Injabulo oyizwayo njengomzali uma ubheka umntwana osanda kuzalwa ayichazeki. Kodwa ngezinye izikhathi, lapho udokotela ehlola umntwana futhi ekutshela ukuthi kukhona okungahambi kahle emzimbeni wakhe, ungase uzizwe wesaba futhi ukhathazekile kancane. Namuhla, sikhuluma ngesici sokuzalwa esingavamile kakhulu, kodwa esibalulekile. Lokhu kubizwa ngokuthi i-Urogenital Sinus.
Iyini le Sinus ye-Urogenital?
Kalula nje, lokhu kuyiphutha lokuzalwa elithinta amantombazane kuphela . Cabanga nje, intombazane ivame ukuba nezimbobo ezintathu emzimbeni wayo ongezansi.
1. Ukuvulwa kwendlela yokuchama (urethra) lapho umchamo uphuma khona.
2. Ukuvulwa kwesitho sangasese sowesifazane (isitho sangasese sowesifazane).
3. Imbobo e-rectum (i-anus) lapho indle iphuma khona.
Kodwa-ke, ingane ene-Urogenital Sinus inezimbobo ezimbili. Enye iwukuphuma kwendle. Enye imbobo iyimbobo evamile eyakhiwa ukuhlangana kwe-urethra nesitho sangasese sowesifazane. Lokhu kusho ukuthi kokubili i-urethra nesitho sangasese sowesifazane kuxhunywe kulesi simbobo esifanayo.
Kungani lokhu kwenzeka?
Ukuze siqonde lokhu, sidinga ukubuyela ezigabeni zokuqala zokukhula komntwana esibelethweni. Lapho umntwana ekhula njengomntwana, lezi zinhlelo ezintathu esikhulume ngazo (uhlelo lwamathumbu, uhlelo lomchamo, kanye nohlelo lokuzala) ziqala ukuhlangana futhi zivuleke zibe yigumbi elivamile. Lokhu kubizwa ngokuthi "i-cloaca". Njengoba umntwana ekhula esibelethweni, lezi zinhlelo ezintathu ziyahlukana kancane kancane futhi zakha izikhala ezintathu ezihlukene. Kodwa ngezinye izikhathi, ngesizathu esithile, uhlelo lomchamo kanye nesitho sangasese sowesifazane azihlukani kahle. Yilapho-ke zihlangana khona futhi zakhe isimo esibizwa ngokuthi "i-Urogenital Sinus."
Ingabe zikhona izinhlobo eziyinhloko ze-Urogenital Sinus?
Yebo, lesi simo singahlukaniswa ngezinhlobo ezimbili eziyinhloko, kuye ngokuthi indlela evamile ingakanani nokuthi ixhumeka kuphi emzimbeni.
| Uhlobo | Incazelo elula |
|---|---|
| Ukuhlangana okuhlangene okuphansi/okuphansi | Kulolu hlobo, i-urethra kanye nesitho sangasese sowesifazane kuhlangana eduze kakhulu nomgodi wangaphandle womzimba. Ngakho-ke, indlela evamile imfushane kakhulu . I-urethra kanye nesitho sangasese sowesifazane kungaba ngobukhulu obujwayelekile kanye nendawo evamile. Lesi yisimo esingesibi kangako. |
| Ukuhlangana okuphezulu / okuphezulu | Lapha, izindlela ezimbili zihlangana ngaphakathi komzimba, kude nomnyango wangaphandle. Ngakho-ke, indlela evamile inde kakhulu . Lokhu kubhekwa njengesimo esibucayi kakhulu . Ngoba kuhlotshaniswa nengozi ephezulu yezinye izinkinga. |
Lesi yisimo esingavamile kakhulu. Ngokuvamile sivela ngaphansi koyedwa kwabayi-10,000 abazalwa. Ngakho-ke ungakhathazeki ngalezi zindaba.
Ziyini izimpawu zalokhu?
Izimpawu zingahluka kuye ngokuthi isimo sibucayi kangakanani. Lezi zivame ukubonakala lapho udokotela ehlola ingane ngemva kokuzalwa.
- Isici esiyinhloko ukuthi, njengoba sishilo ngaphambili , kunezimbobo ezimbili kuphela : eyodwa yendle kanti enye njengembobo evamile ye-urethra kanye nesitho sangasese sowesifazane.
- Umchamo uqoqana ngaphakathi kwesitho sangasese sowesifazane, okubangela ukuthi isitho sangasese sowesifazane sivuvuke. Lokhu kubizwa ngokuthi "i-hydrocolpos" ngokwezokwelapha.
- Ngezinye izikhathi isitho sangasese sowesifazane singase singakakhuli ngokugcwele.
- Ungase ubone nezitho zangaphakathi njengesibeletho, ama-ovari, noma amashubhu e-fallopian engakhuli kahle.
Kungani lokhu kwenzeka? Yiziphi izizathu?
Ngokuvamile kunzima ukukhomba imbangela ethile, kodwa kunezimbangela ezimbalwa eziyinhloko odokotela abazitholile.
- I-Congenital Adrenal Hyperplasia (CAH): Lesi yisimo sofuzo. Kulesi simo, izindlala ze-adrenal zomntwana azikhiqizi i-enzyme edingekayo ukukhiqiza ama-hormone. Lokhu kungabangela ukungalingani kwama-hormone kanye nokukhula okungavamile kwezitho zangasese, ikakhulukazi emantombazaneni.
- Ukwenziwa kwe-virilization: Kalula nje, inani elikhulu lama-hormone wesilisa (ama-androgens) esibelethweni sowesifazane. Lokhu kungathinta nokukhula kwezitho zangasese.
Odokotela bakuthola kanjani lokhu?
Ukuxilonga lesi simo ngendlela efanele kubaluleke kakhulu ekuhleleni ukwelashwa. Ngezinye izikhathi singatholakala ngesikhathi sokuhlolwa kwe-ultrasound kwangaphambi kokubeletha. Kodwa isikhathi esiningi, udokotela uqaphela lolu shintsho ngesikhathi sokuhlolwa kokuqala ngokomzimba ngemva kokuzalwa komntwana . Ngemuva kwalokho, kuhlelwa ezinye izivivinyo eziningana ukuqinisekisa isimo nokunquma ubukhali baso.
| Ukuhlolwa | Kalula nje, wenzani ngakho? |
|---|---|
| Ukuskena kwe-Ultrasound | Lokhu kusiza ukubona isimo sezitho zangaphakathi zengane, njengezinso, isinyi, isitho sangasese sowesifazane kanye ne-rectum. Kungahlola futhi i-hydrocolpos (ukuvuvukala kwesitho sangasese sowesifazane). |
| I-Retrograde Genitogram | Lokhu ukuhlolwa kwe-X-ray okukhethekile. Udokotela ufaka idayi ekhethekile ngembobo evamile bese ethatha izithombe ze-X-ray. Lokhu kuvumela ukuma, usayizi, kanye nendawo yezitho ezingaphakathi ukuthi kubonakale kahle. |
| Iskeni se-MRI | Lokhu kuvumela izithombe ezicacile nezinemininingwane zangaphakathi lomzimba. Kungabonisa futhi indawo eqondile ye-Urogenital Sinus kanye nanoma yiziphi ezinye izinkinga ezingaba khona, njengomgogodla ozungezile. |
| I-Endoscopy | Le ndlela isebenzisa ithubhu elincane (i-endoscope) elifakwe ikhamera nokukhanya ukuze lifakwe nge-orifice evamile futhi libuke ngaphakathi ngqo esikrinini. |
Iphathwa kanjani?
Ukuphela kwendlela yokwelapha lesi simo ukuhlukanisa isitho sangasese sowesifazane kanye ne-urethra ngokuhlinzwa .
Lesi yisinqumo esiyinkimbinkimbi kakhulu. Ngaphambi kokuhlinzwa, uzoba nengxoxo ende nethimba lezokwelapha lengane yakho. Leli thimba livame ukufaka udokotela ogxile ezinhlelweni zomchamo nezokuzala (udokotela wezifo zomchamo) kanye nodokotela ogxile kuma-hormone (udokotela wezifo zomchamo).
Lokhu kuhlinzwa kuvame ukwenziwa phakathi nonyaka wokuqala wokuphila kwengane . Uhlobo lokuhlinzwa olwenziwayo luncike ekutheni isimo `sihlangene ngaphansi` noma `sihlangene phezulu`, esixoxe ngaso ekuqaleni.
- Ngesimo esinomugqa ophansi:Inqubo yokuhlinzwa ebizwa ngokuthi i-'flap vaginoplasty' ivame ukwenziwa. Kule nqubo, udokotela ohlinzayo usebenzisa ingxenye yesikhala esivamile ukudala izikhala ezimbili ezihlukene zesitho sangasese sowesifazane kanye nese-urethra.
- Ezimweni ezinamajoyinti aphezulu: Kudingeka ukuhlinzwa okuyinkimbinkimbi kakhulu, njengokuhlinzwa kwe-'pull-through vaginoplasty'. Lapha, isitho sangasese sowesifazane sihlukaniswe nendlela evamile futhi kudalwe isikhala esihlukile saso.
Ezinye izingane zingadinga nokuhlinzwa, njenge-'clitoroplasty' noma i-'labiaplasty', ukuze kubuyiselwe isimo se-clitoris noma i-labia sibe sesijwayelekile.
Ingabe lokhu kuzothinta ikusasa lengane yami?
Lona ngumbuzo omkhulu kubo bonke abazali. Umgomo oyinhloko wokuhlinzwa ukuvumela ingane ukuthi yenze imisebenzi yomzimba evamile futhi ibuyisele ukubukeka kwezitho zangasese esimweni esijwayelekile.
- Ukuchama: Ngemva kokuhlinzwa, izingane eziningi ziyakwazi ukuchama ngendlela evamile ngaphandle kwezinkinga .
- Umjikelezo wokuya esikhathini: Lokhu ngeke kuthinte umjikelezo wokuya esikhathini ojwayelekile ngemva kokuba ingane isikhulile.
- Impilo yocansi: Ngezinye izikhathi, njengoba umntwana ekhula, isitho sangasese sowesifazane singaba sincane noma sibe sifushane (i-vaginal stenosis). Lokhu kungabangela ubunzima ngesikhathi socansi esikhathini esizayo. Ungakhuluma nodokotela wakho ngalokhu futhi ufune ukwelashwa okudingekayo.
- Ukukhulelwa: Ukuba nalesi simo akusho ukuthi ingane ngeke ikwazi ukukhulelwa esikhathini esizayo. Kodwa-ke, uma ukuhlinzwa kuyinkimbinkimbi kakhulu, odokotela bangase batuse ukuba umntwana ahlinzwe ngokuhlinzwa (C-section) lapho ezalwa.
Lezi zinto zingase zihluke kuye ngesimo sengane yakho, ngakho-ke kungcono ukuxoxa ngakho konke ngokukhululekile nodokotela wakho.
Imibuzo okufanele uyibuze udokotela
Buza udokotela wakho ngayo yonke imibuzo yakho kanye nokwesaba kwakho. Isibonelo, ungabuza imibuzo efana nale:
- Hlobo luni lwe-Urogenital Sinus ingane yami enalo?
- Hlobo luni lokuhlinzwa olunconywayo? Kungcono kakhulu ukuthi lwenziwe eminyakeni emingaki?
- Ingabe ingane yami isezinhlungwini manje?
- Ingabe kuzodingeka ukuhlinzwa okwengeziwe njengoba ingane ikhula?
- Ingabe lokhu kuzothinta umjikelezo wokuya esikhathini kwengane?
- Ingabe lokhu kuzothinta ukutholwa kwengane esikhathini esizayo?
Umlayezo Wokuya Nawe Ekhaya
- I-Urogenital sinus iyisici esingavamile sokuzalwa kwamantombazane, lapho i-urethra kanye nesitho sangasese sowesifazane kuhlangana khona nomgodi owodwa ovamile.
- Lesi simo sivame ukutholakala ngesikhathi sokuhlolwa udokotela ngemuva nje kokuzalwa komntwana.
- Ukuphela kokwelashwa kwalokhu ukuhlukanisa izindlela ezimbili ngokuhlinzwa. Lesi yisinqumo esibalulekile abazali kanye nethimba lezokwelapha abasenza ndawonye.
- Ngemva kokuhlinzwa okufanele, izingane eziningi zingaphila impilo evamile. Ziyakwazi ukuchama ngendlela evamile.
- Khuluma ngokukhululekile nodokotela wengane yakho nganoma yikuphi ukungabaza noma ukwesaba ongase ube nakho. Bazokunikeza isiqondiso esingcono kakhulu.
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