He aha ka Testicular Torsion? Nā Hōʻailona, Nā Kumu, a me ka Lapaʻau

ʻO ka testicular torsion kahi pilikia olakino koʻikoʻi kahi e huli ai ke kaula spermatic, e ʻoki ana i ke kahe koko i ka hua. Pono kēia kūlana i ka mālama olakino koke e hoʻopakele i ka hua i hoʻopilikia ʻia a pale aku i ka hōʻino mau loa.

E noʻonoʻo iā ia e like me ka hose māla i huli ʻia a kinked. I ka wā e huli ai ke kaula spermatic, e kāohi ia i ka lako koko e mālama ana i ka hua olakino a hana.

He aha nā hōʻailona o ka testicular torsion?

ʻO ka hōʻailona nui ka ʻeha koke, ʻeha nui i hoʻokahi hua e hele koke mai ana a ʻaʻole e hele aku. Hoʻākāka pinepine ʻia kēia ʻeha e like me ka ʻeha loa a ke kanaka i ʻike ai, a maʻamau ia e hana me ka ʻole o ka hōʻeha maopopo a kumu paha.

Eia nā hōʻailona nui e nānā ai:

• ʻEha koke, ikaika i hoʻokahi hua e hoʻolaha paha i ka ʻōpū haʻahaʻa
• ʻO ka pehu a me ka palupalu i ka scrotum
• Nausea a me ka luaʻi mai ka ʻeha nui
• Hiki i ka hua i hoʻopilikia ʻia ke ʻoi aku ka kiʻekiʻe ma mua o ka maʻamau a i ʻole i kau ʻia ma kahi kihi maʻamau ʻole
• ʻUlaʻula a ʻeleʻele paha o ka ʻili scrotal
• Hoʻohana pinepine ʻana i ka mimi a ʻaihue paha i ka wā e mimi ai
• Fever i kekahi mau hihia

ʻAʻole maʻamau ka hoʻomaikaʻi ʻana o ka ʻeha me ka hoʻomaha a i ʻole nā ​​lāʻau ʻeha ma luna o ka counter. ʻAʻole like me nā kumu ʻē aʻe o ka ʻeha testicular, ʻaʻole maʻamau ka hāpai ʻana i ka hua e hāʻawi i ka hoʻomaha me ka torsion.

He aha ka mea e kumu ai i ka testicular torsion?

Hana ʻia ka testicular torsion i ka wā e huli koke ai ke kaula spermatic i loko o ka scrotum. ʻAʻole maopopo mau ke kumu kikoʻī o kēia huli ʻana, akā hiki i kekahi mau mea ke hoʻolilo iā ia i mea ʻoi aku ka maʻalahi.

ʻO ka hapa nui o nā hihia e hana ʻia ma muli o kahi kūlana i kapa ʻia ʻo "bell clapper deformity." I kēia hihia, ʻaʻole hoʻopili pono ʻia ka hua i loko o ka scrotum, e ʻae ana iā ia e neʻe manuahi a hiki ke huli. Aia kēia hoʻololi anatomical mai ka hānau ʻana mai.

ʻO nā mea kōkua ʻē aʻe e komo pū ana:

• Ka ulu wikiwiki i ka wā ʻōpio e hoʻopilikia ana i ke kūlana testicular
• Ka hana kino a i ʻole ka hōʻeha, ʻoiai he nui nā hihia e hana ana i ka wā moe
• Ka hoʻolaha ʻana i ke anuanu e hoʻopilikia ana i ka uaua cremaster e hoʻopaʻa ikaika
• Nā hihia ma mua o ka ʻeha testicular i hoʻonā ʻia ma o lākou iho
• Mōʻaukala ʻohana o ka testicular torsion

He mea hoihoi, nui nā hihia o ka testicular torsion e hana ana i ka wā moe a i ʻole hoʻomaha, ʻaʻole i ka wā hana kino. Ke hōʻike nei kēia hiki ke hana koke ka huli ʻana me ka ʻole o ka hoʻonāukiuki waho.

I ka wā e ʻike ai i ke kauka no ka testicular torsion?

Pono ʻoe e ʻimi i ka mālama olakino koke koke inā ʻike ʻoe i ka ʻeha testicular koke, ʻeha nui. He pilikia olakino maoli ka testicular torsion e pono ai ka ʻoki kino i loko o nā hola e hoʻopakele ai i ka hua.

Mai kali e ʻike inā hoʻomaikaʻi ka ʻeha ma o ia iho. ʻO ka wikiwiki o ka hoʻomaka ʻana o ka mālama ʻana, ʻoi aku ka maikaʻi o ka manawa e hoʻopakele ai i ka hua. ʻOi aku ka maikaʻi, pono e hana ʻia ka ʻoki kino i loko o 6 mau hola mai ka hoʻomaka ʻana o ka hōʻailona, ʻoiai hiki ke hoʻopakele ʻia kekahi mau hua ma hope o nā manawa lōʻihi.

E hele i ka lumi pilikia koke inā loaʻa iā ʻoe:

• Hoʻomaka koke ʻana o ka ʻeha testicular nui
• ʻEha testicular me ka nausea a me ka luaʻi
• He hua e ʻike ʻia ana he pehu, ʻulaʻula, a i ʻole i kau ʻia ma ke ʻano maʻamau ʻole
• ʻEha nui ʻaʻole e hoʻomaikaʻi me ka hoʻomaha a i ʻole ka lāʻau ʻeha

ʻOiai inā ʻaʻole ʻoe i maopopo loa he torsion ia, ʻoi aku ka maikaʻi o ka palekana. Hiki i nā kūlana koʻikoʻi ʻē aʻe ke kumu i nā hōʻailona like, a pono nā mea āpau i ka loiloi olakino koke.

He aha nā mea pilikia no ka testicular torsion?

Hiki i ka testicular torsion ke hana i kekahi me nā hua, akā ʻoi aku ka nui o kekahi mau mea e hana ai. Hiki i ka hoʻomaopopo ʻana i kēia mau mea pilikia ke kōkua iā ʻoe e makaʻala i ka hiki.

ʻO ka makahiki ka mea pilikia nui loa, me ʻelua mau manawa kiʻekiʻe i ka wā maʻamau ka torsion:

• Nā pēpē hou (i loko o nā lā mua a i ʻole nā ​​pule o ke ola)
• Nā ʻōpio (mau makahiki 12-18)
• Nā ʻōpio (mau makahiki 20 mua)

ʻO nā mea pilikia ʻē aʻe e komo pū ana:

• Bell clapper deformity (hoʻopili testicular kūpono ʻole)
• Nā hihia ma mua o ka ʻeha testicular i hoʻonā ʻia ma o lākou iho
• Mōʻaukala ʻohana o ka testicular torsion
• Hua i hāʻule ʻole a i ʻole ka mōʻaukala o ka hua i hāʻule ʻole
• Nā hua nui a i ʻole ka ulu wikiwiki o ka hua i ka wā ʻōpio

ʻO ka loaʻa ʻana o hoʻokahi a ʻoi aku paha nā mea pilikia ʻaʻole ia he manaʻo e loaʻa nō ʻoe i ka torsion. Nui nā kānaka me nā mea pilikia ʻaʻole loa e ʻike i kēia kūlana, ʻoiai ʻo nā poʻe ʻē aʻe me ka ʻole o nā mea pilikia maopopo e hana.

He aha nā pilikia hiki ke loaʻa i ka testicular torsion?

ʻO ka pilikia koʻikoʻi loa o ka testicular torsion ka nalowale ʻana o ka hua i hoʻopilikia ʻia inā hoʻokaʻulua ʻia ka mālama ʻana. I ka wā e ʻoki ʻia ai ke kahe koko no ka lōʻihi loa, make ka ʻiʻo testicular a ʻaʻole hiki ke hoʻopakele.

He mea koʻikoʻi ka manawa i ka pale ʻana i nā pilikia. Eia ka mea hiki ke hana ma muli o ka manawa:

• I loko o 6 mau hola: Manawa kiʻekiʻe loa (ma mua o 90%) o ka hoʻopakele ʻana i ka hua
• 6-12 mau hola: Manawa maikaʻi (ma kahi o 70-80%) o ke ola testicular
• 12-24 mau hola: Manawa haʻahaʻa (ma kahi o 20-50%) o ka hoʻopakele ʻana i ka hua
• Ma mua o 24 mau hola: Manawa haʻahaʻa loa o ke ola testicular

ʻO nā pilikia hiki ke loaʻa ʻē aʻe e komo pū ana:

• Ka maʻi o ka hua a i ʻole ka ʻiʻo a puni
• Ka emi ʻana o ka hānau keiki inā nalowale a i ʻole hōʻino nui ʻia ka hua
• ʻEha mau loa i ka scrotum
• Nā loli cosmetic i ka scrotum
• Ka hopena psychological mai ka nalowale ʻana o ka hua

ʻO ka ʻoiaʻiʻo maikaʻi, ʻo ka loaʻa ʻana o hoʻokahi hua olakino e hāʻawi maʻamau i ka hana hormone a me ka hānau keiki. Hiki i ka hapa nui o nā kāne i nalowale hoʻokahi hua i ka torsion ke hānau keiki maoli.

Pehea e ʻike ʻia ai ka testicular torsion?

Hiki i nā kauka ke ʻike pinepine i ka testicular torsion ma muli o kāu mau hōʻailona a me ka nānā kino. ʻO ka hōʻike maʻamau o ka ʻeha testicular koke, ʻeha nui i kahi ʻōpio e hōʻike ikaika i ka torsion.

I ka wā o ka nānā kino, e nānā kāu kauka no kekahi mau hōʻailona nui. Hiki ke kau ʻia ka hua i hoʻopilikia ʻia ma mua o ka maʻamau, moe pālahalaha ma mua o ke kū pololei, a ʻoi aku ka palupalu ke pā.

I kekahi manawa pono nā hoʻokolohua hou aku e hōʻoia i ka ʻike:

• Doppler ultrasound e nānā i ke kahe koko i ka hua
• Nā hoʻokolohua mimi e kāpae i ka maʻi
• Nā hoʻokolohua koko e nānā no nā hōʻailona o ka maʻi a i ʻole ka mumū

Eia naʻe, inā manaʻo nui ʻia ka torsion ma muli o nā hōʻailona a me ka nānā ʻana, hele pinepine nā kauka pololei i ka ʻoki kino me ka ʻole o ka kali ʻana i nā hopena hoʻokolohua. ʻO ka wikiwiki o ka hoʻopakele ʻana i ka hua ke mea nui ma mua o ka loaʻa ʻana o ka hōʻoia hou aku.

He aha ka lapaʻau no ka testicular torsion?

ʻO ka ʻoki kino koke ka lapaʻau nui no ka testicular torsion. ʻO ke kaʻina hana, i kapa ʻia ʻo orchiopexy, e komo pū ana i ka wehe ʻana i ke kaula spermatic a me ka hoʻopaʻa ʻana i nā hua ʻelua e pale aku i ka torsion i ka wā e hiki mai ana.

I ka wā o ka ʻoki kino, e hana ka urologist i kahi incision i ka scrotum a wehe i ka hua i hoʻopilikia ʻia. Inā ʻike ʻia ka hua he olakino a ola, e kāwili ʻia ia i loko o ka scrotum e pale aku i ka huli ʻana i ka wā e hiki mai ana. Hana pinepine ʻia ka hana like ma ka hua ʻē aʻe ma ke ʻano he hana pale.

ʻO ke kaʻina hana ʻoki kino e komo pū ana:

1. ʻOki kino koke ma lalo o ka anesthesia laulā
2. Wehe ʻana i ke kaula spermatic e hoʻihoʻi i ke kahe koko
3. Ke loiloi nei inā ola nō ka hua
4. Ke hoʻopaʻa ʻana i nā hua ʻelua e pale aku i ka torsion i ka wā e hiki mai ana (orchiopexy)
5. Ke wehe ʻana i ka hua inā ʻaʻole ia e ola (orchiectomy)

I nā hihia kakaikahi, hiki i ke kauka ke ho'āʻo i ka detorsion manual (untwisting ma ka lima) i ka lumi pilikia, akā ʻaʻole kēia i holomua mau. Ke noho nei ka ʻoki kino ma ke ʻano he lapaʻau hoʻoholo e hoʻoponopono i ka pilikia o kēia manawa a pale aku i ka hoʻi hou.

Pehea e mālama ai iā ʻoe iho ma hope o ka mālama ʻana i ka testicular torsion?

ʻO ka hoʻōla ʻana mai ka ʻoki kino testicular torsion he mea pololei maʻamau, akā pono ʻoe e hahai pono i nā ʻōlelo a kāu kauka e hoʻōla pono a pale aku i nā pilikia.

No nā lā mua ma hope o ka ʻoki kino, ʻo ka hoʻomaha kāu mea nui loa. E ʻike paha ʻoe i ka ʻeha, pehu, a me ka ʻūlū a puni ka wahi ʻoki kino, he mea maʻamau loa kēia a pono e hoʻomaikaʻi mālie.

Eia ka mea āu e manaʻo ai i ka wā hoʻōla:

• E lawe i nā lāʻau ʻeha i kuhikuhi ʻia e like me ke kuhikuhi ʻia
• E hoʻopili i nā pahu hau e hoʻemi i ka pehu (20 mau minuke ma luna, 20 mau minuke ma waho)
• E komo i nā lole kākoʻo a i ʻole kahi lole kākoʻo scrotal
• E mālama i ka wahi incision maʻemaʻe a maloʻo
• E pale i ka hāpai kaumaha a me ka hana ikaika no 2-4 mau pule
• E lawe i ka manawa mai ka hana a i ʻole ke kula e like me ka ʻōlelo a kāu kauka

Pono ʻoe e hiki ke hoʻi i nā hana māmā i loko o kekahi mau lā, akā ʻo ka hoʻōla piha maʻamau he 2-4 mau pule. E hoʻonohonoho kāu kauka i nā hālāwai hoʻomau e nānā i kāu hoʻōla a hōʻoia i ka holomua maʻamau o nā mea āpau.

Pehea ʻoe e hoʻomākaukau ai no kāu hālāwai kauka?

Inā ʻike ʻoe i ka ʻeha testicular, he kūlana pilikia kēia e pono ai ka mālama olakino koke ma mua o ka hālāwai i hoʻonohonoho ʻia. E hele pololei i ka lumi pilikia a kelepona paha i ka 911.

Eia naʻe, inā ʻoe e hoʻōla mai ka torsion a i ʻole loaʻa nā manaʻo e pili ana i ke olakino testicular, eia pehea e hoʻomākaukau ai no kahi kipa hoʻomau. E kākau i kāu mau hōʻailona, ​​e komo pū ana i ka wā i hoʻomaka ai, pehea ka nui o lākou, a he aha ka mea e hoʻomaikaʻi ai a ʻoi aku paha.

E lawe mai i ka ʻike nui me ʻoe:

• Papa inoa o nā lāʻau lapaʻau a me nā mea hoʻohui i kēia manawa
• Nā kikoʻī e pili ana i kāu mau hōʻailona a me ka laina manawa
• Nā nīnau e pili ana i ka hoʻōla, nā palena hana, a i ʻole nā ​​hopena lōʻihi
• ʻIke e pili ana i kekahi mōʻaukala ʻohana o nā pilikia testicular
• Nā kāleka ʻinikua a me ka ʻike

Mai hilahila e kūkākūkā i nā hōʻailona testicular me kāu mea hoʻolako mālama olakino. He poʻe loea lapaʻau lākou e hana pinepine ana me kēia mau pilikia a makemake e kōkua iā ʻoe e loaʻa ka mālama maikaʻi loa.

He aha ka mea nui e pili ana i ka testicular torsion?

He pilikia olakino koke ka testicular torsion e pono ai ka ʻoki kino koke e hoʻopakele ai i ka hua i hoʻopilikia ʻia. ʻO ke kī ka ʻike ʻana i nā hōʻailona i ka wā mua a me ka ʻimi ʻana i ka mālama koke me ka ʻole o ka hoʻokaʻulua.

E hoʻomanaʻo ʻaʻole pono loa e nānā ʻole ʻia a mālama ʻia paha me kahi ʻano "kali a ʻike" ka ʻeha testicular koke, ʻeha nui. ʻOiai inā ʻaʻole ʻoe i maopopo he torsion ia, ʻoi aku ka maikaʻi o ka ʻimi ʻana i ka loiloi olakino koke. Hiki i ka hana wikiwiki ke ʻokoʻa ma waena o ka hoʻopakele ʻana a me ka nalowale ʻana o ka hua.

ʻO ka ʻoiaʻiʻo maikaʻi, me ka mālama koke, ʻoi aku ka maikaʻi o nā hopena o ka hapa nui o nā hihia o ka testicular torsion. Pale ka ʻoki kino i nā hanana i ka wā e hiki mai ana a ʻae iā ʻoe e hoʻi i nā hana maʻamau. ʻOiai inā nalowale hoʻokahi hua, hiki i ka hua i koe ke hāʻawi i ka hana hormone maʻamau a me ka hānau keiki no ka hapa nui o nā kāne.

Nā nīnau i nīnau pinepine ʻia e pili ana i ka testicular torsion

Hiki i ka testicular torsion ke hana hou aku ma mua o hoʻokahi manawa?

ʻAe, hiki i ka testicular torsion ke hoʻi hou inā ʻaʻole hoʻopaʻa pono ʻia ka hua i ka wā o ka ʻoki kino mua. Eia naʻe, ʻo ka mālama ʻoki kino maʻamau (orchiopexy) e komo pū ana i ka kāwili ʻana i nā hua ʻelua i kahi e pale aku ai i ka torsion i ka wā e hiki mai ana. I ka wā e hana pono ʻia ai, he mea maikaʻi loa kēia kaʻina hana i ka pale ʻana i ka hoʻi hou.

Hiki iā ʻoe ke pale aku i ka testicular torsion mai ka hana ʻana?

ʻAʻohe ala hōʻoia e pale aku ai i ka testicular torsion mai ka hana ʻana, ʻoiai pinepine ia e hana koke ana. Eia naʻe, inā loaʻa iā ʻoe nā mea pilikia e like me ka bell clapper deformity a i ʻole nā ​​hihia ma mua o ka ʻeha testicular, hiki i kāu kauka ke ʻōlelo i ka ʻoki kino pale (elective orchiopexy) e hoʻopaʻa i nā hua a hoʻemi i kou pilikia.

E hiki nō anei iaʻu ke loaʻa nā keiki ma hope o ka testicular torsion?

Hiki i ka hapa nui o nā kāne ke hānau keiki maʻamau ma hope o ka testicular torsion, ʻoiai inā nalowale hoʻokahi hua. Hoʻopuka ka hua olakino hoʻokahi i ka sperm a me nā hormones lawa no ka hānau keiki maʻamau. Inā pilikia ʻoe e pili ana i ka hānau keiki, hiki i kāu kauka ke kūkākūkā i nā koho e like me ka waiho ʻana i ka sperm ma mua o ka ʻoki kino i kekahi mau kūlana.

Pehea ka lōʻihi o ka ʻoki kino testicular torsion?

ʻO ka ʻoki kino testicular torsion maʻamau he 30-60 mau minuke, ma muli o ka paʻakikī o ka hihia. Hana pinepine ʻia ke kaʻina hana ma lalo o ka anesthesia laulā ma ke ʻano he ʻoki kino koke. E hele paha ʻoe i ka home i ka lā like a ma hope paha o ka wā nānā pō.

He aha ka ʻokoʻa ma waena o ka testicular torsion a me ka epididymitis?

ʻO nā kūlana ʻelua e kumu ai i ka ʻeha testicular, akā he mau kumu a me nā lapaʻau like ʻole lākou. ʻO ka testicular torsion e komo pū ana i ka huli ʻana o ke kaula spermatic a pono i ka ʻoki kino koke. ʻO ka epididymitis ka mumū o ka epididymis (maʻamau ma muli o ka maʻi) a mālama ʻia me nā antibiotics. Hoʻopuka pinepine ka torsion i ka ʻeha nui loa, koke, ʻoiai e ulu mālie ana ka epididymitis a hiki ke hoʻomaikaʻi i ka wā e hāpai ai ʻoe i ka hua.