Ingabe kukhona okukuqaphelile okungajwayelekile lapho ingane yakho ichama ? Mhlawumbe umchamo awuhambi ngqo, kodwa kunalokho ugeleza usuka kolunye uhlangothi uye kolunye, noma uzizwa sengathi ubuhlungu lapho echama ? Kujwayelekile ukuthi umzali azizwe esaba kancane uma ebona lezi zinto. Kodwa ungakhathazeki. Namuhla sikhuluma ngesimo esibizwa ngokuthi 'i-Meatal Stenosis' esingabangela lokhu kanye nokuhlinzwa okuncane ukuze silashwe.
Kalula nje, kuyini i-Meatoplasty?
I-Meatoplasty inqubo yokuhlinzwa ekhulisa i-urethral meatus, imbobo esesiqongweni sepenis yomfana. Le mbobo isekupheleni kwe-urethra. Umchamo uphuma kule mbobo.
Kodwa kungenzeka ukuthi uke wezwa nangokuhlinza inyama. Lokhu kokubili kufana kakhulu. Ekuhlinzeni inyama, udokotela ohlinzayo wenza i-incision encane esicongweni sepenis bese eshintsha umgodi, ngezinye izikhathi ngokuthunga. Ukuhlinzwa kwenyama kulula kancane. Kumane kwandise umgodi, futhi ezimweni eziningi, akukho ukuthunga okusetshenziswayo. Kodwa-ke, abantu abaningi basebenzisa la magama amabili ngokushintshana.
Iyini imbangela yalokhu kuhlinzwa? (Meatal Stenosis)
Lokhu kuhlinzwa kwenziwa kakhulu ukwelapha isimo esibizwa ngokuthi i-meatal stenosis, okuwumngxuma omncane kakhulu e-urethra. Lokhu kungaba yinto yokuzalwa kwabanye abantwana. Kodwa-ke, kuvame ukwenzeka phakathi kweminyaka emi-3 nengu-7. Kuvame kakhulu kubafana abasokiwe.
Uma usola ukuthi indodana yakho inalesi simo, khathazeka kancane ngalezi zimpawu.
| Isibonakaliso | Incazelo |
|---|---|
| Ubunzima bokuchama | Ingane inenkinga yokuchama iqonde. Umchamo ugeleza uye phezulu noma eceleni. |
| Uhlobo lomgudu womchamo | Ukugeleza komchamo okuncane kakhulu, okusheshayo noma ukufutha ohlangothini olulodwa. |
| Ukuchama njalo | Ukudinga ukuchama kaningi kunokujwayelekile. |
| Ubuhlungu noma ukuvuvukala | Ukuzwa ubuhlungu noma ukushisa lapho uchama. |
Ngaphezu kwalokho, lokhu kuhlinzwa ngezinye izikhathi kwenziwa ezinganeni ezinesimo esincane sesici sokuzalwa esibizwa ngokuthi i-hypospadias.
Kungani imbobo ye-urethra incipha kanje?
Isizathu esiyinhloko salokhu amanxeba amancane nezibazi ezakheka esicongweni sepenis. Kunezizathu eziningana ezingaba khona zalokhu:
- Ukusoka: Izibazi ezincane ezivela ngemva kokuhlinzwa ukuze kususwe ijwabu lepenisi.
- Ukuqubuka kwenabukeni: Cabanga nje, lapho ingane igqoke inabukeni, isihloko sepenisi yayo sigudlana nenabukeni njalo. Amanxeba amancane abangelwa yilokhu kugudlana angaphenduka izibazi.
- Ukusetshenziswa kwama-catheter omchamo: Uma i-catheter yomchamo ishiywa endaweni yayo isikhathi eside ngenxa yesimo sempilo, lokho kungaba yimbangela.
Uzilungiselela kanjani ngaphambi kokuhlinzwa?
Okokuqala, udinga ukuyisa indodana yakho kudokotela. Udokotela uzohlola impilo yengane iyonke. Ngaphezu kwalokho,
- Ungahlola ipipi lendodana yakho bese ulinganisa ububanzi bomgodi womchamo.
- Bakubuza imibuzo. Isibonelo, izinto ezinjengokuthi umchamo uya ngakuphi nokuthi uyachama yini.
- Ungase ukwazi nokubuka ingane ichama futhi ulinganise izinga lokugeleza kwegazi.
Into ebaluleke kakhulu: Kunezinto ezimbalwa okudingeka uzitshele udokotela wakho. Qiniseka ukuthi uyamtshela uma indodana yakho inezinkinga zokopha , noma yikuphi ukungezwani komzimba nanoma yimiphi imithi , nokuthi imiphi imithi ayithathayo . Eminye imithi, njenge-NSAID, ingandisa ingozi yokopha ngesikhathi sokuhlinzwa.
Njengomzali, kubaluleke kakhulu ukuthi uhlale uzolile. Ngisho noma izingane zakho zingakuqondi lokho okushoyo, ziyakwazi ukuzwa ukuziphatha kwakho kanye nokubukeka kobuso bakho. Uma uhlala uzolile, indodana yakho nayo ngeke yesabe.
Kwenziwa kanjani ukuhlinzwa?
Lokhu kuyindlela elula kakhulu yokuhlinzwa evame ukuthatha isikhathi esingaphansi kwehora.
1. Ukuba ndikindiki kanye ne-Anesthesia: Okokuqala, umhlengikazi uhlanza ipeni lomfana bese efaka ukhilimu wokubulala izinhlungu. Ngemuva kwalokho, udokotela wezinhlungu ulalisa umfana ngokuphelele. Ngakho-ke, umfana akazizwa ubuhlungu ngesikhathi sokuhlinzwa.
2. Ukuhlinzwa: Ngemva kokuba ingane ilele kahle, udokotela ohlinzayo (Pediatric Urologist) wenza ukusika okuncane okufana no-'V' ngaphansi kwepenis, ngaphansi kwembobo ye-urethra, ukuze kwandiswe imbobo.
3. Izitishi noma iglu: Ngemva kwalokho, uhlobo olukhethekile lweglue yokuhlinzwa noma izitishi ezincibilikayo zisetshenziswa ukuphulukisa inxeba.
Ngemva kwalokhu kuhlinzwa, ingane ingaya ekhaya ngalo lolo suku. Ngemva kokuba ingane ivukile, abahlengikazi bayayinakekela kahle.
Ungayinakekela kanjani ingane ngemva kokuhlinzwa?
Isonto lokuqala ngemva kokuhlinzwa libaluleke kakhulu. Nika ingane yakho ukuphumula. Ingase ilale isikhathi eside kunokujwayelekile, okuzoyisiza ukuthi ilulame.
- Ubuhlungu: Kungase kube nokusha noma ubuhlungu lapho uchama cishe isonto elilodwa noma amabili. Ungathatha umuthi wokuqeda izinhlungu njengeParacetamol njengoba udokotela wakho ekuyalele.
- Amafutha: Faka amafutha okubulala amagciwane noma into efana ne-Vaseline enqunywe udokotela wakho esicongweni sepenis cishe kathathu ngosuku.
- Ukuhlanzeka: Shintsha amanabukeni engane yakho njalo. Uma kungenzeka, shiya ingane yakho ingenamanabukeni amahora ambalwa ngosuku. Uma ugeza ingane yakho, geza indawo ngensipho namanzi ngobumnene, bese uyomisa kancane.
- Dlala: Gwema amathoyizi adinga ukuthi ujikijele imilenze yakho kusukela kolunye uhlangothi kuya kolunye, njengamabhayisikili , amahhashi ajikijelayo, kanye nama-swing, okungenani isonto lonke. Kungcono ukunciphisa ukugijima nokugxuma kwengane yakho emidlalweni embalwa.
Izimo zengozi kanye nokuthi kufanele uye nini esibhedlela ngokushesha
Nakuba le inqubo iphephile kakhulu, kunezingozi ezithile nganoma yikuphi ukuhlinzwa. Ukopha, ukutheleleka, kanye nezibazi akuvamile kakhulu.
Kodwa-ke, uma ubona noma yiziphi izimpawu ezilandelayo, thatha ingane yakho uye eMnyangweni Wezimo Eziphuthumayo (ETU) oseduze ngokushesha okukhulu.
| Izimpawu Eziphuthumayo | |
|---|---|
| 🌡️ | Ukuba nomkhuhlane ongu-100 Fahrenheit (38 Celsius) noma ngaphezulu. |
| 🩸 | Ukuba nokopha okukhulu okungapheli. |
| 😫 | Ubuhlungu buya bukhula. |
| 🤢 | Ukuhlanza izikhathi ezingaphezu kwezintathu ngosuku. |
| 🚽 | Ubunzima obukhulu bokuchama noma inabukeni lengane lihlala lomile. |
Umlayezo Wokuya Nawe Ekhaya
- I-meatal stenosis yisimo esivamile esibonakala kubafana. Ungakhathazeki ngokungadingekile ngalokhu.
- I-Meatplasty iyindlela yokuhlinzwa ephephile kakhulu, ephumelelayo, futhi elula kulokhu.
- Kubaluleke kakhulu ukunikeza ingane ukuphumula okuhle ngemva kokuhlinzwa nokulandela imiyalelo kadokotela ngqo.
- Uma ubona noma yiziphi izimpawu ezingavamile ngesikhathi ingane yakho ilulama, ungalibali ukwazisa udokotela.
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