Uma ushintsha inabukeni lomntwana wakho osanda kuzalwa, ingabe uke waphawula ukuthi uhlangothi olulodwa lwesinqe sakhe (amabhola) lukhulu kancane kunolunye? Ngezinye izikhathi ukuvuvukala kuyehla ekuseni, kodwa njengoba usuku luqhubeka, ikakhulukazi lapho umntwana ekhala noma ekhala, ukuvuvukala kubonakala kuyanda? Abazali abaningi bayesaba kancane uma bebona lokhu, futhi kuyinto evamile. Kodwa isikhathi esiningi, akuyona into okufanele uyesabe. Namuhla, sikhuluma ngalesi simo izingane eziningi ezinaso, esibizwa ngokuthi i-Communicating Hydrocele .
Kalula nje, iyini le Communicating Hydrocele?
Kulungile, ake sikwenze lokhu kube lula kakhulu. I-hydrocele iyisikhwama esigcwele uketshezi esifana nesikhwama esakheka sizungeze isende. Manje ungase ubuze, "Ngakho-ke kuyini lokhu 'Ukuxhumana'?" Yilokho okubaluleke kakhulu.
Cabanga nje, ngaphakathi kwesisu sethu (umgodi wesisu) kukhona uketshezi kanye nezitho ezifana namathumbu ethu nesibindi. Lapho umntwana esesibelethweni sikamama, amasende aqala ukukhula ngaphakathi kwesisu somntwana. Bese ehla kancane kancane afinyelele esikhumbeni. Njengoba ehla, kwakheka umzila omncane ofana nethubhu kusukela esiswini kuya esikhumbeni. Kwezokwelapha, sibiza lokhu ngokuthi "i-processus vaginalis". Ngokuvamile, lo mzila uvala ngokuzenzakalelayo ngaphambi noma ngemva kokuzalwa komntwana.
Kodwa kwezinye izingane, le ndlela ayivaleki ngokuphelele, ishiye imbobo encane. Ngaleyo mbobo, uketshezi olusesiswini luyafika luqoqeke eduze kwe-scrotum. Lokhu kubizwa ngokuthi i-communicating hydrocele ngoba kukhona "ukuxhumana" noma "ukuxhumana" noketshezi olusesiswini.
Lokhu kufana namagagasi ogwini oluya luphuma. Lapho umntwana esukuma futhi enyakaza, ingcindezi esiswini iyanda, okubangela ukuthi uketshezi lwehle futhi ukuvuvukala kukhule. Lapho umntwana elele, uketshezi lubuyela esiswini, okubangela ukuthi ukuvuvukala kunciphe.
Uyini umehluko phakathi kwe-hydrocele yokuxhumana kanye ne-hydrocele engaxhumani?
Kunomehluko omncane kodwa obalulekile phakathi kwalezi zinhlobo ezimbili. Kubaluleke kakhulu ukuthi ukwazi lokhu.
| Isici | Ukuxhumana nge-Hydrocele | I-Hydrocele Engaxhumani |
|---|---|---|
| Isizathu | Indlela ephakathi kwesisu kanye ne-scrotum (processus vaginalis) ihlala ivulekile. | Iphasi livaliwe, kodwa uketshezi olwaluqongelela ekuqaleni luhlala ngoba umzimba awulumunci. |
| Uhlobo lokuvuvukala | Inani liyashintsha phakathi nosuku (lincane ekuseni, liningi uma uvukile). | Usayizi uvame ukuqina noma ukwanda kancane kakhulu. |
| Ukuzimisela | Udinga ukuqaphela kakhudlwana, ngoba kukhona ingozi yokwakheka kwe -hernia ngalokhu. | Ngokuvamile ayinangozi futhi iyaziphilisa ngokwayo. |
Kwenzekani uma ingelashwa? Ingozi ye-hernia
Isizathu esiyinhloko okufanele sikhathazeke kakhulu nge-'Communicating Hydrocele' ingozi yokuthola i-hernia ye-inguinal . Uma leyo mbobo esikhulume ngayo ihlala ivulekile, hhayi uketshezi esiswini kuphela, kodwa ngezinye izikhathi ingxenye encane yamathumbu nayo ingangena ngaleyo mbobo iye esikhumbeni. Yilokho esikubiza ngokuthi i-hernia. Uma kuvela i-hernia, ngezinye izikhathi ingabhajwa, okuyisimo esibi esidinga ukuhlinzwa okuphuthumayo. Ngakho-ke, uma ubona i-'Hydrocele', kubalulekile ukuyibonisa udokotela.
Ubani okungenzeka kakhulu ukuthi abone lesi simo?
Empeleni lesi yisimo esivame kakhulu.
- Abafana abasanda kuzalwa: Lesi simo singathinta abafana abafika ku-50% abasanda kuzalwa. Kodwa-ke, izimo eziningi ziyaphela zodwa ngaphandle kokwelashwa lapho umntwana esenonyaka owodwa ubudala.
- Izingane ezindala kanye nabantu abadala: Ngezinye izikhathi kungenzeka ezinganeni ezincane kanye nabesilisa abadala, kodwa kuleyo minyaka kungenzeka kakhulu ukuthi kwenzeke kanye ne-hernia.
Ziyini izimpawu? Uzizwa kanjani?
Uphawu oluyinhloko lwalokhu ukuvuvukala okungenabuhlungu. Kungazwakala njengebhola elincane eligcwele amanzi ngaphakathi kwe-scrotum.
| Iqembu lobudala | Izimpawu ezibonakalayo |
|---|---|
| Izinsana ezisanda kuzalwa |
|
| Izingane ezindala kanye nabantu abadala |
Okubalulekile: Uma ingane endala ivele ivuvuke futhi ibe nobuhlungu obukhulu emasendeni, kungaba yisimo esiphuthumayo esibizwa ngokuthi i-'Testicular Torsion'. Uma lokhu kwenzeka , hamba uye eMnyangweni Wezimo Eziphuthumayo wesibhedlela esiseduze (ETU) ngokushesha.
Udokotela ukubona kanjani lokhu?
Uma utshela udokotela wakho ngokuvuvukala kwengane yakho, into yokuqala azokwenza ukuhlola ingane yakho ngokucophelela. Lokhu ngokuvamile kungatholakala ngokuhlolwa okulula kakhulu.
1. Ukuhlolwa komzimba: Udokotela uzokuzwa ukuvuvukala. Uzohlola ukuthi kuthambile, kuqinile, kubuhlungu, nokuthi kukhulu kangakanani.
2. Ukukhanya Okukhanyayo: Lokhu kuyindlela elula kakhulu yokuhlola. Udokotela usebenzisa ithuluzi elincane elifana nethoshi ukukhanyisa isende elivuvukele. Uma kukhona uketshezi ngaphakathi, ukukhanya kuzodlula kulo kubonakale kupinki. Lokhu kuzoqinisekisa ukuthi liyi-hydrocele ngezinga elikhulu.
3. I-Ultrasound Scan: Ngezinye izikhathi, uma ukuvuvukala kukhulu kakhulu, uma kukhona iqhubu eliqinile, noma uma kukhona ngisho nokusola okuncane kwenkinga (njengomdlavuza), udokotela uzoyala i-'Ultrasound' scan. Lokhu ukuhlolwa okungenabuhlungu futhi okuphephile.
Ilashwa kanjani? Ingabe ukuhlinzwa kuyadingeka?
Yilapho izindaba ezinhle kakhulu kubazali abaningi zikhona.
Esikhathini esiningi, lokho kungama-90% ezinsana,Akukho ukwelashwa okudingekayo. Ngesikhathi umntwana esenonyaka owodwa ubudala, imbobo esikhulume ngayo ekuqaleni izozivaleka yodwa futhi ukuvuvukala kuzophela.
Ngakho udokotela uvame ukusebenzisa indlela ethi “ake sibone”. Uzokutshela ukuthi ulethe umntwana ukuze ayohlolwa njalo ezinyangeni ezimbalwa.
Ngakho-ke, kudingeka nini ukuhlinzwa (i-Hydrocelectomy)?
- Uma ingane ingavuvukalanga unyaka noma emibili .
- Uma ukuvuvukala kukhulu kakhulu noma kubangela ukungakhululeki enganeni.
- Uma kuqinisekiswa ukuthi kukhona i-hernia (i-inguinal hernia) kanye ne-hydrocele.
Lokhu kuhlinzwa akuyona into enkulu. Ngokuvamile, kwenziwa ukusika okuncane (cishe amasentimitha amabili) endaweni yesisu, uketshezi olungaphakathi lukhishwe, bese imbobo ivalwa. Lokhu ukuhlinzwa kwasemini, okusho ukuthi ungayithatha ingane yakho iye nayo ekhaya kusihlwa esifanayo.
Ungamnakekela kanjani umntwana ngemva kokuhlinzwa?
Ingane izobuyela esimweni sayo esijwayelekile zingakapheli izinsuku ezimbalwa ngemva kokuhlinzwa, kodwa kufanele uqaphele ngalezi zinto amasonto amabili kuya kwamathathu.
- Gwema ukuphakamisa okunzima: Ungavumeli ingane yakho ihlale phezu kwamathoyizi anemilenze evulekile, njengamahhashi anyakazayo. Nciphisa inani lokukhwela, ukugijima, nokugxuma okwenziwa yingane yakho.
- Nakekela ukusikwa: Kuvamile ukuba nokuvuvukala okuncane eduze kokusikwa. Udokotela uzokunikeza imithi yobuhlungu.
- Shayela udokotela wakho ngokushesha: Uma ubona izimpawu ezilandelayo, shayela udokotela wakho ngokushesha.
- Uma inxeba liphuma igazi
- Uma ubuhlungu bukhula
- Uma ingane inomkhuhlane
- Uma ukuvuvukala kukhula kakhulu
- Uma ubona ushintsho embala wesikhumba (obomvu, onsomi, onsundu, noma omnyama)
Uma kufanele nakanjani ubonane nodokotela
Nakuba i-hydrocele elula ingeyona ingozi, uma ingane yakho inezinye zezimpawu ezilandelayo, kungaba uphawu lwe-hernia eklinyiwe. Ngakho funa iseluleko sikadokotela ngokushesha.
| Izimpawu zesixwayiso okufanele uziqaphele | |
|---|---|
| Isici | Incazelo |
| Ukuvuvukala noma iqhubu | Iqhubu eliqinile elingazelelwe endaweni yesinqe noma engquza. |
| Ubuhlungu obucacile | Ingane iyaqhubeka nokukhala, ayikwazi ukududuzwa, futhi ikhala nakakhulu lapho kuthintwa ukuvuvukala. |
| Isifiso sokudla | Uma umntwana engancelisi noma engadli njengenjwayelo. |
| Ukuhlanza | Uma ingane ihlanza ngaphandle kwesizathu esibonakalayo. |
| Ukunyakaza kwamathumbu okunciphile | Uma ingane ingaphumi njengenjwayelo. |
Umlayezo Wokuya Nawe Ekhaya
- Lokhu kuvame kakhulu: Ukuxhumana nge-Hydrocele kuvame kakhulu kubafana abasanda kuzalwa. Ngakho-ke ungakhathazeki ngokungadingekile.
- Iyaziphulukisa ngokwayo: Ezimweni eziningi, lesi simo siba ngcono ngokwaso ngaphandle kokwelashwa lapho ingane isinonyaka owodwa ubudala.
- Ukushintsha kokuvuvukala: Kuwuphawu lwalesi sifo ukuthi ukuvuvukala kuyanda futhi kwehla usuku lonke. Lokhu kuvamile.
- Khombisa udokotela : Uma ubona noma yikuphi ukuvuvukala emasendeni engane yakho, kubalulekile ukukubonisa udokotela ukuze uthole ukuxilongwa okunembile.
- Qaphela ama-hernia: Uma uzwa izimpawu ezifana nobuhlungu obungazelelwe, iqhubu eliqinile, noma ukuhlanza, kungaba yi-hernia, ngakho-ke hamba esibhedlela ngokushesha.
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