Uma ubheka i-crotch yengane yakho encane, uke waphawula ukuthi imanzi, noma inendawo encane emanzi? Ngezinye izikhathi ingaba nephunga elincane. Kujwayelekile ukuthi noma yimuphi umama wengane esanda kuzalwa abe novalo kancane uma ebona into efana nale. Esinye sezizathu zalokhu kungaba inkinga ngento ebizwa ngokuthi 'i-urachus'. Ungesabi igama, lokhu akukubi njengoba ucabanga. Ake sixoxe ngalokhu kalula nangokucacile namuhla.
Kalula nje, iyini le Urachus?
Cabanga nje, lapho ingane yakho isesibelethweni sakho, kunengxenye encane efana nepayipi egijima isuka kwesinyeni sayo somchamo iye esinqeni sayo. Yilokho esikubiza ngokuthi i-Urachus. Umsebenzi wayo oyinhloko ukuthwala umchamo wengane uphume emzimbeni wayo phakathi namasonto ambalwa okuqala okukhulelwa. Isebenza njengepayipi lamanzi lesikhashana.
Njengoba umntwana ekhula ngaphakathi esibelethweni, uhlelo lwakhe lomchamo lukhula kahle. Khona-ke isidingo sale urachus siyanyamalala. Ngakho-ke , isikhathi esiningi, ngaphambi kokuba umntwana azalwe, ezinyangeni ezintathu zokuqala zokukhulelwa, leli payipi livala ngokuzenzakalelayo bese liba yintambo ye-fibrous. Kwezokwelapha, lokhu sikubiza ngokuthi i-median umbilical ligament.
Ngakho khumbula, i-urachus yinto evamile ekhona ngesikhathi sokukhulelwa komntwana futhi izozivala yona kamuva.
Ngakho-ke, ingabe i-Urachus eyodwa kanye ne-umbilical cord zimbili?
Yebo, lezi yizinto ezimbili ezihluke ngokuphelele. Abantu abaningi bayadida lokhu.
- I-Urachus: Lokhu kutholakala ngaphakathi emzimbeni womntwana . Kuyipayipi elixhumanisa isinyi somntwana kanye nesibeletho.
- Intambo Yesibeletho: Lokhu kutholakala ngaphandle komzimba womntwana . Yingalokhu umntwana ethola umoya-mpilo nezakhamzimba kumama.
Kalula nje, ezigabeni zokuqala, umchamo ophuma nge-urachus udlula ngentambo yesisu bese ukhishwa emzimbeni kamama. Ngakho-ke yize lokhu kusebenza ndawonye, kuyizingxenye ezimbili ezihlukene.
Kwenzekani uma leli payipi lingavaleki kahle?
Yilapho okudingeka sikhathazeke khona. Ngezinye izikhathi, akuvamile kakhulu, leli payipi le-Urachus alivaleki ngokuphelele ngaphambi kokuba umntwana azalwe. Lesi simo sisibiza ngokuthi i-Urachal Remnant noma i-Urachal Abnormality. Kunezinhlobo ezine eziyinhloko zalokhu.
| Igama Lesimo | Kwenzekani ngalokhu? (Kalula nje) |
|---|---|
| Ilungelo lobunikazi i-Urachus | Lokhu kwenzeka lapho umgudu womsele uvulekile ngokuphelele. Lokhu kusho ukuthi kukhona indlela esuka kwesinye iye kwesinye. Lokhu kungabangela ukuthi umchamo uphume kwesinye somntwana . Lokhu kungabonakala kakhulu lapho umntwana ekhala noma ekhwehlela. |
| I-Urachal Cyst (isimila) | Okwenzekayo lapha ukuthi zombili izinhlangothi zesinyi kanye nenkaba yepayipi ziyavaleka, bese uketshezi luqoqana phakathi , kwakheke i-cyst. Ngokuvamile azikho izimpawu. Kodwa-ke, uma lokhu kuthelelekile, ungase uzwe ubuhlungu besisu, umkhuhlane, kanye nokubomvu eduze kwenkaba. |
| I-Urachal Sinus | Kulesi simo, uhlangothi lwesinyi sepayipi luvaliwe, okushiya uhlangothi lwesinqe luvulekile kuphela. Lufana nepayipi elincane elinohlangothi olulodwa oluvaliwe. Lokhu kungabangela nokuthi kuphume uketshezi oluqhubekayo, olumanzi, olufana nobovu e-pelvis. Kungabangela futhi izifo. |
| I-Diverticulum | Okwenzekayo lapha ukuthi uhlangothi lwe-pelvic lwepayipi luvaliwe kanti uhlangothi lwesinye luvulekile. Kwakheka ingxenye encane efana nesikhwama ngaphandle kwesinye. Isikhathi esiningi azikho izimpawu. Kodwa-ke, umchamo unganqwabelana ngaphakathi kwalesi sikhwama futhi ubangele ukutheleleka okuvamile komgudu womchamo (UTIs) . |
Odokotela bathola kanjani ukuthi ingane inalolu hlobo lwenkinga?
Uma ubika ukuqubuka kwenabukeni elimanzi, udokotela uzoqala ahlole ingane ngokucophelela. Ngemuva kwalokho, bangenza izivivinyo eziningana ukuqinisekisa isimo.
- I-Ultrasound Scan: Lolu uhlobo lokuhlola oluvame kakhulu. Lukuvumela ukuthi ubheke izitho zomzimba ezingaphakathi komzimba womntwana ngaphandle kobuhlungu. Lungahlola kalula ukuthi ithubhu le-urachus livaliwe noma ukuthi kukhona isimila.
- I-MRI Scan: Ngezinye izikhathi, lokhu kuhlolwa kungenziwa uma kudingeka isithombe esicacile.
- Ukuhlolwa koketshezi:Kuthathwa isampula yoketshezi oluvela esinyeni bese kuhlolwa ukuthi kukhona yini amakhemikhali emchameni abizwa ngokuthi i-urea ne -creatinine . Uma ekhona, kungaqinisekiswa ukuthi umchamo uvela esinyeni.
- I-VCUG (i-Voiding Cystourethrogram): Lokhu ukuhlolwa okukhethekile. Kulokhu, uketshezi olukhethekile (udayi) ludlula e-urethra luye esinyeni, bese ukugeleza koketshezi kubonwa nge-X-ray. Lokhu kunganquma ngokunembile ukuthi uketshezi luyavuza yini nge-urachus.
Kukhona futhi inkulumo ngesimo esiyingozi esibizwa ngokuthi umdlavuza we-urachal. Siyini?
Kuhle ukuqaphela lokhu, kodwa ungakhathazeki ngokungadingekile. Umdlavuza we-Urachal uhlobo olungavamile kakhulu lomdlavuza wesinye. Ungavela ezicutshini zezicubu ze-urachus ezisala ngemva kokuzalwa ngaphandle kokuvala.
Lesi simo sivame kakhulu kubantu abadala abaneminyaka engaphezu kwengu-50. Ingozi iphansi kakhulu ezinganeni ezincane. Izimpawu zifaka:
- Igazi emchameni (i-hematuria)
- Izinto ezifana ne-mucus emchameni (i-mucinuria)
- Ubuhlungu besisu
- Iqhubu esiswini
Ngisho noma unalezi zimpawu, azisho ukuthi unomdlavuza ngaso sonke isikhathi. Kodwa uma ubona into efana nale, kubalulekile ukufuna iseluleko sezokwelapha ngokushesha okukhulu.
Yiziphi izindlela zokwelapha lokhu?
Ukwelashwa kwalokhu kuncike ezimpawini kanye nohlobo lwesifo.
- Ukwelashwa Nge-Cauterization Yamakhemikhali: Ukuze welaphe isilonda esincane noma isilonda esiswini sengane yakho, udokotela wakho angafaka ikhemikhali ebizwa ngokuthi i-silver nitrate endaweni. Lokhu kuzomisa indawo futhi kuyisize iphole.
- Ama-antibiotic: Uma i-urachal cyst noma i-sinus itheleleka ngamagciwane, kunikezwa ama-antibiotic ukuze ayelaphe.
- Ukuhlinzwa: Ezimweni ezifana ne-Patent Urachus kanye ne-Urachal cysts ngemva kokuba ukutheleleka sekupholile, okuwukuphela kwesixazululo esihlala njalo ukuhlinzwa ukuze kususwe ngokuphelele ipayipi elisele le-Urachus. Lokhu kusiza ekuqedeni ngokuphelele ingozi yokutheleleka esikhathini esizayo kanye nengozi engavamile kakhulu yomdlavuza.
Lokhu kuhlinzwa kuvame ukuphumelela kakhulu. Abantu abaningi bangaphila impilo evamile ngaphandle kwezinkinga ngemva kokuhlinzwa.
Umlayezo Wokuya Nawe Ekhaya
- Uma inkaba yengane yakho ihlala imanzi, inephunga elibi, noma ibomvu, ungakushayi indiva lokho. Bonana nodokotela, ikakhulukazi udokotela wezingane, ngokushesha okukhulu.
- I-urachus iyingxenye evamile yomzimba womntwana ngesikhathi sokukhulelwa. Ngezinye izikhathi kuvela izinkinga uma ingavaleki kahle.
- Eziningi zalezi zimo zingalapheka ngokuphelele ngokwelashwa, ngakho ungesabi ngokungadingekile.
- Into engcono kakhulu ongayenza ukukhuluma nodokotela wakho ukuze uthole ukuxilongwa okufanele kanye nokwelashwa.
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