I-Phimosis: yintoni, uyichonga njani kwaye uyiphatha njani

Umxholo

• Indlela yokuchonga
• Iindidi ze-phimosis
• 1. IPhysical phimosis
• 2. I-pathological or secondary phimosis
• 3. I-phimosis yabasetyhini
• Unyango lwenziwa njani

I-Phimosis kukugqitha kolusu, ngokwenzululwazi olubizwa ngokuba lijwabi, eligubungela intloko yelungu lobudoda, lubangele ubunzima okanye ukungakwazi ukutsala kolusu kunye nokuveza intloko yelungu lobudoda.

Le meko ixhaphakile kubafana abangamakhwenkwe kwaye ihlala inyamalala kwiimeko ezininzi ukuya kuthi ga kwi-1 yeminyaka ubudala, ukuya kwinqanaba elincinci ukuya kuthi ga kwiminyaka emi-5 okanye kuphela ekufikisa, ngaphandle kwesidingo sonyango oluthile. Nangona kunjalo, xa ulusu lungahlali ngokwaneleyo ekuhambeni kwexesha, kusenokufuneka usebenzise ioyile ethile okanye wenze utyando.

Ukongeza, ezinye iimeko zinokubangela i-phimosis ebudaleni, njengosulelo okanye iingxaki zolusu, umzekelo, ezinokubangela iintlungu okanye ukungonwabi xa usabelana ngesondo okanye usulelo lomchamo. Kule meko, kubalulekile ukuba uqhagamshelane nomchamo ukuqala olona nyango lufanelekileyo, oluqhele ukwenziwa ngotyando.

Indlela yokuchonga

Olona hlobo kuphela kwendlela yokuchonga nokuqinisekisa ubukho be-phimosis kukuzama ukubuyisa ulusu ngokugubungela i-glans yelungu. Xa kungenakwenzeka ukubona i-glans ngokupheleleyo, oku kubonisa i-phimosis, enokuthi ihlelwe ibe ngama-5 ahlukeneyo:

• IBakala 1: kunokwenzeka ukutsala ngokupheleleyo ijwabi, kodwa isiseko se-glans sigqunywe ngolusu kwaye kunokuba nzima ngakumbi ukubuya nolusu phambili;
• IBakala 2: Kuyenzeka ukuba utsale ijwabi, kodwa ulusu aludluli kwinxalenye ebanzi yeglasi;
• IBakala 3: Kunokwenzeka ukutsala i-glans kuphela kwindawo yokuchama;
• IBakala 4: ukuqokelelana kolusu kukhulu kangangokuba ukurhoxiswa kwejwabi kuncitshisiwe kakhulu, kwaye akunakwenzeka ukubhenca glans;
• IBakala 5: uhlobo olunzima ngakumbi lwe-phimosis apho ulusu lwejwabi alunakutsalwa, kwaye akunakwenzeka ukuba lubonakalise i-glans.

Nangona inqanaba le-phimosis lingabalulekanga ekuthatheni isigqibo ngonyango olulungileyo, oluxhomekeke ikakhulu kubudala benkwenkwe, olu luhlu lunokuba luncedo ekuchongeni i-phimosis kunye nokujonga inkqubela phambili yonyango. Ngokubanzi, ukuqinisekiswa kokuqala kobukho be-phimosis kwenziwa kusana olusandul 'ukuzalwa, kwaye uvavanyo lomzimba lwenziwa ngugqirha wabantwana.

Kwimeko ye-phimosis yesibini, enokubonakala kwinqanaba lokufikisa okanye ebudaleni, indoda ngokwayo iyakwazi ukubona ukuba kukho nabuphi na ubunzima ekubuyiseni ulusu okanye iimpawu ezinjengokubomvu, iintlungu, ukudumba okanye ukopha entlokweni yelungu lobudoda okanye ngaphakathi. ijwabi, okanye iimpawu zosulelo lomchamo ezinje ngeentlungu okanye ukutshisa xa uchama. Kwezi meko, kuyacetyiswa ukuba ubonane nogqirha womchamo ngokukhawuleza ukwenza uvavanyo lwelabhoratri olufana nokubalwa kwegazi, uvavanyo lomchamo okanye uvavanyo lwenkcubeko yebacteria, umzekelo.

Iindidi ze-phimosis

I-Phimosis inokuhlelwa kwiindidi ezithile ngokwesizathu kunye neempawu zayo, eziphambili zezi:

1. IPhysical phimosis

I-phimosis ye-Physiological okanye i-phimosis lolona hlobo luqhelekileyo lwe-phimosis kwaye inokubakho kwasekuzalweni kwamakhwenkwe abantwana kwaye yenzeka ngenxa yokunamathela okuqhelekileyo phakathi komaleko ongaphakathi wejwabi kunye ne-glans, eyintloko yelungu lobudoda, eyenza ukurhoxa ngokupheleleyo ijwabi elinzima ngakumbi.

2. I-pathological or secondary phimosis

Olu hlobo lwe-phimosis lunokubonakala nakweliphi na inqanaba lobomi njengesiphumo sokudumba, usulelo oluphindaphindiweyo okanye umothuko walapha ekhaya, umzekelo. Esinye sezizathu eziphambili ze-pathological phimosis kukungabikho kococeko kwilungu lobudoda elibangela ukuqokelela ukubila, ubumdaka, ibhaktheriya okanye ezinye iintsholongwane, ezibangela usulelo olunokukhokelela kukudumba okubizwa ngokuba yi-balanitis okanye i-balanoposthitis.

Ukongeza, ezinye izifo zolusu ezifana ne-eczema, i-psoriasis okanye i-lichen planus, eshiya ulusu lobudoda ngokungalingani, ukurhawuzelela nokucaphuka, kunokubangela i-phimosis yesibini.

Kwezinye iimeko ze-phimosis, ulusu luxinene kangangokuba nomchamo unokubanjiswa ngaphakathi kwesikhumba, ukonyusa umngcipheko wosulelo lomchamo. I-Phimosis inokubangela iingxaki ezinje ngobunzima ekucoceni ummandla, ukwanda kwengozi yosulelo lomchamo, iintlungu ekwabelaneni ngesondo, ubukhulu becala ukuba nosulelo olosulela ngokwabelana ngesondo, i-HPV okanye umhlaza wepenile, ukongeza ekunyuseni umngcipheko wokuba neparaphimosis. kuxa ijwabu libambekile kwaye lingaphinde lisigqume i-glans.

3. I-phimosis yabasetyhini

Nangona kunqabile, kunokwenzeka ukuba abasetyhini babe ne-phimosis, le meko ibonakaliswa kukunamathela kwemilebe encinci yelungu lobufazi, egubungela ukuvulwa kwelungu lobufazi, nangona kunjalo oku kubambelela akungeni nakwiclitoris okanye urethra, elijelo ogqithisa umchamo.

Njengakwabafana, i-phimosis yabasetyhini inokuconjululwa ngokuhamba kwexesha ngokwentombazana. Nangona kunjalo, ukuba ukubambelela kuyaqhubeka, kunokuba yimfuneko ukwenza unyango oluthile ekufuneka lucetyisiwe ngugqirha wabantwana okanye ugqirha wabasetyhini. Bona ngakumbi malunga ne-phimosis yabasetyhini.

Unyango lwenziwa njani

Unyango lwe-phimosis yobuntwana kufuneka luhlale lukhokelwa ngugqirha wabantwana kwaye unyango oluthile alusoloko luyimfuneko, kuba i-phimosis inokuconjululwa ngokwendalo kude kube yiminyaka emi-4 okanye emi-5 ubudala. Kodwa ukuba emva kweli nqanaba i-phimosis iyaqhubeka, unyango olunamafutha aqukethe i-corticosteroids kunye nokuzilolonga ekubuyiseni ijwabi okanye uqhaqho emva kweminyaka emi-2 ubudala kunokuba yimfuneko.

Unyango lwe-phimosis yesibini, kwelinye icala, kufuneka lwenziwe phantsi kwesikhokelo se-urologist esinokubonisa utyando okanye ukumisela i-ointments ye-antibacterial nge-clindamycin okanye i-mupirocin okanye ii-antifungal agents ezinje nge-nystatin, clotrimazole okanye terbinafine, kuxhomekeke kuhlobo lwe-microorganism ebangela phimosis.

Ukongeza, ukuba i-phimosis yesibini yenzeka ngenxa yosulelo olosulela ngokwabelana ngesondo, ugqirha womchamo kufuneka anyange usulelo ngee-antibiotics okanye ii-antivirals ngomlomo.

Funda ngakumbi malunga nonyango lwe-phimosis.