Uma ushintsha inabukeni lomntwana wakho osanda kuzalwa, ingabe uke waphawula noma yiziphi izinguquko ezithweni zakhe zangasese? Kungenzeka ukuthi uke waphawula ukuthi umgodi womchamo awukho lapho kufanele ube khona ngokuvamile, kodwa uphansi kancane. Njengomzali, lokhu kungaba yinto eyesabekayo. Kodwa ungakhathazeki. Lesi yisimo esivamile esisaziyo kwezokwelapha futhi singaba khona ezinganeni eziningi zesilisa lapho zizalwa. Namuhla sikhuluma ngalesi simo esibizwa ngokuthi `(Hypospadias)`.
Kalula nje, iyini i-Hypospadias?
Kulungile, ake sikuchaze kalula lokhu. Kumuntu wesilisa, umchamo nesidoda kuphuma emzimbeni wakhe ngepayipi elidlula epenis yakhe. Sibiza leli payipi ngokuthi i-urethra . Ngokuvamile, leli payipi liphelela embobeni encane esicongweni sepenis. Lokhu sikubiza ngokuthi inyama.
Ekuqaleni kokukhula komntwana esibelethweni, le urethra yakha njengomsele ovulekile. Kamuva, izinhlangothi ezimbili zalo msele ziyahlangana ukuze zakhe ipayipi eliphelele. Cabanga ngakho njengokufaka uziphu.
Kumntwana one-'Hypospadias', i-urethra ayivalwanga ngokuphelele futhi ayipheli njengepayipi. Kunjengokungathi uziphu awufakwanga phezulu. Ngakho-ke, imbobo lapho umchamo uphuma khona '(Meatus)' ayikheki esicongweni sepenisi, kodwa ingaphansi kwayo kancane, noma kuphi epenisi. Ngezinye izikhathi lembobo ingatholakala eduze kwamasende '(Scrotum)', noma eduze kwendunu '(Anus)'.
Lesi yisimo sokuzalwa . Okusho ukuthi, lesi simo sikhona lapho kuzalwa . Lokhu akulona iphutha lengane futhi akulona iphutha lakho.
Ingabe lesi simo sibi kakhulu? Ingabe kuyinto okufanele uyesabe?
I-Hypospadias ingahluka kusukela kwencane kuya kwembi kakhulu. Kwezinye izimo ezimnene kakhulu, ukuhlinzwa kungase kungadingeki. Kodwa-ke, ezimweni eziningi, ukuhlinzwa kungalungisa ngokuphelele isimo. Ngakho-ke, asikho isidingo sokukhathazeka ngakho. Ngokwelashwa okufanele, ingane ingaphila impilo evamile ngaphandle kwezinkinga esikhathini esizayo.
Yiziphi izinhlobo ze-Hypospadias?
Odokotela bahlukanisa lesi simo ngezinhlobo eziningana eziyinhloko, kuye ngokuthi i-urethra ikuphi. Ake sibheke ukuthi ziyini.
| Uhlobo lwe-Hypospadias | Indawo ye-urethra |
|---|---|
| I-Glanular (noma i-Balanic) | Eduze kwekhanda (esiqongweni) sepenis, kodwa hhayi ngqo esiqongweni. Lesi yisimo esivame kakhulu nesingesibi kakhulu. |
| I-Coronal | Ngaphansi nje kwekhanda lepenisi, lapho ikhanda nomphini kuhlangana khona. Lolu uhlobo oluvame kakhulu. |
| I-Midshaft | Phakathi kwepenisi. |
| I-Penoscrotal | Lapho kuhlangana khona ipipi kanye ne-scrotum. |
| I-Scrotal / I-Perineal | Ngaphansi noma ngaphansi kwe-scrotum, eduze kwe-anus. Lezi zibhekwa njengezinhlobo ezimbi kakhulu. |
Ziyini izimpawu zalesi simo?
Uphawu oluyinhloko ukungahleleki kahle kwe-urethra. Ngaphezu kwalokho, kungase kubonakale nezinye izimpawu eziningana.
- Ukushintsha komchamo: Uma ingane ichama, umchamo ungase ungahambi ngqo phambili, kodwa ungase ugeleze uye phansi noma uye eceleni . Lokhu kungenza kube nzima ngengane ukuchama ngenkathi imi njengoba ikhula.
- Ijwabu elingaphelele: Isikhumba esimboze ikhanda lepenisi (ijwabu) singase singakakhuli ngokugcwele, simboze ingxenye ephezulu yepenisi kuphela. Lokhu kungaveza ukubukeka "kwesigqoko." Kubaluleke kakhulu ukuthi ingane enalesi simo ibonwe udokotela ngaphambi kokusokwa. Lesi sikhumba esengeziwe singasetshenziswa ukulungisa i-urethra ngesikhathi sokuhlinzwa.
- I-Chordee: Ipenisi ingase ingaqondile, kodwa ingase igobe phansi ngezinga elithile futhi igobe.
- Amasende angakafiki: Abanye abafana bangase babe nalesi simo lapho isende elilodwa noma womabili ehlala khona esikhumbeni, engehli esikhumbeni .
Ziyini izimbangela ze-Hypospadias?
Eqinisweni, odokotela abakayitholi imbangela eqondile ye-hypospadias. Kodwa-ke, bathole izici eziningana ezandisa ingozi yalesi simo.
- Uxhumano lwezakhi zofuzo: Uma othile emndenini (ubaba, umfowethu) eke waba nalesi simo, kungenzeka ukuthi nengane nayo izoba naso.
- Izimo zomama ngesikhathi sokukhulelwa:
- Umama uneminyaka engaphezu kwengu-35 ngesikhathi sokukhulelwa.
- Inkomba yesisindo somzimba kamama (i-BMI) ingaphezu kuka-30, okusho ukukhuluphala ngokweqile .
- Kusolwa ukuthi ukwelashwa kokuzala, ikakhulukazi ama-hormone afana ne-progesterone, anikezwa ukugcina ukukhulelwa, kungaba nomthelela.
- Ukubhema ngesikhathi sokukhulelwa.
- Ukuchayeka kumakhemikhali athile noma izibulala-zinambuzane ngesikhathi sokukhulelwa.
Akuwona wonke umuntu onalezi zici eziyingozi ozobhekana nalesi simo, futhi ingane ingahlakulela i-hypospadias ngisho noma ingenazo lezi zici.
Iphathwa kanjani?
Ukwelashwa okungcono kakhulu nokuphumelelayo kwe-hypospadias ukuhlinzwa . Lokhu kuhlinzwa kuvame ukwenziwa lapho ingane iphakathi kwezinyanga eziyi-6 neziyi-12 ubudala . Kunezizathu eziningana zokwenza ukuhlinzwa kule minyaka.
- Kuphephile ukunikeza ingane eseminyakeni yobudala i-anesthesia ejwayelekile.
- Kulula ukunakekela inxeba ngemva kokuhlinzwa.
- Ingane ngeke ikhumbule lokhu.
Ukuhlinzwa kuvame ukwenziwa udokotela wezifo zomchamo wezingane . Ukuhlinzwa kunezinhloso eziningana eziyinhloko:
1. Ukuqondisa ipenisi: Uma kukhona isimo 'se-chordee', ipenisi iqondiswa ngokulungisa ukugoba.
2. Ukwakhiwa kabusha kwe-urethra: I-urethra engaphelele yenziwa ibe yipayipi eliphelele, okuletha imbobo ye-urethra esicongweni sepenis. Lokhu kungase kuhilele ukusebenzisa ingcezu yezicubu ezithathwe ejwabini lengane.
3. Ukushintsha isimo sesikhumba: Isikhumba sepenis sishintsha isimo kahle. Ngokuvamile, ukusoka kwenziwa ngesikhathi esifanayo nalokhu kuhlinzwa.
Ngemva kokuhlinzwa, ipayipi elincane (i-catheter) lingafakwa okwesikhashana ukuze likhiphe umchamo kuze kube yilapho i-urethra iphola. Lokhu kuzosuswa udokotela ngemva kwesonto noma amabili.
Ingabe zikhona izinkinga ezingase zenzeke ngemva kokuhlinzwa?
Njenganoma yikuphi ukuhlinzwa, kunezingozi nezinkinga ezingase zenzeke ngalokhu kuhlinzwa, kodwa lokhu akuvamile kakhulu.
- I-fistula yesikhumba esingaphandle komlomo:Kungase kwakheke imbobo encane phakathi kwe-urethra esanda kwakheka kanye nesikhumba, okungase kubangele ukuvuza komchamo.
- Ukuqina komchamo: Isibazi singabangela ukuthi umchamo uvaleke.
- Ukugoba okuphindaphindiwe: Ipenisi ingase igobe phansi futhi ngemva kwesikhathi esithile ngemva kokuhlinzwa.
Uma lokhu kwenzeka, kungase kudingeke okunye ukuhlinzwa okuncane ukuze kulungiswe lokhu, kodwa izingane eziningi zithola imiphumela ephumelela kakhulu ngokuhlinzwa okukodwa.
Kufanele ngimnakekele kanjani umntwana ngemva kokuhlinzwa?
Kubaluleke kakhulu ukunakekela ingane yakho kahle ngemva kokuhlinzwa. Landela imiyalelo kadokotela ngqo.
- Ukuhlanzeka: Gcina indawo yenxeba ihlanzekile futhi yomile ngangokunokwenzeka. Geza izandla zakho kahle ngensipho namanzi ngaphambi kokushintsha inabukeni.
- Ukugeza: Ungagezi ebhavini kuze kube yilapho udokotela wakho ekuyala. Geza ngesiponji. Ngemva kokuba ipayipi selisusiwe, ungageza ngendlela evamile.
- Gwema ingcindezi: Ungambeki umntwana esiswini sakhe. Ungamniki amathoyizi ahlala nemilenze yakhe ivulekile (ihhashi eligingqikayo, ijezi) amasonto ambalwa.
- Ukuvuvukala nokuguquka kombala: Kujwayelekile ukuthi ipenisi ivuvuke futhi ibe nombala oluhlaza okwesibhakabhaka/onsomi ngemva kokuhlinzwa. Lokhu kuzophela kancane kancane ngemva kwenyanga noma ezimbili.
Kufanele ngimbone nini udokotela noma ngiye ku-ETU?
Uma kuvela inkinga ngemva kokuhlinzwa, kubalulekile ukuthatha isinyathelo ngokushesha.
| Isimo | Okufanele ngikwenze |
|---|---|
| Yiya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngokushesha. | |
| Umkhuhlane ongama-38.9 Celsius (102 Fahrenheit) noma ngaphezulu. | Yiya esibhedlela ngokushesha ngemva kokuhlolwa komkhuhlane. |
| Ingane inenkinga yokuchama noma ayichami nhlobo. | Bonana nodokotela ngokushesha ngaphandle kokulibala. |
| Ubuhlungu bengane abupheli naphezu kwemithi yokwelapha izinhlungu (ukukhala njalo, ukungakwazi ukududuzwa). | Lokhu kungaba uphawu lokutheleleka. |
| Ukopha ngokweqile endaweni yokuhlinzwa. | Funa iseluleko sezokwelapha ngokushesha. |
| Bona udokotela wakho. | |
| Ukuhlolwa ezinsukwini ezihleliwe ngemva kokuhlinzwa. | Lokhu kubalulekile ukuze kuqashwe inqubo yokuphulukiswa. |
| Uma unenkinga mayelana nokululama noma ukunakekelwa. | Uma unemibuzo, buza udokotela wakho. |
Umlayezo Wokuya Nawe Ekhaya
- I-'Hypospadias' yisimo esivamile esiba khona lapho kuzalwa izingane zesilisa. Ungesabi uma ubona lokhu.
- Ezimweni eziningi, ukuhlinzwa kungalungisa lesi simo ngokuphelele nangokuphumelelayo.
- Uma ingane yakho inalesi simo, ungalokothi uyisoke ngaphandle kweseluleko sikadokotela.
- Ukulandela imiyalelo kadokotela ngemva kokuhlinzwa kubaluleke kakhulu ukuze ingane ilulame ngokushesha.
- Ngokwelashwa okufanele, ingane yakho ingaphila impilo enempilo futhi evamile ngokuphelele, ngaphandle kwezinkinga zokuchama noma impilo yocansi esikhathini esizayo.
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