Ðe wò vidzidɔ ƒe abi aɖe dzɔa? (Testicular Trauma) Mina míaƒo nu tso esia ŋu!

Ɣeaɖewoɣi la, míate ŋu adze afɔku geɖe siwo míele mɔ kpɔm na o, alo? Vevietɔ le ŋutsuwo gome la, ɣeaɖewoɣi ne wole kamedefefe wɔm, le gegem, alo nudzɔdzɔ bubu aɖe me la, vidzidɔa ate ŋu agblẽ alo axɔ abi. Esia ate ŋu asesẽ vie eye wòanye ŋukpe ɣeaɖewoɣi be woaƒo nu tso eŋu. Ke hã, nu mawo tɔgbe nyanya le vevie ŋutɔ na wò lãmesẽ. Elabena, ne èxɔ atike ɖe game dzi la, àte ŋu axe mɔ ɖe kuxi gã geɖewo nu.

Nukae nye vidzidɔ ƒe nuveviwɔame?

Kpuie ko la, vidzidɔ ƒe abi nye abixɔxɔ le wò vidzidɔ ŋu, alo "bɔlwo" abe alesi míeyɔnae ene. Ènyaa, wole ŋutilãa godo, eye ŋutigbalẽkotoku aɖe si woyɔna be akɔtaƒu tsyɔ wo dzi. Gake ƒu alo lãmeka gãwo mekpɔa wo ta o. Eyata woate ŋu ade abi wo ŋu bɔbɔe .

Zi geɖe la, vidzidɔa te ŋu nɔa te ɖe abi sue aɖe alo eƒe ƒoƒo nu evɔ magblẽ nu gã aɖeke o. Gake le go aɖewo me la, le abi si nèxɔ ƒe sesẽ nu la, ate ŋu ahiã be nàkpɔ atikewɔƒe. Nuveviwɔame sia tɔgbe ate ŋu agblẽ nu le vidzidɔa kpakple vidzidɔa hã ŋu. Ate ŋu adzɔ be ametakpɔnu la navuvu, alo vidzidɔa ŋutɔ nagbã.

Ènya be vidzidɔe nye afisi wowɔa tsinyenye kple ŋutsu ƒe lãmetsiwo (vevietɔ `Testosterone`) lea? Eyata ne afɔku sia tɔgbe dzɔ la, dɔ ma ate ŋu agblẽ eye ʋu ƒe sisi ate ŋu agblẽ nu le eŋu.

Amekawoe ate ŋu adze afɔku siawo tɔgbe?

Amesiame si ŋu vidzidɔ le ate ŋu anɔ afɔku me be wòaxɔ abi sia ƒomevi. Elabena abe alesi míegblɔe va yi ene la, nusiawo le ŋutilãa godo, eye ametakpɔnu boo aɖeke mele wo ŋu o. Eyata vovototo aɖeke mele ŋutsuviwo, sɔhɛwo, kple ame tsitsiwo dome o.

Nukawoe nye vidzidɔ ƒe nuveviwɔame ƒomevi vovovoawo?

Afɔku siawo mesɔ o, wo ƒomeviwo to vovo. Na míakpɔ nusiwo wonye ɖa:

• Tɔtɔ: Esiae nye ƒomevi si bɔ wu. Kpuie ko la, abi aɖee wònye. Abe alesi ne woƒo mí le afi aɖe ene la, ŋutigbalẽa trɔna zua blɔ, lãkusi siwo le vidzidɔa me gblẽna eye ʋu sue aɖe te ŋu ƒoa ƒu. Woyɔa esia ɣeaɖewoɣi be ʋumenugbagbeviɣidɔ .
• Testicular Torsion: Esia nye nɔnɔme sesẽ aɖe si hiã kpata . Bu nusi adzɔ ne ʋuka si tsɔa ʋu yia vidzidɔa me, si nye tsinyenye ƒe ka, trɔ abe tsido ene ŋu kpɔ? Woatso ʋua ƒe sisi, si ana oxygen kple nunyiame maganɔ vidzidɔa ŋu o, si agblẽ nu le eŋu eye wòaku gɔ̃ hã. Ne edzɔ alea la, ahiã be woawɔ dɔ na ame le gaƒoƒo ʋɛ aɖewo ko me be woatsɔ adzrae ɖo.
• Gbagbã: Esiae nye esime lãkusi sesẽ si tsyɔ vidzidɔa (tunica albuginea) la vuvu. Abe alesi ʋuƒo si le gbagbãm ene la, lãkusi si le eme ate ŋu ado. Wogayɔa esia be vidzidɔ ƒe gbagbã . Esia hã nye nɔnɔme si hiã be woawɔ dɔ na ame kpata.
• Ŋutilã ƒe ʋuʋu (`Degloving`):Esia nye nusi ŋu nya ku ɖo vie wu. Esiae woyɔna ne ŋutigbalẽ si ƒo xlã vidzidɔa, si nye vidzidɔa ƒe ŋutigbalẽ, vuvu keŋkeŋ le afɔku gã aɖe ta (e.g., mɔ̃wo ƒe gege ɖe eme).
• Ʋuʋudedi: Le afɔku sesẽ aɖe me la, woate ŋu atutu vidzidɔa ado goe le eƒe nɔƒe, si fia be ado goe le vidzidɔa me, ayi ƒodoa me.
• Complete detachment (`Detaching`): Esiae nye nudzɔdzɔ si nu sẽ wu eye mebɔ o. Esiae nye esime vidzidɔa ɖe eɖokui ɖa tso ŋutilãa gbɔ keŋkeŋ. Zi geɖe la, esia dzɔna le afɔku gã siwo nu sẽ ŋutɔ me.

Le afɔku sia tɔgbe megbe la, dɔlékuiwo alo dɔdzẽ ate ŋu adzɔ. Le kpɔɖeŋu me, epididymis, si nye mɔ̃ aɖe si le vidzidɔa megbe si dzraa tsinyenye ɖo hetsɔa wo yinae, ate ŋu axɔ abi, si nye dɔléle si woyɔna be epididymitis , eye ate ŋu ava zu dɔlékui.

Ðe vidzidɔ ate ŋu agbã?

Ðewohĩ èse be woate ŋu atro lãmekawo eye ``woate ɖe wo dzi.'' Gake lãmekawo mele vidzidɔa me o . Eyata vidzidɔa me ``tete ɖe edzi o.'' Gake lãmeka siwo le akɔta ƒe akpaa ateŋu axɔ ``tete,'' si nye nane abe hehe ene, le afɔku me.

Nukawoe nye afɔku sia ƒomevi ƒe dzesiwo?

Vidzidɔ ƒe abi ate ŋu ahe dzesi vovovowo vɛ. Wo dometɔ aɖewo dzena gaglãa ŋutɔ.

• Vevesese sesẽ le aɖuɖɔtoe me .
• Aɖuɖɔtoea trɔna zua blɔ eye abiwo dzena.
• Akɔta ƒe vuvu .
• Vevesese alo vevesese le ƒodo ƒe akpa si le ete.
• Aɖuɖɔtoe kple/alo ʋuʋudedi .
• Asrã le afɔku aɖe megbe.
• Ðewohĩ ʋu le wò aɖuɖɔ me (woyɔa esia be `hematuria` ).
• Àte ŋu ase veve ne èle aɖuɖɔ tom (woyɔa esia be `dysuria` ).

Vevietɔ: Ne dzesi siawo dometɔ ɖeka alo esi wu nenema le ŋuwò la, mègaŋe aɖaba ƒu wo dzi o. Yi ɖɔkta gbɔ enumake.

Nukae hea afɔku mawo vɛ?

Afɔku siawo tɔgbe ate ŋu adzɔ le susu geɖe ta.

• Penetration (aʋawɔnu ɖaɖɛ abe hɛ alo tu ene).
• Aʋawɔwɔ tẽ (`ŋusẽ si me mekɔ o`). Le kpɔɖeŋu me, ne ame aɖe ƒo afɔ na wò, tsɔ eƒe asi ƒo wò, alo tsɔ bɔl si le zɔzɔm kabakaba ƒo wò esime nèle kamedefefewo (abe kriket alo bɔl ene) ƒom.
• Ʋufɔkuwo, dzokekefɔkuwo, kekefɔkuwo.
• Afɔku siwo do ƒome kple mɔ̃wo (e.g. na amesiwo le dɔ wɔm le dɔwɔƒewo).
• Lãwo ƒe ɖuɖu (abe avuwo ene).

Nudzɔdzɔ siawo ƒomevi ate ŋu ana ame naxɔ abi sue aɖe, abe ŋutigbalẽa ƒe ƒoƒo sue aɖe ene, alo woate ŋu asẽ ale gbegbe be vidzidɔa ƒe ametakpɔnu navuvu eye ʋu naƒo ƒu.

Aleke ɖɔkta awɔ anya dɔléle siae?

Ne èyi ɖɔkta gbɔ la, abia nya wò gbã tso alesi afɔkua dzɔe kple dzesi siwo me tom nèle ŋu. Emegbe woawɔ ŋutilãmedɔdada . Emegbe ɖɔkta ate ŋu akpɔe ɖa be wò vidzidɔ, epididymis (mɔ̃ si me tsinyenye le) kple nusiwo ƒo xlãe la sɔ hã.

Zi geɖe la, ɖɔktaa abia be woawɔ ultrasound dodokpɔ . Esia nye dodokpɔ bɔbɔe si me vevesese mele o, si ate ŋu ana woakpɔ nusi le edzi yim le vidzidɔa me nyuie.

Le dɔléle sesẽ aɖewo me, alo ne nɔnɔmea meva nyo ɖe edzi le ŋkeke eve (gaƒoƒo 48) megbe o la, ate ŋu ahiã be woawɔ dɔ na ame be woanya nusi tututu gbɔ kuxia tso.

Nukawoe nye atike siwo wozãna na esia?

Mɔnu si wozãna tsɔ daa dɔe la toa vovo le alesi afɔkua dzɔe kple alesi wòsẽe nu.

• Le afɔku suewo gome la:
• Ðɔktaa agblɔ na wò be nàgbɔ ɖe eme .
• Wogblɔna na wò be nàzã vevesesenutsitikewo (abe paracetamol, si nàte ŋu aƒle le atikedzraƒe ene).
• Wogblɔna na wò be nàtsɔ tsikpe ade teƒe si xɔ abi la (anɔ abe miniti 15-20 ene, woaxatsae ɖe avɔ me).
• Woate ŋu abia tso asiwò be nàzã akɔtaɖonu (alo jockstrap).
• Woate ŋu ana dɔlékuiwutikewo ne dɔlékui aɖe le ame ŋu alo ne dɔlélea ate ŋu adze ame dzi.

Ne vevesesea kple vuvua meɖiɖi le gaƒoƒo 48 me le atikewɔwɔ sia megbe o la, ele be nàgakpɔ ɖɔkta ake godoo.

• Ne èdi afɔku sesẽ bubuwo la:

Ele be woada abi siwo me abi siwo gena ɖe ʋuka me, abi siwo woɖe le asigɛ me, vidzidɔ ƒe ʋuʋu, alo ʋu ƒe sisi ƒe dzesi siwo fia be ʋu megale dɔ wɔm nyuie o la gbɔ enumake. Le nɔnɔme siawo me la, ate ŋu ahiã be woawɔ dɔ na ame.

Nusiwo woate ŋu awɔ kple amekokoe nye:

• Aɖuɖɔtoe si tro (`Testicular Torsion`) ɖɔɖɔɖo kple eɖoɖo ɖe vidzidɔa ŋu be wòagatrɔ ake o.
• Vidzidɔ si gbã/si gbã la tsɔtsɔ blae kple lãkusi si tsyɔa nu la gbugbɔgatsɔ blae.
• Klɔ abi la nyuie eye nàkɔ eŋu be dɔlékuiwo xɔxɔ ƒe afɔkua dzi naɖe akpɔtɔ.
• Ne womate ŋu atsɔ asi agbugbɔ vidzidɔ si vuvu la aɖo teƒea o la, woate ŋu awɔ dɔ nɛ agbugbɔe aɖo teƒea.
• Vidzidɔ si ɖe eɖokui ɖa keŋkeŋ la gbugbɔgatsɔ, ne anya wɔ.
• Skin grafts na degloving afɔkuwo.
• Amekoko be woaɖe vidzidɔ ɖeka alo evea siaa si gblẽ ( `Orchiectomy` ). Le nɔnɔme sia me la, wò ɖɔkta ate ŋu aɖo aɖaŋu na wò be nàde wò tsinyenye ɖe tsikpe me (`sperm freezing`), kple alesi wòate ŋu adzɔe be nàdzi vi le etsɔme le susu me.

Kuxi kawoe ate ŋu ado tso afɔku alo atikewɔwɔ siawo me?

Ne womewɔ atike na wo nyuie o, alo le alesi afɔkua nu sẽe nu la, kuxi aɖewo ate ŋu ado mo ɖa:

• Dɔlékuiwo.
• Nɔnɔme si me vidzidzi mele o (`Vidzidzi`).
• Ŋutsu ƒe lãmetsi si nye `Testosterone' ƒe agbɔsɔsɔ dzi ɖe kpɔtɔ.
• Urologic kuxiwo.

Ðe abi si woxɔ le vidzidɔ me ate ŋu ahe kansa vɛa?

Ao, dzɔdzɔmeŋutinunya me kpeɖodzi aɖeke meli be vidzidɔ ƒe nuveviwɔame hea kansa vɛ o. Eyata mègatsi dzi ɖe eŋu o.

Ðe esia ate ŋu ahe gbɔdɔdɔ ƒe dɔmawɔmawɔ nyuie vɛa?

Nuveviwɔame le vidzidɔa ŋu, vevietɔ ne womewɔ atike nɛ nyuie o la, ate ŋu ana ŋutsu ƒe tsitretsitsi ƒe dɔmawɔmawɔ nyuie (ED) . Nɔnɔme abe epididymitis si dzɔna le abixɔxɔ vɔ megbe, ne eyi edzi (dɔdzẽ si nɔa anyi didi) hã ate ŋu ahe ED vɛ. Azɔ hã, amekoko aɖewo ate ŋu ahe kuxi aɖewo vɛ le gbɔdɔdɔ ƒe dɔwɔwɔ ŋu hena ɣeyiɣi aɖe.

Ɣeyiɣi didi kae wòxɔna hafi wòhayana?

Esia hã toa vovo le alesi afɔkua dzɔe nu.

• If it’s a minor injury , àte ŋu ahaya ne ègbɔ ɖe eme ŋkeke ɖeka alo eve (gaƒoƒo 24-48). Gake ne nɔnɔmea gagblẽ ɖe edzi alo meva nyo ɖe edzi o la, kpɔ egbɔ be yeyi ɖɔkta gbɔ.
• Ne èdze afɔku vevie eye wowɔ dɔ na wò , ate ŋu axɔ kwasiɖa geɖe, ɖewohĩ ɣleti ɖeka, hafi abi la naɖiɖi. Ðɔktaa abia tso asiwò be nàtrɔ ava le kwasiɖa ɖeka alo eve megbe aɖakpɔ wò nɔnɔmea ɖa.

Aleke míawɔ akpɔ mía ɖokui ta tso afɔku mawo me?

Wogblɔna be: "Enyo wu be nàɖɔ ŋu ɖo."

• Ne èƒoa kamedefefe siwo me wodoa ka kple ame le la, anyo be nàzã kamedefefewɔla si kpena ɖe ame ŋu alo dzɔla .
• Lé ŋku ɖe dedienɔnɔ ŋu ɣesiaɣi ne èle ʋu kum, le keke dom, le dzokeke dom, alo le dɔ wɔm kple mɔ̃wo.

Nukae wòle be makpɔ mɔ na ne nye vidzidɔ xɔ abi?

Zi geɖe la, abi siwo woxɔna le vidzidɔ me la mesɔ gbɔ o. Ame siwo ŋu abi siawo le la hayana kaba. Ame geɖe hayana tso abi siawo me keŋkeŋ. Eyata mègatsi dzi o. Nu vevitɔ kekeakee nye be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo le ɣeyiɣi nyuitɔ dzi.

Ɣekaɣie wòle be makpɔ ɖɔkta?

Le nyateƒe me la, ne afɔku aɖe le vidzidɔa ŋu, ne edze abe ɖe wòle sue ene gɔ̃ hã la, nunya anɔ eme be nàyi ɖɔkta gbɔ aɖaɖo aɖaŋu na wò, elabena ɣeaɖewoɣi la, nusiwo gblẽna ate ŋu anɔ ememe wu alesi wòdzena le gota.

Gake ne dzesi siwo gbɔna le ŋuwò la, kpɔ egbɔ be yeyi ɖɔkta gbɔ enumake:

• Ne vidzidɔa vuvu vevie, eye vevesese kple abi kpe ɖe eŋu .
• Ne asrã le ŋuwò le afɔkua megbe.
• Ne vevesesea yi edzi alo nu sẽ ɖe edzi. (Ne vevesesea nu meɖiɖi le gaƒoƒo ɖeka me tso esime afɔkua dzɔ o la, ele be nàyi ɖɔkta gbɔ godoo.)
• Ne ʋu si le aɖuɖɔ me metɔ alo dzi ɖe edzi o.
• Ne aɖuɖɔtoe sesẽ na wò.
• Ne dzesi bubu aɖewo le ŋuwò si nana nèkea ɖi alo tsia dzimaɖi .

Ðo ŋku edzi be vidzidɔa le ŋutilãa godo, eye ametakpɔnu boo aɖeke mele wo ŋu o, eyata woate ŋu axɔ abi bɔbɔe. Afɔku aɖewo ate ŋu anye atikewɔwɔ kpata . Eyata, mègabu nane si le abe esia ene nu tsɛe gbeɖe o.

Gbedasi si Woatsɔ Yi Aƒeme Tso Nusiwo Me Míedzro Me

Eyata le nusiwo me míedzro nu la, ele be nàse nusi nye vidzidɔ ƒe abi, eƒe ƒomevi vovovoawo, dzesiwo, atikewɔwɔwo, kple alesi nàkpɔ ɖokuiwò ta tso eme gɔme hafi. Nu vevitɔe nye be, ne afɔku ma tɔgbe dzɔ la, mègakpe ŋu na wò, avɔ̃, alo aɣlae o. Di atikewɔlawo ƒe aɖaŋuɖoɖo kaba ale si nàte ŋui, si fia be, le gaƒoƒo ʋɛ aɖewo ko me. Elabena, ne wowɔ atike na wò kabakaba eye wòsɔ la, àte ŋu aƒo asa na kuxi geɖe siwo nɔa anyi didi (abe vidzidzi, lãmetsiŋusẽ ƒe kuxiwo ene) eye nàhaya kaba. Wò lãmesẽ xɔ asi ŋutɔ na wò, alo? Eyata lé be nɛ.

` Vidzidɔ, Vidzidɔ ƒe Nuveviwɔame, Vidzidɔ ƒe Nuveviwɔame, Ŋutsuwo ƒe Lãmesẽ, Vidzidɔ ƒe Vuvu, Vidzidɔ ƒe Vevesese, Vidzidɔ ƒe Abi