Wake waphawula into efana nale uma ushintsha inabukeni lomfana wakho omncane noma umgeza? Okusho ukuthi, ijwabu lendoda yakho libonakala linamathele esicongweni sendoda yakhe (glans). Ngezinye izikhathi abazali bayasaba kancane uma bebona lokhu, becabanga ukuthi, "Ingabe lokhu uhlobo oluthile lwesifo?" Kodwa ungakhathazeki, lokhu kuyinto evamile ezinganeni ezincane. Yilokhu esikhuluma ngakho namuhla. Lesi simo ngokwezokwelapha sibizwa ngokuthi i-Penile Adhesions.
Kalula nje, kuyini ukunamathela kwepenisi?
Ukunamathela kwepenis kwenzeka lapho isikhumba sepenis yomfana wakho omncane sinamathela esicongweni sepenis, i-glans. Lokhu kuvame ukubonakala kubafana. Lesi simo singavela kungakhathaliseki ukuthi umfana usokile noma cha. Lokhu kusho ukuthi singavela kubafana abasikiwe ijwabu labo kanye nakubafana abangakasikwa.
Yiziphi izinhlobo eziyinhloko zalezi zinamathiselo?
Lokhu kunamathelana kwepenile kungabonakala ngezindlela ezintathu eziyinhloko. Lokhu kuhlukile kancane komunye nomunye. Ake sibheke ukuthi kuyini.
| Uhlobo Lokunamathela | Incazelo elula | Ingabe ukwelashwa kuyadingeka? |
|---|---|---|
| Ukunamathela kwe-Glandular | Lolu uhlobo oluvame kakhulu futhi oluthambile. Isikhumba sepenisi sinamathela embonweni. Lokhu akukubi kakhulu. | Esikhathini esiningi iba ngcono ngokwayo, noma ingelapheka ngokwelashwa okuncane kakhulu. |
| Ibhuloho Lesikhumba Sepenis | Lokhu kunamathela okujiyile kancane, okuhlala njalo. Yilapho isikhumba sepenisi sixhuma khona nomngcele we-coronal, umphetho oyindilinga ngaphansi kwepenisi ye-glans. Kufana nebhuloho lesikhumba. | Lokhu ngokuvamile kudinga ukwelashwa. |
| Umthondo Ovalelekile noma Ongcwatshiwe (Cicatrix Adhesion) | Lesi simo sivame ukwenzeka uma kukhona ijwabu elingaphezulu elisele ngemva kokusoka. Kubonakala sengathi ipenisi ishone engxenyeni yamafutha esiswini esingezansi. Kunzima ukususa ipenisi ye-glans. | Lokhu kuvame ukudinga ukwelashwa. |
Ingabe kuvamile ukuthi ijwabu linamathele esicongweni sepenisi?
Yebo. Kujwayelekile ukuthi ingane yesilisa engasokile ibe nejwabu elinamathele epenisini ye-glans lapho izalwa. Asikho isidingo sokukhathazeka. Eminyakeni embalwa yokuqala yokuphila kwengane, ijwabu lizoqala kancane kancane ukuhlukana nepenisini ye-glans. Lokhu kwenzeka ngokwemvelo. Uma lokhu kuhlukana kwenzeka, ijwabu lingasuswa futhi ipenisini ye-glans ingahlanzwa.
Iningi labafana liyakwazi ukuhoxisa ngokuphelele ijwabu labo lapho lineminyaka emi-5. Kodwa-ke, abanye abafana bangathatha isikhathi eside. Ngakho-ke, ungalokothi uhoxise ijwabu ngenkani. Ukwenza kanjalo kungabangela ubuhlungu enganeni futhi kulimaze isikhumba.
Kodwa-ke, uma ijwabu lomntwana omncane noma lomuntu omdala lisanamathele epenisini ye-glans futhi lingenakudonswa emuva (lesi simo sibizwa ngokuthi i-'phimosis'), kungcono ukukhuluma nodokotela ngakho.
Yini ebangela lokhu kunamathelana?
Kungaba nezizathu eziningana zokuthi kungani kuvela ukunamathelana kwepenis.
- Ukunganakekeli kahle ngemva kokusoka: Ngemva kokuba ingane isokile, udokotela uncoma ukuthi ugoqe ijwabu kancane bese ufaka into efana ne-Vaseline® ngenyanga yokuqala. Uma ungakwenzi kahle lokhu, ijwabu eliphulukisayo linganamathela emuva esikhumbeni.
- Amanxeba esikhumba noma izifo: Ngezinye izikhathi, izinto ezifana nokuqubuka kwe-diaper zingabangela amanxeba amancane esikhumbeni sepenis. Njengoba la manxeba ephola, isikhumba singanamathelana.
- Ukwanda kwamafutha esiswini: Ezinye izingane zine-fat pad eningi kakhulu esiswini. Bese ipenisi ingena kuleyo-fat pad. Lokhu kungabangela nokunamathela kwesikhumba.
Uma kungelashwa, ngezinye izikhathi lokhu kunamathela okuvamile kungakhula kube ukunamathela okujiyile okubizwa ngokuthi amabhuloho esikhumba sepenile esikhulume ngawo ngaphambili.
Ziyini izimpawu?
Esikhathini esiningi, lokhu kunamathela kwepenile akubangeli ubuhlungu noma ukungakhululeki enganeni. Ngakho-ke ungase ungaboni nhlobo izimpawu. Kodwa ngezinye izikhathi ungase uqaphele izinto ezinjengalezi:
- Umuzwa wokwelula isikhumba ngesikhathi sokuma.
- Ubuhlungu noma ukungakhululeki okuncane kakhulu.
- Into emhlophe eqoqana ngaphansi kwesikhumba. Lokhu kubizwa ngokuthi "smegma". Lokhu kuwukuqongelela kwamangqamuzana esikhumba afile namafutha.
Udokotela ukubona kanjani lokhu?
Njengoba lezi zinhlayiya zokunamathela ngokuvamile zingenabuhlungu, ungase ungazi nokuthi ingane yakho inayo. Ngokuvamile, udokotela wakho wezingane uzokubona lokhu ngaphambi kokuba wena ukubone. Uzokubona ngesikhathi sokuhlolwa komzimba bese ekuxoxela ngakho.
Ingabe lokhu kunamathela kungalapheka? Yiziphi izindlela zokwelapha?
Yebo, zikhona ngempela izindlela zokwelapha lezi. Kodwa akuwona wonke ama-adhesion adinga ukwelashwa.
- Ukwelashwa okuzenzakalelayo: Esikhathini esiningi, lokhu kunamathelana okuncane (ukunamathelana kwe-glanular) kuzohlukana njengoba umntwana ekhula, ipenisi ikhula, futhi kuvela ukuvuka okuzenzakalelayo. Ukufaka into efana ne-Vaseline kungasiza ekuthambiseni isikhumba futhi kusheshise lokhu kuhlukana.
- Okhilimu: Ngezinye izikhathi udokotela wakho angase akunike ukhilimu we-steroid. Uma uwusebenzisa endaweni ethintekile, uzonciphisa isikhumba kancane kancane futhi indawo izonyamalala. Kodwa-ke, lokhilimu ungabangela isikhumba esizungezile ukuthi sishintshe umbala (siphenduke sibe mhlophe noma sibe mnyama). Uma ukuqaphela lokhu, yeka ukusebenzisa ukhilimu bese ukhuluma nodokotela wakho ngokushesha.
- Ukuhlinzwa okuncane: Ngezinye izikhathi, ikakhulukazi uma kuyi-adhesion ejiyile njengebhuloho lesikhumba, udokotela angakuhlukanisa ehhovisi lakhe esebenzisa ithuluzi elincane. I-adhesion engathi sína ingadinga ukuhlukaniswa egumbini lokuhlinza ngaphansi kwe-anesthesia.
Ubuhlungu bunjani ngemva kokuhlinzwa?
Lokhu kuhlinzwa kungaba buhlungu kakhulu, kodwa udokotela wakho uzokunikeza imithi yokubulala izinhlungu (njenge-NSAID) kanye nemithi yokubulala izinhlungu esetshenziswa endaweni. Ngokuvamile kuthatha cishe amasonto amabili ukululama ngemva kwenqubo.
Ingabe lokhu kungavinjelwa?
Yebo, lokhu kungavinjelwa ngezinga elithile.
- Ukugcina amanabukeni ehlanzekile: Kubaluleke kakhulu ukushintsha inabukeni lomntwana wakho ngokushesha nje lapho emanzi noma ngemva kokuphuma esithweni sangasese. Umswakama nokungcola kunciphisa ingozi yokutheleleka kwesikhumba kanye nokunamathela.
- Ukunakekelwa okufanele: Njengoba udokotela wakho eyeluleke, ukudonsa ijwabu kancane izikhathi eziningana ngosuku nokufaka into efana neVaseline kungasiza ekuvimbeleni lokhu. Khumbula, udinga ukukwenza lokhu ngobumnene kakhulu. Ungakuphoqi.
Zikhona yini izikhathi lapho kudingeka uye e-ETU (Emergency Treatment Unit)?
Ukunamathela kwepenis akuvamile ukuba yisimo esiphuthumayo. Kodwa-ke, uma ingane yakho iba nanoma yiziphi izimpawu ezilandelayo ngemuva kokuhlinzwa ukuze kususwe ukunamathela, yiyise emnyangweni wezimo eziphuthumayo wesibhedlela esiseduze (ETU) ngokushesha.
- Uma unomkhuhlane ongama-degree Celsius angu-38 (101 Fahrenheit) noma ngaphezulu.
- Isicanucanu nokuhlanza.
- Uhudo.
- Uma isikhumba esizungeze indawo yokuhlinzwa sesiphenduke saba bomvu, onsomi, noma nsundu omnyama.
- Uma kukhona iphunga elibi elivela kuleyo ndawo.
- Uma ubuhlungu buqhubeka buba bubi kakhulu.
- Uma kukhona ukopha ngokweqile kuleyo ndawo noma uma ukopha kungayeki.
- Uma unenkinga yokuchama .
Uma ubona ukuthi indodana yakho ine-penis adhesion, ungase ucabange, "Ingabe kukhona engikwenzile okungalungile?" Kodwa ungakwenzi. Lokhu kuvame kakhulu ezinganeni. Uma unokungabaza, into engcono kakhulu ongayenza ukukhuluma nodokotela wakho. Angakwelapha futhi akufundise ukuthi ungakuvimbela kanjani ukuthi kuphinde kwenzeke.
Umlayezo Wokuya Nawe Ekhaya
- Ukunamathela kwepenisi kuyisimo esivamile phakathi kwabafana abancane futhi ngokuvamile akukubi kangako.
- Ungesabi uma ubona lokhu. Akulona iphutha lakho lokhu.
- Iningi lokunamathela okuncane lizophola ngokwalo ngaphandle kokwelashwa njengoba ingane ikhula.
- Ikakhulukazi uma ingane yakho isokiwe, landela imiyalelo kadokotela ngokucophelela ngemva kwalokho.
- Uma unemibuzo, noma ukwesaba ngobulili bomntwana wakho, khuluma nodokotela wezingane noma udokotela womndeni wakho.
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