Varicocele ni iki? Ibimenyetso, Impamvu, n'Umuti

Varicocele ni udukoko tw'imitsi mu gitsina cy'umugabo. Kimwe n'udukoto tw'imitsi dushobora kugaragara mu maguru, imitsi itwara amaraso ava mu gituza ishobora kubyimbagira igahinduka, ikaba itera iyi ndwara ikunda kugaragara ku bagabo bagera kuri 15%.

Iyi ndwara ibaho iyo imiyoboro iri mu mitsi idakora neza, bituma amaraso aterana imitsi ikabimba. Nubwo bishobora kugaragara nk'iby'ubwoba, varicoceles akenshi nta cyo zibangamira kandi abagabo benshi babana nazo batagize ikibazo.

Ibimenyetso bya varicocele ni ibihe?

Varicoceles nyinshi nta bimenyetso bigaragara zigira. Abagabo benshi bamenya ko bayifite mu isuzuma rusanzwe rwa muganga cyangwa mu isuzuma ry'uburumbuke, nta kintu kidasanzwe bari babonye.

Iyo ibimenyetso bigaragaye, bikunda kugaragara buhoro buhoro kandi bishobora kugaragara cyane uko iminsi igenda ishira. Dore ibyo ushobora guhura na byo:

• Kubabara gake cyangwa kumva ibiremereye mu gitsina cy'umugabo, cyane cyane umaze guhagarara igihe kirekire
• Kubabara bikomeza uko umunsi ugenda unyura kandi bikagabanuka iyo ugiye kuryama
• Kubona cyangwa kumva imitsi yabimbagiranye kandi yahindutse mu gitsina cy'umugabo (akenshi bivugwa ko asa nka 'umufuka w'udukuta')
• Kubyimbagira mu gitsina cy'umugabo
• Igituza kimwe kigaragara gito ugereranyije n'ikindi
• Kubabara bikomeza iyo ukora imyitozo ngororamubiri cyangwa imikino

Kubabara akenshi biba bike kandi byoroshye kubikemura. Bamwe mu bagabo babona ko ibimenyetso biba bikomeye mu gihe cy'ubushyuhe cyangwa nyuma yo guhagarara igihe kirekire, ibyo bikaba bifite ishingiro kuko ubushyuhe n'uburemere bishobora kongera amaraso aterana mu mitsi ibyibagira.

Mu bihe bitoroshye, varicoceles ishobora gutera ububabare bukomeye butuma udakora imirimo ya buri munsi. Niba wumva ububabare bukomeye kandi butunguranye mu gitsina cy'umugabo, ibyo bishobora kugaragaza indwara itandukanye isaba ubuvuzi bw'ihutirwa.

Ubwoko bwa varicocele ni ubuhe?

Varicoceles zigabanywamo ibyiciro bitandukanye hashingiwe ku buryo bworoshye bwo kubona no ku bunini bwazo. Gusobanukirwa ibi byiciro bifasha abaganga guhitamo uburyo bwiza bwo kuvura hakurikijwe uko ibintu byihariye bihagaze.

Abaganga bakunda kugabanya varicoceles mu byiciro bitatu by'ingenzi:

• Icyiciro cya 1: Varicoceles nto zishobora kumvikana gusa iyo usunikiye (nka mugihe ukora imyitozo ya Valsalva)
• Icyiciro cya 2: Varicoceles ziciriritse zishobora kumvikana mu isuzuma rusanzwe rwa muganga
• Icyiciro cya 3: Varicoceles nini zigaragara ku ruhu rw'igitsina cy'umugabo

Varicoceles nyinshi ziba ku ruhande rw'ibumoso kubera uburyo amaraso ava mu gituza cy'ibumoso. Umwanya w'amaraso ugana mu gituza cy'ibumoso uhurira n'umwanya w'amaraso ugana mu mpyiko ku buryo butuma amaraso ashobora kuziba.

Varicoceles zibasira impande zombi (ziba ku mpande zombi) ni nke ariko zishobora kubaho. Iyo varicoceles igaragara ku ruhande rw'iburyo gusa, abaganga bakora iperereza kugira ngo bakureho izindi ndwara zishobora kuba ziterwa n'imitsi idasanzwe y'amaraso.

Impamvu itera varicocele ni iyihe?

Varicoceles iterwa n'imiyoboro mito iri mu mitsi itwara amaraso ava mu gituza ihagaritse gukora neza. Iyo miyoboro isanzwe ibuza amaraso gusubira inyuma, ariko iyo ihagaze gukora, amaraso aterana mu mitsi bituma yibagira.

Tekereza ko ari nk'imitingito mu mitsi y'amaraso. Iyo imiterere isanzwe ihungabanye, byose biziba kandi 'imihanda' (imitsi yawe) iraziba kandi ikagurumana.

Hari ibintu byinshi bigira uruhare mu gutuma ibi bibaho:

• Imiterere y'umubiri: Uburyo umwanya w'amaraso ugana mu gituza cy'ibumoso uhurira n'umwanya w'amaraso ugana mu mpyiko bituma habaho umuvuduko ushobora kurenga ku miyoboro
• Uburere: Amateka y'umuryango wa varicoceles cyangwa udukoko tw'imitsi yongera ibyago byo kubirwara
• Imyaka: Varicoceles akenshi ziba mu gihe cy'ubwangavu iyo amaraso ajya mu myanya y'ibitsina yongera
• Uburyo umubiri uhagaze: Guhagarara igihe kirekire cyangwa ibikorwa byongera umuvuduko mu nda bishobora kugira uruhare

Mu bihe bitoroshye, varicoceles ishobora kuba iterwa n'izindi ndwara nka kanseri y'impyiko cyangwa amaraso aziba abuza amaraso kugenda neza. Niyo mpamvu abaganga bakunda gusaba ibizamini by'amashusho, cyane cyane kuri varicoceles ziba zitunguranye ku bagabo bakuze cyangwa zigaragara ku ruhande rw'iburyo gusa.

Ni ryari ukwiye kujya kwa muganga kubera varicocele?

Ukwiye kujya kwa muganga niba ubona impinduka zidasanzwe mu gitsina cy'umugabo cyangwa ukagira ububabare buhoraho. Nubwo varicoceles akenshi nta cyo zibangamira, ni ingenzi kubona ubuvuzi kugira ngo hamenyekane izindi ndwara.

Tegura gahunda yo kujya kwa muganga niba ugize ibi bikurikira:

• Wumva hari ikintu kibyimbagiranye cyangwa kibyimba mu gitsina cy'umugabo
• Ufite ububabare buhoraho cyangwa kubabara mu gituza
• Igituza kimwe kigaragara gito ugereranyije n'ikindi
• Ugerageza kubyara kandi ugira ikibazo
• Ubona imitsi yabimbagiranye kandi yagurumanye mu gitsina cy'umugabo

Shaka ubuvuzi bw'ihutirwa niba ugize ububabare bukomeye kandi butunguranye mu gitsina cy'umugabo. Ibyo bishobora kugaragaza ikibazo cy'igituza cyangwa ikindi kibazo cyihutirwa gisaba ubuvuzi bw'ihutirwa.

Ndetse n'iyo ibimenyetso byawe biba bike, kubivuga na muganga bishobora gutuma umenya amahoro kandi bikaguha ubumenyi ku byo wakora kugira ngo ubone uko uhangana n'ububabare.

Ibyago byo kurwara varicocele ni ibihe?

Hari ibintu bimwe bishobora kongera ibyago byo kurwara varicocele. Gusobanukirwa ibyo byago bishobora kugufasha kumenya ibyo ugomba kwitondera n'igihe ukwiye gusuzumwa.

Ibyago by'ingenzi birimo:

• Imyaka: Varicoceles nyinshi ziba mu gihe cy'ubwangavu, akenshi hagati y'imyaka 15-25
• Amateka y'umuryango: Kugira abavandimwe barwaye varicoceles cyangwa udukoko tw'imitsi byongera ibyago
• Kuba muremure: Abagabo barebire bashobora kuba bafite ibyago byinshi kubera umuvuduko mwinshi mu mitsi
• Guhagarara igihe kirekire: Imishinga cyangwa ibikorwa bisaba guhagarara igihe kirekire bishobora kugira uruhare
• Gutwara ibiremereye: Gutwara ibiremereye cyangwa gukora imbaraga bishobora kongera umuvuduko mu nda

Hari ibyigisho bigaragaza ko abagabo bakora cyane cyangwa bakina imikino runaka bashobora kuba bafite ibyago bike, nubwo ubwo buhunganizi budasobanutse neza.

Ni ingenzi kuzirikana ko varicoceles ishobora kuba ku mugabo uwo ari we wese, hatitawe ku byago. Kugira ibyago ntibihamya ko uzayirwara, kandi abagabo benshi badafite ibyago barayirwara.

Ingaruka zishoboka za varicocele ni izihe?

Varicoceles nyinshi nta ngaruka zikomeye zigira kandi abagabo benshi babana nazo batagize ikibazo. Ariko rero, hari ibibazo bishobora kubaho uko iminsi igenda ishira, cyane cyane iyo varicocele ari nini cyangwa idakuweho.

Ingaruka zikomeye zigomba kwitonderwa harimo:

• Kubura ubushobozi bwo kubyara: Varicoceles ishobora kugira ingaruka ku gutera intanga no ku bwiza bwazo, bishobora gutuma bigorana kubyara
• Igituza kigabanuka: Igituza kibasirwa gishobora kugabanuka uko iminsi igenda ishira kubera amaraso adatembera neza
• Ububabare buhoraho: Bamwe mu bagabo bagira ububabare buhoraho butuma badakora imirimo ya buri munsi
• Impinduka z'imisemburo: Varicoceles nini zishobora kugira ingaruka ku iterambere rya testosterone, nubwo ibyo ari bike

Ibibazo by'uburumbuke ni ikibazo gikomeye ku bagabo benshi. Ubushyuhe bwinshi n'imitsi idatembera neza muri varicoceles bishobora kugira ingaruka ku gutera intanga no ku mikorere yazo. Ariko rero, si abagabo bose bafite varicoceles bagira ibibazo by'uburumbuke.

Mu bihe bitoroshye, varicoceles nini cyane zishobora gutera ibibazo by'ubwiza cyangwa ububabare bukomeye bugira ingaruka ku mibereho. Inkuru nziza ni uko uburyo bwo kuvura buhari kandi busanzwe bugira akamaro iyo habaye ingaruka.

Uburyo bwo gukumira varicocele ni ubuhe?

Ikibabaje ni uko nta buryo bwemewe bwo gukumira varicoceles kuko ahanini biterwa n'imitsi n'imiterere y'umubiri. Ibibazo by'imiyoboro itera varicoceles akenshi biba ari ibyo wavukanye cyangwa ubigira mu gihe cy'ubwangavu.

Ariko rero, ushobora gufata ingamba zo kugabanya ibyago cyangwa kugabanya ibimenyetso niba umaze kurwara varicocele:

• Irinde guhagarara igihe kirekire uko bishoboka
• Kambara imyenda y'imbere ishyigikira mu gihe ukora imyitozo ngororamubiri
• Kugira ibiro byiza kugira ngo ugabanye umuvuduko ku mitsi yawe
• Fata ibiruhuko kugira ngo uzamure amaguru yawe niba uhagaze igihe kirekire
• Kunywa amazi ahagije kandi ugire imitsi myiza muri rusange

Ibyo bintu byo mu buzima ntabwo bihamya gukumira, ariko bishobora kugufasha kumva utekanye niba ufite varicocele. Ikintu cy'ingenzi ni ukumenya impinduka ziba mu mubiri wawe no gusaba inama y'abaganga igihe bibaye ngombwa.

Kwisuzumisha buri gihe bishobora kugufasha kubona impinduka hakiri kare, ibyo bikaba byiza mu guhangana n'ibibazo by'ubuzima vuba.

Uburyo bwo kuvura varicocele ni ubuhe?

Kuvura varicoceles ntibihora bikenewe. Abagabo benshi bafite varicoceles nto zidatera ibimenyetso cyangwa ibibazo by'uburumbuke ntibakenera kuvurwa.

Muganga wawe ashobora kugusaba kuvurwa niba ugira ububabare buhoraho, ufite ibibazo by'uburumbuke, cyangwa ukagaragaza ibimenyetso byo kugabanuka kw'igituza. Uburyo nyamukuru bwo kuvura harimo:

• Kubaga (varicocelectomy): Uburyo bwo kuvura busanzwe, burimo gufunga cyangwa gukuraho imitsi ibyibagira
• Kubaga hakoreshejwe uburyo buto: Uburyo buto bwo kubaga hakoreshejwe ibikomere bito na kamera
• Embolization: Uburyo budakoresha kubaga aho umuganga afunga imitsi ikoresheje imiyoboro cyangwa ibikoresho
• Kubaga hakoreshejwe mikoroskopi: Uburyo bwo kubaga bukozwe neza hakoreshejwe ibikoresho byo kubona kugira ngo hagarukwe ingaruka

Uburyo bwo kubaga busanzwe bugira akamaro, bufite umusaruro ugera kuri 85-95% mu kugabanya ububabare no kunoza uburumbuke. Ibyinshi muri ibyo bikorwa bikorwa hanze, bisobanura ko ushobora gutaha umunsi umwe.

Muganga wawe azagufasha guhitamo uburyo bwiza hakurikijwe uko ibintu byihariye bihagaze, ibimenyetso, n'intego zo kuvura. Igihe cyo gukira gitandukanye ariko abagabo benshi bashobora gusubira mu mirimo isanzwe mu gihe cy'ibyumweru bike.

Uburyo bwo guhangana n'ibimenyetso bya varicocele mu rugo ni ubuhe?

Niba varicocele yawe itera ububabare buke, hari uburyo bwo guhangana n'ibimenyetso mu rugo bushobora kugufasha kumva utekanye mu gihe uhisemo uburyo bwo kuvura na muganga wawe.

Dore uburyo bwiza bwo guhangana n'ibimenyetso:

• Kambara imyenda y'imbere ishyigikira: Imyenda y'imbere cyangwa imyenda y'imikino ishobora kugabanya ububabare
• Shyiraho ubukonje: Gushyiraho ubukonje iminota 10-15 bishobora kugabanya kubyimbagira no kubabara
• Fata imiti igabanya ububabare: Ibuprofen cyangwa acetaminophen bishobora kugufasha guhangana n'ububabare n'uburibwe
• Zamura amaguru yawe: Kuryama uzamuye amaguru yawe bishobora kunoza imitsi y'amaraso
• Irinde guhagarara igihe kirekire: Fata ibiruhuko kugira ngo wicare cyangwa uryama

Bamwe mu bagabo basanga kwambara imyenda y'imikino mu gihe cy'imyitozo ngororamubiri cyangwa imikino bifasha kugabanya ububabare. Koga mu mazi ashyushye bishobora kandi gufasha bamwe mu bantu.

Ibuka ko imiti yo mu rugo ishobora kugufasha kumva utekanye ariko ntiyakura varicocele. Niba ibimenyetso byawe bikomeza cyangwa bikaramba, ni ingenzi gukurikirana na muganga wawe ku bijyanye n'uburyo bwo kuvura.

Uko wakwitegura gusuzuma kwa muganga

Kwitunganya mbere yo kujya kwa muganga bishobora kugufasha gukoresha neza igihe cyawe na muganga kandi bikaguha amakuru ukeneye kuri varicocele yawe.

Mbere yo kujya kwa muganga, gerageza gukora ibi bikurikira:

• Andika ibimenyetso byawe byose, harimo igihe byatangiye n'icyo biba byiza cyangwa bibi
• Andika imiti cyangwa ibindi bintu ufashe
• Andika amateka y'umuryango wa varicoceles cyangwa ibibazo by'imitsi
• Tegura ibibazo ku bijyanye n'uburyo bwo kuvura n'icyo ugomba kwitega
• Gerageza kuzana umukunzi wawe niba uburumbuke ari ikibazo

Ibibazo byiza byo kubaza muganga wawe birimo: "Nkeneye kuvurwa ubu?", "Uburyo bwo kuvura ni ubuhe?", "Ibi bishobora kugira ingaruka ku burumbuke bwanjye?", na "Ni iki nakwirinda kigaragaza ko nkeneye kuvurwa?"

Ntugatinye kubaza icyo udasobanukiwe. Muganga wawe arashaka kugufasha gufata ibyemezo byiza ku buzima bwawe, kandi nta kibazo gito cyangwa kitavugwa.

Icyo ukwiye kumenya kuri varicocele

Varicoceles ni ikintu gisanzwe kandi akenshi nta cyo kibangamira. Nubwo bishobora gutera ububabare cyangwa ibibazo by'uburumbuke kuri bamwe mu bagabo, abantu benshi bafite varicoceles babana n'ubuzima busanzwe kandi bwiza batavuwe.

Ikintu cy'ingenzi cyo kwibuka ni uko ufite amahitamo. Kwivuza cyangwa kudakivuza biterwa n'ibimenyetso byawe, intego zawe mu bijyanye n'uburumbuke, n'uko varicocele igira ingaruka ku mibereho yawe.

Niba ubona impinduka mu gitsina cy'umugabo cyangwa ukagira ububabare buhoraho, ntutinye kujya kwa muganga. Gusuzumwa hakiri kare bishobora gutuma umenya amahoro kandi bikaguha ubumenyi ku byo wakora niba kuvurwa bibaye ngombwa.

Uburyo bwo kuvura varicoceles bugezweho ni bwiza kandi bugira akamaro iyo bibaye ngombwa. Abagabo benshi bahitamo kuvurwa bagira iterambere rikomeye mu bimenyetso byabo n'umunezero muri rusange ku musaruro.

Ibibazo byakunda kubaza kuri varicocele

Varicoceles ishobora gukira yonyine?

Varicoceles akenshi ntizikira zonyine iyo zimaze kubaho. Ariko rero, ibimenyetso bishobora guhinduka kandi bamwe mu bagabo basanga ububabare bwabo bugabanuka uko iminsi igenda ishira. Varicoceles nto ziba mu gihe cy'ubwangavu rimwe na rimwe ntizikomeza cyangwa zikaba ibibazo uko ugenda ukura.

Varicocele izagira ingaruka ku bushobozi bwanjye bwo kubyara?

Si varicoceles zose zigira ingaruka ku burumbuke, ariko zishobora kugira ingaruka ku gutera intanga no ku bwiza bwazo kuri bamwe mu bagabo. Niba ugerageza kubyara kandi ufite varicocele, muganga wawe ashobora kugusaba gupima intanga kugira ngo arebe ubuzima bwazo. Kuvura bishobora kunoza uburumbuke iyo varicoceles igira uruhare mu kubura ubushobozi bwo kubyara.

Kubaga varicocele bibabaza?

Ibyinshi mu bikorwa byo kubaga varicocele bikorwa hakoreshejwe anesthésie, bityo ntuzumva ububabare mu gihe cyo kubaga. Nyuma yo kubaga, ushobora kwitega ububabare mu minsi mike kugeza ku cyumweru, ariko ibyo bisanzwe byoroshye hakoreshejwe imiti igabanya ububabare. Abagabo benshi basanga gukira byoroshye.

Gukira nyuma yo kuvura varicocele bimamara igihe kingana iki?

Igihe cyo gukira gitandukanye bitewe n'uburyo bwo kuvura. Abagabo benshi bashobora gusubira mu mirimo yo ku meza mu minsi mike kandi mu mirimo isanzwe mu cyumweru kimwe cyangwa bibiri. Uzakeneye kwirinda gutwara ibiremereye no gukora imyitozo ngororamubiri ikomeye ibyumweru bibiri kugeza kuri bine. Muganga wawe azakugira inama hakurikijwe uburyo bwawe bwo kuvura.

Varicoceles ishobora gusubira nyuma yo kuvurwa?

Varicoceles ishobora gusubira nyuma yo kuvurwa, ariko ibyo bibaho ku bagera kuri 10% gusa hakoreshejwe uburyo bwo kubaga bugezweho. Gusubira kubaho bishoboka cyane hakoreshejwe uburyo bumwe bwo kubaga kandi bike hakoreshejwe uburyo bwo kubaga hakoreshejwe mikoroskopi. Niba ibimenyetso bisubiye, hari ubundi buryo bwo kuvura buhari.