Ukulungiswa kwepentent urachus

Ukulungiswa kwe-urent ye-patent kukuhlinzwa ukulungisa isiphene sesinyi. Kwindawo evulekileyo (okanye yelungelo elilodwa lomenzi) urachus, kukho ukuvulwa phakathi kwesinyi kunye nesisu (inkaba). I-urachus yityhubhu phakathi kwesinyi kunye neqhosha lesisu elikhona ngaphambi kokuzalwa. Kwiimeko ezininzi, ivala ngobude obupheleleyo ngaphambi kokuba umntwana azalwe. I-urachus evulekileyo yenzeka ikakhulu kwiintsana.

Abantwana abanolu tyando baya kuba ne-anesthesia ngokubanzi (ilele kwaye ayinazintlungu).

Ugqirha uya kusika esiswini esisezantsi somntwana. Okulandelayo, ugqirha uya kufumana ityhubhu yomchamo kwaye ayisuse. Ukuvulwa kwesinyi kuyakulungiswa, kwaye ukusikwa kuya kuvalwa.

Olu tyando lunokwenziwa nge-laparoscope. Esi sisixhobo esinekhamera encinci kunye nokukhanya esiphelweni.

• Ugqirha uya kwenza ukusikeka okuncinci oku-3 kwisisu somntwana. Ugqirha uya kufaka i-laparoscope ngenye yezi zinto zisikiweyo kunye nezinye izixhobo ngolunye usiko.
• Ugqirha usebenzisa izixhobo ukususa ityhubhu yomchamo kunye nokuvala isinyi kunye nendawo apho ityhubhu inxibelelana khona ne-umbilicus (iqhosha lesisu).

Olu tyando lunokwenziwa kubantwana abancinci njengeenyanga ezintandathu.

Utyando luyacetyiswa kwilungelo lobunikazi elingavaliyo emva kokuzalwa. Iingxaki ezinokuthi zenzeke xa ityhubhu ye-urachal patent ingalungiswa ibandakanya:

• Umngcipheko ophezulu wosulelo lwe-urinary tract
• Umngcipheko ophezulu womhlaza wombhobho we-urachal kamva ebomini
• Ukuqhubeka kokuvuza komchamo kwi-urachus

Umngcipheko kuyo nayiphi na i-anesthesia yile:

• Impendulo kumayeza
• Iingxaki zokuphefumla

Iingozi zalo naluphi na utyando zezi:

• Ukopha
• Usulelo
• Amahlwili egazi emilenzeni anokuhamba aye emiphungeni

Imingcipheko eyongezelelweyo kolu tyando yile:

• Usulelo lwesinyi.
• I-bladder fistula (unxibelelwano phakathi kwesinyi kunye nolusu) - ukuba oku kuyenzeka, i-catheter (ityhubhu ebhityileyo) ifakwa kwisinyi ukukhupha umchamo. Ishiywe endaweni ide iphilise isinyi okanye kwenziwe olunye utyando.

Ugqirha unokucela umntwana wakho ukuba:

• Imbali yonyango epheleleyo kunye novavanyo lomzimba.
• Isifo sezintso.
• ISinogram ye-urachus. Kule nkqubo, idayi ye-radio-opaque yedayi ebizwa ngokuba ngumahluko itofwe kuvulo lwe-urachal kunye ne-x-ray ithathwa.
• I-Ultrasound ye-urachus.
• I-VCUG (ukuvala i-cystourethrogram), i-x-ray ekhethekileyo yokuqinisekisa ukuba isinyi siyasebenza.
• I-CT scan okanye iMRI.

Soloko uxelela umboneleli wezempilo womntwana wakho:

• Zeziphi iziyobisi ezithathwa ngumntwana wakho. Faka amayeza, amayeza, iivithamini, okanye ezinye izongezo ozithengileyo ngaphandle kommiselo.
• Malunga nakho nakuphi na ukwaliwa komzimba umntwana wakho anokuba nako amayeza, i-latex, iteyiphu, okanye isicoci solusu.

Ngexesha leentsuku ngaphambi kotyando:

• Malunga neentsuku ezili-10 ngaphambi kotyando, unokucelwa ukuba uyeke ukunika umntwana wakho iasprini, ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), warfarin (Coumadin), kunye nazo naziphi na ezinye iziyobisi ezenza kube nzima ukuba igazi lijiye.
• Buza ukuba zeziphi iziyobisi umntwana wakho afanele ukuzithatha ngosuku lotyando.

Ngomhla wotyando:

• Umntwana wakho ngekhe abe nakho ukusela okanye atye nantoni na iiyure ezi-4 ukuya kwezi-8 ngaphambi kotyando.
• Nika umntwana wakho naziphi na iziyobisi oxelelwe ukuba umntwana wakho makabe nokusela okuncinci kwamanzi.
• Umboneleli womntwana wakho uya kukuxelela ukuba ufike nini esibhedlele.
• Umboneleli uya kuqinisekisa ukuba umntwana wakho akanazimpawu zokugula ngaphambi kotyando. Ukuba umntwana wakho uyagula, utyando lunokulibaziseka.

Uninzi lwabantwana luhlala esibhedlele iintsuku ezimbalwa emva kolu tyando. Uninzi luyachacha ngokukhawuleza. Abantwana banokutya ukutya okuqhelekileyo xa beqala ukutya kwakhona.

Phambi kokuba uphume esibhedlele, uyakufunda ukukhathalela inxeba okanye amanxeba. Ukuba ii-Steri-Strips bezisetyenziselwa ukuvala inxeba, kufuneka zishiywe endaweni yazo zide ziwe zodwa kwiveki enye.

Unokufumana iyeza lokuthintela usulelo, kunye neyeza elikhuselekileyo onokulisebenzisela iintlungu.

Isiphumo sihlala sihle kakhulu.

Ukulungiswa kwetyhubhu ye-urachal patent

• Unonophelo lwenxeba lotyando - luvulekile

• Ilungelo elilodwa lomenzi wechiza
• Ukulungiswa kwepatent urachus-uthotho

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U-Katz A, uRichardson W. Utyando. Ku: Zitelli BJ, McIntire SC, Nowalk AJ, ii-eds. UZitelli no-Davis ’Atlas of Pediatric Diagnosis. Umhla wesi-7. IPhiladelphia, PA: Elsevier; I-2018: isahluko 18.

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