Priphuthioplasti

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I-Preputioplasty iyindlela yokwelapha i- phimosis ehlukile ekusokeni nasekuqhekekeni okukhulu kwe- dorsal

umuntu osanda kulashwa yilokuhlinza
  • okulondolozayo, okungekho okuhlukumezayo futhi okungahlaseli kakhulu futhi kungenziwa ngokugula kwesibhedlela ngaphandle kokubulala izinzwa kwasendaweni ehhovisi likadokotela futhi
  • inethuba lokuphulukiswa ngokushesha okukhulu ngokushintsha okuncane kwezimonyo ekubukekeni kwenduku.

Izindlela zokwenza i-preputioplasty[hlela | Hlela umthombo]

I-Preputioplasty



Umdwebo 1. Umthondo onendandatho eqinile ye-phimotic okwenza kube nzima ukuhoxisa ijwabu.



Umdwebo 2. I-Foreskin ihoxisiwe ngaphansi kwe-anesthetic ngendandatho ye-phimotic noma i- stenosis evimbela umgoqo wenduku futhi yakha "okhalweni."



Umdwebo 3. Ukuqhekeka kuvalwe kamuva.



Umdwebo 4. Umthondo onesikhumba sejwabu esithukululiwe ubuyiselwe esikhundleni se-glans.

I-Preputioplasty ingenziwa nge- Z-plasty, nayo esetshenziselwa ukuhlinzeka kabusha ukuze kuxegise izicubu ezibomvu kulandela ukusha okubuhlungu.

Kodwa-ke, i-Y-plasty ne-Z-plasty zidinga izinga lokucwaninga lokuhlinza odokotela abajwayele ukukwenza.

Ngokuvamile kumane nje kube nokusikeka okukodwa noma okuningi okufushane kakhulu kwe-longitudinal okukhipha i-stenosis – indandatho yesicubu esincinanayo — ijwabu bese kuvalwa ngokushintshana: [ | ] ivaliwe futhi ishunciwe njenge- [ - ].

Ngokunye esikhundleni sokuthunga, "[h] i-aemostasis [yenziwe ngempumelelo] [ezinganeni] ngophenyo olushubile kusetshenziswa ilangabi lesibani sotshwala noma i-bipolar electrodiathermy." [1]

Kukodwa ukusika okubonisiwe kuMdwebo 3; uma kwenziwa ukusikeka okubili noma ngaphezulu lokhu kuzovimbela ukubhoboza okumise okwe-V lapho kuvulwa ijwabu lapho ipipi lingamile.Uma ukufakwa kufakwa ezinhlangothini zendandatho ye-phimotic, umphumela wokugcoba wokugcina ungcono.Kunconywa nokuthi izicubu ezingaphansi kwesikhumba zibukeleke phansi ukuze kuqinisekiswe imiphumela yezimonyo engcono.

Ukuvulwa kwejwabu manje sekuvuleke ngokwanele ukuze ijwabu lihoxiswe kalula.Ijwabu libuye libe mfushane kancane (ngesigamu ubude bezimbobo ze-longitudinal esezivaliwe ngokuguqukayo) ngoba ukunwetshwa kwendandatho ye-phimotic kuthatha ubude bejwabu.Izifundo ezivela eqenjini elikhulu e-Indian Subcontinent zikhombisa ukwamukelwa okuhle nentshisekelo yokulondolozwa kwejwabu lapho kungekho zinkomba zenkolo zokususa ijwabu.

Izinkomba[hlela | Hlela umthombo]

Izixhumanisi zangaphandle[hlela | Hlela umthombo]

  1. "Sutureless prepuceplasty with wound healing by second intention: an alternative surgical approach in children's phimosis treatment". BMC Urology 8: 6. March 2008. doi:10.1186/1471-2490-8-6. PMC 2311323. PMID 18318903. http://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=pmcentrez&artid=2311323.