Ukulungiswa kwehypospadias

Ukulungiswa kwehypospadias lutyando ukulungisa isiphene ekuvulekeni kwelungu lobudoda elikhona xa kuzalwa. I-urethra (ityhubhu ehambisa umchamo kwisinyi ukuya ngaphandle komzimba) ayipheleli kwincam yelungu lobudoda. Endaweni yoko, iphelela ezantsi kwepenisi. Kwiimeko ezinzima kakhulu, i-urethra ivula embindini okanye ezantsi kwilungu lobudoda, okanye ngaphakathi okanye ngasemva kweprototum.

Ukulungiswa kwehypospadias kwenziwa rhoqo xa amakhwenkwe aphakathi kweenyanga ezi-6 kunye neminyaka emi-2 ubudala. Olu tyando lwenziwa njengesigulana esingaphandle. Umntwana kunqabile ukuba achithe ubusuku esibhedlele. Amakhwenkwe azelwe ene-hypospadias akufuneki aluke xa ezalwa. Izicubu ezongezelelweyo zejwabi kunokufuneka ukuba zilungiswe iihypospadias ngexesha lotyando.

Ngaphambi kotyando, umntwana wakho uya kufumana i-anesthesia ngokubanzi. Oku kuya kumenza alale kwaye kumenze angakwazi ukuziva iintlungu ngexesha lotyando. Iziphene ezinobulali zinokulungiswa kwinkqubo enye. Iziphene ezinzima zinokufuna iinkqubo ezimbini nangaphezulu.

Ugqirha uya kusebenzisa iqhekeza elincinci lejwabu okanye izicubu ezivela kwenye indawo ukwenza ityhubhu eyonyusa ubude be-urethra. Ukwandisa ubude be-urethra kuya kuyivumela ukuba ivule kwincam yelungu lobudoda.

Ngexesha lotyando, ugqirha wotyando unokubeka i-catheter (ityhubhu) kwi-urethra ukuyenza ibambe imeko yayo entsha. I-catheter inokuthungwa okanye ibotshelelwe entloko yelungu lobudoda ukuze ihlale ikwindawo. Iyakususwa kwiiveki ezi-1 ukuya kwezi-2 emva kotyando.

Uninzi lwezitishi ezisetyenziswe ngexesha lotyando ziya kuzinyibilikisa zodwa kwaye akuyi kufuneka zisuswe kamva.

I-Hypospadias yenye yezona ziphene zixhaphakileyo ngokuzalwa kubafana. Olu tyando lwenziwa kuninzi lwamakhwenkwe azelwe enengxaki.

Ukuba ukulungiswa akukwenziwanga, iingxaki zinokubakho kamva kwezi zilandelayo:

• Ubunzima bokulawula kunye nokuhambisa umjelo womchamo
• Ijika kwilungu lobudoda ngexesha lokwakha
• Ukuncipha kokuchuma
• Iintloni malunga nokubonakala kwepenisi
  
  

Utyando aludingeki ukuba imeko ayichaphazeli ukuchama okuqhelekileyo ngelixa umile, umsebenzi wesondo, okanye idipozithi yesidoda.

Iingozi zale nkqubo zibandakanya:

• Umngxuma ovuza umchamo (fistula)
• Igazi elikhulu legazi (hematoma)
• Ukuqhekeka okanye ukunciphisa i-urethra elungisiweyo

Umboneleli wezempilo womntwana unokucela imbali yezonyango epheleleyo kwaye enze uvavanyo lomzimba ngaphambi kwenkqubo.

Soloko uxelela umboneleli:

• Ngawaphi amayeza asetyenziswa ngumntwana wakho
• Iziyobisi, amayeza kunye neevithamini umntwana wakho azisebenzisayo ozithengileyo ngaphandle kommiselo
• Nakuphi na ukwaliwa ngumntwana wakho kunyango, kwi-latex, kwi-tape, okanye ekucoceni ulusu

Buza umboneleli womntwana ukuba zeziphi iziyobisi umntwana wakho afanele ukuzithatha ngosuku lotyando.

Ngomhla wotyando:

• Umntwana wakho uhlala ecelwa ukuba angaseli okanye atye nantoni na emva kobusuku bobusuku ngaphambi kokuhlinzwa okanye iiyure ezi-6 ukuya kwezi-8 ngaphambi kotyando.
• Nika umntwana wakho naziphi na iziyobisi umboneleli wakho akuxelele ukuba unike umntwana wakho ngamanzi amancinci.
• Uya kuxelelwa ukuba uza kufika nini kotyando.
• Umboneleli uya kuqinisekisa ukuba umntwana wakho uphilile ngokwaneleyo ukuba angahlinzwa. Ukuba umntwana wakho uyagula, utyando lunokulibaziseka.

Kanye emva koqhaqho, incanca yomntwana inokudityaniswa isisu sakhe ukuze ingahambi.

Rhoqo, inxitywa enkulu okanye ikomityi yeplastiki ibekwa ngaphezulu kwelungu lobudoda ukukhusela indawo yotyando. I-catheter yomchamo (ityhubhu esetyenziselwa ukukhupha umchamo kwisinyi) iya kufakwa ngokunxiba ukuze umchamo ukwazi ukungena kwilweyile.

Umntwana wakho uya kukhuthazwa ukuba asele iziselo ukuze achame. Ukuchama kuya kugcina uxinzelelo ekwakheni i-urethra.

Umntwana wakho anganikwa iyeza lokuphelisa iintlungu. Uninzi lwexesha, umntwana angashiya isibhedlele kwangolo suku olunye ngotyando. Ukuba uhlala kude nesibhedlele, unokufuna ukuhlala ehotele kufutshane nesibhedlele ubusuku bokuqala emva kotyando.

Umboneleli wakho uya kuchaza indlela yokunyamekela umntwana wakho ekhaya emva kokushiya esibhedlele.

Olu tyando luhlala ixesha elide. Uninzi lwabantwana luqhuba kakuhle emva kolu tyando. Ilungu lobudoda liya kujongeka phantse okanye liqheleke ngokupheleleyo kwaye lisebenze kakuhle.

Ukuba umntwana wakho une-hypospadias enzima, unokufuna imisebenzi ethe kratya ukuphucula ukubonakala kwepenisi okanye ukulungisa umngxunya okanye ukunciphisa umchamo.

Ukutyelela ngokulandela ugqirha kunokufuneka emva kokuba utyando luphile. Amakhwenkwe ngamanye amaxesha kuya kufuneka atyelele i-urologist xa efikisa.

Urethroplasty; Inyama yenyama; Glanuloplasty

• Ukulungiswa kwehypospadias-ukukhutshwa
• Ukuzivocavoca kukaKegel-ukuzikhathalela
• Unonophelo lwenxeba lotyando - luvulekile

• Iihypospadias
• Ukulungiswa kwehypospadias-uthotho

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Umdala JS. Iimpawu ezingafaniyo zobudoda kunye ne-urethra. 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 559.

ISnodgrass WT, iBush NC. Iihypospadias. Ku: Wein AJ, Kavoussi LR, Partin AW, Peters CA, ii-eds. UCampbell-Walsh Urology. Ngomhla we-11. IPhiladelphia, PA: Elsevier; Ngo-2016: isahl. 147.

UThomas JC, uBrock JW. Ukulungiswa kwee-hypospadias ezingqinelanayo. Ku: Smith JA Jr, Howards SS, Preminger GM, Dmochowski RR, ii-eds. I-Atlas ye-Hinman yoNyango lwe-Urologic. Ngomhla we-4. IPhiladelphia, PA: Elsevier; I-2018: isahluko 130.