Kudulidwa Kukhala Wamkulu

Zamkati

• Mdulidwe ndi chiyani?
• Zikhulupiriro zofananira pazabwino za mdulidwe wa akulu
• Kuchepetsa chiopsezo cha HIV ndi matenda ena opatsirana pogonana
• Kuchepetsa chiopsezo cha matenda amkodzo
• Kupewa matenda ndi kukwiya
• Kulimbitsa ukhondo
• Kutsata zipembedzo
• Kuchepetsa chiopsezo cha khansa
• Kuopsa kwa mdulidwe wa akuluakulu
• Momwe zachitikira
• Kubwezeretsa nthawi
• Malangizo a posturgical care
• Zotsatira zanu zidzakhala zotani?
• Kutenga

Mdulidwe ndi chiyani?

Mdulidwe ndi kuchotsa khungu. Chikopa chimaphimba kumutu kwa mbolo yamphongo. Mbolo ikakhala chilili, khungu limakokera kumbuyo kuti liulule mbolo.

Mukamachita mdulidwe, dokotala amadula khungu lawo ndikumamatira kachigawo kamene kamatsalira kuti pakhale khungu lalifupi.

Mdulidwe akadali wakhanda umachitika pazifukwa zingapo, kuphatikiza zachipembedzo, zachikhalidwe, zamankhwala, komanso chikhalidwe. Mwachitsanzo, m'magulu achiyuda ndi achisilamu, izi ndizofala ngati gawo lazipembedzo.

Mdulidwe wobadwa kumene umakhala wofala kwambiri kuposa mdulidwe monga wachinyamata kapena wamkulu. Ku United States, oposa ana obadwa kumene amadulidwa. Komabe, chiwerengero chonse cha mdulidwe ku United States chitha kukhala chokwanira.

Anthu ena omwe ali ndi mbolo yosadulidwa amatha kuchita izi atakalamba. Mdulidwe wa akuluakulu nthawi zambiri umakhala njira yosavuta, ngakhale ndiopanga opaleshoni yayikulu kuposa makanda.

Anthu omwe amasankha kuti achite atha kuchita izi pazifukwa zomwezi makolo amawasankhira ana awo akhanda-zamankhwala, zachipembedzo, kapena chikhalidwe.

Dziwani kuti mdulidwe umangokhalira kukambirana ndi kutsutsana mmadera ambiri. Tipereka zina mwa zomwe zapezedwa ndi kafukufuku, koma zonena zambiri zikutsutsidwa.

Zikhulupiriro zofananira pazabwino za mdulidwe wa akulu

Ku United States, American Academy of Pediatrics pakadali pano imathandizira njira za khanda pazabwino zake. Komabe, gululi likutsindika kuti chisankho chomaliza ndi cha makolo a mwanayo, ndipo palibe chisankho cholakwika.

Kumbali inayi, mwa akulu, maubwino a mdulidwe umadalira kwambiri chifukwa chochitira izi poyamba. Ndi chisankho chanu.

Ngati zachitika ngati chithandizo chokhazikitsidwa chazachipatala, zabwino zake zimadziwika bwino. Zomwe zitha kuchiritsidwa ndi mdulidwe ndi monga:

• phimosis
• paraphimosis
• balanitis

Zina mwazabwino zathanzi ziyenera kuyankhidwa mosamala. Mapindu omwe amatchulidwa amakonda kuphatikiza awa:

Kuchepetsa chiopsezo cha HIV ndi matenda ena opatsirana pogonana

U.S. Centers for Disease Control and Prevention (CDC) inanena kuti anthu omwe ali ndi mbolo amakhala ndi chiopsezo chochepa chotenga kachilombo ka HIV panthawi yogonana ngati adadulidwa. Bungwe la World Health Organisation lati chiopsezo chimachepa mwa anthu omwe adadulidwa.

Malinga ndi CDC, mdulidwe umachepetsanso chiopsezo cha munthu yemwe ali ndi mbolo kutenga herpes ndi papillomavirus (HPV) kuchokera kumaliseche.

Kafukufuku wina wokhudza amuna kapena akazi okhaokha akuwonetsa kuti mdulidwe ungateteze anthu okhala ndi mbolo komanso omwe amagonana nawo ku chindoko.

Komabe, uwu udakali mutu wotsutsana kwambiri pakati pa ofufuza. Chofunika kwambiri, musaganize kuti mdulidwe umateteza ku HIV kapena matenda ena opatsirana pogonana.

Kuchepetsa chiopsezo cha matenda amkodzo

Malinga ndi ena, anthu omwe ali ndi mbolo omwe adadulidwa atha kukhala ndi chiopsezo chochepa chokhala ndi UTI poyerekeza ndi anthu omwe ali ndi khungu lofewa.

Ndizofunikira kudziwa kuti kafukufukuyu adachitika mwa anthu omwe adadulidwa ali makanda.

Kupewa matenda ndi kukwiya

Phimosis ndi vuto lomwe limayamba pamene khungu lanu silibwerera m'mbuyo pa mbolo. Izi zitha kuyambitsa mavuto, mabala, kutupa, ngakhale matenda. Mdulidwe ungapewe izi.

Momwemonso, balanitis imachitika mutu wa mbolo utatupa ndikutupa. Zitha kukhala chifukwa cha matenda kapena kukwiya, koma mdulidwe umathandiza kuti zisadzachitikenso.

Mdulidwe ndi chithandizo chovomerezeka pazinthu zonse ziwiri.

Kulimbitsa ukhondo

Izi makamaka ndizolakwika. Maliseche osadulidwa ndi odulidwa onse amafunika kuyeretsa moyenera.

Pomwe anthu ena amakhulupirira kuti mbolo yosadulidwa imafunikira chisamaliro chowonjezera pankhani ya ukhondo, imangofunika masitepe osiyanasiyana.

Mafuta, mabakiteriya, ndi maselo akhungu lakufa amatha kudziunjikira pansi pakhungu ndikupanga gulu lotchedwa smegma. Ngati smegma sichisamaliridwa, imatha kubweretsa zovuta zoyipa kuphatikiza matenda monga balanitis.

Kutsata zipembedzo

Anthu omwe amakonda chipembedzo china kapena akufuna kutsatira miyambo yawo atha kuwona kuti kumaliza ndondomekoyi kumawalimbikitsa kapena kuwalimbikitsa mwauzimu.

Ichi ndi chisankho chanu, ndipo ngati mdulidwe uli wofunikira pamoyo wanu wauzimu, mutha kupeza phindu mderali.

Kuchepetsa chiopsezo cha khansa

Khansa ya penile ndiyosowa kwambiri, koma kafukufuku akuwonetsa kuti ngakhale mwa anthu omwe adadulidwa.

Kuopsa kwa mdulidwe wa akuluakulu

Mdulidwe wa akulu ndi njira yosavuta, koma sizitanthauza kuti ilibe zoopsa.

Zowopsa zomwe zimadza chifukwa cha mdulidwe wa akulu ndizo:

• Magazi. Mutha kukhala ndi magazi kwa maola angapo kapena masiku angapo mutadutsamo.
• Matenda. Kutenga kachilombo pamatope kumatheka. Ikhoza kupitiriza kuchira.
• Zomwe zimachitika ndi anesthesia. Anthu ambiri amalandila mankhwala oletsa ululu asanayambe. Zomwe zimachitika ndi mankhwala ndizotheka. Amaphatikizapo kunyoza, kusanza, ndi kupweteka mutu.
• Nkhani za chikopa. Pa njirayi, nkutheka khungu limatha kuchepetsedwa kwambiri. Momwemonso, khungu limatha kusiyidwa motalika kwambiri. Zonsezi zimatha kuyambitsa zovuta zina komanso zovuta.
• Zilonda zovulala. Kutsekemera ndi zoluka sizingachiritse bwino. Izi zitha kubweretsa zovuta pakhungu kapena mabala ovuta a mdulidwe.
• Kulumikizanso. Khungu limatha kulumikizana ndi mbolo molakwika. Vutoli limakhala losasangalatsa kwambiri ndipo limafunikira kuchitidwa maopaleshoni enanso.

Momwe zachitikira

Mdulidwe wa wakhanda ndi njira yachidule kwambiri. Kwa munthu wamkulu, komabe opaleshoniyo imakhudzidwa pang'ono. Itha kutenga pakati pa mphindi 30 ndi ola limodzi.

Dokotala wochita opaleshoni adzakupatsani mankhwala okuthandizani kuti musamayende bwino. Kutengera ndi zomwe mumakonda, mutha kulandira anesthesia wamba kapena ochititsa dzanzi.

Pochita izi, adotolo amachotsa khungu lawo kumutu kwa mbolo kenako ndikubwerera kutsinde. Atenga miyezo ya khungu lenileni lomwe akuyenera kuchotsa.

Kenako, adokotala adzagwiritsa ntchito scalpel kudula khungu. (Pa mdulidwe wa makanda, dokotala amalanda khungu kutali ndi mbolo ndi lumo kapena chida china chapadera.)

Kwa achikulire, khungu limasalazidwa kapena kusokedwa kumphako ndi ma suture omwe amasungunuka. Zolumikizira zikakhala kuti mbolo itakulungidwa ndi chovala choteteza, mudzakwezedwa matayala kupita kuchipinda chobwezeretsera.

Malingana ngati palibe zovuta zaposachedwa, anthu ambiri amatha kupita kwawo tsiku la opareshoni.

Kubwezeretsa nthawi

M'maola ndi masiku aposachedwa pambuyo pa opaleshoniyi, mwina mudzakhala ndi zotupa ndi mabala paliponse ndi mbolo. Izi zikuyembekezeka. Ikani phukusi pa ayezi wanu wa kubuula kwanu kwa mphindi 10 mpaka 20 zamaora nthawi maola awiri aliwonse. Onetsetsani kuti mwaika nsalu yopyapyala pakati pa ayezi ndi khungu lanu.

M'masiku oyamba kuchira, ndikofunikira mavalidwe kuzungulira mbolo yanu kukhala oyera kuti muchepetse matenda. Patsiku lachiwiri kapena lachitatu, adokotala angakufunseni kuti mubwerere kuofesi yawo kuti akasinthe mavalidwe.

Kuchira mdulidwe wa akulu kumatenga milungu iwiri kapena itatu. Mungafunike kupempha sabata kuti mupite kuntchito. Anthu ena sangathe kubwerera kuzinthu zanthawi yayitali.

Ndi chilolezo cha dokotala wanu, mutha kubwerera ku masewera olimbitsa thupi, kuphatikiza masewera olimbitsa thupi, patatha milungu inayi mutachita izi. Kugonana ndi maliseche kumafunikira nthawi yayitali - mpaka milungu isanu ndi umodzi.

Dokotala wanu akhoza kukutsogolerani pa nthawi yoyenera malinga ndi machiritso anu ndi thanzi lanu.

Malangizo a posturgical care

Zowawa za mdulidwe wa anthu achikulire zimakhala zofatsa. Dokotala wanu angakupatseni mankhwala ochepetsa kupweteka pang'ono, koma zosankha pa intaneti zitha kukhala zokwanira kuti muchepetse zovuta zilizonse. Dokotala wanu amathanso kukupatsani maantibayotiki kuti muchepetse matenda.

Valani zovala zamkati zabwino koma zothandizirana zomwe zimatha kugwirizira mutu wa mbolo kumanja komwe kumagona pansi. Zovala zamkati zomasuka zimalola kusuntha kochuluka. Izi zitha kuwonjezera kutupa ndi kupweteka.

Pasanathe tsiku limodzi kapena awiri opareshoniyo, muyenera kuyamba kuyesa kuyenda. Sungani mayendedwe anu kukhala ocheperako komanso ochepetsa poyamba. Osadumpha kuti muchite masewera olimbitsa thupi popanda chilolezo kuchokera kwa dokotala wanu.

Bandeji yanu ikangochotsedwa, mutha kusamba. Samalani kuti musasinthanitse mkombero ndi nsalu yotsuka kapena chopukutira, ndipo musagwiritse ntchito sopo kapena mamba onunkhira kwa milungu ingapo. Kununkhira ndi mankhwala atha kukhumudwitsa khungu lomwe limamva bwino likamachira. Pat ziumitsa malowo kuti muchepetse chidwi.

Zotsatira zanu zidzakhala zotani?

Zotsatira zomwe mumapeza chifukwa cha mdulidwe wa akulu zimadalira kwambiri chifukwa chomwe mudapangidwira kale.

Ngati mwasankha kuyimitsa kapena kupewa matenda kapena matenda monga phimosis, njirayi imakhala yopambana kwambiri. Mwina simungadzakumanenso ndi izi mtsogolomo.

Ngati mdulidwe wanu udachitika pazifukwa zachipembedzo, mutha kumva nokha zaumwini pazikhulupiriro zanu mukamaliza.

Zotsatira za munthu aliyense ndizosiyana, ndipo mutha kupeza kuti mudakhudzidwa munjira zina. Kwa anthu ambiri, opaleshoniyi sikhala ndi gawo lokhalitsa pakugonana, kukodza, kapena kuzindikira.

Kutenga

Anthu ambiri ku United States omwe adadulidwa amachita izi ngati khanda. Kusankha kukhala wachikulire kumafuna kuchitapo kanthu ndikukonzekera. Ndikofunika kuti muwonetsetse kuti mumvetsetsa zifukwa zanu komanso zoopsa zomwe zimachitika chifukwa cha njirayi.

Komabe, kumbukirani kuti mdulidwe wa achikulire ndi njira yosavuta yomwe ili ndi zoopsa zochepa kapena zovuta.

Lankhulani ndi dokotala wanu za zomwe mukuyembekezera pa mdulidwe. Pamodzi, mutha kupanga pulani yabwino komanso yoyenera zolinga zanu.