Ukuthi yini i-Undescended Testicle? Izimpawu, Izimbangela, & Ukwelashwa

I-undescended testicle kwenzeka lapho olunye noma womabili ama-testicles engahlali phansi esikhwameni sokuzala ngaphambi kokuzalwa. Lesi simo, esibizwa nangokuthi i-cryptorchidism, sithinta cishe ama-3-4% abantwana abakhulu abesilisa futhi ingenye yezinkinga ezivamile zokuzalwa ezihilela izitho zokuzala zesilisa.

Phakathi nokuthuthuka okuvamile, ama-testicles akhiwa ngaphakathi esiswini somntwana bese ehla kancane kancane esikhwameni sokuzala phakathi nezinyanga ezimbalwa zokukhulelwa. Uma le ndlela yemvelo ingapheli, i-testicle ihlala kwenye indawo phakathi kwendlela phakathi kwesisu nesikhwame sokuzala.

Ziyini izimpawu ze-undescended testicle?

Uphawu olukhulu kulula kakhulu - awukwazi ukuzwa olunye noma womabili ama-testicles endaweni yabo evamile esikhwameni sokuzala. Uma uhlola kancane isikhwame sokuzala, singase sizizwe sivaliwe noma sincane ohlangothini olulodwa uma kuqhathaniswa nolunye.

Abantwana abaningi abanesimo esinjalo abazizwa ubuhlungu noma ukungakhululeki. I-undescended testicle ngokuvamile ayibangeli noma yiziphi izinkinga zempilo ngokushesha, kungakho abazali abaningi bayiqaphela okokuqala ngesikhathi sokuhlanza i-diaper noma isikhathi sokugeza.

Ngezinye izikhathi ungase ukwazi ukuzwa i-lump encane, ehambayo endaweni yomhlane lapho i-undescended testicle ihlale khona. Le lump ngokuvamile ilula futhi ayibuhlungu ukuyithinta.

Ziyini izinhlobo ze-undescended testicle?

Kunezinhlobo eziningi ngokusekelwe lapho i-testicle iyeka khona ohambweni lwayo oluya phansi. Ukuqonda le miqondo kusiza odokotela ukuhlela indlela yokwelapha engcono kakhulu yengane ngayinye.

• I-testicle ebuyayo: I-testicle iye yasehlela kahle kodwa ibuya phezulu emhlane ngenxa yomphumela wemisipha osebenza kakhulu
• I-testicle ye-Inguinal: I-testicle iyeka kwenye indawo endaweni yomhlane, ngokuvamile izizwa njenge-lump encane
• I-testicle yesisu: I-testicle ihlala ngaphakathi esiswini futhi ayikwazi ukuzwakala ngaphandle
• I-testicle ye-Ectopic: I-testicle iyehla kodwa iphela kwenye indawo engajwayelekile, njengomlenze noma isisekelo se-penis

Imikhakha eminingi ihilela i-testicle eyodwa kuphela, nakuba womabili ama-testicles angase angahlali phansi cishe ku-10% yezimbangela. Ukwahlukaniswa phakathi kwalezi zinhlobo kusiza udokotela wakho ukuqonda ukuthi i-testicle ingase ihlale yodwa noma idinga ukungenelela kwezokwelapha.

Yini ebangela i-undescended testicle?

Imbangela eqondile ngokuvamile ihlala ingaziwa, kodwa izinto eziningi zingaphazamisa ukuhla kwe-testicle okuvamile ngesikhathi sokukhulelwa. Cabanga ngakho njengendlela eyingozi engapheli njengoba kulindelekile.

Izinto ze-hormonal zidlalela indima ebalulekile ekukhokhelweni kwama-testicles phansi. Uma ama-hormone athile afana ne-testosterone noma i-insulin-like hormone angakhiqizwa ngokwanele, i-testicle ingase ingatholi izibonakaliso ezifanele zokuhamba phansi.

Ukuzalwa ngaphambi kwesikhathi kukhuphula amathuba njengoba ama-testicles ngokuvamile enza ukuhla kwawo kokugcina phakathi nezinyanga ezimbili zokugcina zokukhulelwa. Abantwana abazalwa ngaphambi kwamasonto angu-37 abanakho isikhathi esanele salendlela yemvelo ukuthi iphele.

Ezinye izimo ze-genetic zingathinta ukuthuthukiswa kwe-testicle nokuhla. Lokhu kuhlanganisa i-chromosomal disorders noma i-syndromes elidluliselwa ezizukulwaneni ezithinta ukukhiqizwa kwe-hormone noma ukuthuthukiswa komzimba wezitho zokuzala.

Izithiyo zomzimba noma ukuthuthukiswa okungalungile kwendlela evela esiswini kuya esikhwameni sokuzala kungavimba nokuhla okuvamile. Ngezinye izikhathi umzila wemvelo awubanzi ngokwanele noma awenzi kahle ngesikhathi sokukhulelwa kwasekuqaleni.

Nini okufanele ubone udokotela nge-undescended testicle?

Kufanele ube nomntanakho ahlolwe ngudokotela wezingane phakathi kwezinyanga ezimbalwa zokuqala zokuphila uma uqaphela isikhwame sokuzala esingenalutho noma esingaphelele. Ukubhekwa kwasekuqaleni kusiza ukuhlukanisa phakathi kwezinhlobo ezahlukene futhi kunqume indlela engcono kakhulu yokubheka.

Uma ingane yakho ineminyaka engaphezu kwamashumi ayisithupha futhi isenayo i-undescended testicle, sekufanele ubone udokotela we-urology wezingane. Ngale minyaka, ukuhla kwemvelo akunakwenzeka, futhi ukungenelela kwezokwelapha kungase kudingeke.

Funani ukunakekelwa kwezokwelapha ngokushesha uma uqaphela ubuhlungu obuzumayo, ukukhula, noma ukushintsha kombala endaweni yomhlane noma esikhwameni sokuzala. Lokhu kungase kubonise izinkinga ezinjenge-testicular torsion, edinga ukwelashwa okusheshayo.

Imihlangano yokulandelela njalo iba yibalulekile njengoba ingane yakho ikhula. Udokotela wakho uzolandelela isikhundla se-testicle futhi abuke noma yiziphi izimpawu zezinkinga ngesikhathi sokuhlola okuvamile.

Ziyini izinto ezingaholela ekuthuthukiseni i-undescended testicle?

Izinto eziningi ngesikhathi sokukhulelwa nokuzalwa zingandisa amathuba alesimo sokuthuthuka. Ukuqonda lezi zinto ezingaholela kusiza ekuchazeni ukuthi kungani abanye abantwana banamathuba amaningi okuthinteka.

• Ukuzalwa ngaphambi kwesikhathi: Abantwana abazalwa ngaphambi kwamasonto angu-37 banamathuba aphezulu njengoba ama-testicles ehla ekupheleni kokukhulelwa
• Ukuzalwa okuncane: Abantwana abancane, kungakhathaliseki iminyaka yokukhulelwa, babhekene nezingozi ezikhuphukile
• Umlando womndeni: Ukuba noyise noma umfowethu onayo i-undescended testicles kukhuphula amathuba
• I-diabetes yomzali: I-diabetes engalawulwa ngesikhathi sokukhulelwa ingathinta ukuthuthukiswa kwesilwane
• Ukubhema noma ukusebenzisa utshwala komzali: Lezi zinto zingaphazamisa ukuthuthukiswa okuvamile kwesilwane
• Ukuvezwa ezintweni ezithile ze-kemikhali: Amanye ama-pesticides nama-kemikhali emisebenzi angase akhuphule ingozi

Ukuba nokunye noma ngaphezulu kwezinto ezingaholela akusho ukuthi umntanakho uzoba ne-undescended testicles. Abantwana abaningi abanezinto eziningi ezingaholela bathuthuka ngokuvamile, kanti abanye abangenazo izinto ezingaholela eziqondene nabo bangase bathinteke.

Ziyini izinkinga ezingase zenzeke nge-undescended testicle?

Nakuba i-undescended testicles ingabangeli izinkinga ngokushesha, ukuyishiya ingalashwa kungase kube nezinto ezithile njengoba ingane yakho ikhula. Izindaba ezinhle ukuthi ukwelashwa kwasekuqaleni kuvimbela izinkinga eziningi.

Izinkinga zokuzala zimelela ukukhathazeka okukhulu kwesikhathi eside. Ama-testicles adinga ukushisa okubanda kwesikhwame sokuzala ukuze akhiqize i-sperm enempilo kamuva ekuphileni. Uma ama-testicles ehlala endaweni efudumele yesisu noma emhlane, ukukhiqizwa kwe-sperm kungase kuphazamiseke.

Ingozi yomdlavuza ikhuphuka kancane, nakuba ihlala iphansi kakhulu ngokujwayelekile. Amadoda ane-undescended testicles anezingozi ezingama-3-5 ngaphezulu zokuthuthukisa umdlavuza we-testicular uma kuqhathaniswa namadoda angenalo lesi simo.

I-testicular torsion iba namathuba amaningi uma ama-testicles engabekwa kahle esikhwameni sokuzala. Lesi simo esibuhlungu senzeka lapho i-testicle iphenduka emithonjeni yayo yegazi, idinga ukuhlinzwa okusheshayo ukuvimbela umonakalo ophakade.

Ama-inguinal hernias ngokuvamile ahambisana ne-undescended testicles. Ukungena okufanayo okuvumela ukuhla kwe-testicle kungavumela okuqukethwe kwesisu ukuthi kuqale endaweni yomhlane, kudale i-hernia engase idinge ukulungiswa ngokuhlinzwa.

Imiphumela ye-psychological ingase ithuthuke uma isimo singalashwa ngaphambi kweminyaka yesikole. Abantwana bangase bazizwe benesizungu ngokubonakala kwabo, ikakhulukazi ngesikhathi semisebenzi efana nokugeza noma imidlalo ehilela ukushintsha izingubo.

Ungayivimba kanjani i-undescended testicle?

Ngeshwa, ayikho indlela ethembekile yokuvimbela i-undescended testicles njengoba lesi simo ngokuvamile sivela emisebenzini eyingozi yokuthuthukiswa ngesikhathi sokukhulelwa. Noma kunjalo, ukugcina impilo yomzali jikelele kungasekele ukuthuthukiswa okuvamile kwesilwane.

Ukuthatha amavithamini okukhulelwa nokulandela iziphakamiso zokwelapha zakho ngesikhathi sokukhulelwa kusiza ekuqinisekiseni izimo ezifanele zokuthuthukiswa komntanakho. I-folic acid, ikakhulukazi, isekela ukwakhiwa okuvamile kwezitho zokuzala.

Ukuqeda izinto eziyingozi njengotshwala, utshwala, kanye nezidakamizwa zokuzilibazisa ngesikhathi sokukhulelwa kunciphisa ubungozi bezinkinga eziningi zokuthuthukiswa. Lezi zinto zingaphazamisa izibonakaliso ze-hormone ezikhokhela ukuhla kwe-testicle.

Ukuphatha izimo ezingapheli njenge-diabetes ngaphambi nangesikhathi sokukhulelwa kusiza ekudaleni indawo enempilo yokuthuthukiswa kwesilwane. Amazinga e-blood sugar alawulwa kahle kunciphisa ubungozi bezinkinga eziningi zokuzalwa.

I-undescended testicle ihlonishwa kanjani?

Ukuxilongwa ngokuvamile kuqala ngokuhlolwa komzimba ngudokotela wezingane womntanakho. Udokotela uzobamba kancane isikhwame sokuzala nendawo yomhlane ukuthola i-testicle futhi aqonde isikhundla sayo.

Ngezinye izikhathi ukuhlukanisa phakathi kwe-undescended testicles ne-retractile testicles kudinga ukuhlolwa okucophelelayo. I-retractile testicles ingase iqondiswe kancane esikhwameni sokuzala futhi ihlale khona isikhashana, kanti i-undescended ayikwazi.

Izivivinyo ze-imaging njenge-ultrasound zingase zidingeke uma udokotela engakwazi ukuthola i-testicle ngesikhathi sokuhlolwa komzimba. Lezi zihloko zisiza ekuqondeni ukuthi i-testicle iku-abdomen, emhlane, noma mhlawumbe ayikho nhlobo.

Ezimeni ezingavamile lapho i-imaging inganiki izimpendulo ezicacile, i-laparoscopy ingase iphakanyiswe. Lendlela encane yokungenelela isebenzisa ikhamera encane ukubuka ngaphakathi kwesisu futhi ithole i-testicle.

Izivivinyo zegazi zokulinganisa amazinga e-hormone ngezinye izikhathi ziwusizo, ikakhulukazi uma womabili ama-testicles angahlali phansi. Lezi zivivinyo zingase zibonise ukuthi ama-testicles akhiqiza ama-hormone ngokuvamile.

Ukuphathwa kwe-undescended testicle yini?

Indlela yokwelapha ixhomeke ebudeni bengane yakho nendawo ye-testicle. Umgomo ukususa i-testicle endaweni yayo efanele esikhwameni sokuzala ngaphambi kokuthi izinkinga zithuthuke.

Kubantwana abaneminyaka engaphansi kwamasonto ayisithupha, odokotela ngokuvamile bacebisa ukulinda njengoba ama-testicles ngezinye izikhathi ehla ngokwemvelo phakathi kwezinyanga ezimbalwa zokuqala zokuphila. Ukuhlola okuvamile kulandela intuthuko ngalesi sikhathi.

Ukuphathwa kwe-hormone usebenzisa ukugonywa kwe-human chorionic gonadotropin (hCG) kusebenza kwezinye izimo, ikakhulukazi lapho ama-testicles eseduze nesikhwame sokuzala. Noma kunjalo, amazinga ompumelelo ahluka futhi le ndlela ayilona ikhambi elihlala lisebenza.

Ukwelashwa okuhlinzwa okuthiwa yi-orchiopexy kudingeka lapho ezinye izindlela zingasebenzi. Lendlela isusa i-testicle esikhwameni sokuzala futhi iyibophe endaweni efanele. Abaningi ochwepheshe bokuhlinzwa bacebisa ukwenza lo msebenzi phakathi kwamasonto angu-6-18 ubudala.

Ezimeni ezingavamile lapho i-testicle ingathuthuki kakhulu noma ingabonakali, ochwepheshe bokuhlinzwa bangase bacebise ukususa nokufaka i-testicle ye-prosthetic ngenjongo yokuhlobisa lapho ingane ikhulile.

Ezimeni ezingavamile lapho i-testicle ingathuthuki kakhulu noma ingabonakali, ochwepheshe bokuhlinzwa bangase bacebise ukususa nokufaka i-testicle ye-prosthetic ngenjongo yokuhlobisa lapho ingane ikhulile.

Unganikeza kanjani ukunakekelwa kwasekhaya ngesikhathi sokwelashwa kwe-undescended testicle?

Ngaphambi kokuhlinzwa, akunakho ukunakekelwa kwasekhaya okukhethekile okuvamile okudingekayo njengoba i-undescended testicles ingabangeli ubuhlungu noma izinkinga ngokushesha. Vele uqhubeke nemikhuba evamile yokuhlanza i-diaper nokuhlanza.

Ngemva kokuhinzwa kwe-orchiopexy, ukugcina indawo yokuhlinzwa ihlanzekile futhi yomile kusiza ekuvinjeni ukutheleleka. Uchwepheshe wakho wokuhinzwa uzokunikeza imiyalo ekhethekile mayelana nokugeza nokunakekelwa kwezindawo ezihlinzwe ngesikhathi sokuphulukisa.

Ukuphathwa kobuhlungu ngokuvamile kuhilela imithi engaphezu kokuthengwa njenge-acetaminophen noma i-ibuprofen njengoba kunconywe udokotela wakho. Abantwana abaningi bazwa ubuhlungu obuncane kuphela izinsuku ezimbalwa ngemva kokuhlinzwa.

Ukulinganiselwa kwemisebenzi kungase kusebenze amasonto ambalwa ngemva kokuhlinzwa ukuvimbela ukucindezela endaweni ehlinzwe. Uchwepheshe wakho wokuhinzwa uzokuncoma lapho ingane yakho ingabuya emisebenzini evamile efana nokuqhuba, ukuqhuma, noma ukuhamba ngebhayisikili.

Qaphela izimpawu zezinkinga ezinjengokukhula okukhulu, ubomvu, ubushushu, noma ubuhlungu obuhlala njalo. Xhumana nodokotela wakho uma uqaphela noma yiziphi izinguquko ezikhathazayo ngesikhathi sokuphulukisa.

Kufanele ulungiselele kanjani i-appointment yakho yedokotela?

Bhala phansi noma yimiphi imibuzo noma ukukhathazeka okukukhona ngesimo sengane yakho ngaphambi kwe-appointment. Lokhu kusiza ekuqinisekiseni ukuthi awukhohlwa ngezihloko ezibalulekile ofuna ukuzixoxa nodokotela.

Letha uhlu lwemithi noma izongezo eziyithathayo ingane yakho, ngisho noma abantwana abaningi abasebancane abasebenzisi imithi njalo. Kukhulunywe futhi nganoma yiziphi izifo zokuzala noma izimpendulo zangaphambili emithini noma ekuwelapheni.

Lungiselela ukuxoxa ngomlando womndeni wakho, ikakhulukazi noma yimiphi izihlobo ezazinayo i-undescended testicles noma ezinye izinkinga zesimiso sokuzala. Lolu lwazi lusiza udokotela ukuqonda izinto ezingase zibe khona ze-genetic.

Cabanga ukuletha umlingani wakho noma ilungu lomndeni elisizayo e-appointment. Ukuba nomuntu omunye okhona kungakusiza ukuba ukhumbule ulwazi olubalulekile futhi unikeze ukwesekwa ngokomzwelo ngesikhathi sokuqonda izindlela zokwelapha.

Ungangabazi ukubuza ngokuhlangenwe nakho kochwepheshe bokuhlinzwa nge-orchiopexy uma kuconyiwe ukuhlinzwa. Buza ngezinga lokuphila, izinkinga ezingase zenzeke, nokuthi yini okufanele uyilinde ngesikhathi sokuphulukisa.

Yini eyisifundo esiyinhloko mayelana ne-undescended testicle?

I-undescended testicle yisimo esivamile nesilashwa esithinta abafana abaningi abasebancane. Nakuba idinga ukunakekelwa kwezokwelapha, umbono ukhulu uma ulawulwa kahle ngokwelashwa kwesikhathi.

Ukutholakala kwasekuqaleni nokwelashwa okufanele kuvimbela izinkinga eziningi zesikhathi eside. Ukuhlinzwa kuphumelela kakhulu, ngabantwana abaningi abaqhubeka benempilo yokuziphinda evamile nokuthuthuka.

Khumbula ukuthi ukuba ne-undescended testicle akubonisi lutho oluwenzile noma awenzanga ngesikhathi sokukhulelwa. Lesi simo sivela emisebenzini eyingozi yokuthuthukiswa engapheli njengoba kulindelekile.

Themba iqembu lakho lokukhathalela impilo futhi ungangabazi ukubuza imibuzo mayelana nokunakekelwa kwengane yakho. Ukuxhumana okuvulekile kuqinisekisa ukuthi uqonda uhlelo lokwelapha futhi uzizwe ukhulu ngezinqumo ezenziwayo.

Imibuzo evamile ebuzwa mayelana ne-undescended testicle

Ingane yami izokwazi yini ukuba nabantwana ngokuvamile uma inayo i-undescended testicle?

Abafana abaningi abatholakala ukwelashwa okufanele kwe-undescended testicles baqhubeka benempilo evamile yokuziphinda. Ukwelashwa okuhlinzwa kwasekuqaleni, ngokuvamile ngaphambi kweminyaka engu-2, kunikeza ithuba elihle kakhulu lokukhiqizwa kwe-sperm okuvamile kamuva ekuphileni. Ngisho namadoda ane-undescended testicles ebiliateral ngokuvamile abeletha abantwana ngokwemvelo, nakuba amazinga okuziphinda angase aphansi kunokulinganiselwe.

Ingabe ukuhlinzwa kudingeka njalo nge-undescended testicles?

Ukuhlinzwa akuyona into edingekayo ngaso sonke isikhathi, ikakhulukazi kubantwana abasebancane kakhulu. Odokotela ngokuvamile balinda kuze kube yiminyaka engu-6 ubudala njengoba ama-testicles ngezinye izikhathi ehla ngokwemvelo phakathi kwezinyanga ezimbalwa zokuqala zokuphila. Noma kunjalo, uma i-testicle ingakahlali phansi ngeminyaka engu-6-12, ukuhlinzwa kuba ukwelashwa okunconywayo ukuvimbela izinkinga zesikhathi esizayo.

Ingabe i-undescended testicles ingabangela ubuhlungu kubantwana?

I-undescended testicles ngokuvamile ayibangeli ubuhlungu kubantwana abasebancane. Noma kunjalo, bangase babe sengozini enkulu yokulimaza njengoba abavikelekile yisikhwame sokuzala. Ubuhlungu obuzumayo, obukhulu bungase bubonise i-testicular torsion, edinga ukunakekelwa kwezokwelapha ngokushesha. Ubuhlungu obuningi obuhambisana nalesi simo buvela ngemva kokuhlinzwa okulungisayo ngesikhathi sokuphulukisa okufushane.

Kubambe isikhathi esingakanani ukuphulukisa ngemva kokuhlinzwa kwe-orchiopexy?

Abantwana abaningi baphulukisa ngokuhlinzwa kwe-orchiopexy phakathi kwamasonto angu-1-2. Izinsuku ezimbalwa zokuqala zihilela ukuphatha ubuhlungu obuncane ngemithi engaphezu kokuthengwa, futhi abantwana ngokuvamile bangabuya emisebenzini evamile phakathi kwamasonto angu-2-3. Ukuphakamisa okukhulu, ukudlala okunzima, nemisebenzi ye-straddle efana nokuhamba ngebhayisikili ngokuvamile kuvinjelwe amasonto angu-4-6 ukuvumela ukuphulukisa okuvamile.

Kwenzekani uma i-undescended testicles ishiyiwe ingalashwa?

Ukushiya i-undescended testicles ingalashwa kungase kube nezinkinga eziningi ezihlanganisa ukunciphisa ukuziphinda, ukwanda kengozi yomdlavuza, amathuba aphezulu e-testicular torsion, kanye nemiphumela ye-psychological njengoba ingane ikhula. Ingozi yalezi zinkinga ikhuphuka ngeminyaka, kungakho odokotela becela ukwelashwa ngaphambi kweminyaka engu-2 uma kungenzeka.