Ingabe ingane yakho inalesi simo esingavamile? (Ukukhubazeka kwe-Cloacal) Ake sixoxe ngakho!

Injabulo umama noma ubaba ayichazeki lapho bebuka umntwana osanda kuzalwa. Kodwa ngezinye izikhathi, kanye naleyo njabulo, kunezikhathi lapho uzizwa ukwesaba okukhulu nokushaqeka. Yilowo muzwa owutholayo lapho udokotela efika ekutshela ukuthi ingane yakho inenkinga yokuzalwa nayo. I-Cloacal Malformation yisimo esingavamile kakhulu, kodwa esishaqisa abazali kakhulu. Namuhla, sizokhuluma ngalokhu kalula, ngendlela ongayiqonda.

Kalula nje, kuyini i-Cloacal Malformation?

Lesi yisimo esingavamile kakhulu esithinta amantombazane kuphela futhi sitholakala ekuzalweni. Ngokuvamile, i-perineum yentombazane kufanele ibe nezimbobo ezintathu: i-urethra, isitho sangasese sowesifazane, kanye ne-anus.

Kodwa-ke, ingane ene -Cloacal Malformation ayinazo zonke izimbobo ezintathu. Kunalokho, kunombobo owodwa kuphela. Lesi simo singeseqembu lezifo ezibizwa ngokuthi i-anorectal malformation.

Cabanga nje, lapho umntwana ekhula esibelethweni, umgudu wamathumbu womntwana, umgudu wangasese, kanye nomgudu womchamo konke kuxhumene ndawonye njengeyunithi eyodwa. Lokhu sikubiza ngokuthi "i-cloaca." Njengoba umntwana ekhula, le yunithi eyodwa ihlukana kancane kancane ibe izingxenye ezintathu, yakha izikhala ezintathu ezihlukene.

Ukwelashwa kwalesi simo ukuhlinzwa ukuze kudalwe izikhala ezintathu ezihlukene esikhundleni sesikhala esisodwa. Lokhu kuhlinzwa kuvame ukwenziwa phakathi nonyaka wokuqala wokuphila kwengane.

Ingabe zikhona izinhlobo zalesi simo?

Yebo, lesi simo singabonakala ngokushintshashintsha okuncane enganeni ngayinye. Kodwa okuvamile kubo bonke abantwana ukuthi banesikhala esisodwa esikhundleni sezintathu. Lesi sikhala sixhunywe ngaphakathi "nesiteshi esivamile" esikhulume ngaso ekuqaleni. Ubude balesi siteshi esivamile bunquma ubunzima besimo kanye nokwelashwa ingane edingayo. Lesi siteshi singaba noma yikuphi ubude obusukela ku-1 kuya ku-10 cm.

Ake sichaze lokhu kakhudlwana.

Sivame kangakanani lesi simo?

Lesi yisimo esingavamile kakhulu, esenzeka cishe koyedwa ezinsaneni ezisanda kuzalwa ezingu-25,000 kuya ku-50,000.

Ziyini izimpawu zalokhu?

Isici esiyinhloko nesisobala kakhulu ukuthi kubonakala imbobo eyodwa kuphela lapho kuzalwa esikhundleni sezintathu.

Ngaphezu kwalokho, laba bantwana bangase babe nezinye izinkinga zempilo.

• I-clitoris ithatha isimo sepenis yowesilisa.
• Ukubukeka okungavamile endaweni yendunu.
• Izindawo ezingaphezu kweyodwa esithweni sangasese sowesifazane, esibelethweni, noma emlonyeni wesibeletho.
• Ezinye izinkinga ngezinso, ama-ureter, noma uhlelo lomchamo (izinkinga zomchamo).
• Izinkinga zenhliziyo noma zomgogodla.
• Ezinye izinkinga zesimiso sokugaya ukudla (Izinkinga zesisu).

Kungani lokhu kwenzeka? Iyini imbangela?

Odokotela abakayitholi imbangela ethile yalokhu. Kubhekwa njengesenzakalo esingahleliwe, noma into eyenzeka ngaphandle kwesizathu esithile.

Ungasibona kanjani lesi simo?

Lesi simo singabonakala ngezindlela ezimbili.

1. Ngaphambi kokuba umntwana azalwe (ngesikhathi sokukhulelwa)

Ngezinye izikhathi, lokhu kungatholakala ngesikhathi sokuhlolwa kwe-anomaly noma i-ultrasound cishe emavikini angama-20 okukhulelwa. Lokhu kuvame ukubonakala njengoba isitho sangasese somntwana sivuvukele futhi sigcwele uketshezi. Uma lokhu kudinga ukuqinisekiswa, ukuhlolwa kwe-MRI kungenziwa ngesikhathi sokukhulelwa.

2. Ngemva kokuzalwa kwengane

Lokhu kuvame ukutholakala ngemva kokuzalwa komntwana lapho udokotela wezingane ehlola umntwana. Lesi simo singabonakala uma kukhona umgodi owodwa esikhundleni semithathu. Isisu somntwana singase sivuvuke. Udokotela uzobe eseyalela ukuhlolwa okuningana ukuze abone ukuthi kwenzekani ngaphakathi emzimbeni.

• Ukuhlolwa kwe-Ultrasound: Hlola izinso zengane, isinyi kanye nomgogodla.
• Ukuhlolwa kwe-X-ray: Sebenzisa ubuchwepheshe obukhethekile be-X-ray, njenge-fluoroscopy, ukuze ubone ukuthi uhlelo lomchamo lwengane yakho lusebenza kanjani.
• I-Echocardiogram: Ukuhlolwa kokuhlola noma yiziphi izinkinga ngenhliziyo.

Iphathwa kanjani? Ake sifunde ngokuhlinzwa

Ukuphela kwendlela yokwelapha lesi simo ukuhlinzwa. Umgomo oyinhloko wokuhlinzwa ukudala izikhala ezintathu ezihlukene esikhundleni sokuvulwa okukodwa, okuvumela ingane ukuthi ichame futhi ikhululeke ngendlela evamile futhi ilawule lezi zinto.

Le nqubo yokwelapha ivame ukwenzeka ngezigaba eziningana.

Isigaba sokuqala: Ngokushesha nje lapho umntwana ezalwa

Lokhu kwenziwa zingakapheli amahora angu-48 kusukela ekuzalweni komntwana. Umgomo oyinhloko lapha ukuqinisa impilo yomntwana nokudala indlela yokuphuma kwendle nomchamo emzimbeni.

• I-Colostomy: Kule nqubo, udokotela ohlinzayo uletha ingxenye yamathumbu amakhulu engane ebusweni besikhumba esiswini bese edala imbobo. Indle bese iphuma embobo bese iqoqana esikhwameni esikhethekile esinamathiselwe kuyo. Lena inqubo yesikhashana kuze kube yilapho ingane ihlinzwa kakhulu.
• Ukufakwa kwe-catheter: Kufakwa i-catheter ukusiza ingane ukuthi ikhiphe umchamo ngoba isinyi siyavuvukala noma sivalekile.
• Ukugeleza kwamanzi esithweni sangasese somntwana: Uma ukugeleza kwamanzi esithweni sangasese somntwana kuvuvukele futhi uketshezi luqongelelene, kungaphinde kukhishwe amanzi ngokuhlinzwa.

Isigaba Sesibili: Ukuhlinzwa Okukhulu Kokuvuselela

Lokhu kuhlinzwa okukhulu kwenziwa phakathi kwezinyanga eziyi-6 neziyi-12 ubudala, lapho impilo yengane isizinzile. Yilapho izinhlelo ezintathu ezihlanganisiwe zihlukaniswa khona futhi kudalwe izikhala ezintathu ezihlukene (i-anus, i-vagina, kanye ne-urethra).

• Uma ipayipi elivamile le-fallopian lifushane (lingaphansi kuka-4 cm), lokhu kuhlinzwa kulula kakhulu.
• Uma umsele ovamile umude, ukuhlinzwa kuba nzima kakhulu.

Udokotela ohlinzayo wezingane kanye nodokotela wezifo zomchamo wezingane onolwazi olukhethekile kanye nolwazi kulesi sigaba babalulekile ekuhlinzeni okunjalo.

Isigaba Sesithathu: Ukuguqula i-Colostomy

Uma ingane isilulame ngokuphelele ekuhlinzweni okuyinhloko, i-colostomy yokuqala iyaguqulwa. Okusho ukuthi, imbobo eyenziwe esiswini ivaliwe futhi indle ivunyelwe ukuthi idlule ngendlela evamile endunu esanda kudalwa.

Ingane yami izoba nekusasa elinjani?

Lona umbuzo omkhulu kunayo yonke engqondweni yabazali. Ngokuvamile imiphumela iba mihle kakhulu.

• Izingane ezinepayipi elifushane elivamile, okusho ukuthi eliyinkimbinkimbi kakhulu, zinethuba elingu-90% lokuchama ngendlela evamile kanye nokulawula amathumbu.
• Ngisho nezingane ezine-duct ende evamile, okungukuthi, izimo eziyinkimbinkimbi, zinethuba elingu-70% lokulawula kahle ukuchama kanye nokuphuma kwendle.

Iningi lezingane liyakwazi ukuzikhulula ngendlela evamile. Kodwa-ke, ezinye izingane zingase zibe nenkinga yokungakwazi ukuzibamba ngomchamo, okuwukulahlekelwa umchamo ngokungenhloso. Ezinye izingane kungadingeka zikhishwe isinye izikhathi eziningana ngosuku kusetshenziswa i-catheter.

Mayelana nokuphila kocansi nokukhulelwa

Izingane ezinalesi simo zingaba nokuphila kocansi okwanelisayo lapho zikhula. Nakuba ukukhulelwa kungaba nzima kakhulu kunokujwayelekile, akusho ukuthi akunakwenzeka ukuba nezingane. Uma ulindele umntwana esikhathini esizayo, ungacela iseluleko sezokwelapha ngakho. Ukuhlinzwa ngokuhlinzwa kwebele kuvame ukunconywa lapho ubeletha umntwana.

Yini engingayenza njengomzali?

Lolu hambo luyinselele kokubili enganeni nakuwe.

• Mela ingane yakho: Khuluma nethimba lezempilo lengane yakho njalo. Yabelana nganoma yiziphi izinkinga noma ukwesaba onakho nayo.
• Ungaphuthelwa imitholampilo nokuhlolwa okuhleliwe: Ngemva kokuhlinzwa, ukuqapha okuqhubekayo kwezokwelapha kuyadingeka ukuqinisekisa ukuthi izinhlelo zengane zisebenza kahle.
• Qaphela izimpawu: Uma ubona noma yiziphi izinkinga ngokulawula umchamo noma amathumbu njengoba ingane yakho ikhula, tshela udokotela wakho ngokushesha.

Eminye imibuzo okufanele uyibuze udokotela wakho:

• Lo kuhlinzwa kwenziwa kanjani? Kwenziwa eneminyaka emingaki?
• Ingabe ingane yami izozwa ubuhlungu? Ingabe okwamanje isebuhlungwini?
• Yini okufanele ngiyilindele ngesikhathi sokululama ngemva kokuhlinzwa?
• Ingabe ingane izodinga ukuhlinzwa okwengeziwe njengoba ikhula?
• Ingabe ngizoba nezinkinga nge-rectum yami, i-urethra, noma isitho sangasese sowesifazane esikhathini esizayo?
• Ingabe indodakazi yami izokwazi ukuba nomntwana ngokuphephile esikhathini esizayo?

Kuvamile ukuzizwa udabukile uma ufunda into efana nale. Kodwa khumbula, isayensi yezokwelapha ithuthuke kakhulu namuhla. Ukuhlinzwa kungalungisa lesi simo ngempumelelo, okuvumela ingane yakho ukuba iphile impilo evamile. Udokotela wakho kanye nethimba lezokunakekelwa kwempilo bazoba usizo olukhulu kuwe kanye nengane yakho kulolu hambo.