Nabani na umama okanye utata angaxhalaba kakhulu ukuba ngequbuliso ubona ibala legazi okanye amabini kwimpahla yangaphantsi yentombi yakhe encinci, akunjalo? Kuqhelekile ukuziva usoyika xa ubona into efana nale, ingakumbi kuba umntwana usemncinci. Kodwa oku akusoloko kuyinto yokoyika. Ngamanye amaxesha oku kunokubangelwa yimeko esithetha ngayo namhlanje, eyimeko engaqhelekanga kodwa engoyikiyo ebizwa ngokuba yi-Urethral Prolapse. Ngoko masithethe ngale nto ngokucacileyo namhlanje.
Yintoni i-Urethral Prolapse?
Ngamafutshane, oku kulapho kuvela khona ulwelo olubhityileyo lwe-urethra, ityhubhu ethwala umchamo ukusuka kwisinyi ukuya ngaphandle komzimba wethu. Kumantombazana, i-urethra ibekwe kancinci ngaphezulu kwelungu lobufazi. Ngoko ke xa ulwelo olungaphakathi lwale tyhubhu luphuma, lubonakala ngathi yidonathi encinci epinki ephuma kwindawo apho umchamo uphuma khona.
Esi sisifo esingaqhelekanga kakhulu. Sichaphazela malunga nentombazana enye kwi-5,000. Asisiso isifo esisongela ubomi , kwaye asisosifo somhlaza . Ngoko ke ungakhathazeki ngaso. Esi sifo sixhaphake kakhulu kumantombazana angaphambi kokufikisa kunye nabasetyhini abasele beyekile ukuya exesheni.
Kutheni oku kwenzeka kumntwana? Zithini izizathu?
Akukho sizathu sicacileyo soku okwangoku. Nangona kunjalo, oogqirha bakholelwa ukuba kukho izinto ezininzi ezinokubangela oku. Zonke ezi zinto zikhokelela ekonyukeni ngequbuliso koxinzelelo lwesisu.
Cinga ngako, izinto ezinje zinokunyusa uxinzelelo lwangaphakathi esiswini:
- Ukukhohlela okungapheliyo: Ukuba umntwana uqhubeka nokukhohlela kakhulu.
- Ukuqhinwa: Ukuba unengxaki yokuphuma indle, kungenxa yobunzima obuba nabo ngelo xesha.
- Usulelo lweMgudu yomchamo (UTI): Ukuba unezifo zomchamo ezixhaphakileyo.
- Ukutyeba kakhulu: Ukutyeba kakhulu nako kunokuba yimbangela.
- Ukonzakala: Ukuba kukho into eyenzekayo kuloo ndawo, njengokubethwa kakhulu okanye ukuwa.
Enye ingongoma ebalulekileyo kukuba ngaphambi kokuba amantombazana afikelele ebuntwini, amanqanaba aphantsi ehomoni ethi 'Oestrogen' emizimbeni yawo anokubangela ukuba izicwili ezijikeleze i-urethra zibe buthathaka. Olu buthathaka lunokubangela ukuba i-membrane iphume ngolu hlobo.
Zithini iimpawu? Uzibona njani?
Khawucinge nje, malunga ne-10% yabantwana abanale meko basenokungabonakalisi zimpawu. Isenokufunyanwa ngengozi xa besiya kugqirha ukuze bafumane enye into. Kodwa, ukuba iimpawu ziyavela, masibone ukuba zeziphi.
| Uphawu | Inkcazo |
|---|---|
| Amachaphaza egazi kwimpahla yangaphantsi | Olu lolona phawu luqhelekileyo. Lunokuvela njengamathontsi amancinci egazi kwimpahla yangaphantsi. Yile nto ikhathaza abazali abaninzi. |
| Intlungu xa uchama | Abanye abantwana bafumana iintlungu okanye ukutsha xa bechama. Oogqirha bayibiza le nto ngokuba yi-dysuria. |
| Ubunzima bokuchama | Ngamanye amaxesha, kunokuba nzima ukukhupha yonke into kwisinyi sakho (ukugcinwa komchamo). |
| Uvakalelo lwendawo | Indawo isenokuvakala ibuhlungu kancinci emva kokuchama nokusula. |
| Ukudumba kwezicubu eziphumayo | Ukuba le meko iqhubeka ixesha elide, izicwili eziphumayo zinokudumba, zibe buhlungu, kwaye zibe buhlungu. |
Ugqirha uyifumanisa njani le nto? (Ukuxilongwa)
Eyona nto ingcono onokuyenza xa ubona into efana nale kukusa umntwana wakho kugqirha, ingakumbi ugqirha wabantwana .
Kwiimeko ezininzi, ugqirha unokuxilonga esi sifo ngokuxilonga umntwana (ukuxilongwa kweklinikhi). Oku kunokurhanelwa ukuba izicubu ze-glandular ezipinki okanye ezimfusa zibonakala ziphuma kwi-urethra.
Nangona kunjalo, ekubeni esi sisifo esingaqhelekanga, ngamanye amaxesha ugqirha unokucebisa ukuba kwenziwe ezinye iimvavanyo ukuqinisekisa ukuba esi sisifo esinye na.
- Iskeni ye-Ultrasound yePelvic: Usenokucelwa ukuba wenze iskeni ye-ultrasound yesisu.
- I-Voiding Cystourethrogram (VCUG): Olu luvavanyo olukhethekileyo lwe-X-ray oluvumela ukubona ngokucacileyo isinyi kunye nomchamo womntwana.
Ngenxa yokuba oku kunqabile, ngamanye amaxesha kunokuphambukiswa 'njengokopha kwangasese.' Yiyo loo nto kubalulekile ukubona ugqirha ukuze ufumane ukuxilongwa ngokuchanekileyo.
Ziziphi iindlela zonyango zoku? Ngaba kufuneka ndityandwe?
Nangona oku kusenokuvakala kusoyikisa, kwiimeko ezininzi kukho unyango olulula loku. Utyando alufuneki rhoqo. Unyango lumiselwa bubukhali beempawu zomntwana.
| Indlela Yonyango | Inkcazo |
|---|---|
| Ikhrimu ye-estrogen | Olu lolona nyango lokuqala. Olu khilimu kufuneka lusetyenziswe kwindawo njengoko ugqirha echazile. Oku kuya kuqinisa izicubu kuloo ndawo kwaye kuncede inxalenye ephumayo ukuba ibuyele ngaphakathi. |
| Iibhafu zeSitz | Ukuhlamba nge-sitz kukutya imizuzu eli-15-20 emanzini afudumeleyo. Le yindlela entle yokugcina indawo icocekile kwaye inciphise iintlungu kunye nokudumba. |
| Ukufaka iVaseline | Ukufaka into efana neVaseline kunokunciphisa ukurhawuzelelwa kunye nokudumba kuloo ndawo. |
| Ii-antibiotics | Ukuba le meko ibangelwa yinto efana nosulelo lomchamo, ugqirha wakho unokukunika amayeza okubulala iintsholongwane ukuze ayinyange. |
| Amatyala apho kufuneka utyando | |
| Utyando | Ukuba ezinye iindlela zonyango azincedi, kwaye izicubu ezivelelayo zidumbile, zimfusa/ziluhlaza okwesibhakabhaka, kwaye zibuhlungu, ugqirha unokucebisa utyando. Oku kubandakanya ukususa izicubu ezivelelayo nokuzithunga ukuze zingabuyi. Olu lutyando oluqhelekileyo olulula. |
Kwiimeko ezininzi, le meko iyaphela ngokupheleleyo emva kweeveki ezimbini usebenzisa i-estrogen cream kunye ne-sitz baths, ngoko ke akukho sizathu sokukhathazeka.
Umyalezo Wokuya Ekhaya
- Ukudumba komchamo yimeko engaqhelekanga kodwa engeyongozi kumantombazana.
- Uphawu oluphambili kukuvela kwamabala egazi kwimpahla yangaphantsi yomntwana.
- Ukuba ubona into efana nale, ungoyiki, bonana nogqirha wabantwana ngokukhawuleza. Ungaze uye kunyango ofuna ukulwenza okanye wenze oko abantu abakungqongileyo bakuxelele ukuba ukwenze.
- Amaxesha amaninzi, unyango olulula (iikhrimu, ii-sitz baths) lunokuyinyanga ngokupheleleyo le meko kwiiveki ezimbalwa.
- Utyando alufuneki rhoqo, kwaye yinkqubo elula enokwenziwa ngempumelelo.
- Kubaluleke kakhulu ukuze uphile ngokukhawuleza ukulandela imiyalelo kagqirha wakho ngokuchanekileyo.
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