Created at:1/16/2025
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I-hydrocele iwukukhula okungenabhlungu esikhwameni sakho esibangelwa ukubuthana kwamanzi eduze kwelinye noma womabili ama-testicles. Cabanga ngayo njengobhola lwamanzi olukhula eduze kwe-testicle yakho, lukhiqiza ukukhula okuthambile, okuvamise ukuba alunabi ubungozi ongaku bona futhi ukhwethe.
Lesi simo empeleni sivamile kakhulu, ikakhulu kubantwana abasha abangamadoda nabantu abadala. Nakuba kungase kubukeke kukhathaza, i-hydroceles eningi ayinabungozi futhi ayithinti ukukhulelwa kwakho noma impilo yakho jikelele. Izindaba ezinhle ukuthi iningi liyaphela lodwa, futhi uma ukwelashwa kudingeka, kuvame ukuba kulula futhi kuphumelela.
Isimpawu esiyinhloko oyibona iwukukhula okungenabhlungu esikhwameni sakho esibonakala silithambile futhi silibushelelezi. Lokhu kukhula kungase kuthonye ohlangothini olulodwa noma womabili, futhi kuvame ukubukeka sengathi uthwala ibhola elincane lamanzi.
Nazi izimpawu eziyinhloko ezingase zibonise ukuthi une-hydrocele:
Abantu abaningi abazizwa bebuhlungu nge-hydrocele. Uma uzizwa ungakhululekile, kuvame ukuba yisicanucanu esibuhlungu esisuka ebunzimeni nasebukhoneni kunokuba yisicanucanu esibuhlungu. Ukukhula ngokuvamile akuyi kuza neze kuhamba njengamanye amasimo.
Kunezinhlobo ezimbili eziyinhloko ze-hydroceles, nokuqonda ukuthi yiluphi uhlobo onalo kusiza ekuchazeni ukuthi yini elibangele. Umehluko ngokuyinhloko uvela ekuqaleni nendlela amanzi aqoqwa ngayo.
I-hydroceles ezelwe nayo ivela uma abafana bezalwa nayo. Phakathi nokuthuthukiswa okuvamile, ama-testicles ehla esiswini siye esikhwameni ngendlela evamise ukuvala ngaphambi kokuzalwa. Uma le ndlela ingavali kahle, amanzi esiswini angase aphephe phansi aqoqane eduze kwe-testicle.
I-hydroceles etholakala kamuva ivela kamuva ekuphileni, ngokuvamile kubantu abadala abangaphezu kweminyaka engama-40. Lezi zikhula uma ukulingana okuhle kokukhiqizwa kwamanzi nokuthathwa kwamanzi eduze kwe-testicle kuphazanyiswa. Umuthi wakho ngokwemvelo ukhulula inani elincane lamanzi oluhlafunayo eduze kwelinye i-testicle, kodwa ngezinye izikhathi le nqubo ayisebenzi kahle njengoba kufanele.
I-hydroceles ivela uma amanzi eqoqa eduze kwe-testicle yakho, kodwa izizathu eziyinhloko ziyahluka kuye ngobudala bakho nezimo. Ukuqonda lezi zizathu kungasiza ekuthuliseni ingqondo yakho ngalokho okwenzekayo emzimbeni wakho.
Kubantwana abasha nabantwana, isizathu esivamile kakhulu yinkinga yokuthuthukiswa ngesikhathi sokukhulelwa. Ngaphambi kokuzalwa, i-testicle ngayinye ihamba phansi esiswini ngetunula elibizwa nge-processus vaginalis. Le tunula kufanele ivale ngokuphelele, kodwa ngezinye izikhathi ihlala ivulekile, ivumela amanzi esiswini ukuba aphephe phansi aqoqane eduze kwe-testicle.
Kubantu abadala abangamadoda, izinto eziningi zingase zibangele ukwakheka kwe-hydrocele:
Ngezinye izikhathi, i-hydroceles ivela ngaphandle kwesizathu esicacile. Ukulingana kwamanzi komzimba wakho eduze kwama-testicles kungase kushintshe ngenxa yokuguga, ukulimala okuncane ongasengazikhumbuli, noma ukushintsha okuncane kwendlela i-lymphatic system yakho ephuma ngayo amanzi kule ndawo.
Kufanele uhlele i-aphoyintimenti nodokotela wakho uma ubona ukukhula kunoma yikuphi esikhwameni sakho, ngisho noma kungabuli mali. Nakuba i-hydroceles ngokuvamile ayinabungozi, kubalulekile ukuthola ukuxilongwa okufanele ukuze kuvinjwe ezinye izimo ezingase zibukeke zifana.
Funani ukunakekelwa kwezokwelapha ngokushesha uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo kanye nokukhula esikhwameni:
Lezi zimpawu zingase zibonise izimo ezingathi sína njengokuguquguquka kwe-testicular noma ukutheleleka okudinga ukwelashwa ngokushesha. Ungalindi noma uzama ukuzixilonga, ikakhulu uma uzizwa ubuhlungu noma ezinye izimpawu ezikhathazayo.
Kubazali babantwana abasha, i-hydroceles eningi ezelwe nayo izophela yodwa ngaphambi kokuba umntwana agcwalise unyaka. Noma kunjalo, kufanele uqhubeke uthola ukwelashwa kwakho kwesikhwame ukuze kuqinisekiswe ukuxilongwa nokuqapha isimo.
Izinto ezithile zingase zikwenze ube sengozini enkulu yokuthola i-hydrocele, nakuba ukuba nalezi zinto ezingase zikubangele ingozi akusho ukuthi uzoyithola ngokuqinisekile. Ukuqonda lokhu kungakusiza uhlale uqaphile ngezinguquko emzimbeni wakho.
Ubudala buthinta kakhulu ingozi ye-hydrocele. Abantwana abasha abangamadoda banengozi enkulu ngenxa yendlela yokuthuthukiswa esixoxe ngayo ngaphambili. Ingozi bese iyancipha kakhulu phakathi kwabantwana nabasebasha, ibuyele futhi ngemuva kweminyaka engama-40 njengoba izinhlelo zokulingana kwamanzi komzimba ziyahluleka.
Ezinye izinto ezingase zikhulise ingozi yakho zihlanganisa:
Ukuba nalezi zinto ezingase zikubangele ingozi akusho ukuthi kufanele ukhathazeke ngokungadingekile. Amadoda amaningi anezingozi eziningi awazitholi i-hydroceles, kanti abanye abangenazo izinto ezingase zibangele ingozi bayazithola. Okubalulekile ukuqaphela umzimba wakho nokufuna iseluleko sezokwelapha uma ubona izinguquko.
I-hydroceles eningi ayibangeli izinhlanganisela ezinkulu, kodwa kunezinkinga ezimbalwa okufanele uzazi. Lezi zinhlanganisela azivamile, ikakhulu uma i-hydroceles iqapha kahle futhi ikwelashwe uma kudingeka.
Inhlanganisela evamile kakhulu iwukungahambi kahle nje ngenxa yobukhulu nobunzima be-hydrocele enkulu. Uma i-hydroceles ikhula kakhulu, ingase yenze ukuhamba, ukuhlala, noma ukugqoka izingubo ezithile kungabi khululekile. Abanye amadoda bazizwa behluleka ngokubonakala, okungase kuthonye ukuzethemba kwabo nobuhlobo babo obuseduze.
Izinhlanganisela ezinkulu kodwa ezingavamile zihlanganisa:
Lezi zinhlanganisela ezinkulu azivamile, futhi iningi lingavinjelwa ngokufuna ukunakekelwa kwezokwelapha okufanele uma kudingeka. Udokotela wakho uzoqapha ubukhulu nanoma yiziphi izinguquko kwi-hydrocele yakho ukuze abone izinkinga ezingase zenzeke ngokushesha.
Kubalulekile ukwazi ukuthi i-hydroceles ngokwayo ayithinti ukukhulelwa noma ukukhiqizwa kwamahomoni. I-testicle iyaqhubeka isebenza ngokujwayelekile ngisho noma izungezwe yiqoqo lamanzi.
Ngeshwa, ayikho indlela ethembekile yokuvimbela i-hydroceles eningi njengoba ngokuvamile ivela ngenxa yezinto ongenakuzilawula, njengokuthuthukiswa okungajwayelekile kubantwana abasha noma izinguquko ezihlobene nobudala kubantu abadala. Noma kunjalo, ungathatha izinyathelo ezithile zokunciphisa ingozi yakho ye-hydroceles etholakala kamuva.
Ukuzivikela ekulimaleni enye yezindlela ezisebenzayo zokuvimbela. Gqoka izingubo zokulwela eziqondile ngesikhathi semidlalo, ikakhulu imidlalo yokuxhumana noma imisebenzi lapho ukulimala kwesikhwame kunokwenzeka khona. Uma usebenza ezindaweni lapho ukulimala kwesikhwame kunokwenzeka khona, cabanga ngezinto zokulwela.
Ukugcina impilo enhle jikelele kungasiza futhi. Lokhu kuhlanganisa:
Kubazali, ayikho into ongayenza ukuvimbela i-hydroceles ezelwe nayo njengoba ivela ngesikhathi sokukhulelwa. Izindaba ezinhle ukuthi iningi lalezi liyaphela ngokwemvelo ngaphandle kokungenelela okudingekayo.
Ukuxilongwa kwe-hydrocele ngokuvamile kuqala ngodokotela wakho ebuza ngezimpawu zakho nokuhlola isikhwame sakho. Lokhu kuhlolwa komzimba ngokuvamile kuyisigaba esibaluleke kakhulu senqubo yokuxilongwa futhi ngokuvamile kungakunika impendulo ecacile.
Phakathi kokuhlolwa komzimba, udokotela wakho uzothinta ngobumnene indawo ekhulile ukuze ahlole ubukhulu bayo, ubuthakathaka bayo, nokuthi iyabhlungu yini. Esinye isibonakaliso se-hydrocele ukuthi ukukhanya kungadlula kukho, ukuhlolwa okuthiwa yi-transillumination. Udokotela wakho angase akhanyise ukukhanya okukhulu ngokumelene nokukhula ukuze abone ukuthi kukhanya yini, okubonisa amanzi kunokuba yizicubu eziqinile.
Uma ukuhlolwa komzimba kungakuniki ukuxilongwa okucacile, udokotela wakho angase akukhuthaze ukuhlolwa okwengeziwe:
I-ultrasound iyasiza ngoba ingabonisa ngokucacile ukuqoqwa kwamanzi futhi isize ukwahlukanisa phakathi kwe-hydroceles nezinye izimo njenge-hernias noma ama-tumors. Ayinabhlungu futhi inikeza izithombe eziningi ezisiza udokotela wakho ukuhlela indlela yokwelapha engcono kakhulu.
Udokotela wakho uzofuna futhi ukuvimbela ezinye izimo ezingase zibangele ukukhula esikhwameni, njenge-inguinal hernias, ama-testicular tumors, noma ukutheleleka. Ukuthola ukuxilongwa okuchane kwenza uthole ukwelashwa okufanele.
Ukuphathwa kwe-hydrocele kuncike kakhulu ebudaleni bakho, ubukhulu be-hydrocele, nokuthi kubangela ukungahambi kahle yini. I-hydroceles eningi, ikakhulu kubantwana, ayidingi ukwelashwa nhlobo futhi izophela yodwa ngokuhamba kwesikhathi.
Kubantwana abazalwa ne-hydroceles, odokotela ngokuvamile bayakhuthaza indlela yokulinda nokubuka. I-hydroceles eningi ezelwe nayo iyaphela yodwa ngaphambi kokuba umntwana agcwalise unyaka njengoba umzimba uthola amanzi engeziwe futhi indlela ephansi ivala kahle.
Kubantu abadala, izinketho zokwelapha zihlanganisa:
Ukuhlinzwa ngokuvamile kunconywa uma i-hydrocele inkulu ngokwanele ukubangela ukungahambi kahle, kuthinta imisebenzi yakho yansuku zonke, noma iyaqhubeka ikhula. Inqubo yokwelapha, ebizwa nge-hydrocelectomy, ihlanganisa ukwenza isiqu esincane ukuze kususwe amanzi futhi kususwe noma kulungiswe isikhwama esasiyigcina.
Ukukhipha amanzi ngenhlanzi yisixazululo sesikhashana esingakunika impumuzo, kodwa amanzi avame ukubuya ngoba isizathu esiyinhloko asixazululwanga. Udokotela wakho angase akukhuthaze le ndlela uma ungumuntu ofanele ukuhlinzwa noma uma ufuna impumuzo yesikhashana ngenkathi ucabanga ngezinketho zakho.
Ngenkathi ulinda ukwelashwa noma uma udokotela wakho ekukhuthaza ukuqapha i-hydrocele yakho, kunezinto eziningi ongazenza ekhaya ukuze uhlale ukhululekile futhi usekele ukululama kwakho. Lezi zindlela ngeke zikwelaphe i-hydrocele, kodwa zingakusiza uphathe noma yikuphi ukungahambi kahle.
Ukugqoka izingubo ezisekelayo kungenza umehluko omkhulu ezingeni lakho lokuphumula. Khetha ama-briefs noma ama-boxer briefs anikeza ukusekela okuthambile ngaphandle kokuba aqinile kakhulu. Abanye amadoda bathola ukuthi abasekeli bezemidlalo noma izingubo zokusekela isikhwame ezenzelwe izimo zezokwelapha zinikeza ukusekela okuhle kakhulu nokuphumula.
Nazi ezinye izindlela zokuphatha ekhaya ezisiza:
Qaphela noma yiziphi izinguquko ebukhoneni, ezingeni lobuhlungu, noma ezinye izimpawu. Gcina ulandelela lezi zinguquko ukuze uxoxe nodokotela wakho emihlanganweni yokulandelela. Lolu lwazi lusiza udokotela wakho ukuthi anqume ukuthi uhlelo lwakho lokwelapha luyafuna ukulungiswa yini.
Khumbula ukuthi le mihlangano yasekhaya iyindlela yokusekela kuphela. Ngeke yenze i-hydrocele iphele, kodwa ingakusiza uhlale ukhululekile ngenkathi umzimba wakho ululama noma ngenkathi ulungiselela ukwelashwa.
Ukulungiselela kahle i-aphoyintimenti yakho nodokotela kuqinisekisa ukuthi uthola okuningi kakhulu ekuhambeleni kwakho futhi kusiza udokotela wakho ukuba akunikeze ukunakekelwa okuhle kakhulu. Qala ngokubhala phansi ukuthi nini uqale ukubona ukukhula nanoma yiziphi izinguquko ozibonile kusukela ngaleso sikhathi.
Ngaphambi kwe-aphoyintimenti yakho, buza ngezimpawu zakho nomlando wakho wezokwelapha. Qaphela noma yiluphi ubuhlungu, ukungahambi kahle, noma izinguquko ebukhoneni bokukhula. Cabanga futhi nganoma yikuphi ukulimala kwamuva, ukutheleleka, noma ukuhlinzwa okwenzekile, ngisho noma kubonakala kungahlobene.
Letha lolu lwazi e-aphoyintimenti yakho:
Lungisa imibuzo okumele uyibuze udokotela wakho. Ungase ufune ukwazi ngezinketho zokwelapha, ukuthi yini okulindelekile uma ukhetha ukulinda nokubuka, noma le simo singase lithinte kanjani impilo yakho yansuku zonke. Unganqikazi ukubuza nganoma yini ekukhathazayo, kungakhathaliseki ukuthi incane kangakanani.
Gqoka izingubo ezanelisayo, ezingekho zinzima ezilula ukuzisusa ngesikhathi sokwenza ukuhlolwa komzimba. Zama ukugeza ngaphambi kwe-aphoyintimenti yakho, futhi cabanga ngokuletha umngani noma ilungu lomndeni omethembayo uma uzizwa ukhathazekile ngokuhambela.
Into ebaluleke kakhulu okumele uyikhumbule nge-hydroceles ukuthi ngokuvamile ayinabungozi futhi iyakwelashwa. Nakuba ukuthola noma yikuphi ukukhula endaweni yakho yobudoda kungase kube ukwesaba, i-hydroceles ayibonisi izinkinga zezempilo ezinkulu futhi ayithinti ukukhulelwa kwakho noma ukukhiqizwa kwamahomoni.
I-hydroceles eningi ikhula kancane futhi ayibangeli ubuhlungu, nakuba ingase ibe yimbi uma ikhula kakhulu. Kubantwana, iningi liyaphela ngokwemvelo ngaphandle kokwelashwa okudingekayo. Kubantu abadala, izinketho zokwelapha eziphumelelayo ziyatholakala uma izimpawu ziqala ukukhathaza noma i-hydrocele iphazamisa imisebenzi yansuku zonke.
Okubalulekile ukungawunaki ukukhula esikhwameni, ngisho noma kungabuli mali. Ukuthola ukwelashwa okufanele kwezokwelapha kuqinisekisa ukuthi uthola ukuxilongwa okuchane nokukhathalelwa okufanele. Ukubonisana ngokushesha nodokotela wakho kungavimbela izinhlanganisela futhi kukunikeze ukuthula kwengqondo ngesimo sakho.
Khumbula ukuthi ukuba ne-hydrocele akubonisi imikhuba yakho yempilo noma izinqumo zakho zokuphila. Lezi zimo zingase zivele ngezizathu ezihlukahlukene, eziningi zazo zingezansi kolawulo lwakho. Gxila ekufuneni ukunakekelwa okufanele kwezokwelapha nokulandelwa izikhuthazo zedokotela wakho ukuze uthole umphumela omuhle kakhulu.
Cha, i-hydroceles ngokuvamile ayithinti ukukhulelwa noma umsebenzi wobulili. Ukuqoqwa kwamanzi kuzungezile i-testicle kodwa akuphazamisi ukukhiqizwa kwama-sperm noma amazinga e-hormone. I-testicle yakho iyaqhubeka isebenza ngokujwayelekile ngisho noma i-hydrocele ikhona. Noma kunjalo, i-hydroceles enkulu kakhulu ingase yenze umsebenzi wobulili ungabi khululekile ngenxa yobukhulu bayo nobunzima bayo, kodwa lokhu kuyinkinga yomzimba kunokuba yinkinga yokusebenza kwe-reproductive system yakho.
I-hydroceles ingase ikhule ibe khulu ngokuhamba kwesikhathi, kodwa lokhu kwenzeka kancane, ngokuvamile ezinyangeni noma eminyakeni kunokuba kube izinsuku noma amaviki. I-hydroceles ethile ihlala iqinile ngobukhulu isikhathi eside, kanti ezinye zikhula kancane. Iphethini yokukhula iyahlukahluka kumuntu nomuntu futhi kuncike esizathwini esiyinhloko. Uma ubona ukukhula okusheshayo noma izinguquko eziqhakazile, xhumana nodokotela wakho ngokushesha njengoba lokhu kungase kubonise isimo esingafani noma inhlanganisela.
Ukuhlinzwa kwe-hydrocele ngokuvamile kwenziwa ngaphansi kokwelashwa okungekho emzimbeni noma okuphelele, ngakho ngeke uzizwe ubuhlungu ngesikhathi senqubo. Ngemva kwalokho, ungalindela ukungahambi kahle nokukhula izinsuku ezimbalwa kuya kwesonto. Abantu abaningi bangabuyela emisebenzini elula ezinsukwini ezimbalwa futhi babuyele emisebenzini evamile ezinsukwini ezingu-1-2. Ukululama okuphelele ngokuvamile kuthatha amasonto angu-4-6. Udokotela wakho uzonikeza imiyalo ethile yokululama nezincomo zokuphatha ubuhlungu.
Izinga lokubuya ngemuva kokwelashwa okufanele ngokuhlinzwa liphansi kakhulu, ngokuvamile ngaphansi kwama-5%. Noma kunjalo, i-hydroceles ingabuya ngezinye izikhathi, ikakhulu uma isizathu esiyinhloko singaxazululwanga ngokuphelele noma uma ukululama kungabi njengoba kulindelekile. Ukukhipha amanzi ngenhlanzi kunenani elikhulu lokubuya ngoba akuxazululi inkinga eyiyinhloko. Uma i-hydrocele yakho ibuya ngemuva kokwelashwa, xoxa ngezinketho ezengeziwe nodokotela wakho.
I-hydroceles ezelwe nayo kubantwana ivame kakhulu futhi ngokuvamile ayiyona into yokukhathazeka. Cishe u-80-90% walezi hydroceles iyaphela ngokwemvelo ngaphambi kokuba umntwana agcwalise unyaka ngaphandle kokwelashwa okudingekayo. Udokotela wakho uzolandelela isimo ngesikhathi sokuhlolwa okuvamile. Kufanele uxhumane nodokotela wakho uma i-hydrocele ibe khulu ngokushesha, uma ingane yakho ibonakala ibuhlungu, noma uma ubona ubomvu noma ukushisa endaweni yesikhwame.