So worete ɛyaw kɛse wɔ wo mmadwoa mu? Ebetumi ayɛ Testicular Torsion! Momma yɛnka ho asɛm.

Na sɛ mpofirim ara wote ɛyaw a emu yɛ den wɔ wo mmadwoa biako mu , “bɔl” a ɛwɔ wo awotwaa mu no nso ɛ? Anaasɛ sɛ ɛyaw no de ɔfe ka ho a? Eyi nyɛ biribi a ɛsɛ sɛ wɔde di agoru. Eyi betumi ayɛ aduruyɛ mu tebea a egye ntɛmpɛ, na yɛfrɛ no Testicular Torsion. Sɛ yɛbɛka no tiawa a, mogya ntini a ɛde mogya kɔ awotwaa mu no akyeakyea, na ama mogya atwa.

Eyi yɛ aniberesɛm dɛn?

Okay, afei ebia woresusuw sɛnea eyi (Testicular Torsion) yɛ aniberesɛm fa ho. Eyi yɛ ayaresa tebea a emu yɛ den yiye, a egye ntɛmpɛ. Wunim dɛn? Nea na mepɛ sɛ meka ne sɛ, afiri a ɛde mogya kɔ awotwaa mu, mmadwoa hama no, twitwiw. Nea ɛba ne sɛ mogya a ɛkɔ awotwaa no mu no twa koraa. Ɛte sɛ nsu paipu a ɛkyere mfinimfini na nsu no gyae sen.

Enti, sɛ wɔansa no ntɛm ara a, awotwaa no betumi awu. Yiw, wubetumi mpo ahwere. Ɛno nti na eyi gye ntɛmpɛ saa no.

Sɛnea nnuruyɛfo kyerɛ no, ɛyaw yi fi ase wɔ:

• Sɛ wonya ayaresa wɔ nnɔnhwerew 4 kosi 6 ntam a , mpɛn pii no wobetumi akora awotwaa no so.
• Sɛ woka akyi nnɔnhwerew 12 mpo a, hokwan a wowɔ sɛ wubenya nkwa no so tew fã.
• Sɛ nnɔnhwerew 24 twam a, hokwan a ɛwɔ hɔ sɛ wobegye awotwaa no nkwa no sua koraa, bɛyɛ 10%.

Enti, wubetumi asusuw sɛnea ɛsɛ sɛ wokɔ ayaresabea ntɛm no ho. Ɛnyɛ adwene pa sɛ wobɛka akyi simma biako mpo.

Saa tebea yi abu so dɛn?

Testicular torsion nyɛ nea abu so saa ankasa. Ɛka mmarimaa bɛyɛ 4,000 biara mu 1 a wonnii mfe 25. Mpɛn pii no, ɛba mpofirim, a ntease biara nni mu.

Ɛtaa ka awotwaa biako, ɛwom sɛ wɔka sɛ benkum so awotwaa no betumi anya saa tebea yi kakra sen nifa de.

So mmadwoa abien no nyinaa betumi akyinkyim bere koro mu? Yiw, ebetumi aba. Nanso ɛntaa nsi koraa. Nsɛm a ɛtete saa no mu bɛyɛ 2% ka awotwaa abien no nyinaa bere koro mu.

Dɛn ne sɛnkyerɛnne ahorow no?

Okay, afei momma yɛnhwɛ sɛnkyerɛnne ahorow a ebetumi aba wɔ tebea yi mu (Testicular Torsion).

Ade titiriw ne sɛ mpofirim ara wunya ɛyaw a ano yɛ den a wuntumi nnyina ano wɔ wo mmadwoa biako mu. Saa ɛyaw yi betumi aba bere biara, sɛ́ woda, woda, wugyina hɔ, wote ase, anaa woreyɛ dwumadi biara.

Nsɛnkyerɛnne afoforo wɔ hɔ:

• Wo awotwaa no fã biako a ɛho ahonhon a ɛyɛ yaw.
• Ɛte sɛ kɔndua wɔ awotwaa mu.
• Wɔde awotwaa biako si baabi a ɛkorɔn kakra sen foforo no.
• Nsakrae a ɛba ɛmo kotoku no kɔla mu (ebetumi ayɛ kɔkɔɔ, kɔkɔɔ, bruu, anaa tuntum).
• Akisikuru ne ɔfe .
• Ebia wo yafunu bɛyɛ wo yaw .
• Ɛho hia sɛ wɔtow nsu mpɛn pii sen sɛnea ɛtaa ba.
• Ebia wubenya atiridiinini .

Nea ɛho hia sen biara ne sɛ, sɛ wote ɛyaw anaa wo ho nyɛ wo dɛ mpofirim wɔ awotwaa bi mu, sɛ mpo wunni sɛnkyerɛnne foforo biara a, kɔ oduruyɛfo nkyɛn ntɛm ara. Mma w’ani ngu eyi so efisɛ ebetumi ayɛ aduruyɛ mu tebea a egye ntɛmpɛ ho sɛnkyerɛnne.

Ɛyaw yi te nka dɛn?

Nnipa pii te ɛyaw yi (Testicular Torsion) sɛ ɛyaw a emu yɛ den a ɛba mpofirim wɔ awotwaa mu. Ɛtɔ da bi a, ɛyaw yi tumi trɛw kɔ yafunu no mu, anaasɛ ebetumi ayɛ te sɛ nea ɔrefe. Nnipa binom yɛ yaw araa ma wontumi nnantew mpo.

Wɔ afoforo fam no, ɛyaw yi betumi ayɛ nea ɛba bere ne bere mu, ɛba na ɛkɔ, nanso sɛ ɛba a, ɛnsɛ sɛ wobu wɔn ani gu so.

Dɛn nti na eyi rekɔ so? Dɛn ne nea enti a ɛte saa?

Afei ebia woresusuw nea enti a eyi ba no ho. Mpɛn pii no, mmadwoa a ɛkyinkyin ba nnipa a wɔwɔ tebea bi a wɔfrɛ no Bell Clapper Deformity mu . Susuw ho hwɛ, mpɛn pii no yɛn mmadwoa no fi mu bata awotwaa no ho, enti ɛnkyinkyim ntɛmntɛm. Nanso wɔ nnipa a wɔwɔ saa Bell Clapper Deformity yi mu no, mmadwoa no ntumi nkɔ mu denneennen. Wɔsensɛn awotwaa no mu kwa, te sɛ dɔn tɛkrɛma. Enti esiane sɛ wɔsensɛn hɔ kwa saa nti, ɛnyɛ den sɛ wobetumi akyinkyim. Eyi ne ade titiriw nti.

Bio nso, sɛ wupira wo mmadwoa anaa wo awotwaa mu wɔ akwanhyia mu a , saa tebea yi nso betumi aba.

Nanso kae ade biako, apɔw-mu-teɛteɛ, te sɛ apɔw-mu-teɛteɛ, ahuruhuruw, anaa kyinkyim no mma eyi (Testicular Torsion). Ebetumi aba bere a woreyɛ apɔw-mu-teɛteɛ, nanso ɛnyɛ apɔw-mu-teɛteɛ no na ɛde ba. Ɛyɛ biribi a ɛba saa bere no ara kwa.

Hena na obetumi anyin saa?

Testicular torsion betumi aba wɔ obiara a ɔwɔ mmadwoa mu. Nanso, wɔbɔ amanneɛ sɛ nsɛm a ɛtete saa no mu 65% wɔ mmofra nkumaa a wɔadi fi mfe 12 kosi 18. Eyi kyerɛ sɛ ɛtaa ba mmerante ne mmabaa mu.

Afei nso, sɛ woanya testicular torsion pɛnkoro pɛn a, hokwan ketewaa bi wɔ hɔ sɛ ɛbɛsan asi bio. Sɛ obi a ɔwɔ w’abusua mu te sɛ wo papa anaa wo nuabarima anya saa yare yi a, asiane a ɛwɔ hɔ sɛ wubenya bi no dɔɔso kakra.

Sɛ wɔansa wɔn yare a, dɛn na ɛba?

Sɛnea yɛadi kan aka ho asɛm no, sɛ wɔansa eyi ntɛm ara a, ebetumi de ɔhaw kɛse aba.

• Nkwammoaa no sɛe daa: Awotwaa bi tumi tra ase bɛyɛ nnɔnhwerew asia pɛ a mogya nni hɔ. Ɛno akyi no, awotwaa no fi ase wu. Sɛ ɛba saa a, ɛho behia sɛ wɔyɛ oprehyɛn de yi awotwaa a awu no.
• Mmarima a Wontumi Nwo : Nhwehwɛmu ahorow ada no adi sɛ mmarima baasa biara a wɔwɔ Testicular Torsion no mu biako mmadwoa dodow sua. Sɛ wo mmadwoa dodow sua a, ebetumi aka sɛnea wubetumi awo abofra no.

Ɛno nti na yɛka sɛ mfa eyi nyɛ hwee, kɔ oduruyɛfo nkyɛn ntɛm ara.

Wobɛyɛ dɛn ahu eyi?

Sɛ wowɔ sɛnkyerɛnne ahorow a yɛaka ho asɛm wɔ atifi hɔ no bi a, ɛsɛ sɛ wokɔ ayaresabea ntɛm ara. Ɛhɔ no, oduruyɛfo bi bebisa wo yare no ho sɛnkyerɛnne, agye w’aduruyɛ ho abakɔsɛm, na wahwɛ wo mmadwoa mu. Mpɛn pii no, wɔde wo bɛkɔ oduruyɛfo a ɔhwɛ nsu mu nsu, oduruyɛfo a ne ho akokwaw wɔ nyarewa a ɛwɔ nsu ne awo mu no nkyɛn ntɛm ara.Urologist )` kyerɛ sɛ.

Sɛnea ɛbɛyɛ na oduruyɛfo no akyerɛ sɛ eyi yɛ (Testicular Torsion) anaasɛ ɛnte saa no, ɔbɛkra sɛ wɔnyɛ ultrasound scan wɔ awotwaa no mu (Scrotal Ultrasound). Eyi yɛ sɔhwɛ a ɛnyɛ yaw na ɛyɛ ntɛm. Eyi betumi ahwɛ sɛ mogya resen wɔ awotwaa no mu anaasɛ ɛnte saa no mu pɛpɛɛpɛ. Sɛ wogyae mogya no a, ebetumi ayɛ (Testicular Torsion).

So metumi ahwɛ sɛ m’ankasa mewɔ eyi anaa?

Eyi yɛ asɛm a nnipa pii bisa. Nanso, oduruyɛfo nkutoo na obetumi ahu (Testicular Torsion) no pɛpɛɛpɛ. Sɛ wo ho yɛ wo yaw kɛse wɔ wo mmadwoa mu a, ɛbɛyɛ papa sɛ wobɛkɔ oduruyɛfo nkyɛn ntɛm ara sen sɛ wobɛhwɛ wo ho. Ɛno ne ade a eye sen biara a ɛsɛ sɛ woyɛ.

Dɛn ne ayaresa ahorow no?

Ayaresa biako pɛ a wɔde sa Testicular Torsion ne oprehyɛn. Wɔfrɛ saa oprehyɛn yi Orchiopexy. Wɔ saa adeyɛ yi mu no, oduruyɛfo a ɔyɛ oprehyɛn no bɛsan de wo mmadwoa a ɛkyinkyim no asi baabi foforo na wama mogya asan akɔ beae no. Afei, wɔbɛpam awotwaa no wɔ awotwaa no mu na amma ankyinkyim bio.

Mpɛn pii no, wɔfa awotwaa no mu na ɛyɛ oprehyɛn yi. Nanso ɛtɔ mmere bi a, ebia ɛho behia sɛ wɔtwa kakra fa asen no mu . Sɛ wowɔ ``Bell Clapper Deformity'' a madi kan aka ho asɛm no, a ɛtaa ka awotwaa abien no nyinaa a, oprehyɛnfo no nso de awotwaa foforo a ennyaa so nkɛntɛnso no nso bɛbata awotwaa no mu wɔ ɔkwan koro no ara so, na amma ankyinkyim daakye.

So Testicular Torsion no ankasa bɛyɛ yiye?

Dabi, Testicular Torsion no ankasa rennyɛ yiye da. Sɛ wɔannyɛ wo oprehyɛn wɔ nnɔnhwerew asia ntam a, ɛda adi kɛse sɛ ɛsɛ sɛ woyi awotwaa a ɛka wo no fi hɔ.

Mpɛn pii no, nkokoaa a wɔawo wɔn foforo no hwere wɔn awotwaa bi sɛ wɔn awotwaa mu twitwiw a. Sɛ ɛba saa a, oduruyɛfo a ɔyɛ oprehyɛn no beyi awotwaa a awu no na wasiesie awotwaa foforo no sɛnea ɛbɛyɛ a ɛrenkyinkyin akyiri yi.

Wo ho te dɛn wɔ oprehyɛn no akyi?

Ebia nna kakraa a edi kan wɔ oprehyɛn yi akyi no bɛyɛ yaw kakra. Ebia nso wobɛhonhon anaasɛ wo ho akisikuru kakra wɔ wo awotwaa anaa wo srɛ mu bɛyɛ dapɛn biako.

Bɛyɛ dapɛn biako akyi no, ɛyaw no ano bɛbrɛ ase kɛse, na wubetumi asan akɔ nneɛma a woyɛ daa te sɛ w’adwuma anaa sukuu mu.

Nanso,Ɛsɛ sɛ wokwati sɛ wobɛma nneɛma a emu yɛ duru so anaasɛ wode wo ho bɛhyɛ nneɛma a emu yɛ den (te sɛ agumadi) mu anyɛ yiye koraa no adapɛn abiɛsa kosi anan. Wo ne wo duruyɛfo nkasa ansa na woasan afi dwumadi biara ase.

Kae sɛ ɛsono wo nipadua wɔ afoforo ho, enti bere a wo ho bɛtɔ wo no betumi ayɛ soronko. Di wo duruyɛfo akwankyerɛ a ɛfa sɛnea wubedi ɛyaw ne ɔhaw ahorow ho dwuma ho no akyi yiye.

So wobetumi asiw eyi ano?

Ɔkwan biako pɛ a wobetumi afa so asiw awotwaa a ɛbɛkyinkyin ano ne sɛ wɔbɛyɛ wɔn oprehyɛn. Nnipa pii nnim sɛ wobetumi anya saa tebea yi kosi sɛ ɛbɛba. Oprehyɛn betumi asiw wo mmadwoa foforo no nso kwan sɛ ɛbɛkyinkyim wɔ saa kwan yi so.

Sɛ (Testicular Torsion) ba a, dɛn na ɛba?

Sɛ wunya ayaresa ntɛm ara, wɔ nnɔnhwerew asia ntam a, wubetumi ho atɔ wo yiye afi tebea yi mu. Mpɛn pii no, wobetumi agye awotwaa no nkwa.

Nanso, sɛ mmadwoa no mma mogya nkɔ bɛboro nnɔnhwerew asia a, ebetumi ahwere ne dwumadi. Sɛ ɛba saa a, ɛsɛ sɛ oduruyɛfo a ɔyɛ oprehyɛn yi fi hɔ.

Sɛ wubu w’ani gu Testicular Torsion so a, dɛn na ɛba?

Sɛ woannya ayaresa ntɛm ara a, wɔ nnɔnhwerew asia mu no, Testicular Torsion betumi asɛe wo testicle daa (infarction). Sɛ woannya ayaresa wɔ bere ano a, oduruyɛfo bi beyi awotwaa a asɛe no afi hɔ.

Afei nso, testicular torsion betumi aka sɛnea wubetumi awo mma (wo awo).

Bere bɛn na ɛsɛ sɛ mekɔ me duruyɛfo nkyɛn?

Bere a wɔayɛ wo oprehyɛn de asiesie awotwaa a akyeakyea akyi no, yɛ nhyehyɛe sɛ wo ne wo duruyɛfo bɛkɔ akɔhwɛ wo. Wɔbɛhwɛ wo ntwitwiridii no na wɔahu sɛnea woresa yiye.

Sɛ wuhu saa sɛnkyerɛnne ahorow yi bi wɔ oprehyɛn akyi a, frɛ wo duruyɛfo ntɛm ara:

• Sɛ mogya retu wo ntini a wɔatwa no dodo a.
• Sɛ wowɔ atiridiinini a .
• Sɛ ɛyaw no kɔ soro a .
• Ɔhonhon no kɔ soro.Edin ahorow.

Bere bɛn na ɛsɛ sɛ mekɔ baabi a wɔhwɛ wɔn a egye ntɛmpɛ?

Testicular Torsion yɛ aduruyɛ mu asɛm a egye ntɛmpɛ. Sɛ wowɔ saa sɛnkyerɛnne yi bi a, kɔ Emergency Department (ETU) ntɛm ara. Sɛ woannya ayaresa bɛboro nnɔnhwerew asia a, Testicular Torsion betumi asɛe wo mmadwoa daa.

Nsɛm bɛn na ɛsɛ sɛ mibisa me duruyɛfo?

Sɛ wokɔ wo duruyɛfo nkyɛn a, ɛbɛyɛ papa sɛ wubebisa nsɛm yi:

• Wobɛyɛ dɛn ahu sɛ mewɔ Testicular Torsion?
• So wobetumi agye me mmadwoa nkwa?
• So mewɔ nea wɔfrɛ no ``Bell Clapper Deformity''?
• Sɛ me testicle hwere a, so mɛda so ara atumi awo mma?
• So me mmadwoa foforo no nso betumi anya awotwaa mu akisikuru?

Nea etwa to no, ade a ɛho hia sen biara a ɛsɛ sɛ wokae!

Testicular torsion yɛ tebea a ɛsɛ sɛ wɔsa no ntɛm ara na amma awotwaa no ansɛe koraa. Ebia wubesusuw sɛ sɛ woda fam, gye w’ahome, anaa wode nsukyenee gu so a, ɛbɛboa ma ɛyaw no ano abrɛ ase.

Nanso, kae sɛ, ɛyaw a emu yɛ den wɔ wo mmadwoa mu ne wo nipadua a ɛka kyerɛ wo sɛ biribi anyɛ yiye. Aduruyɛ mu afotu a wobɛhwehwɛ ntɛm ara ne ɔkwan biako pɛ a wobɛfa so anya nea eye sen biara. Enti, sɛ wuhu saa sɛnkyerɛnne ahorow yi bi a, yɛsrɛ sɛ mmu w’ani ngu so. Kɔ ayaresabea ntɛm ara. W’akwahosan ho hia wo paa!