I-Hypospadias iyisici sokuzalwa kwesilisa lapho ukuvulwa komgudu we-urinary, i-urethra, kungatholakali engxenyeni yepenisi kodwa kuvulwa ingxenye ephezulu. I-Hypospadias ithinta cishe u-1 kuzo zonke izinhlobo zokubeletha zesilisa ezingu-150 kuya ku-300 ezinamazinga ahlukene obukhulu. I-Hypospadias ingamaphesenti angama-21 amathuba okuba kwenzeke lapho elinye ilungu lomndeni eliseduze liye labhekana nesici esifanayo.
Ukwelashwa kwe-Hypospadias
I-hypospadias ilungiswa ngokuhlinzwa ngokuhlinzwa okujwayelekile. Uhlobo lokuhlinzwa lusekelwe ebugqineni besimo.
Ngenxa yokuthi abafana bayama ukuvuthwa kubalulekile ukuthi ukusakazwa kwe-urinary kulawulwe kalula, ukungabi nokulawulwa ngenxa ye-hypospadias kungabangela ukuhlazeka okukhulu kwezenhlalo. Lesi esinye sezizathu ukuthi kuphathwa kahle ebuntwaneni, mhlawumbe phakathi kweminyaka yobudala eyizinyanga ezingu-8 kuya kwezingu-18. Ukulungiswa kokuqala kokuhlinzwa kusho ukuthi ukuhlukunyezwa kwengqondo kungancishiswa. Izingane ezincane ngokuvamile ziphilisa abahle futhi abazali bangaboniswa ukunakekelwa kwezilonda okuzodingeka ngemuva kokusebenza.
Ngezinye izikhathi isimo esaziwa ngokuthi i-chordee, ukugoba kwe-penis ekwakhiweni, kungase kube khona, lokhu kungalungiswa ngokuhlinzwa ngesikhathi se-hypospadias. Isikhathi sokubuyisela sincike ebuqini bezinkinga kanye nobunzima bokuhlinzwa. Amacala amancane angaphathwa ngesifo sangasese, ngezinye izikhathi ukwelashwa okwelashwa kungadingeka, ikakhulukazi lapho i-chordee iveza khona umntwana oyedwa noma umuntu omdala ongaphathwa kabi.
Ukunakekelwa kokuthunyelwe
- Imiphumela emibi ye-Anesthetic: Njengenoma iyiphi inqubo yokuhlinza edinga ukuhlinzekwa kwezifo ezijwayelekile, imiphumela emibi ingenzeka. Ukunakekelwa kokuqala kokusebenza kwakho noma ingane yakho eyitholayo yingxenye ebalulekile yokuhlola ukuphepha kanye nesidingo sokulungiswa kwe-hypospadias. Noma yikuphi ukucindezeleka okungenzeka kuyobe kuchazwa ngumuntu wakho wokulwa nezinambuzane, udokotela wezingane noma udokotela ohlinzayo wezinambuzane ngaphambi kokuhlinzwa.
- Ukuphuma kwe-postoperative ngemuva kokulungisa i-hypospadias: Noma yikuphi ukuphuma kwe-post-operative kufanele kubikwe kudokotela ohlinzayo noma udokotela ophethe ukunakekelwa kokuthunyelwa komsebenzi. Ngokujwayelekile, igazi ekugqoka ubukhulu behlamvu lwemali elincane lingalindelwa.
- I-postoperative ye-vesiphyme ye-vesiphama emva kokulungisa i-hypospadias: Ngezinye izikhathi ama-spasms wesibindi ahlangene lapho kutholakala i-catheter ehlala ngaphakathi. Udokotela uvame ukuphatha lokhu ngemithi yokwelapha i-antispasmodic, i-analgesia (i-painkillers), noma ngezinye izikhathi ne-antibiotics.
- Ukwelashwa okulandelayo kulandela ukulungisa i-hypospadias: Ukutheleleka kungumphumela ovamile owenziwa endaweni yokuhlinzwa. Lokhu kungavinjelwa noma kuncishiswe ukuhlanzeka okuhle kwanoma yikuphi ukugqoka okuthunyelwe ngemuva noma isayithi lesikhumba. Noma yikuphi ukubomvu, ukuvuvukala noma ukutholakala kwe-pus kumele kubikwe kudokotela. Ngezinye izikhathi ezimweni ezinzima kakhulu zokutheleleka, zingase ziphathwe ngama-antibiotic.
- I-postoperative urethral stenosis ngemuva kokulungisa i-hypospadias: Lokhu kungukunciphisa i-urethra engase ivele ukuhlinzwa ngemuva kodwa ayivamile. Ukudlula umchamo kungaba nzima noma akunakwenzeka. Ukuphefumula kudinga ukunakekelwa okuphuthumayo.
- I-post-fistula esebenzayo ngemuva kokulungiswa kwe-hypospadias: I- fistula iyimbobo engakwazi ukuvula e-urethra esanda kusungulwa lapho umchamo uvuza khona. Lokhu kuzodinga ukulungiswa okuncane okuhlinzekwayo.