Ukuthini yi-Sacral Dimple? Izimpawu, Izimbangela, & Ukwelashwa

I-sacral dimple iyindawo encane ecindezelekile noma umgodi olukhona esihlathini esisekhasini lomhlane wakho, ngaphezulu nje komhlane wakho. Izingxenye eziningi ze-sacral dimples azinamaphutha futhi ziyisigaba nje sendlela abantu abanye abadalwe ngayo ngokwemvelo.

Lezi zimpawu ezincane zibonakala cishe ku-3-8% yabantwana abasanda kuzalwa futhi zitholakala ngokuvamile ngesikhathi sokuhlolwa kwabantwana okuvamile. Nakuba iningi lazo lingabi nkinga nhlobo, ukuqonda ukuthi zikhona kungakusiza ukuthi ukhululeke futhi wazi ukuthi nini kufanele ufuneselwe iseluleko sokuthi udokotela.

Kuyini i-sacral dimple?

I-sacral dimple iyindawo encane ecindezelekile esihlathini esikhona endaweni ye-sacral, okuyigaba elingaphansi lomhlane wakho lapho umhlane wakho uhlangana khona nomhlane wakho. Cabanga ngayo njengengxube encane noma i-indentation eyenziwa ngesikhathi sokuthuthukiswa kwasekuqaleni esizalweni.

Lezi zimpawu ngokuvamile zingaphansi kwama-5 millimeters ububanzi futhi zibonakala njengendawo ecindezelekile. Iningi liyilo abaguli abathi “lilula” i-sacral dimples, okusho ukuthi zizinzulu, zincane, futhi azixhunyanisiwe nanotho olujulile emzimbeni wakho.

Ungase futhi uzwe abahlinzeki bezempilo bebhekisela kubo njenge-sacral pits noma i-pilonidal dimples, nakuba la magama ngezinye izikhathi angachaza izimo ezihlukile kancane. Into ebalulekile okumele uyikhumbule ukuthi iningi le-sacral dimples liyimfihlo ngokuphelele.

Ziyini izimpawu ze-sacral dimple?

Izingxenye eziningi ze-sacral dimples azinazo izimpawu nhlobo. Uzoqaphela nje i-indentation encane esihlathini, futhi lokho ngokuvamile kuyisibonakaliso kuphela.

Kodwa-ke, kunezimo lapho ungase uqaphele izibonakaliso ezengeziwe ezingase zibonise ukuthi i-dimple ixhunywe nezinto ejulile. Nanka okumele ukubheke:

• Ubunqunu obunqunu obukhula kusuka noma eduze kwe-dimple
• I-skin tag noma ukukhula okuncane eduze kwe-dimple
• Ubomvu noma ukukhula endaweni
• Ukuqothuka noma ukuphuma kwe-dimple
• Ubomvu obuluhlaza esihlathini esiseduze
• I-dimple ibonakala ijulile kakhulu noma inkulu (inkulu kune-5mm)
• I-dimple isekhasini eliphezulu lomhlane, kude nendawo yomhlane

Lezi zibonakaliso ezengeziwe azisho ukuthi kunenkinga enzima, kodwa zikhomba ukuthi udokotela wakho kufanele abheke eduze. Ngezinye izikhathi, ngisho ne-dimples enezici ezinjalo ziphuma zingalimi.

Ziyini izinhlobo ze-sacral dimples?

Odokotela ngokuvamile bahlukanisa i-sacral dimples zibe izigaba ezimbili eziyinhloko ngokuya ngezici zazo kanye nokwenzeka kwezinkinga.

I-sacral dimples elula iyilona uhlobo oluvamile futhi ithathelwa ingqondo njengoba ingabi nengozi. Lezi dimples zincane (ngaphansi kwama-5mm), zinzulu, futhi zikhona phakathi kwama-2.5 amasentimitha komhlane. Azinawo ubunqunu, ama-skin tags, noma ezinye izici ezingavamile ezizungezile.

I-sacral dimples ehlukahlukene inezici eziningi ezenza odokotela bafune ukuhlola okwengeziwe. Lezi zingase zibe ngaphezu kwama-5mm, zikhona phezulu emhlane, noma zinezimpawu ezihambisanayo njengobunqunu, ama-skin tags, noma umbala ongajwayelekile. Nakuba iningi le-dimples ehlukahlukene lingalimi, linamathuba amancane okuxhumana nomgogodla noma izakhiwo ezizungezile.

Kukhona futhi uhlobo oluyimfihlo oluthi yi-dermal sinus tract, okuyigagasi elilukhulu elilukhulu elivela ebusweni besihlathi liye emgogodleni. Lokhu kwenzeka ngaphansi kuka-1% yazo zonke i-sacral dimples kodwa kudinga ukunakekelwa kwezokwelapha ngoba kungase kube yimbangela yokutheleleka.

Yini ebangela i-sacral dimple?

I-sacral dimples yenzeka emazingeni okuqala kakhulu okukhulelwa lapho umhlane womntwana wakho nesistimu yezinzwa zithuthuka. Lokhu kwenzeka ezinsukwini ezimbalwa zokuqala ngemuva kokutholakala, ngokuvamile ngaphambi kokuba wazi ukuthi ukhulelwe.

Inqubo ihilela i-neural tube, okuyisakhiwo esigcina sibe ngumgogodla nobuchopho. Ngezinye izikhathi, ukuguquguquka okuncane kokuthi le tube ivaliwe kungase kubangele i-indentation encane esihlathini. Cabanga ngayo njengokuguquguquka okuncane emsebenzini wokwakha ophelele.

Ezimweni eziningi, ayikho imbangela ethile ongayibonisa. Akulona into oyenzile noma awenzanga ngesikhathi sokukhulelwa, futhi ayihlobene nomlando womndeni wakho noma izinqumo zakho zokuphila. Kuyinto nje eguquguqukayo evamile eyenzeka ngesikhathi sokuthuthuka.

Kuyamangalisa kakhulu, i-sacral dimples ingahlobene nezimo ezihlobene nokuthuthukiswa komgogodla, njenge-spina bifida occulta noma i-tethered cord syndrome. Kodwa-ke, le mihlangano ayivamile futhi ngokuvamile ihilela ezinye izimpawu noma izici ngaphandle nje kwe-dimple ngokwayo.

Nini kufanele ubheke udokotela nge-sacral dimple?

Uma uqaphela i-sacral dimple kumntwana wakho osanda kuzalwa, kufanele ukukhulume nodokotela wakho ngesikhathi sokuvakasha kwakho okulandelayo, kodwa akulona isimo esiphuthumayo. Odokotela abaningi bazobona lokhu ngesikhathi sokuhlolwa okuvamile kwabantwana abasanda kuzalwa.

Kufanele uxhumane nodokotela wakho ngokushesha uma uqaphela noma yiziphi izici ezikhathazayo:

• I-dimple ibonakala ikhipha i-fluid noma i-pus
• Indawo eseduze kwe-dimple iba bomvu, ikhula, noma ifudumele ukuthinta
• Umncintiswakho uthola izimpawu zokutheleleka njengobushushu
• I-dimple ibonakala ijulile noma inkulu ngokuhamba kwesikhathi
• Uqaphela izimpawu ezintsha zezinzwa njengobunqunu ezinyaweni noma ukuguquka kokusebenza kwamabele noma kwesisu

Kubantu abadala abaphile ne-sacral dimple ngaphandle kwezinkinga, ukuqapha okuvamile ngokuvamile kwanele. Kodwa-ke, uma uthola izimpawu ezintsha njengobunzima, ukuqothuka, noma ukutheleleka okuphindaphindayo endaweni, kufanele ukuhlolwe.

Ziyini izici ezingaba yingozi ze-sacral dimples?

I-sacral dimples ayinazo izici ezingaba yingozi ecace kakhulu ngomqondo ovamile ngoba ziyizinto ezihlukahlukene zokuthuthuka ezenzeka ngokungahleliwe ngesikhathi sokukhulelwa kwasekuqaleni. Kodwa-ke, kunezibonelo ezithile odokotela abazibonile.

Zibonakala zivame kakhulu kubantu abathile, nakuba umehluko mncane. Ezinye izifundo zikhomba ukuthi zingase zivame kakhulu kubantu abamhlophe, kodwa leli phuzu alihambisani kuwo wonke umsebenzi wokucwaninga.

Ubulili abubonakali buthatha indima ebalulekile, njengoba i-sacral dimples ivela cishe ngokulinganayo kubafana namantombazane. Umlando womndeni futhi awubonakali uyi-predictor eqinile, okusho ukuthi ukuba ne-sacral dimple akwandisi kakhulu amathuba okuba nezingane zakho.

Isikhathi sokuthuthukiswa komgogodla ngesikhathi sokukhulelwa yilona yona into ebalulekile, futhi le nqubo ngokuyinhloko ayikho ngaphansi kokulawulwa komuntu. I-neural tube ivala ekuqaleni kakhulu kokukhulelwa, ngokuvamile ngesonto lesi-4, lapho abantu abaningi bengakazi ukuthi bakhulelwe.

Ziyini izinkinga ezingase zenzeke nge-sacral dimples?

Iningi le-sacral dimples alibi nkinga nhlobo ekuphileni komuntu wonke. Kodwa-ke, kuwusizo ukuqonda amathuba amfihlo ukuze wazi ukuthi yini okumele uyibheke.

Inkinga evamile kakhulu, nakuba isayimfihlo, ukutheleleka. Lokhu kungenzeka uma i-dimple ijulile ngokwanele ukuze ivalele amabhaktheriya noma uma ixhunywe nezinto ejulile. Izimpawu ziyoba ubomvu, ukukhula, ukufudumeka, ukuqothuka, noma ubushushu.

Ezimweni ezimbalwa kakhulu, i-sacral dimple ingase ixhunywe nomgogodla ngalokho okuthiwa yi-dermal sinus tract. Lokhu kwenzeka ngaphansi kuka-1% yezimo kodwa kungase kube yimbangela yokutheleleka okukhulu njenge-meningitis uma amabhaktheriya ehamba phezulu kule tract. Kungakho odokotela beqaphela izimpawu ezithile ezixwayisayo.

Ezinye izinkinga ezimbalwa kakhulu zihlanganisa:

• I-tethered cord syndrome, lapho umgogodla uboshwe ngokungavamile futhi udonsele
• Ama-cysts noma ama-tumors omgogodla (ama-dermoid noma ama-epidermoid cysts)
• Ukutheleleka okuphindaphindayo kwe-urinary tract uma kunamaphutha omgogodla ahambisanayo
• Ukuqothuka okuqhubekayo noma i-pilonidal disease endaweni ye-sacral

Lezi zinkinga azivamile kangako kangangokuba abantu abaningi abane-sacral dimples abasoze bahlangabezana nanoma yiziphi izinkinga. Ukuqapha okuhle kakhulu lapho i-dimple itholakala okokuqala futhi uhlale uqaphile noma yiziphi izimpawu ezintsha ngokuhamba kwesikhathi.

I-sacral dimple ihlonishwa kanjani?

Ukuhlola i-sacral dimple ngokuvamile kuqala ngokuhlolwa komzimba okulula. Udokotela wakho uzobheka usayizi we-dimple, ukujula, indawo, kanye nanoma yiziphi izici ezihambisanayo njengobunqunu noma ama-skin tags.

Nge-sacral dimples elula encinyane, enjulisile, futhi eduze komhlane ngaphandle kwezimpawu ezixwayisayo, akukho ukuhlolwa okwengeziwe okuvamile okudingekayo. Udokotela wakho angakwazi ukukuqinisekisa ngokuthembela ukuthi lezi azinamaphutha ngokusekelwe ekuhlolweni komzimba kuphela.

Kodwa-ke, uma udokotela wakho eqaphela noma yiziphi izici ezihlukahlukene, angase akukhuthaze ukuhlolwa kwe-ultrasound yendawo. Lolu hlolo olungabi nhlungu lungasiza ekuqondeni ukuthi i-dimple ixhunywe nezinto ejulile nokuthi umgogodla ubonakala uqondile yini.

Ezimweni ezithile, ikakhulukazi uma i-ultrasound ibonisa noma yikuphi ukungapheleli noma uma kunesimpawu zezinzwa, i-MRI ingase ikhuthazwe. Lokhu kunikeza izithombe eziningi zomgogodla nezinto ezizungezile. Kodwa-ke, leli zinga lokuhlola liyadingeka kuphela kumaphesenti amancane ezimo.

Isikhathi salezi zivivinyo sivame ukuncika ebudaleni bomntwana wakho. Ama-ultrasounds asebenza kangcono kubantwana abancane kakhulu ngoba amathambo abo awakaqini ngokuphelele, okwenza kube lula ukubona izakhiwo zomgogodla.

Ukuphathwa kwe-sacral dimples kuyini?

Izingxenye eziningi ze-sacral dimples azidingi ukwelashwa nhlobo. Uma udokotela wakho eqinisekisa ukuthi iyilona dimple elula elingenazo izici ezixwayisayo, isiphakamiso ngokuvamile ukugcina indawo ihlanzekile futhi uqaphe noma yikuphi ukuguquka.

Nge-dimples ebonisa izimpawu zokutheleleka, ukwelashwa kugxile ekuhlanzweni kokutheleleka ngama-antibiotics kanye nokukhathalela okuhle kwesilonda. Udokotela wakho uzokukhokhela ekuhlanzeni nasekomiseni indawo ngesikhathi sokutheleleka kuqeda.

Ezimweni ezimbalwa lapho izithombe zibonisa ukuxhumana nomgogodla noma ezinye izinto ezingavamile, ukwelashwa kuncika ezintweni ezitholakele. Lokhu kungase kuhlanganise:

• Ukulungiswa kokusebenza uma kukhona i-dermal sinus tract exhunyaniswe nomgogodla
• Ukuthola iseluleko se-neurosurgical nganoma yikuphi ukungapheleli komgogodla
• Ukuqapha okuvamile ngezifundo zokuhlola okuphindaphindayo
• I-physical therapy uma kunanoma yiziphi izinkinga zezinzwa ezihambisanayo

Izindaba ezinhle ukuthi ngisho nalapho ukwelashwa kudingeka, imiphumela ngokuvamile ilungile kakhulu, ikakhulukazi lapho izinkinga zitholakala futhi zilungiswe ngokushesha. Abantwana abaningi bayaqhubeka bephila impilo evamile, enempilo.

Ungayinakekela kanjani i-sacral dimple ekhaya?

Ukukhathalela i-sacral dimple elula ekhaya kulula futhi kuhilela ukusetshenziswa kwemikhuba yokuhlanzeka eyisisekelo. Gcina indawo ihlanzekile ngesikhathi sokugeza okuvamile, ugeze ngobumnene ngesepu elithambile namanzi.

Qiniseka ukuthi ukomisa indawo kahle ngemuva kokuhlanza, njengoba umswakama ovuliwe kwi-dimple ungase uholele ekucasukeni kwesikhumba noma ekuthelelekeni. Ungayikhomba indawo ngobumnene ngitawula ehlanzekile.

Qaphela noma yikuphi ukuguquka kubukeka kwe-dimple, njengobomvu, ukukhula, ukuqothuka, noma ubuhlungu obusha. Nakuba lezi zinguquko zingavamile, ukuzibamba ngokushesha kwenza ukwelashwa kube lula uma kudingeka.

Kubantwana abancane nabantwana, ukushintsha kwama-diaper okuvamile nemikhuba emihle yokuhlanzeka kubalulekile ngoba indawo ye-diaper ingagcina amabhaktheriya. Gcina indawo ye-dimple ihlanzekile futhi yomile ngesikhathi sokuhlanza ama-diaper.

Awudingi ukufaka noma yikuphi ama-creams noma ukwelashwa kwi-dimple ngaphandle uma udokotela wakho ekukhuthaza ngokuqondile. Eqinisweni, kungcono ukugwema ukufaka noma yini kwi-dimple ngokwayo, njengoba lokhu kungase kube yimbangela yokungenisa amabhaktheriya.

Kufanele uzilungiselele kanjani i-appointment yakho yodokotela?

Ngaphambi kwe-appointment yakho, thatha isikhathi sokubuka i-sacral dimple futhi uqaphele noma yiziphi imininingwane engase ibe usizo kudockotela wakho. Bheka usayizi wayo, ukujula, kanye nokuthi kunoma yiziphi izici ezihambisanayo njengobunqunu noma ukuguquka kwesikhumba.

Bhala phansi noma yimiphi imibuzo noma ukukhathazeka okukukhathazayo nge-dimple. Imibuzo evamile ihlanganisa ukuthi ingase ibe yimbangela yezinkinga kamuva ekuphileni, ukuthi idinga ukwelashwa yini, kanye nokuthi yiziphi izimpawu okumele uzibheke ekhaya.

Uma unezithombe ze-dimple, ikakhulukazi uma uqaphele ukuguquka ngokuhamba kwesikhathi, zizile. Ngezinye izikhathi ukubhalwa kwezithombe kungaba usizo ekuhlolweni kudockotela wakho.

Lungiselela umlando omfushane wokuthi nini okokuqala uqaphele i-dimple kanye nokuthi bekukhona yini izimpawu ezihambisanayo njengokuqothuka, ubomvu, noma ubuhlungu. Kubantwana abancane, qaphela ukuthi i-dimple yayikhona yini ekuzalweni noma ivele kamuva.

Ungangabazi ukubuza udokotela wakho ukuthi achaze noma yini ongayiqondi. Imibuzo mayelana ne-outlook yesikhathi eside, imikhawulo yemisebenzi, kanye nokuthi nini kufanele ufuneselwe iseluleko sokuthi udokotela konke kuyizinto ezifanele futhi kubalulekile ukuthula kwakho kwengqondo.

Iyini into ebalulekile mayelana ne-sacral dimples?

Into ebaluleke kakhulu okumele uyikhumbule mayelana ne-sacral dimples ukuthi iningi lazo liyimfihlo ngokuphelele futhi alidingi ukwelashwa. Ziyinto nje eguquguqukayo evamile endleleni abantu abanye abadalwe ngayo ngesikhathi sokuthuthuka.

Nakuba kuyinto evamile ukuthi ukhathazeke uma okokuqala uthola i-sacral dimple, ikakhulukazi kumntwana osanda kuzalwa, thola induduzo ekwazini ukuthi izigidi zabantu zihlala impilo yazo yonke ngalezi dimples ngaphandle kokuba nanoma yiziphi izinkinga.

Into ebalulekile ukuhlolwa kwe-dimple ngumhlinzeki wezempilo ongakwazi ukuqonda ukuthi iyilona dimple elula, elingenangozi noma ukuthi kunoma yikuphi ukuqapha okwengeziwe okudingekayo. Uma usuvele uthole le nduduzo, ungagxila ekujabuleleni impilo ngaphandle kokukhathazeka.

Hlala uqaphile noma yikuphi ukuguquka kubukeka kwe-dimple noma izimpawu ezintsha, kodwa ungavumeli ukukhathazeka ngezinkinga ezimbalwa kakhulu kufihle iqiniso lokuthi izinkinga ezinkulu azivamile. Ngokuqondisa komuntu wezokwelapha, ungaba nethemba ngokuphatha le simo.

Imibuzo evamile mayelana ne-sacral dimples

Ingabe i-sacral dimple yengane yami izonyamalala yodwa?

I-sacral dimples iyizinto ezimi ezingapheli ezinganyamalali ngokuhamba kwesikhathi. Kodwa-ke, zingase zibe nzima ukubona njengoba ingane yakho ikhula futhi ithuthukisa imisipha namanoni amaningi endaweni. I-dimple ngokwayo ihlala ikhona, kodwa ngokuvamile iba nzima ukubona njengoba iminyaka idlula.

Ingabe i-sacral dimples ingabangela ubuhlungu bomhlane kamuva ekuphileni?

I-sacral dimples elula ngokuvamile ayibangeli ubuhlungu bomhlane noma ezinye izimpawu ekuphileni konke. Uma umuntu onale sacral dimple ethola ubuhlungu bomhlane, ngokuvamile kungenxa yezinye izimbangela ezivamile njengokucasuka kwemisipha, ukungabi nendlela emihle, noma ukuguquka komhlane okuhlobene nobudala, kunokuba yi-dimple ngokwayo.

Ingabe kunanoma yimiphi imikhawulo yemisebenzi yabantwana abane-sacral dimples?

Abantwana abane-sacral dimples elula bangabamba iqhaza kuzo zonke imisebenzi evamile, kuhlanganise nezemidlalo nemisebenzi yomzimba. Ayikho imikhawulo yokubhukuda, imidlalo exhumana, noma noma yimiphi eminye imisebenzi. I-dimple ayikwenzi umgogodla ube sengozini yokulimaza.

Kufanele ngikhathazeke yini uma i-sacral dimple yengane yami itheleleka?

Nakuba ukutheleleka kwi-sacral dimples kungavamile, kufanele kuhlolwe ngumhlinzeki wezempilo ngokushesha. Izimpawu zokutheleleka zihlanganisa ubomvu, ukukhula, ukufudumeka, ukuqothuka, noma ubushushu. Ukutheleleka okuningi kuphendula kahle ekwelapheni okuqondile ngama-antibiotics, kodwa kubalulekile ukufuna ukunakekelwa kwezokwelapha kunokuba uzame ukuwelapha ekhaya.

Kuphephile yini ukuhlanza ngaphakathi kwe-sacral dimple?

Kufanele ugcine indawo eseduze kwe-dimple ihlanzekile ngokuhlanza okuvamile, kodwa ugweme ukuzama ukuhlanza ngaphakathi kwe-dimple ngokwayo. Ukugeza ngobumnene ngesepu namanzi ngesikhathi sokugeza okuvamile kwanele. Gwema ukusebenzisa ama-cotton swabs noma ezinye izinto ukuhlanza ngaphakathi kwe-dimple, njengoba lokhu kungase kube yimbangela yokungenisa amabhaktheriya noma ukucasuka.