I-Hypospadias: Yintoni, ziindidi kunye nonyango

Umxholo

• Iindidi eziphambili zehypospadias
• Iimpawu ezinokwenzeka
• Unyango lwenziwa njani

I-Hypospadias sisiphene semfuza kumakhwenkwe abonakaliswa kukuvulwa okungaqhelekanga kwe-urethra kwindawo ephantsi kwepenisi kunokuba incam. I-urethra ngumjelo ophuma kuwo umchamo, kwaye kwesi sizathu esi sifo sibangela ukuba umchamo uphume uye endaweni engeyiyo.

Le ngxaki iyanyangeka kwaye unyango lwayo kufuneka lwenziwe kwiminyaka emi-2 yokuqala yobomi bomntwana, ngotyando ukuze kulungiswe ukuvulwa komchamo.

Iindidi eziphambili zehypospadias

I-Hypospadias yahlulwe yaziindidi ezi-4 eziphambili, ezahlulwe ngokokuvulwa kwe-urethra, ebandakanya:

• Kude: kuvulwa urethra ibekwe kwindawo ethile kufutshane nentloko lobudoda;
• UPenile: Ukuvuleka kubonakala ecaleni komzimba wobudoda;
• Efanelekileyo: kuvulwa urethra ibekwe kummandla kufutshane kwisingxobo samatyhalarha;
• Ngqo: luhlobo olunqabileyo, ngokuvuleka kwethambo le-urethra elikufutshane ne-anus, okwenza ukuba i-penis iphuculwe kancinci kunesiqhelo.

Ukongeza kolu lwakhiwo, kukwakho nokwenzeka ukuba ukuvuleka komchamo kungabonakala ngaphezulu kwelungu lobudoda, nangona kunjalo, kule meko ukungalunganga kuyaziwa njenge-epispadia. Jonga ukuba sisiqendu sithini kwaye siphathwa njani.

Iimpawu ezinokwenzeka

Iimpawu zeHypospadias ziyahluka ngohlobo lwesiphene esiveliswe yinkwenkwe, kodwa ihlala ibandakanya:

• Ulusu olugqithisileyo kwindawo yejwabi, incam yelungu lobudoda;
• Ukungabikho kokuvula kwe-urethra kwintloko yelungu lobufazi;
• Ilungu lobufazi xa limile alilunganga, libonisa uhlobo lwehuku;
• Umchamo awuhambeli phambili, kwaye inkwenkwe ifuna ukuchama ihleli.

Xa inkwenkwe inezi mpawu, kuyacetyiswa ukuba ubonane nogqirha wabantwana ukufumanisa ingxaki kwaye uqale unyango olufanelekileyo. Nangona kunjalo, kuqhelekile ukuba ii-hypospadias zichongwe nakwiwadi yokubeleka, kwiiyure zokuqala emva kokuzalwa xa ugqirha esenza uvavanyo lomzimba.

Unyango lwenziwa njani

Olona hlobo kuphela lokunyanga ii-hypospadias kukuba kwenziwe utyando ukulungisa ukuvulwa kwe-urethra kwaye, ngokufanelekileyo, utyando kufuneka lwenziwe phakathi kweenyanga ezi-6 kunye neminyaka emi-2 ubudala. Ke ngoko, ulwaluko kufuneka luthintelwe ngaphambi kotyando, njengoko kunokuba yimfuneko ukusebenzisa ulusu lwejwabi ukwakha ngokutsha ilungu lobudoda lomntwana.

Ngexesha lotyando, ukuvulwa okungalunganga kwe-urethra kuvaliwe kwaye ukuphuma okutsha kwenziwa kwincam yelungu lobudoda, kuphucula ubuhle besini kunye nokuvumela umsebenzi oqhelekileyo wesondo kwixa elizayo.

Emva kotyando, umntwana uvalelwa iintsuku ezi-2 ukuya kwezi-3, kwaye angabuyela ekhaya enze imisebenzi yesiqhelo. Nangona kunjalo, kwezi veki zintathu zilandelayo, abazali kufuneka bakuphaphele ukuvela kweempawu zosulelo kwindawo yotyando, njengokudumba, ukuba bomvu okanye iintlungu eziqatha, umzekelo.

Esinye isifo esithintela inkwenkwe ukuba ichame ngesiqhelo sisifo se-phimosis, ke jonga apha iimpawu zayo kunye nendlela yokuphatha la matyala.