Wili ʻana O Ka Hua Manu

Huli nā hua manu i ka wā e huli ai ka hua manu, e wili ana i ke kaula spermatic e lawe mai ana i ke koko i ka ʻeke hua. ʻO ka emi ʻana o ke kahe koko e hoʻokumu ai i ka ʻeha a me ka pehu koke a pinepine hoʻi.

Nā hōʻailona a me nā hōʻailona o ka torsion testicular e komo pū ana:

• ʻEha koke, ʻeha nui i ka scrotum — ka ʻeke ʻili palalulu ma lalo o kou penis e loaʻa ai nā testicles
• Pehu o ka scrotum
• ʻEha ʻōpū
• Nāʻā a me ka luaʻi
• He testicle i kau ʻia ma luna o ka maʻamau a i ʻole ma kahi kihi kūpono ʻole
• Kū pinepine ka mimi
• Wela

ʻO nā keikikāne ʻōpio e loaʻa ana i ka torsion testicular e ala pinepine ana ma muli o ka ʻeha scrotal i ka waenakonu o ka pō a i ʻole i kakahiaka nui.

E ʻimi i ka mālama pilikia no ka ʻeha o ka ʻōpū i ka wikiwiki a i ʻole ka nui. Hiki i ka mālama koke ke pale aku i ka pōʻino nui a i ʻole ka nalowale ʻana o kou ʻōpū inā loaʻa iā ʻoe ka testicular torsion.

Pono nō hoʻi ʻoe e ʻimi i ka kōkua lapaʻau koke inā loaʻa iā ʻoe ka ʻeha o ka ʻōpū i ka wikiwiki e hala aku me ka ʻole o ka mālama. Hiki ke hana kēia i ka wā e huli ai kahi ʻōpū a laila e huli hou iā ia iho (intermittent torsion and detorsion). Hoʻohana pinepine ʻia ka ʻoki kino e pale aku i ka pilikia mai ka hana hou ʻana.

Hōʻea mai ka torsion testicular i ka wā e huli ai ka hua manu ma ke kaula spermatic, kahi e lawe mai ai i ke koko i ka hua manu mai ka ʻōpū. Inā huli ka hua manu i nā manawa he nui, hiki ke pani loa ʻia ke kahe koko iā ia, e hoʻopōʻino koke ana.

ʻAʻole maopopo ke kumu o ka torsion testicular. ʻO ka hapa nui o nā kāne i loaʻa i ka torsion testicular he ʻano hoʻoilina ia e ʻae ai i ka hua manu e huli maʻalahi i loko o ka scrotum. Hoʻopili pinepine kēia kūlana hoʻoilina i nā hua manu ʻelua. Akā, ʻaʻole nā ​​kāne a pau me ka ʻano e loaʻa ai ka torsion testicular.

Hoʻomaka pinepine ka torsion testicular i nā hola he nui ma hope o ka hana ikaika, ma hope o ka hōʻeha iki i nā hua manu a i ʻole i ka wā e hiamoe ana. Hiki nō hoʻi i ke anu a i ʻole ka ulu wikiwiki ʻana o ka hua manu i ka wā ʻōpio ke pāʻani i kahi kuleana.

'* Makahiki. ʻO ka wili ʻana o ka hua manu he mea maʻamau loa ia ma waena o nā makahiki 12 a me 18.\n* Wili mua ʻana o ka hua manu. Inā ua loaʻa iā ʻoe ka ʻeha o ka hua manu i hala aku me ka ʻole o ka lāʻau lapaʻau (wili ʻana a me ka hoʻokuʻu ʻana i ka manawa), he mea paha ia e hiki hou mai ana. ʻO ka pinepine o ka ʻeha, ʻo ka nui aku ka pōʻino o ka hua manu.\n* Mōʻaukala ʻohana o ka wili ʻana o ka hua manu. Hiki i ke kūlana ke holo i loko o nā ʻohana.'

Hiki i ka torsion o ka hua ke kumu i kēia mau pilikia:

• Ka poino ʻana a i ʻole ka make ʻana o ka hua. I ka wā ʻaʻole i mālama ʻia ka torsion o ka hua no kekahi mau hola, hiki i ke kahe koko i ālai ʻia ke kumu i ka poino mau loa i ka hua. Inā he nui ka poino o ka hua, pono ia e wehe ʻia ma ke ʻoki kino.
• Ka hiki ʻole ke lilo i makua kāne. I kekahi mau hihia, hoʻopilikia ka poino ʻana a i ʻole ka nalowale ʻana o ka hua i ka hiki ʻana o ke kāne ke lilo i makua kāne.

ʻO ka hiki ʻana o nā hua manu ke huli i loko o ka ʻeke hua he ʻano hoʻoilina ia i loaʻa i kekahi mau kāne. Inā loaʻa iā ʻoe kēia ʻano, ʻo ke ala wale nō e pale aku ai i ka huli ʻana o ka hua manu, ʻo ia ka hana ʻoki e hoʻopili ai i nā hua manu ʻelua i loko o ka ʻeke hua.

E nīnau aku kāu kauka iā ʻoe i nā nīnau e hōʻoia ai inā pili kāu mau hōʻailona a me nā hōʻailona i ka torsion testicular a i ʻole kekahi mea ʻē aʻe. Hoʻomaopopo pinepine nā kauka i ka torsion testicular me kahi hōʻoia kino o ka scrotum, nā testicles, ka ʻōpū a me ka groin.

Loaʻa paha i kāu kauka ke ho'āʻo i kou mau reflexes ma ka palupalu iki ʻana a i ʻole ka ʻūlū ʻana i loko o kou ʻūhā ma ka ʻaoʻao i pilikia. Ma ke ʻano maʻamau, e hoʻoulu kēia i ka testicle. ʻAʻole paha e hana kēia reflex inā loaʻa iā ʻoe ka torsion testicular.

I kekahi manawa, pono nā ho'āʻo lapaʻau e hōʻoia i kahi hōʻailona a i ʻole e kōkua i ka ʻike ʻana i ke kumu ʻē aʻe no kāu mau hōʻailona. No ka laʻana:

Inā loaʻa iā ʻoe ka ʻeha no kekahi mau hola a hōʻike kāu hōʻoia kino i ka torsion testicular, lawe koke paha ʻia ʻoe i ka ʻoki kino me ka ʻole o ka ho'āʻo hou. Hiki i ka hoʻokaʻulua ʻana i ka ʻoki kino ke hopena i ka nalowale o ka testicle.

• Ho'āʻo mimi. Hoʻohana ʻia kēia ho'āʻo e nānā i ka maʻi.
• Scrotal ultrasound. Hoʻohana ʻia kēia ʻano ultrasound e nānā i ke kahe koko. ʻO ka emi ʻana o ke kahe koko i ka testicle he hōʻailona ia o ka torsion testicular. Akā ʻaʻole mau ka ultrasound e ʻike i ke kahe koko i emi iho, no laila ʻaʻole paha e kāpae ka ho'āʻo i ka torsion testicular.
• ʻOki kino. Pono paha ka ʻoki kino e hoʻoholo inā pili kāu mau hōʻailona i ka torsion testicular a i ʻole ke kūlana ʻē aʻe.