Ukulungiswa kwe-Hypospadias

Ukulungiswa kwe-Hypospadias ukuhlinzwa ukulungisa iphutha ekuvulekeni kwepipi elikhona lapho kuzalwa. I-urethra (ishubhu elithwala umchamo kusuka esinyeni uye ngaphandle komzimba) aligcini ekugcineni kwepipi. Esikhundleni salokho, kugcina ngaphansi kwepipi. Ezimweni ezinzima kakhulu, i-urethra ivula phakathi noma ezansi kwepenisi, noma ngaphakathi noma ngemuva kwesirhashalala.

Ukulungiswa kwe-Hypospadias kwenziwa kaningi lapho abafana beneminyaka ephakathi kwezinyanga eziyisithupha neminyaka emibili ubudala. Ukuhlinzwa kwenziwa njengesiguli esingalaliswayo. Ingane akuvamile ukuthi ichithe ubusuku esibhedlela. Abafana abazalwa benama-hypospadias akufanele basokwe lapho bezalwa. Izicubu ezingeziwe zejwabu zingadingeka ukulungisa ama-hypospadias ngesikhathi sokuhlinzwa.

Ngaphambi kokuhlinzwa, ingane yakho izothola i-anesthesia ejwayelekile. Lokhu kuzomenza alale futhi kumenze angakwazi ukuzwa ubuhlungu ngesikhathi sokuhlinzwa. Ukukhubazeka okuncane kungalungiswa ngenqubo eyodwa. Ukukhubazeka okukhulu kungadinga izinqubo ezimbili noma ngaphezulu.

Udokotela ohlinzayo uzosebenzisa iqatha elincane lejwabu noma izicubu kusuka kwenye indawo ukwakha ithubhu elandisa ubude be-urethra. Ukunweba ubude be-urethra kuzoyivumela ukuthi ivule ekugcineni kwepipi.

Ngesikhathi sokuhlinzwa, udokotela ohlinzayo angafaka ipayipi le-catheter ku-urethra ukuyenza ibambe isimo sayo esisha. I-catheter ingahle ithungwe noma iboshwe ekhanda lomthondo ukuze ihlale kahle. Izosuswa emasontweni amabili kuya kwamabili ngemuva kokuhlinzwa.

Imithungo eminingi esetshenziswe ngesikhathi sokuhlinzwa izoncibilika yodwa futhi ngeke kudingeke ukuthi isuswe ngokuhamba kwesikhathi.

I-Hypospadias ingenye yezinkinga ezivamile zokuzalwa kubafana. Lokhu kuhlinzwa kwenziwa kubafana abaningi abazalwa benenkinga.

Uma ukulungiswa kungenziwanga, izinkinga zingavela ngokuhamba kwesikhathi njenge:

• Kunzima ukulawula nokuqondisa ukusakazwa komchamo
• Ijika elisesipeni ngesikhathi sokumiswa
• Ukwehla kokuzala
• Amahloni ngokubukeka kwepipi
  
  

Ukuhlinzwa akudingeki uma isimo singathinti ukuchama okujwayelekile ngenkathi umile, umsebenzi wezocansi, noma idiphozi yesidoda.

Izingozi zale nqubo zifaka:

• Imbobo evuza umchamo (fistula)
• Igazi elikhulu legazi (hematoma)
• Ukuqhuma noma ukunciphisa i-urethra elungisiwe

Umhlinzeki wokunakekelwa kwezempilo kwengane angacela umlando ophelele wezokwelapha futhi enze ukuhlolwa komzimba ngaphambi kwenqubo.

Ngaso sonke isikhathi tshela umhlinzeki:

• Imiphi imithi ingane yakho eyiphuzayo
• Izidakamizwa, amakhambi, namavithamini ingane yakho eyiphuzayo oyithengile ngaphandle kwencwadi kadokotela
• Noma yikuphi ukungezwani komzimba nengane yakho kumuthi, i-latex, i-tape, noma isicoci sesikhumba

Buza umhlinzeki wengane ukuthi yimiphi imishanguzo ingane yakho okufanele isayiphuza ngosuku lokuhlinzwa.

Ngosuku lokuhlinzwa:

• Ingane yakho izocelwa ukuthi ingaphuzi noma idle noma yini phakathi kwamabili ebusuku ngaphambi kokuhlinzwa noma amahora ayisithupha kuya kwayisishiyagalombili ngaphambi kokuhlinzwa.
• Nikeza ingane yakho noma imiphi imishanguzo umhlinzeki wakho akutshele ukuthi uyinike ingane yakho ngesiphuzo esincane samanzi.
• Uzotshelwa ukuthi uzofika nini ezohlinzwa.
• Umhlinzeki uzoqinisekisa ukuthi ingane yakho iphilile ngokwanele ukuze ihlinzwe. Uma ingane yakho igula, ukuhlinzwa kungabambezeleka.

Ngemuva nje kokuhlinzwa, umthondo wengane ungabanjwa esiswini sayo ukuze ungahambi.

Imvamisa, kubekwa inkomishi yokugqoka eningi noma ipulasitiki ngaphezulu kwepipi ukuvikela indawo yokuhlinzwa. Ipayipi lomchamo (ishubhu elisetshenziselwa ukukhipha umchamo esinyeni) lizofakwa ekugqokeni ukuze umchamo ukwazi ukugelezela enabukeni.

Ingane yakho izokhuthazwa ukuthi iphuze uketshezi ukuze ichame. Ukuchama kuzogcina ingcindezi ekwakheni i-urethra.

Ingane yakho inganikezwa umuthi wokuqeda izinhlungu. Isikhathi esiningi, ingane ingaphuma esibhedlela ngosuku olufanayo nokuhlinzwa. Uma uhlala kude nesibhedlela, ungahle uthande ukuhlala ehhotela eliseduze nesibhedlela ubusuku bokuqala ngemuva kokuhlinzwa.

Umhlinzeki wakho uzochaza ukuthi uyinakekela kanjani ingane yakho ekhaya ngemuva kokuphuma esibhedlela.

Lokhu kuhlinzwa kuhlala impilo yonke. Iningi lezingane lenza kahle ngemuva kwalokhu kuhlinzwa. Umthondo uzobukeka ucishe noma ujwayelekile futhi usebenze kahle.

Uma ingane yakho ine-hypospadias eyinkimbinkimbi, ingahle idinge imisebenzi eminingi yokuthuthukisa ukubukeka kwepenisi noma ukulungisa imbobo noma ukuncipha ku-urethra.

Ukuhambela okulandelanayo nodokotela we-urologist kungadingeka ngemuva kokuhlinzwa selulame. Abafana kwesinye isikhathi kuyodingeka bavakashele udokotela womchamo lapho sebethomba.

Urethroplasty; Inyama yenyama; I-Glanuloplasty

• Ukulungiswa kwe-Hypospadias - ukukhipha
• Ukuzivocavoca kukaKegel - ukuzinakekela
• Ukunakekelwa kwesilonda sokuhlinzwa - kuvulekile

• Ama-Hypospadias
• Ukulungiswa kwe-Hypospadias - uchungechunge

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Umdala JS. Okungafani kwendoda ne-urethra. Ku: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM ,. ama-eds. Incwadi kaNelson Yezingane. Umhlaka 21. IPhiladelphia, PA: Elsevier; 2020: isahluko 559.

ISnodgrass WT, iBush NC. Ama-Hypospadias. Ku: Wein AJ, Kavoussi LR, Partin AW, Peters CA, ama-eds. ICampbell-Walsh Urology. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2016: isahluko 147.

UThomas JC, uBrock JW. Ukulungiswa kwama-hypospadias asondele. Ku: Smith JA Jr, Howards SS, Preminger GM, Dmochowski RR, ama-eds. IHinman’s Atlas of Urologic Surgery. Umhla wesi-4. IPhiladelphia, PA: Elsevier; 2018: isahluko 130.