Varicocele

I-varicocele iwukukhula kwezinsizi eziphatha igazi elingenayo i-oksijini elivela embokweni.

I-varicocele (VAR-ih-koe-seel) iwukukhula kwezinsizi ezikulesi sakhiwo esikhululekile sesikhumba esiphatha ama-testicles (iscrotal). Lezi zinsizi ziphatha igazi elingenayo i-oksijini elivela ema-testicles. I-varicocele yenzeka lapho igazi lihlangana ezinsizini kunokuba ligeleze kahle liphume escrotal.

I-Varicoceles ivame ukwenzeka ngesikhathi sokuqala kwesondo futhi ithuthuke ngokuhamba kwesikhathi. Zingabangela ukungakhululeki noma ubuhlungu, kodwa ngokuvamile azibangeli zimpikiswano noma izinkinga.

I-varicocele ingabangela ukungathuthuki kahle kwembhokweni, ukukhiqizwa okuncane kwesperm noma ezinye izinkinga ezingabangela ukungakhulekeli. Ukuhlinzwa kokwelapha i-varicocele kungase kunconywe ukuqondisa lezi zinkinga.

I-varicocele ivame ukubonakala ngakwesobunxele se-scrotum futhi ngokuvamile ayivezi izimpawu noma izimpawu. Izimpawu nezimpawu ezingase zikhona zingafaka: Ubuhlungu. Ubuhlungu obuthambile, obuhlungu noma ukungakhululeki kunokwenzeka kakhulu uma umi noma ekupheleni kosuku. Ukuphumula phansi kuvame ukuqeda ubuhlungu. Umfutho e-scrotum. Uma i-varicocele inkulu ngokwanele, umfutho ofana ne-“isaka lezinhlanzi” ungabonakala ngaphezu kwetestile. I-varicocele encane kakhulu ingase ibe ncane kakhulu ukubona kodwa ibonakale ngokuthinta. Ama-testicles ahlukene ngobukhulu. Itestile eithintekayo ingase ibe ncane kakhulu kunenye itestile. Ukungakhulelwa. I-varicocele ingabangela ubunzima bokuthola ingane, kodwa akuzona zonke i-varicoceles ebangela ukungakhulelwa. Ukubukwa kwempilo kwaminyaka yonke kubafana kubalulekile ekuqapheleni ukuthuthuka nokuphila kwama-testicles. Kubalulekile ukuhlela nokugcina lezi ziyame. Izimo eziningi zingase zifake isandla ebuhlungwini, ukukhula noma umfutho e-scrotum. Uma uhlangabezana nanoma yikuphi kwalokhu, bheka umhlinzeki wakho wezempilo ukuze uthole ukuxilongwa okusheshayo nokunembile.

Ukubheka impilo kwaminyaka yonke kubafana kubalulekile ekuqapheleni ukuthuthuka nokuphila kwezibobo. Kubalulekile ukuhlela nokugcina lezi ziyame. Izimo eziningi zingase zifake isandla ebuhlungwini, ukukhuluphala noma isikhukhula esiswini. Uma ubona noma yikuphi kwalokhu, bheka umhlinzeki wakho wezempilo ukuze uthole ukuxilongwa okusheshayo nokunembile.

Amabele athola igazi elipfumile yi-oksijini evela emithanjeni emibili yamabele — umthambo munye ngecala ngalinye le-scrotum. Ngokufanayo, kukhona nemithambo emibili yamabele ethatha igazi elingapheli i-oksijini libuyele enhliziyweni. Ngaphakathi kwecala ngalinye le-scrotum, inethiwekhi yemithambo emincane (i-pampiniform plexus) ithwala igazi elingapheli i-oksijini evela embeleni liye emthambeni omkhulu wamabele. I-varicocele ukukhula kwe-pampiniform plexus. Imbangela eqondile ye-varicocele ayaziwa. Esinye isici esingase sibe nomthelela kungase kube ukungasebenzi kahle kwevalvu ezikhona emithanjeni ezoqondene nokuqinisisa ukuhamba kwegazi ngendlela efanele. Futhi, umthambo wamabele wasekhohlo ulandela indlela ehlukile kancane kunomthambo wasekunene — indlela eyenza inkinga yokugeleza kwegazi kube lula ngakwesobunxele. Uma igazi elingapheli i-oksijini libuyela emuva kunethiwekhi yemithambo, liyaqina (liyaqina), lenza i-varicocele.

Akubonakali kubona izimbangela eziyingozi zokuthuthukisa i-varicocele.

Ukuba nevaricocele kungenza kube nzima emzimbeni wakho ukulawula ubushushu bethisti. Lokhu kungabangela ukucindezeleka kokuxhaphaza kanye nokuqongelelana kwezinto eziyingozi. Lezi zinto zingase zifake isandla ezinkingeni ezilandelayo:

• Impilo embi yethisti. Kubafana abangena ebuntweni, ivaricocele ingase ivinje ukukhula kwethisti, ukukhiqizwa kwamahomoni, nezinye izinto ezihlobene nempilo nomsebenzi wethisti. Kubantu abadala, ivaricocele ingabangela ukunciphisa kancane kancane ngenxa yokulahleka kwezicubu.
• Ukungaqandeki. IVaricocele ayibangeli ukungaqandeki. Cishe amaphesenti angu-10 kuya kwangu-20 abantu abadala abaxilongwe ngevaricocele baba nobunzima bokuqala umntwana. Kubantu abadala abanezinkinga zokuzala, cishe amaphesenti angu-40 banevaricocele.

Udokotela wakho angakwazi ukuxilonga i-varicocele ngokuhlola ngamehlo i-scrotum nangokuthinta. Cishe uzohlolwa ulele nokuma. Uma ukuma, udokotela wakho angase akucele ukuba uthathe umoya ojulile, uwubambe bese ucindezela phansi, okufana nokucindezela ngesikhathi sokuphuma kwesisu. Le ndlela (i-Valsalva maneuver) ingenza kube lula ukuhlola i-varicocele. Ukuhlolwa kwezithombe Udokotela wakho angase afune ukuba wenze ukuhlolwa kwe-ultrasound. I-ultrasound isebenzisa amaza omsindo aphezulu ukuze enze izithombe zezakhiwo ezikhathini lomzimba wakho. Lezi zithombe zingasetshenziswa ukuze: Uqinisekise ukuxilongwa noma uchaze i-varicocele Susa enye isimo njengesizathu esingenzeka sezibonakaliso noma izimpawu Thola isifo noma enye into ephazamisa ukugeleza kwegazi Ukunakekelwa eMayo Clinic Iqembu lethu lochwepheshe abakhathalelayo eMayo Clinic lingakusiza ngezinkinga zakho zempilo ezihlobene ne-varicocele Qala Lapha Olunye Ulwazi Ukunakekelwa kwe-varicocele eMayo Clinic I-ultrasound

I-varicocele ayikho imfuneko yokwelashwa. Kumuntu ophethwe ukungakhulekeli, ukuhlinzwa kokulungisa i-varicocele kungaba yingxenye yohlelo lokwelapha ukungakhulekeli. Kubantu abasebasha noma abantu abadala abasebancane - ngokuvamile labo abangafuni ukwelashwa kokungakhulekeli - umhlinzeki wezempilo angase aphakamise ukuhlolwa minyaka yonke ukuqapha noma yiziphi izinguquko. Ukuhlinzwa kungase kunconywe ezimweni ezilandelayo: I-testicle ebonisa ukuthuthuka okulandelayo Inani elincane le-sperm noma ezinye izinkinga ze-sperm (ngokuvamile kuvivinywa kuphela kubantu abadala) Ubuhlungu obuhlala njalo obungalawulwa yi-pain medication Ukuhlinzwa Injongo yokuhlinzwa iwukuvimba umthambo oqalekile ukuze kuqondiswe kabusha ukugeleza kwegazi emithambeni empilweni. Lokhu kungenzeka ngoba ezinye izinhlelo ezimbili ze-artery-ne-vein zinikeza ukugeleza kwegazi kuya nasekusuka esikhwameni. Imiphumela yokwelashwa ingafaka okulandelayo: I-testicle eqalekile ekugcineni ingabuya usayizi wayo olumele. Endabeni yomuntu osemusha, i-testicle ingase “ibambe” ekuthuthukeni. Inani le-sperm lingase libe ngcono, futhi izinkinga ze-sperm zingase zilungiswe. Ukuhlinzwa kungase kuthuthukise ukungakhulekeli noma kuthuthukise ikhwalithi yesimila sokuzala i-in vitro fertilization. Izingozi zokuhlinzwa Ukulungiswa kwe-varicocele kubonisa izingozi ezimbalwa, ezingafaka: Ukubunjwa kwelaphu ezungezile ama-testicles (hydrocele) Ukubuyela kwe-varicoceles Ukutheleleka Ukwenzakala kwe-artery Ubuhlungu obuhlala njalo be-testicular Ukubuthana kwegazi ezungezile i-testicle (hematoma) Isibambiso phakathi kwezinzuzo nezingozi zokuhlinzwa siyasuka uma ukwelashwa kulwela kuphela ukuphatha ubuhlungu. Ngenkathi i-varicoceles ingabangela ubuhlungu, iningi alikho. Umuntu onayo i-varicocele angaba nobuhlungu be-testicular, kodwa ubuhlungu bungase bubangelwe yinto enye - imbangela engaziwa noma engakaqondakali. Uma ukuhlinzwa kwe-varicocele kwenziwa ikakhulukazi ukwelapha ubuhlungu, kunengozi yokuthi ubuhlungu bungase bube sibi, noma uhlobo lobuhlungu lungase lushintshe. Izindlela zokuhlinzwa Udokotela wakho angayeka ukugeleza kwegazi ngomthambo we-testicular ngokuthunga noma ukunqamula umthambo uvaleke (ligation). Izindlela ezimbili zivame ukusetshenziswa namuhla. Zombili zidinga ukulala phansi ngaphansi kokulala okugcwele futhi yizindlela zokwelapha ezingaphandle ezivame ukukuvumela ukuthi uhambe ekhaya ngosuku olufanayo. Izindlela zifaka: I-microscopic varicocelectomy. Udokotela wokuhlinzwa wenza isiqeshana esincane esisezantsi kwesikhumba. Esebenzisa i-microscope enamandla, udokotela wokuhlinzwa uqaphela futhi uvale ama-vein amancane amaningi. Inqubo ngokuvamile ihlala amahora angu-2 kuya kwangu-3. I-laparoscopic varicocelectomy. Udokotela wokuhlinzwa wenza inqubo esebenzisa ikhamera yevidiyo namathuluzi okuhlinzwa axhunyiwe emibhobheni edlula ngezinsimbi ezincane kakhulu esiswini esisezantsi. Ngoba inethiwekhi yama-vein ingaphezulu kakhulu ngaphezu kwesikhumba, kunama-vein ambalwa okuvalela. Inqubo ngokuvamile ihlala imizuzu engama-30 kuya kwangu-40. Ukubuyela Ubuhlungu bokuhlinzwa ngokuvamile buthambile kodwa bungase buqhubeke izinsuku ezimbalwa noma amasonto. Udokotela wakho angase anikeze imithi yokuhlinzwa isikhathi esilinganiselwe ngemuva kokuhlinzwa. Ngemuva kwalokho, udokotela wakho angase akucele ukuthi uthathe imithi yokuhlinzwa engayona imithi yokwelapha, njenge-acetaminophen (Tylenol, abanye) noma i-ibuprofen (Advil, Motrin IB, abanye) ukuze unciphise ubuhlungu. Cishe uzokwazi ukubuyela emsebenzini cishe ngemuva kweviki elilodwa lokuhlinzwa futhi uqale ukuzivocavoca cishe ngemuva kwamasonto amabili lokuhlinzwa. Buza udokotela wakho mayelana nokuthi nini ungabuya ngokuphephile emisebenzini yansuku zonke noma nini ongaqala ukwenza ubulili. Okunye ngaphandle kokuhlinzwa: Embolization Kule nqubo, umthambo uvaliwe ngokwenza idamu elincane. Udokotela oqeqeshwe ekuboneni izithombe (radiologist) ufake umbo obohlangothini olukhulu noma entanyeni. Kusetshenziswa i-anesthetic yendawo endaweni yokufaka, futhi ungase unikezwe i-sedative ukuze unciphise ubuhlungu nokukusiza ukuthi uphumule. Usebenzisa izithombe kwimonitha, umbo uqondiswa endaweni yokwelapha esikhumbeni. I-radiologist ikhipha ama-coil noma isisombululo esibangela ukwenzakala ukuze idale isikhungo emithambeni ye-testicular. Inqubo ihlala cishe ihora elilodwa. Isikhathi sokubuyela sifushane ngokuba nobuhlungu obuthambile. Cishe uzokwazi ukubuyela emsebenzini ezinsukwini ezingu-1 kuya kwezi-2 futhi uqale ukuzivocavoca ngemuva kweviki elilodwa. Buza i-radiologist yakho ukuthi nini ungaqala zonke imisebenzi. Cela i-aphoyintimenti