Ukusoka

Ukusoka ukususwa kwejwabu lobudoda ngokuhlinzwa.

Umhlinzeki wezokunakekelwa kwempilo uvame ukundikindisa ipipi nge-anesthesia yendawo ngaphambi kokuba kuqale inqubo. Umuthi obandayo ungafakwa ezansi kwepipi, kushawa, noma usetshenziswe njengokhilimu.

Kunezindlela eziningi zokusoka. Imvamisa, ijwabu lidudulwa lisuka ekhanda lomthondo futhi liboshwe ngensimbi noma ngeplastikhi efana nensimbi.

Uma iringi iyinsimbi, ijwabu liyasikwa bese kususwa insimbi. Isilonda siyaphola ezinsukwini ezinhlanu kuya kweziyi-7.

Uma iringi iyipulasitiki, ucezu lomthungo luboshwe luvalwe ijwabu. Lokhu kuphusha izicubu emgodini osepulasitiki ngaphezulu kwekhanda lomthondo. Zingakapheli izinsuku ezi-5 kuye kwezi-7, upulasitiki omboza isitho sowesilisa awuwi, kushiye ukusoka okuphulukiswe ngokuphelele.

Ingane inganikezwa i-pacifier enoshukela ngesikhathi senqubo. I-Tylenol (i-acetaminophen) inganikezwa ngemuva kwalokho.

Kubafana abadala nabasakhula, ukusoka kuvame ukwenziwa ngaphansi kwe-anesthesia ejwayelekile ngakho umfana ulele futhi akanazinhlungu. Ijwabu liyasuswa bese lithungwa esikhunjeni esisele sowesilisa. Izithungo ezincibilikayo zisetshenziselwa ukuvala isilonda. Zizomunzwa ngumzimba zingakapheli izinsuku eziyi-7 kuya kwezingu-10. Isilonda singathatha amasonto amathathu ukuphola.

Ukusoka kuvame ukwenziwa kubafana abanempilo ngezizathu zamasiko noma ezenkolo. E-United States, umfana osanda kuzalwa uvame ukusokwa ngaphambi kokuba aphume esibhedlela. Abafana abangamaJuda, nokho, bayasokwa lapho banezinsuku eziyi-8 ubudala.

Kwezinye izingxenye zomhlaba, kufaka phakathi iYurophu, i-Asia, neNingizimu neMelika Ephakathi, ukusoka akuvamile kubantu abaningi.

Kuxoxiswane ngokufaneleka kokusoka. Imibono ngesidingo sokusoka kubafana abanempilo iyahluka phakathi kwabahlinzeki. Abanye bakholelwa ukuthi kunenani elikhulu lokuba nejwabu elingaguquki, njengokuvumela impendulo engokwemvelo yezocansi ngesikhathi somuntu omdala.

Ngo-2012 ithimba le-American Academy of Pediatrics libuyekeze ucwaningo lwamanje lathola ukuthi izinzuzo zezempilo zokusokwa kwabesilisa ezisanda kuzalwa zidlula ubungozi. Bancome ukuthi kube khona ukufinyelela kule nqubo kuleyo mindeni eyikhethayo. Imindeni kufanele ilinganise izinzuzo nezingozi zezempilo ngokuya ngokuthanda kwabo namasiko abo. Izinzuzo zezokwelapha zizodwa kungenzeka zingadluli lezo ezinye izinto ezibhekwayo.

Izingozi ezihlobene nokusoka:

• Ukopha
• Ukutheleleka
• Ububomvu ezungeze indawo yokuhlinzwa
• Ukulimala umthondo

Olunye ucwaningo luye lwasikisela ukuthi izingane ezingasokile ezingamadoda zisengozini enkulu yezimo ezithile, kufaka phakathi:

• Umdlavuza womthondo
• Izifo ezithathelwana ngocansi ezibandakanya i-HIV
• Ukutheleleka kwepipi
• I-Phimosis (ukuqina kwejwabu eliyivimbela ekubuyiseni)
• Ukutheleleka ngomgudu womchamo

Ingozi jikelele eyandisiwe yalezi zimo kucatshangwa ukuthi incane kakhulu.

Ukuhlanzeka okufanele kwenduku nezenzo eziphephile zocansi kungasiza ekuvikeleni eziningi zalezi zimo. Inhlanzeko efanele ibaluleke kakhulu kwabesilisa abangasokile.

Okwezinsana:

• Isikhathi sokuphulukisa cishe isonto elilodwa.
• Faka i-petroleum jelly (Vaseline) endaweni ngemuva kokushintsha inabukeni. Lokhu kusiza ukuvikela indawo yokuphulukisa.
• Okunye ukwakheka kokuvuvukala nokuphuzi koqweqwe oluzungeze isayithi kuyinto ejwayelekile.

Ezinganeni ezindala nasebusheni:

• Ukwelapha kungathatha amasonto amathathu.
• Ezimweni eziningi, ingane izokhishwa esibhedlela ngosuku lokuhlinzwa.
• Ekhaya, izingane kufanele zigweme ukuzivocavoca ngamandla ngenkathi isilonda siphola.
• Uma ukuphuma kwegazi kwenzeka emahoreni angama-24 okuqala ngemuva kokuhlinzwa, sebenzisa indwangu ehlanzekile ukufaka ingcindezi enxebeni imizuzu eyishumi.
• Beka iphakethe leqhwa endaweni (imizuzu engu-20 ivuliwe, imizuzu engu-20 ivaliwe) emahoreni angama-24 okuqala ngemuva kokuhlinzwa. Lokhu kusiza ukunciphisa ukuvuvukala nobuhlungu.

Ukugeza noma ukugeza kuvunyelwe isikhathi esiningi. Ukusika okuhlinzekwayo kungagezwa ngobumnene ngensipho emnene engenasenti.

Shintsha ukugqoka okungenani kanye ngosuku bese ufaka amafutha okulwa namagciwane. Uma ukugqoka kuba manzi, kushintshe ngokushesha.

Sebenzisa umuthi wezinhlungu obekiwe njengoba uyalelwe. Imithi yezinhlungu akufanele idingeke isikhathi eside kunezinsuku ezi-4 kuya kwezi-7. Ezinganeni, sebenzisa i-acetaminophen kuphela (iTylenol), uma kudingeka.

Shayela umhlinzeki wakho uma:

• Ukopha okusha kwenzeka
• I-pus drains ivela endaweni yokusika kokuhlinzwa
• Ubuhlungu buba bukhulu noma buhlala isikhathi eside kunokulindelekile
• Umthondo wonke ubukeka ubomvu futhi uvuvukile

Ukusoka kubhekwa njengenqubo ephephe kakhulu ezinganeni ezisanda kuzalwa kanye nasezikhulwini ezindala.

Ukususwa kwesikhumba; Ukususwa kwejwabu; Ukunakekelwa okusanda kuzalwa - ukusoka; Ukunakekelwa kwabantwana ngaphambi kwesikhathi - ukusoka

• I-Foreskin
• Ukusoka - uchungechunge

I-American Academy of Pediatrics Task Force on Ukusoka. Ukusoka kwabesilisa. Izifo zezingane. 2012; 130 (3): e756-785. I-PMID: 22926175 pubmed.ncbi.nlm.nih.gov/22926175/.

I-Fowler GC. Ukusoka okusanda kuzalwa kanye ne-meatotomy yasehhovisi. Ku: Fowler GC, ed. Izinqubo zikaPfenninger noFowler zokuNakekela okuyisisekelo. Umhla wesi-4. IPhiladelphia, PA: Elsevier; 2020: isahluko 167.

UMcCammon KA, uZuckerman JM, Jordan GH. Ukuhlinzwa kwepenisi ne-urethra. Ku: Wein AJ, Kavoussi LR, Partin AW, Peters CA, ama-eds. ICampbell-Walsh Urology. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2016: isahluko 40.

IPapic JC, uRaynor SC. Ukusoka. Ku: Holcomb GW, Murphy JP, St Peter SD, ama-eds. Ukuhlinzwa Kwezingane zeHolcomb ne-Ashcraft. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2020: isahluko 60.