Ingabe indodana yakho encane nayo ine-Hypospadias? Ungesabi lokhu kuhlinzwa, ake sixoxe!

Kujwayelekile kakhulu ukuthi umama noma ubaba onendodana esanda kuzalwa azizwe esaba futhi ekhathazekile kancane lapho udokotela ebatshela ukuthi kunomehluko omncane endodeni yendodana yakhe, ukuthi indawo lapho umchamo uphuma khona akuyona indawo okufanele ube kuyo. Yilokhu esikubiza ngokuthi 'i-Hypospadias' kwezokwelapha. Njengoba abazali abaningi bengakaze bezwe ngaleli gama, kufika imibuzo eyizinkulungwane eziningi engqondweni, njengokuthi lokhu kuyisifo esingathi sína, ingabe ukuhlinzwa kuyadingeka, nokuthi indodana yabo izozwa ubuhlungu yini. Ngakho-ke, namuhla silungiselela ukuphendula yonke le mibuzo engqondweni yakho futhi sixoxe ngalesi simo kalula.

Kalula nje, iyini i-hypospadias?

Kulungile, ake siqale kusukela ekuqaleni. I-Hypospadias yisimo sokuzalwa. Okusho ukuthi, ushintsho oluncane oluvela lapho umntwana ekhula esibelethweni. Akusona isifo, lushintsho oluncane nje oluvela ngesikhathi sokuthuthukiswa komzimba.

Ngokuvamile, umchamo womfana uphuma emzimbeni ngembobo esesiqongweni sepenis. Sibiza lembobo ngokuthi inyama. Ipayipi elithwala umchamo, i-urethra, liphelela kulembobo.

Kodwa-ke, enganeni ene-hypospadias, imbobo ye-urethra itholakala kwenye indawo ngaphansi kwepenis, hhayi esicongweni. Kunezinhlobo eziningana ze-hypospadias, kuye ngokuthi ikuphi:

• Ngaphansi kancane kwekhanda lepenis (i-Subcoronal): Lolu uhlobo oluvame kakhulu nolungabi kakhulu.
• I-Midshaft: I-urethra itholakala endaweni ethile phakathi nobude bepenis .
• I-Penoscrotal: Lesi yisimo esinzima kakhulu nesiyinkimbinkimbi. Imbobo itholakala ekuqaleni kwepenisi.

Ngaphezu kwalokho, ezinye izingane zingase zibe nomkhuba wokuthi ipenisi igobe kancane phansi uma imile (lokhu kubizwa ngokuthi i-chordee). Konke lokhu kuzohlolwa udokotela futhi, uma kudingeka, kulungiswe ngokuhlinzwa.

Ingabe lokhu kuhlinzwa (ukulungiswa kwe-Hypospadias) kuyadingeka ngempela?

Lona umbuzo abazali abaningi abanawo: "Asikwazi yini ukuphila ngaphandle kokuhlinzwa?"

Eqinisweni, akuwona wonke amacala e-hypospadias adinga ukuhlinzwa. Uma imbobo yomchamo iseduze kakhulu nesihloko sepenis, okusho ukuthi kunomehluko omncane kuphela, ingane ngeke ibe nobunzima bokuchama noma esikhathini esizayo. Ezimweni ezinjalo, udokotela angase angancomi ukuhlinzwa.

Kodwa-ke, uma imbobo iphansi kakhulu, ukuhlinzwa kubaluleke kakhulu. Kunezizathu eziningana eziyinhloko zalokhu:

1. Kulula ukuchama: Uma imbobo ingaphansi, kunzima ngengane ukuchama ngenkathi imi iqonde. Umchamo uchithekela phansi. Lokhu kungabangela ukungakhululeki kwengqondo lapho ingane ikhula kancane ngoba ayikwazi ukuchama ngenkathi imi njengabanye abantwana.

2. Ukuhlanzeka:Ngenxa yokuthi umchamo uchitheka uye phansi, ngezinye izikhathi ungageleza emilenzeni. Lokhu futhi kuphazamisa ukuhlanzeka.

3. Ukusebenza kocansi esikhathini esizayo: Lapho ingane isiba umuntu omdala, ukuchama okufanele kuyadingeka ukuze impilo yocansi iphumelele. Uma i-urethra iphansi, kungase kube nezinkinga zokuchama.

Lokhu kuhlinzwa kuvame ukwenziwa lapho umntwana ephakathi kwezinyanga eziyi-6 neminyaka eyi-2 ubudala . Kuleyo minyaka, ukululama kuyashesha, futhi umntwana ngeke akukhumbule. Kodwa-ke, isinqumo sokugcina siphezu kwakho, bazali. Khuluma nodokotela ngokucophelela, lalela konke okusengqondweni yakho, bese wenza isinqumo.

Kwenzekani ngaphambi kokuhlinzwa?

Ukulungiselela ingane ukuhlinzwa kuwumthwalo wemfanelo omkhulu kubazali. Ake sibheke ukuthi kwenzekani phakathi nalesi sikhathi.

Okokuqala, kuzodingeka ubone udokotela wezifo zomchamo wezingane. Uzohlola ingane yakho ngokucophelela.

• Impilo yengane iyonke iyahlolwa.
• Ipenisi iyahlolwa ukuze kutholakale indawo eqondile ye-urethra.
• Uzobuzwa imibuzo. Isibonelo, izinto ezinjengokuthi, "Uhamba kanjani umchamo wendodana yakho? Uyashesha? Ingabe ungena kanye noma uchitheka yonke indawo?"
• Ukuhlolwa okukhethekile (i-Cystoscopy noma i-Urethrogram) nakho kungenziwa ukuze kuhlolwe ezinye izithiyo ku-urethra.

Ngosuku olungaphambi kokuhlinzwa, udokotela wakho noma umhlengikazi uzokunikeza imiyalelo ecacile mayelana nokuthi kufanele uyeke nini ukuncelisa ingane yakho. Kubaluleke kakhulu ukulandela le miyalelo ngqo. Lokhu kungenxa yokuthi uma ingane yakho inokudla esiswini sayo ngesikhathi sokubulala izinzwa, ingase ihlanze futhi iklinywe. Lokhu kungabangela izinkinga ezinkulu.

Kwenziwa kanjani ukuhlinzwa?

Lokhu kuhlinzwa kwenziwa yithimba lodokotela abanolwazi kwezokwelapha izingane.

Ngaphambi kokuba kuqale ukuhlinzwa, udokotela wezinzwa uzonikeza ingane umuthi wokubulala izinzwa. Lokhu kusho ukuthi ingane izobe ilele ngokuphelele. Ngakho ingane ngeke izwe ubuhlungu, ngeke iphaphame, ngeke yazi lutho. Ungesabi lokho.

Ngemva kokuba ingane isiphumule kahle, udokotela ohlinzayo uqala ukuhlinzwa. Izinto eziyinhloko ezenzeka lapha yilezi:

1. Ukudala i-urethra entsha: Udokotela uvame ukuthatha ingxenye encane yezicubu ejwabini lepenisi, ayibumbe ibe yipayipi, bese eyixhumanisa ne-urethra ekhona ukuze inwebe.

2.Ukufaka i-urethra endaweni yayo: I-urethra ende ilethwa esicongweni sepenis, okudala imbobo entsha ye-urethra (inyama) esicongweni sepenis.

3. Ukuqondisa ipenisi: Uma ingane ine-downward curve (chordee) epenisi yayo, izoqondiswa futhi phakathi nalolu hlinzeko.

Ngemva kokuhlinzwa, kufakwa ipayipi elincane lepulasitiki (i-catheter noma i-stent) ku-urethra esanda kwakhiwa ukuze ingavaleki futhi ivumele umchamo ukuthi ugeleze kalula. Leli payipi lishiywa endaweni yalo izinsuku eziyi-7 kuya kweziyi-14. Umchamo uyaqhubeka nokuphuma ungene esinyeni ngaleli payipi.

Ekugcineni, inxeba livalwa kusetshenziswa izitishi ezincibilikayo. Lezi zitishi azidingi ukunqunywa, futhi ziyancibilika zodwa ngemva kwamasonto amabili. Ukuhlinzwa konke kungathatha cishe amahora amabili kuya kwamathathu.

Uyinakekela kanjani indodana yakho ngemva kokuhlinzwa?

Ukuze ukuhlinzwa kuphumelele, kubaluleke kakhulu nokunakekela ingane kahle ngemva kokuhlinzwa.

Ngemva kokuhlinzwa, lapho ingane ilethwa ewadini, odokotela nabahlengikazi bayayinakekela ize ivuke ekuhlinzweni kwe-anesthesia. Ngokuvamile, ingaya ekhaya ngalolo suku ngemva kwalokhu kuhlinzwa. Ngemva kokubuyela ekhaya, unomthwalo wemfanelo omkhulu.

• Ukulawulwa kobuhlungu: Ingane yakho ingase ibe sebuhlungwini. Udokotela uzokunikeza umuthi wokuqeda ubuhlungu njengeParacetamol. Yinikeze ngesikhathi esifanele nangesilinganiso esifanele.
• Ukuhlanzeka: Kubaluleke kakhulu ukugcina inxeba lihlanzekile futhi lomile. Geza izandla zakho kahle ngensipho namanzi njalo uma ushintsha inabukeni. Uma inxeba lingcola, lihlanze ngobumnene ngensipho namanzi afudumele, bese womisa ngobumnene ngendwangu ehlanzekile.
• Ukushintsha amanabukeni: I-catheter (ithubhu) iqhubeka nokuvuza umchamo. Yingakho inabukeni ihlala imanzi. Shintsha inabukeni okungenani njalo emahoreni angu-2-3. Ngezinye izikhathi odokotela bazokutshela ukuthi ugqoka kanjani amanabukeni amabili, wenze imbobo ngaphakathi kwenabukeni bese ukhipha i-catheter, bese uvumela umchamo uqoqele enabukeni engaphandle.
• Ukugeza: Akuyona into enhle ukugeza ingane yakho ngamanzi kuze kube yilapho i-catheter isusiwe. Manzisa isiponji ngamanzi bese usula umzimba (ibhavu yesiponji).
• Imikhawulo yemisebenzi: Gwema ukugijima, ukugxuma, ukugibela ibhayisikili, noma ukuzivocavoca ngamandla amasonto ama-2-3 ngemva kokuhlinzwa. Uma unomntwana omncane, gwema ukumfaka emathoyizini anemilenze ehlukene (isib. abahamba ngezinyawo, abagibeli).

Yiziphi izingozi nezinkinga?

Njenganoma yikuphi ukuhlinzwa, kunezingozi ezithile, kodwa lezi azivamile.

• Izingozi ezijwayelekile: Izingozi ezihlobene nokubulala izinzwa, ukutheleleka kwamanxeba, ukwakheka kwamahlule egazi (i-hematoma), ukuvuvukala, ukuklwebheka, njll.
• Izingozi ezithile:
• I-Fistula (i-Urethrocutaneous fistula):Lokhu kuyinkinga evamile. Kalula nje, kwakheka imbobo encane endaweni ethile ku-urethra esanda kudalwa bese umchamo uqala ukuvuza. Uma lokhu kwenzeka, kuzodingeka olunye ukuhlinzwa okuncane ukuze kulungiswe.
• Ukuqina komchamo: Kungase kwakheke isibazi endaweni yokuhlinzwa futhi kuvimbe umchamo, okubangela ukwehla kokugeleza komchamo.
• Inxeba alipholi kahle: Ngezinye izikhathi izicubu ezixhunyelwe zingase zinganamatheli kahle.

Uma kwenzeka into efana nale, ungesabi. Udokotela wakho uzoyiphatha njengoba kudingeka. Izinga lempumelelo yalokhu kuhlinzwa lingaphezu kuka-90%. Ngakho-ke kubalulekile ukucabanga ngendlela eyakhayo.