Uma unengane entsha, ithemba elikhulu onalo njengomama noma ubaba ukubona ingane yakho iphilile. Kodwa ngezinye izikhathi, kufanele sikhathazeke kancane ngenxa yezinkinga ezithile eziphakama ngenkathi ingane isesesibelethweni. Namuhla, sizokhuluma ngezinguquko noma amaphutha athile ohlelweni lomchamo lwengane oluzalwa kusukela ekuzalweni. Ngokwezokwelapha, lokhu sikubiza ngokuthi 'Ukungalingani Komchamo Okuzalwa'. Ungesabi uma uzwa igama, uma ukwazi kahle lokhu, kuzoba lula ngathi ukubhekana nanoma yini.
Kalula nje, yiziphi lezi zinkinga zesistimu yomchamo yokuzalwa?
Igama elithi 'ukuzalwa kabusha' lisho 'kusukela ekuzalweni'. Lokhu kusho ukuthi lezi zimo ziba khona ngesikhathi umntwana esesesibelethweni noma ngesikhathi ezalwa. Zingathinta uhlelo lomchamo futhi ngezinye izikhathi uhlelo lokuzala.
Cabanga ngohlelo lomchamo emzimbeni wethu njengohlelo oluhlunga amanzi, luwaqoqe ethangini, bese luwakhipha ngepayipi. Kunezingxenye ezimbalwa eziyinhloko zalolu hlelo:
- Izinso: Lezi yizihlungi ezimbili ezinkulu emzimbeni wethu. Umsebenzi oyinhloko wezinso ukuhlunga usawoti ongadingekile, amanzi, ubuthi, kanye nemikhiqizo engcolile egazini bese kukhiqiza umchamo . Ngokuvamile, wonke umuntu unezinso ezimbili.
- Isinye Esinomchamo: Lesi yisikhwama esincane, esinwebekayo esigcina umchamo okhiqizwa yizinso okwesikhashana.
- Ama-ureter: Lawa amapayipi amabili athwala umchamo usuka ezinso uye kwesinye.
Ngakho-ke, lokhu kukhubazeka kokuzalwa esikhuluma ngakho kuyizinguquko noma amaphutha athile avela ezingxenyeni ezifana nezinso, esinyeni, noma urethra lapho kwakheka.
Yiziphi izinkinga ezivame kakhulu zokuzalwa ohlelweni lomchamo?
Kunezinhlobo eziningana zezimo ezinjalo. Ezinye zivamile kakhulu, kanti ezinye azivamile. Ake siqonde izinhlobo eziyinhloko. Ngibeke lolu lwazi etafuleni ukuze kube lula ukuliqonda.
| Igama Lesimo | Kwenzekani kulesi simo? |
|---|---|
| I-Hydronephrosis | Kalula nje, amatshe ezinso ayavuvukala. Ngenxa yokuvaleka endaweni ethile emgudwini womchamo, umchamo awukwazi ukugeleza usuka ezinso uye esinyeni. Bese, umchamo ugcwala ngaphakathi kwezinso, okubangela ukuba izinso zivuvuke. Lokhu kungenzeka enso eyodwa noma zombili. |
| Amasende Angaphambuki (i-Cryptorchidism) | Lesi yisimo esithinta abafana. Amasende avame ukukhula ngaphakathi esiswini somntwana. Abe esehla kancane kancane aye esinqeni, isikhwama esingemuva kwepenisi. Kulesi simo, isende elilodwa noma womabili anamathela engxenyeni engenhla yomzimba esikhundleni sokwehla. |
| I-Hypospadias | Lokhu kuthinta nabafana. I-urethra yipayipi lapho umchamo nesidoda kuphuma khona emzimbeni. Ngokuvamile, imbobo ekuleli payipi isemaphethelweni epenis. Kodwa kubafana abanalesi simo, imbobo ingaphansi kwepenis. |
| I-Spine Bifida | Lokhu kwenzeka ngoba ubuchopho, umgogodla, kanye nolwelwesi oluzungezile azivali ngokuphelele ngesikhathi umntwana ekhula esibelethweni. Ezimweni ezimbi kakhulu, lokhu kungalimaza imizwa futhi kubangele izimo ezifana nokukhubazeka. Lokhu kungaholela ezinkingeni zokulawula isinyi (isinyi se-neurogenic). |
| I-Vesicoureteral Reflux (VUR) | Ngokuvamile, umchamo ugeleza usuka ezinso uye kwesinye. Kodwa kulesi simo, umchamo ugeleza usuka kwesinye ubuyela emuva, ukhuphukele ema-ureter, bese ungena ezinso. Njengamanzi ageleza emfuleni. Lokhu kungaholela ekuthelelekeni njalo kwemigudu yomchamo (UTIs) kanye nokulimala kwezinso. |
| Ukukhishwa Kwesinye | Lesi yisimo esingavamile kakhulu. Okwenzekayo lapha ukuthi isinye somntwana siphenduka singene ngaphakathi, sishiye isikhala esikhumbeni sesisu. Ngakho-ke, esikhundleni sokuphuma nge-urethra evamile, umchamo uphuma ngalesi sikhala esiswini. |
| Isifo Sesisu Se-Prune | Lesi futhi yisimo esingavamile. Isici esiyinhloko salokhu ukuthi imisipha yesisu ibuthakathaka kakhulu noma ayikho. Ngenxa yalokho, isikhumba esiswini sibukeka sishwabene njenge-raisin. Ngaphezu kwalokho, amasende awawehli futhi kuyabonakala nezinye izinkinga ngohlelo lomchamo. |
| Ivalvu Yesitho Sangemuva (i-PUV) | Lokhu futhi kuyinto eyenzeka ezinganeni zesilisa kuphela. Ngemuva kwe-urethra, kwakheka into efana nolwelwesi olwengeziwe, oluvimba ukudlula komchamo. Ngemuva kwalokho, umchamo awukwazi ukuphuma bese ugeleza ubuyela emuva, okubangela ukuthi isinye sivuvuke. Lokhu kungalimaza ne-urethra kanye nezinso. |
Isimo esivame kakhulu esibonakala ezinganeni zesilisa amasende angavuki .
I-Vesicoureteral reflux (VUR) iyisimo esivamile emantombazaneni .
Ziyini izimpawu zalokhu?
Izimpawu ezivela kulezi zimo ziyahlukahluka. Ezinye izimo azibangeli ubuhlungu noma izimpawu ezibonakalayo. Zingatholakala kuphela ngokuhlolwa okufana nokuskena. Kodwa-ke, kunezimpawu ezimbalwa ezivamile ezingabonakala.
- Ubuhlungu esiswini, esiswini, noma emhlane.
- Ukushisa noma ubuhlungu lapho uchama (i-dysuria).
- Umchamo uqondiswa kwenye indlela esikhundleni sokugeleza uqonde.
- Ukuchama okuningi noma okuncane kunokujwayelekile.
- Igazi emchameni (i-hematuria).
- Isicanucanu nokuhlanza.
- Izimo ze-Hernia.
- Ukutheleleka okuvamile komgudu womchamo (UTIs).
- Ingane ayikhuli ngendlela obekulindelekile.
Kungani kwenzeka izimo ezinjengalezi?
Kunzima kakhulu ukukhomba imbangela eyodwa. Kuyinkimbinkimbi kancane. Odokotela bakholelwa ukuthi kuvame ukubangelwa yinhlanganisela yezici zemvelo kanye nethonya lezakhi zofuzo .
Izici zemvelo ezingathinta:
- Umama unesifo sikashukela ngesikhathi sokukhulelwa.
- Ukungadli ngokwanele amavithamini namaminerali abalulekile njenge-folate ne-iron ngesikhathi sokukhulelwa.
- Eminye imithi ethathwa ngesikhathi sokukhulelwa, ikakhulukazi leyo yesifo sokuwa, ingalimaza izinso.
Ngokwezakhi zofuzo, lokhu kungabangelwa izinguquko ezithile (ukuguqulwa kwezakhi zofuzo) ezithinta ukukhula kwengane. Kodwa akudingeki ukhathazeke kakhulu ngalokhu. Into ebalulekile ukuqonda ukuthi lokhu akulona iphutha lakho noma okunye.
Ungazibona kanjani lezi zimo?
Lezi zinhlobo zezinkinga zokuzalwa zivame ukutholakala ngesikhathi sokuhlolwa kwe-ultrasound ngaphambi kokubeletha . Lapho bebheka ukukhula komntwana, odokotela babheka noketshezi lwe-amniotic oluzungeze umntwana. Ngemva kwamasonto angama-20 okukhulelwa, iningi lalolu ketshezi lwe-amniotic lwakhiwe ngomchamo womntwana. Ngakho-ke, uma kunenani elincane lalolu ketshezi, odokotela bangase basole inkinga ohlelweni lomchamo.
Uma kungatholakalanga ngaphambi kokuzalwa, odokotela bangase basole lokhu ngesikhathi sobuntwana noma ebuntwaneni ngokusekelwe ezimpawini zengane. Ngemuva kwalokho, kwenziwa izivivinyo ezahlukahlukene ukuqinisekisa isimo.
- I-Ultrasound Scan: Lokhu kuthatha izithombe zezitho zomzimba.
- Ukuhlolwa komchamo: Hlola ukutheleleka komgudu womchamo.
- Ukuhlolwa Kwegazi: Kala ukuthi izinso zihlunga kahle kangakanani igazi.
- I-CT Scan: Isebenzisa inani elikhulu lama-X-ray ukudala izithombe ezinemininingwane ezintathu zangaphakathi lomzimba.
- I-MRI Scan: Isebenzisa omaginethi namagagasi omsakazo ukukhiqiza izithombe ezicacile zezitho zomzimba.
- I-VCUG (i-Voiding Cystourethrogram): Lokhu ukuhlolwa kwe-X-ray okukhethekile. Kuyasiza ukubona ukuthi kwenzekani lapho isinyi sigcwala futhi sikhipha. Lokhu kubaluleke kakhulu ukuhlola i-VUR.
- Ukuskena Kwezinso: Inani elincane lezinto ezinemisebe lifakwa ezinso ukuze kunikezwe umbono oningiliziwe wokusebenza kwezinso kanye nokugeleza komchamo.
Iphathwa kanjani?
Izinketho zokwelapha zincike esimweni esithile sengane kanye nobunzima bayo.
Akuzona zonke izimo ezidinga ukwelashwa. Ezinye izinkinga ezincane zingaxazululeka zodwa ngokuhamba kwesikhathi, noma zingadinga ukunakekelwa njalo kwezokwelapha.
Ngakolunye uhlangothi, ezinye izimo zidinga ukwelashwa. Lezi zingafaka:
- Ama-antibiotic: Vimbela noma welaphe izifo zomgudu womchamo.
- Ukuhlinzwa: Kungase kudingeke ukuhlinzwa ukuze kususwe ukuvaleka, kulungiswe i-urethra, noma kulungiswe ezinye izinkinga.
- I-Dialysis: Uma izinso zingasebenzi kahle kakhulu (ukwehluleka kwezinso), kumele kusetshenziswe umshini ukususa imfucuza emzimbeni.
- Ukufakelwa Kwezinso: Ekuhlulekeni kwezinso esigabeni sokugcina, ukufakelwa kwezinso okunempilo kungaba yisisombululo.
Ithimba lezokwelapha elilapha ingane yakho lizohlola ngokucophelela isimo sengane yakho bese lenza uhlelo lokwelapha olufanele kakhulu kuyo.
Yini ongayilindela ngekusasa lengane yakho?
Lokhu kuncike ngokuphelele esimweni somntwana nokuthi kubathinta kanjani. Ezinye izingane zingadinga ukunakekelwa kwezokwelapha impilo yazo yonke. Kodwa ungakhathazeki. Ithimba lezokwelapha lizosebenzisana nawe ukuthuthukisa uhlelo lokusiza ingane yakho iphile impilo ephephile, enempilo, nezimele .
Njengoba ingane ikhula, kungase kuvele izinkinga ezifana nobunzima bokulawula umchamo kanye nendle, izifo ezivame ukwenzeka emchameni, kanye nokulimala kwezinso. Kukhona futhi nengozi yokwehluleka kwezinso ngenxa yokulimala okukhulu kwezinso.
Futhi, lezi zimo zingathinta impilo yengqondo yengane. Ingane ingase ikhathazeke ngomzimba wayo nokuthi abanye bacabangani ngayo. Ngakho-ke, kubaluleke kakhulu ukunikeza ingane ukwesekwa kwengqondo okudingekayo nokufuna usizo eqenjini lezokwelapha.
Kufanele ngimbone nini udokotela? Kufanele ngiye nini e-ETU?
Uma ingane yakho inalesi simo, qiniseka ukuthi uya khona ezinsukwini zomtholampilo ezinikezwe udokotela. Kubalulekile ukuqapha intuthuko nesimo sengane.
Futhi, uma kuvela noma yiziphi izimpawu eziphuthumayo ezilandelayo, thatha ingane uyiyise e- Emergency Treatment Unit (ETU) eseduze.
- Ubuhlungu obungazelelwe noma obungabekezeleleki esiswini, ohlangothini, noma emhlane.
- Umkhuhlane ongaphezu kuka-100.5 Fahrenheit (38 Celsius).
- Izinguquko ekuchameni: ukuchama kakhulu noma kancane kunokujwayelekile, ukungakwazi ukuchama, ubuhlungu lapho uchama, noma igazi emchameni .
Ezimweni ezinjalo, ungalindi ekhaya. Ukunakekelwa kwezokwelapha okusheshayo kungavimbela izinkinga ezinkulu.
Umlayezo Wokuya Nawe Ekhaya
- 'Ukukhubazeka komgudu womchamo wokuzalwa' yizimo ezenzeka ngesikhathi umntwana esakhula esibelethweni sikanina. Lokhu akulona iphutha labazali nhlobo.
- Eziningi zalezi zingatholakala kusenesikhathi ngokusebenzisa ama-scan ngesikhathi sokukhulelwa.
- Uma ingane yakho inenkinga yokuchama, inezifo ezivame ukutheleleka, noma ikhombisa ezinye izimpawu ezingavamile, ungakushayi indiva lokho. Yisa ingane yakho kudokotela ngokushesha.
- Akuzona zonke izimo ezidinga ukuhlinzwa noma ukwelashwa okunamandla. Indlela yokwelapha incike esimweni esithile sengane.
- Ngokwelashwa okufanele kanye nokunakekelwa kwezokwelapha kwesikhathi eside, izingane eziningi ezinalezi zimo zingaphila impilo enempilo nejwayelekile. Ithimba lakho lezokwelapha lizokusiza ukwenza lokho.
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho