Ityhalarha elingachazwanga

Ityhalarha elingachazwanga livela xa elinye okanye omabini amasende esilele ukuya kwisirhithabuzane ngaphambi kokuzalwa.

Amaxesha amaninzi, amasende enkwenkwe ehla xa eneenyanga ezili-9 ubudala. Amatyhalarha angahliswanga aqhelekile kwiintsana ezizalwa kwangethuba. Ingxaki ivela kancinci kwiintsana ezizeleyo.

Abanye abantwana baneemeko ezibizwa ngokuba zii-retractile testes kwaye umboneleli wezempilo akanakho ukufumana amasende. Kule meko, ityhalarha liqhelekile, kodwa litsale libuyele ngaphandle kwisingxobo samatyhalarha ngengqondo yemisipha. Oku kwenzeka kuba amasende mancinci ngaphambi kokufikisa. Amatyhalarha aya kuhla ngesiqhelo xa ufikisa kwaye akufuneki kwenziwe utyando.

Amatyhalarha angafikeleli kwisingxobo samatyhalarha athatyathwa njengengaqhelekanga. Ityhalarha engalindelwanga kunokwenzeka ukuba ibe nomhlaza, nokuba ithe yangeniswa kwisingxobo samatyhalarha ngotyando. Umhlaza ukwenzeka kakhulu kwelinye ityhalarha.

Ukuzisa ityhalarha kwisingxobo samatyhalarha kunokuphucula imveliso yesidoda kwaye kwandise amathuba okuchuma okuhle. Ikwavumela umboneleli ukuba enze uvavanyo lokufumanisa kwangaphambili komhlaza.

Ngamanye amaxesha, alikho ityhalarha elinokufunyanwa, nokuba utyando. Oku kunokuba ngenxa yengxaki eyenzekileyo ngelixa usana lusakhula ngaphambi kokuzalwa.

Uninzi lwexesha akukho zimpawu ngaphandle kokungabikho kwetestamente kwisingxobo samatyhalarha. (Oku kubizwa ngokuba yi-scrotum engenanto.)

Uvavanyo olwenziwa ngumboneleli luqinisekisa ukuba elinye okanye omabini amasende awekho kwisirhraphthi.

Umboneleli unakho okanye angabinakho ukuziva ityhalarha engalindelwanga eludongeni lwesisu ngaphezulu kwesikram.

Ukujonga iimvavanyo, ezinje nge-ultrasound okanye nge-CT scan, kunokwenziwa.

Kwiimeko ezininzi, ityhalarha liza kuhla ngaphandle konyango kunyaka wokuqala womntwana. Ukuba oku akwenzeki, unyango lunokubandakanya:

• Inaliti yeHormone (B-HCG okanye i-testosterone) ukuzama ukuzisa ityhalarikhi kwisikram.
• Utyando (orchiopexy) ukuzisa ityhalarha kwisingxobo samatyhalarha. Olu lunyango oluphambili.

Ukuhlinzwa kwangoko kunokuthintela ukonakala kwamasende kwaye kuthintele ukungachumi. Ityhalarha elingafunekiyo elifumaneka kamva ebomini lingafuna ukususwa. Kungenxa yokuba ityhalarha akunakulindeleka ukuba lusebenze kakuhle kwaye kungabeka umngcipheko kumhlaza.

Uninzi lwexesha, ingxaki iyahamba ngaphandle konyango. Amayeza okanye utyando ukulungisa imeko iyaphumelela kwiimeko ezininzi. Nje ukuba imeko ilungiswe, kuya kufuneka ugqirha wakho abe novavanyo lwamatyhalarha rhoqo.

Malunga ne-50% yamadoda anamasende angafunekiyo, amasende akanakufunyanwa ngexesha lotyando. Oku kubizwa ngokuba litekisi elilahlekileyo okanye elingekhoyo. Njengoko bekutshiwo ngaphambili, kusenokwenzeka ngenxa yento ethile ngelixa umntwana ebesakhula ngexesha lokukhulelwa.

Iingxaki zinokubandakanya:

• Ukonakala kwetyhalarha kuqhaqho
• Ukungachumi kamva ebomini
• Umhlaza wamatyhalarha kolunye okanye zombini iimvavanyo

Tsalela umnikezeli womntwana wakho ukuba ubonakala enetyhalarha engalindelwanga.

I-Cryptorchidism; Iscrotum esingenanto-iimvavanyo ezingafunekiyo; Isikram-esingenanto (iimvavanyo ezingafunekiyo); Monorchism; Iimvavanyo ezilahlekileyo-ezingafunekiyo; Iimvavanyo ezibuyiselwayo

• I-anatomy yokuzala eyindoda
• Inkqubo yokuzala eyindoda

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UChung DH. Utyando lwabantwana. Ku: Townsend CM, Beauchamp RD, Evers BM, Mattox KL, eds. Incwadi yeSabiston yoNyango. Umhla we-20. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 66.

Umdala JS. Ukuphazamiseka kunye nokungahambelani kwesiqulatho esisisiseko. Ku: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, ii-eds. Incwadi kaNelson yeNcwadi yePediatrics. Umhla wama-21. IPhiladelphia, PA: Elsevier; 2020: isahluko 560.

Meyts ER-D, Main KM, Toppari J, Skakkebaek NE. I-testicular dysgenesis syndrome, i-cryptorchidism, i-hypospadias, kunye ne-testicular tumors. Ku: Jameson JL, De Groot LJ, de Kretser DM, et al, ii-eds. Endocrinology: Abantu abadala kunye nabantwana. Umhla wesi-7. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 137.