Ingabe umfanyana wakho unalesi simo? Ake sixoxe nge-Hypospadias

Uma ushintsha inabukeni lomntwana wakho osanda kuzalwa, ingabe kukhona okukuqaphelile okungajwayelekile noma okuhlukile ngepenisi yakhe? Mhlawumbe uzizwe sengathi i-urethra ayikho lapho kufanele ibe khona, kodwa iphansi kancane. Kujwayelekile ukuthi umama noma ubaba azizwe esaba kakhulu futhi ekhathazekile uma ebona into efana naleyo. Kodwa ungakhathazeki. Namuhla sikhuluma ngalesi simo esibuzwa omama nobaba abaningi, esivame ukubonakala, futhi esizalwa ezinganeni eziningi zesilisa, okungukuthi i-hypospadias.

Kalula nje, iyini i-hypospadias?

Kulungile, ake sikuchaze kalula lokhu. I-Hypospadias iyisici sokuzalwa lapho ipenisi nejwabu lomfana kungakhuli kahle. Sinepayipi emzimbeni wethu elikhipha umchamo nesidoda , esilibiza ngokuthi i- urethra . Ngokuvamile, le-urethra iphelela esicongweni sepenisi. Umchamo nesidoda kuphuma ngale ndawo. Lokhu sikubiza ngokuthi inyama.

Cabanga ukuthi ezigabeni zokuqala zokuphila komntwana esibelethweni, le urethra yakheka njengomsele ovulekile. Njengoba umntwana ekhula, lo msele uyavaleka ube yipayipi eliphelele. Kodwa-ke, enganeni ene-hypospadias, le tube ebizwa ngokuthi i-urethra ayivaleki ngokuphelele. Ngakho-ke, umgodi we-urethral (inyama) utholakala kwenye indawo, ngaphansi kwepenisi, esikhundleni saso esicongweni.

Le mbobo ingatholakala noma kuphi epenis , esikhumbeni, noma eduze kwendunu.

Ingabe lokhu kuyinkinga enkulu? Ingabe kufanele ngesabe?

Njengomama, mhlawumbe lo ngumbuzo omkhulu engqondweni yakho. Eqinisweni, lesi simo singahluka kusukela kwesincane kuya kwesinzima kakhulu. Uma sincane kakhulu, ukuhlinzwa kungase kungadingeki. Kodwa-ke, ezimweni eziningi, ukuhlinzwa kungasilungisa ngokuphelele lesi simo. Ngakho-ke, okokuqala, khumbula ukuthi lokhu akuyona inkinga yempilo yonke engenakuxazululwa. Ngokwelashwa okufanele, ingane ingaphila impilo evamile ngaphandle kwezinkinga esikhathini esizayo.

Yiziphi izinhlobo ze-hypospadias ezikhona?

Odokotela bahlukanisa lesi simo ngokusekelwe ekutheni i-urethra ikuphi. Kubalulekile ukuthi nawe ukwazi lokhu.

Ziyini izimpawu zalesi simo?

Uphawu oluyinhloko ukuthi imbobo yomchamo ayikho esicongweni sepenis. Ngaphandle kwalokho, kungase kube nezinye izimpawu eziningana.

• Ushintsho endleleni ochama ngayo : Umchamo ungase ungagelezi ngqo phambili, kodwa ungase ugeleze uye phansi noma emaceleni. Cabanga ngawo njengesibhamu sokuchama, lapho umchamo ugeleza khona kuzo zonke izinhlangothi. Lokhu kungabangela nokutheleleka kwesikhumba esizungezile .
• Ijwabu elingakakhuli kahle:Ijwabu lingase lingambozi ngokuphelele ikhanda lepenisi, kodwa lingase libe yi-hood kuphela phezulu. Nansi into ebaluleke kakhulu. Okusho ukuthi, uma ingane yakho inalesi simo, ungayisoki ngaphandle kokubonisana nodokotela nganoma yisiphi isizathu. Ngoba odokotela kufanele basebenzise leli jwabu lapho benza ukuhlinzwa.
• I-Chordee: Izitho zangasese zezingane ezithile zingase zigobe phansi njenge-hook esikhundleni sokuba ziqonde.
• Amasende angaphambuki: Ngezinye izikhathi, kubafana abane-hypospadias, isende elilodwa noma womabili kungenzeka ukuthi alizange lehlele esikhumbeni.

Iyini imbangela yangempela ye-hypospadias?

Uma ngikhuluma iqiniso, odokotela nabacwaningi abakayitholi imbangela eqondile yalokhu, kodwa sebethole izici eziningana ezandisa ingozi yalesi simo.

• Isixhumanisi sofuzo: Uma ubaba, umkhulu, noma umalume emndenini eke waba nalesi simo, kungenzeka ukuthi nomntwana uzoba naso.
• Izimo zomama ngesikhathi sokukhulelwa :
• Umama uneminyaka engaphezu kwengu-35.
• Inkomba yesisindo somzimba kamama (i-BMI) ingaphezu kwama-30 (ukukhuluphala ngokweqile).
• Ukwelashwa kokukhulelwa ngenxa yokuzala. Kukhona ukusola ukuthi i-hormone ethi "Progesterone" enikezwayo, ikakhulukazi ezigabeni zokuqala zokukhulelwa, ingaba nomthelela.
• Ukusetshenziswa kwamanye ama-hormone ngesikhathi sokukhulelwa.
• Izici zemvelo: Ukuchayeka kukamama kumakhemikhali athile kanye nezibulala-zinambuzane ngesikhathi sokukhulelwa.
• Ukubhema: Umama ubhema ngesikhathi sokukhulelwa.

Udokotela ukubona kanjani lokhu?

Lokhu kuvame ukuba lula kakhulu ukukubona. Kubonwa kalula ngudokotela wezingane lapho ehlola umntwana ngemva kokuzalwa. Udokotela angakubona ngokubheka indawo lapho kukhona khona umgodi womchamo epenis kanye nesimo sejwabu.

Ngaleso sikhathi, udokotela uzokudlulisela kudokotela wezifo zomchamo wezingane.

Iphathwa kanjani? Ake sifunde ngokuhlinzwa

Ukwelashwa okuphumelelayo kuphela kwe-hypospadias ukuhlinzwa (ukulungiswa kwe-hypospadias).

Ukuhlinzwa kwenziwa nini?

Ngokuvamile, odokotela abangochwepheshe benza lokhu kuhlinzwa lapho umntwana ephakathi kwezinyanga eziyi-6 neziyi-12 ubudala. Kunezizathu eziningana zokwenza lokhu kuhlinzwa kulesi sikhathi.

• Kulula ukunakekela inxeba ngemva kokuhlinzwa nokuligcina lihlanzekile kule minyaka.
• Kuphephile kakhulu ngengane ekule minyaka ukunikezwa i-anesthesia ejwayelekile.
• Ingane ngeke ikhumbule lokhu.

Kwenzekani ngesikhathi sokuhlinzwa?

Lokhu ukuhlinzwa okuvame ukuthatha amahora ambalwa. Ezimweni eziningi, umntwana angathunyelwa ekhaya ngalolo suku (inqubo yokulaliswa esibhedlela). Ngesikhathi sokuhlinzwa, udokotela uzokwenza izinto eziningana ezibalulekile.

1. Ukuqondisa ipenisi: Uma ipenisi igobile phansi (chordee), iqondiswa kuqala.

2. Ukwakhiwa kabusha kwe-urethra: I-urethra engaphelele (ithubhu) iyakhiwa kabusha futhi inwetshwe kuze kufike esicongweni sepenis.

3. Ukubumba kabusha ijwabu: Isikhumba sejwabu esisele sisetshenziselwa ukunikeza ipenis ukubukeka okuvamile. Ukusoka kuvame ukwenziwa ngalesi sikhathi.

4. Ukufakwa kwe-catheter yesikhashana: Ngezinye izikhathi, ngemva kokuhlinzwa, kufakwa ipayipi elincane (i-Foley catheter) ukuze likhiphe umchamo kuze kube yilapho i-urethra iphola. Udokotela uzolikhipha ipayipi ekuhambeleni kwakho okulandelayo ngemva kwesonto noma amabili.

Yiziphi izinkinga ezingaba khona ngemva kokuhlinzwa?

Njenganoma yikuphi ukuhlinzwa, kunezingozi ezithile, kodwa lezi azivamile.

• Ukutheleleka: Kukhona ingozi yokutheleleka enxebeni.
• Ukopha: Kungase kube nokopha okuncane.
• I-Urethrocutaneous fistula: Kuvela imbobo encane phakathi kwe-urethra esanda kwakheka kanye nesikhumba sepenis. Lokhu kungabangela ukuthi umchamo uphume endleleni.
• Ukuqina komchamo: Ukuncipha komchamo okubangelwa isilonda endaweni yokuhlinzwa. Lokhu kungabangela ubunzima bokuchama kanye nokuncipha komchamo .
• I-Urethral diverticulum: Ingxenye ye-urethra ivuvukala njengebhaluni, futhi umchamo ungaqoqana ngaphakathi kuyo.
• Ukugoba okuphindaphindiwe: Ipenisi ingase igobe phansi futhi ngemva kwesikhathi esithile ngemva kokuhlinzwa.

Uma kwenzeka into efana nale, kungase kudingeke ilungiswe ngokuhlinzwa okuncane okunye. Kodwa lezi yizinto ezingavamile kakhulu.

Ungamnakekela kanjani umntwana ngemva kokuhlinzwa?

Ukunakekelwa kwakho kubaluleke kakhulu ukuze ukuhlinzwa kuphumelele.

• Ukuhlanzeka: Landela imiyalelo kadokotela wakho ngqo. Njalo uma ushintsha inabukeni, geza izandla zakho kahle ngensipho namanzi ngaphambi kokuthinta indawo yengane yakho. Uma umchamo noma indle ingena esikhumbeni sengane yakho, geza izandla zakho ngensipho namanzi afudumele bese uyomisa ngendwangu ehlanzekile.
• Ukugeza: Ungagezi ingane ebhavini lamanzi kuze kube yilapho i-catheter isusiwe. I-sponge-bath. Qaphela ukuthi ungayidonsi i-catheter.
• Imisebenzi: Ungavumeli ingane yakho ikhase ize ibe namasonto amabili kuya kwamathathu ubudala. Futhi, ungamvumeli ahlale phezu kwamathoyizi anemilenze kuzo zombili izinhlangothi, njengamabhayisikili, ama-swing, namahhashi ahambayo.
• Ukuvuvukala nokuguquka kombala:Kujwayelekile kakhulu ukuthi ipenisi ivuvuke futhi ibe nsomi ngokuluhlaza okwesibhakabhaka ngemva kokuhlinzwa. Ungakhathazeki. Izophela kancane kancane ngemva kwenyanga noma ezimbili.

Kufanele ngimbone nini udokotela noma ngiye ku-ETU?

Uma kwenzeka isimo esiphuthumayo ngemva kokuhlinzwa, kubalulekile ukuthatha isinyathelo ngokushesha.