Ingabe ingane yakho encane iqala ukukhala ngokuzumayo lapho ichama ? Noma wake wazizwa sengathi isezinhlungwini lapho ichama ? Wake waphawula ukuthi ngezinye izikhathi umchamo awuhambi ngqo, kodwa kunalokho ugeleza ngendlela engavamile? Kuvamile ukuthi umzali azizwe esaba kancane uma ebona into efana nale. Kodwa ungakhathazeki. Namuhla sizokhuluma ngesimo abantu abaningi abangasijwayele, kodwa esivame kakhulu ezinganeni.
Kalula nje, iyini i-Meatal Stenosis?
Igama lingase lizwakale liyinkimbinkimbi kancane, kodwa incazelo ilula impela. I-Meatal Stenosis yisimo lapho imbobo esesihlokweni sepenis yowesilisa noma yomfana (esiyibiza ngokwezokwelapha ngokuthi i-meatus) lapho umchamo uphuma khona iba mncane kunokujwayelekile. Igama elithi "stenosis" lisho "ukuncipha."
Lesi simo ngezinye izikhathi singaba yinto yokuzalwa, kodwa sivame ukubonakala ngokushesha ngemva kokuzalwa kwengane, ikakhulukazi phakathi kweminyaka engu-3 no-7 .
Lesi simo asivamile kakhulu kwabesilisa abadala. Uma kwenzeka, singabangelwa ukuhlinzwa e-urethra, ukufakwa kwedivayisi (njenge-catheter yesikhathi eside), noma izimo ezithile zesikhumba.
Emhlabeni jikelele, kulinganiselwa ukuthi phakathi kuka-8% no-10% wamadoda ane-Meatal Stenosis.
Ziyini ngempela izimpawu zalesi simo?
Uphawu oluyinhloko ukuthi imbobo esesiqongweni sepenis ibonakala incane. Lokhu kuncipha kubangela ukuvinjelwa kokugeleza komchamo . Ngemuva kwalokho ungase ube nesinye noma ngaphezulu sezimpawu ezingezansi. Ake sibheke lezi zimpawu etafuleni.
| Isibonakaliso | Incazelo elula |
|---|---|
| Ubuhlungu noma ukushisa (i-Dysuria) | Ingane iyakhala lapho ichama , noma ithi kukhona ubuhlungu noma ukusha. |
| Ukukhuthaza Ukungakwazi Ukulawula Ukukhulelwa | Ngizizwa ngifisa kakhulu ukuchama , futhi ngezinye izikhathi angikwazi ukuyeka. |
| Ukuchama Okuvamile | Ukudinga ukuchama kaningi kunokujwayelekile. |
| Izinguquko zomgudu womchamo | I-urethra incane kakhulu, noma igeleza ngokushesha kakhulu. Ngezinye izikhathi ayihambi iqonde bese ichitheka (ngokuvamile ikhuphuke) . |
| Isinyi asiphumi ngokuphelele | Ukuzizwa sengathi kusenomchamo ngisho noma usuqedile ukuchama . |
| Ukubona ithonsi legazi (i-Hematuria) | Iconsi legazi livela esicongweni sepenis ngemva kokuchama . |
Cabanga nje, uma ucindezela umlomo wepayipi lamanzi kancane, amanzi azophuma aphume ngokushesha, akunjalo? Yilokho okwenzekayo nalapha. Ngenxa yokuthi imbobo incane, ayikho indawo eyanele yokuphuma komchamo , bese uqala ukuphuma.
Kungani lesi simo senzeka?
Imbangela eyinhloko nevame kakhulu ye-Meatal Stenosis ezinganeni ezincane ukusoka . Lesi simo asivamile ezinganeni ezingasokile.
Kunezinye izizathu eziningana zokuthi kungani lokhu kungenzeka ngemva kokusoka:
- Ukuvuvukala noma ubuhlungu esicongweni sepenisi: Ngemva kokusoka, isicongo sepenisi sithinta ngqo inabukeni. Lokhu kungqubuzana kungabangela isikhumba esibucayi ukuba sivuvuke, sibe bomvu, futhi sibe nezilonda ezincane. Njengoba lezi zilonda ziphola, imbobo ngezinye izikhathi ingancipha.
- Amanabukeni acwiliswe ngomchamo : Umchamo uqukethe imfucuza ebizwa ngokuthi i-uric acid kanye ne-ammonia. Lokhu kunganqwabelana ngaphakathi kwenabukeni, futhi uma kushiywa kuthintane nesihloko sepenis isikhathi eside, kulimaza isikhumba esibucayi, kubangele ukuvuvukala nokuncipha komgodi.
- Ukusetshenziswa isikhathi eside kwama-catheter omchamo: Lo mgodi ungancipha nakubantu asebene-catheter yomchamo isikhathi eside ngenxa yesimo sempilo.
- Okunye ukuhlinzwa noma ukuhlolwa: Lesi simo singabangelwa nokuhlinzwa noma ukuhlolwa okufaka amathuluzi nge-urethra.
Yini engenzeka uma ingelashwa?
Lona umbuzo abazali abaningi abanawo. Kunemibono ehlukene phakathi kodokotela mayelana nokuthi yini engenzeka uma i-Meatal Stenosis ingelashwa. Abanye odokotela bakholelwa ukuthi lesi simo singaholela ezinkingeni ezilandelayo:
- Izifo Zomgudu Womchamo (UTIs)
- Izinkinga zezinso
- Ukuchama okungahleliwe
Kodwa-ke, abanye odokotela bakholelwa ukuthi lezi zinkinga azibangelwa yi-Meatal Stenosis kuphela. Ngakho-ke, batusa ukuthi noma ngabe imbobo incane, ukuhlinzwa akudingeki uma ingane ingazizwa kahle noma ingenazo izinkinga.
Ngakho-ke, uma ingane yakho inalesi simo, kubalulekile ukukhuluma ngokukhululekile nodokotela wakho mayelana nokuthi kufanele yini iyelaphe noma cha, nokuthi kuzokwenzekani uma ingelashwa, ukuze wenze isinqumo esingcono kakhulu.
Udokotela ukubona kanjani lokhu?
Ngokuvamile udokotela angabona kalula ukuthi ingane inalesi simo ngokwenza ukuhlolwa ngokomzimba. Phakathi nalokhu kuhlolwa, udokotela uzokwenza okulandelayo:
- Ukulinganisa ububanzi bomgodi: Kodwa-ke, akubona bonke abantu abanobukhulu obufanayo balomgodi. Abanye abantu bangazalwa benomgodi omncane kancane, kodwa akusho ukuthi bane-Meatal Stenosis.
- Imibuzo mayelana nendlela ochama ngayo : Bakubuza izinto ezifana nokuthi umchamo wakho uya kuphi nokuthi uyachitheka yini.
- Ukubuka ingane ichama : Ezinganeni ezincane, udokotela angabuka ingane ichama ukuze anqume uhlobo lomgudu womchamo (kungakhathaliseki ukuthi ugeleza uqonde noma uyaconsa).
- Ukukala ijubane lomchamo : Ngezinye izikhathi, idivayisi ekhethekile ingasetshenziswa ukukala ijubane lokugeleza komchamo.
Yiziphi izindlela zokwelapha lokhu?
I-Meatal Stenosis ayizipholi ngokwayo. Idinga ukwelashwa. Kunezindlela eziningana zokwelapha eziyinhloko zalokhu.
Ukuhlinzwa kwe-Meatotomy
Lokhu kuyindlela yokwelapha engcono kakhulu nephumelela kakhulu ezimweni eziningi . Akuyona indlela enkulu yokuhlinzwa. Kuhilela ukwenza ukusika okuncane nokwandisa imbobo encishisiwe. Kulula kakhulu futhi kuthatha imizuzu embalwa nje. Amathuba okuthi lesi simo siphinde sivele ngemva kwalokhu kuhlinzwa mancane kakhulu.
Ukhilimu we-steroid
Kwezinye izimo, esikhundleni sokuhlinzwa, udokotela wakho angase ancome ukhilimu we-corticosteroid ofakwe esicongweni sepenis yakho. Lo khilimu kungadingeka usetshenziswe kabili ngosuku, ngezinye izikhathi kuze kube izinyanga ezintathu.
Ukwanda
Okunye ukwelashwa ukusebenzisa idivayisi ekhethekile ukuze kwandiswe imbobo. Kodwa-ke, le ndlela ngezinye izikhathi ingadabula isikhumba futhi ibangele izibazi. Le ndlela ayisasetshenziswa kakhulu ngoba izicubu zesibazi zingenza imbobo ibe mncane kakhulu kunangaphambili.
Kuthatha isikhathi esingakanani ukululama ngemva kokuhlinzwa?
Ingane izoqala ukuzizwa ingcono zingakapheli izinsuku ezimbalwa ngemva kokuhlinzwa kwe-meatotomy.
- Ungasebenzisa imithi yokubulala izinhlungu enikezwe udokotela wakho ukuze unciphise ubuhlungu.
- Ukugeza ingane yakho emanzini afudumele (amanzi okugeza afudumele) kunciphisa kakhulu ubuhlungu nokungakhululeki.
- Ukopha ngokuvamile akwenzeki. Uma kukhona ukopha okuncane, ukufaka ingcindezi endaweni ngendwangu ehlanzekile kuzomisa ukopha.
- Ukuze kusheshiswe inqubo yokuphulukiswa, udokotela utusa ukusebenzisa amafutha anjengeVaseline® noma i-Aquaphor® kabili ngosuku amasonto ambalwa.
Kufanele ngimbone nini udokotela?
Uma wena noma ingane yakho ninezinye zezimpawu ezingezansi, qiniseka ukuthi ubona udokotela.
- Uma unenkinga yokuchama .
- Uma ungakwazi ukuchama .
- Uma uzwa ubuhlungu lapho uchama .
Kufanele uye nini e-Emergency Treatment Unit (ETU)?
Uma uthola noma yiziphi izimpawu ezingezansi ngemva kokuhlinzwa kwenyama, iya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngokushesha okukhulu.
- Uma umkhuhlane ungama-degree Celsius angu-38 (100 Fahrenheit) noma ngaphezulu.
- Uma kukhona ukopha okukhulu lokho akunakumiswa.
- Uma ubuhlungu buqhubeka buba bubi kakhulu.
- Uma uhlanza izikhathi ezingaphezu kwezintathu ngosuku.
- Uma unenkinga yokuchama .
- (Uma kuyingane encane) Uma inabukeni liqhubeka nokoma.
Umlayezo Wokuya Nawe Ekhaya
- I-meatal stenosis ukuncishiswa komgodi womchamo esicongweni sepenis kubafana nabesilisa.
- Lesi simo sivamile phakathi kwabafana abasokile.
- Izimpawu eziyinhloko ubuhlungu ngesikhathi sokuchama , ukusha, kanye nokungakwazi ukuzibamba komchamo .
- Ungesabi uma ubona lokhu. Kungelapheka ngokuphelele ngokwelashwa okulula njengokususwa kwenyama.
- Uma usola ukuthi indodana yakho inalezi zimpawu, ungangabazi ukubonana nodokotela wezingane noma udokotela ohlinzayo ukuze uthole iseluleko.
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