Ingabe kukhona ukumanzi okuvela enkabeni yengane yakho? Kungaba 'yisisele se-urachal'!

Uke waphawula ukuthi ezinye izingane zinomswakama omncane endaweni yazo yokuchama, ngezinye izikhathi kuphuma uketshezi oluncane? Noma, usenaso yini ubuhlungu esiswini sakho esingezansi ngemva kokuba zikhule kancane? Nakuba lezi yizinto ngezinye izikhathi esingazinaki kakhulu, kungase kube nesizathu esincane sezokwelapha ngemuva kwazo. Namuhla sizokhuluma ngesinye isimo esinjalo. Sibizwa ngokuthi 'i-Urachal Remnant'. Igama lingase lizwakale lingavamile, kodwa masiliqonde kalula.

Iyini le 'Nsalela yase-Urachal'?

Kulungile, ukuze siqonde lokhu, sidinga ukubuyela emuva kancane ngesikhathi umntwana esesiswini sikanina. Yonke ingane esibelethweni sikanina inepayipi lesikhashana phakathi kwesinyi (lapho umchamo uqoqana khona) kanye nentambo yesisu. Lokhu kubizwa ngokuthi 'i-urachus'. Yilokhu okusiza umchamo udlule ngesikhathi sokukhulelwa.

Ngokuvamile, phakathi nekota yesibili yokukhulelwa, leli payipi elibizwa ngokuthi i-urachus liyancipha kancane kancane libe yisakhiwo esincane esifana nentambo esenziwe ngezicubu ezine-fibrous. Lokhu kubizwa ngokuthi i-median umbilical ligament. Lokhu kutholakala emzimbeni kuyo yonke impilo yomuntu ophilile.

Kodwa-ke, ngezinye izikhathi, ngisho nangemva kokuzalwa komntwana, ingxenye yale tube ebizwa ngokuthi 'i-urachus' ihlala inganciphi ngokuphelele. Leyo thishu esele ibizwa ngokuthi 'insalela ye-urachal'. Kalula nje, into eyakheka ngaphakathi esibelethweni futhi okufanele inyamalale ayinyamalali kahle, kodwa ihlala.

Sivame kangakanani lesi simo?

Kunzima ukusho ukuthi lokhu kuvame kangakanani. Kodwa-ke, odokotela nabacwaningi balinganisela ukuthi cishe u-1% wezingane angaba nalesi simo. Kuthiwa futhi sivame kakhulu kubafana kunamantombazane.

Ingabe kunezinhlobo ezahlukene zale 'Euracal Remnant'?

Yebo, kunezinhlobo eziningana zale 'eurax' esele kuye ngokuthi ishiywe kanjani. Ake sibone ukuthi iyini:

• Ivuleke ngokuphelele (i-Patent Urachus): Lokhu kwenzeka lapho ipayipi elisuka kwesinyeni liya ku-ureter livuleke ngokuphelele. Lokhu kusho ukuthi umchamo othile ungavuza ku-ureter.
• I-Urachal Cyst: Kulokhu, ithubhu ivaliwe nhlangothi zombili, bese uketshezi luqoqana phakathi, lwakha i-cyst encane (ibhamuza). Ingase futhi ibe nezingcezu zezicubu.
• Vula ohlangothini lwe-pelvic, uvaliwe ohlangothini lwesinye (i-Urachal Sinus): Yilapho ipayipi livuleka ohlangothini lwe-pelvic, kodwa livaliwe ohlangothini lwesinye. Ngakho-ke, ukuphuma koketshezi ngezinye izikhathi kungaphuma ohlangothini lwe-pelvic.
• I-Vesicourachal Diverticulum: Kulokhu, ithubhu livulekele ohlangothini lwesinyi, kodwa livaliwe enkabeni. Lokhu kudala ingxenye encane yesinyi efana nesikhwama.

Manje cishe uyaqonda ukuthi akubona bonke abantu abanalo lokhu ngendlela efanayo.

Ingabe sidinga ngempela ukususa le 'Euracal Remnant'?

Lena inkinga abantu abaningi abanayo. Abanye abantwana nabantu abadala abane-'urachal residue' bangaba nezinkinga . Ezimweni ezinjalo, odokotela bangase banqume ukuthi kungcono ukwenza ukuhlinzwa ukuze kususwe le ngxenye esele.

Kodwa-ke, akuzona zonke izimo ezifanayo. Abanye abantu bangaphila ngaphandle kwezinkinga. Ngakho-ke, udokotela uzokuhlola ngokucophelela wena noma ingane yakho ukuze anqume ukuthi yikuphi okungcono. Ngakho-ke ungakhathazeki.

Kungani le 'Euracal Remnant' yakhiwa?

Eqinisweni, ochwepheshe abakakatholi ukuthi kungani ezinye izingane zine-'urachal residue' ngisho nangemva kokuzalwa. Njengoba kwenzeka ngesikhathi sokukhulelwa, kunzima ukukhomba imbangela ethile.

Ziyini izimpawu zalokhu?

Ezimweni eziningi, kungase kungabi khona zimpawu ezibonakalayo ngisho noma kukhona 'insalela ye-urachal'. Futhi, uma kuvela izimpawu, zingase zihluke kuye ngohlobo olushiwo ngenhla.

• Kwabasanda kuzalwa: Abanye abantwana bangase babe nomuzwa wokumanzi eduze kwesisu sabo , futhi kufanele ukhathazeke uma kuqhubeka ngaphandle kokoma. Ungase ubone ngisho nokuconsa komchamo .
• Izingane ezindala kanye nabantu abadala bangase babone izimpawu ezifana nalezi:
• Ukuba nomkhuhlane.
• Ukutheleleka okuvamile komgudu womchamo (UTIs) (UTIs ezinganeni zingase zihluke kancane ku-UTIs kubantu abadala).
• Ubuhlungu esiswini esingezansi.
• Ubuhlungu nokusha lapho uchama.

Cabanga ngengane yakho encane ilokhu ithi "Mama, isisu sami sibuhlungu," noma ikhala lapho ichama , noma nje inomkhuhlane. Lokhu kungaba izimpawu zesimo esinjengalesi.

Wazi kanjani ukuthi lokhu 'yi-Euracal Remnant'?

Ngokuvamile, odokotela basola lokhu uma umntwana osanda kuzalwa ephuma enkabeni noma kwezinye izimpawu. Kodwa-ke, isikhathi esiningi, akuxilongwa kuze kube yilapho kuvela izinkinga, kungaba ebuntwaneni noma ebudaleni.

Odokotela bangase bathole ngengozi 'insalela ye-urachal' ngenkathi behlola okunye. Uma bebona into engavamile, benza izivivinyo ezengeziwe ukuze bayiqinisekise.

Hlobo luni lokuhlolwa oluthola lokhu?

Odokotela bavame ukwenza i-ultrasound yesisu sakho, esinyeni, kanye nendawo ye-pelvic ukuze bahlole ukuthi kukhona yini okusele ku-urachal. Lokhu kuyindlela elula kakhulu, engenabuhlungu.

Kwezinye izimo, odokotela bangase batuse nokuhlolwa okubizwa ngokuthi 'i-Voiding Cystourethrogram' (VCUG). Lokhu kuhlolwa kuthatha izithombe (njenge-X-ray) ze-urethra yakho kanye nesinye ngenkathi uchama. Lokhu kungasiza ekuboneni ngokucacile ukuthi kukhona yini izinkinga kule ndawo.

Yiziphi izindlela zokwelapha lokhu?

Ukwelashwa 'kwe-urachal residue' kuncike ohlotsheni kanye nezimpawu onazo.

• Uma unesifo , udokotela wakho angase aqale akunike ama-antibiotic.
• Uma une-urachal cyst (isigaxa esigcwele uketshezi), udokotela wakho angase akwazi ukusebenzisa inalithi ukukhipha uketshezi. Kodwa-ke, lokhu kuyisixazululo sesikhashana nje. Uketshezi lungaphinde luqongelelane futhi lubangele izimpawu.

Ezimweni eziningi, ikhambi elihlala njalo kakhulu ukuhlinzwa ukuze kususwe ngokuphelele insalela ye-urachal. Kodwa-ke, lesi sinqumo senziwa ngokusekelwe ezicini eziningi, okuhlanganisa nobudala nesimo sesiguli. Izingane ezincane zingase zingadingi ukuhlinzwa ngokushesha. Udokotela wengane yakho uzochaza izindlela zokwelapha ezingcono kakhulu, ecabangela impilo yabo yesikhathi eside kanye nenhlalakahle.

Singakhuluma kabanzi ngokuhlinzwa?

Uma kunqunywa ukuhlinzwa, odokotela bazosusa le 'nsalela yomchamo' ngokuhlinzwa okuvulekile noma nge-laparoscopically.

Ekuhlinzeni 'kwe-laparoscopic', udokotela ohlinzayo wenza ukuhlinzwa ngokusebenzisa izimbobo eziningana ezincane kakhulu , esebenzisa ikhamera namathuluzi akhethekile. Le ndlela inezinzuzo eziningana:

• Ubuhlungu buncane.
• Izibazi zincane.
• Ungalulama ngokushesha.
• Ungabuyela ngokushesha emisebenzini yansuku zonke.

Khumbula, kungakhathaliseki ukuthi kwenziwa yiphi indlela yokuhlinzwa, kwenziwa ngokucabangela inhlalakahle yakho nokuphepha kwakho.

Ingabe ikhona indlela yokuvimbela lokhu 'kusala kwe-uracular' ukuthi kungakheki?

Njengoba kushiwo ngaphambili, 'insalela ye-urachal' yakhiwa ngenxa yento eyenzeka ngesikhathi sokukhulelwa. Okusho ukuthi, into eyenzeka ngesikhathi umntwana esesesibelethweni sikanina. Ngakho-ke, akukho esingakwenza ukuvimbela lokhu. Akulona iphutha lomuntu.

Ingabe lokhu kungaba nemiphumela yesikhathi eside?

Ngezinye izikhathi, izingane kanye nabantu abadala abane-'urachal residue' bangaba nezifo ezivame ukutheleleka . Lena inkinga eyinhloko.

Ngaphezu kwalokho, ukuba 'nesisele se-urachal' kuthiwa kwandisa kancane ingozi yokuba nohlobo olungavamile kodwa olubi kakhulu lomdlavuza wesinyi (umdlavuza we-urachal) . Kodwa-ke, lokhu akuvamile kakhulu .Ngakho-ke ungesabi ngokungadingekile. Odokotela bayazi ngalokhu futhi bathatha izinyathelo ezidingekayo.

Ingabe lesi simo singabuya ngemva kokwelashwa?

Uma 'i-urachal residue' isusiwe ngokuphelele ekuhlinzweni okukodwa, ngokuvamile awekho amathuba okuba nezinkinga noma izimpawu ziphinde zivele. Yingakho ukuhlinzwa kuvame ukuba yisisombululo esingcono kakhulu.

Kufanele simbone nini udokotela?

Uma wena noma ingane yakho ninayo noma iyiphi yalezi zimpawu, qiniseka ukuthi ubona udokotela.

• Ubuhlungu obungapheli esiswini esingezansi.
• Ubunzima, ukusha, kanye nobuhlungu lapho uchama.
• Uma uthola izifo zomgudu womchamo njalo.
• Uma inkaba yomntwana osanda kuzalwa iqhubeka nokuba manzi noma ivuza amanzi.

Uma ubona udokotela ngesikhathi esinjengalesi, bazokwenza izivivinyo ezidingekayo. Bangase bacele i-ultrasound ukuze babone ukuthi kukhona yini 'i-urethral residue'.

Ngakho-ke, yiziphi izinto okudingeka sizikhumbule kulokhu?

'I-urachal residue' yingxenye yepayipi eliphakathi kwesinyi kanye ne-rectum ehlala ngesikhathi sokukhula kwengane uma ingavaleki kahle. Esikhathini esiningi, lokhu akunangozi, kodwa kwabanye abantu kungabangela izifo, ubuhlungu, ngisho nomdlavuza.

Into ebaluleke kakhulu ukufuna iseluleko sezokwelapha uma wena noma ingane yakho ninayo noma iyiphi yalezi zimpawu, ngaphandle kokuzishaya indiva. Udokotela nguyena ongakunikeza ulwazi oluningi kakhulu futhi, uma kudingeka, anqume ukuthi iyiphi indlela engcono kakhulu yokwelapha. Ukuhlinzwa kungakuqeda ngokuphelele lokhu.

Ngakho-ke, ngithemba ukuthi lolu lwazi luwusizo kuwe. Hlala uphilile!

I- Urachal Remnant, i-Urethra, Ukutheleleka Kwendlela Yomchamo, Ubuhlungu Besisu, Impilo Yengane, Ukuhlinzwa