Uyini i-Varicocele? Izimpawu, Izimbangela, Nokwelashwa

I-varicocele ngumqondo wezinsimbi ezinqamuzayo eziqhekekile esikhumba sakho. Njengoba nje izinsimbi ezinqamuzayo zingakhula ezinyaweni zakho, izinsimbi ezithatha igazi eziphuma eziqweni zakho zingakhula futhi ziqhekeke, zidale isimo esithinta cishe ama-15% abesilisa.

Lesi simo senzeka lapho ama-valve angaphakathi kwezinsimbi angasebenzi kahle, okubangela igazi lihlangane futhi izinsimbi ziqhekeke. Nakuba kungase kubonakale kukhathaza, i-varicoceles ngokuvamile ayinabi ingozi futhi abesilisa abaningi baphila nayo ngaphandle kwezinkinga.

Ziyini izimpawu ze-varicocele?

I-varicoceles eningi ayibangeli zimpawu nhlobo. Abesilisa abaningi bathola ukuthi banayo ngesikhathi sokuhlolwa komzimba okuvamile noma ukulingwa kokuzala, bengakaqapheli lutho olungavamile.

Uma izimpawu zikhona, zithambekele ekuthuthukeni kancane kancane futhi zingase ziqale ukubonakala ngokuhamba kwesikhathi. Nansi into ongayibona:

• Ubuhlungu obuthambile noma obukhulu esikhumbeni sakho, ikakhulukazi ngemuva kokuma isikhathi eside
• Ubuhlungu obukhulu usuku lonke futhi buthuthuka uma ulele phansi
• Ukubonakala noma ukuzwa kwezinsimbi ezinkulu, eziqhekekile esikhumbeni sakho (ngokuvamile kuchazwa njengokuzwa njenge-“isaka lezinambuzane”)
• Ukuqhekeka esikhumbeni sakho
• Iqanda elilodwa elibonakala lincane kunelinye
• Ukungakhululeki okwanda ngemisebenzi yomzimba noma ukuzivocavoca

Ukungakhululeki ngokuvamile kuyatholakala futhi kuphatheka. Abanye abesilisa baphawula ukuthi izimpawu zimbi kakhulu ngesikhathi sezulu elifudumele noma ngemuva kokuma isikhathi eside, okwenza kube nomqondo ngoba ukushisa nokuqina kungandisa igazi elihlangene ezinsimbini ezithintekayo.

Ezimweni ezingavamile, i-varicoceles ingabangela ubuhlungu obukhulu obuphazamisa imisebenzi yansuku zonke. Uma ubona ubuhlungu obukhulu, obuzuma esikhumbeni sakho, lokhu kungase kube isimo esihlukile esidinga ukunakekelwa ngokushesha kwezokwelapha.

Ziyini izinhlobo ze-varicocele?

I-Varicoceles ihlukaniswe ngezigaba ezahlukene ngokuthi kulula kangakanani ukuzithola nobukhulu bazo. Ukuqonda lezi zigaba kusiza odokotela ukuthi banqume indlela yokwelapha engcono kakhulu yesimo sakho.

Odokotela ngokuvamile bahlukanisa i-varicoceles zibe izigaba ezintathu eziyinhloko:

• Izinga 1: I-varicoceles encane engatholakala kuphela uma ucindezela phansi (njengoba kunjalo ngesikhathi sokuqina kwe-Valsalva)
• Izinga 2: I-varicoceles enkulu engatholakala ngesikhathi sokuhlolwa komzimba okuvamile
• Izinga 3: I-varicoceles enkulu ebonakala ngokusebenzisa isikhumba sesikhumba

I-varicoceles eningi ivela ngakwesobunxele ngenxa yendlela igazi eliphuma ngayo eqandeni lesobunxele. I-vein ye-testicular yesobunxele ixhumeke kwi-renal vein nge-angle eyi-right, okwenza kube lula ukugcina igazi.

I-varicoceles ebilateral (ethinta izinhlangothi zombili) ayivamile kodwa ingenzeka. Uma i-varicoceles ivela ngakwesokudla kuphela, odokotela bavame ukuhlola ukuze bakhiphe ezinye izimo ezingaphansi ezingase zibangele izindlela ezingavamile zokuthatha igazi.

Yini ebangela i-varicocele?

I-Varicoceles ithuthuka lapho ama-valve amancane angaphakathi kwezinsimbi ezithatha igazi eziphuma eziqweni zakho eziyeka ukusebenza kahle. La ma-valve ngokuvamile avikelwa igazi lingabuyela emuva, kodwa uma ehluleka, igazi lihlangene ezinsimbini okubangela ukuba likhule.

Cabanga ngakho njengokungqubuzana kwezimoto ezindleleni zakho zegazi. Uma ukugeleza okuvamile kuphazamiseka, konke kuya emuva futhi “izindlela” (izinsimbi zakho) ziqhekeka futhi zisondele.

Izici eziningi zinikezela ukuthi lokhu kwenzekani:

• Ukwakheka komzimba: Ukuhlangana kwe-vein ye-testicular yesobunxele ne-kidney vein kudala ukucindezela okwemvelo okungase kudlulise ama-valve
• I-Genetics: Umlando womndeni we-varicoceles noma izinsimbi ezinqamuzayo eziqhekekile uyandisa amathuba akho okuthuthukisa.
• Ubudala: I-Varicoceles ngokuvamile ithuthuka ngesikhathi sokuqina lapho ukugeleza kwegazi ezingutsheni kukhula
• Isimo somzimba: Ukuma isikhathi eside noma imisebenzi eyandisa ukucindezela esiswini ingase ibe nomthelela

Ezimweni ezingavamile, i-varicoceles ingaba yingxenye yezinye izimo njengezifo zezinso noma ama-blood clots avikela ukugeleza okuvamile kwegazi. Kungakho odokotela ngezinye izikhathi bancoma izifundo zokuthatha izithombe, ikakhulukazi nge-varicoceles ethuthuka ngokuzumayo kubantu abadala noma evela ngakwesokudla kuphela.

Nini okufanele ubona udokotela nge-varicocele?

Kufanele ubona udokotela uma ubona noma yiziphi izinguquko ezingavamile esikhumbeni sakho noma uhlangabezane nokungakhululeki okuqhubekayo. Nakuba i-varicoceles ngokuvamile ayinabi ingozi, kubalulekile ukuthola ukuxilongwa okufanele ukuze kuqale ezinye izimo.

Hlela i-aphoyintimenti uma uhlangabezana nanoma yiziphi lezi zimo:

• Uzwa i-lump noma ukuqhekeka esikhumbeni sakho
• Unabuhlungu obuqhubekayo noma ukuntuleka kokukhululeka eziqweni zakho
• Iqanda elilodwa libonakala lincane kunelinye
• Uzama ukuthola izingane futhi unengcindezi
• Uqaphela izinsimbi ezinkulu, eziqhekekile esikhumbeni sakho

Funani ukunakekelwa kwezokwelapha ngokushesha uma uhlangabezana nobuhlungu obukhulu, obuzuma esikhumbeni sakho. Lokhu kungase kube ukuguqulwa kwe-testicular noma enye isimo esiphuthumayo esidinga ukwelashwa okusheshayo.

Ngisho noma izimpawu zakho zithambile, ukuxoxa nazo nodokotela wakho kungakunika ukuthula kwengqondo futhi kukusize ukuthi uqonde izinketho zakho zokuphatha noma yiluphi ukuntuleka kokukhululeka.

Ziyini izici ezingozi ze-varicocele?

Izici ezithile zingandisa amathuba akho okuthuthukisa i-varicocele. Ukuqonda lezi zici ezingozi kungakusiza ukwazi ukuthi yini okufanele uyibheke futhi nini okufanele ufune ukulingwa.

Izici eziyinhloko ezingozi zihlanganisa:

• Ubudala: I-Varicoceles eningi ithuthuka ngesikhathi sokuqina, ngokuvamile phakathi kweminyaka engu-15-25
• Umlando womndeni: Ukuba nohlobo oluthile lwe-varicoceles noma izinsimbi ezinqamuzayo eziqhekekile kuyandisa ingozi yakho
• Ubude obude: Abesilisa abade bangase babe sengozini enkulu ngenxa yokwanda kokucindezela ohlelweni lwe-venous
• Ukuma isikhathi eside: Imisebenzi noma imisebenzi edinga isikhathi eside sokuma ingase ibe nomthelela
• Ukuphakamisa okukhulu: Ukuphakamisa okukhulu noma ukucindezela njalo kungandisa ukucindezela esiswini

Ezinye izifundo ziqaphela ukuthi abesilisa abasebenza ngokomzimba kakhulu noma abahlanganyela ezemidlalo ethile bangase babe nengozi encane, nakuba uxhumano alucaci ngokuphelele.

Kubalulekile ukuphawula ukuthi i-varicoceles ingathuthuka kunoma yimuphi umuntu wesilisa, kungakhathaliseki izici ezingozi. Ukuba nezici ezingozi akukugcini ukuthi uzokhula i-varicocele, futhi abesilisa abaningi abangenazo izici ezingozi basathuthukisa.

Ziyini izinhlanganisela ezingase zenzeke ze-varicocele?

I-Varicoceles eningi ayibangeli izinhlanganisela ezinkulu futhi abesilisa abaningi baphila nayo ngaphandle kwezinkinga. Kodwa-ke, kunezinkinga ezithile ezingase zithuthuke ngokuhamba kwesikhathi, ikakhulukazi uma i-varicocele inkulu noma ayilashwanga.

Izinhlanganisela eziyinhloko okufanele uzazi zihlanganisa:

• Ukungaqondi abesilisa: I-Varicoceles ingathinta ukukhiqizwa kwe-sperm nokhwalithi, okwenza kube nzima ukuthola izingane
• Ukuqhekeka kwe-testicular: Iqanda elithintekayo lingase libe lincane ngokuhamba kwesikhathi ngenxa yokuntuleka kokuthatha igazi
• Ubuhlungu obuqhubekayo: Abanye abesilisa bathuthukisa ukuntuleka kokukhululeka okuqhubekayo okuhlupha imisebenzi yansuku zonke
• Ukushintsha kwama-hormone: I-varicoceles enkulu ingase ibe nomthelela ekukhiqizweni kwe-testosterone, nakuba lokhu kungavamile

Izinkinga zokuzala yiyona inkulu kakhulu kubantu abaningi. Ukushisa okwandayo nokuthuthukiswa kwegazi e-varicoceles kungase kube nomthelela ekukhiqizweni nasemsebenzini we-sperm. Kodwa-ke, akuwona wonke umuntu one-varicoceles ohlangabezana nezinkinga zokuzala.

Ezimweni ezingavamile, i-varicoceles enkulu kakhulu ingabangela ukukhathazeka okubonakalayo noma ukuntuleka kokukhululeka okukhulu okuthinta ikhwalithi yokuphila. Izindaba ezinhle ukuthi izinketho zokwelapha ziyatholakala futhi ngokuvamile ziphumelela kakhulu lapho izinhlanganisela zenzeka.

I-varicocele ingavikeleka kanjani?

Ngeshwa, ayikho indlela eyiqiniso yokuvimbela i-varicoceles ngoba ngokuyinhloko ivela ekwakhekeni komzimba nase-genetics. Izinkinga ze-valve ebangela i-varicoceles ngokuvamile yinto ozalwa nayo noma uyithuthukisa ngokwemvelo ngesikhathi sokuqina.

Kodwa-ke, ungathatha izinyathelo zokunciphisa ingozi yakho noma unciphise izimpawu uma usuvele une-varicocele:

• Gwema ukuhlala ukuma isikhathi eside uma kungenzeka
• Gqoka izingubo ezisekelayo ngesikhathi semisebenzi yomzimba
• Gcina isisindo esinempilo ukuze unciphise ukucindezela ezinsimbini zakho
• Thatha ama-break ukuze uphakamise imilenze yakho uma ukuma isikhathi eside
• Hlala uthambile futhi ugcine ukugeleza okuhle kwegazi

Lezi zindlela zokuphila ngeke ziqinisekise ukuvimbela, kodwa zingase zisize ngokukhululeka uma uthuthukisa i-varicocele. Into ebaluleke kakhulu ukwazi izinguquko emzimbeni wakho futhi ufune iseluleko sezokwelapha uma kudingeka.

Ukuhlola okuvamile kwesikhumba kungakusiza ukuthi uqaphele noma yiziphi izinguquko ekuqaleni, okuhlale kusiza ekunakekelweni kwanoma yiziphi izinkinga zezempilo ngokushesha.

I-varicocele ixilongwa kanjani?

Ukuxilongwa kwe-varicocele ngokuvamile kuqala ngokuhlolwa komzimba. Udokotela wakho uzohlola isikhumba sakho ngenkathi ukuma ulele phansi, efuna izinsimbi ezinkulu futhi ahlole ukuthi zizizwa kanjani.

Ukuhlolwa komzimba ngokuvamile kuhlanganisa ukwenza ukuqina kwe-Valsalva (ukucindezela njengoba kunjalo uma uya esitulumeni) ngenkathi ukuma. Lokhu kukhuphula ukucindezela esiswini futhi kwenza i-varicoceles ibonakale kakhulu futhi kulula ukuyithola.

Uma ukuhlolwa komzimba kungapheli, udokotela wakho angase ancome ukuhlolwa okwengeziwe:

• I-Scrotal ultrasound: Isebenzisa amaza omsindo ukwenza izithombe zokuthatha igazi esikhumbeni sakho
• I-Doppler ultrasound: Ibonisa ukuqondisa nokukhawuleza kokuthatha igazi ezinsimbini zakho
• I-Venography: I-X-ray ekhethekile esebenzisa i-contrast dye (ayidingekile)

I-Ultrasound yiyona ivame kakhulu ukuhlolwa okwengeziwe ngoba ayinabi ubuhlungu, ayinawo umthelela, futhi ichaza kahle. Ingathola ngisho ne-varicoceles encane engase ingabonakali ngesikhathi sokuhlolwa komzimba.

Udokotela wakho angase futhi ahlole ukukhiqizwa kwakho uma uzama ukuthola izingane, njengoba lokhu kungasiza ekuqondeni ukuthi ukwelashwa kuyadingeka yini. Yonke inqubo yokuxilongwa ilula futhi ngokuvamile ingaphela ngezivakashi ezimbili.

Uyini ukwelashwa kwe-varicocele?

Ukwelashwa kwe-varicoceles akuhlale kudingeka. Abesilisa abaningi abanayo i-varicoceles ethambile engabangeli zimpawu noma izinkinga zokuzala abadingi ukwelashwa nhlobo.

Udokotela wakho uzoncoma ukwelashwa uma uhlangabezana nobuhlungu obuqhubekayo, unezinkinga zokuzala, noma ubonisa izimpawu zokuqhekeka kwe-testicular. Izinketho eziyinhloko zokwelapha zihlanganisa:

• Ukulungiswa kokusebenza (varicocelectomy): Ukwelashwa okuvamile, okuhlanganisa ukubopha noma ukususa izinsimbi ezithintekayo
• Ukuhlinzwa kwe-Laparoscopic: Indlela encane yokusebenza esebenzisa ukucindezela okuncane nekhamera
• I-Percutaneous embolization: Inqubo engenayo ukuhlinzwa lapho udokotela oqeqeshwe ngokukhethekile evikela izinsimbi ezithintekayo esebenzisa ama-coils noma ama-plugs
• Ukulungiswa kwe-Microsurgical: Indlela yokusebenza enenkuthalo esebenzisa ukukhuluphala ukuze kunciphise izinhlanganisela

Izinketho zokusebenza ngokuvamile ziphumelela kakhulu, ngezilinganiso zokuphumelela ezingama-85-95% zokunciphisa ubuhlungu nokwenza kube lula ukukhulelwa. Imisebenzi eminingi iyasebenza ngaphandle kwesibhedlela, okusho ukuthi ungaya ekhaya ngosuku olufanayo.

Udokotela wakho uzokusiza ukukhetha indlela engcono kakhulu ngokusekelwe esimweni sakho, izimpawu, nezinhloso zokwelapha. Isikhathi sokuphulukisa sihluka kodwa abesilisa abaningi bangabuyela emisebenzini evamile ngaphakathi kwamasonto ambalwa.

Indlela yokuphatha izimpawu ze-varicocele ekhaya?

Uma i-varicocele yakho ibingela ukuntuleka kokukhululeka okuncane, izindlela eziningi zokuphatha ekhaya zingakusiza uzizwe ukhululekile ngenkathi unquma izinketho zokwelapha nodokotela wakho.

Nansi ezinye izindlela ezisebenzayo zokuphatha izimpawu:

• Gqoka izingubo ezisekelayo: Ama-briefs noma abasekeli bezemidlalo bangasiza ekuqedeni ukuntuleka kokukhululeka
• Sebenzisa ama-ice packs: Ukwelapha okubandayo imizuzu engu-10-15 kungasiza ekuqedeni ukuqhekeka nobuhlungu
• Thatha imithi yokunciphisa ubuhlungu: I-Ibuprofen noma i-acetaminophen ingasiza ekuqedeni ubuhlungu nokutheleleka
• Phakamisa imilenze yakho: Ukulala phansi ngemilenze yakho ephakeme kungathuthukisa ukugeleza kwegazi
• Gwema ukuhlala ukuma isikhathi eside: Thatha ama-break njalo ukuze uhlale noma ulele phansi

Abanye abesilisa bathola ukuthi ukugqoka ama-shorts okuqina ngesikhathi sokuzivocavoca noma imisebenzi yomzimba kusiza ekuqedeni ukuntuleka kokukhululeka. Ukugeza amanzi afudumele kungase futhi kunikeze impumuzo yesikhashana kwabanye abantu.

Khumbula ukuthi imithi yasekhaya ingasiza ngokukhululeka kodwa ngeke iphulukise i-varicocele. Uma izimpawu zakho ziqhubeka noma zibe zimbi, kubalulekile ukulandela nodokotela wakho ngezinketho zokwelapha.

Kufanele ulungiselele kanjani i-aphoyintimenti yakho nodokotela?

Ukulungiselela i-aphoyintimenti yakho kungakusiza ukwenza kakhulu isikhathi sakho nodokotela futhi kuqinisekise ukuthi uthola lonke ulwazi oludingayo nge-varicocele yakho.

Ngaphambi kokuya kwakho, cabanga ukwenza okulandelayo:

• Bhala zonke izimpawu zakho, kufaka phakathi ukuthi zaqala nini nokuthi yini ezenza zibe ngcono noma zimbi
• Bala noma iyiphi imithi noma izongezo ozithathayo
• Qaphela noma yimuphi umlando womndeni we-varicoceles noma izinkinga ze-vascular
• Lungiselela imibuzo mayelana nezinketho zokwelapha nokuthi yini okufanele uyilindele
• Cabanga ukuletha umlingani wakho uma ukukhiqizwa kwabantwana kuyinkinga

Imibuzo emihle yokubuza udokotela wakho ihlanganisa: “Ndingadinga ukwelashwa manje?” “Ziyini izinketho zami zokwelapha?” “Lokhu kungase kube nomthelela kanjani ekukhiqizweni kwabantwana?” nokuthi “Yini engingayilinda ebonisa ukuthi ngidinga ukwelashwa?”

Ungangabazi ukubuza nganoma yini ongayiqondi. Udokotela wakho ufuna ukukusiza wenze izinqumo ezilwemi mayelana nempilo yakho, futhi ayikho imibuzo encane noma engabalulekile.

Uyini umqondo oyinhloko mayelana ne-varicocele?

I-Varicoceles ivamile futhi ngokuvamile ayinabi ingozi. Nakuba zingabangela ukuntuleka kokukhululeka noma ukukhathazeka kokuzala kwabanye abesilisa, abantu abaningi abanayo i-varicoceles baphila impilo evamile, enempilo ngaphandle kokwelashwa.

Into ebaluleke kakhulu okumele uyikhumbule ukuthi unezinketho. Uma udinga ukwelashwa kuncike ezimpawu zakho, imigomo yokuzala, nokuthi i-varicocele ikuthinta kanjani ikhwalithi yokuphila.

Uma ubona noma yiziphi izinguquko esikhumbeni sakho noma uhlangabezane nokuntuleka kokukhululeka okuqhubekayo, ungangabazi ukubona umhlinzeki wezempilo. Ukulingwa ekuqaleni kungakunika ukuthula kwengqondo futhi kukusize uqonde izinketho zakho uma ukwelashwa kudingeka.

Ukwelashwa kwamanje kwe-varicoceles kuphephile futhi kuphumelela uma kudingeka. Abesilisa abaningi abakhetha ukwelashwa baphila ngokuthuthuka okukhulu ezimpawu zabo nesisombululo esiphelele semiphumela.

Imibuzo evamile ebuzwa mayelana ne-varicocele

Ingabe i-varicoceles ingaphela yodwa?

I-Varicoceles ngokuvamile ayipheli yodwa uma ithuthuka. Kodwa-ke, izimpawu zingase zihluke futhi abanye abesilisa bathola ukuthi ukuntuleka kokukhululeka kwabo kuncipha ngokuhamba kwesikhathi. I-varicoceles encane ethuthuka ngesikhathi sokuqina ngezinye izikhathi ayithuthuki noma ibingela izinkinga njengoba ukhula.

Ingabe i-varicocele izokuthinta ikhono lakho lokuba nabantwana?

Akuwona wonke umuntu one-varicoceles ohlangabezana nezinkinga zokuzala, kodwa ingase ibe nomthelela ekukhiqizweni nasekhwalithi ye-sperm kwabanye abesilisa. Uma uzama ukuthola izingane futhi une-varicocele, udokotela wakho angase ancome ukuhlolwa kwe-semen ukuze ahlole impilo ye-sperm yakho. Ukwelashwa ngokuvamile kungathuthukisa imiphumela yokuzala lapho i-varicoceles inikela ebunzimeni bokuthola izingane.

Ingabe ukuhlinzwa kwe-varicocele kubangela ubuhlungu?

Imisebenzi eminingi ye-varicocele yenziwa ngaphansi kokwelashwa, ngakho ngeke uzizwe ubuhlungu ngesikhathi sokuhlinzwa. Ngemuva kokuhlinzwa, ungalindela ukuntuleka kokukhululeka okuncane izinsuku ezimbalwa kuya kwisonto, kodwa lokhu ngokuvamile kuphatheka ngemithi yokunciphisa ubuhlungu. Abesilisa abaningi bathola inqubo yokuphulukisa ithambekele kakhulu.

Kuthatha isikhathi esingakanani ukuphulukisa ukwelashwa kwe-varicocele?

Isikhathi sokuphulukisa sihluka kuye ngohlobo lokwelashwa. Abesilisa abaningi bangabuyela emsebenzini wedeski ngaphakathi kwezinsuku ezimbalwa nemisebenzi evamile ngaphakathi kwamasonto angu-1-2. Kuzodingeka ugweme ukuphakamisa okukhulu nokuzivocavoca okunzima cishe amasonto angu-2-4. Udokotela wakho uzokunika imiyalo ekhethekile ngokusekelwe enkambweni yakho.

Ingabe i-varicoceles ingabuya ngemuva kokwelashwa?

I-Varicoceles ngezinye izikhathi ingabuya ngemuva kokwelashwa, kodwa lokhu kwenzeka ngaphansi kwama-10% ezimweni ngezindlela zokusebenza zamanje. Ukubuyela emuva kungenzeka kakhulu ngezindlela ezithile zokusebenza futhi kungenzeki kakhulu ngokulungiswa kwe-microsurgical. Uma izimpawu zibuyela, izinketho zokwelapha ezengeziwe ziyatholakala.