Impyiko Idatemba: Ibimenyetso, Intandaro, n'Ubuvuzi

Impyiko idatemba ibaho iyo imwe cyangwa impyiko zombi zidasohoka mu gitsina mbere y’uko umwana avuka. Iyi ndwara, izwi kandi nka cryptorchidism, igaragara ku bana b’abahungu bavutse bazima bagera kuri 3-4%, kandi ni imwe mu ndwara zihuriweho cyane zirebana n’imiterere y’ibitsina by’abagabo.

Mu iterambere risanzwe, impyiko zikura mu nda y’umwana maze buhoro buhoro zigamanuka mu gitsina mu mezi make ya nyuma y’inda. Iyo urwo rugendo rusanzwe rudasojwe, impyiko igumana ahantu hose hagati y’inda n’igitsina.

Ibimenyetso by’Impyiko idatemba ni ibihe?

Ikimenyetso nyamukuru kirasobanutse neza - ntushobora kumva imwe cyangwa impyiko zombi aho zikwiye kuba mu gitsina. Iyo ugenzuye gitsina witonze, gishobora kugaragara ko ari icyuzuye cyangwa gito kuruhande rumwe ugereranyije n’urundi.

Abana benshi bafite iyi ndwara ntabwo bagira ububabare cyangwa ikibazo. Impyiko idatemba isanzwe ntabwo itera ibibazo by’ubuzima byihuse, niyo mpamvu ababyeyi benshi babimenya bwa mbere mu gihe bahindura diape cyangwa mu gihe cyo kogesha.

Rimwe na rimwe ushobora kumva igice gito, gikora neza mu gice cy’imbere aho impyiko idatemba yicaye. Icyo gice gisanzwe kiba cyoroshye kandi kidatera ububabare.

Ubwoko bw’Impyiko idatemba ni ubuhe?

Hari ubwoko butandukanye bushingiye aho impyiko ihagarara mu rugendo rwayo rumanuka. Gusobanukirwa ibyo bitandukanye bifasha abaganga gutegura uburyo bwiza bwo kuvura buri mwana.

• Impyiko isubira inyuma: Impyiko yamanutse neza ariko isubira hejuru mu gice cy’imbere kubera imikorere y’imikaya ikabije
• Impyiko iri mu gice cy’imbere: Impyiko ihagarara ahantu hose mu gice cy’imbere, ikunze kumvikana nk’igice gito
• Impyiko iri mu nda: Impyiko igumana mu nda kandi ntushobora kuyibona ukoresheje amaso
• Impyiko iri ahandi: Impyiko imanuka ariko igarukira ahantu hatamenyerewe, nko ku gitsina cyangwa hasi yacyo

Uruhare runini rw’impyiko imwe, nubwo impyiko zombi zishobora kutemba mu kigero cya 10% by’imibare. Itandukaniro hagati y’izo mpyiko rifasha muganga wawe kumenya niba impyiko ishobora kumanuka ubwayo cyangwa ikeneye ubufasha bwa muganga.

Intandaro y’Impyiko idatemba ni iyihe?

Intandaro nyakuri ikunze kutamenyekana, ariko ibintu byinshi bishobora kubangamira impyiko kumanuka mu buryo busanzwe mu gihe cy’inda. Tekereza ko ari igikorwa kigoye cyane rimwe na rimwe kidasohoka nk’uko byari biteganijwe.

Ibintu by’imisemburo bigira uruhare runini mu kuyobora impyiko kumanuka. Niba imisemburo imwe nka testosterone cyangwa imisemburo isa na insulin itaboneka mu bwinshi buhagije, impyiko ishobora kutahabwa ibimenyetso bikwiye byo kumanuka.

Kuvuka imburagihe byongera amahirwe kuko impyiko isanzwe imanuka mu mezi abiri ya nyuma y’inda. Abana bavuka mbere y’ibyumweru 37 ntabwo bagize igihe gihagije kugira ngo uwo murimo usanzwe urangire.

Amwe mu magene ashobora kugira ingaruka ku iterambere ry’impyiko no kumanuka. Ibyo birimo indwara z’ibitotsi cyangwa indwara zirakomoka zifite ingaruka ku iterambere ry’imisemburo cyangwa ku iterambere ry’imiterere y’ibitsina.

Ibintu by’umubiri cyangwa iterambere ritari ryo ry’inzira kuva mu nda kugera mu gitsina bishobora kandi kubuza kumanuka bisanzwe. Rimwe na rimwe inzira isanzwe iba idafite ubugari buhagije cyangwa idakora neza mu gihe cy’inda.

Ni ryari ukwiye kujya kwa muganga kubera impyiko idatemba?

Ukwiye kureba muganga mu mezi make ya mbere y’ubuzima bw’umwana wawe niba ubona gitsina ari icyuzuye cyangwa gito. Gusuzuma hakiri kare bifasha gutandukanya ubwoko butandukanye kandi bimenya uburyo bwiza bwo gukurikirana.

Niba umwana wawe arengeje amezi atandatu kandi agifite impyiko idatemba, igihe kirageze cyo kujya kubona umuganga w’abaganga b’abana. Ku myaka nk’iyo, kumanuka bisanzwe ntibishoboka, kandi ubufasha bwa muganga bushobora kuba ngombwa.

Shaka ubufasha bwa muganga ako kanya niba ubona ububabare butunguranye, kubyimba, cyangwa guhinduka kw’irangi mu gice cy’imbere cyangwa mu gitsina. Ibyo bishobora kugaragaza ibibazo nka testicular torsion, bisaba ubuvuzi bwihuse.

Gusubiramo inshuro zisanzwe biba byiza uko umwana wawe akura. Muganga wawe azakurikirana aho impyiko iherereye kandi azareba ibimenyetso byose by’ibibazo mu gihe cyo gusuzuma.

Ibyago byo kugira impyiko idatemba ni ibihe?

Ibintu byinshi mu gihe cy’inda n’ivuka bishobora kongera amahirwe yo kugira iyi ndwara. Gusobanukirwa ibyo byago bifasha gusobanura impamvu bamwe mu bana bafite amahirwe menshi yo kwibasirwa.

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• Diabete ya nyina: Diabete idakozwe neza mu gihe cy’inda ishobora kugira ingaruka ku iterambere ry’umwana
• Nyina kunywa itabi cyangwa inzoga: Ibyo bintu bishobora kubangamira iterambere risanzwe ry’umwana
• Kuhura n’ibintu bimwe na bimwe: Amwe mu miti yica udukoko n’ibintu byakozwe mu nganda bishobora kongera ibyago

Kugira kimwe cyangwa ibyago byinshi ntibihamya ko umwana wawe azagira impyiko idatemba. Abana benshi bafite ibyago byinshi barakura neza, mu gihe abandi badafite ibyago bigaragara bashobora kugira iyi ndwara.

Ibibazo bishoboka by’Impyiko idatemba ni ibihe?

Nubwo impyiko idatemba idatera ibibazo byihuse, kuyireka idakozweho ishobora gutera ibibazo byinshi uko umwana wawe akura. Inkuru nziza ni uko kuvura hakiri kare birinda ibyinshi muri ibyo bibazo.

Ibibazo byo kubyara ni ikibazo gikomeye cyane mu gihe kirekire. Impyiko zikenera ubushyuhe buke bw’igitsina kugira ngo zikore intanga zikomeye mu myaka y’ubukure. Iyo impyiko zigumana mu bushyuhe bwinshi bw’inda cyangwa mu gice cy’imbere, gukora intanga bishobora kubangamirwa.

Ibyago bya kanseri byiyongera gato, nubwo biguma hasi muri rusange. Abagabo bafite amateka y’impyiko idatemba bafite ibyago byinshi kurusha abagabo badafite iyi ndwara, bagera kuri 3-5.

Testicular torsion ibaho cyane iyo impyiko zidafite aho zikwiye mu gitsina. Iyo ndwara itera ububabare ibaho iyo impyiko yikubita ku mubiri wayo, bisaba kubagwa vuba kugira ngo birindwe kwangirika burundu.

Hernia inguinal ikunze kujyana n’impyiko idatemba. Uwo munwa ufasha impyiko kumanuka ushobora kureka ibintu biri mu nda bigasohora mu gice cy’imbere, bigatuma haba hernia ishobora gusaba kubagwa.

Ingaruka zo mu mutwe zishobora kuvuka iyo iyi ndwara idakozweho mbere y’imyaka y’ishuri. Abana bashobora kumva batishimiye uko basa, cyane cyane mu bikorwa nko koga cyangwa siporo bisaba guhindura imyenda.

Impyiko idatemba ishobora kwirindwa gute?

Ikibabaje ni uko nta buryo bwo kwiringira bwo kwirinda impyiko idatemba kuko iyi ndwara isanzwe iterwa n’ibikorwa bigoye by’iterambere mu gihe cy’inda. Ariko kandi, kubungabunga ubuzima bw’umubyeyi muri rusange bishobora gutera inkunga iterambere risanzwe ry’umwana.

Guta ibiribwa by’inda no gukurikiza inama za muganga wawe mu gihe cy’inda bifasha guha umwana wawe ubuzima bwiza. Folic acid, by’umwihariko, itera inkunga iterambere ry’ibitsina.

Kwima ibintu byangiza nk’itabi, inzoga, n’ibiyobyabwenge mu gihe cy’inda bigabanya ibyago by’ibibazo byinshi by’iterambere. Ibyo bintu bishobora kubangamira ibimenyetso by’imisemburo bigira uruhare mu kumanuka kw’impyiko.

Guhangana n’indwara zidakira nk’indwara ya diabete mbere y’inda no mu gihe cyayo bifasha guha umwana wawe ubuzima bwiza. Imyanya y’isukari ikorwa neza igabanya ibyago by’ibibazo byinshi by’ivuka.

Impyiko idatemba imenyekanwa ite?

Kumenya iyi ndwara bisanzwe bitangira hakoreshejwe isuzuma ry’umubiri na muganga w’abana. Muganga azagenzura gitsina n’igice cy’imbere kugira ngo abone impyiko kandi amenye aho iherereye.

Rimwe na rimwe gutandukanya impyiko idatemba n’impyiko isubira inyuma bisaba isuzuma rihamye. Impyiko isubira inyuma ishobora kuyoborwa mu gitsina kandi igumana aho gato, mu gihe impyiko idatemba idashobora.

Ibizamini byo kubona amashusho nka ultrasound bishobora kuba bikenewe niba muganga adashobora kubona impyiko mu gihe cyo gusuzuma umubiri. Ibyo bizamini bifasha kumenya niba impyiko iri mu nda, mu gice cy’imbere, cyangwa ishobora kuba idahari.

Mu bihe bitoroshye aho amashusho ataha impamvu zisobanutse, laparoscopy ishobora kugerwaho. Uwo murimo ukoreshwa kamera ntoya kugira ngo urebe imbere mu nda kandi ubone impyiko.

Ibizamini by’amaraso kugira ngo bipime urwego rw’imisemburo rimwe na rimwe bifasha, cyane cyane niba impyiko zombi zitemba. Ibyo bizamini bishobora kugaragaza niba impyiko zikora imisemburo mu buryo busanzwe.

Ubuvuzi bw’Impyiko idatemba ni ubuhe?

Uburyo bwo kuvura biterwa n’imyaka y’umwana wawe n’aho impyiko iherereye. Intego ni ukwimura impyiko mu mwanya wayo mu gitsina mbere y’uko ibibazo bigaragara.

Kubana bari munsi y’amezi atandatu, abaganga bakunze kugira inama yo gutegereza kuko impyiko rimwe na rimwe imanuka mu buryo busanzwe mu mezi make ya mbere y’ubuzima. Gusuzuma bisanzwe bikurikirana iterambere muri icyo gihe.

Ubuvuzi bw’imisemburo bukoresheje inshinge za human chorionic gonadotropin (hCG) bukorana mu bihe bimwe na bimwe, cyane cyane iyo impyiko igeze hafi y’igitsina. Ariko kandi, umusaruro utandukanye kandi uburyo ntabwo buhora bugira akamaro.

Ubuvuzi bwo kubaga bwitwa orchiopexy biba ngombwa iyo ubundi buryo budakora. Uwo murimo wimura impyiko mu gitsina kandi uyishyira mu mwanya ukwiye. Abaganga benshi bagira inama yo gukora ubu buvuzi hagati y’amezi 6-18.

Kubana bafite impyiko iri hejuru mu nda, uburyo bubiri bwo kubaga bushobora kuba ngombwa. Ubuvuzi bwa mbere buzana impyiko hasi, kandi icyiciro cya kabiri kirangiza kuyimurira mu gitsina nyuma y’amezi make.

Mu bihe bitoroshye aho impyiko idatera imbere cyangwa idahari, umuganga ashobora kugira inama yo kuyikuraho no gushyira impyiko y’ikiganza kugira ngo umwana asa neza iyo akuze.

Uko wakwitaho umwana wawe mu rugo mu gihe cyo kuvura impyiko idatemba

Mbere yo kubagwa, nta kwitaho kw’umwihariko mu rugo bisanzwe bikenewe kuko impyiko idatemba idatera ububabare cyangwa ibibazo byihuse. Gukomeza kugira isuku no guhindura diape bisanzwe.

Nyuma yo kubagwa orchiopexy, kubika igice cyaciweho ari isuku kandi kigumye kumeze neza bifasha kwirinda kwandura. Muganga wawe azatanga amabwiriza yihariye yerekeye kogesha no kwita ku kibonda mu gihe cyo gukira.

Gucunga ububabare bisanzwe bikubiyemo imiti yo mu rugo nka acetaminophen cyangwa ibuprofen nk’uko muganga wawe yabigutegetse. Abana benshi bagira ububabare buke mu minsi mike nyuma yo kubagwa.

Ibikorwa bibujijwe bishobora gukenerwa ibyumweru bike nyuma yo kubagwa kugira ngo birinde umuvuduko ku gice cyabajwe. Muganga wawe azakubwira igihe umwana wawe ashobora gusubira mu bikorwa bisanzwe nko kwiruka, gusimbuka, cyangwa kugendera kuri velo.

Reba ibimenyetso by’ibibazo nko kubyimba cyane, uburakari, umuriro, cyangwa ububabare buhoraho. Hamagara muganga wawe niba ubona impinduka zihangayikishije mu gihe cyo gukira.

Uko wakwitegura kujya kwa muganga

Andika ibibazo cyangwa impungenge ufite ku ndwara y’umwana wawe mbere yo kujya kwa muganga. Ibyo bifasha guhamya ko udatakaje ibintu by’ingenzi ushaka kuganiraho na muganga.

Zana urutonde rw’imiti cyangwa ibindi bintu umwana wawe afata, nubwo abana bato benshi badakoresha imiti isanzwe. Nanone vuga allergie cyangwa impinduka mbere ku miti cyangwa ubuvuzi.

Tegura kuganira ku mateka y’umuryango wawe, cyane cyane abavandimwe bagize impyiko idatemba cyangwa ibindi bibazo by’imiterere y’ibitsina. Ibyo bintu bifasha muganga gusobanukirwa ibintu by’amagene bishoboka.

Tekereza kuzana umukunzi wawe cyangwa umuryango ushyigikiye. Kugira undi muntu uri aho bishobora kugufasha kwibuka amakuru y’ingenzi no gutanga ubufasha bwo mu mutwe mu gihe cyo kuganira ku buryo bwo kuvura.

Ntuzuyaze kubabaza ubunararibonye bw’umuganga mu kubaga orchiopexy niba kubagwa byategetswe. Baza ku musaruro, ibibazo bishoboka, n’icyo witeze mu gihe cyo gukira.

Icyo ukwiye kumenya cyane ku mpyiko idatemba

Impyiko idatemba ni indwara isanzwe kandi ivurwa igaragara ku bana b’abahungu benshi. Nubwo isaba ubufasha bwa muganga, ibyiringiro ni byiza iyo ivuwe ku gihe.

Kumenya hakiri kare no kuvura bikwiye birinda ibibazo byinshi mu gihe kirekire. Kubagwa bifite umusaruro mwinshi, abana benshi bakura bafite ubuzima bwiza bw’imyororokere n’iterambere.

Wibuke ko kugira impyiko idatemba ntibigaragaza ikintu wakoze cyangwa utakoreye mu gihe cy’inda. Iyi ndwara iterwa n’ibikorwa bigoye by’iterambere rimwe na rimwe bidasohoka nk’uko byari biteganijwe.

Ishyire icyizere mu itsinda ry’ubuvuzi kandi ntutinye kubabaza ibibazo ku kwitaho umwana wawe. Itumanaho ryiza rihamya ko usobanukiwe gahunda yo kuvura kandi wumva ufite icyizere ku byemezo bifatwa.

Ibibazo byakunda kubazwa ku mpyiko idatemba

Ese umwana wanjye azashobora kubyara mu buryo busanzwe niba afite impyiko idatemba?

Abahungu benshi bavurwa neza impyiko idatemba barakura bafite ubushobozi bwo kubyara busanzwe. Kubagwa hakiri kare, mbere y’imyaka 2, biha amahirwe menshi yo gukora intanga neza mu myaka y’ubukure. Nubwo abagabo bafite amateka y’impyiko zombi zitemba bakunze kubyara abana mu buryo busanzwe, nubwo umubare w’ababyara ushobora kuba hasi gato ugereranyije n’umubare w’abasanzwe.

Kubagwa bihora bikenewe ku mpyiko idatemba?

Kubagwa ntibihora bikenewe ako kanya, cyane cyane mu bana bato cyane. Abaganga bakunze gutegereza kugeza ku mezi 6 kuko impyiko rimwe na rimwe imanuka mu buryo busanzwe mu mezi make ya mbere y’ubuzima. Ariko kandi, niba impyiko idamanutse hagati y’amezi 6-12, kubagwa biba ari ubuvuzi butegetswe kugira ngo birinde ibibazo by’igihe kizaza.

Ese impyiko idatemba ishobora gutera ububabare ku bana?

Impyiko idatemba isanzwe ntabwo itera ububabare ku bana bato. Ariko kandi, ishobora kuba ifite ibyago byinshi byo gukomereka kuko idakingirwa n’igitsina. Ububabare butunguranye, bukabije bushobora kugaragaza testicular torsion, bisaba ubufasha bwa muganga ako kanya. Ububabare bwinshi bujyana n’iyi ndwara bukunze kuba nyuma yo kubagwa mu gihe gito cyo gukira.

Igihe cyo gukira nyuma yo kubagwa orchiopexy kirambuye iki?

Abana benshi barakira nyuma yo kubagwa orchiopexy mu cyumweru kimwe cyangwa bibiri. Iminsi mike ya mbere ikubiyemo guhangana n’ububabare buke hakoreshejwe imiti yo mu rugo, kandi abana bashobora gusubira mu bikorwa bisanzwe mu byumweru bibiri cyangwa bitatu. Gutwara ibiremereye, gukina bikabije, n’ibikorwa byo kwicara nko kugendera kuri velo bisanzwe bibujijwe ibyumweru 4-6 kugira ngo bikire neza.

Ibiberaho niba impyiko idatemba itarebweho?

Kureka impyiko idatemba idakozweho bishobora gutera ibibazo byinshi birimo kugabanuka kw’ubushobozi bwo kubyara, kongera ibyago bya kanseri, kongera amahirwe ya testicular torsion, n’ingaruka zo mu mutwe zishoboka uko umwana akura. Ibyago by’ibyo bibazo byiyongera uko umuntu akura, niyo mpamvu abaganga bagira inama yo kuvura mbere y’imyaka 2 igihe bishoboka.