Mdulidwe

Mdulidwe ndi kuchotsa khungu la mbolo.

Wothandizira zaumoyo nthawi zambiri amalepheretsa mbolo ndi mankhwala oletsa ululu asanayambe. Mankhwala osokoneza bongo atha kubayidwa pansi pa mbolo, mumtondo, kapena kupakidwa ngati zonona.

Pali njira zingapo zochitira mdulidwe. Nthawi zambiri, khungu limakankhidwira kumutu kwa mbolo ndikumangirizidwa ndi chitsulo kapena chida chamapulasitiki chokhala ngati mphete.

Ngati mpheteyo ndichitsulo, khungu limadulidwa ndikutulutsa chitsulo. Chilonda chimachira masiku 5 mpaka 7.

Ngati mpheteyo ndi ya pulasitiki, chidutswa cha suture chimamangiriridwa molimba kuzungulira khungu. Izi zimakankhira minofuyo m'mimbamo yapulasitiki pamwamba pamutu pa mbolo. Pakadutsa masiku 5 mpaka 7, pulasitiki yophimba mbolo imagwa pansi, ndikusiya mdulidwe wochiritsidwa.

Mwana atha kupatsidwa zotsekemera zotsekemera panthawiyi. Tylenol (acetaminophen) atha kuperekedwa pambuyo pake.

Kwa anyamata achikulire ndi achinyamata, mdulidwe umachitika nthawi zambiri pochita dzanzi kotero kuti mnyamatayo amagona komanso samva kuwawa. Khungu limachotsedwa ndi kusokedwa pakhungu lotsalira la mbolo. Zingwe zomwe zimasungunuka zimagwiritsidwa ntchito potseka chilondacho. Adzalowetsedwa ndi thupi mkati mwa masiku 7 mpaka 10. Chilondacho chingatenge mpaka milungu itatu kuti chichiritse.

Mdulidwe umachitidwa mwa anyamata athanzi pazikhalidwe kapena zachipembedzo. Ku United States, mwana wakhanda amadulidwa nthawi zambiri asanatuluke kuchipatala. Anyamata achiyuda, komabe, amadulidwa ali ndi masiku 8.

M'madera ena padziko lapansi, kuphatikiza Europe, Asia, ndi South ndi Central America, mdulidwe sapezeka kawirikawiri pakati pa anthu.

Ziyeneretso za mdulidwe zatsutsana. Malingaliro okhudzana ndi mdulidwe mwa anyamata athanzi amasiyanasiyana pakati pa omwe amapereka. Ena amakhulupirira kuti pali phindu lalikulu kukhala ndi khungu losakhazikika, monga kuloleza kuchita zachiwerewere mukakula.

Mu 2012 gulu logwira ntchito ku American Academy of Pediatrics linawunikanso kafukufuku waposachedwa ndikuwona kuti maubwino azaumoyo a mdulidwe wamwamuna wobadwa kumene amaposa chiopsezo. Iwo alangiza kuti payenera kukhala njira yothandizira njirazi kwa mabanja omwe amasankha. Mabanja ayenera kuyeza maubwino ndi zoopsa zawo malinga ndi zomwe amakonda komanso chikhalidwe chawo. Maubwino azachipatala okha sangakhale opitilira zina izi.

Zowopsa zokhudzana ndi mdulidwe:

• Magazi
• Matenda
• Kufiira kuzungulira malo opangira opaleshoni
• Kuvulaza mbolo

Kafukufuku wina wanena kuti makanda achimuna osadulidwa amakhala pachiwopsezo chazinthu zina, kuphatikiza:

• Khansa ya mbolo
• Matenda ena opatsirana pogonana, kuphatikizapo HIV
• Matenda a mbolo
• Phimosis (kulimba kwa khungu lomwe limalepheretsa kubweza)
• Matenda a mkodzo

Kuwonjezeka kwangozi pachiwopsezo ichi kumalingaliridwa kuti ndi kochepa.

Ukhondo woyenera wa mbolo ndi machitidwe ogonana otetezeka zitha kuthandiza kupewa izi. Ukhondo ndi wofunika makamaka kwa amuna osadulidwa.

Kwa ana obadwa kumene:

• Nthawi yochiritsa ndi pafupifupi sabata imodzi.
• Ikani mafuta odzola (Vaselini) pamalowo mutasintha thewera. Izi zimathandiza kuteteza malo ochiritsira.
• Mapangidwe ena otupa ndi achikasu kuzungulira tsambalo ndi abwinobwino.

Kwa ana okalamba ndi achinyamata:

• Kuchiritsa kumatha kutenga milungu itatu.
• Nthawi zambiri, mwana amatulutsidwa mchipatala patsiku la opareshoni.
• Kunyumba, ana ayenera kupewa kuchita zolimbitsa thupi chilonda chikapola.
• Ngati magazi akutuluka pakadutsa maola 24 mutachitidwa opaleshoni, gwiritsani ntchito nsalu yoyera kuti mupanikize chilondacho kwa mphindi 10.
• Ikani phukusi la madzi oundana m'derali (mphindi 20, mphindi 20) kwa maola 24 oyamba atachitidwa opaleshoni. Izi zimathandiza kuchepetsa kutupa ndi kupweteka.

Kusamba kapena kusamba kumaloledwa nthawi zambiri. Mdulidwewo ukhoza kutsukidwa pang'ono ndi sopo wofewa, wopanda sopo.

Sinthani kavalidwe kamodzi patsiku ndikugwiritsa ntchito mafuta opha tizilombo. Ngati mavalidwe anyowa, sinthani mwachangu.

Gwiritsani ntchito mankhwala opweteka omwe mwalamulidwa. Mankhwala opweteka sayenera kukhala ofunikira kuposa masiku 4 kapena 7. Kwa makanda, gwiritsani ntchito acetaminophen (Tylenol), ngati kuli kofunikira.

Itanani omwe akukuthandizani ngati:

• Kutuluka magazi kwatsopano kumachitika
• Mafinya amatuluka kuchokera kumalo odulira opareshoni
• Ululu umakhala waukulu kapena umatenga nthawi yayitali kuposa momwe amayembekezera
• Mbolo yonse imawoneka yofiira komanso yotupa

Mdulidwe umaonedwa ngati njira yotetezedwa kwambiri kwa akhanda ndi ana okulirapo.

Kuchotsa khungu; Kuchotsa khungu; Chisamaliro chatsopano - mdulidwe; Neonatal care - mdulidwe

• Zojambula
• Mdulidwe - mndandanda

American Academy of Pediatrics Task Force pa Mdulidwe. Mdulidwe wamwamuna. Matenda. 2012; 130 (3): e756-785. (Adasankhidwa) PMID: 22926175 pubed.ncbi.nlm.nih.gov/22926175/.

Fowler GC. Mdulidwe wa wakhanda komanso nyama yantchito. Mu: Fowler GC, mkonzi. Njira za Pfenninger ndi Fowler Zoyang'anira Poyamba. Wolemba 4. Philadelphia, PA: Elsevier; 2020: chap 167.

McCammon KA, Zuckerman JM, Jordan GH. Opaleshoni ya mbolo ndi urethra. Mu: Wein AJ, Kavoussi LR, Partin AW, Peters CA, olemba. Urology wa Campbell-Walsh. 11th ed. Philadelphia, PA: Elsevier; 2016: chap 40.

Papic JC, Raynor SC. Mdulidwe. Mu: Holcomb GW, Murphy JP, St. Peter SD, olemba. Opaleshoni ya Ana ya Holcomb ndi Ashcraft. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2020: chap 60.