Ukulungiswa kwesinye kwesinye

Ukulungiswa kwesinye i-exstrophy ukuhlinzwa ukulungisa ukukhubazeka kokuzalwa kwesinye. Isinye singaphakathi ngaphandle. Ihlanganiswe nodonga lwesisu futhi iyavezwa. Amathambo we-pelvic nawo ahlukanisiwe.

Ukulungiswa kwesinye okubandakanya ukuhlinza okubili. Ukuhlinzwa kokuqala ukulungisa isinye. Owesibili ukunamathisela amathambo okhalo komunye nomunye.

Ukuhlinzwa kokuqala kwehlukanisa isinye esivele obala odongeni lwesisu. Isinye bese siyavalwa. Intamo yesinye nomchamo kulungiswa. Kubekwa ithubhu eligobekayo, elingenalutho elibizwa ngokuthi i-catheter ukukhipha umchamo esinyeni. Lokhu kufakwa odongeni lwesisu. I-catheter yesibili ishiywe ku-urethra ukukhuthaza ukuphulukiswa.

Ukuhlinzwa kwesibili, ukuhlinzwa kwamathambo okhalo, kungenziwa kanye nokulungiswa kwesinye. Kungabuye kubambezeleke amasonto noma izinyanga.

Ukuhlinzwa kwesithathu kungadingeka uma kunenkinga yamathumbu noma ezinye izinkinga ngokulungiswa kokuqala kokuqala.

Ukuhlinzwa kunconyelwa izingane ezizalwa zinezinye izixhumo zesinye. Lokhu kukhubazeka kwenzeka kaningi kubafana futhi kuvame ukuxhumaniswa nokunye ukukhubazeka kokuzalwa.

Ukuhlinzwa kuyadingeka ukuze:

• Vumela ingane ukuthi ikhule ngokulawula okuvamile komchamo
• Gwema izinkinga ezizayo ngomsebenzi wezocansi
• Thuthukisa ukubukeka kwengane ngokomzimba (izitho zangasese zizobukeka zijwayelekile)
• Vimbela ukutheleleka okungalimaza izinso

Kwesinye isikhathi, isinye sincane kakhulu lapho kuzalwa. Kulokhu, ukuhlinzwa kuzobambezeleka kuze kukhule isinye. Lezi zingane ezisanda kuzalwa zithunyelwa emakhaya ngemithi elwa namagciwane. Isinye, esingaphandle kwesisu, kufanele sigcinwe simanzi.

Kungathatha izinyanga ukuthi isinye sikhule size ngosayizi ofanele. Usana luzolandelwa eduze yithimba lodokotela. Iqembu linquma ukuthi ukuhlinzwa kufanele kwenzeke nini.

Izingozi ze-anesthesia nokuhlinzwa ngokujwayelekile yilezi:

• Ukusabela emithini
• Izinkinga zokuphefumula
• Ukopha, amahlule egazi
• Ukutheleleka

Izingozi ngale nqubo zingafaka:

• Izifo ezingapheli zomgudu womchamo
• Ukungasebenzi kocansi / i-erectile
• Izinkinga zezinso
• Isidingo sokuhlinzwa okuzayo
• Ukulawulwa okungalungile kwe-urinary (incontinence)

Ukulungiswa kwesinye okuningi kakhulu kwenziwa lapho ingane yakho inezinsuku ezimbalwa nje ubudala, ngaphambi kokuba iphume esibhedlela. Kulokhu, abasebenzi basesibhedlela bazolungiselela ingane yakho ukuhlinzwa.

Uma ukuhlinzwa kungenziwa lapho ingane yakho isanda kuzalwa, ingane yakho ingadinga izivivinyo ezilandelayo ngesikhathi sokuhlinzwa:

• Ukuhlolwa komchamo (isiko lomchamo nokuhlolwa komchamo) ukuhlola umchamo wengane yakho ukuthi awuthelelekile yini nokuhlola ukusebenza kwezinso
• Ukuhlolwa kwegazi (ukubalwa okuphelele kwegazi, ama-electrolyte, nokuhlolwa kwezinso)
• Irekhodi lokukhishwa komchamo
• X-ray okhalweni
• I-Ultrasound yezinso

Hlala utshela umhlinzeki wezokunakekelwa kwempilo yengane yakho ukuthi yimiphi imithi ingane yakho eyisebenzisayo. Bazise futhi ngemithi noma ngamakhambi owathengile ngaphandle kwemithi kadokotela.

Ezinsukwini eziyishumi ngaphambi kokuhlinzwa, ingane yakho ingacelwa ukuthi iyeke ukuthatha i-aspirin, ibuprofen, warfarin (Coumadin), kanye neminye imithi. Le mithi yenza kube nzima ukuthi igazi ligaye. Buza umhlinzeki ukuthi yimiphi imithi ingane yakho okufanele ayithathe ngosuku lokuhlinzwa.

Ngosuku lokuhlinzwa:

• Ingane yakho imvamisa izocelwa ukuthi ingaphuzi noma ingadli lutho amahora amaningi ngaphambi kokuhlinzwa.
• Nikeza izidakamizwa umhlinzeki wengane yakho ekutshele ukuthi uzinikeze ngesiphuzo esincane samanzi.
• Umhlinzeki wengane yakho uzokutshela ukuthi ufika nini.

Ngemuva kokuhlinzwa kwethambo le-pelvic, ingane yakho izodinga ukuba semgqonyeni womzimba ophansi noma ukulingisa amasonto amane kuya kwayisithupha. Lokhu kusiza amathambo aphole.

Ngemuva kokuhlinzwa kwesinye, ingane yakho izoba neshubhu elikhipha isinye ngodonga lwesisu (ipayipi le-suprapubic). Lokhu kuzoba khona amasonto amathathu kuya kwamane.

Ingane yakho izodinga nokuphathwa kobuhlungu, ukunakekelwa kwamanxeba, kanye nama-antibiotic. Umhlinzeki uzokufundisa ngalezi zinto ngaphambi kokuba uphume esibhedlela.

Ngenxa yengozi enkulu yokutheleleka, ingane yakho kuzodingeka ihlolisise umchamo nesiko lomchamo kukho konke ukuvakashelwa kwengane enhle. Ezibonakalisweni zokuqala zokugula, lezi zivivinyo zingaphindwa. Ezinye izingane zithatha ama-antibiotic njalo ukuvikela ukutheleleka.

Ukulawulwa komchamo kuvame ukwenzeka ngemuva kokulungiswa kwentamo yesinye. Lokhu kuhlinzwa akuphumeleli ngaso sonke isikhathi. Ingane ingadinga ukuphinda ihlinzwe ngokuhamba kwesikhathi.

Ngisho nokuhlinzwa okuphindiwe, izingane ezimbalwa ngeke zikwazi ukulawula umchamo wazo. Bangadinga i-catheterization.

Ukulungiswa kokukhubazeka kokuzalwa kwesinye; Ukulungiswa kwesinye; Ukulungiswa kwesinye okuveziwe; Ukulungiswa kwesinye i-exstrophy

• Ukunakekelwa kwesilonda sokuhlinzwa - kuvulekile

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UGearhart JP, uDi Carlo HN. Inkimbinkimbi ye-Exstrophy-epispadias. Ku: Partin AW, Dmochowski RR, Kavoussi LR, Peters CA, ama-eds. ICampbell-Walsh-Wein Urology. Umhla ka-12. IPhiladelphia, PA: Elsevier; 2021: isahluko 31.

Weiss DA, Canning DA, Borer JG, Kryger JV, Roth E, Mitchell ME. Isinye ne-cloacal exstrophy. Ku: Holcomb GW, Murphy JP, iSt. Peter SD eds. Ukuhlinzwa Kwezingane zeHolcomb ne-Ashcraft. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2020: isahluko 58.