Njengomama, kumelwe ukhathazeke kakhulu ngomfana wakho omncane. Ingabe uyakhala lapho echama ? Noma uyachama yonke indawo esikhundleni sokuhamba ngqo? Mhlawumbe uyachama kancane kakhulu futhi ngokushesha? Kuvamile ukuzizwa wesaba uma ubona izinto ezinjengalezi. Isizathu salokhu kungaba ukuthi inyama yakhe yomchamo incane kakhulu. Namuhla, sizoxoxa ngalesi simo kanye nokuhlinzwa okuncane okubizwa ngokuthi i-Meatoplasty.
Kuyini i-Meatplasty kanye ne-Meatotomy?
Kalula nje, i-Meatoplasty iwukuhlinzwa okuncane okwandisa i-urethral meatus, imbobo esesiqongweni sepenis lapho umchamo uphuma khona. Uma le mbobo iba mncane, kuba nzima ngengane ukuchama . Ngakho-ke, lokhu kuhlinzwa kwenziwa ukuze imbobo ibe nkulu kancane, okuvumela ingane ukuthi ichame kalula futhi ngaphandle kobuhlungu.
Ingabe kukhona umehluko phakathi kwe-Meatplasty ne-Meatotomy?
Lezi zindlela ezimbili zifana kakhulu, kodwa kunomehluko omncane.
- I-Meatplasty: Kulokhu, udokotela wenza i-incision encane esicongweni sepenis, andise imbobo, ashintshe izicubu, futhi mhlawumbe afake izithungo ezimbalwa.
- Ukususwa kwezicubu: Lokhu kulula kancane. Kuhilela ukwandisa umgodi kuphela. Ezimweni eziningi, akudingeki ukushintshwa kwezicubu noma ukuthungwa.
Kodwa abantu abaningi basebenzisa womabili la magama ngokushintshana, ngakho akudingeki ucabange kakhulu ngawo.
Kukuziphi izimo lapho lokhu kuhlinzwa kuyadingeka khona?
Lokhu kuhlinzwa kwenziwa ikakhulukazi ngesimo esibizwa ngokuthi i-Meatal Stenosis . Okusho ukuthi, njengoba kushiwo ngaphambili, imbobo okuphuma kuyo umchamo iyancishiswa futhi ivalwe. Lokhu kungaba yisimo sokuzalwa kwabanye abantwana. Kodwa isikhathi esiningi, kwenzeka kamuva ekuphileni, phakathi kweminyaka emi-3 nengu-7. Lesi simo sivame kakhulu kubafana abasokile.
Uma usola ukuthi indodana yakho inalesi simo, qaphela lezi zimpawu.
| Isibonakaliso | Kuchazwe kalula |
|---|---|
| Ubunzima bokulawula ukuchama | Uma uchama endlini yangasese, uyahamba uye phambili naphambili, awukwazi ukukhomba ngqo. |
| Izinguquko zomgudu womchamo | I-urethra incane kakhulu, idlula ngesivinini esikhulu, noma idlula iye phezulu noma eceleni esikhundleni sokuyiqonde ngqo. |
| Ukufutha | Umchamo awuhambi njalo, kodwa kunalokho ufafaza yonke indawo njengesifutho samanzi. |
| Ukuchama njalo | Ukudinga ukuchama kaningi kunokujwayelekile. |
| Ubuhlungu noma ukuvuvukala | Ingane ingase ikhale ngobuhlungu noma ukushisa lapho ichama noma ingakhala lapho ichama . |
Ngaphezu kwalokho, odokotela ngezinye izikhathi batusa lokhu kuhlinzwa ezinganeni ezinesimo esincane sokukhubazeka kokuzalwa esibizwa ngokuthi i-hypospadias, isimo lapho umgodi womchamo uphansi kancane kunesihloko sepenis.
Kungani i -urethra incane kangaka?
Isizathu esiyinhloko salokhu amanxeba amancane nezibazi ezakheka esicongweni sepenis. Kungaba nezizathu eziningana zalokhu.
- Ukusoka: Ngemva kokusoka, isihloko sepenisi siyavezwa, ngakho-ke ukuhlikihla leyo ngxenye enamabele noma izingubo zangaphansi kungabangela ukulimala okuncane, izibazi, kanye nokuncipha komgodi.
- Ukuhlikihla i-napkin: Ukuhlikihla i-penis yengane isikhathi eside e-napkin emanzi nakho kungaba yimbangela yalokhu.
- Ukusetshenziswa kwe-catheter: Uma i-catheter yomchamo ishiywa endaweni yayo isikhathi eside ngenxa yesimo sempilo, le mbobo ingase ibe mncane.
Uzilungiselela kanjani ngaphambi kokuhlinzwa?
Ngaphambi kokuhlinzwa, kufanele uyise ingane yakho kudokotela. Lapho, udokotela uzokwenza lezi zinto.
- Ukuhlola impilo yengane:Impilo yengane iyonke, isisindo sayo, kanye nokuphakama kwayo kuyahlolwa.
- Ukuhlolwa ngokomzimba: Ipenisi yengane iyahlolwa bese kulinganiswa ububanzi bomgodi womchamo .
- Ukubuza imibuzo: Uzobuzwa ngendlela ingane yakho echama ngayo . Izinto ezifana nokuthi umchamo uya kuphi, ukuthi uyaconsa yini, njll.
- Ukuqaphela: Uma kungenzeka, qaphela ingane ichama bese ulinganisa ijubane lomchamo .
Kubalulekile ukutshela udokotela nganoma yiziphi ezinye izifo, izinkinga zokopha, ukungezwani komzimba, kanye nanoma yimiphi imithi ingane yakho eyithathayo. Eminye imithi yokwelapha izinhlungu (ama-NSAID) kanye neminye imithi ingandisa ingozi yokopha ngesikhathi sokuhlinzwa.
Indlela yokubumba ingqondo yengane?
Kuvamile ukuthi ingane yesabe uma ibhekene nento efana nale. Kodwa kubaluleke kakhulu ukuthi uhlale uzolile. Ngoba ingane yakho ingakuzwa ukwesaba nokukhathazeka kwakho. Udokotela uzokuchazela ngokuhlinzwa. Buza futhi uphendule noma yimiphi imibuzo ongase ube nayo. Ngaphambi kokuhlinzwa, nika ingane yakho ithoyizi layo eliyintandokazi, mfundele incwadi yezindaba ayithandayo. Uma uhlala uzolile, ingane yakho izozizwa ikhululekile kakhulu.
Ukuhlinzwa kwenziwa kanjani?
Lokhu ukuhlinzwa okuncane okuvame ukuthatha isikhathi esingaphansi kwehora.
Okokuqala, umntwana ulaliswa i-anesthesia. Lokhu kusho ukuthi umntwana ulele kakhulu futhi akazizwa ubuhlungu ngesikhathi sokuhlinzwa.
Ngemva kokuba ingane ilele, i-Pediatric Urologist izolandela lezi zinyathelo:
1. Okokuqala, kala usayizi womgodi usebenzisa ipayipi elincane.
2. Ngemuva kwalokho, ngaphansi kwembobo, kwenziwa ukusika okuncane okufana no-'V' ngaphansi kwepenis ukuze kwandiswe imbobo.
3. Okulandelayo, kusetshenziswa inhlaka yokuhlinzwa ukuze kuphinde kuxhunywe izicubu. Uma kudingeka, kufakwa izithungo ezimbalwa, ezizoncibilika zodwa ngemva kwezinsuku ezimbalwa.
4. Uma kudingeka, ipayipi elincane (i-catheter) lingafakwa okwesikhashana ukuze kube lula ukuchama .
Ngemva kokuhlinzwa, ingane izoyiswa ekamelweni lokululama. Ngemva kokuba ingane ivukile, uma isimo sayo sihle, ivame ukuya ekhaya ngalolo suku.
Ungayinakekela kanjani ingane ngemva kokuhlinzwa?
Isonto lokuqala ngemva kokuhlinzwa libaluleke kakhulu. Ingane yakho idinga usizo lwakho ukuze ilulame ngokushesha.
| Okufanele ngikwenze | Incazelo nemiyalelo |
|---|---|
| Ukulawula ubuhlungu | Nikeza imithi yokubulala izinhlungu efana neParacetamol noma i-Ibuprofen njengoba udokotela eyalile. Ungalokothi unike i-Aspirin, ngoba ingandisa ukopha. |
| Ukusebenzisa izimonyo | Faka ngobumnene ukhilimu obulala amagciwane noma i-petroleum jelly (i-Vaseline) enconywe udokotela wakho endaweni yokuhlinzwa okungenani kathathu ngosuku. Lokhu kuzosiza ukuvimbela inxeba ukuthi lome futhi kunciphise ukuqubuka kwenabukeni. |
| Ukuhlanzeka | Geza ingane yakho ngamanzi afudumele. Kodwa ungayihlikihli indawo yokuhlinzwa ngensipho. Hlanza kancane ngamanzi bese uyomisa ngendwangu ehlanzekile. |
| Izingubo nama-nappies | Gqokisa ingane izingubo ezikhululekile nezingenamigoqo. Uma usebenzisa amanabukeni, washintshe njalo. Uma kungenzeka, ukuhlala ngaphandle kwama-nabukeni amahora ambalwa ngosuku kuzosiza inxeba ukuthi liphole. |
| Ukuvinjelwa komsebenzi | Gcina ingane yakho kude nokudlala okunzima isonto lonke. Ukugibela ibhayisikili, ukushwiba, nokudlala i-see-saw akukuhle okwamanje. |
Kunini lapho ngidinga ukubona udokotela noma ukuya e-ETU?
Njalo qapha ukululama kwengane yakho ngemva kokuhlinzwa. Uma kukhona izinkinga, thatha isinyathelo ngokushesha.
Ngokuvamile, udokotela uzokubuyisela emuva ukuze uthole i-aphoyintimenti yokulandelela. Qiniseka ukuthi uletha ingane yakho nawe ngaleso sikhathi.
Kodwa-ke, uma kukhona noma yiziphi izimpawu ezilandelayo, thatha ingane uyiyise eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngokushesha .
- Uma unomkhuhlane ongama-degree Celsius angu-38 (100 Fahrenheit) noma ngaphezulu.
- Uma kukhona ukopha okuqhubekayo nokukhulu okuvela endaweni yokuhlinzwa.
- Uma ubuhlungu bomntwana bukhula .
- Uma uhlanza izikhathi ezingaphezu kwezintathu ngosuku.
- Uma kunzima ukuchama , noma uma inabukeni lengane selomile isikhathi eside.
Umlayezo Wokuya Nawe Ekhaya
- Uma indodana yakho inenkinga yokuchama , kungaba yisimo esibizwa ngokuthi i-Meatal Stenosis. Lesi yisimo esivamile futhi esingelapheka.
- I-'Meatoplasty' iyindlela elula, ephephile, futhi ephumelela kakhulu kulokhu. Ungesabi.
- Ukulandela imiyalelo kadokotela ngemva kokuhlinzwa kubaluleke kakhulu ukuze ingane ilulame ngokushesha.
- Uma ubona noma yiziphi izimpawu ezingavamile ngesikhathi ingane yakho ilulama, funa iseluleko sezokwelapha ngokushesha. Buza udokotela wakho noma yini onayo engqondweni.
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