So woahyɛ no nsow sɛ wo mmadwoa biako te sɛ nea ɛsõ anaasɛ ɛsensɛn fam sen biako no? Anaasɛ ebia ɛtɔ mmere bi a wote ɛyaw a ɛyɛ kusuu anaasɛ wote nka sɛ wo awotwaa mu yɛ duru ? Ebia saa sɛnkyerɛnne ahorow yi fi tebea bi a wɔfrɛ no varicocele —asɛm a ɛtaa ba a mmarima pii hyia nanso kakraa bi na wɔka ho asɛm. Mesrɛ wo, mma ɛnhaw wo; eyi nyɛ tebea a ɛde nkwa to asiane mu. Wɔ Nirogi Lanka no, momma yɛnkɔ nea eyi kyerɛ mu wɔ kasa a ɛnyɛ den na emu da hɔ mu.
Dɛn ankasa ne varicocele? Momma yɛmma ɛnyɛ mmerɛw
Ne tiaatwa mu no, varicocele yɛ ntini a ɛwɔ wo awotwaa mu a ɛtrɛw.
Fa no sɛ ntini a ɛyɛ mmerɛw a nnipa binom nya wɔ wɔn nan mu. Scrotum yɛ honam ani kotoku a ɛwɔ wo barima akyi a ɛkura wo mmadwoa. Wo mmadwoa no wɔ ntini ahorow a ɛma mogya a oxygen ayɛ no ma san kɔ wo koma mu. Sɛ ntini yi hohoro na ɛyɛ kɛse a, wɔfrɛ no varicocele.
Saa tebea yi taa hu wɔ benkum akyi berɛmo no mu esiane ɔkwan soronko a yɛn mogya ntini ahorow no fa so hyehyɛ nipadua no nti. Nanso, ɛtɔ mmere bi a ebetumi aba ɔfã nifa anaa ɔfã abien no nyinaa.
Wobɛyɛ dɛn ahu sɛ wowɔ varicocele? Mpopoeɛ
Mmarima pii a wɔwɔ varicocele no nhu sɛnkyerɛnne biara koraa. Nanso, ebinom betumi ahyɛ nea edidi so yi nsow:
| Nsɛnkyerɛnne a ɛkyerɛ | Nkyerɛmu |
|---|---|
| Testicular Ɛyaw a Ɛyaw | Mpɛn pii no, ɛyaw a ɛyɛ kusuu anaasɛ ɛyaw a emu yɛ duru a ɛtwetwe mmom sen ɛyaw a ano yɛ den. Ɛtaa sɛe bere a woagyina hɔ bere tenten anaa bere a woreyɛ apɔw-mu-teɛteɛ akyi, na mpɛn pii no ɛyɛ mmerɛw bere a woada fam no. |
| Scrotal a Ɛhonhon | Ebia ɛbɛyɛ te sɛ nea awotwaa no fã biako sõ sen foforo no wɔ ɔkwan a wotumi hu so. |
| Lumpy Texture a Ɛyɛ Fɛ | Wɔ tebea horow a ɛda adi kɛse mu no, ebia wobɛte “nwansena kotoku” nka bere a wode wo nsa ka baabi a ɛwɔ awotwaa no atifi no. |
| Testicular Atrophy a Ɛyɛ Fɛ | Ebia tete sɛ nea awotwaa a ɛka no no sua kakra sen nea ɛwɔ apɔwmuden no. |
| Awo Ho Nsɛnnennen | Sɛ woabɔ mmɔden sɛ wubenyinsɛn bɛboro afe a wuntumi nyɛ yiye a, ebia varicocele bɛyɛ ade a ɛde ba. |
Sɛ obi te nka sɛ “nwansena kotoku” a, ɛkyerɛ dɛn?
Eyi yɛ nkyerɛkyerɛmu a nnuruyɛfo taa de di dwuma. Sɛ varicocele sõ sɛnea ɛsɛ a, ntini a atrɛw no te sɛ nhama a ɛyɛ tan a ɛyɛ nhama a ɛyɛ nhama akuwakuw wɔ honam ani. Mpɛn pii no, wontumi nhu varicoceles nketewa anaasɛ wontumi mfa wɔn nsa nka.
Dɛn nti na varicoceles ba?
Bere a ɛnyɛ bere nyinaa na ɛda adi pefee sɛ nea ɛde ba ankasa no, nsusuwii a edi kan ne sɛ ntini a ɛwɔ ntini no mu a ɛde mogya fi awotwaa mu kɔ no nyɛ adwuma yiye.
Fa saa valve ahorow yi sɛ apon a ɛkɔ ɔkwan biako so. Wɔn adwuma ne sɛ wɔbɛhwɛ ahu sɛ mogya bɛsen akɔ soro atia tumi a ɛtwe ade ba fam na ɛrensan nkɔ fam. Sɛ saa ntini yi antumi anto mu yiye a, mogya kɔ akyi na ɛboaboa ano wɔ ntini no mu. Bere kɔ so no, eyi ma ntini no trɛw, ɛhohoro, na ɛkyinkyin, na ɛyɛ varicocele.
Wɔtaa hu varicoceles wɔ mmerantebere ne mmabaabere mu . Bere a mogya a ɛkɔ awo akwaa no mu kɔ soro kɛse wɔ nkɔso fã yi mu no, ntini mu nsɛm biara a ɛhyɛ ase no taa da adi kɛse.
So eyi yɛ aniberesɛm? So ɛka awo?
Nea edi kan koraa no, varicocele nyɛ tebea a ɛde nkwa to asiane mu anaasɛ kokoram bi.
Nanso, ɛho hia wɔ ayaresabea esiane nkɛntɛnso a ebetumi anya wɔ awo so nti . Wobu akontaa sɛ varicoceles wɔ nsɛm a ɛfa mmarima awo a wontumi nwo ho no bɛyɛ 40% mu . Ɛno akyi no, sɛ wowɔ varicocele a, ɛnkyerɛ sɛ wuntumi nwo mma; mmarima pii a wɔwɔ saa tebea yi nni awo ho nsɛm biara.
Ɔkwan bɛn so na varicocele ka awo?
Nsusuwii a ɛwɔ hɔ no fa ɔhyew a ɛkɔ soro ho .
- Scrotal Temperature: Sɛ wobetumi anya mmadwoa a ɛte apɔw a, ɛsɛ sɛ mmadwoa no yɛ nwini kakra sen nipadua no fã a aka no.
- Mogya a Ɛbom: Esiane sɛ mogya boaboa ano wɔ ntini no mu nti, ɔhyew a ɛwɔ awotwaa no mu ne nea atwa ho ahyia no kɔ soro.
- Nkɛntɛnso a Ɛnya wɔ Nkwaboaa So: Ɔhyew a ɛkɔ soro yi betumi asɛe mmadwoa a wɔyɛ, ne su, ne sɛnea ɛkeka ne ho, na ɛno nti na ebetumi ama awo ho nsɛnnennen aba no.
Bio nso, varicocele betumi de nsɛm afoforo aba:
- Testosterone dodow a ɛba fam: Esiane sɛ awotwaa no ma testosterone ba nti, ɛtɔ mmere bi a varicocele betumi asiw saa adeyɛ yi kwan. Eyi betumi ama wanya yare no ho sɛnkyerɛnne te sɛ akɔnnɔ a ɛso tew, ntini a ɛso tew, anaa ɔbrɛ.
- Azoospermia: Wɔ tebea horow a ɛntaa nsi, a emu yɛ den mu no, varicocele betumi aboa ma azoospermia aba, baabi a mmadwoa nni mmadwoa no mu koraa.
Hyɛ no nsow: Sɛ worenya ɛyaw a emu yɛ den mpofirim wɔ wo awotwaa mu anaasɛ wo ho ahonhon a, yɛsrɛ wo kɔ ayaresabea ntɛm ara wɔ dwumadibea a ɛbɛn wo a wɔhwɛ ntɛmpɛ so.
Ade a ɛho hia sen biara a ɛsɛ sɛ wokae ne sɛ, sɛ wowɔ nsɛm bi a ɛhaw wo wɔ awo ho a, ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn ntɛm ara na wo ne no susuw ho.
Ɔkwan bɛn so na nnuruyɛfo hu sɛ obi anya varicocele?
Sɛ wokɔ wo duruyɛfo nkyɛn a, wobefi ase denam wo yare no ho sɛnkyerɛnne ahorow a wobebisa ne nipadua mu nhwehwɛmu a wɔbɛyɛ so. Ɛda adi sɛ wɔbɛka akyerɛ wo sɛ gyina sɔhwɛ no fã yi.
Bere a wo duruyɛfo reyɛ wo awotwaa mu nhwehwɛmu no, ebia ɔbɛka akyerɛ wo sɛ yɛ aValsalva maneuver —eyi hwehwɛ sɛ wobɛhome denneennen, wokura mu, na woabɔ wo ho ban te sɛ nea worebɔ mmɔden sɛ wobɛma wo dwensɔtwaa. Saa adeyɛ yi ma nhyɛso a ɛwɔ wo yafunu mu no yɛ kɛse, na ɛboa ma varicocele da adi kɛse. Sɛ biako wɔ hɔ a, mpɛn pii no oduruyɛfo no tumi te ntini a ayɛ kɛse no nka, na ɛma wohu sɛ ɔwɔ yare no.
Bio nso, wo duruyɛfo betumi akamfo nhwehwɛmu ahorow a edidi so yi akyerɛ sɛ wobɛyɛ:
- Scrotal Ultrasound Scan: Eyi ne sɔhwɛ a wɔtaa yɛ. Ɛyɛ mfoninitwa kwan a ɛnyɛ yaw a ɛma wo duruyɛfo tumi hu sɛnea awotwaa mu ntini no te pefee na ɔhwɛ sɛnea mogya no te.
- Semen Analysis: Sɛ ɛyɛ den ma wo sɛ wubenyinsɛn a, ɛda adi sɛ wo duruyɛfo bɛkamfo nhwehwɛmu yi akyerɛ wo. Wɔbɛsɔ mmadwoa nhwɛsode bi ahwɛ de ahwɛ sɛnea mmadwoa dodow, ne su, ne sɛnea ɛkɔ (kenkan).
- Mogya mu Nhwehwɛmu: Eyinom boa ma wosusuw wo hormone dodow, titiriw testosterone, na ama woahwɛ ahu sɛ biribiara wɔ nea ɛfata mu.
So varicoceles ahorow ahorow wɔ hɔ? (Grading) .
Nnuruyɛfo gyina sɛnea emu yɛ den so kyekyɛ varicoceles mu gu ahorow. Eyi ho hia na ama wɔahu ayaresa nhyehyɛe a ɛfata sen biara.
| Aba | Nkyerɛmu |
|---|---|
| Gyinapɛn 0 | Nea ɛyɛ ketewaa sen biara. Wontumi nte nka bere a wɔreyɛ nipadua mu nhwehwɛmu na wotumi hu denam ultrasound scan nkutoo so. |
| Gyinapɛn I | Wontumi nte nka bere a wɔreyɛ nhwehwɛmu a ɛfata, nanso ɛbɛyɛ nea wotumi de wo nsa ka bere a woreyɛ Valsalva maneuver no. |
| Gyinapɛn II | Oduruyɛfo betumi ate nka bere a wugyina hɔ, mpo a Valsalva maneuver no nka ho, ɛwom sɛ wontumi nhu de. |
| Gyinapɛn III | Ɔkwan a emu yɛ den sen biara. Wotumi hu no pefee na ɛnyɛ den sɛ wobɛte nka. |
Ɔkwan bɛn so na wɔsa?
Sɛ́ ebia wubehia ayaresa no gyina wo yare no ho sɛnkyerɛnne, sɛnea varicocele no te, ne sɛ ebia ɛrenya wo awo so nkɛntɛnso anaa.
Ofie Hwɛ ne Asetra Kwan Ho Dwumadi
Sɛ wowɔ varicocele ketewaa bi a ɛmma ɛyaw anaa awo ho nsɛm biara mma a, mpɛn pii no ɛho nhia sɛ wɔsa wo yare. Nanso, sɛ wote ɛyaw anaa wo ho nyɛ wo dɛ a, ebia wubenya ahotɔ wɔ anammɔn ahorow yi mu:
- Ntade a Ɛboa: Sɛ wohyɛ ntade tiaa a ɛboa anaasɛ jockstrap a, ebetumi aboa ma ɛyaw no so atew, titiriw bere a woreyɛ apɔw-mu-teɛteɛ anaa bere tenten a wogyina hɔ no.
- Cold Compresses: Sɛnea ɛbɛyɛ a ɛyaw no ano brɛ ase a, wubetumi de nsukyenee a wɔde mpopaho abɔ awotwaa no so simma 10-15. (Mfa nsukyenee nhyɛ honam ani tẽẽ da).
- Nnuru a ɛma ɛyaw ano brɛ ase: NSAID a wɔtɔn (te sɛ ibuprofen) betumi aboa ma ɛyaw, nansobere nyinaa kɔ wo duruyɛfo nkyɛn ansa na woafi aduru biara ase na ama woahwɛ ahu sɛ ɛfata wo.
Oprehyɛn (Varicocelectomy) a wɔyɛ no .
Sɛ wo varicocele no ma wote ɛyaw a ɛkɔ so, wo mmadwoa twetwe, anaa awo ho nsɛm a, ebia wo duruyɛfo bɛkamfo akyerɛ sɛ wɔnyɛ oprehyɛn.
Bere a wɔreyɛ varicocelectomy no, oduruyɛfo a ɔyɛ oprehyɛn no hu ntini a asɛe na ayɛ kɛse no na ɔkata so. Eyi dan mogya a ɛkɔ ntini a ɛte apɔw mu. Eyi yɛ adeyɛ a wɔahyɛ da ayɛ na edi mu. Mpɛn pii no, sɛ obi ho bɛtɔ no koraa no gye bɛyɛ adapɛn 6.
Nsonsonoe bɛn na ɛda varicocele ne hydrocele ntam?
Mpɛn pii no, tebea abien yi yɛ basaa efisɛ abien no nyinaa fa awotwaa no ho.
- Varicocele: Ɔhaw a ɛfa ntini a ɛtrɛw wɔ awotwaa no mu ho.
- Hydrocele: Nsu a ɛboaboa ano twa awotwaa no ho hyia. Wɔtaa hu eyi wɔ nkokoaa mu nanso ebetumi aba wɔ mpanyimfo mu.
Esiane sɛ ɛsono yare no ho sɛnkyerɛnne ne ayaresa nti, ɛho hia sɛ wokɔ oduruyɛfo nkyɛn na ama wɔahu yare no pɛpɛɛpɛ.
Nkrasɛm a Wɔde Kɔ Fie a Wɔne Nirogi Lanka
- Varicoceles abu so kɛse wɔ mmarima mu; ɛho nhia sɛ wote aniwu nka anaasɛ wohaw wo ho dodo.
- Mmarima pii nni yare no ho sɛnkyerɛnne biara na enhia ayaresa biara.
- Ɛnyɛ tebea a ɛde nkwa to asiane mu, ɛwom sɛ ebetumi aka awo de.
- Sɛ wo te yaw wɔ wo mmadwoa mu, wo hohoro, anaasɛ wote nka sɛ wo ho ayɛ wo hyew a, yɛsrɛ wo kɔ wo duruyɛfo nkyɛn ntɛm ara.
- Efi asetra mu nsakrae so kosi oprehyɛn a edi mu so no, akwan pii wɔ hɔ a wobetumi afa so adi tebea yi ho dwuma yiye. W’akwahosan ne yɛn ade titiriw wɔ Nirogi Lanka.
Varicocele, awotwaa mu ntini, mmarima awo a wontumi nwo, awotwaa mu ɛyaw, varicocelectomy
