I-Hypospadias yintsilelo yokuzalwa yindoda apho ukuvulwa kwendlela yomchamo, irerethra, ayifumaneka kwicala lomnxeba kodwa ivula indlela eya phezulu. I-Hypospadias ithintela malunga ne-1 kuwo onke ama-150 ukuya ku-300 ekuzalweni kwabantu besilisa kunye namazinga ahlukeneyo. I-Hypospadias inamaphesenti angama-21 amathuba okuba yenzeke apho ilungu elinye lentsapho elikufutshane liye lafumana isiphumo esifanayo.
Unyango lwe Hypospadias
I-Hypospadias ilungiswa phantsi kwe-anesthetic jikelele. Uhlobo lotyando luxhomekeke kubunzima bemeko.
Ngenxa yokuba amakhwenkwe ayama ukuvuthwa kubalulekile ukuba umlambo we-urinary ulawuleke kalula, ukungabikho kolawulo ngenxa ye-hypospadias kunokukhokelela ekuhlazweni kweentlanga. Esi sizathu sezizathu zokuthi siphathwa kakuhle kwintsana, mhlawumbi phakathi kweminyaka eyi-8 ukuya kwezi-18 ubudala. Ukulungiswa kwangaphambili kwintetho kuthetha ukuba ukukhathazeka kwengqondo kunokunciphisa. Abantwana abancinci ngokuqhelekileyo ngabaphili bezilwanyana ezilungileyo kwaye abazali banokuboniswa ukunakekelwa kwilonda eliya kufunwa emva kokusebenza.
Ngamanye amaxesha imeko eyaziwa ngokuba yi-chordee, ukuguqulwa kwepenisi ekumiseni, ingaba khona, oku kuya kulungiswa ngexesha lokusebenza kwe-hypospadias. Ixesha lokubuyisela lixhomekeke kubunzima beengxaki kunye nobunzima bokuhlinzwa. Amatyala amancinci angaphathwa ngesifo sengqondo, ngamanye amaxesha unyango olunokugula lungadingeka, ingakumbi apho i-chordee iveza umntwana omnye okanye umntu ongaphatanga.
Inkqubo yokuThatha
- Iziphumo eziphambili ze-Anesthetic: Njengoko nayiphi na inkqubo yokupasa efuna i-anesthetic jikelele, imiphumo emibi ingenzeka. Ukunyamekela kokuqala kokusebenza kwakho okanye umntwana wakho uyayifumana inxalenye ebalulekileyo yokuvavanya ukhuseleko kunye neemfuno zokulungiswa kwe-hypospadias. Naluphi na iingxaki ezinokuthi ziya kuchazwa ngumntu wakho onesi-anesthetist, udokotela wezilwanyana okanye ugqirha wezigulane zogcino phambi komsebenzi wokuhlinzwa.
- Ukuphuma kwegazi emva kokulungisa i-hypospadias: Nayiphi na ukuphuma kwegazi emva kokusebenza kufuneka kuxelelwe ugqirha okanye ugqirha onoxanduva lokunyamekela emva kokusebenza. Ngokuqhelekileyo, kulindeleke ukuba igazi ligule ubukhulu becala elincinci.
- I-postoperative bladder spasm elandela ukulungiswa kwe-hypospadias: Ngezinye iinkcukacha i-spasms ye-vestile ifumaneka xa i-catheter ehlala ngaphakathi. Ugqirha ngokuqhelekileyo uyaphatha oku kunye namayeza antispasmodic, analgesia (i-painkillers), okanye ngamanye amaxesha kunye namayeza.
- Usulelo olulandelayo emva kokulungisa i-hypospadias: Usulelo luyimpembelelo yecala eliqhelekileyo kwindawo yokuhlinzwa. Oku kunokuthintelwa okanye kuthintelwe ukuhlambuluka ngokufanelekileyo kwanoma yikuphi ukugqoka kweso sithuba okanye indawo yesikhumba. Naluphina ubomvu, ukuvuvukala okanye ubukho bepus kufuneka buxelelwe kugqirha. Ngamanye amaxesha kwiimeko ezinzima kakhulu zentsholongwane, kunokunyangwa ngamayeza.
- I-stenosis ye-postoperative emva kokulungisa i-hypospadias: Oku kukunciphisa i-urethra enokuthi iqhutywe emva kokuhlinzwa kodwa inqabile. Ukudlula umchamo kunokuba nzima okanye akunakwenzeka. I-Stenosis idinga unyango olukhawulezayo.
- I-fistula yokusebenza emva kokulungiswa kwe-hypospadias: I- fistula ngumngcipheko onokuvula kwi-urethra esanda kuqulunqwa apho umchamo uvuza. Oku kuya kufuna ukulungiswa okuncinci.