Ongakulindela kuMeatotomy

-Delile

• Yini i-meatotomy?
• Uyini umehluko phakathi kwe-meatotomy ne-meatoplasty?
• Ubani umuntu olungele ukungena kwi-meatotomy?
• Kwenziwa kanjani i-meatotomy?
• Yini ukululama okufana ne-meatotomy?
• Ingabe zikhona izingozi ezihambisana nale nqubo?
• Iphumelela kangakanani le nqubo?

Yini i-meatotomy?

I-Meatotomy ukuhlinzwa okwenziwe ukunweba inyama. Inyama imbobo ekuvulekeni kwepipi lapho umchamo ushiya khona umzimba.

I-Meatotomy ivame ukwenziwa ngoba inyama iyincane kakhulu. Leso yisimo esaziwa njenge-meatal stenosis noma i-urethral stricture. Lokhu kwenzeka cishe kwabesilisa abasokile. Kungenziwa futhi uma kunesikhumba esincane noma sewebhu esimboze inyama.

Le nqubo yenziwa kakhulu emadodeni amancane, asokile.

Uyini umehluko phakathi kwe-meatotomy ne-meatoplasty?

I-Meatoplasty yenziwa ngokuvula i-glans - ichopho lepipi lengane - nge-incision, bese kusetshenziswa ama-suture ukuhlanganisa imiphetho yendawo eyavulwa. Lokhu kusiza ukunweba indawo ezungeze inyama ukuze kwenziwe ukuchama kube lula. Lokhu futhi kungaholela emgodini omkhulu kakhulu ukuphuma komchamo.

I-Meatotomy imane nje iyinqubo yokwenza ukuvula inyama kube kukhulu. Imithungo kungenzeka ingasetshenziswa ku-meatotomy, futhi izicubu ezizungezile kungenzeka zingashintshwa nakancane.

Ubani umuntu olungele ukungena kwi-meatotomy?

I-Meatotomy yindlela yokwelashwa ejwayelekile kwabesilisa abanama-meatus amancane kakhulu, okwenza kube nzima ukukhomba ukusakazwa kwabo komchamo lapho bechama, noma kubabangele nobuhlungu lapho bechama. I-Meatotomy inqubo ephephile, engenabuhlungu, ngakho-ke ingenziwa noma ingane yakho isinezinyanga ezintathu ubudala.

Bheka udokotela wakho uma ingane yakho inezinye zezimpawu ezilandelayo ze-meatal stenosis noma ezinye izimo ezingadala ukuthi i-meatus inciphe:

• ubunzima bokukhomba umchamo wabo wokuchama lapho uchama
• umchamo wabo womchamo ukhuphuka esikhundleni sokuya phansi, noma ukufafaza
• ubuhlungu ngenkathi uchama (i-dysuria)
• ukuchama kaningi
• bezwa sengathi isinye sabo sisalokhu sigcwele ngemuva kokuchama

Kwenziwa kanjani i-meatotomy?

I-Meatotomy ukuhlinzwa okwelashwa ngaphandle. Lokho kusho ukuthi kungenziwa ngosuku olulodwa ngaphandle kokuthi ungenise ingane yakho esibhedlela. Udokotela wakho uzokhuluma nawe mayelana nokuthi iyiphi i-anesthesia elungele ingane yakho, njengoba kunezindlela eziningi ongakhetha kuzo:

• I-anesthesia yezihloko. Udokotela wakho ugcoba umuthi wokubulala izinzwa, onjenge-lidocaine (EMLA), esihlokweni somthondo ukuze undikize indawo ngaphambi kwenqubo. Ingane yakho izohlala iphapheme ngesikhathi senqubo.
• I-anesthesia yendawo. Udokotela wakho ujova i-anesthesia ekhanda lomthondo, elibangela ukuba ndikindiki. Ingane yakho izohlala iphapheme ngesikhathi senqubo.
• I-spinal anesthesia. Udokotela wakho ujova i-anesthesia emhlane wengane yakho ukuze ayindikize kusukela okhalweni kuye enqubweni. Ingane yakho izohlala iphapheme ngesikhathi senqubo.
• I-anesthesia ejwayelekile. Ingane yakho izobe ilele phakathi nakho konke ukuhlinzwa futhi ivuke ngemuva kwalokho.

Ukwenza i-meatotomy, ngemuva kokuthi ingane yakho ithole i-anesthesia, udokotela wakho noma udokotela ohlinzayo wenza lokhu okulandelayo:

1. Inzalo yethanga lomthondo ngesixazululo se-iodine.
2. Isonga ipipi ngoqhoqhoqho oyinyumba.
3. Uchoboza izicubu ngakolunye uhlangothi lwenyama ukuze kuvunyelwe ukusika okulula.
4. Yenza ukusika okumise okungu-V ezansi kwepipi kusuka enyameni.
5. Ihlanganisa izicubu zibuye zihlangane ukuze inyama ibukeke njengesiqhekeko futhi izicubu zilaphe kahle, zivimbele ezinye izingqinamba.
6. Ifaka iphenyo enyameni ukuze kuqinisekiswe ukuthi azikho ezinye izindawo ezincane.
7. Kwezinye izimo, kufakwa i-catheter enyameni ukuze isize ngokuchama.

Ingane yakho izolungela ukuya ekhaya isuka esikhungweni esingalaliswanga iziguli ngokushesha ngemuva kokuphela kwe-anesthesia. Okungenani, ungalinda amahora ambalwa ukuhlolwa kokuhlinzwa nokusebenza kabusha.

Ngezinqubo ezinkulu, ingane yakho ingadinga ukululama esibhedlela izinsuku ezifika kwezintathu.

Yini ukululama okufana ne-meatotomy?

Ingane yakho izolulama kwi-meatotomy ezinsukwini ezimbalwa. Noma yikuphi ukuthungwa okusetshenzisiwe kuzophuma ezinsukwini ezimbalwa futhi akudingeki kususwe udokotela wakho.

Ukunakekela ingane yakho ngemuva kwe-meatotomy:

• Nikeza ingane yakho umuthi wokulwa nokuvuvukala (i-NSAID) onjenge-ibuprofen (Advil, Motrin) wezinhlungu. Khuluma nodokotela wakho kuqala ukuthola ukuthi yimiphi imithi ephephile enganeni yakho.
• Faka umuthi wama-antibiotic, njenge-Neosporin noma i-Bacitracin, esicongweni sowesilisa kabili ngosuku okungenani amasonto amabili.
• Yenza okugeza okufudumele ukuze ingane yakho ihlale lapho ukudambisa izinhlungu emahoreni angama-24 ngemuva kokuba inqubo yenziwe.
• Ungasebenzisi ukusula lapho ushintsha inabukeni lengane yakho. Sebenzisa indwangu efudumele, emanzi esikhundleni salokho.
• Ungavumeli ingane yakho yenze noma yimuphi umsebenzi okhandlayo womzimba okungenani isonto.
• Uma uyalelwe, faka i-dilator egcotshisiwe kule nyama izikhathi ezimbili ngosuku amasonto ayisithupha ukuyigcina inciphile.

Ingabe zikhona izingozi ezihambisana nale nqubo?

I-Meatotomy ibhekwa njengenqubo ephephile. Ingane yakho ingaba nezimpawu ezilandelayo emasontweni ambalwa kamuva:

• ukushisa noma ukuluma lapho zichama
• amanani amancane egazi emanabukeni noma ezingutsheni zangaphansi
• ukufafaza umchamo lapho zichama kuze kube yilapho umthungo uphuma

Yisa ingane yakho kudokotela ngokushesha uma ubona noma iyiphi yalezi zimpawu:

• umkhuhlane omkhulu (ngaphezu kuka-101 ° F noma u-38.3 ° C)
• ukopha okuningi okuzungeze inyama
• ubomvu obuningi, ukucasuka, noma ukuvuvukala okuzungeze inyama

Izinkinga ezingenzeka ezivela ku-meatotomy zifaka:

• ukufafaza lapho uchama
• ukutheleleka kwenyama noma indawo yokuhlinzwa
• isibazi sethiphu yepipi
• amahlule egazi

Iphumelela kangakanani le nqubo?

I-Meatotomy iyindlela yokwelapha ephumelelayo uma ingane yakho ine-meatus encane noma evinjiwe ebenza bangachami ngokujwayelekile. Iningi lezingane ezinale nqubo zinombono omuhle kakhulu futhi azivamile nje ukuthi zidinge ukwelashwa okulandelayo kwezinkinga noma ukuhlinzwa okwengeziwe kokulandelela.