Ngaba Ndifanele Ndoluse Umntwana Wam? Ugqirha we-Urologist uyalinganisa

Umxholo

• Ulwaluko lukhona iminyaka, kodwa luya lungaqhelekanga kwezinye iinkcubeko
• Izibonelelo zolwaluko zingaphezulu komngcipheko
• Ukungaluki kunokukhokelela kwiingxaki kamva ebomini
• Isigqibo sokoluka umntwana wakho kufuneka siqale ngengxoxo

Sibona njani iimilo zehlabathi esizikhethele zona- kunye nokwabelana ngamava anyanzelisayo kunokubangela ukuba siphathane ngcono. Lo ngumbono onamandla.

Xa kungekudala abazali beza kufumanisa ukuba banenkwenkwe, abadli ngokubalekela kugqirha womchamo ukuze afumane iingcebiso malunga nokuba makangaluki umntwana wabo. Kumava am, uninzi lwabazali inqaku lokuqala lokunxibelelana ngesihloko ngugqirha wabantwana.

Oko kwathethi, ngelixa ugqirha wabantwana enokunceda ekukhanyeni kumba wolwaluko, kubalulekile ukuba uthethe nogqirha womchamo umntwana wakho esemncinci.

Ngokugqwesa kwezonyango kugxilwe kwilungu lobufazi lendoda kunye nenkqubo ye-urinary tract, ii-urologists zinokubonelela abazali ngokuqonda okucacileyo malunga nokuba ulwaluko lulungile na emntwaneni wabo, kunye nemingcipheko enxulumene nokungakwenzi oko.

Ulwaluko lukhona iminyaka, kodwa luya lungaqhelekanga kwezinye iinkcubeko

Ngelixa ulwaluko belukwamanye amazwe aseNtshona, belusenziwa amawaka eminyaka kwaye lwenziwa kwiinkcubeko ezahlukeneyo kwihlabathi liphela. Apho umntwana ahlala khona banokuluswa, ukuba kunjalo. E-United States, kwa-Israyeli, kwezinye iindawo zaseNtshona ye-Afrika nase-Gulf, umzekelo, le nkqubo ihlala isenziwa kanye emva kokuzalwa.

ENtshona Asia nakuMntla Afrika, nakwezinye iindawo kuMzantsi-mpuma weAsia, le nkqubo yenziwa xa umntwana eyinkwenkwana. Kwiindawo ezisemazantsi nasempuma yeAfrika, yenziwa nje ukuba abesilisa bafikelele kwinqanaba lokufikisa okanye ebudaleni.

Ehlabathini laseNtshona, nangona kunjalo, isihloko siye saba nempikiswano. Ukusuka kwimbono yam yezonyango, ayifanelanga ukuba njalo.

Izibonelelo zolwaluko zingaphezulu komngcipheko

IAmerican Academy of Pediatrics (AAP) icebise inkqubo iminyaka. Umbutho uthi izibonelelo zizonke zingaphezulu kobungozi, obuhlala buquka ukopha kunye nosulelo kwindawo yolwaluko.

Abantwana abaluswe njengeentsana baya kuva ubunzima bosulelo lwe-urinary-tract (pyelonephritis okanye i-UTIs), ethi, ukuba inzima, ingakhokelela kwi-sepsis.

Njengemicimbi emininzi kwezamayeza, isindululo sokoluka umntwana asisebenzi kwibhodi yazo zonke iintsana. Ngapha koko, i-AAP icebisa ukuba lo mbandela uxoxwe kwimeko nganye kunye nogqirha wosapho okanye enye ingcali efanelekileyo, enje ngugqirha wotyando lwabantwana okanye ugqirha wabantwana.

Ngelixa ukoluka akusosiqinisekiso sokuba umntwana omncinci akazukukhulisa i-UTI, abesilisa abangamakhwenkwe banokuphuhlisa usulelo ukuba abangalukanga.

Ukuba ezi zifo zenzeka rhoqo, izintso-ezisakhulayo kubantwana abancinci-zinokubola kwaye zinokuwohloka kwinqanaba lokungaphumeleli kwezintso.

Okwangoku, ngaphezulu kwexesha lobomi bendoda, umngcipheko wokuphuhlisa i-UTI ungaphezulu kwendoda eyolukileyo.

Ukungaluki kunokukhokelela kwiingxaki kamva ebomini

Ngaphandle kwenkxaso ye-AAP yolwaluko lweentsana nolwabantwana, uninzi lwabantwana baseNtshona bayaqhubeka nokuphikisa ukuba akukho sidingo sokwenza inkqubo kusana okanye umntwana.

Aba gqirha babantwana ababoni abo bantwana kamva ebomini, njengoko ndenzayo, xa beveza iingxaki zomchamo ezihlala zinxulunyaniswa nokungaluki.

Kwindlela yam yezonyango eMexico, ndihlala ndibona abantu abadala abangalukanga besiza kum:

• usulelo lwejwabi
• i-phimosis (ukungakwazi ukurhoxisa ijwabi)
• Iimfazwe ze-HPV kwijwabi
• umhlaza wepenile

Iimeko ezinje ngokusulelwa kwejwabu zikumadoda angolukanga, ngelixa i-phimosis ikhethekileyo kumadoda angolukanga. Ngelishwa, uninzi lwezigulana zam ezincinci ziza kundibona ndicinga ukuba i-phimosis yazo iqhelekile.

Oku kuqiniswa kwesikhumba kunokubangela ukuba kube buhlungu kubo ukuba babe nolwakhiwo. Ukungathethi, kunokwenza kube nzima ukucoca i-penis ngokufanelekileyo, enokubangela ukuvumba okungathandekiyo kunye nokwandisa umngcipheko wosulelo.

Nje ukuba ezi zigulana zenziwe ngenkqubo, nangona kunjalo, bayakhululeka ukuba bangabinazintlungu xa benokwakhiwa. Baziva bengcono malunga neziqu zabo, ngokubhekiselele kucoceko lomntu.

Ngelixa ingumba ophikisayo phakathi kwezazinzulu, kukwakho nengxoxo malunga nomngcipheko wosulelo lwe-HIV. Uninzi lukhombe ekwehleni komngcipheko wosulelo kunye nosulelo lwe-HIV ngamadoda awolukileyo. Ewe, amadoda awolukileyo kusafuneka enxibe iikhondom, kuba lelinye lawona manyathelo asebenzayo othintelo.

Nangona kunjalo, kufumanise ukuba ulwaluko lelinye lawona manyathelo asebenza ngokuyinxenye anokunceda ukuthintela ukosuleleka kunye nosulelo lwezifo ezosulela ngokwabelana ngesondo, kubandakanya ne-HIV.

Ngokubhekisele kwiimfazwe ze-HPV kunye neendlela ezinobundlobongela ze-HPV ezinokukhokelela kumhlaza wepenile, bekukho impikiswano kuluntu lwezonyango ixesha elide.

Kwi-2018, nangona kunjalo, amaZiko oLawulo lweNtsholongwane kunye noThintelo apapashe iphepha elibhengeza ulwaluko lwamadoda njengeyona ndlela inempumelelo yokunciphisa umngcipheko ekufuneka isetyenziswe kunye namanye amanyathelo, njengokugonya i-HPV kunye neekhondom.

Isigqibo sokoluka umntwana wakho kufuneka siqale ngengxoxo

Ndiyayiqonda into yokuba kukho impikiswano malunga nokuba ukoluka umntwana omncinci kugqitha ukuzimela kwabo kuba abanandlela yakuthatha isigqibo. Ngelixa oku kuyinkxalabo efanelekileyo, iintsapho kufuneka ziqwalasele imingcipheko yokungaluki kwabantwana babo.

Ukusuka kumava am obuchwephesha, izibonelelo zonyango zingaphezulu kakhulu komngcipheko weengxaki.

Ndicenga abazali babantwana abasandul 'ukuzalwa ukuba bathethe nogqirha womchamo ukufumanisa ukuba ukoluka yeyona ndlela ilungileyo emntwaneni wabo kwaye baqonde ngcono izibonelelo zale nkqubo.

Ekugqibeleni, esi sisigqibo sosapho, kwaye bobabini abazali kufuneka bakwazi ukuxoxa ngalo mbandela kwaye bafikelele kwisigqibo esifanelekileyo kunye.

Ukuba unqwenela ukufunda ngakumbi malunga nolwaluko, unokujonga ulwazi apha, Apha, kwaye Apha.

UMarcos Del Rosario, MD, yi-urologist yaseMexico eqinisekiswe yiBhunga leSizwe laseMexico lase-Urology. Uhlala kwaye usebenza eCampeche, eMexico. Uphumelele kwiYunivesithi yase-Anáhuac eMexico City (Universidad Anáhuac México) kwaye wagqiba ukuhlala kwakhe kwi-urology kwi-General Hospital yaseMexico (i-Hospital General de Mexico, i-HGM), enye yezona zibalulekileyo zophando kunye nokufundisa izibhedlele kweli lizwe.