I-Hypospadias Icacisiwe: Isikhokelo esipheleleyo

Iihypospadias yimeko yonyango eqhelekileyo echaphazela imveku eyindoda. Yimeko echaphazela umntwana oyindoda omnye kwabangama-1 abazalwayo. Imeko efana hypospadias kuthathwa njengesiphene sokuzalwa okanye ukukhula okungaqhelekanga komntwana ongekazalwa.

Le meko ayibulali kodwa inokubangela iziphumo ebezingalindelekanga ezininzi eziphazamisa indlela ophila ngayo ukuba ayilungiswanga kwangoko. Omnye wemiba eqhelekileyo ebangelwa ngenxa hypospadias is ukungafezeki kwamadoda.

Malunga neSifo

Kwilungu lobudoda elisempilweni, i-urethra kulapho umchamo kunye nesidoda zihamba zisiya kwincam okanye kwintloko yelungu lobudoda ngeshafti yelungu lobudoda ukuya kwintunja eyikhupha emzimbeni wakho.

Izigulane hypospadias ube nesigaba sophuhliso esingaqhelekanga ngelixa ukhula njengomntwana ongekazalwa ebangela ukuvulwa kuphuhle kwezinye iindawo zescrotum, perineum, okanye i-penile shaft kunencam. Ukuhamba kwedlozi kunye nomchamo kutshintshwa kwindawo yokuvula entsha. Oku kunokunqanda indoda ekuchameni kwindawo yokuma, iphazamise inkqubo yokukhupha, kwaye yenze kube nzima ukuyicoca, ekhokelela kwizifo ezincinci.

Kufuphi, hypospadias kuxa uphuhliso lokuvula kwintloko yelungu lobudoda lungaqhelekanga okanye lufuduswa. Kwiimeko ezininzi, oku kukho ekuzalweni kwangaphambi kwexesha, kodwa ezinye izizathu zale meko ziquka:

• Iziphene zemfuza
• Ukutshaya okanye ukusetyenziswa kotywala ngexesha lokukhulelwa kubangela isiphene
• IiHormones ezisetyenziswa ngexesha lonyango lokuzala
• Ukuvezwa kwizibulali zinambuzane ngexesha lokukhulelwa
• Ubunzima bomama buthintela ukusetyenziswa kwezondlo ngexesha lokukhula komntwana

Iindaba ezimnandi zezokuba le meko ayibulali, kwaye akukho nzima ukuyilungisa.
Ngaphambi kokuba sithethe ngonyango lwale meko, nangona kunjalo, masiqale sijonge indlela yokuchonga hypospadias.

iimpawu

Iihypospadias ingabonakalisa kwiifom ezintathu ngokuxhomekeke kwindawo yokuvula i-penile shaft. Zezi:

• I-subcoronal Hypospadias: Oku kuxa umngxuma we-urethral unomngxuma kufuphi nentloko yelungu lobudoda
• I-Midshaft Hypospadias: Eli lixesha lokuvula naphi na ecaleni kwe-shaft
• Ipenoscrotal Hypospadias: Eli lixesha apho indawo ikwi-scrotum, perineum, okanye kwindawo apho ipipi kunye nescrotum zidibana khona.

Kwiimeko ezinqabileyo, i-penis inokugoba kwi-arch ejonge ezantsi. Le meko ibizwa ngokuba chordee kwaye inokubonwa ngokucacileyo kwi-penile erection.

Indawo yokuvula yodwa uphawu olunokuthi lubonwe ngokubonakalayo. Ngophando olongezelelweyo, uya kubhekiswa kwi-urologist ngugqirha wakho jikelele okanye ugqirha wabantwana.

Xa oogqirha bechonga uhlobo lwe hypospadias wena okanye umntwana wakho unokuba nalo, baya kucebisa uhlobo olufanelekileyo lonyango.

Unyango

Uninzi lwamagqirha luya kuncoma unyango olusekelwe kwindawo yokuvula. Kwimeko ye-subcorneal hypospadias, ukuba isikhundla sisondele kakhulu entloko okanye kwindawo yokuqala, oogqirha banokuncoma ukushiya yedwa.

Ekuphela kwendlela yonyango lwale meko lutyando. Ngenxa yesi sizathu, kuxhomekeke ekuxilongweni, oogqirha banokuncoma ukuba bangenzi ulwaluko. Oku kungenxa yokuba utyando lwenziwa ngokusebenzisa iinxalenye zejwabu lobudoda ukulungisa umngxuma wokuvula umngxuma we-shaft kunye nokubuyisela umngxuma womchamo entloko.

Kwimeko yotyando, inkqubo inokufuna ugqirha wotyando ukuba alungelelanise ilungu lobudoda kunye nokuhambisa urethra. Oku kwenziwa ukunceda umjelo womchamo wesigulana ukuba uzilawule ecaleni kweshafti ukuya kwindawo entsha yokuchama.

Le nkqubo iya kufuna i-anesthesia kwaye ayinakwenziwa ngelixa isigulane sisazi. Inkqubo ithathwa njengento encinci, kwaye isigulane sinokuthi, kwiimeko ezininzi, sikhutshwe ngosuku lwenkqubo ngokwayo.

Kwiimeko ezininzi, utyando lwenziwa kubantwana abaneenyanga ezintathu ukuya kwiinyanga ezili-18 ubudala. Ukuba ugqirha wakho akazange axilonge okanye enze olu tyando kumntwana wakho okanye kuwe ngeli xesha, kukhuselekile ukulenza kumntu omdala okhulileyo.

Iihypospadias yimeko ekhuselekileyo nethe ngqo ebantwaneni kodwa inokuba yinkqubo entsonkothileyo yokwenza kubantu abadala. Amathuba okuphumelela asephezulu, kodwa inkqubo inokuthatha ixesha elide kwaye ibangele ukungahambi kakuhle ngexesha lenkqubo yokubuyisela.

Imingcipheko kunye neengxaki

I-Hypospadias, ukuba ishiywe ingaphathwa, inokukhokelela kwimingcipheko efana nale:

• Ukungenzi lutho
• Ukonyuka kwamathuba e-UTIs (Ukosuleleka kwiphecana lomchamo)
• Iingxaki zokuhamba komchamo
• Ukungasebenzi kwe-Erectile

Ukuqapha

Ukushiya hypospadias Ukunganyangwa kunokukhokelela kwiingxaki ezininzi, kubandakanywa nosulelo oluphindaphindiweyo olubangelwa yi-shaft ye-urethral ecocekileyo. Inokubangela iingxaki zokuchuma kunye nemiba kumlambo womchamo.

Kubalulekile ukuqaphela oko hypospadias yimeko echaphazela amadoda kuphela. Ayifani ne epispadias ebangela iingxaki ngeenkqubo ze-embryological ezichaphazela amadoda kunye nabasetyhini. Nangona kulula ukudideka ngenxa yokubonakaliswa kwabo okufanayo, amanyathelo okhuseleko kufuneka athathwe ngexesha lenkqubo yokuxilonga ukuba ingaxubanisi ezimbini.

Ingcebiso yokutya

Ubume bomzimba bemeko ayinakuguqulwa ngayo nayiphi na ukutya. Nangona kunjalo, oogqirha baya kuncoma ukutya okulula ngaphandle kokutya ukutya kwiiyure ezimbalwa ezikhokelela kuqhaqho. Le yinkqubo eqhelekileyo yotyando oluninzi ukuqinisekisa ukuba akukho miphumo emibi ebangelwa yi-anesthesia esetyenziswe ngexesha lenkqubo.

FAQs

1. Kwenzeka ntoni ukuba i-hypospadias ayiphathwa?Ukuba ishiywe inganyangwa, hypospadias kunokukhokelela ukungafezeki kwamadoda okanye iingxaki zokuchuma, ukunyuka kwamathuba osulelo lokuchama, kunye neengxaki zomlambo.
2. Uyifumanisa njani i-hypospadias?Kwiimeko ezininzi, hypospadias inokuxilongwa ngokubona. Ingxaki yezinye iimeko zokujonga ezifanayo ezifana epispadias nto leyo ekhokelela kuxilongo olungelulo ngabo bangezongcali. Ukuxilonga imeko ngokuchanekileyo, ukutyelela i-urologist kuyimfuneko.
3. Ngaba i-hypospadias yemfuza?Ukuzalwa kwangaphambi kwexesha kudla ngokubangela iimeko ezifana ne-hypospadias, kodwa unobangela wesibini ophambili wale meko lufuzo.
4. Ngaba i-hypospadias inokuzilungisa?Hayi, ngelishwa, hypospadias sisiphene sokuzalwa esingakwaziyo ukuzilungisa. Ingashiywa ingaphathwanga ukuba iluhlobo lwe-subcorneal hypospadias, kodwa ekuphela kwenketho yolungiso lutyando.
5. Imeko yokulungiswa kwe-hypospadias ineminyaka emingaphi?Uninzi lweemeko zokulungiswa kwe-hypospadias zenzeka kubantwana abaphakathi kweminyaka eyi-3-iinyanga ukuya kwiinyanga ezili-18 ubudala.