Ngezinye izikhathi, abazali bangase bakhathazeke uma ipenisi yendodana yabo ibonakala incane kunejwayelekile. Ngokufanayo, amanye amadoda amadala angase abe nokukhathazeka noma amahloni mayelana nosayizi wepenisi yawo. Namuhla, sizokhuluma ngesimo sezokwelapha esaziwa ngokuthi 'iMicropenis' . Sizohlola ukuthi siyini, kungani senzeka, nokuthi yini engenziwa ngaso ngamagama alula, aqondakala kalula. Sicela uqiniseke: lesi yisimo esingavamile kakhulu, futhi ukuba nolwazi oluhle yisinyathelo sokuqala esibaluleke kakhulu.
Iyini ngempela 'iMicropenis'?
Kalula nje, 'i-micropenis' ngokwezokwelapha ichazwa njenge-penis encane kunesilinganiso ngobukhulu, kodwa evamile ngokuphelele ngokwesakhiwo sayo sangaphakathi kanye nokwakheka kwayo. Lokhu kusho ukuthi yize i-penis incane, iyasebenza futhi imile njenganoma iyiphi enye. Lesi simo sibangelwa kakhulu yizici zamahomoni noma zofuzo.
Into ebaluleke kakhulu okufanele uyikhumbule ukuthi, uma kungekho ezinye izinkinga zempilo eziyisisekelo, umuntu one-micropenis angachama ngendlela evamile futhi azothola ukuqina okuvamile uma evuselelwa ngokocansi. Ngokuvamile, abahlinzeki bezempilo bavame ukubona lesi simo ngemuva nje kokuzalwa noma ngesikhathi sobuntwana.
Ivame kangakanani i-'Micropenis'?
Lesi yisimo esingavamile kakhulu. Emhlabeni jikelele, sithinta cishe u-0.6% wabantu. Isibonelo, e-United States, kubikwa ukuthi sithinta cishe abafana abayi-1.5 kwabayi-10,000 abasanda kuzalwa. Njengoba ubona, lokhu akuyona into evamile.
Yini ebhekwa njengosayizi 'weMicropenis'?
Kubalulekile ukucacisa ukuthi lokhu kulinganiswa kanjani. Odokotela banquma ukuxilongwa kwe-micropenis besebenzisa i-metric ebizwa ngokuthi 'Ubude Bepenile Ebunwetshiwe' (SPL) . Indlela enembile yokukala lokhu ukwelula ipenisi ngobumnene kuze kube yilapho iseduze nomzimba bese ilinganisa kusukela phansi (lapho inamathela khona emzimbeni) kuya esicongweni.
Ochwepheshe bezokwelapha bachaza i-micropenis uma isilinganiso singaphezu kuka-2.5 ukuphambuka okujwayelekile ngaphansi kobude obujwayelekile balelo qembu leminyaka ethile. Nansi indlela lokho okubukeka ngayo ngokoqobo:
- Kumuntu wesilisa omdala, isilinganiso se-SPL singamasentimitha angu-5.25 (cishe amasentimitha angu-13.3). Ngakho-ke, i-SPL yomuntu omdala engamasentimitha angu-3.67 (cishe amasentimitha angu-9.3) noma ngaphansi ibhekwa njenge-micropenis.
- Kumfana osanda kuzalwa, isilinganiso se-SPL singamasentimitha angu-1.4 (cishe amasentimitha angu-3.5). Ngakho-ke, i-SPL yosana olusanda kuzalwa engamasentimitha angu-0.75 (cishe amasentimitha angu-1.9) noma ngaphansi ibhekwa njenge-micropenis.
Uma uxoxa ngalezi zilinganiso, sicela ukhumbule ukuthi lezi ziyizilinganiso nje. Wonke umuntu uhlukile.
Ziyini izimpawu ze-'Micropenis'?
Uphawu oluyinhloko nolusobala kakhulu ubukhulu bepenisi.
- Ezinsaneni, kuyi-SPL engaphansi kwamasentimitha angu-0.75 uma inwetshwa kancane.
- Kubantu abadala, kuyi-SPL engaphansi kwamasentimitha angu-3.67 uma inwetshwa kancane.
Ngezinye izikhathi, i-micropenis ingenzeka yodwa. Kodwa-ke, ivame ukuhlotshaniswa nezinkinga zamahomoni noma izimo zokuzalwa ezikhona kusukela ekuzalweni. Ngenxa yalokho, noma yiziphi ezinye izimpawu ezibonakala enganeni yakho zizoncika ngokuphelele embangela eyisisekelo ye-micropenis.
Abanye abantu abane-micropenis bangase babe nenani eliphansi lesidoda, nakuba lokhu kungelona iqiniso kuwo wonke umuntu.
Yini ebangela 'iMicropenis'?
I-micropenis ivame ukubangelwa ukukhiqizwa okunganele kwe-hormone yesilisa, i-testosterone, ngesikhathi sokukhula kwengane. Kunezimo eziningana ezingaholela kulokhu, okuhlanganisa:
- Isifo sikaPrader-Willi
- I-Kallman syndrome
- I- hypogonadotropic hypogonadism evame ukutholakala.
Ukuchaza 'i-hypogonadotropic hypogonadism' kalula: i-hypothalamus ebuchosheni bakho—elawula uhlelo lwakho lwezinzwa oluzimele kanye ne-pituitary gland —ayikhiphi ama-hormone adingekayo ukuze kukhuthazwe ama-testes ukuthi akhiqize i-testosterone. Le nqubo ibalulekile ekuvuthweni okuvamile kocansi kanye nomsebenzi wokuzala.
Kodwa-ke, kwezinye izimo, kungase kungabikho imbangela ecacile ye-micropenis.
Ihlolwa kanjani i-'Micropenis'?
Udokotela wakho angaxilonga i-micropenis ngokuhlolwa okujwayelekile ngokomzimba. Bazolinganisa ngobumnene ubude be-penis obunwetshiwe bese beqhathanisa leso silinganiso nobubanzi obujwayelekile beqembu lobudala lesiguli. Ngezinye izikhathi, ukuhlolwa kwegazi kungacelwa ukuhlola amazinga ama-hormone.
Yiziphi izindlela zokwelapha ezitholakalayo?
Izindlela zokwelapha ezivame kakhulu ze-micropenis ukwelashwa kanye nokuhlinzwa kwama-hormone e-testosterone.
Lokhu kwelashwa kungaba wusizo eminyakeni ehlukahlukene. Kodwa-ke, kunethuba elikhulu lokuphumelela uma lesi simo sitholakala futhi selashwa kusenesikhathi, ikakhulukazi ngesikhathi sobuntwana.
Uma udokotela wakho ethola ukuthi ingane yakho ine-micropenis, cishe uzokudlulisela ku- Pediatric Urologist noma ku- Pediatric Endocrinologist , ochwepheshe bezempilo yama-hormone.
Ukwelashwa ngama-hormone e-Testosterone
Ukwelashwa kokuqala kuvame ukuba yinkambo yesikhashana ye-testosterone. Lokhu kwenzelwa ukuhlola ukuthi ipenisi iyasabela yini ku-hormone yokukhula.
Udokotela wakho angase akunike i-testosterone ngemijovo noma ijeli yesikhumba. Izifundo zibonisa ukuthi izinsana eziningi zithola ukukhula okukhulu kwepenisi ngale ndlela yokwelapha. Kodwa-ke, akukaqondakali ngokugcwele ukuthi lokhu kukhula kuyaqhubeka yini njalo phakathi nokuthomba kuze kube yilapho umuntu esemdala.
Kubaluleke Kakhulu: Ungalokothi usebenzise imijovo ye-Testosterone noma amajeli ngaphandle kwencwadi kadokotela. Ukusebenzisa lokhu ngendlela engafanele kungaholela emiphumeleni emibi kakhulu.
Uma ukwelashwa nge-testosterone kungaholeli ekukhuleni okwanele, udokotela uzohlola ezinye izindlela zokwelapha.
Ukuhlinzwa kwe-'Micropenis'
Uma ungumuntu omdala ocabanga ukuhlinzwa 'kwe-micropenis,' kubalulekile ukuthi uqonde ngokucacile izingozi nezinzuzo ezingaba khona ezihlobene nesimo sakho esithile. Sicela ube nengxoxo evulekile nephelele nodokotela wakho. Njenganoma iyiphi inqubo yokuhlinzwa, kunezingozi ezingokwemvelo ezihilelekile.
Isikhathi sokululama singakanani ngemva kokuhlinzwa?
Isikhathi sokululama ngemva kokuhlinzwa kwe-micropenis siyahlukahluka kumuntu nomuntu. Kuncike ezicini ezifana nomlando wakho wezempilo kanye nekhono lomzimba wakho lokuphulukisa lemvelo. Iziguli eziningi ziyakwazi ukubuyela emsebenzini, esikoleni, noma emisebenzini yazo yansuku zonke zingakapheli amasonto amane kuya kwayisithupha. Kodwa-ke, uma umsebenzi wakho uhilela imisebenzi enzima ngokomzimba, ungadinga amasonto ayisithupha kuya kwayisishiyagalombili esikhathi sokululama.
Yini umuntu 'one-micropenis' angayilindela esikhathini esizayo?
Umbono womuntu one-micropenis uncike kakhulu embangela eyinhloko. Isibonelo, ezimweni lapho i-micropenis ibangelwa ukuntuleka kwama-hormone, isibikezelo ngokuvamile siba sihle. Uma betholakale futhi belashwa kusenesikhathi, laba bantu bavame ukusabela kahle ekwelashweni kwe-testosterone, okuvumela ukukhula okwanele kwe-penis kanye nekhono lokusebenza ngendlela evamile njengabantu abadala.
Kodwa-ke, izimo ezifana ne -androgen insensitivity syndrome zingaba nzima kakhulu ukuzilawula, njengoba lezi zimo ngokuvamile zingasabeli ekwelashweni ngama-hormone. Ezimweni ezinjalo, ipenisi ingase ihlale incane ngobukhulu.
Ungaphila kanjani ngempumelelo nalesi simo?
Uma ukwelashwa kusenesikhathi kungaphumeleli, ukuhlala ne-micropenis kungaba yinselele ngokwengqondo. Lokhu kuyindlela eqondakalayo ngokuphelele yokusabela.
Kuzo zonke izimo, ukufuna ukwelulekwa ngokwengqondo kanye nokusekelwa komphakathi kuphumelela kakhulu ekugcineni inhlalakahle yengqondo nengokomzwelo enempilo. Ukwazi ukuthi awuwedwa nokuthi unomuntu ongakhuluma naye ngezinkinga zakho kungaba umthombo omkhulu wamandla.
I-Micropenis iyisimo esingavamile, futhi izindlela zokwelapha zihlukile kakhulu. Udokotela wakho uzokuqondisa kuzo zonke izinyathelo, echaza ngokucacile izinketho ezitholakalayo kuwe.
Ingabe ukuba 'ne-micropenis' kuthinta kabi ukusebenza kocansi?
Lokhu kuyinto evamile ekhathazayo. Abantu abaningi abane-micropenis baphila impilo yocansi evamile nesebenzayo. Ukuba ne-micropenis akulimazi ikhono lakho lokuchama, ukushaya indlwabu, noma ukufinyelela ekufikeni kobulili obuphelele.
I-micropenis akudingeki ibe yisithiyo sokusondelana noma ubudlelwano obugculisayo. Uma ukungena ngaphakathi kuzwakala kunzima, ungahlola ezinye izindlela zokujabulela ukusondelana nomlingani wakho. Ukukhuluma nomeluleki noma uchwepheshe wezocansi kungaba usizo olukhulu ekunciphiseni ukukhathazeka mayelana nosayizi we-penis.
Kufanele ubonane nini nodokotela?
- Uma ingane yakho itholakale ine-micropenis futhi ubona izimpawu ezintsha (isb., ubunzima bokuchama noma ubuhlungu), thintana nodokotela wezingane ngokushesha.
- Uma ungumuntu omdala okhathazekile ngokuba ne-micropenis , sicela ukhulume nodokotela wakho. Bangakudlulisela kudokotela wezifo zomchamo ukuze akuhlole ngokukhethekile.
Kungakhathaliseki ukuthi ukhathazekile ngengane yakho noma ngawe, udokotela wakho angaxoxa ngezinketho zokwelapha ezifanele. Ngaphezu kwalokho, banganikeza izinkomba kubeluleki noma abelaphi abangasiza ekubhekaneni nanoma yikuphi ukucindezeleka ngokomzwelo okuhlobene nalesi simo.
Umyalezo Wokuya Nawo Ekhaya
Sithemba ukuthi lokhu kubuyekezwa kwe-micropenis kukunikeze ukuqonda okucacile. Nazi amaphuzu abaluleke kakhulu okufanele uwakhumbule:
- I-Micropenis iyisimo esingavamile kakhulu.
- Nakuba ipenisi incane ngobukhulu, isakhiwo sayo ngokuvamile sivamile, okusho ukuthi imisebenzi efana nokuchama kanye nokuma kwenduku ngokuvamile kwenzeka ngendlela evamile.
- Izinkinga ze-hormone ziyimbangela evame kakhulu.
- Ukuxilongwa kusenesikhathi kanye nokwelashwa kuvame ukuveza imiphumela emihle, kanti ukwelashwa nge-testosterone kuyindlela evamile yokungenelela.
- Ukwelulekwa ngokwengqondo kubalulekile ukunciphisa ukucindezeleka kwengqondo nokukhathazeka okungase kuhambisane nalesi simo.
- Umphakathi uvame ukulinganisa ngokungalungile ubukhulu bepenisi nobudoda. Eqinisweni, ubukhulu abuhlobene nokubaluleka kwakho noma ubudoda bakho. Abantu abanepenisi encane kunejwayelekile bangaphila impilo enempilo, ejabulisayo, neyanelisayo.
Uma usola ukuthi wena noma ingane yakho ningathinteka yilesi simo, sicela ungangabazi ukufuna iseluleko sezokwelapha. Awuwedwa, futhi usizo luyatholakala.
Amagama angukhiye: I-Micropenis, ipenis encane, usayizi wepenis, izinkinga zamahomoni, i-testosterone, impilo yamadoda, impilo yengane
