Ngesikhathi ushintsha inabukeni lomntwana wakho omusha, ingabe uke waphawula noma yiziphi izinguquko ezithweni zakhe zangasese? Kungenzeka ukuthi uke waphawula ukuthi i -urethra ayikho esicongweni sepenis, kodwa iphansi kancane. Ungakhathazeki ngalokhu. Lesi yisimo sezokwelapha esivame phakathi kwabafana . Namuhla sizokhuluma ngalesi simo esibizwa ngokuthi 'i-Hypospadias' kanye nokuhlinzwa okungasilungisa.
Kuyini i-Hypospadias?
Kalula nje, i-hypospadias yisimo esiba khona lapho kuzalwa. Ngokuvamile, i-urethra yomfana, ipayipi lapho kuphuma khona umchamo nesidoda , iphela esicongweni sepenis . Lesi simbobo lapho kuphuma khona umchamo sibizwa ngokuthi i-meatus.
Kodwa-ke, enganeni ene-hypospadias, lo mgodi womchamo (`inyama`) utholakala endaweni ehlukile. Okungukuthi:
- Ngezansi (`I-Subcoronal`) eduze kwesihloko (ikhanda) sepenis.
- Phakathi nomgodi wepenis (`Midshaft`).
- Indawo lapho kuhlangana khona ipipi namasende (`Penoscrotal`).
Ezinye izingane zingase zizwe ukugoba okuphansi epenis uma imile, okwaziwa ngokuthi 'i-chordee'. Ngakho-ke, odokotela baphinde balungise lokhu kugoba lapho benza ukuhlinzwa kwe-hypospadias.
Ingabe lokhu kuhlinzwa kuyadingeka kuwo wonke umuntu?
Lona umbuzo abazali abaningi abanawo. Ukuhlinzwa akudingeki ngaso sonke isikhathi. Kuncike ebunzimeni besimo sengane. Lokhu kuhlinzwa kunezinjongo ezimbili eziyinhloko:
1. Letha imbobo yomchamo esicongweni sepenis ukuze ingane ikwazi ukuchama ngenkathi imi iqonde ngaphandle kobunzima.
2. Ukulungisa ipenisi ukuze ikwazi ukukhipha isidoda ngaphandle kwezinkinga ngesikhathi socansi esikhathini esizayo.
Uma ingane yakho ine-hypospadias encane kakhulu (isibonelo, uma i-urethra iseduze kakhulu nechopho), ukuhlinzwa kungase kungadingeki. Lokhu kungcono kakhulu ukuthi wena nodokotela wakho ninqume ndawonye.
I-Hypospadias yisimo esivame kakhulu, esithinta cishe ingane eyodwa kwezingu-250-300 zesilisa, ngakho-ke asikho isizathu sokukhathazeka ngokungadingekile ngakho.
Kwenzekani ngaphambi kokuhlinzwa?
Ngaphambi kokuhlinzwa, wena nengane yakhoKuzodingeka ubone udokotela wezifo zomchamo wezingane . Udokotela uzokwenza okulandelayo:
- Ukuhlola impilo yengane jikelele: Ukuhlola izinto ezifana nomkhuhlane, ukushaya kwenhliziyo, kanye nomfutho wegazi .
- Ukuhlolwa ngokomzimba: Ipenisi yengane yakho izohlolwa ukuze kutholakale indawo eqondile ye-urethra. Uzobuzwa ngesivinini somfudlana womchamo, indlela umchamo ogeleza ngayo, nokuthi kukhona yini ukuvuza.
- Ezinye izivivinyo uma kudingeka: Ngezinye izikhathi ukuhlolwa okufana ne-cystoscopy kungenziwa ukuze kuhlolwe noma yikuphi ukuvinjelwa kwendlela yomchamo.
Indima yakho njengabazali
Kunezinto ezibalulekile okudingeka uzitshele udokotela wakho ngalesi sikhathi:
- Tshela ingane yakho nganoma yimiphi imithi (eyanikezwa udokotela noma ethengwa ngaphandle kwemithi kadokotela) eyithathayo.
- Yazisa ingane yakho nganoma yikuphi ukungezwani komzimba okungenzeka ukuthi inakho.
- Uma isimo sibi kakhulu, udokotela angase ancome imijovo ye-testosterone hormone ukuze kwandiswe kancane ipenisi ngaphambi kokuhlinzwa. Lokhu kuzosiza ekuphumeleleni kokuhlinzwa.
Into ebaluleke kakhulu: Udinga ukuhlala uzolile ngaphambi kokuhlinzwa. Ngisho noma ingane yakho ingawaqondi amagama, iyakwazi ukuzwa ubuso bakho, ithoni yezwi, kanye nokwesaba. Uma uzolile futhi uqiniseka kakhulu, kulapho ingane yakho izokwesaba khona ukuhlinzwa.
Kwenziwa kanjani ukuhlinzwa?
Lokhu kuhlinzwa kwenziwa yithimba lochwepheshe bezingane. Njengoba ingane ihlinzwe ngokuphelele (i-anesthesia ejwayelekile), ayizizwa ubuhlungu.
Udokotela ohlinzayo uqala ngokuthatha ingxenye encane yejwabu lengane bese elisebenzisa ukudala i-urethra entsha. I-urethra ibe isilethwa esicongweni sepenis ngaleli payipi elisha.
Ngemva kokuhlinzwa, i-catheter noma i-stent izofakwa nge-urethra esanda kwakhiwa ukuze ivinjwe ize iphole. Lokhu kuzodingeka kushiywe endaweni yayo isonto elilodwa kuya kwamabili. Njengoba umchamo uphuma ngaleli payipi, inabukeni livame ukuba manzi.
Ekugcineni, inxeba liyavalwa kusetshenziswa izithungo ezincibilikayo. Lokhu kuhlinzwa ngokuvamile kungathatha cishe amahora ama-2-3.
Ingabe zikhona izingozi nezinkinga ngemva kokuhlinzwa?
Njenganoma yikuphi ukuhlinzwa, kunezingozi ezincane, kodwa lezi azivamile.
| Uhlobo lwengozi | Incazelo elula |
|---|---|
| Izingozi zokuhlinzwa ezivamile | Ukusabela ekubulaweni yizinzwa, izifo, ukopha ngokweqile, ukuvuvukala, nokulunywa. |
| Izinkinga eziphathelene nokuhlinzwa |
|
Ingozi yezinkinga iphansi kakhulu. Ukuhlinzwa kunezinga eliphezulu kakhulu lempumelelo . Iningi lezingane lingaphila impilo enempilo ngaphandle kwezinkinga.
Indlela yokunakekela umntwana ekhaya?
Ingane ingase izizwe ikhathele kancane ngemva kokuhlinzwa. Ingane idinga ukunakekelwa ngokucophelela emasontweni ambalwa okuqala.
- Ukuhlanzeka: Gcina indawo ezungeze inxeba ihlanzekile ngangokunokwenzeka ukuze uvimbele ukutheleleka. Geza izandla zakho kahle ngensipho namanzi ngemva kokushintsha amanabukeni.
- Ukushintsha amanabukeni: I-catheter ibangela ukuvuza komchamo njalo. Ngakho-ke, kufanele ushintshe amanabukeni akho kaningi kunokujwayelekile . Ngezinye izikhathi, udokotela uzokutshela ukuthi ugqoke amanabukeni amabili (elinye le-catheter, nelinye lendle).
- Ukugeza: Ungafaki ingane yakho ebhavini lamanzi kuze kube yilapho udokotela wakho ekutshele. Sula umzimba ngendwangu emanzi (ibhavu yesiponji).
- Imikhawulo yemisebenzi: Uma ingane yakho isikhule ngokwanele ukugijima nokudlala, gwema ukugibela ibhayisikili, ukugijima, nokugxuma amasonto ama-2-3.
Uma unalezi zimpawu, shayela udokotela wakho ngokushesha.
Uma ubona noma yikuphi kwalokhu okulandelayo ngesikhathi usekhaya ngemva kokuhlinzwa, shayela udokotela wakho noma isibhedlela ngokushesha .
| Izimpawu ezidinga ukunakekelwa okusheshayo | |
|---|---|
| 🔴 | Ukopha ngokweqile okuvela enxebeni. |
| 🔴 | Ukuba nomkhuhlane ongaphezu kuka-100° Fahrenheit (38° Celsius). |
| 🔴 | Izimpawu zokutheleleka, njengokuvuvukala, ukubomvu, noma ukuphuma kobomvu esilondeni. |
| 🔴 | Ingane iyaqhubeka nokuhlanza. |
| 🔴 | I-catheter (ithubhu) ingase ikhululeke noma umchamo ungase uvuze usuka kuyo. |
| 🔴 | Inabukeni lomntwana lihlala lomile (akukho ukuvuza komchamo) amahora amaningana. |
Iningi lezingane liyalulama ngokuphelele cishe emavikini ayi-6. Ingane ingase izwe ubuhlungu lapho ichama ezinsukwini ezimbalwa zokuqala ngemva kokukhishwa kwe-catheter, kodwa lokhu kuzoncipha kancane kancane.
Umlayezo Wokuya Nawe Ekhaya
- I-Hypospadias yisimo esivamile kubafana esiba khona lapho bezalwa. Asikho isidingo sokwesaba lokhu.
- Lokhu kuhlinzwa kunezinga eliphezulu kakhulu lempumelelo futhi kuvumela ingane ukuthi ichame futhi yenze ucansi ngendlela evamile esikhathini esizayo.
- Ukuthi ukuhlinzwa kuyadingeka noma cha kuncike esimweni sengane. Khuluma ngokukhululekile nodokotela wakho ngalokhu.
- Kubaluleke kakhulu ukunakekela ingane yakho ngemva kokuhlinzwa. Landela imiyalelo kadokotela ngokucophelela.
- Uma ubona noma yiziphi izimpawu eziphuthumayo, yazisa udokotela wakho ngokushesha.











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