Ukulungiswa kwamasende okungalandiwe

Ukulungiswa kwamasende okungalindelwanga ukuhlinzwa ukuze kulungiswe amasende angawehlanga endaweni efanele kwisikhwama.

Amasende akhula esiswini somntwana njengoba ingane ikhula esibelethweni. Ziphonswa emgodleni wezinyanga ezinyangeni zokugcina ngaphambi kokuzalwa.

Kwezinye izimo, isende elilodwa noma womabili awaweli endaweni efanele. Cishe ingxenye eyodwa yalawa macala izokwehla phakathi nonyaka wokuqala wokuphila ngaphandle kokwelashwa.

Kunconywa ukuhlinzekwa kokulungiswa kwamasende okungalindiswanga kwabesilisa amasende abo angehli ngokwawo.

Ukuhlinzwa kwenziwa ngenkathi ingane ilele (iqulekile) futhi ingenazinhlungu ngaphansi kwe-anesthesia ejwayelekile. Udokotela ohlinzayo usika emgodini. Yilapho kutholakala khona izivivinyo eziningi ezingathandeki.

Ngemuva kokuthola intambo ebambe ama-testis esikhwameni, udokotela ohlinzayo uyayiqaqa ezicutshini ezizungezile. Lokhu kuvumela intambo ukuthi inwebele kubude bayo obugcwele. Kusikwa okuncane esikhwameni, bese kwenziwa isikhwama. Amasende adonswa afakwa emgodleni wesikhumba, bese athungwa endaweni. Izithungo zisetshenziselwa ukuvala ukusikeka kokuhlinzwa.

Kwezinye izimo, inqubo ingenziwa nge-laparoscopically. Lokhu kufaka ukusikeka okuncane kokuhlinzwa.

Lapho i-testicle itholakala kakhulu, ukulungiswa kungadinga izigaba ezimbili. Ukuhlinzwa okuhlukile kwenziwa izinyanga ezimbalwa ngokuhlukana.

Lokhu kuhlinzekwa kunconyelwa izinsana ezindala kunomnyaka owodwa amasende azo angehleli emgodleni (i-cryptorchidism).

Isende elingathandiswanga lihlukile kunelendle "ebuyisela emuva". Kulesi simo, isende liwela esihlahleni bese lihlehlela emuva. Amasende ahlehlisayo awadingi ukuhlinzwa.

Izingozi zanoma iyiphi i-anesthesia yilezi:

• Ukusabela emithini
• Izinkinga ukuphefumula

Izingozi zanoma yikuphi ukuhlinzwa yilezi:

• Ukopha
• Ukutheleleka

Izingozi zalokhu kuhlinzwa zifaka:

• Ukuncipha kwesende noma ukwehluleka kwesende ukukhula kukhule ngosayizi ojwayelekile.
• Ukwehluleka ukuletha isende kwisigaxa, okuholela ekususweni kwesende.

Ukulungiswa kwamasende okungalindelwanga kuyaphumelela ezimweni eziningi. Amaphesenti amancane amadoda azoba nezinkinga zokuzala.

Abesilisa abebenamasende angathandeki kufanele bazihlole njalo ngenyanga impilo yabo yonke ukufuna izimila ezingaba khona. Amadoda anama-testes angafunwanga anezinga eliphakeme lomdlavuza wamasende kunalawo anokukhula okujwayelekile kwesende, noma ngabe anesende elehle ngokuphelele ngakolunye uhlangothi. Kukhona nengozi enkulu yomdlavuza wamasende kwesinye isende eyehla ngokujwayelekile. Ukwehlisa amasende kuzokwenza kube lula ukuqapha ukukhula kwesimila esikhathini esizayo.

Ukuhlinzwa kungenziwa esikhathini sokugula. Kunconywa ukuphumula kombhede ezinsukwini ezimbili zokuqala kuya kwezingu-3. Gwema umsebenzi okhandlayo, kufaka phakathi ukuhamba ngebhayisikili, okungenani inyanga eyodwa.

I-Orchidopexy; I-orchidopexy ye-Inguinal; I-Orchiopexy; Ukulungiswa kwamasende angadingeki; Ukulungiswa kwe-Cryptorchidism

• I-anatomy yokuzala yowesilisa
• Ngaphambi nangemva kokulungiswa kwamasende

UBarthold JS, uHagerty JA. I-Etiology, ukuxilongwa, kanye nokuphathwa kwama-testis angafunwanga. Ku: Wein AJ, Kavoussi LR, Partin AW, Peters CA, ama-eds. ICampbell-Walsh Urology. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2016: isahluko 148.

Umdala JS. Ukuphazamiseka nokuphazamiseka kokuqukethwe kwe-scrotal. Ku: Kliegman RM, Stanton BF, St Geme JW, Schor NF, ama-eds. Incwadi kaNelson Yezingane. Umhla ka-20. IPhiladelphia, PA: Elsevier; 2016: isahluko 545.

ISrinivasan A, iGhanaat M.Laparoscopic orchiopexy. Ku: Bishoff JT, Kavoussi LR, ama-eds. I-Atlas Yokuhlinzwa Kwe-Laparoscopic neRobotic Urologic. 3rd ed. IPhiladelphia, PA: Elsevier; 2017: isahluko 42.