Testicular Torsion ni iki? Ibimenyetso, Impamvu, n'Ubuvuzi

Testicular torsion ni ikibazo gikomeye cy'ubuzima gisaba ubutabazi bw'abaganga vuba, aho umusemburo utwara amaraso ujya mu gituza uhindukira, bikabuza amaraso kugera mu gituza. Iki kibazo gisaba ubutabazi bw'abaganga vuba kugira ngo gituza gikizwe kandi hakumirwe ibibazo birambye.

Tekereza nk'umuyoboro w'amazi uhindukira ukagira ibibazo. Iyo umusemburo utwara amaraso ujya mu gituza uhindukiye, ubuza amaraso kugera mu gituza, bityo gituza kikaba kidafite ubuzima. Ntutabonye ubuvuzi vuba, gituza gishobora gupfa kubera kubura umwuka n'ibindi by'ingenzi.

Ibimenyetso bya Testicular Torsion ni ibihe?

Ikimenyetso nyamukuru ni ububabare butunguranye kandi bukomeye mu gituza kimwe, butangira vuba kandi ntibugabanuke. Ubu bubabare busobanurwa nk'ububabare bukomeye umuntu yigeze kumva, kandi busanzwe buza hatabayeho ikibazo cyangwa impanuka.

Dore ibimenyetso by'ingenzi ugomba kwitondera:

• Ububabare butunguranye kandi bukomeye mu gituza kimwe, bushobora kugera no mu nda hasi
• Kuboroga no kubabara mu gice cy'igituza
• Isesemi no kuruka bitewe n'ububabare bukomeye
• I gituza kibabaye gishobora kugaragara hejuru ugereranyije n'ikindi, cyangwa kikaba gifite imiterere idasanzwe
• Urubara cyangwa guhinduka kw'irangi ry'uruhu rw'igituza
• Kwinnya kenshi cyangwa kubabara mu gihe cyo kwinnya
• Inkorora mu mubiri mu bihe bimwe na bimwe

Ububabare busanzwe ntibugabanuka nubwo warikorera cyangwa ukoresheje imiti igabanya ububabare. Bitandukanye n'izindi mpamvu ziterwa no kubabara mu gituza, guhagarara gituza ntibigabanya ububabare mu gihe cy'ihindagurika.

Ni iki giterwa na Testicular Torsion?

Testicular torsion iba iyo umusemburo utwara amaraso ujya mu gituza uhindukiye mu gice cy'igituza. Impamvu nyamukuru y'uku guhindukira ntibisobanuka neza, ariko hari ibintu byinshi bishobora kubitera.

Ibyinshi bibaho bitewe n'ikibazo cyitwa "bell clapper deformity." Muri iki gihe, gituza ntikirangamirwa neza mu gice cy'igituza, bituma gikora neza kandi gishobora guhindukira. Iyi miterere ibaho kuva umuntu avutse.

Ibindi bintu bigira uruhare birimo:

• Kwiyongera vuba mu gihe cy'ubwangavu bigira ingaruka ku gituza
• Imikino cyangwa imvune, nubwo ibyinshi bibaho mu gihe cyo kuryama
• Gukonjeshwa n'ikirere gikonje bituma umusuli wa cremaster ukora cyane
• Ibibazo byabanje byo kubabara mu gituza byakize byonyine
• Amateka y'umuryango afite Testicular torsion

Icy'ingenzi ni uko ibyinshi bya Testicular torsion bibaho mu gihe cyo kuryama cyangwa kuruhuka, atari mu gihe cy'imikino. Ibi bivuga ko guhindukira bishobora kubaho byonyine hatabayeho ikintu cyabiteye.

Ni ryari ukwiye kujya kwa muganga kubera Testicular Torsion?

Ugomba gushaka ubuvuzi bw'ubukene bw'ubuzima vuba uramutse ufite ububabare butunguranye kandi bukomeye mu gituza. Testicular torsion ni ikibazo gikomeye cy'ubuzima gisaba kubagwa mu masaha make kugira ngo gituza gikizwe.

Ntugatege amatwi ngo urebe niba ububabare bugabanuka. Ubuvuzi butangira vuba, ni byiza kurushaho kugira ngo gituza gikizwe. Ubuganga bugomba gukorwa mu masaha 6 gituza kibabaye, nubwo bimwe mu gituza bishobora gukizwa nyuma y'igihe kirekire.

Jya kwa muganga vuba uramutse ufite:

• Ububabare butunguranye bukomeye mu gituza
• Ububabare mu gituza buherekejwe n'isesemi no kuruka
• I gituza kigaragara kiborotse, kibara, cyangwa gifite imiterere idasanzwe
• Ububabare bukomeye budagabanuka nubwo warikorera cyangwa ukoresheje imiti igabanya ububabare

Nubwo utazi neza ko ari torsion, ni byiza kwirinda. Hari ibindi bibazo bikomeye bishobora gutera ibimenyetso nk'ibi, kandi byose bisaba ko ubuvuzi buhita butangira.

Ni ibihe bintu byongera ibyago bya Testicular Torsion?

Testicular torsion ishobora kuba ku muntu wese ufite gituza, ariko hari ibintu bimwe na bimwe byongera ibyago byabyo. Gusobanukirwa ibyo bintu bishobora kugufasha kuba maso.

Imyaka ni yo ngingo y'ingenzi y'ibyago, hari igihe cy'ingenzi ihindagurika ribaho cyane:

• Abana bavutse vuba (mu minsi mike cyangwa mu byumweru byambere by'ubuzima)
• Abangavu (imyaka 12-18)
• Abantu bakuze bakiri bato (mu myaka ya mbere ya 20)

Ibindi bintu byongera ibyago birimo:

• Bell clapper deformity (gituza kidahujwe neza)
• Ibibazo byabanje byo kubabara mu gituza byakize byonyine
• Amateka y'umuryango afite Testicular torsion
• Gituza kitazamutse cyangwa amateka y'igituza kitazamutse
• I gituza kinini cyangwa kwiyongera vuba kw'igituza mu gihe cy'ubwangavu

Kugira kimwe cyangwa ibindi bintu byongera ibyago ntibisobanura ko uzahura n'ihindagurika. Abantu benshi bafite ibyago ntibahura n'iki kibazo, abandi badafite ibyago bahura nacyo.

Ni ibihe bibazo bishobora guterwa na Testicular Torsion?

Ikibazo gikomeye cyane cyaterwa na Testicular torsion ni ukubura gituza kibabaye niba ubuvuzi bwaratinze. Iyo amaraso atabonye igihe kirekire, imisemburo y'igituza irapfa kandi ntishobora gukizwa.

Igihe ni ingenzi mu kwirinda ibibazo. Dore ibyo bishobora kubaho bitewe n'igihe:

• Mu masaha 6: Amahirwe menshi cyane (asaga 90%) yo gukiza gituza
• Amasaha 6-12: Amahirwe meza (hafi 70-80%) yo gukiza gituza
• Amasaha 12-24: Amahirwe make (hafi 20-50%) yo gukiza gituza
• Asaga amasaha 24: Amahirwe make cyane yo gukiza gituza

Ibindi bibazo bishobora kubaho birimo:

• Dukurikira gituza cyangwa imisemburo yacyo
• Kubura ubushobozi bwo kubyara niba gituza cyabuze cyangwa cyangiritse cyane
• Ububabare buhoraho mu gice cy'igituza
• Guhinduka kw'imiterere y'igituza
• Ingaruka zo mu mutwe zo kubura gituza

Inkuru nziza ni uko kugira gituza kimwe gifite ubuzima bisanzwe bitanga imisemburo isanzwe n'ubushobozi bwo kubyara. Abagabo benshi babuze gituza rimwe kubera torsion baracyashobora kubyara abana mu buryo busanzwe.

Testicular Torsion imenyekanwa gute?

Abaganga bashobora kumenya Testicular torsion bitewe n'ibimenyetso byawe n'isuzuma ry'umubiri. Ibyo bigaragara by'ububabare butunguranye kandi bukomeye mu gituza ku muntu muto bigaragaza torsion.

Mu gihe cy'isuzuma ry'umubiri, muganga azareba ibimenyetso by'ingenzi. I gituza kibabaye gishobora kuba hejuru ugereranyije n'ikindi, kikaba gifite imiterere idasanzwe, kandi kikaba kibabaza cyane iyo gikozweho. Cremasteric reflex (igituza kizamura iyo ukora ku gice cy'imbere cy'umugongo) akenshi iba ibura ku ruhande rubabaye.

Rimwe na rimwe, ibizamini by'inyongera birakenewe kugira ngo hamenyekane neza:

• Doppler ultrasound kugira ngo harebwe amaraso ajya mu gituza
• Ibizamini by'inkari kugira ngo harebwe niba nta ndwara
• Ibizamini by'amaraso kugira ngo harebwe ibimenyetso by'indwara cyangwa kuboroga

Ariko, niba torsion ikekwako cyane bitewe n'ibimenyetso n'isuzuma, abaganga bakora ubuganga buhita butangira batategereje ibisubizo by'ibizamini. Ubuvuzi bwihuse bwo gukiza gituza ni ingenzi kurusha kubona ibyemezo by'inyongera.

Ubuvuzi bwa Testicular Torsion ni buhe?

Ubuganga bwihuse ni bwo buvuzi nyamukuru bwa Testicular torsion. Ubuganga, bwitwa orchiopexy, burimo gukuraho guhindukira kw'umusemburo utwara amaraso kandi guhambira gituza yombi kugira ngo birinde guhindukira mu gihe kizaza.

Mu gihe cy'ubuganga, umuganga azakora umwanya mu gice cy'igituza kandi akureho guhindukira kw'igituza kibabaye. Niba gituza kigaragara gifite ubuzima kandi gifite ubuzima, kizahujwe mu gice cy'igituza kugira ngo birinde guhindukira mu gihe kizaza. Ubuganga nk'ubwo busanzwe bukorerwa ikindi gituza nk'uburyo bwo kwirinda.

Ubuganga busanzwe burimo:

1. Ubuganga bwihuse bukorwa munsi y'ubuvuzi
2. Gukuraho guhindukira kw'umusemburo utwara amaraso kugira ngo amaraso asubire
3. Kureba niba gituza kikiri gifite ubuzima
4. Guhambira gituza yombi kugira ngo birinde guhindukira mu gihe kizaza (orchiopexy)
5. Gukuraho gituza niba kitagifite ubuzima (orchiectomy)

Mu bihe bidasanzwe, muganga ashobora kugerageza gukuraho guhindukira (gukuraho guhindukira ukuboko) mu bitaro, ariko ibi ntibihora bigira icyo bikora. Ubuganga buguma ari bwo buvuzi bwo gukemura ikibazo no kwirinda ko kizasubira.

Uko witwara nyuma yo kuvurwa Testicular Torsion

Kuvurwa nyuma y'ubuganga bwa Testicular torsion bisanzwe biroroshye, ariko ugomba gukurikiza amabwiriza ya muganga kugira ngo ukire neza kandi wirinde ibibazo.

Mu minsi mike ya mbere nyuma y'ubuganga, kuruhuka ni byo by'ingenzi. Uzaba ufite ububabare, kuboroga, no kubabara mu gice cy'ubuganga, ibyo ni ibisanzwe kandi bigomba kugabanuka buhoro buhoro.

Dore ibyo ugomba kwitega mu gihe cyo gukira:

• Fata imiti igabanya ububabare nk'uko muganga yabitegetse
• Shyiraho ubukonje kugira ngo ugabanye kuboroga (iminota 20, hanyuma iminota 20 ubishyireho)
• Kambara imyenda ishyigikira cyangwa ikintu gishyigikira igituza
• Komeza umwanya w'ubuganga usa neza kandi uciye
• Irinde imirimo ikomeye n'imikino ikomeye mu byumweru 2-4
• Fata ikiruhuko cyo ku kazi cyangwa ku ishuri nk'uko muganga yabitegetse

Uzaba ushobora gusubira mu mirimo yoroshye mu minsi mike, ariko gukira burundu bisaba ibyumweru 2-4. Muganga azategura ibizamini byo gukurikirana kugira ngo akurikirane uko ukomeza gukira kandi arebe ko byose bigenda neza.

Uko witegura kujya kwa muganga

Niba ufite ububabare mu gituza, ibi bishobora kuba ikibazo cy'ubukene bw'ubuzima gisaba ubutabazi bw'abaganga vuba aho kuba gahunda y'ibitaro. Jya mu bitaro vuba cyangwa wahamagare 911.

Ariko, niba uri gukira torsion cyangwa ufite impungenge ku buzima bw'igituza, dore uko witegura gusura muganga. Andika ibimenyetso byawe, harimo igihe byatangiye, uko bikomeye, n'icyo bibafasha cyangwa kibibabaza.

Zana amakuru y'ingenzi:

• Urutonde rw'imiti ukoresha n'ibindi
• Amakuru arambuye ku bimenyetso byawe n'igihe byabaye
• Ibibazo ku gukira, kutagira imirimo, cyangwa ingaruka zirambye
• Amakuru ku mateka y'umuryango afite ibibazo by'igituza
• Amakuru y'ubwisungane n'irangamuntu

Ntugire ipfunwe ryo kuvugana n'abaganga ku bimenyetso by'igituza. Ni abaganga bahura n'ibyo bibazo buri gihe kandi bashaka kugufasha kubona ubuvuzi bwiza.

Icyo ugomba kumenya kuri Testicular Torsion

Testicular torsion ni ikibazo cy'ubuzima gisaba ubuganga bwihuse kugira ngo gituza gikizwe. Icy'ingenzi ni ukumenya ibimenyetso hakiri kare no gushaka ubuvuzi bwihuse.

Wibuke ko ububabare butunguranye kandi bukomeye mu gituza ntibugomba kwirengagizwa cyangwa kuvurwa n'uburyo bwo "kutegereza no kureba." Nubwo utazi neza ko ari torsion, bihora ari byiza gushaka ubuvuzi vuba. Igikorwa cyihuse gishobora kuba itandukaniro hagati yo gukiza no kubura gituza.

Inkuru nziza ni uko, ubuvuzi buhita butangira, ibyinshi bya Testicular torsion bigira ingaruka nziza. Ubuganga burabuza ko bizasubira kandi bugufasha gusubira mu mirimo yawe isanzwe. Nubwo gituza kimwe cyabuze, ikindi gituza gishobora gutanga imisemburo isanzwe n'ubushobozi bwo kubyara ku bagabo benshi.

Ibibazo byakunda kubazwa kuri Testicular Torsion

Testicular torsion ishobora kubaho inshuro nyinshi?

Yego, Testicular torsion ishobora gusubira niba gituza kidahujwe neza mu gihe cy'ubuganga bwa mbere. Ariko, ubuganga busanzwe (orchiopexy) burimo guhambira gituza yombi kugira ngo birinde guhindukira mu gihe kizaza. Iyo bikozwe neza, ubu buganga bugira ingaruka nziza cyane mu kwirinda ko bizasubira.

Waburira Testicular torsion kudabaho?

Nta buryo bwo kwirinda Testicular torsion kuko akenshi bibaho byonyine. Ariko, niba ufite ibyago nk'bell clapper deformity cyangwa ibibazo byabanje byo kubabara mu gituza, muganga ashobora kugutegeka ubuganga bwo kwirinda (elective orchiopexy) kugira ngo ahambire gituza kandi agabanye ibyago.

Nzakibyara abana nyuma ya Testicular torsion?

Abagabo benshi baracyashobora kubyara abana mu buryo busanzwe nyuma ya Testicular torsion, nubwo gituza kimwe cyabuze. Gituza kimwe gifite ubuzima gitanga imisemburo ihagije n'ubushobozi bwo kubyara. Niba ufite impungenge ku bushobozi bwo kubyara, muganga ashobora kukuganiriza ku buryo bwo kubika intanga mbere y'ubuganga mu bihe bimwe na bimwe.

Ubuganga bwa Testicular torsion buramara igihe kingana iki?

Ubuganga bwa Testicular torsion busanzwe buramara iminota 30-60, bitewe n'uburemere bw'ikibazo. Ubuganga busanzwe bukorwa munsi y'ubuvuzi nk'ubuganga bwihuse. Uzaba ushobora gutaha uwo munsi cyangwa nyuma yo gukurikiranwa ijoro rimwe.

Ni uwuhe utandukaniro hagati ya Testicular torsion na epididymitis?

Ibi bibazo byombi biterwa no kubabara mu gituza, ariko bifite impamvu n'ubuvuzi bitandukanye. Testicular torsion irimo guhindukira kw'umusemburo utwara amaraso kandi isaba ubuganga bwihuse. Epididymitis ni kuboroga kw'epididymis (akenshi biterwa n'indwara) kandi bivurwa na antibiyotike. Torsion isanzwe itera ububabare bukomeye kandi butunguranye, mu gihe epididymitis isanzwe itera ububabare buhoro buhoro kandi ishobora kugabanuka iyo uhagaritse gituza.