Uma umfanyana wakho omncane ezalwa, njengomama noma ubaba, uhlola yonke into ngothando olukhulu, akunjalo? Uma ubheka kanjalo, ungase ucabange ukuthi i-scrotum yendodana yakho ayinayo i-testicle eyodwa, noma kokubili. Kuvamile kakhulu ukuzizwa wesaba kakhulu uma ubona lokhu. Kodwa ungesabi nhlobo. Lesi yisimo esibonakala ngezinga elithile phakathi kwabafana abasanda kuzalwa. Namuhla, sizokhuluma ngalokho okubizwa ngokuthi 'ama-Undescended Testicles' ngokwezokwelapha noma isimo sama-testicle angaweli phansi.
Kalula nje, kusho ukuthini ukuthi amasende angakhuphuki?
Ukuze siqonde lokhu, sidinga ukucabanga ngendlela umntwana akhula ngayo esibelethweni. Amasende endoda aqala ukukhula ngaphakathi esiswini sakhe. Njengoba umntwana ekhula ngaphakathi esibelethweni, ngokuvamile ngaphambi nje kokuzalwa, la masende amabili asuka esiswini angene esikhwameni, isikhwama esincane sesikhumba ngemuva kwepenisi. Kodwa ngezinye izikhathi, isende elilodwa noma womabili ayama phakathi ngaphandle kokuqeda lolu hambo. Yilokhu esikubiza ngokuthi
amasende angakhuli . Elinye igama lezokwelapha lalokhu yi
-cryptorchidism .
Ingabe lesi simo sibi kakhulu? Ingabe thina njengabazali kufanele sesabe?
Nakuba lokhu kungase kubonakale kusabisa, into yokuqala okufanele uyiqonde ukuthi lokhu
akuyona into ephuthumayo ngokushesha . Kodwa-ke, yisimo esidinga ukuxazululwa futhi selashwe ngokushesha. Uma singelashwa, singaholela ezinkingeni zesikhathi esizayo. Isibonelo:
- Izinga le- testosterone , i-hormone yesilisa , emzimbeni wengane lingase lehle.
- Ikhono lokukhiqiza isidoda lingathinteka.
- Futhi, kungakhathaliseki ukuthi welashwe noma cha, ingozi yokuba nomdlavuza wamasende ingase ibe phezulu kancane kuneyabanye. Kodwa-ke, ngokwelashwa ngesikhathi esifanele, le ngozi ingancishiswa kakhulu.
Ngakho-ke, into ebaluleke kakhulu ukubeka ukwesaba eceleni bese wenza into efanele ngesikhathi esifanele.
Kuvamile kangakanani lokhu?
Empeleni lesi yisimo esivame kakhulu kunalokho abantu abaningi abakucabangayo.
- Cishe izingane ezintathu kweziyi-100 (3%) zesilisa ezizalwa ngemva kokuqeda isikhathi sokukhulelwa esigcwele (izinyanga eziyi-9) zingase zibe nalesi simo.
- Kodwa,Kuvame kakhulu ezinganeni ezizalwa ngaphambi kwesikhathi, njengoba cishe zingama -30 kweziyi-100 (30%) zazo zingase zibe nalesi simo.
Izindaba ezinhle ukuthi ezinganeni eziningi (cishe ingxenye) amasende azo angazange ehle ngale ndlela, amasende azokwehla ngokwemvelo abuyele endaweni yawo efanele ezinyangeni ezimbalwa zokuqala zokuzalwa, ngaphandle kokwelashwa.
Ziyini izimpawu zalokhu? Sazi kanjani ngokuqinisekile?
Uphawu oluyinhloko noluwukuphela kwalo ukuthi uma ubheka i-scrotum, ibonakala ingenalutho. Kungase kube ngenalutho ohlangothini olulodwa kuphela, noma kungase kube ngenalutho kuzo zombili izinhlangothi. Ake sibheke ezinye zezinto ezingakusiza ukukubona lokhu.
| Isici | Incazelo |
|---|
| Isici esiyinhloko | Isende elilodwa noma womabili awatholakali noma awabonakali esinqeni sesisu. |
| Ubuhlungu | Lesi simo asibangeli ubuhlungu enganeni. |
| Ukuchama | Ingane ayibi nabunzima noma ushintsho lapho ichama . |
Kungani lokhu kwenzeka kwabanye abantwana? Iyini imbangela?
Eqinisweni, odokotela abakakwazi ukuthola isizathu esiqondile salokhu. Kodwa-ke, kukhona umbono wokuthi ukwehla kwe-testosterone emzimbeni womntwana ngesikhathi sesibeletho sikamama kungaba nomthelela ekukhuleni nasekuweleni kwamasende.
Kodwa khumbula into eyodwa: Ungazizwa kabi ngalokhu ngenxa yanoma yini oyenzile noma ongayenzanga ngesikhathi sokukhulelwa kwakho.Lokhu akuhlangene nawe. Kumane kuyingxenye yokukhula komntwana.
Yiziphi izinkinga ezingaba khona uma zingelashwa?
Njengoba kushiwo ngaphambili, uma lokhu kungelashwa ngesikhathi, kungaholela ezinkingeni ezithile esikhathini esizayo. Masicacise ngalokho.
| Inkinga | Incazelo elula |
|---|
| Umdlavuza Wamasende | Amadoda analesi simo asengozini enkulu kancane yokuthola umdlavuza wamasende kunabantu abaningi, ngakho-ke kubalulekile ukuqaphela ukuzihlola kwamasende esemncane. |
| Ukugoba Kwamasende | Ukuvaleka kwentambo yesidoda, okuwumthambo wegazi ohambisa igazi e-testicle. Lesi yisimo esiphuthumayo esibuhlungu kakhulu futhi sidinga ukuhlinzwa okusheshayo. |
| I-Hernia ye-Inguinal | Ingxenye yamathumbu idlulela endaweni yembobo ngomgwaqo lapho amasende ehla khona. Lokhu sikubiza nangokuthi "i-intussusception yamathumbu." |
| Ukuntuleka kwama-hormone (i-Hypogonadism) | Ukungakwazi kwamasende ukukhiqiza i-testosterone eyanele. |
Udokotela ukubona futhi ukuqinisekisa kanjani lokhu?
Lokhu kulula kakhulu ukukubona. Ngesikhathi sokuhlolwa ngokomzimba okuvamile okwenziwa
udokotela ngemva kokuzalwa komntwana, i-scrotum yomntwana iyashaywa. Lokhu kuzokutshela ngokushesha ukuthi akhona yini womabili amasende noma cha.
- Ukuhlolwa ngokomzimba : Lena yindlela eyinhloko nebaluleke kakhulu yokuxilonga.
- Iseluleko sezokwelapha esikhethekile: Ngezinye izikhathi udokotela wakho angakudlulisela kudokotela wezifo zomchamo wezingane ochwepheshe kule ndawo.Ungathunyelwa kudokotela wezifo zomchamo .
- Ukuskena : Esikhathini esiningi, lokhu akudingeki. Kodwa-ke, ngezinye izikhathi ukuskena, njenge -ultrasound ye-pelvic, kungenziwa ukuze kutholakale ukuthi amasende akuphi esiswini.
Lesi simo selashwa kanjani? Yimuphi iminyaka engcono kakhulu?
Okokuqala, odokotela balinda kuze kube yilapho ingane
isinezinyanga ezi-6 ubudala . Ngoba phakathi naleso sikhathi, kunethuba elihle lokuthi i-testicle izokwehla yodwa. Kodwa-ke,
uma ama-testicle engakafiki ezinyangeni ezi-6 , khona-ke kufanele ucabangele ukwelashwa. Ukwelashwa okungcono kakhulu "okujwayelekile" kwalokhu ukuhlinzwa okuncane okubizwa ngokuthi
i-orchiopexy .
Kuyini ukuhlinzwa kwe-Orchiopexy?
Ungesabi uma uzwa lokhu. Lokhu kuyindlela encane kakhulu futhi ephephile yokuhlinzwa. 1. Udokotela ohlinzayo wenza ukusika okuncane kakhulu endaweni yesisu somntwana bese ethola i-testicle ngaphakathi esiswini. 2. Ngemuva kwalokho, kwenziwa okunye ukusika okuncane esikhumbeni, okudala isikhwama esincane se-testicle. 3. Ekugcineni, i-testicle ephezulu yehliswa ngokucophelela, ibekwe endaweni entsha edalwe, bese ivalwa ngezithungo ezimbalwa ezincane. Odokotela bavame ukuncoma ukuthi lokhu kuhlinzwa kwenziwe enganeni
ephakathi kwezinyanga ezingu-12 nezingu-24 (iminyaka emibili) .
Imibuzo ongayibuza njengomzali
Uma uvakashela udokotela wengane yakho, kuyilungelo lakho ukubuza noma yimiphi imibuzo onayo. Nansi eminye imibuzo ongayibuza.
- "Dokotela, ingabe indodana yami iyakudinga ngempela ukwelashwa?"
- "Uma kudingeka ukwelashwa, yimuphi unyaka ongcono kakhulu walokho?"
- "Yiziphi izingozi ezingaba khona zalokhu kuhlinzwa?"
- "Kuzothatha isikhathi esingakanani ukuthi ingane ilulame ngemva kokuhlinzwa?"
- "Ingabe kukhona izinto ezikhethekile okufanele siziqaphele esikhathini esizayo?"
Eminye imibuzo evame ukubuzwa abazali
Uma isende elilodwa lingakehli, ingabe kuzoba khona abantwana esikhathini esizayo?
Yebo, kungenzeka nakanjani. Izinga lokuzala lendoda enesende elilodwa elingakhuphuki kanye nelinye eliphilile licishe lifane nelendoda enamasende womabili ajwayelekile. Kodwa-ke, uma womabili amasende engakhuphuki (amasende angakhuphuki ahlangothini lwesibili), ukuzala kungancipha kancane.
Asikwazi yini ukuqinisa lesi sinqe bese sibeka phansi?
Lutho neze. Ungazami ukwenza lokho. Kungalimaza ingane. Okuwukuphela kwendlela efanele yokwenza lokhu ukuhlinzwa.
Uyini umehluko phakathi kwama-Retractile Testicles nama-Undescended Testicles?
Lena indawo lapho abazali abaningi bedideka khona.
- Amasende Angaphambuki: Lokhu kusho ukuthi isende alikaze lehlele esinqeni. Litholakala phezulu.
- Amasende Agoqekayo: Lokhu kusho ukuthi isende livame ukuba ngaphakathi kwe-scrotum, kodwa uma lesaba, libanda, noma lisabela ekuthinteni, imisipha (imisipha egoqekayo) iyasebenza, okubangela ukuba igoqeke. Bese ibuyela endaweni yayo yokuqala ngemva kwesikhashana. Lesi yisimo esivame ukuzixazulula njengoba umfana efika esikhathini sokuthomba. Lokhu ngokuvamile akudingi ukwelashwa.
Umlayezo Wokuya Nawe Ekhaya
- Amasende angakafiki phansi ayinto evamile kubafana, ngakho ungakhathazeki ngokungadingekile.
- Akulona iphutha lakho leli. Ungacabangi ukuthi lokhu kwenzeke ngenxa yento oyenzile ngesikhathi sokukhulelwa.
- Ezinganeni eziningi, lesi simo siphela ngokwaso ezinyangeni zokuqala eziyisithupha zokuphila.
- Uma amasende akho engakahla ngemva kwezinyanga eziyisithupha, qiniseka ukuthi ukhuluma nodokotela wakho.
- Ukwelashwa ngokuhlinzwa (i-Orchiopexy) kuphumelele kakhulu (kuphumelele ngo-98%) futhi kuphephile.
- Ngemva kokwelashwa, ingane ingaphila impilo evamile nenempilo. Kodwa-ke, lapho ingane ifinyelela ebusheni, kubaluleke kakhulu ukuyifundisa ukuzihlola amasende ukuze ithole izinguquko.
Amasende, amasende angakhuli, i-cryptorchidism, impilo yabantwana, i-orchiopexy, impilo yendodana, izingane, impilo yamadoda
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