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Bebilina -> RE: Higijena dečakove piše... (27.11.2012 14:16:05)
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Nista ne diramo, nasi zdravstveni radnici to ne preporucuju. Pricala sa prijateljicama koje imaju vece decake i kazu da se to samo sredi. Takodje sam procitala da je prevlacenje te kozice ravno pucanju himena [sm=smiley13.gif]
"The foreskin serves the function of protecting the delicate and very sensitive glans penis. If not present, it can lead to irritation, inflammation and infection of the glans penis due to wet diapers in babies. Foreskin is also related to many surgical conditions like phimosis and paraphimosis. For these conditions circumcision is done. Preservation of foreskin is important in certain surgical conditions. Proper foreskin care is hence very essential.
What is phimosis?
Phimosis refers to the inability to retract the foreskin back. At birth it is physiological. The foreskin cannot be retracted at birth and it is absolutely normal. This is because there will be adhesions between the foreskin and the glans penis which prevents retraction. These adhesions get broken and loosened up gradually. By 3 years of age, in 90% of those who are uncircumcised the foreskin can be retracted.
What is paraphimosis?
Paraphimosis is a condition in which the foreskin which is pulled behind the glans penis cannot be brought back to its original position. It is also called as capistration. It is a urological emergency. Forceful retraction of the foreskin most often results in paraphimosis.
Care of the foreskin
The following are some of the important things with regards to foreskin that a mother should be aware of while taking care of the baby:
The foreskin should never be forcefully retracted. If the foreskin in a baby is forcefully retracted it can injure the foreskin and glans penis causing pain and bleeding. The injured tissue may heal with scarring which worsens phimosis and the foreskin may not be retractable at all (called pathological phimosis).
During bathing the baby, the foreskin should be retracted gently only as much as possible and is washed with soap and warm water. A whitish substance called smegma may be seen beneath the foreskin which has to be cleaned. After retracting and cleaning, the foreskin has to be brought back to the usual position covering the glans penis. If the foreskin cannot be retracted there is no need to worry about washing under the foreskin and only the surface of the penis is washed. A complete retraction is never possible during the fist few years and should never be attempted.
As the boy gets older and starts bathing on his own, he should be taught about how to gently retract the foreskin and clean it. He should also be advised and cautioned about the harmful effects of forceful retraction.
When the foreskin is tight, the doctor may prescribe steroid cream as mentioned above. This has to be applied by gently retracting the foreskin as much as possible. After applying the cream, the foreskin is moved over it again to its normal position so that cream gets beneath the foreskin. This has to be done 3-4 times a day for about a month to get good response."
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