Ke ʻeha nei kāu keiki kāne i kona mau testicles? ʻO ke kumu paha ʻo Appendix Testis!

Ua lohe paha ʻoe i kahi mea i kapa ʻia ʻo "Appendix Testis"? ʻAʻole paha. ʻAʻole ia he mea e hoʻoulu pinepine ai i kahi pilikia. Akā, i kekahi manawa, ʻoi aku hoʻi i nā keikikāne ʻōpio, inā loaʻa iā lākou ka ʻeha koke i loko o nā testicles, hiki i kēia ʻano liʻiliʻi ke kumu. No laila, e kamaʻilio iki kākou e pili ana i kēia lā, ʻeā?

He aha ka Appendix Testis? E ʻike kākou maʻalahi!

I ka ʻōlelo maʻalahi, he puʻupuʻu liʻiliʻi a ʻiʻo ka appendix testis e hiki ke kau mai luna o kekahi a i ʻole nā ​​​​testicles ʻelua i nā keikikāne. E noʻonoʻo iā ia he hapalua o ka pī liʻiliʻi. I kekahi manawa ua kapa ʻia ʻo "Hydatid o Morgagni."

Ua ʻike anei ʻoe i ka wā e ulu ai ke keiki kāne ma ke ʻano he embryo i loko o ka ʻōpū o ka makuahine, e ulu ana kahi ʻōnaehana o nā paipu i kapa ʻia ʻo "Müllerian duct" i loko o kona kino. I ke ʻano o ke keiki wahine, lilo kēia ʻōnaehana o nā paipu i ka uterus a me nā fallopian tubes. Akā i loko o ke kino o ke keiki kāne, ʻaʻole i ulu piha kēia Müllerian duct. No laila, ʻo kēia appendix testis he ʻāpana liʻiliʻi i koe mai kēlā Müllerian duct. Ua like ia me kahi lumi liʻiliʻi i hoʻohana ʻole ʻia i loko o kahi hale kahiko, aia ia ma laila, akā ʻaʻole ia e hana i kekahi mea kūikawā.

He mea maʻamau loa kēia. Ma kahi o ʻewalu o nā keikikāne he ʻumi i loaʻa iā ia. Hiki i kekahi mau keikikāne ke ʻike iā ia ma nā testicles ʻelua. ʻAʻole ʻike ka nui o ka poʻe he loaʻa iā lākou, no ka mea, ʻaʻole pinepine ia e hoʻoulu i nā pilikia.

Aia kekahi pōmaikaʻi i kēia testis appendix?

I ka pōkole, ʻaʻole. ʻAʻole hana kēia testis appendix i loko o ke kino o ke kāne i kekahi hana. E like me ka mea i ʻōlelo ʻia ma mua, he koena wale nō ia o ke kahua embryonic. Loaʻa mau ia me ka ʻole o nā pilikia.

Pehea ke ʻano o kēia? Pehea ka nui?

He liʻiliʻi loa ka testis appendix. He 1 a 7 millimeters ka lōʻihi. ʻO ia hoʻi , hiki ke like ia me ka nui o kahi hua laiki a i ka hapalua o ka nui o kahi papa aspirin. Aia ia i loko o ka scrotum, no laila ʻaʻole mākou e ʻike a hoʻopā paha.

He ʻiʻo palupalu maʻamau kēia. Eia nō naʻe, inā ua wili ʻia, hiki ke manaʻo ʻia he puʻupuʻu paʻa a ʻeha.

No laila he aha ka Appendix Testis Torsion? ʻO kēia ka mea nui loa!

ʻO kēia ka mea a mākou e makemake ai e kamaʻilio kikoʻī. ʻO ka Appendix Testis Torsion ka wā e wili ai kēlā ʻāpana ʻiʻo liʻiliʻi a huli iā ia iho. E noʻonoʻo e like me ke ʻūmi ʻana i kahi ʻāpana lole. Ke wili ia, ua ʻoki ʻia ke kahe koko i laila.

ʻO kēia kūlana kahi kumu maʻamau o ka ʻeha testicular, ʻoi aku hoʻi i waena o nā keikikāne ma waena o 7 a me 12 mau makahiki .

He aha nā hōʻailona o ka torsion o ka testis appendix?

Inā loaʻa kēia i kāu keiki, e makaʻala i kēia mau hōʻailona:

• ʻO ka ʻeha koʻikoʻi ka ʻeha koke a koʻikoʻi i loko o kahi testicle (maʻamau ma kekahi ʻaoʻao). Hiki ke hoʻonui mālie ʻia kēia ʻeha.
• Hiki ke like ke ʻano o ka scrotum me kahi kiko polū liʻiliʻi. Ua kapa ʻia kēia ʻo "hōʻailona kiko polū." ʻO kēia no ka mea ua nele ke koko i ka ʻiʻo i wili ʻia a hoʻomaka e make.
• Hiki ke ʻulaʻula a pehu ka scrotum. Hiki nō hoʻi ke loli ke kala (poni, ʻeleʻele, ʻeleʻele).
• Hiki ke pālahalaha ka ʻeha i ka ʻōpū lalo.
• Hiki paha iā ʻoe ke manaʻo i ka luaʻi a i ʻole ka luaʻi ʻana.

E noʻonoʻo i kāu keiki e pāʻani ana a hoʻomaka koke e uē no ka mea he ʻeha kona testicular. Inā hana ʻia kēlā, pono ʻoe e noʻonoʻo i kēia pū kekahi.

Pehea e ʻike ai ke kauka i kēia?

Hiki i ke kauka ke ʻike maʻamau i kēia kūlana ma ka nānā ʻana i ke keiki a me ka hana ʻana i kahi "Hoʻokolohua Kino". I kekahi manawa, hiki ke hana ʻia kahi "Ultrasound scan" e hōʻoia hou aku. Hiki i kēia ke ʻike maopopo i ka mea i loko o nā testicles.

Pehea e hiki ai ke mālama ʻia kēia? He mea anei ia e makaʻu ai?

ʻO ka mea mua, ʻaʻole kēia he maʻi koʻikoʻi a hiki ke ho'ōla pinepine ʻia me nā lāʻau maʻalahi.

Inā hōʻoia ke kauka he torsion testis appendix kou, eia nā lāʻau lapaʻau e hāʻawi pinepine ʻia:

• E hoʻomaha maikaʻi no kekahi mau lā. Pono ʻoe e hoʻōki i ka holo ʻana a me ka lele ʻana no kekahi manawa.
• Hau. Hiki iā ʻoe ke kau i kahi ʻeke hau (nā pahu hau i wahī ʻia i kahi lole lahilahi) i kahi ʻeha. Mai hoʻomau mau, e waiho no 15-20 mau minuke, a laila e wehe a hoʻihoʻi.
• Nā lāʻau hoʻopau ʻeha (Analgesics) a me nā lāʻau anti-inflammatory nonsteroidal (NSAIDs). Na ke kauka e kuhikuhi i nā lāʻau lapaʻau kūpono.
• ʻO ke komo ʻana i nā lole komo e kōkua ai i ka hoʻokiʻekiʻe ʻana o ka scrotum (scrotal elevation) hiki ke kōkua i ka hōʻoluʻolu ʻana i ke kaomi a me ke kaumaha, hiki ke kōkua i ka hōʻoluʻolu ʻana i ka ʻeha.

ʻO ka maʻamau, e emi iho ka ʻeha a me ka pehu ma hope o hoʻokahi pule o kēia lāʻau lapaʻau.

Āhea e pono ai ke ʻoki kino?

ʻAʻole pono pinepine ke ʻoki kino no kēia maʻi. ʻO ia mau hihia:

• Inā ʻaʻole maopopo ka hōʻailona.
• Inā ʻaʻole hiki i ka hau, ka hoʻomaha, a me ka lāʻau lapaʻau ke hōʻoluʻolu i ka ʻeha.
• Inā ʻoi aku ka lōʻihi o ka ʻeha ma mua o hoʻokahi pule.
• Inā hoʻi hou ka ʻeha.
• Inā ʻeha loa ka ʻeha.

Inā hana ʻia kēia, hiki i ke kauka ke ʻōlelo aku i kahi ʻoki kino i kapa ʻia ʻo "scrotal exploration" e wehe i ka scrotum.

Aia kekahi mau kūlana ʻē aʻe e like me kēia?

ʻAe, aia kekahi mau kumu ʻē aʻe o ka ʻeha testicular, ʻo ia ke kumu he mea nui e nānā ʻia e ke kauka.

He aha ka ʻokoʻa ma waena o ka Appendix Testis a me ka Epididymal Appendix?

He mau ʻāpana liʻiliʻi nā mea ʻelua o ka ʻiʻo i hiki ke loaʻa a puni nā testicles, akā he ʻokoʻa ko lākou kumu.

• ʻO ka appendix testis, e like me ka mea i ʻōlelo ʻia ma mua, ʻo ia ke koena o ka Müllerian duct.
• ʻO ke apendise epididymal he koena ia o kahi ʻōnaehana ʻē aʻe o nā ducts, nā ducts mesonephric, a i ʻole nā ​​ducts Wolffian. Lilo kēia mau ducts Wolffian i epididymis a me vas deferens o ka ʻōnaehana hānau kāne.

Hiki ke wili ʻia nā mea ʻelua, akā ʻo ka appendicular testicular torsion ka mea maʻamau.

He like anei ka Testicular Torsion a me ka Appendix Testis Torsion?

He mea nui loa kēia! Mai huikau i nā mea ʻelua!

• ʻO ka wili ʻana o ka testicle ka wili ʻana o ka ʻāpana liʻiliʻi o ka ʻiʻo e hoʻopili ana i ka testicle. ʻOiai he mea ʻeha kēia, ʻaʻole ia he mea koʻikoʻi.
• ʻOi aku ka koʻikoʻi o ke ʻano o ka torsion testicular . ʻAʻole wale ka ʻāpana ʻiʻo liʻiliʻi i wili ʻia, akā ʻo ka testicle holoʻokoʻa a me kona kahe koko nui (ke kaula spermatic). Hoʻopau loa kēia i ke kahe koko i ka testicle, a inā ʻaʻole e mālama koke ʻia, hiki ke hōʻino ʻia a wehe ʻia paha ka testicle.

He pilikia olakino ka torsion testicular! No laila, inā loaʻa iā ʻoe ka ʻeha koke a koʻikoʻi i loko o kou testicle, pono ʻoe e ʻike koke i ke kauka e ʻike pono i ke ʻano o ia mea.

ʻO nā mea nui loa e pono ai mākou e hoʻomanaʻo mai kēia (Leka Lawe-Home)

ʻAe, no laila, mai nā mea a mākou i kamaʻilio ai, eia nā mea nui loa e pono ai ʻoe e hoʻomanaʻo:

• He ʻāpana liʻiliʻi hana ʻole ka appendix testis o ka ʻiʻo i loaʻa mau i loko o nā testicles o nā keikikāne.
• ʻO ka pilikia nui e hiki ke kū mai mai kēia, ʻo ia kona wili ʻana, i ʻike ʻia ʻo Appendix Testis Torsion. He mea maʻamau kēia i nā keikikāne ma waena o nā makahiki 7-12.
• Hiki i kēia wili ʻana ke hoʻoulu i ka ʻeha koke, ka pehu ʻana, a me kahi kiko polū paha i loko o ka testicle.
• Hoʻoholo pinepine ʻia kēia ʻano me ka hoʻomaha, ka hau, a me nā mea hōʻeha ʻeha. ʻAʻole pono pinepine ke ʻoki ʻana.
• ʻO ka mea nui loa: Inā loaʻa i kahi keikikāne ka ʻeha koke i loko o kāna mau testicles, he mea nui e ʻimi koke i ke kōkua lapaʻau e hoʻoholo ai inā he appendicitis testis torsion a i ʻole he testicular torsion koʻikoʻi. ʻO ka testicular torsion kahi pilikia e pono ai ka mālama koke ʻia.

No laila, ke lana nei koʻu manaʻo he kōkua kēia ʻike iā ʻoe. ʻAʻohe mea e hopohopo ai, akā he mea nui e makaʻala. Inā ʻike kāu keiki liʻiliʻi i kēia ʻano ʻeha, mai hopohopo a e ʻike i ke kauka.

ʻO ka Appendix Testis, Hydatid o Morgagni, ʻEha Testicular, Appendix Testis Torsion, Ola o nā keiki, Ola o nā kāne, Testicular Torsion