Varicocèle

Varicocèle ni ukwagura kw'imitsi itwara amaraso adafite ogisijeni ava mu gituza.

Varicocèle (VAR-ih-koe-seel) ni ukwagura kw'imitsi iri mu gipfunsi cy'uruhu cyoroshye gifata ibituza (scrotum). Iyi mitsi itwara amaraso adafite ogisijeni ava mu gituza. Varicocèle ibaho iyo amaraso ahindagurika mu mitsi aho gutembera neza ava muri scrotum.

Varicoceles isanzwe iba mu gihe cyo gukura, kandi ikagenda ikura buhoro buhoro. Bishobora gutera uburibwe cyangwa ububabare, ariko akenshi ntibitera ibimenyetso cyangwa ingaruka mbi.

Varicocèle ishobora gutera uburwayi mu gituza, kugabanuka kw'intanga, cyangwa ibindi bibazo bishobora gutera kubura imbaraga zo kubyara. Kugira ngo bavure ibibazo nkibi, bashobora kugutegeka kubagwa.

Varicocèle isanzwe iba ku ruhande rw'ibumoso rw'intanga, kandi akenshi nta bimenyetso cyangwa ibimenyetso bigaragara. Ibimenyetso bishoboka birimo: Uburibwe. Uburibwe buke cyangwa kudakorwa neza bishoboka cyane iyo umuntu ahagaze cyangwa nimugoroba. Kuryama akenshi bigabanya ububabare.Igituntu mu ntanga. Niba varicocèle ari nini, igituntu gisa nka "umufuka w'intare" gishobora kugaragara hejuru y'intanga. Varicocèle nto ishobora kuba nto cyane ku buryo idagaragara ariko ikagaragara iyo uyikorakoraho.Intanga zifite ubunini butandukanye. Intanga zibasiwe zishobora kuba nto cyane ugereranyije n'indi ntanga.Kubura imbaraga zo kubyara. Varicocèle ishobora gutera ikibazo cyo kubyara, ariko si varicocèle zose ziterwa no kubura imbaraga zo kubyara. Gusura kwa muganga buri mwaka ku bahungu ni ingenzi mu gukurikirana iterambere n'ubuzima bw'intanga. Ni ingenzi gushyiraho gahunda no kubika izo nama. Ibintu byinshi bishobora gutera ububabare, kubyimba cyangwa igituntu mu ntanga. Niba ufite ibyo bimenyetso, reba umuganga wawe kugira ngo ubone ubuvuzi bw'igihe gikwiye kandi bwizewe.

Gusuzuma ubuzima ngarukamwaka ku bahungu ni ingenzi mu gukurikirana iterambere n'ubuzima bw'intanga. Ni ingenzi gushyiraho gahunda no kwitabira ibi bibanza. Indwara nyinshi zishobora gutera ububabare, kubyimba cyangwa ikibyimba mu gitsina. Niba ufite kimwe muri ibyo, reba umuvuzi wawe kugira ngo ubone ubuvuzi bwiza kandi bwihuse.

Igisubizo: Amabere abona amaraso yuzuye umwuka ava mu mitsi ibiri y'amabere — umusego umwe kuri buri ruhande rw'umufuka w'amabere. Kimwe n'ibyo, hari kandi imitsi ibiri y'amabere itwara amaraso adafite umwuka isubira mu mutima. Muri buri ruhande rw'umufuka w'amabere, urusobe rw'imitsi mito (pampiniform plexus) rutwara amaraso adafite umwuka ava mu mbere ujya mu mitsu nini y'amabere. Varicocele ni ukugurumana kw'imitsi ya pampiniform plexus. Impamvu nyamukuru ya varicocele ntirazwi. Kimwe mu bintu bishobora gutera iyi ndwara ni ukudakora neza kw'amavavu ari mu mitsi agenewe gutuma amaraso agenda mu buryo bukwiye. Nanone, umusego w'iburyo w'amabere ugendera inzira itandukanye gato n'umusego w'ibumoso — inzira ituma ikibazo cy'amaraso kirushaho kubaho ibumoso. Iyo amaraso adafite umwuka adashobora guhita mu mitsi, aratinda (dilate), bityo akaba varicocele.

Nta kintu kigaragara nk'icyahungabanya cyane gishobora gutera varicocèle.

Kugira varicocèle bishobora gutuma umubiri wawe udashobora kugenzura ubushyuhe bw'intanga. Ibi bishobora gutera umunaniro w'oxidative ndetse n'umubare munini w'uburozi. Ibi bintu bishobora gutera izi ngaruka zikurikira:

• Ubuzima bubi bw'intanga. Ku bahungu bari mu gihe cyo gukura, varicocèle ishobora kubabuza gukura kw'intanga, gukora imisemburo n'ibindi bintu bifitanye isano n'ubuzima n'imikorere y'intanga. Ku bagabo, varicocèle ishobora gutera kugabanuka gahoro gahoro kubera gutakaza imyanya y'umubiri.
• Kubura ubushobozi bwo kubyara. Varicocèle ntibyatera kubura ubushobozi bwo kubyara. Abagabo bagera kuri 10% kugeza kuri 20% bafite varicocèle bagira ikibazo cyo kubyara umwana. Mu bagabo bafite ibibazo byo kubyara, abagera kuri 40% bafite varicocèle.

Umuforomyi wawe ashobora kubona varicocèle binyuze mu gusuzuma amaso igice cy'imboro n'ukuboko. Uzajya ugenzurwa uri kuryamye kandi uhagaze. Iyo uhagaze, umuganga wawe ashobora kukusaba gufata umwuka mwinshi, ukabugumana kandi ukagira imbaraga, nk'uko bigenda mu gihe cyo kunanura. Ubu buryo (Valsalva maneuver) bushobora koroshya isuzuma rya varicocèle. Ibizamini byo kubona ishusho Umuganga wawe ashobora kugusaba gukora isuzumwa rya ultrasound. Ultrasound ikoresha amajwi y'umuvuduko mwinshi kugira ngo ikore amashusho y'ibice biri mu mubiri wawe. Aya mashusho ashobora gukoreshwa kugira ngo: yemeze uburwayi cyangwa atange ibisobanuro bya varicocèle; akureho ikindi kibazo nk'impamvu ishoboka y'ibimenyetso; ashake ikibazo cyangwa ikindi kintu kibangamira imiterere y'amaraso. Kwitabwaho muri Mayo Clinic Itsinda ryacu ryita ku barwayi, rigizwe n'inzobere za Mayo Clinic, rishobora kugufasha mu bibazo byawe by'ubuzima bifitanye isano na varicocèle. Tangira hano Amakuru y'inyongera Kwitabwaho kwa varicocèle muri Mayo Clinic Ultrasound

Varicocele ikunda kutakeneye kuvurwa. Ku mugabo ufite ikibazo cyo kubura imbaraga zo kubyara, kubaga kugira ngo hakosorwe varicocele bishobora kuba igice cyo kuvura ikibazo cyo kubyara. Ku bangavu cyangwa abakuze — muri rusange abadashaka kuvurwa ikibazo cyo kubyara — umuganga ashobora kugira inama yo kujya gukorerwa isuzuma buri mwaka kugira ngo harebwe impinduka zose. Kubaga bishobora kugira inama mu bihe bikurikira: Intama yerekana iterambere ryatinze Umubare muke w'intanga cyangwa ibindi bintu bidasanzwe by'intanga (bisanzwe bipimwa gusa mu bakuze) Kubabara gahoraho bitavurwa n'imiti igabanya ububabare Kubaga Intego y'ubuganga ni ugupfunyika umusego wahuye kugira ngo habeho kongera kuyobora amaraso mu misego myiza. Ibi bishoboka kuko hari izindi sisitemu ebyiri z'imitsi n'imijyana itanga amaraso ava mu gitsina. Ibyavuye mu kuvurwa bishobora kuba ibi bikurikira: Intama yahuye ishobora guhita isubira ku bunini bwayo. Mu gihe cy'umwangavu, intamyashobora "gukurikira" mu iterambere. Umubare w'intanga ushobora kwiyongera, kandi ibindi bintu bidasanzwe by'intanga bishobora gukosorwa. Kubaga bishobora kunoza ubushobozi bwo kubyara cyangwa kunoza imiterere y'intanga kugira ngo habeho intungamubiri. Ibyago byo kubaga Gukosora varicocele bigaragaza ibyago bike, bishobora kuba birimo: Kwiyongera kw'amazi hafi y'intamy (hydrocele) Gusubira kugaragara kwa varicoceles Dukurikira Kwibasira umusego Kubabara gahoraho kw'intamy Gukusanya amaraso hafi y'intamy (hematoma) Urugwiro hagati y'inyungu n'ibyago byo kubaga ruhinduka niba kuvurwa ari ukugabanya ububabare gusa. Mu gihe varicoceles ishobora gutera ububabare, abenshi ntibabikora. Umuntu ufite varicocele ashobora kugira ububabare bw'intamy, ariko ububabare bushobora guterwa n'ikindi kintu — impamvu itazwi cyangwa itaramenyekana. Iyo kubaga varicocele bikorwa ahanini mu rwego rwo kuvura ububabare, hari ikibazo cyuko ububabare bushobora kwiyongera, cyangwa imiterere y'ububabare ishobora guhinduka. Uburyo bwo kubaga Umuganga wawe ashobora guhagarika amaraso anyura mu musego w'intamy no kudoda cyangwa guca umusego (ligation). Uburyo bubiri bukoreshwa cyane muri iki gihe. Byombi bisaba anesthésie rusange kandi ni uburyo bwo kuvura abarwayi batavurirwa mu bitaro, bisanzwe bikwemerera gutaha umunsi umwe. Ibi bikorwa birimo: Microscopic varicocelectomy. Umuganga akora umunwa muto mu kibuno. Akoresheje mikoroskopi ikomeye, umuganga amenya kandi apfunyika imijyana mito. Iki gikorwa gisanzwe gimamaramo amasaha 2 kugeza kuri 3. Laparoscopic varicocelectomy. Umuganga akora iki gikorwa akoresheje camera ya videwo n'ibikoresho byo kubaga bifite imiyoboro inyura mu mabuye make cyane mu nda yo hasi. Kubera ko urusobe rw'imijyana rutoroshye hejuru y'ikibuno, hari imijyana mike yo gupfunyika. Iki gikorwa gisanzwe gimamaramo iminota 30 kugeza kuri 40. Kugenda neza Kubabara muri ubu buganga muri rusange ari buke ariko bishobora gukomeza iminsi cyangwa ibyumweru byinshi. Muganga wawe ashobora kugira inama yo gufata imiti igabanya ububabare mu gihe gito nyuma yo kubaga. Nyuma yibyo, muganga wawe ashobora kugira inama yo gufata imiti igabanya ububabare idasaba amabwiriza, nka acetaminophen (Tylenol, izindi) cyangwa ibuprofen (Advil, Motrin IB, izindi) kugira ngo ugabanye ububabare. Urashobora gusubira ku kazi hafi icyumweru kimwe nyuma yo kubaga kandi ukongera gukora imyitozo hafi ibyumweru bibiri nyuma yo kubaga. Baza umuganga wawe igihe ushobora gusubira mu bikorwa bya buri munsi cyangwa igihe ushobora gutera akabariro. Igisubizo cyo kubaga: Embolization Muri ubu buryo, umusego ufungwa hakoreshejwe ikintu gisa nka damu nto. Muganga w'inzobere mu buryo bwo kubona amashusho (radiologist) ashyira umuyoboro muto mu musego wo mu kibuno cyangwa mu ijosi. Anesthésie y'aho hantu ikoreshwa aho bashyize umuyoboro, kandi ushobora guhabwa imiti igabanya ubwoba kugira ngo ugabanye ububabare kandi bikurinde kuruhuka. Ukoresheje amashusho kuri ecran, umuyoboro uyoborwa aho ugomba kuvurwa mu kibuno. Radiologist arekura imirongo cyangwa umuti utera inkovu kugira ngo habeho ikibazo mu mijyana y'intamy. Iki gikorwa gimamaramo hafi isaha imwe. Igihe cyo gukira ni gito gifite ububabare buke. Urashobora gusubira ku kazi mu minsi 1 kugeza kuri 2 kandi ukongera gukora imyitozo nyuma yicyumweru kimwe. Baza radiologist igihe ushobora gusubira mu bikorwa byose. Saba gahunda