Varicocele

Varicocele kuwedzera kwema veins anokonzera ropa risina oksijeni kubva ku testicle.

Varicocele (VAR-ih-koe-seel) kuwedzera kwema veins ari mukati mebhegi yakasununguka yeganda rinobata matesticles (scrotum). Aya ma veins anokonzera ropa risina oksijeni kubva ku testicles. Varicocele inoitika kana ropa rikangogara muma veins panzvimbo pekufamba zvakanaka kubva ku scrotum.

Varicoceles kazhinji dzinoitika panguva yekukura uye dzinoonekwa nekufamba kwenguva. Dzinogona kukonzera kusagadzikana kana kurwadziwa, asi kazhinji hadzina zviratidzo kana matambudziko.

Varicocele inogona kukonzera kukura kwakaipa kwe testicle, kuita kwe sperm shoma kana mamwe matambudziko anogona kukonzera kushaya simba. Kuita opresheni yekurapa varicocele kunogona kukurudzirwa kugadzirisa aya matambudziko.

Varicocele kazhinji inoitika kurutivi rweruboshwe rwescrotal uye kazhinji haina zviratidzo kana zviratidzo. Zviratidzo nezviratidzo zvinogona kuitika zvinosanganisira: Kurwadziwa. Kurwadziwa kwakasimba, kunorwadza kana kusagadzikana kunonyanya kuitika kana kumira kana kupera kwezuva. Kurara pasi kazhinji kunoderedza kurwadziwa. Mvere mu scrotum. Kana varicocele yakakura zvakakwana, mvere senge "bhegi re nyoka" inogona kuoneka pamusoro petesticles. Varicocele diki inogona kunge iri diki zvokuti haioneke asi inonzwikwa nekutambanudza. Testicles dzakasiyana saizi. Testicle yakabatwa inogona kunge iri diki zvikuru kupfuura testicle imwe. Kushaya simba. Varicocele inogona kukonzera kuoma kubereka mwana, asi kwete varicoceles dzose dzinokonzera kushaya simba. Kushanya kwehutano gore negore kwevakomana kunokosha pakutarisa kukura nehutano hwe testicles. Zvakakosha kuronga uye kuchengeta aya magwaro. Zvirwere zvakawanda zvinogona kuita kuti pave nekurwadziwa, kuzvimba kana mvere mu scrotum. Kana ukaona chimwe chezviitiko izvi, ona chiremba wako kuti uwane chirwere chakanyatsojeka nekukurumidza.

Kutarisa hutano gore negore kwevakomana kunoikosha pakutarisa kukura nehutano hwemachende. Zvakakosha kuronga uye kuchengeta aya magwaro. Zvirwere zvakati wandei zvingakonzera kurwadziwa, kuzvimba kana chidumbu muchiuno. Kana ukaona chimwe chezvi, ona chiremba wako kuti uwane kurapwa nekukurumidza uye kwakaringana.

Mar testicles anogamuchira ropa rakachena oksijeni kubva ku arteries mbiri dzetesticles — artery imwe chete kune rumwe rutivi rwe scrotum. Saizvozvo, kunewo mitsipa miviri yetesticles inotakura ropa risina oksijeni kudzokera kumwoyo. Mukati merutivi rumwe nerumwe rwe scrotum, network yemitsinga midiki (pampiniform plexus) inotakura ropa risina oksijeni kubva ku testicle kuenda kumutsipa mukuru we testicular. Varicocele kuwedzera kwe pampiniform plexus. Chikonzero chaicho che varicocele hachizivikanwi. Chimwe chezvinhu zvinogona kukonzera ingave kusashanda zvakanaka kwema valves ari mukati memutsinga anofanirwa kuchengetedza ropa richifamba munzira kwayo. Uyewo, mutsipa we testicular wekuruboshwe unotevera nzira yakasiyana zvishoma pane mutsipa wekurudyi — nzira inoita kuti dambudziko rekufamba kweropa rive nyore kuruboshwe. Kana ropa risina oksijeni rakaomerwa kufamba munetwork yemitsinga, inowedzera (dilate), ichigadzira varicocele.

Hazvina kuoneka kunge paine zvinokonzera ngozi zvikuru zvekuvaka varicocele.

Kuva nevaricocele kunogona kuita kuti muviri wako usakwanise kudzora tembiricha yema testicles. Kuwedzera kwe oxidative stress nekukohwa kwezvinhu zvine chepfu kunogona kuitika. Izvi zvinhu zvinogona kukonzera matambudziko anotevera:

• Hutano husina kunaka hwema testicles. Kune vakomana vari kupinda mukukura, varicocele inogona kudzivisa kukura kwe testicles, kugadzirwa kwemahomoni, nezvimwe zvinhu zvine chekuita nehutano nekushanda kwe testicles. Kune varume, varicocele inogona kukonzera kudzikira zvishoma nezvishoma nekuda kwekurasikirwa netishu.
• Kushaya simba rekuzvara. Varicocele haina kukonzera kushaya simba rekuzvara. Inofungidzirwa kuti 10% kusvika ku20% yevakadzi vakarwara nevaricocele vanosangana nematambudziko ekubereka mwana. Pakati pevarume vane matambudziko ekubereka, anenge 40% ane varicocele.

'Chiremba wenyu anogona kuona varicocele nekuongorora maziso scrotum uye nekubata. Zvimwe muchaongororwa muri kurara uye muri kumira. Kana muri kumira, chiremba wenyu anogona kukukumbirai kuti mutenge mweya wakadzika, muusimbe uye muomese, zvakafanana nekunetseka panguva yekubuda ura. Iyi nzira (Valsalva maneuver) inogona kuita kuti varicocele ive nyore kuongorora. Kuongororwa kwemuenzaniso Chiremba wenyu anogona kuda kuti muite bvunzo ye ultrasound. Ultrasound inoshandisa mafungu esound ane simba rakakwirira kugadzira mifananidzo yezvinhu zviri mukati memuviri wenyu. Mifananidzo iyi inogona kushandiswa: Kusimbisa chirwere kana kurondedzera varicocele Kubvisa mamiriro ekare sechinhu chinogona kukonzera zviratidzo kana zviratidzo Kuona lesion kana chimwe chinhu chinodzivirira kuyerera kweropa Kutarisirwa paMayo Clinic Timu yedu inotarisira ye Mayo Clinic nyanzvi inogona kukubatsira nezvinetso zvako zveutano zvine chekuita nevaricocele Tanga pano Rumwe ruzivo Kutarisirwa kwevaricocele paMayo Clinic Ultrasound'

Varicocele kazhinji haidi kurapwa. Kune murume ane chirwere chekushaya simba, kuvhiya kunogadzirisa varicocele kunogona kuva chikamu chechirongwa chekurapa kushaya simba. Kune vechidiki kana vakuru vechidiki - kazhinji avo vasina kutsvaka kurapwa kushaya simba - mushandi wehutano anogona kukurudzira kuongororwa pagore rega rega kuti aongorore chero shanduko. Kuvhiya kunogona kukurudzirwa mumamiriro ezvinhu anotevera: Testicular inoratidza kukura kwakaremara Nhamba shoma yesperm kana mamwe maitiro asina kunaka e sperm (kazhinji inongoyedzwa muvakuru) Kurwadziwa kwenguva refu kusina kudzorwa nekurapa kurwadziwa Kuvhiya Chinangwa chekuvhiya ndechekuvhara ropa rakaoma kuti ridzorere ropa kuenda kumatavi ane hutano. Izvi zvinobvira nekuti mamwe masisitimu maviri e-artery-ne-vein anopa kuyerera kweropa kuenda nekubva kuscrotum. Mhedzisiro yekurapa inogona kusanganisira zvinotevera: Testicular yakabatwa pakupedzisira inogona kudzoka kukukura kwayo kwakatarisirwa. Muchiitiko chechidiki, testicular inogona "kubata" mukukura. Nhamba yesperm inogona kuvandudza, uye kusagadzikana kwesperm kunogona kugadziriswa. Kuvhiya kunogona kuvandudza kushaya simba kana kuvandudza mhando yesemen ye in vitro fertilization. Njodzi dzekuvhiya Kugadzirisa varicocele kunopa njodzi shoma, izvo zvinogona kusanganisira: Kuunganidzwa kwemvura yakapoteredza testicles (hydrocele) Kudzokazve kwevaricoceles Kunetseka Kukuvadzwa kwe artery Kurwadziwa kwenguva refu kwe testicular Kuunganidzwa kweropa rakapoteredza testicular (hematoma) Kuenzana pakati pemabhenefiti nenjodzi dzekuvhiya kuchinja kana kurapwa kuri kungokurapa kurwadziwa chete. Kunyangwe varicoceles inogona kukonzera kurwadziwa, mazhinji haaiti. Munhu ane varicocele anogona kuva nekurwadziwa kwe testicular, asi kurwadziwa kunogona kukonzerwa nechimwe chinhu - chikonzero chisingazivikanwe kana chisingazivikanwe. Kana kuvhiya kwevaricocele kuchitapwa zvikuru kurapa kurwadziwa, pane njodzi yekuti kurwadziwa kunogona kuipa, kana kuti rudzi rwekupfapfaidza runogona kuchinja. Maitiro ekurapa Chiremba wako anogona kumisa kuyerera kweropa kuburikidza ne testicular vein nekubaya kana kucheka vein yakavharwa (ligation). Nzira mbiri dzinoshandiswa nhasi. Zvose zvinoda anesthesia yakajairika uye maitiro ekunze anowanzoita kuti uende kumba zuva rimwe chete. Maitiro anosanganisira: Microscopic varicocelectomy. Chiremba anoita incision diki pasi pegumbo. Achishandisa microscope ine simba, chiremba anoziva uye anobata ma veins akawanda madiki. Maitiro kazhinji anogara maawa maviri kusvika matatu. Laparoscopic varicocelectomy. Chiremba anoita maitiro achishandisa kamera yemavhidhiyo uye zvishandiso zvekuvhiya zvakabatanidzwa kuma tubes anopfuura mune mashoma madiki incisions mudumbu repasi. Nekuti network ye veins iri shoma yakaoma pamusoro pegumbo, pane veins shoma dzekubata. Maitiro kazhinji anogara kwemaminitsi makumi matatu kusvika makumi mana. Kupora Kurwadziwa kubva pakuvhiya uku kazhinji kunyoroma asi kunogona kuramba kwemazuva kana mavhiki akawanda. Chiremba wako anogona kunyora mushonga wekurwadziwa kwe nguva yakatarwa mushure mekuvhiya. Mushure maizvozvo, chiremba wako anogona kukupa zano rekuti utange mushonga usinganyorwi wekurwadziwa, sekunge acetaminophen (Tylenol, vamwe) kana ibuprofen (Advil, Motrin IB, vamwe) kuderedza kusagadzikana. Iwe uchazokwanisa kudzoka kubasa svondo mushure mekuvhiya uye kutanga kurovedza muviri mushure mevhiki mbiri mushure mekuvhiya. Bvunza chiremba wako nezvekuti ungadzokera rini zvakachengeteka kumabasa ezuva nezuva kana kuti ungave nerudo rini. Nzira inotsiva kuvhiya: Embolization Muitiro uyu, vein inovharwa nekugadzira dam diki. Chiremba anokosha mukuona mifananidzo (radiologist) anopinda tube diki mu vein iri mugumbo rako kana mutsipa. Anesthetic yemuno inoshandiswa panzvimbo yekupinda, uye unogona kupihwa sedative kuderedza kusagadzikana uye kukubatsira kuzorora. Uchishandisa mifananidzo pane monitor, tube inotungamirwa kunzvimbo yekurapa iri mugumbo. Radiologist anoburitsa coils kana mhinduro inokonzera kuita kuti pave nekuvhara mu testicular veins. Maitiro anogara awa imwe. Nguva yekupora pfupi ine kurwadziwa kunyoroma chete. Iwe uchazokwanisa kudzoka kubasa mumazuva 1 kusvika 2 uye kutanga kurovedza muviri mushure mevhiki. Bvunza radiologist wako kuti ungadzokera rini kumabasa ese. Kumbira musangano