamo uvela kwisinyi.
- I-VCUG (i-Voiding Cystourethrogram): Olu luvavanyo olukhethekileyo. Kule meko, ulwelo olukhethekileyo (idayi) ludlula kwi-urethra luye kwisinyi, kwaye ukuhamba kolwelo kubonwa nge-X-ray. Oku kunokumisela ngokuchanekileyo ukuba ulwelo luyavuza na kwi-urachus.
Kukwakho nentetho ngemeko eyingozi ebizwa ngokuba yi-urachal cancer. Yintoni leyo?
Kulungile ukuqaphela oku, kodwa ungoyiki ngokungeyomfuneko. Umhlaza we-Urachal luhlobo olungaqhelekanga lomhlaza wesinyi. Ungavela kwiziqwenga zezicubu ze-urachus ezihlala emva kokuzalwa zingavaleki.
Le meko ixhaphake kakhulu kubantu abadala abaneminyaka engaphezu kwama-50 ubudala. Umngcipheko uphantsi kakhulu kubantwana abancinci. Iimpawu ziquka:
- Igazi kumchamo (i-hematuria)
- Izinto ezifana ne-mucus kumchamo (i-mucinuria)
- Intlungu yesisu
- Iqhuma esiswini
Nokuba unazo ezi mpawu, azisoloko zithetha ukuba unomhlaza. Kodwa ukuba ubona into efana nale, kubalulekile ukufuna ingcebiso kagqirha ngokukhawuleza.
Zithini iindlela zonyango zoku?
Unyango loku luxhomekeke kwiimpawu kunye nohlobo lwesifo.
- Ukucoca ngeKhemikhali: Ukuze unyange inxeba elincinci okanye isilonda esiswini somntwana wakho, ugqirha wakho angasebenzisa ikhemikhali ebizwa ngokuba yi-silver nitrate kuloo ndawo. Oku kuya kuyomisa loo ndawo kwaye kuyincede iphilise.
- Ii-antibiotics: Ukuba i-urachal cyst okanye i-sinus yosulelwe yibhaktheriya, ii-antibiotics ziyanikwa ukuze zinyangwe.
- Utyando: Kwiimeko ezifana ne-Patent Urachus kunye ne-Urachal cysts emva kokuba usulelo luphelile, isisombululo esihlala sihleli kuphela kukwenza utyando lokususa ngokupheleleyo ityhubhu ye-Urachus eseleyo. Oku kunceda ekupheliseni ngokupheleleyo umngcipheko wosulelo lwexesha elizayo kunye nomngcipheko ongaqhelekanga womhlaza.
Olu tyando ludla ngokuba yimpumelelo enkulu. Uninzi lwabantu lunokuphila ubomi obuqhelekileyo ngaphandle kweengxaki emva kotyando.
Umyalezo Wokuya Ekhaya
- Ukuba inkaba yomntwana wakho ihlala imanzi, inevumba elibi, okanye ibomvu, musa ukuyityeshela. Bonana nogqirha, ingakumbi ugqirha wabantwana, ngokukhawuleza.
- I-urachus yinxalenye eqhelekileyo yomzimba womntwana ngexesha lokukhulelwa. Ngamanye amaxesha kuvela iingxaki xa ingavali kakuhle.
- Uninzi lwezi meko zinokunyangwa ngokupheleleyo ngonyango, ngoko ke ungoyiki ngokungeyomfuneko.
- Eyona nto ingcono onokuyenza kukuthetha nogqirha wakho ukuze ufumane isigulo esifanelekileyo kunye nonyango.
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