I-Phimosis: iyini, ungayikhomba kanjani futhi uyiphathe kanjani

-Delile

• Ungayibona kanjani
• Izinhlobo ze-phimosis
• 1. I-phimosis yomzimba noma eyinhloko
• 2. I-pathological noma i-phimosis yesibili
• 3. I-phimosis yabesifazane
• Yelashwa kanjani

I-Phimosis yisikhumba esedlulele, ngokwesayensi esibizwa ngejwabu, esimboza ikhanda lenduku, sidale ubunzima noma ukungakwazi ukudonsa kuleso sikhumba nokuveza ikhanda lendoda.

Lesi simo sivamile ezinganeni zabafana futhi sithambekele ekunyamalaleni ezimeni eziningi kuze kufike onyakeni owodwa ubudala, kuze kufike ezingeni elincane kuze kube yiminyaka emihlanu noma kuphela lapho uthomba, ngaphandle kwesidingo sokwelashwa okuthile. Kodwa-ke, lapho isikhumba singagugi ngokwanele ngokuhamba kwesikhathi, kungadingeka ukuthi usebenzise amafutha athile noma uhlinzwe.

Ngaphezu kwalokho, ezinye izimo zingadala i-phimosis ebudaleni, njengokungenwa yizifo noma izinkinga zesikhumba, ngokwesibonelo, ezingadala ubuhlungu noma ukungakhululeki ngesikhathi sokuya ocansini noma izifo zomchamo. Kulezi zimo, kubalulekile ukubonisana nodokotela we-urologist ukuqala ukwelashwa okufanele kakhulu, okuvame ukwenziwa ngokuhlinzwa.

Ungayibona kanjani

Ukuphela kwendlela yokuhlonza nokuqinisekisa ubukhona be-phimosis ukuzama ukuhoxisa ngesandla isikhumba esimboze ubukhazikhazi bepipi. Lapho kungenakwenzeka ukubona ama-glans ngokuphelele, lokhu kubonisa i-phimosis, engahlukaniswa ngama-degree ahlukene ama-5:

• Ibanga 1: kungenzeka ukudonsa ngokuphelele ijwabu, kepha isisekelo se-glans sisagcwele isikhumba futhi kungaba nzima ukubuya nesikhumba phambili;
• Ibanga 2: kungenzeka ukudonsa ijwabu, kepha isikhumba asidluli engxenyeni ebanzi ye-glans;
• Ibanga 3: kungenzeka ukudonsa izingilazi kuphela endaweni yokuchama;
• Ibanga 4: ukunqwabelana kwesikhumba kukhulu kakhulu kangangokuba ukuhlehliswa kwejwabu kunciphile kakhulu, futhi akunakwenzeka ukudalula izingcwecwe;
• Ibanga 5: uhlobo olubi kakhulu lwe-phimosis lapho isikhumba sejwabu singeke sidonswe khona, futhi akunakwenzeka ukudalula izingcweti.

Yize izinga le-phimosis lingabalulekanga kangako ekunqumeni ukwelashwa okungcono kakhulu, okuxhomeke ikakhulukazi eminyakeni yobudala bomfana, lokhu kuhlukaniswa kungasiza ekuboneni i-phimosis nokuqapha inqubekela phambili yokwelashwa. Ngokuvamile, ukuqinisekiswa kokuqala kobukhona be-phimosis kwenziwa enganeni esanda kuzalwa, futhi ukuhlolwa komzimba kwenziwa ngudokotela wezingane.

Endabeni ye-phimosis yesibili, engabonakala ebusheni noma ebudaleni, indoda uqobo ingabona uma kukhona ubunzima ekubuyisweni kwesikhumba noma izimpawu ezinjengokubomvu, ubuhlungu, ukuvuvukala noma ukopha ekhanda lenduku noma ngaphakathi ijwabu, noma izimpawu zokutheleleka ngomgudu womchamo njengobuhlungu noma ukushisa lapho uchama. Kulezi zimo, kunconywa ukuthi uthintane nodokotela we-urologist ngokushesha okukhulu ukwenza izivivinyo zaselebhu ezifana nokubalwa kwegazi, ukuhlolwa komchamo noma ukuhlolwa kwesiko lamagciwane, isibonelo.

Izinhlobo ze-phimosis

I-Phimosis ingahlukaniswa ngezinhlobo ezithile ngokuya ngezimbangela nezici zayo, okuyinhloko:

1. I-phimosis yomzimba noma eyinhloko

I-phimosis yomzimba noma eyinhloko uhlobo oluvame kakhulu lwe-phimosis futhi ingaba khona kusukela ekuzalweni kwezingane zabafana futhi kwenzeka ngenxa yokunamathela okujwayelekile phakathi kwezingaphakathi zangaphakathi zejwabu kanye ne-glans, okuyinhloko yepipi, okwenza ukuhoxiswa okuphelele ijwabu linzima kakhulu.

2. I-pathological noma i-phimosis yesibili

Lolu hlobo lwe-phimosis lungavela kunoma yisiphi isigaba sempilo ngenxa yokuvuvukala, ukutheleleka okuphindayo noma ukuhlukumezeka kwasendaweni, isibonelo. Enye yezimbangela ezinkulu ze-pathological phimosis ukungabi nenhlanzeko esithweni sowesilisa okubangela ukuqoqana komjuluko, ukungcola, amabhaktheriya noma amanye ama-microorganisms, okudala ukutheleleka okungaholela ekuvukeleni okubizwa nge-balanitis noma i-balanoposthitis.

Ngaphezu kwalokho, ezinye izifo zesikhumba ezifana ne-eczema, i-psoriasis noma i-lichen planus, ezishiya isikhumba sowesilisa singalingani, silume futhi sicasuke, singadala i-phimosis yesibili.

Kwezinye izimo ze-phimosis, isikhumba siqinile kangangokuthi ngisho nomchamo ungabanjwa ngaphakathi kwesikhumba, okwandisa ingozi yokutheleleka ngomgudu womchamo. I-Phimosis ingadala izingqinamba ezifana nobunzima ekuhlanzeni isifunda, ingozi eyengeziwe yokutheleleka ngomgudu womchamo, ubuhlungu ekuhlanganyeleni ngokocansi, amandla amakhulu okuthola ukutheleleka ngocansi, i-HPV noma umdlavuza we-penile, ngaphezu kokukhulisa kakhulu amathuba okuba neparaphimosis, kulapho ijwabu libambeka khona futhi lingasimbozi i-glans futhi.

3. I-phimosis yabesifazane

Yize kuyivelakancane, kungenzeka ukuthi abesifazane babe ne-phimosis, lesi simo sibonakala ngokunamathela kwezindebe ezincane zesitho sangasese, ukumboza ukuvuleka kwesitho sangasese sowesifazane, kepha lokhu kubambelela kakumbozi ngisho i-clitoris noma i-urethra, okuyisiteshi edlulisa umchamo.

Njengabafana, i-phimosis yabesifazane ingaxazululwa ngokuhamba kwesikhathi ngokwentuthuko yentombazane. Kodwa-ke, uma ukunamathela kuqhubeka, kungadingeka ukwenza ukwelashwa okuthile okufanele kunconywe udokotela wezingane noma udokotela wezifo zabesifazane. Bona okuningi nge-phimosis yabesifazane.

Yelashwa kanjani

Ukwelashwa kwe-phimosis yobuntwana kufanele kuholwe njalo ngudokotela wezingane futhi ukwelashwa okuqondile akudingeki ngaso sonke isikhathi, ngoba i-phimosis ingaxazululwa ngokwemvelo kuze kube yiminyaka engu-4 noma emi-5 ubudala. Kepha uma ngemuva kwalesi sigaba i-phimosis iqhubeka, ukwelashwa ngamafutha okugcoba ama-corticosteroids kanye nokuzivocavoca kokuhoxa ijwabu noma ukuhlinzwa ngemuva kweminyaka emibili kungadingeka.

Ukwelashwa kwe-phimosis yesibili, ngakolunye uhlangothi, kufanele kwenziwe ngaphansi kokuqondisa kukadokotela wezitho zomzimba ongakhombisa ukuhlinzwa noma anikeze amafutha okulwa namagciwane nge-clindamycin noma i-mupirocin noma ama-antifungal agents afana ne-nystatin, clotrimazole noma i-terbinafine, kuya ngohlobo lwegciwane elimbangela i-phimosis.

Ngaphezu kwalokho, uma i-phimosis yesibili ivela ngenxa yezifo ezithathelwana ngocansi, i-urologist kufanele ilaphe ukutheleleka ngama-antibiotics noma ngama-antivirals ngomlomo.

Funda kabanzi mayelana nokwelashwa kwe-phimosis.