Liyini Ukuhlolwa Kwamathambo? Inhloso, Inqubo & Imiphumela

Ukuhlolwa kwamathambo kuyisheke elilula lomzimba lapho udokotela ezwa ngobumnene amathambo akho ukuze afune noma yiziphi izigaxa ezingavamile, ukuvuvukala, noma izinguquko. Kuyingxenye ejwayelekile yokunakekelwa kwempilo yamadoda ethatha imizuzu embalwa nje futhi isiza ukubamba izinkinga ezingaba khona ekuqaleni lapho ziphathwa kakhulu.

Cabanga ngakho njengokuhlolwa kwempilo yengxenye ebalulekile yomzimba wakho. Amadoda amaningi azizwa ethukile ngaphambi kokuhlolwa kwawo kokuqala, kodwa kujwayelekile ngokuphelele futhi akukho okumele ukukhathaze.

Liyini ukuhlolwa kwamathambo?

Ukuhlolwa kwamathambo kuhilela udokotela wakho esebenzisa izandla zakhe ukuhlola ngokucophelela ithambo ngalinye nendawo ezungezile. Bahlola usayizi, ukuma, nokuthungwa ukuze baqiniseke ukuthi konke kuzizwa kujwayelekile futhi kunempilo.

Ngesikhathi sokuhlolwa, udokotela wakho uzobheka ne-epididymis (ishubhu eligcina isidoda) kanye ne-spermatic cord (ethwala isidoda emathanjeni). Lokhu kuhlolwa okuphelele kubasiza ukuthi babone noma yiziphi izinguquko ezingadinga ukunakwa.

Ukuhlolwa ngokuvamile kuyingxenye yomzimba ojwayelekile noma umzimba wezemidlalo. Udokotela wakho angase futhi akuncome uma uqaphele noma yiziphi izinguquko noma unezinkathazo ngempilo yakho yamathambo.

Kungani kwenziwa ukuhlolwa kwamathambo?

Inhloso enkulu ukubamba umdlavuza wamathambo ekuqaleni, lapho ukwelashwa kuphumelela kakhulu. Umdlavuza wamathambo ungumdlavuza ovamile emadodeni aneminyaka engu-15 kuya ku-35, kodwa uyelapheka kakhulu uma utholakala ekuqaleni.

Ngaphandle kokuhlolwa komdlavuza, ukuhlolwa kusiza ukuhlonza ezinye izimo ezingathinta impilo yakho nokuzala. Udokotela wakho angabona izifo, ama-hernias, noma ukwakheka koketshezi okungase kudingeke ukwelashwa.

Ukuhlolwa okuvamile futhi kusungula ukuthi yini ejwayelekile kuwe. Umzimba womuntu ngamunye uhlukile, futhi ukwazi okuyisisekelo sakho kusiza wena nodokotela wakho ukuthi niqaphele noma yiziphi izinguquko zesikhathi esizayo ngokushesha.

Yini inqubo yokuhlolwa kwamathambo?

Ukuhlolwa kwenzeka egumbini eliyimfihlo nawe nodokotela wakho kuphela okhona. Kuzodingeka ukuthi ususe amabhulukwe akho nangaphansi, futhi udokotela wakho uzokunikeza ingubo noma ishidi lokuzifihla.

Nakhu okwenzeka ngokuvamile ngesikhathi sokuhlolwa:

1. Udokotela wakho uzohlola ngeso lenyama amabhola akho nesikhwama sawo ukuze abone noma yikuphi ukuvuvukala okubonakalayo, ukushintsha kombala, noma izinguquko zesikhumba
2. Bazozizwa ngobumnene ibhola ngalinye phakathi kwesithupha neminwe yabo, behlola amaqhuma, izindawo eziqinile, noma izinguquko ngosayizi
3. I-epididymis (isakhiwo esithambile, esinjengentambo ngemuva kwebhola ngalinye) izohlolwa ukuvuvukala noma ukuzwela
4. Udokotela wakho uzohlola intambo ye-spermatic ngokuzwa phezulu evela ebhola ngalinye
5. Bangase bakucele ukuthi ukhwehlele ngenkathi ucindezela ngobumnene eduze kwengxenye yakho yangasese ukuze uhlole ama-hernias

Inqubo yonke ngokuvamile ithatha imizuzu engaphansi kwemihlanu. Udokotela wakho uzokuchazela ukuthi benzeni futhi akwazise uma bezwa noma yini edinga ukunakekelwa okuqhubekayo.

Ungalungiselela kanjani ukuhlolwa kwakho kwamabhola?

Kuncane kakhulu ukulungiselela okudingekayo ekuhlolweni kwamabhola. Ukuthatha ishawa elifudumele ngaphambi kwesikhathi kungakusiza ukuthi uzizwe ukhululekile futhi ukhululekile ngesikhathi sokuhlolwa.

Kuyasiza ukucabanga nganoma yiziphi izimpawu noma izinkathazo ofuna ukuzixoxa. Ingabe uqaphele noma yikuphi ukuzwa ubuhlungu, ukuvuvukala, noma izinguquko endleleni amabhola akho abukeka ngayo noma azizwa ngayo? Zibhale phansi lezi uma zikusiza ukuthi ukhumbule.

Zama ukugqoka izingubo ezikhululekile, ezixekile okulula ukuzisusa nokuzifaka futhi. Lokhu kwenza inqubo ilungele wonke umuntu obandakanyekayo.

Uma uzizwa ukhathazekile, lokho kujwayelekile ngokuphelele. Khumbula ukuthi udokotela wakho wenza lezi zivivinyo njalo futhi ufuna ukukusiza ukuthi uhlale unempilo. Unganqikazi ukubuza imibuzo noma ukuveza noma yiziphi izinkathazo ongase ube nazo.

Ungazifunda kanjani imiphumela yakho yokuhlolwa kwamabhola?

Imiphumela ejwayelekile isho ukuthi udokotela wakho akatholanga izigaxa, ukuvuvukala okungajwayelekile, noma izinguquko eziqondene. Amasende akho kufanele azizwe ethambile, eqinile, futhi ecishe alingane ngosayizi (nakuba umehluko omncane ujwayelekile).

Uma udokotela wakho ethola okuthile okungajwayelekile, akusho ngokuzenzakalelayo ukuthi unesifo somdlavuza noma inkinga enkulu. Okutholakele okuningi kuvela ukuba yizimo ezingenasici eziphathwa kalula.

Okutholakele okuvamile okungathí sina okungase kudingeke ukulandela kufaka phakathi:

• Ama-cyst amancane (izikhwama ezigcwele uketshezi) ngokuvamile ezingenangozi
• Ama-Varicoceles (imithambo ekhulisiwe) okungavamile ukubangela izinkinga
• Izifo ezincane eziphendula kahle ekwelashweni
• Ama-Hydroceles (uketshezi oluzungeze isende) oluvame ukuzixazulula ngokwalo

Udokotela wakho uzochaza noma yikuphi okutholakele ngokusobala futhi axoxe ngezinyathelo ezilandelayo uma kudingeka ukuhlolwa okwengeziwe. Okutholakele okuningi okungajwayelekile akunangozi futhi akudingi ukwelashwa ngokushesha.

Ziyini izici eziyingozi zezinkinga zesende?

Iminyaka idlala indima ebalulekile ezingozini zempilo yesende. Amadoda aphakathi kweminyaka engu-15 no-35 abhekene nengozi enkulu yomdlavuza wesende, kuyilapho amadoda amadala maningi amathuba okuthi athuthukise ezinye izimo.

Izici eziningana zingakhuphula ingozi yakho yokuthuthukisa izinkinga zesende:

• Ukuba nesende elingehlanga ekuzalweni (cryptorchidism)
• Umlando womndeni womdlavuza wesende kuyise noma umfowenu
• Umdlavuza wesende wangaphambilini kwelinye isende
• Izimo ezithile zofuzo njenge-Klinefelter syndrome
• Ukutheleleka nge-HIV noma ezinye izifo zesimiso somzimba sokuzivikela ezifweni
• Uhlanga (amadoda amhlophe anamazinga aphezulu kunamanye amaqembu obuhlanga)

Ukuba nezici eziyingozi akusho ukuthi nakanjani uzothuthukisa izinkinga. Amadoda amaningi anezici eziyingozi awake abe nezinkinga zesende, kuyilapho amanye amadoda angenazo izici eziyingozi eziqondile.

Ziyini izinkinga ezingaba khona zokweqa ukuhlolwa kwamasende?

Ingozi enkulu yokugwema ukuhlolwa kwamathambo ukulahlekelwa umdlavuza wamathambo ezigabeni zawo zokuqala. Uma kubanjwe ngesikhathi, umdlavuza wamathambo unamazinga okuphulukisa angaphezu kwama-95%, kodwa ukuhlolwa okubambezelekile kungenza ukwelashwa kube nzima.

Ngaphandle kokuhlolwa njalo, ezinye izimo ezingelashwa nazo zingase zingabonwa. Ukutheleleka kungase kube kubi futhi kungase kuthinte ukuzala uma kungelashwa isikhathi eside.

Amanye amadoda athuthukisa ukukhathazeka ngempilo yawo yamathambo lapho egwema ukuhlolwa. Ukuhlolwa okuvamile kungahlinzeka ngempela ukuthula kwengqondo futhi kukusize uzizwe uqiniseka ngempilo yakho.

Ukulahlekelwa ithuba lokutholwa kwasekuqaleni kungaholela ekwelashweni okukhulu kamuva. Okungenzeka ukuthi kwakuyinqubo elula kungase kube inqubo yokwelashwa ende, ebandakanyekayo.

Kufanele ngibone nini udokotela ngezinkinga zamathambo?

Kufanele uthinte udokotela wakho ngokushesha uma uqaphela noma yimaphi ama-lumps, amabala aqinile, noma izindawo ezizwa zihlukile kunamanye amathambo akho. Noma ngabe akuyona into engathi sína, kungcono ukuyihlola ngokushesha.

Ubuhlungu obukhulu obungazelelwe, obunzima bamathambo budinga ukunakekelwa kwezokwelapha ngokushesha. Lokhu kungase kubonise ukusonteka kwamathambo, isimo lapho ithambo lisonta futhi linqamula ukuhlinzekwa kwegazi, okudinga ukwelashwa okuphuthumayo.

Ezinye izimpawu ezidinga ukuvakashelwa kukadokotela zihlanganisa:

• Ukuvuvukala okuqhubekayo kwelinye noma womabili amathambo
• Umuzwa wokusinda esikhwameni sakho
• Ubuhlungu obubuthuntu noma ukungakhululeki emathanjeni akho noma emgodini wakho
• Ushintsho ngosayizi noma ukuma kwamathambo
• Ukwakheka koketshezi esikhwameni sakho
• Ukuthamba kwamabele noma ukukhula (kungahlobana nezimo zamathambo)

Ungalindi ukubona ukuthi izimpawu ziyanyamalala zodwa. Ukuhlolwa kwasekuqaleni kuholela emiphumeleni engcono cishe kuzo zonke izimo zamathambo.

Imibuzo evame ukubuzwa mayelana nokuhlolwa kwamathambo

Q.1 Ingabe ukuhlolwa kwamathambo kuyadingeka uma ngizihlolela mina?

Yebo, izivivinyo zobuchwepheshe zisaqhubeka zibalulekile noma ngabe uzihlolela njalo. Odokotela banokuqeqeshwa kanye nolwazi olubasiza ukuthi bathole izinguquko ezingabonakali ongase uziphuthele ngesikhathi sokuzihlola.

Ukuzihlola kuyigugu futhi kuyakhuthazwa, kodwa kusebenza kahle njengokwengeza ekunakekelweni kochwepheshe. Udokotela wakho angakufundisa indlela efanele yokuzihlola futhi akusize uqonde ukuthi yini ejwayelekile emzimbeni wakho.

Umbuzo 2. Kufanele ngihlolwe kangaki ngamathambo?

Odokotela abaningi batusa ukuhlolwa kwamathambo minyaka yonke njengengxenye yokuhlolwa kwakho okuvamile, kusukela eminyakeni yakho yobusha. Uma unezici eziyingozi zomdlavuza wamathambo, udokotela wakho angase asikisele ukuhlolwa okuvame kakhulu.

Amadoda angaphezu kweminyaka engama-40 ngokuvamile adinga ukuhlolwa okungavamile ngaphandle kokuthi anezinkinga ezithile noma izici eziyingozi. Udokotela wakho angasiza ekunqumeni isimiso esifanele esisekelwe emlandweni wakho wezempilo.

Umbuzo 3. Ingabe ukuhlolwa kwamathambo kuzolimaza?

Ukuhlolwa kwamathambo okwenziwe kahle akufanele kube buhlungu. Ungase uzwe ukucindezela okuncane njengoba udokotela wakho ehlola ngobumnene ithambo ngalinye, kodwa lokhu akufanele kubangele ukungakhululeki okukhulu.

Uma uzwa ubuhlungu ngesikhathi sokuhlolwa, yazisa udokotela wakho ngokushesha. Ubuhlungu bungase bubonise isimo esingaphansi esidinga ukunakekelwa, noma udokotela wakho angase adinge ukulungisa indlela yakhe.

Umbuzo 4. Ingabe ukuhlolwa kwamathambo kungathola zonke izinhlobo zomdlavuza wamathambo?

Ukuhlolwa kwamathambo kungathola imidlavuza eminingi yamathambo, ikakhulukazi leyo ebangela izigaxa noma izinguquko ekumweni kwamathambo. Kodwa-ke, eminye imidlavuza esemqoka ingase ibe mincane kakhulu ukuthi ingazwakala ngesikhathi sokuhlolwa komzimba.

Yingakho ukuhlanganisa ukuhlolwa okuvamile kochwepheshe nokuzihlola kwanyanga zonke kukunika ithuba elingcono lokuthola kusenesikhathi. Amanye amadoda futhi azuza ezivivinyweni ezengeziwe njenge-ultrasounds uma enezici eziyingozi eziphezulu.

Umbuzo 5. Kwenzekani uma udokotela wami ethola okuthile okungajwayelekile?

Uma udokotela wakho ethola okuthile okungajwayelekile, cishe uzo-oda ezinye izivivinyo ukuze athole umbono ocacile. Lokhu kungabandakanya ukuhlolwa kwegazi, i-ultrasound, noma ukudluliselwa ochwepheshe obizwa nge-urologist.

Khumbula ukuthi ukuthola okuthile okungajwayelekile akusho ngaso sonke isikhathi ukuthi unomdlavuza. Izimfumba eziningi zama-testicular kanye nezinguquko ziba yizimo ezingenasici ezingadingi ukwelashwa okuncane noma okungadingeki. Udokotela wakho uzokuqondisa kuzo zonke izinyathelo ezengeziwe ezidingekayo ukuze kutholwe imbangela eqondile kanye nokwelashwa okufanelekile.