Wake waphawula ukuthi ipenisi yomfana wakho omncane igobile noma ijijekile eceleni ngenkathi eshintsha inabukeni lakhe noma emgeza? Kungenzeka ukuthi uke wacabanga ukuthi lokhu kuyinto evamile nokuthi uzokhula ngenxa yalokhu. Abazali abaningi bake baba nalokhu okuhlangenwe nakho. Kwezokwelapha, ipenisi yomfana izalwa ijijekile futhi ijijekile kancane, okubizwa ngokuthi 'i-Penile Torsion'. Ungesabi ukuzwa leli gama. Namuhla, sizokhuluma ngalo ngendlela elula kakhulu ongayiqonda.
Kuyini ngempela i-Penile Torsion?
Kalula nje, i-'Penile Torsion' yisimo lapho ipenisi yomfana ijijeke kancane. Ibukeka njengesivalo sebhodlela. Lesi yisimo sokuzalwa . Lokhu kusho ukuthi lapho ingane ikhula ngaphakathi kwesibeletho sikanina, isikhumba nezicubu ezizungezile zepenisi azenzeki kahle.
Esikhathini esiningi, lokhu kuphenduka kungakwesokunxele. Okusho ukuthi, ngokuphambene newashi. Lokhu akukubi njengoba ungase ucabange, futhi kuvame kakhulu kunalokho ongakucabanga.
Abazali abaningi bayakubona lokhu lapho ingane yabo izosokwa, noma lapho udokotela ehlola ingane.
Into ebaluleke kakhulu okufanele uyikhumbule: Uma usola ukuthi indodana yakho ine-penis torsion, hlehlisa ukusoka uze ubone uchwepheshe. Umuntu ongcono kakhulu kulokhu udokotela wezifo zomchamo wezingane.
Ingabe ezinye izinkinga zingavela ngalesi simo?
Yebo, ngezinye izikhathi i-Penile Torsion ayiveli yodwa, kodwa ingenzeka kanye nezinye izinkinga zokuzalwa. Izimo ezimbili eziyinhloko yilezi:
- I-Hypospadias: Lokhu kwenzeka lapho i-urethra, ipayipi lapho umchamo nesidoda kudlula khona, ivuleka endaweni ethile ngaphansi kwepenis esikhundleni sesihloko.
- I-Chordee: Lesi yisimo lapho ipenisi, uma ivukile, ingavuki kodwa igobe kakhulu phansi noma eceleni.
Udokotela wakho uzohlola nalezi zimo.
Ingabe lokhu kuyingozi? Kuvamile kangakanani?
Ukugoba kwepenisi kungahluka kusukela kokuncane kuya kokukhulu. Uma ipipi lijijekile ngaphezu kwama-degrees angu-90, okungukuthi, ngaphezu kwe-engeli yesokudla, kubhekwa njengokukhulu kakhulu.
Lokhu kuvame kakhulu kangangokuthi ezinye izifundo zisikisela ukuthi kungathinta noma yikuphi kusukela ku-1.5% kuya ku-27% wezingane zesilisa. Kodwa njengoba ngishilo ekuqaleni, akuvamile kakhulu, ngaphansi kwe-1%, ukuba nejika elingaphezu kwama-degrees angu-90.
Ziyini izimpawu nezinkinga?
Isici esiyinhloko ukuthi ipenisi iphendukele ohlangothini olulodwa.Ngaphandle kwalokho, ngokuvamile azikho ezinye izimpawu. Ikakhulukazi uma ukujiya kungaphansi kwama-degrees angu-90, umntwana ngeke azizwe ubuhlungu noma ukungakhululeki. Ngakho-ke akukho okufanele akhathazeke ngakho.
Umbuzo abazali abaningi abawubuzayo uthi, "Ingabe lokhu kuzobangela izinkinga zokuba nezingane esikhathini esizayo?" Cha. I-Penile Torsion ayitholakalanga ukuthi inomthelela ekhonweni lokuba nezingane.
Nokho, lokhu kungabangela izinkinga ezithile ezingokoqobo.
| Inkinga | Incazelo |
|---|---|
| Izinguquko ekugelezeni komchamo | Kwabangaphezu kwengxenye yabantu abanalesi simo, umchamo awuphumi uqonde. Ungageleza phezulu, phansi, noma emaceleni. Ngezinye izikhathi umchamo ungaze uqhekeke kabili. |
| Umthelela wengqondo wokubukeka | Uma bengelashwa, abanye abantu bangase bangakhululeki ngokomzwelo ngokubonakala kwepenisi yabo lapho besebancane. |
Iyini imbangela yalokhu?
Odokotela abakasitholi isizathu esiqondile salokhu. Kodwa kunemibono ethile. Esinye ukuthi kucatshangwa ukuthi ukuchayeka ngokweqile kuma-hormone abesifazane, ikakhulukazi i-estrogen, ngesikhathi umbungu ukhula esibelethweni kungathinteka. Kungase futhi kube ngenxa yokuphazamiseka okuthile ekukhuleni kwesikhumba nezicubu zepenisi.
Udokotela ukwelapha kanjani lokhu?
Okokuqala, udokotela uzohlola ingane ngokucophelela. Lesi simo singatholakala ngokuhlolwa okulula ngokomzimba.
Manje ake sibheke ukwelashwa. Ezimweni eziningi, ikakhulukazi uma ukujiya kungaphansi kwama-degrees angu-90, akukho ukwelashwa okudingekayo. Akulimazi ingane nganoma iyiphi indlela.
Kodwa-ke, abanye abazali bakhathazekile ngokubukeka kwepenisi futhi bafuna ukuyiphatha. Futhi, uma umchamo uhamba ohlangothini oluphambene kakhulu, lokho nakho kudinga ukulungiswa. Ukwelashwa kwalokhu kuphela ukuhlinzwa okuncane.
Lokhu kuhlinzwa kwenziwa ngaphansi kwe-anesthesia ejwayelekile. Ngesikhathi sokuhlinzwa, udokotela ukhulula isikhumba esithile esisepenis, asilungise, bese esithunga ndawonye. Lokhu kubizwa ngokuthi i-degloving. Kufana nokukhumula isikhumba ngokucophelela ebhanana bese usinamathisela kabusha.
Ingabe ukuhlinzwa kuphephile?
Yebo, ngokuvamile, lokhu kuyindlela yokuhlinzwa ephephile kakhulu. Njengazo zonke izinhlobo zokuhlinzwa, kunezingozi ezithile, kodwa lokhu kuncane kakhulu. Odokotela bavame ukuncoma ukwenza lokhu kuhlinzwa lapho ingane iphakathi kwezinyanga eziyi-6 neziyi-18 ubudala. Lokhu kungenxa yokuthi kunezingozi eziphakeme kancane lapho kunikezwa i-anesthesia ezinganeni ezingaphansi kwezinyanga eziyi-6 ubudala.
Kodwa lokhu kuhlinzwa kungenziwa noma ngabe kungakanani ubudala. Abanye abantu baze bakwenze besebancane, ngokuzithandela kwabo.
Okubalulekile: Ukugoba kwepenile akuthuthuki noma kunciphe ngokuhamba kwesikhathi. Kuhlala kufana.
Ungamnakekela kanjani umntwana ngemva kokuhlinzwa?
Ngokuvamile kuthatha izinsuku ezingaba yi-10 ukuthi inxeba liphole ngemva kokuhlinzwa. Udokotela wakho uzochaza ngokuningiliziwe ukuthi ungayinakekela kanjani ingane yakho phakathi nalesi sikhathi. Imiyalelo elandelayo ivame ukunikezwa:
- Ukuyigcina ihlanzekile: Njalo uma ushintsha inabukeni lomntwana wakho, faka i-petroleum jelly encane (`Vaseline®`) noma elinye i-ointment elinconywe udokotela wakho endaweni yokuhlinzwa. Lokhu kuzosiza ekuvimbeleni amagciwane ukuthi angangeni.
- Uma ingane izwa ubuhlungu: Uma ingane izwa ubuhlungu, nikeza umuthi wokuqeda ubuhlungu njengeParacetamol ngesilinganiso esinqunyiwe njengoba kunconywe udokotela.
- Indlela yokugeza: Njengoba inxeba liphola, geza indawo kahle kakhulu futhi kancane kancane ngensipho namanzi ahlanzekile, afudumele.
Noma nini lapho ufuna ukubona udokotela
Uma umchamo wengane yakho uphambukile ngendlela engavamile, kuwumqondo omuhle ukukhuluma nodokotela, ngoba lokhu kungase kungamjabulisi njengoba ekhula.
Nini ukuya ku-ETU ngemva kokuhlinzwa
Uma uthola izimpawu zokutheleleka ngemva kokuhlinzwa, kufanele uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngokushesha. Lezi zimpawu zifaka:
- Uma uphuma igazi njalo noma uma ungakwazi ukuvimba ukuphuma kwegazi.
- Uma kuphuma uketshezi olunuka kabi esilondeni.
- Uma ingane ingakachami amahora ayi-12 ngemva kokuhlinzwa.
- Uma umntwana enomkhuhlane, ebanda, futhi ethuthumela.
- Uma ubomvu buqoqene eduze kwezithungo.
- Uma isikhumba sibomvu, sinsomi, noma simnyama kunokujwayelekile.
Uma ubona into efana nale, ungachithi isikhathi bese uyisa umntwana esibhedlela.
Umlayezo Wokuya Nawe Ekhaya
- I-'Penile Torsion' yisimo esivamile esibonakala ezinganeni zesilisa. Ungesabi uma ubona lokhu.
- Ezimweni eziningi, lokhu akubangeli ubuhlungu, ukulimala, noma izinkinga zempilo zesikhathi esizayo enganeni.
- Uma ukugaya kuncane, akukho ukwelashwa okudingekayo njalo.
- Uma unokungabaza noma ukwesaba ngalokhu, into engcono kakhulu ongayenza ukubonana nodokotela wezingane noma udokotela ohlinzayo wezingane.
- Uma ucabanga ngokusoka, qiniseka ukuthi ukhuluma nodokotela ngalesi simo kusengaphambili.
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