Ukuqhuma Kwethisi: Izimpawu, Izimbangela, Nokwelashwa

Ukuqhuma kwethisi kuyisimo esibucayi sezempilo lapho intambo yethisi iphenduka, ivinela ukugeleza kwegazi kuye. Lesi simo sidinga ukunakekelwa kwezokwelapha ngokushesha ukuze kuvivinyelwe ukulimala okungapheli.

Cabanga ngompompo wensimu ophendukayo futhi uqiniswe. Uma intambo yethisi iphenduka, ivala ukunikezwa kwegazi okugcina ithisi liphilile futhi lisebenza kahle. Ngaphandle kokwelashwa okusheshayo, ithisi lingafa ngokungabi nakho komoya nomsoco.

Ziyini izimpawu zokuqhuma kwethisi?

Isimpawu esiyinhloko yibuhlungu obukhulu ngesikhathi esisodwa kwelinye ithisi elivela ngokushesha futhi lingapheli. Lobu buhlungu kuvame ukubizwa ngokuthi yibuhlungu elibi kunazo zonke umuntu ake azizwa, futhi ngokuvamile kwenzeka ngaphandle kokulimaza noma yikuphi okubonakalayo.

Nazi izimpawu eziyinhloko okumele uzibheke:

• Ubuhlungu obukhulu ngesikhathi esisodwa kwelinye ithisi elingase luthinte isisu elingaphansi
• Ukukhula nobuhlungu e-scrotum
• Ukuphefumula nokugabha ngenxa yobuhlungu obukhulu
• Ithisi elithintekayo lingase libonakale liphezulu kunokujwayelekile noma libekwe nge-angle engavamile
• Ubomvu noma ukumnyama kwesikhumba se-scrotum
• Ukuphuma kwesisu njalo noma ukushisa ngesikhathi sokuphuma kwesisu
• Ukuqabuka kwe-fever ezimweni ezithile

Ubuhlungu ngokuvamile abulungi ngokuphumula noma imithi ebuhlungu yokuthengwa ngaphandle kwesikripthi. Ngokungafani nezinye izimbangela zobuhlungu lwethisi, ukuphakamisa ithisi ngokuvamile akukuvimbeli ukuqhuma.

Yini ebangela ukuqhuma kwethisi?

Ukuqhuma kwethisi kwenzeka lapho intambo yethisi iphenduka ngokwayo ngaphakathi kwe-scrotum. Isizathu esiqondile sokuthi kungani lokhu kuphenduka kwenzeka akuhlali kucace, kepha izici eziningi zingenza kube lula ukwenzeka.

Eziningi zezimo zenzeka ngenxa yesimo esibizwa ngokuthi "ukukhubazeka kwe-bell clapper." Kulesi simo, ithisi alixhunyiwe kahle ngaphakathi kwe-scrotum, likuvumela ukuthi lihambe khululekile futhi liphenduke. Lokhu kuhlukahluka komzimba kukhona kusukela ekuzalweni.

Ezinye izici ezifaka isandla zihlanganisa:

• Ukukhula okusheshayo ngesikhathi sokuqala kwesondo okuthinta isikhundla sethisi
• Ukuzivocavoca noma ukulimala, nakuba eziningi zezimo zenzeka ngesikhathi sokulala
• Ukuvezwa emoyeni obandayo okubangela umsipha we-cremaster ukuthi uqiniswe kakhulu
• Izimo zangaphambili zobuhlungu lwethisi ezixazululiwe ngokwazo
• Umlando womndeni wokuqhuma kwethisi

Ngokuthakazelisayo, eziningi zezimo zokuqhuma kwethisi zenzeka ngesikhathi sokulala noma ukuphumula, hhayi ngesikhathi sokuzivocavoca. Lokhu kusikisela ukuthi ukuphenduka kungenzeka ngokwayo ngaphandle kokuthinta kwangaphandle.

Nini okumele ubheke udokotela ngokuqhuma kwethisi?

Kufanele ufuna ukunakekelwa kwezokwelapha okusheshayo ngokushesha uma uhlushwa ubuhlungu obukhulu obukhulu bethisi. Ukuqhuma kwethisi kuyisimo sezempilo esibucayi esidinga ukuhlinzwa emahoreni ambalwa ukuze kuvivinyelwe ithisi.

Ungalindi ukubona ukuthi ubuhlungu buthuthuka yini ngokwalo. Ukwelashwa okuqala ngokushesha, amathuba okuvivinya ithisi angcono kakhulu. Ngokuhle, ukuhlinzwa kufanele kwenzeke emahoreni angu-6 ngemuva kokuthi izimpawu ziqale, nakuba amanye ama-testicles angasindiswa ngisho nangemva kwesikhathi eside.

Hamba e-emergency room ngokushesha uma una:

• Ukuqala ngokushesha kobuhlungu obukhulu bethisi
• Ubuhlungu bethisi obuhambisana nokuphefumula nokugabha
• Ithisi elibonakala likhule, libomvu, noma libekwe ngokungavamile
• Ubuhlungu obukhulu obungathuthuki ngokuphumula noma imithi ebuhlungu

Ngisho noma awuqiniseki ngokuphelele ukuthi ukuqhuma, kungcono ukuba uphephile. Ezinye izimo ezingathi sína zingabangela izimpawu ezifanayo, futhi zonke zidinga ukuhlolwa kwezokwelapha okusheshayo.

Ziyini izici ezingozi zokuqhuma kwethisi?

Ukuqhuma kwethisi kungenzeka kunoma ubani one-testicles, kepha izici ezithile zenza kube lula ukwenzeka. Ukuqonda lezi zici ezingozi kungakusiza uhlale ulungile ngokwenzeka.

Ubudala yiyona nto eyingozi kakhulu, ngezikhathi ezimbili eziphezulu lapho ukuqhuma kuvame kakhulu:

• Abazalwa (ezinsukwini ezimbalwa zokuqala noma emaviki okuphila)
• Intsha (iminikelo engu-12-18)
• Abantu abadala abasebasha (ezingxenyeni zokuqala zengu-20)

Ezinye izici ezingozi zihlanganisa:

• Ukukhubazeka kwe-bell clapper (ukuxhumeka okungalungile kwethisi)
• Izimo zangaphambili zobuhlungu lwethisi ezixazululiwe ngokuzithandela
• Umlando womndeni wokuqhuma kwethisi
• Ithisi elingaphumi noma umlando wethisi elingaphumi
• Ama-testicles amakhulu noma ukukhula okusheshayo kwethisi ngesikhathi sokuqala kwesondo

Ukuba nokuthi noma ngaphezulu kwesici esingozini akusho ukuthi uzokuthola ukuqhuma. Abantu abaningi abanezici ezingozi abazange bazizwe lesi simo, kanti abanye abangenazo izici ezingabonakali bayazithola.

Ziyini izinhlanganisela ezingaba khona zokuqhuma kwethisi?

Inhlanganisela ebucayi kakhulu yokuqhuma kwethisi ukulahlekelwa yi-testicle ethintekayo uma ukwelashwa kulibaleka. Uma ukugeleza kwegazi kuvinjelwe isikhathi eside kakhulu, i-testicular tissue ifa futhi ayikwazi ukusindiswa.

Isikhathi siyisigaba esibalulekile ekuvimbeleni izinhlanganisela. Nansi into engaba khona ngokusekelwe esikhathini:

• Phakathi namahora angu-6: Ithuba elikhulu kakhulu (ngaphezulu kuka-90%) lokusindisa ithisi
• Amahora angu-6-12: Ithuba elihle (cishe u-70-80%) lokuphila kwethisi
• Amahora angu-12-24: Ithuba eliphansi (cishe u-20-50%) lokusindisa ithisi
• Ngemuva kwamahora angu-24: Ithuba eliphansi kakhulu lokuphila kwethisi

Ezinye izinhlanganisela ezingaba khona zihlanganisa:

• Ukutheleleka kwethisi noma ithishu ezungezile
• Ukunciphisa ukukhulelwa uma ithisi lilahlekile noma lilimale kakhulu
• Ubuhlungu obuhlala njalo e-scrotum
• Ukushintsha kokubukeka kwe-scrotum
• Umphumela ongokwenhliziyo wokulahlekelwa ithisi

Izindaba ezinhle ukuthi ukuba nethisi elilodwa elihle ngokuvamile kunikeza ukukhiqizwa kwamahomoni okujwayelekile nokukhulelwa. Abantu abaningi abalahlekelwe ithisi elilodwa ngokuqhuma bangasakwazi ukuba nabantwana ngokwemvelo.

Ukuqhuma kwethisi kuxilongwa kanjani?

Odokotela ngokuvamile bangaxilonga ukuqhuma kwethisi ngokusekelwe ezimpawu zakho nokuhlolwa komzimba. Ukubonakala okujwayelekile kobuhlungu obukhulu bethisi obungesikhathi esisodwa kumuntu osemusha kubonisa kakhulu ukuqhuma.

Ngesikhathi sokuhlolwa komzimba, udokotela wakho uzohlola izimpawu ezibalulekile. Ithisi elithintekile lingase libekwe phezulu kunokujwayelekile, libe ngokulinganayo esikhundleni sokuma, futhi libe nobuhlungu kakhulu uma lithintwa. I-cremasteric reflex (ukudonsa ithisi phezulu lapho udoti wangaphakathi uthintwa) ngokuvamile ayikho ohlangothini oluthintekile.

Ngezinye izikhathi ukuhlolwa okuengeziwe kudingeka ukuqinisekisa ukuxilongwa:

• I-Doppler ultrasound ukuhlola ukugeleza kwegazi kuye ithisi
• Ukuhlolwa kwesisu ukuvimbela ukutheleleka
• Ukuhlolwa kwegazi ukuhlola izimpawu zokutheleleka noma ukuvuvukala

Kodwa-ke, uma ukuqhuma kukromelwe kakhulu ngokusekelwe ezimpawu nasekuhlolweni, odokotela ngokuvamile baqhubeka ngokuqondile nokuhlinzwa ngaphandle kokulinda imiphumela yokuhlola. Ukuphikelela kokusindisa ithisi kuqala ngaphezu kokuthola ukuqinisekiswa okwengeziwe.

Yikuphi ukwelashwa kokuqhuma kwethisi?

Ukuhlinzwa okusheshayo yilona ukwelashwa oluyinhloko lokuqhuma kwethisi. Le nqubo, ebizwa ngokuthi i-orchiopexy, ihilela ukuqeda intambo yethisi nokuqinisa womabili ama-testicles ukuvimbela ukuqhuma kwesikhathi esizayo.

Ngesikhathi sokuhlinzwa, i-urologist izokwenza isiqu e-scrotum futhi iphule ithisi elithintekile. Uma ithisi libonakala liphilile futhi liphilile, lizobekwa ngaphakathi kwe-scrotum ukuvimbela ukuphenduka kwesikhathi esizayo. Le nqubo efanayo ngokuvamile yenziwa kwenye ithisi njengendlela yokuvimbela.

Inqubo yokwelapha ngokuvamile ihilela:

1. Ukuhlinzwa okusheshayo ngaphansi kokulala ngokuphelele
2. Ukuqeda intambo yethisi ukubuyisela ukugeleza kwegazi
3. Ukuqonda ukuthi ithisi lisaphila yini
4. Ukuqinisa womabili ama-testicles ukuvimbela ukuqhuma kwesikhathi esizayo (orchiopexy)
5. Ukususa ithisi uma selingasaphili (orchiectomy)

Ezimeni ezingavamile, udokotela angazama ukuqeda i-detorson ngesandla (ukuqeda ngesandla) e-emergency room, kepha lokhu akuhlali kuphumelela. Ukuhlinzwa kuhlala kuyilona ukwelashwa oluqondile lokuqeda inkinga yamanje nokuvimbela ukubuyela.

Indlela yokunakekela wena ngemuva kokwelashwa kokuqhuma kwethisi?

Ukubuyela esimweni esijwayelekile ngemuva kokuhlinzwa kokuqhuma kwethisi ngokuvamile kulula, kepha kuzodingeka ulandele imiyalo yodokotela wakho ngokucophelela ukuze uphulukise kahle futhi uvikele izinhlanganisela.

Ngezinsuku ezimbalwa zokuqala ngemuva kokuhlinzwa, ukuphumula kuyinto yakho ebaluleke kakhulu. Cishe uzoba nobuhlungu, ukukhula, nokubomvu eduze kwendawo yokwelapha, okujwayelekile futhi kufanele kuthuthuke kancane kancane.

Nansi into ongayilindela ngesikhathi sokubuyela esimweni esijwayelekile:

• Thatha imithi ebuhlungu eyalwe njengoba kuyalwe
• Faka ama-ice packs ukunciphisa ukukhula (imizuzu engu-20, imizuzu engu-20)
• Gqoka i-underwear yokusekela noma i-scrotal support garment
• Gcina indawo yokuhlinzwa ihlanzekile futhi yomile
• Gwema ukuphakamisa okukhulu nokuzivocavoca okunzima amasonto angu-2-4
• Thatha isikhathi emsebenzini noma esikoleni njengoba kunconywe udokotela wakho

Kufanele ukwazi ukubuyela emisebenzini elula ngaphakathi kwezinsuku ezimbalwa, kepha ukubuyela esimweni esijwayelekile ngokuvamile kuthatha amasonto angu-2-4. Udokotela wakho uzokwenza i-follow-up appointments ukuqapha ukwelashwa kwakho nokuqinisekisa ukuthi konke kuqhubeka ngokujwayelekile.

Kufanele uzilungiselele kanjani i-appointment yakho yodokotela?

Uma uhlushwa ubuhlungu bethisi, lokhu cishe kuyisimo esibucayi esidinga ukunakekelwa kwezokwelapha okusheshayo kunokuba yi-appointment ehlelwe. Hamba ngqo e-emergency room noma shayela u-911.

Kodwa-ke, uma uphulukana nokuqhuma noma una ukukhathazeka ngempilo yethisi, nansi indlela yokulungiselela ukuvakasha okuqhubekayo. Bhala izimpawu zakho, kufaka phakathi ukuthi zaqala nini, zingakanani, nokuthi yini ezenza zibe ngcono noma zimbi.

Letha ulwazi olubalulekile nawe:

• Uhlu lwemithi yamanje kanye nezinhlanganisela
• Imininingwane mayelana nezimpawu zakho nesikhathi
• Imibuzo mayelana nokubuyela esimweni esijwayelekile, ukumisa imisebenzi, noma imiphumela yesikhathi eside
• Ulwazi mayelana nanoma yimuphi umlando womndeni wezinkinga zethisi
• Amakhadi yebhange kanye nokuhlonza

Unganqeni ukuxoxa ngezimpawu zethisi nodokotela wakho. Bangabachwepheshe bezokwelapha abaphatha lezi zinkinga njalo futhi bafuna ukukusiza uthole ukunakekelwa okuhle kakhulu.

Yini eyinhloko mayelana nokuqhuma kwethisi?

Ukuqhuma kwethisi kuyisimo sezempilo esibucayi esidinga ukuhlinzwa okusheshayo ukusindisa ithisi elithintekile. Okubalulekile ukuqaphela izimpawu ngokushesha futhi ufuna ukunakekelwa okusheshayo ngaphandle kokulibala.

Khumbula ukuthi ubuhlungu obukhulu bethisi obungesikhathi esisodwa akumelwe luhlale luphoswe noma luphathwe ngendlela ethi "linda ubone." Ngisho noma awuqiniseki ukuthi ukuqhuma, kuhlale kungcono ukufuna ukuhlolwa kwezokwelapha ngokushesha. Isenzo esisheshayo singaba umehluko phakathi kokusindisa nokulahlekelwa ithisi.

Izindaba ezinhle ukuthi ngokwelashwa okusheshayo, eziningi zezimo zokuqhuma kwethisi zinawo imiphumela emihle. Ukuhlinzwa kuvimbela izimo zesikhathi esizayo futhi kukuvumela ukuba ubuyele emisebenzini evamile. Ngisho noma ithisi elilodwa lilahlekile, ithisi elihlala lilinganisela ukusebenza kwamahomoni nokukhulelwa kwabesilisa abaningi.

Imibuzo evame ukubuzwa mayelana nokuqhuma kwethisi

Ukuqhuma kwethisi kungenzeka ngaphezulu kwesikhathi esisodwa?

Yebo, ukuqhuma kwethisi kungenzeka futhi uma ithisi lingaqinisekiswa kahle ngesikhathi sokuhlinzwa kokuqala. Kodwa-ke, ukwelashwa okujwayelekile kokuhlinzwa (orchiopexy) kuhilela ukubopha womabili ama-testicles ukuvimbela ukuqhuma kwesikhathi esizayo. Uma kwenziwe kahle, le nqubo iphumelela kakhulu ekuvimbeleni ukubuyela.

Ungakwazi ukuvimbela ukuqhuma kwethisi ukuba kwenzeke?

Asikho isinqumo esiqinisekisiwe sokuvimbela ukuqhuma kwethisi ngoba ngokuvamile kwenzeka ngokwayo. Kodwa-ke, uma unezici ezingozi njengokukhubazeka kwe-bell clapper noma izimo zangaphambili zobuhlungu lwethisi, udokotela wakho angakuncoma ukuhlinzwa okuvimbelayo (orchiopexy yokukhetha) ukuqinisa ama-testicles nokunciphisa ingozi yakho.

Ngizokwazi yini ukuba nabantwana ngemuva kokuqhuma kwethisi?

Abesilisa abaningi bangasakwazi ukuba nabantwana ngokujwayelekile ngemuva kokuqhuma kwethisi, ngisho noma ithisi elilodwa lilahlekile. Ithisi elilodwa elihle likhiqiza ama-sperm nama-hormones anele ukukhulelwa okujwayelekile. Uma ukhathazekile ngokukhulelwa, udokotela wakho angaxoxa ngezinketho ezifana nokubekwa kwama-sperm ngaphambi kokuhlinzwa ezimweni ezithile.

Ukuhlinzwa kokuqhuma kwethisi kuthatha isikhathi esingakanani?

Ukuhlinzwa kokuqhuma kwethisi ngokuvamile kuthatha imizuzu engu-30-60, kuye ngokubunzima besimo. Le nqubo ngokuvamile yenziwa ngaphansi kokulala ngokuphelele njengokuhlinzwa okusheshayo. Cishe uzobuya ekhaya ngalolo suku noma ngemuva kokubuka ubusuku bonke.

Uyini umehluko phakathi kokuqhuma kwethisi ne-epididymitis?

Zombili izimo zibangela ubuhlungu bethisi, kepha zinazo izimbangela nokwelashwa okuhlukile. Ukuqhuma kwethisi kuhilela ukuphenduka kwentambo yethisi futhi kudinga ukuhlinzwa okusheshayo. I-Epididymitis iwukuvuvukala kwe-epididymis (ngokuvamile ngenxa yokutheleleka) futhi iwelashwa ngama-antibiotics. Ukuqhuma ngokuvamile kubangela ubuhlungu obukhulu, obukhulu, kuyilapho i-epididymitis ngokuvamile ithuthuka kancane kancane futhi ingathuthuka uma uphakamisa ithisi.