He aha te Varicocele? Tohutohu, Take, me te Maimoatanga

Ko te varicocele te uaua o nga uaua i roto i to kōpū. Pēnei tonu i te uaua o ngā uaua i roto i ō waewae, ka taea e ngā uaua e tukuna ana te toto mai i ō hua te nui haere me te whatu, ka hanga ai tētahi āhuatanga e pā ana ki te 15% o ngā tāne.

Ka puta tēnei āhuatanga ina kore ngā pouaka i roto i ngā uaua e mahi tika ana, ka waiho ai te toto kia horapa, ka pupū ai ngā uaua. Ahakoa ka rongo pea he awangawanga, he mea ngāwari noa te varicoceles, a he tokomaha ngā tāne e ora ana me ēnei kaore he raruraru.

He aha ngā tohu o te varicocele?

Ko te nuinga o ngā varicoceles kaore he tohu. He tokomaha ngā tāne e kite ana kei a rātou tētahi i te whakamātautau hauora noa, kāore rātou i kite i tetahi mea rerekē.

Ina puta mai ngā tohu, ka puta haere māmā, ā, ka kitea pea te nui ake i te wā. Ko ēnei ngā mea ka kitea pea e koe:

• Te mamae ngawari, te taumaha rānei i roto i tō kōpū, ina koa i muri i te tū roa.
• Te mamae e nui haere ana i te rā, ā, ka pai ake ina takoto koe.
• Te kitea, te rongo rānei i ngā uaua nui, whatu i roto i tō kōpū (ka kiia pea he ‘peke kutukutu’).
• Te pupū o tō kōpū.
• Tetahi hua e iti ake te rahi i tetahi atu.
• Te kore āta pai e nui ake ana i te mahi tinana, i te whakakori rānei.

Ko te kore āta pai he mea ngawari, ā, ka taea te whakahaere. Ka kite etahi tāne he kino ake ngā tohu i te wā wera, i muri rānei i te tū roa, he mea tika tēnei, nā te mea ka taea e te wera me te taumaha te nui ake o te toto i roto i ngā uaua e pā ana.

I etahi wā, ka taea e ngā varicoceles te tuku i te mamae nui ake e āwangawanga ana i ngā mahi o ia rā. Mēnā ka rongo koe i te mamae nui, ohorere i roto i tō kōpū, ka taea tēnei te tohu i tētahi atu āhuatanga e hiahia ana ki te tiaki hauora tonu.

He aha ngā momo varicocele?

Ka wehewehea ngā varicoceles ki ngā taumata rerekē i runga i te ngāwari o te kite me tōna rahi. Ko te mārama ki ēnei taumata ka āwhina i ngā tākuta ki te whakatau i te huarahi maimoatanga pai mō tō āhuatanga motuhake.

Ko te tikanga ka wehewehea e ngā tākuta ngā varicoceles ki ngā taumata matua e toru:

• Taumata 1: Ngā varicoceles iti e kitea ana noa iho ina pēhia e koe (pēnei i te mahi Valsalva).
• Taumata 2: Ngā varicoceles o te rahi waenga e kitea ana i te whakamātautau hauora noa.
• Taumata 3: Ngā varicoceles nui e kitea ana i raro i te kiri o te kōpū.

Ko te nuinga o ngā varicoceles kei te taha maui, nā te huarahi e tukuna ana te toto mai i te hua maui. Ka hono te uaua hua maui ki te uaua whatukuhu i te kokonga tika, ka waiho ai hei mea ngāwari ake te toto kia horapa.

Ko ngā varicoceles rua (e pā ana ki ngā taha e rua) he iti ake te maha, engari ka puta. Ina puta noa ngā varicoceles i te taha matau, ka uiui tonu ngā tākuta ki te whakakore i ētahi atu āhuatanga kei raro i te whenua e āwangawanga ana i ngā tauira rere toto.

He aha ngā take o te varicocele?

Ka puta ngā varicoceles ina mutu te mahi tika a ngā pouaka iti i roto i ngā uaua e kawe ana i te toto atu i ō hua. Ko ēnei pouaka te tikanga ka ārai i te toto kei te rere whakamuri, engari ina kore rātou e mahi, ka horapa te toto ki ngā uaua, ka nui haere.

Whakaarohia he raru waka i roto i ō oko toto. Ina mutu te rere noa, ka horapa katoa, ka pupū, ka totoro ngā ‘huarahi’ (ō uaua).

He maha ngā take e āwhina ana ki te puta mai o tēnei:

• Hanganga tinana: Ko te hononga o te uaua hua maui ki te uaua whatukuhu e hanga ana i te pehanga noa e taea te pakaru i ngā pouaka.
• Whakapapa: Ko te whānau e pā ana ki te varicoceles, ki ngā uaua rānei e nui haere ana ka nui ake te tūponotanga o te puta.
• Tau: Ko te tikanga ka puta ngā varicoceles i te wā o te whānautanga, ina nui haere te rere toto ki ngā ira tangata.
• Tū o te tinana: Ko te tū roa, te mahi rānei e nui ake ai te pehanga o te kopu ka āwhina.

I etahi wā, ka taea e ngā varicoceles te mea tuarua ki ētahi atu āhuatanga pēnei i ngā mate whatukuhu, i ngā toto rānei e ārai ana i te rere toto noa. Koia te take i tūtohu ai ngā tākuta i ngā rangahau whakaahua, ina koa mō ngā varicoceles e puta ohorere ana i ngā tāne pakeke, i te taha matau rānei anake.

Nōhea te haere ki te tākuta mō te varicocele?

Me haere koe ki te tākuta mēnā ka kite koe i ngā huringa rerekē i roto i tō kōpū, i te mamae rānei e mau tonu ana. Ahakoa he mea ngāwari noa te varicoceles, he mea nui kia whiwhi koe i te whakamātautau tika kia whakakore i ētahi atu āhuatanga.

Whakaritea he whakatau mēnā ka kite koe i ēnei āhuatanga:

• Ka rongo koe i te pūngāwerewere, te pupū rānei i roto i tō kōpū.
• He mamae, he kore āta pai rānei kei ō hua.
• Tetahi hua e kitea ana he iti ake i tetahi atu.
• Kei te ngana koe ki te whānau tamariki, ā, he raruraru kei a koe.
• Ka kite koe i ngā uaua nui, e kitea ana i roto i tō kōpū.

Rapua te tiaki hauora tonu mēnā ka rongo koe i te mamae nui, ohorere i roto i tō kōpū. Ka taea tēnei te tohu i te huri o te hua, i tētahi atu āhuatanga āwangawanga rānei e hiahia ana ki te maimoatanga tonu.

Ahakoa he ngawari ngā tohu, ko te kōrero ki tō tākuta ka homai te rangimarie o te ngākau, ā, ka āwhina i a koe ki te mārama ki ō kōwhiringa mō te whakahaere i tetahi kore āta pai.

He aha ngā take tūponotanga mō te varicocele?

Ka taea e ētahi take te nui ake o tō tūponotanga ki te whāngai i te varicocele. Ko te mārama ki ēnei take tūponotanga ka āwhina i a koe ki te mohio ki ngā mea hei titiro atu me te wā hei rapu whakamātautau.

Ko ngā take tūponotanga nui rawa atu ko ēnei:

• Tau: Ko te nuinga o ngā varicoceles ka puta i te wā o te taitamariki, i waenga i ngā tau 15-25.
• Whakapapa: Ko te whānau e pā ana ki te varicoceles, ki ngā uaua rānei e nui haere ana ka nui ake te tūponotanga.
• Teitei: Ko ngā tāne teitei pea he nui ake te tūponotanga nā te nui ake o te pehanga i roto i te pūnaha uaua.
• Te tū roa: Ko ngā mahi, te mahi rānei e hiahia ana ki te tū roa ka āwhina.
• Te kawe mamae: Ko te kawe mamae, te pehi rānei i ia rā ka nui ake te pehanga o te kopu.

Ka whakaatu etahi rangahau kei te iti ake te tūponotanga o ngā tāne e tino mahi tinana ana, e whakauru ana rānei ki ētahi whakataetae, ahakoa kāore i tino marama te hononga.

He mea tika te kī ka taea e ngā varicoceles te puta i roto i tetahi tāne, ahakoa ngā take tūponotanga. Ko te whai i ngā take tūponotanga kāore e whakamana ka whāngai koe i te varicocele, a he tokomaha ngā tāne kaore he take tūponotanga e whāngai tonu ana i ēnei.

He aha ngā raruraru pea o te varicocele?

Ko te nuinga o ngā varicoceles kaore e tuku i ngā raruraru nui, a he tokomaha ngā tāne e ora ana me ēnei kaore he raruraru. Heoi, he maha ngā take pea ka puta i te wā, ina koa mēnā he nui te varicocele, kāore rānei i te maimoatia.

Ko ngā raruraru matua hei mārama ko ēnei:

• Te kore kaha ki te whānau tamariki: Ka taea e ngā varicoceles te pā ki te hanga, ki te kounga rānei o te purapura, ka uaua pea te whānau tamariki.
• Te ngoikore o te hua: Ka iti pea te hua e pā ana i te wā, nā te rere toto kino.
• Te mamae e mau tonu ana: Ka whāngai etahi tāne i te kore āta pai e mau tonu ana e āwangawanga ana i ngā mahi o ia rā.
• Ngā huringa homoni: Ko ngā varicoceles nui pea ka pā ki te hanga testosterone, ahakoa he iti ake tēnei.

Ko ngā raruraru whānau tamariki te āwangawanga nui mō te tokomaha o ngā tāne. Ko te wera nui me te rere toto rerekē i roto i ngā varicoceles ka pā ki te hanga me te mahi o te purapura. Heoi, kāore katoa ngā tāne e pā ana ki te varicoceles e pā ana ki ngā raruraru whānau tamariki.

I etahi wā, ka taea e ngā varicoceles nui te tuku i ngā āwangawanga ataahua, i te kore āta pai nui rānei e pā ana ki te kounga o te ora. Ko te rongo pai ko ngā whiringa maimoatanga kei reira, ā, he tino whai hua ina puta mai ngā raruraru.

Me pēhea te aukati i te varicocele?

Aroha mai, kāore he huarahi kua whakamāramahia hei aukati i ngā varicoceles, nā te mea he mea nui mai i te hanganga tinana me te whakapapa. Ko ngā raruraru pouaka e tuku ana i ngā varicoceles he mea noa i whānau mai koe, i te whānautanga rānei.

Heoi, ka taea e koe te mahi i ētahi mahi hei whakaiti pea i tō tūponotanga, i te whakaiti rānei i ngā tohu mēnā kei a koe kē te varicocele:

• Whakakore te tū roa ina taea.
• Kakahu kakahu tautoko i te wā o ngā mahi tinana.
• Whakahaere te taumaha hauora hei whakaiti i te pehanga ki ō uaua.
• Tangohia ngā okioki hei whakaara i ō waewae mēnā ka tū roa koe.
• Noho makuku, whakahaere te rere toto noa.

Kāore ēnei mahi ora e whakamana te aukati, engari ka āwhina pea ki te āta pai mēnā ka whāngai koe i te varicocele. Ko te mea nui ko te mārama ki ngā huringa i roto i tō tinana, me te rapu tohutohu hauora ina hiahiatia.

Ko ngā whakamātautau whaiaro noa ka āwhina i a koe ki te kite i ngā huringa i te tīmatanga, he mea pai tonu tēnei mō te whakahaere i ngā āwangawanga hauora i te wa poto.

Me pēhea te whakamātautau i te varicocele?

Ko te whakamātautau i te varicocele te tikanga ka tīmata ki te whakamātautau tinana. Ka tirotirohia e tō tākuta tō kōpū i te wā e tū ana koe, e takoto ana rānei, e titiro ana ki ngā uaua nui, e tirotiro ana i te ahua.

Ko te whakamātautau tinana te tikanga ko te mahi i te mahi Valsalva (te pēhi pēnei i te haere ki te wharepaku) i te wā e tū ana koe. Ka nui ake tēnei i te pehanga i roto i tō kopu, ka tino kitea ai ngā varicoceles, ka ngāwari ake te kite.

Mēnā kāore i tino marama te whakamātautau tinana, ka tūtohu pea tō tākuta i ētahi atu whakamātautau:

• Te whakaahua ultrasound o te kōpū: Ka whakamahi i ngā ngaru oro hei hanga whakaahua o te rere toto i roto i tō kōpū.
• Te ultrasound Doppler: Ka whakaatu i te aronga me te tere o te rere toto i roto i ō uaua.
• Te venography: He X-ray motuhake e whakamahi ana i te tae whakakā (kaore e hiahiatia).

Ko te ultrasound te whakamātautau atu noa iho, nā te mea he kore mamae, he kore whakauru, ā, he tino tika. Ka taea te kite i ngā varicoceles iti pea kāore e tino kitea i te wā o te whakamātautau tinana.

Ka aromatawai pea tō tākuta i tō kaha ki te whānau tamariki mēnā kei te ngana koe ki te whānau tamariki, nā te mea ka āwhina tēnei ki te whakatau mēnā he mea tika te maimoatanga. Ko te tukanga whakamātautau katoa he mea ngāwari, ā, ka taea te whakaoti i roto i tetahi, i rua rānei haerenga.

He aha te maimoatanga mō te varicocele?

Kāore i te hiahiatia te maimoatanga mō ngā varicoceles. He tokomaha ngā tāne e pā ana ki ngā varicoceles ngawari kāore e tuku i ngā tohu, i ngā raruraru whānau tamariki rānei kāore e hiahia ki tetahi maimoatanga.

Ka tūtohu pea tō tākuta i te maimoatanga mēnā ka rongo koe i te mamae e mau tonu ana, he raruraru whānau tamariki kei a koe, i ngā tohu rānei o te ngoikore o te hua. Ko ngā whiringa maimoatanga matua ko ēnei:

• Te whakatika pokanga (varicocelectomy): Ko te maimoatanga noa, e whakauru ana ki te here, ki te tango rānei i ngā uaua e pā ana.
• Te pokanga laparoscopic: He huarahi iti te whakauru e whakamahi ana i ngā tapa iti me te kamera.
• Te embolization percutaneous: He tukanga kore pokanga e aukati ana te tākuta i ngā uaua e pā ana mā te whakamahi i ngā kōwhiringa, i ngā pūtu rānei.
• Te whakatika microsurgical: He tikanga pokanga tika e whakamahi ana i te nui ake o te tirotiro hei whakaiti i ngā raruraru.

Ko ngā whiringa pokanga he tino angitu, me ngā reiti angitu o te 85-95% mō te whakaora i te mamae me te whakapai ake i te whānau tamariki. Ko te nuinga o ngā tukanga he manuhiri, arā, ka taea e koe te haere ki te kāinga i taua rā.

Ka āwhina tō tākuta i a koe ki te whiriwhiri i te huarahi pai rawa atu i runga i tō āhuatanga motuhake, ngā tohu, me ngā whāinga maimoatanga. Ka rerekē te wā ora, engari ka taea e te nuinga o ngā tāne te hoki ki ngā mahi noa i roto i ngā wiki torutoru.

Me pēhea te whakahaere i ngā tohu varicocele i te kāinga?

Mēnā ka tuku tō varicocele i te kore āta pai ngawari, ka taea e ētahi rautaki whakahaere kāinga te āwhina i a koe ki te pai ake te rongo i te wā e whakatau ana koe ki ngā whiringa maimoatanga me tō tākuta.

Ko ēnei ngā huarahi whai hua hei whakahaere i ngā tohu:

• Kakahu kakahu tautoko: Ka taea e ngā tarau poto, i ngā tautoko whakakori rānei te whakaiti i te kore āta pai.
• Whakamahia ngā peke hukapapa: Ko te maimoatanga makariri mō ngā meneti 10-15 ka taea te whakaiti i te pupū me te mamae.
• Tangohia ngā rongoā mamae kore-whakahaunga: Ka taea e te ibuprofen, i te acetaminophen rānei te whakahaere i te mamae me te mumura.
• Whakaarahia ō waewae: Ko te takoto me ō waewae i whakaarahia ka taea te whakapai ake i te rere toto.
• Whakakore te tū roa: Tangohia ngā okioki noa hei noho, hei takoto rānei.

Ka kite etahi tāne he āwhina te kakahu i ngā tarau komirihi i te wā o te whakakori, i te mahi tinana rānei hei whakaiti i te kore āta pai. Ka taea pea e te kaukau wera te tuku i te whakaora wa poto mō ētahi tangata.

Kia mahara ka taea e ngā rongoā kāinga te āwhina ki te āta pai, engari kāore e whakaora i te varicocele kei raro. Mēnā ka mau tonu, ka kino ake rānei ō tohu, he mea nui kia whai i tō kaiwhakarato hauora mō ngā whiringa maimoatanga.

Me pēhea te whakarite mō tō whakatau ki te tākuta?

Ko te whakarite mō tō whakatau ka āwhina i a koe ki te whakamahi pai i tō wā me te tākuta, ā, ka whakamana ka whiwhi koe i ngā mōhiohio katoa e hiahia ana koe mō tō varicocele.

I mua i tō haerenga, whakaarohia te mahi i ēnei:

• Tuhia ō tohu katoa, tae atu ki te wā i tīmata ai, me ngā mea e pai ake ai, e kino ake ai rānei.
• Rārangihia ngā rongoā, ngā taapiri rānei e tangohia ana e koe.
• Tātaihia tetahi whakapapa whānau o te varicoceles, i ngā raruraru uaua rānei.
• Whakaritea ngā pātai mō ngā whiringa maimoatanga me ngā mea hei tatari.
• Whakaarohia te kawe mai i tō hoa mēnā he āwangawanga te whānau tamariki.

Ko ngā pātai pai hei ui ki tō tākuta ko ēnei: “Me maimoatia ahau inaianei?” “He aha ōku whiringa maimoatanga?” “Me pēhea te pā ki taku kaha ki te whānau tamariki?” me “He aha ngā mea me titiro atu e tohu ana me maimoatia ahau?”

Kaua e whakaroa ki te ui ki tetahi mea kāore koe e mārama. E hiahia ana tō tākuta ki te āwhina i a koe ki te whakatau whakamārama mō tō hauora, ā, kāore he pātai iti rawa, kāore rānei e nui.

He aha te mea nui mō te varicocele?

Ko ngā varicoceles he mea noa, ā, kāore i te mate kino. Ahakoa ka taea e ēnei te tuku i te kore āta pai, i ngā āwangawanga whānau tamariki rānei mō ētahi tāne, he tokomaha ngā tāne e pā ana ki ngā varicoceles e ora ana i te ora noa, hauora, kaore he maimoatanga.

Ko te mea nui hei mahara ko ngā whiringa kei a koe. Mēnā he mea tika te maimoatanga e whakahaere ana i ō tohu, ngā whāinga whānau tamariki, me te pānga o te varicocele ki tō kounga o te ora.

Mēnā ka kite koe i ngā huringa i roto i tō kōpū, i te mamae rānei e mau tonu ana, kaua e whakaroa ki te kite i te kaiwhakarato hauora. Ko te whakamātautau i te tīmatanga ka homai te rangimarie o te ngākau, ā, ka āwhina i a koe ki te mārama ki ō whiringa mēnā ka hiahiatia te maimoatanga.

Ko ngā maimoatanga hou mō ngā varicoceles he mea haumaru, ā, he whai hua ina hiahiatia. Ko te nuinga o ngā tāne e whiriwhiri ana i te maimoatanga e kite ana i te whakapai ake nui i ō rātou tohu me te manako katoa ki ngā hua.

Ngā pātai e ui pinepinetia ana mō te varicocele

Ka taea e ngā varicoceles te ngaro noa iho?

Ko te tikanga kāore ngā varicoceles e ngaro noa iho ina puta. Heoi, ka rerekē pea ngā tohu, ā, ka kite etahi tāne he iti ake te kore āta pai i te wā.

Ka pā te varicocele ki taku kaha ki te whānau tamariki?

Kāore katoa ngā varicoceles e pā ana ki te whānau tamariki, engari ka taea e ēnei te pā ki te hanga me te kounga o te purapura i ētahi tāne. Mēnā kei te ngana koe ki te whānau tamariki, ā, he varicocele kei a koe, ka tūtohu pea tō tākuta i te whakamātautau purapura hei tirotiro i tō hauora purapura. Ka taea e te maimoatanga te whakapai ake i ngā hua whānau tamariki ina āwhina ana ngā varicoceles ki ngā raruraru whānau tamariki.

He mamae te pokanga varicocele?

Ko te nuinga o ngā tukanga varicocele ka mahia i raro i te mate, na reira e kore koe e rongo mamae i te wā o te pokanga. I muri i te pokanga, ka tatari koe i tetahi kore āta pai mō ngā rā torutoru ki te wiki, engari he mea ngāwari noa tēnei mā ngā rongoā mamae kore-whakahaunga. Ka kite te nuinga o ngā tāne he tino manawanui te tukanga ora.

E hia te roa o te ora i muri i te maimoatanga varicocele?

Ka rerekē te wā ora i runga i te momo maimoatanga. Ka taea e te nuinga o ngā tāne te hoki ki te mahi tari i roto i ngā rā torutoru, ki ngā mahi noa rānei i roto i ngā wiki 1-2. Me whakakore te kawe mamae me te whakakori kaha mō ngā wiki 2-4. Ka homai e tō tākuta ngā aratohu motuhake i runga i tō tukanga.

Ka taea e ngā varicoceles te hoki mai i muri i te maimoatanga?

Ka taea e ngā varicoceles te hoki mai i muri i te maimoatanga, engari ka puta tēnei i raro i te 10% o ngā take me ngā tikanga pokanga hou. He nui ake te tūponotanga o te hoki mai me ētahi huarahi pokanga, ā, he iti ake te tūponotanga me te whakatika microsurgical. Mēnā ka hoki mai ngā tohu, kei reira ngā whiringa maimoatanga atu.