Ngesikhathi kuzalwa umfanyana wakho omncane, ingabe udokotela wamhlola wakutshela ukuthi elinye noma womabili amasende akhe awehlanga? Kujwayelekile ukuthi umama noma ubaba azizwe esaba futhi ekhathazekile kancane lapho ezwa into efana naleyo. Kodwa ungakhathazeki. Lesi yisimo esivamile. Ake sixoxe ngalokhu ngokucacile nangokulula namuhla.
Kalula nje, iyini i-undescended testicles?
Kulungile, ake siqale ekuqaleni. Uma umntwana womfana esesibelethweni, amasende akhe (isitho abantu abaningi abasibiza ngokuthi 'amabhola') akhula ngaphakathi esiswini sakhe. La masende yiwo akhiqiza ama-hormone wesilisa kanye nesidoda . Ngaphambi nje kokuba umntwana azalwe, la masende amabili ehla esuka esiswini aye esikhwameni sesikhumba ngemuva kwepenisi. Lokhu sikubiza ngokuthi i-scrotum .
Ngakho-ke, amasende angakhuphuki asho ukuthi isende elilodwa noma womabili awazange ehle esiswini, okungukuthi, angene esikhumbeni, kungaba ngesikhathi sokuzalwa noma ezinyangeni ezimbalwa zokuqala ngemva kokuzalwa. Ngokwezokwelapha, lesi simo sibizwa nangokuthi i-Cryptorchidism .
Ingabe lesi simo sibi kakhulu? Sivame kangakanani?
Lokhu kungase kuzwakale kusabisa, kodwa kungadala izinkinga kuphela uma kungalashwa. Uma kungalashwa, amazinga e -testosterone omfana angase ehle, okungase kuthinte impilo yesidoda sakhe esikhathini esizayo. Futhi, kungakhathaliseki ukuthi welashwe noma cha, angase abe nengozi ephezulu kancane yomdlavuza wamasende kunabanye abafana. Kodwa-ke, ukwelashwa kusenesikhathi kunganciphisa kakhulu le ngozi.
Kuvamile kangangokuthi kuthinta cishe izingane ezintathu kweziyi-100 (3%) zesilisa ezizalwa ngesikhathi esigcwele. Kodwa-ke, kuvame kakhulu ezinganeni ezizalwa ngaphambi kwesikhathi . Kungathinta izingane ezizalwa isikhathi esigcwele ezingafika kweziyi-30 kweziyi-100 (30%) zesilisa.
Izindaba ezinhle ukuthi cishe engxenyeni yalezi zinhlayiya ezingakhuphuki, izinhlayiya zizozilahla zodwa zingakapheli izinyanga ezimbalwa zizelwe, ngaphandle kokwelashwa.
Ziyini izimpawu zalokhu? Kungani lokhu kwenzeka?
Uphawu oluyinhloko noluwukuphela kwalo ukuthi uhlangothi olulodwa noma zombili ze-scrotum azinalutho. Lokhu kusho ukuthi i-testicle eyodwa noma zombili azikwazi ukuzwakala ngaphakathi kwe-scrotum uma zithintwa. Ngaphandle kwalokho, ngokuvamile azikho ezinye izimpawu. Lokhu akubanga ubuhlungu enganeni, futhi akukho bunzima bokuchama .
Odokotela abakaqiniseki ukuthi kungani lokhu kwenzeka. Kukholakala ukuthi ngezinye izikhathi, ukuntuleka kwama-hormone e-testosterone ngesikhathi umntwana esakhula esibelethweni kungavimbela amasende ukuthi akhule futhi ehle.
Into ebaluleke kakhulu ukuthi abukho ubufakazi bokuthi noma yini oyenzile noma ongayenzanga ngesikhathi sokukhulelwa ibangele ukuthi ingane yakho ibe nalesi simo. Ngakho ungakhathazeki ngakho noma uzisole.
Yiziphi izinkinga ezingaba khona uma zingelashwa?
Uma amasende engawehli, abhekana nokushisa okuphezulu kunezinga lokushisa elijwayelekile lomzimba. Lokhu kungathinta ukusebenza kwawo. Ngakho-ke, uma engelashwa isikhathi eside, kungase kuvele izingozi ezithile. Ake sibheke ithebula elingezansi.
| Inkinga | Kalula nje... |
|---|---|
| Umdlavuza Wamasende | Lolu uhlobo lomdlavuza oluvame kakhulu kubantu besilisa abasebasha abaneminyaka ephakathi kwengu-15 no-35. Izingane ezinalesi simo zisengozini encane kakhulu yokusithola esikhathini esizayo. Kodwa-ke, ukwelashwa kusenesikhathi kunganciphisa ingozi. |
| Ukugoba Kwamasende | Umthambo wegazi ohambisa igazi e-testicle uyasonteka futhi uvalekile. Lesi yisimo esiphuthumayo esibuhlungu kakhulu futhi singabangela ukuthi i-testicle ingasebenzi uma ingelashwa ngokushesha. |
| I-Hernia ye-Inguinal | Ukuvela kwesitho, njengengxenye yamathumbu, ngemisipha yendawo yembongolo. Lokhu kungenzeka ngenxa yobuthakathaka endleleni ethathwa ngayo amasende. |
| Ukuntuleka kwama-hormone (i-Hypogonadism) | Amasende awakwazi ukukhiqiza i-testosterone eyanele, okungathinta ikhono lakho lokuba nabantwana esikhathini esizayo (ukuzala). |
Lesi simo sitholakala futhi selashwa kanjani?
Lokhu kungatholakala ngesikhathi sokuhlolwa ngokomzimba ngudokotela esibhedlela ngokushesha ngemva kokuzalwa komntwana. Udokotela uzothinta i-scrotum ukuze abone ukuthi womabili amasende akhona yini. Uma engekho, kusolwa ukuthi lesi simo.
Ngokuvamile, odokotela bayalinda kuze kube yilapho ingane isinezinyanga ezi-6 ubudala ukuze babone ukuthi amasende awela ngokwawo yini. Uma engakwenzi lokho, bazokudlulisela kudokotela wezifo zomchamo /udokotela ohlinzayo wezingane. Ngezinye izikhathi kungenziwa i-ultrasound yesinqe ukuze kutholakale indawo eqondile amasende.
Indlela yokwelapha: Ukuhlinzwa kwe-Orchiopexy
Uma amasende engakafiki lapho umntwana enezinyanga eziyisithupha ubudala, kunconywa inqubo yokuhlinzwa ebizwa ngokuthi i-Orchiopexy . Odokotela bavame ukuncoma le nqubo lapho umntwana ephakathi kwezinyanga ezingu-12 no-24 ubudala (iminyaka emibili ubudala) .
Okwenzekayo phakathi nalokhu kuhlinzwa kulula kakhulu:
1. Udokotela ohlinzayo wenza imbobo encane kakhulu endaweni yembobo bese ethola i-testicle ngaphakathi esiswini.
2. Bese kuba khona okunye ukusikwa okuncane esinqeni sesisu, okudala isikhala esincane sokubamba isende.
3. Ekugcineni, isende liyathotshiswa ngokucophelela, lifakwe ngaphakathi kwe-scrotum, bese lithungwa.
Lokhu kuhlinzwa kuphumelele kakhulu . Izinga lempumelelo liphezulu ngamaphesenti angama-98. Ngemva kokuhlinzwa, amasende amaningi abafana akhula ngendlela evamile futhi akhiqize isidoda esinempilo esikhathini esizayo.
Nazi ezinye izinto ezibalulekile okufanele uzazi njengabazali:
Kungenzeka yini ukuba nezingane uma isende elilodwa lingakehli?
Yebo, kungenzeka nakanjani. Indoda enesende elilodwa elingakhuli inekhono elifanayo lokuzala abantwana (ukuzala) njengendoda evamile, njengoba elinye isende eliphilile likhiqiza isidoda esanele. Uma womabili amasende engakhuli, ukuzala kungancipha kancane.
Awukwazi yini ukusunduza isende phansi?
Lutho neze.Ungazami ukwenza lokho. Kungalimaza ingane. Lokhu kudinga ukwelashwa okufanele.
Uyini umehluko phakathi kwama-Retractile Testicles nama-Undescended Testicles?
Lokhu kubalulekile futhi. Ngezinye izikhathi, ngenxa yento efana nokwesaba, umkhuhlane, noma ukuthintwa, amasende ayakhuphuka bese ebuya phansi. Lokhu kubizwa ngokuthi amasende aphinde abuyele phansi. Lokhu kuyinto evamile eyenzeka ngenxa yesenzo somsipha. Lesi simo siyaphela sodwa lapho umfana efika esikhathini sokuthomba. Kodwa-ke, amasende angenaso isikhathi yisimo lapho amasende engafiki khona esinqeni. Udokotela angabona umehluko phakathi kwalawa amabili ngokuwahlola.
Kufanele ubonane nini nodokotela?
- Uma amasende engane yakho engakafiki ezinyangeni eziyisithupha ubudala , qiniseka ukuthi ukhuluma nodokotela wakho ngakho.
- Ngemva kokuhlinzwa, uma unezimpawu ezilandelayo, bona udokotela ngokushesha noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela:
- Ukopha ngokweqile endaweni yokuhlinzwa.
- Izimpawu zokutheleleka njengomkhuhlane, ukubanda, kanye nokushintsha kombala wesikhumba.
- Ubuhlungu obukhulu obungabekezeleleki endaweni yesisu.
Umlayezo Wokuya Nawe Ekhaya
- I-Cryptorchidism iyisimo esivamile esibonakala ezinganeni zesilisa. Ungakhathazeki ngokungadingekile ngayo.
- Kwabafana abaningi, amasende ehla ngokuzenzakalelayo phakathi nezinyanga eziyisithupha zokuqala zokuzalwa ngaphandle kokwelashwa.
- Uma ingakanciphi ngemva kwezinyanga eziyi-6, bona udokotela ukuze akunike iseluleko. Lokhu ngokuvamile kungalapheka ngokuphelele ngokuhlinzwa okuncane (i-Orchiopexy) okwenziwa phakathi konyaka owodwa nemibili.
- Lokhu kuhlinzwa kunezinga lempumelelo elingu-98%. Ngemva kokwelashwa, ingane ingaphila impilo enempilo.
- Njengoba ingane yakho ifinyelela ebusheni, ukuyikhuthaza ukuba izihlole nyanga zonke ukuze ihlole izinguquko emasendeni kubaluleke kakhulu empilweni yayo yesikhathi esizayo.
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