I-Hypospadias: Kuyini, Izinhlobo Nezokwelapha
-Delile
I-Hypospadias ingukushintsheka kofuzo kubafana okubonakala ngokuvulwa okungavamile kwe-urethra endaweni engaphansi kwepenisi hhayi kunqeni. I-urethra ngumgudu ophuma ngawo umchamo, futhi ngenxa yalesi sizathu lesi sifo senza ukuthi umchamo uphumele endaweni engafanele.
Le nkinga iyelapheka futhi ukwelashwa kwayo kufanele kwenziwe eminyakeni emibili yokuqala yempilo yengane, ngokuhlinzwa ukulungisa ukuvuleka komchamo.
Izinhlobo eziyinhloko ze-hypospadias
I-Hypospadias ihlukaniswe ngezinhlobo eziyisi-4 eziyinhloko, ezihlukaniswe ngokwendawo yokuvulwa kwe-urethra, okubandakanya:
- Okude: ukuvulwa kwe-urethra kutholakala endaweni ethile eduze kwekhanda lepipi;
- IPenile: Ukuvuleka kuvela emzimbeni womthondo;
- Okuseceleni: ukuvulwa kwe-urethra kutholakala esifundeni esiseduze ne-scrotum;
- Okuphelele: wuhlobo oluyivelakancane, ngokuvuleka komchamo otholakala eduze kwendunu, okwenza ipipi lingakhuli kakhulu kunokujwayelekile.
Ngaphezu kwalokhu kwakhiwa, kukhona futhi nokuthi kungenzeka ukuthi ukuvuleka kwe-urethra kuvele ngaphezu kwepipi, kepha kulokhu ukungalungi kwaziwa njenge-epispadia. Bona ukuthi yini isiqephu nokuthi siphathwa kanjani.
Izimpawu ezingenzeka
Izimpawu ze-Hypospadias ziyehluka ngokuya ngohlobo lwesici esethulwe ngumfana, kepha imvamisa kufaka:
- Isikhumba eseqile endaweni yejwabu, ichopho lepipi;
- Ukungavuleki kwe-urethra ekhanda lesitho sobulili;
- Izitho zangasese lapho zimile aziqondile, ziveza uhlobo lwehhuku;
- Umchamo awugelezi uye phambili, kanti umfana udinga ukuchama ehlezi.
Lapho umfana enalezi zimpawu, kunconywa ukuthi uthintane nodokotela wezingane ukuthola inkinga bese uqala ukwelashwa okufanele. Kodwa-ke, kujwayelekile ukuthi ama-hypospadias akhonjwe ngisho nasewadini labakhulelwe, emahoreni okuqala ngemuva kokuzalwa lapho udokotela enza ukuhlolwa komzimba.
Yelashwa kanjani
Ukuphela kwendlela yokwelapha i-hypospadias ukuhlinzwa ukulungisa ukuvuleka kwe-urethra futhi, ngokufanele, ukuhlinzwa kufanele kwenziwe phakathi kwezinyanga eziyisithupha neminyaka emibili ubudala. Ngakho-ke, ukusoka kufanele kugwenywe ngaphambi kokuhlinzwa, ngoba kungadingeka ukusebenzisa isikhumba sejwabu ukwakha kabusha ipipi lengane.
Ngesikhathi sokuhlinzwa, ukuvulwa okungalungile kwe-urethra kuvaliwe futhi kukhishwa okusha ekugcineni kwepipi, kuthuthukisa ubuhle besitho sangasese futhi kuvumele umsebenzi ojwayelekile wezocansi ngokuzayo.
Ngemuva kokuhlinzwa, ingane ivalelwa izinsuku ezi-2 kuya kwezi-3, bese ibuyela ekhaya futhi yenze imisebenzi ejwayelekile. Kodwa-ke, phakathi namasonto ama-3 alandelayo, abazali kufanele baqaphele ukubonakala kwezimpawu zokutheleleka endaweni yokuhlinzwa, njengokuvuvukala, ukubomvu noma ubuhlungu obunzima, ngokwesibonelo.
Esinye isifo esivimbela umfana ukuthi achame ngokwejwayelekile yi-phimosis, ngakho-ke bheka lapha izimpawu zakhe nokuthi ungazelapha kanjani lezi zimo.