Ulwaluko

Ulwaluko kukususa utyando lobudoda.

Umboneleli wokhathalelo lwempilo uhlala ephazamisa ipenisi nge-anesthesia yendawo ngaphambi kokuba inkqubo iqale. Iyeza elirhabaxa linokujojowezwa ezantsi kwilungu lobudoda, eshafini, okanye lisetyenziswe njengekhrim.

Zininzi iindlela zokwaluka. Eyona nto iqhelekileyo, ijwabu liyatyhalwa entloko kwilungu lobudoda kwaye liboshwe ngesinyithi okanye isixhobo esenziwe ngeringi efana neplastiki.

Ukuba iringi sisinyithi, ijwabi liyasikwa kwaye isixhobo sentsimbi siyasuswa. Inxeba liyaphola kwiintsuku ezi-5 ukuya kwezi-7.

Ukuba iringi yiplastiki, iqhekeza lomthungo libotshelelwe lijikeleze ijwabi. Oku kutyhala izicubu kwindawo yeplastiki ngaphezulu kwentloko yelungu lobudoda. Kwiintsuku ezi-5 ukuya kwezi-7, iplastikhi egubungele ilungu lobudoda iwa mahala, ishiya ulwaluko oluphile ngokupheleleyo.

Usana lunokunikwa into yokuthambisa ngexesha lenkqubo. I-Tylenol (i-acetaminophen) inokunikwa emva koko.

Kumakhwenkwe amadala nakwishumi elivisayo, ulwaluko lwenzeka kakhulu phantsi kwe-anesthesia jikelele ke inkwenkwe ilele kwaye ayinazintlungu. Ijwabi liyasuswa lize lithungwe kulusu olushiyekileyo lobudoda. Izitishi ezinyibilikayo zisetyenziselwa ukuvala inxeba. Ziza kufakwa ngumzimba ngaphakathi kweentsuku ezisi-7 ukuya kwezi-10. Inxeba linokuthatha ukuya kwiiveki ezi-3 ukuba liphole.

Ukoluka kuhlala kwenziwa kumakhwenkwe asempilweni ngenxa yenkcubeko okanye inkolo. EUnited States, inkwenkwe esandul 'ukuzalwa yaluswa rhoqo ngaphambi kokuba iphume esibhedlele. Amakhwenkwe angamaJuda, nangona kunjalo, ayoluka xa eneentsuku ezisi-8 ubudala.

Kwezinye iindawo zehlabathi, kubandakanya iYurophu, iAsia, kunye noMzantsi noMbindi Merika, ulwaluko lunqabile kubemi ngokubanzi.

Imiba yolwaluko ixoxiwe. Izimvo malunga nesidingo sokoluka kumakhwenkwe asempilweni ziyahluka phakathi kwababoneleli. Abanye bakholelwa ukuba kubaluleke kakhulu ukuba nejwabu elifanelekileyo, njengokuvumela impendulo yendalo xa sele umdala.

Ngo-2012 iqela elisebenzayo leAmerican Academy of Pediatrics laphonononga uphando lwangoku lafumanisa ukuba izibonelelo zempilo zolwaluko olusandula kuzalwa lwamadoda zingaphezulu komngcipheko. Bacebise ukuba kubekho ukufikelela kule nkqubo kwezi ntsapho ziyikhethayo. Iintsapho kufuneka zilinganise izibonelelo zempilo kunye nemingcipheko ngokubhekisele kukhetho lwabo lobuqu kunye nenkcubeko. Izibonelelo zonyango zizodwa azinakudlula ezinye izinto eziqwalaselwayo.

Iingozi ezinxulumene nolwaluko:

• Ukopha
• Usulelo
• Ububomvu obujikeleze indawo yotyando
• Ukwenzakala kwilungu lobudoda

Olunye uphando lucebise ukuba iintsana ezingalukanga ezingamadoda zinomngcipheko okhulayo weemeko ezithile, kubandakanya:

• Umhlaza welungu lobudoda
• Izifo ezosulela ngokwabelana ngesondo, kubandakanya ne-HIV
• Usulelo lobudoda
• I-Phimosis (ukuqina kwejwabi eliyithintelayo ekurhoxiseni)
• Usulelo lomjelo womchamo

Umngcipheko okhulayo jikelele kwezi meko kucingelwa ukuba mncinci.

Ukucoceka okufanelekileyo kwepenisi kunye nezenzo ezikhuselekileyo zesondo kunokunceda ukuthintela uninzi lwezi meko. Ucoceko olufanelekileyo lubaluleke ngokukodwa kumadoda angalukanga.

Kwiintsana:

• Ixesha lokuphilisa li malunga neveki enye.
• Beka ipetroleum jelly (iVaselina) kuloo ndawo emva kokutshintsha ilweyile. Oku kunceda ukukhusela indawo yokuphilisa.
• Olunye udumba kunye noqweqwe lwerhafu olwenziwe malunga nesiza luqhelekile.

Kubantwana abadala kunye nakwishumi elivisayo:

• Ukuphilisa kungathabatha ukuya kwiiveki ezi-3.
• Kwiimeko ezininzi, umntwana uya kukhululwa esibhedlele ngosuku lotyando.
• Ekhaya, abantwana kufuneka bakuphephe ukuzilolonga ngamandla ngelixa inxeba liphola.
• Ukuba ukopha kwenzeka kwiiyure zokuqala ezingama-24 emva kotyando, sebenzisa ilaphu elicocekileyo ukufaka uxinzelelo enxebeni kangangemizuzu eli-10.
• Beka ipakethi yomkhenkce kwindawo (imizuzu engama-20 ukuya kuyo, imizuzu engama-20 yokuphumla) kwiiyure ezingama-24 zokuqala emva kotyando. Oku kunceda ukunciphisa ukudumba kunye nentlungu.

Ukuhlamba okanye ukuhlamba kuvunyelwe ixesha elininzi. Ukusikwa kotyando kungahlamba ngobunono ngesepha emnene, engenasongo.

Guqula unxibe ubuncinci kube kanye ngemini kwaye uthambise ioyile yokubulala iintsholongwane. Ukuba isinxibo simanzi, tshintsha ngokukhawuleza.

Sebenzisa amayeza entlungu njengoko kumiselwe. Amayeza obuhlungu akufuneki ukuba afuneke ngaphezulu kweentsuku ezi-4 ukuya kwezi-7. Kwiintsana, sebenzisa kuphela i-acetaminophen (iTylenol), ukuba iyafuneka.

Fowunela umnikezeli wakho ukuba:

• Ukopha okutsha kwenzeka
• I-Pus drain evela kwindawo yokusika kotyando
• Ubuhlungu buba nzima okanye buhlala ixesha elide kunokuba bekulindelwe
• Ipenisi yonke ibonakala ibomvu kwaye idumbile

Ulwaluko luthathwa njengenqubo ekhuselekileyo kubantwana abasandul 'ukuzalwa kunye nakubantwana abadala.

Ukususwa kwefosskin; Ukususwa kwejwabi; Ukhathalelo olusanda kuzalwa - ulwaluko; Unonophelo lwangaphambi kokubeleka-ulwaluko

• Foreskin
• Ulwaluko - uthotho

IAmerican Academy yePediatrics Task Force kulwaluko. Ulwaluko lwamadoda. IPediatrics. Ngo-2012; 130 (3): e756-785. IINKCUKACHA: 22926175 pubmed.ncbi.nlm.nih.gov/22926175/.

IFowler GC. Ulwaluko olusandul 'ukuzalwa kunye nenyama yeofisi. Ku: Fowler GC, ed. Iinkqubo zikaPfenninger kunye neFowler zoKhathalelo oluSisiseko. Ngomhla we-4. IPhiladelphia, PA: Elsevier; 2020: isahluko 167.

UMcCammon KA, Zuckerman JM, Jordan GH. Utyando lwepenisi kunye ne-urethra. Ku: Wein AJ, Kavoussi LR, Partin AW, Peters CA, ii-eds. UCampbell-Walsh Urology. Ngomhla we-11. IPhiladelphia, PA: Elsevier; 2016: isahluko 40.

IPapic JC, uRaynor SC. Ulwaluko. Ku: Holcomb GW, Murphy JP, St Peter SD, ii-eds. Uqhaqho lwabantwana lweHolcomb kunye neAshcraft. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2020: isahluko 60.