Ua wili ʻia nā aa koko i loko o nā testicles? E aʻo kākou i nā mea āpau e pili ana i ke ʻoki ʻana o Varicocelectomy!

Ke manaʻo nei ʻoe e loaʻa ana iā ʻoe kahi puʻu o nā aa koko i loko o kou mau testicles? A i ʻole he mea kaumaha a ʻeha iki paha ma ia wahi? Inā pilikia ʻoe i ka hāpai ʻana i kahi keiki me kēia mau mea, loaʻa paha iā ʻoe ka mea a nā kauka e kapa nei he 'Varicocele'. Mai hopohopo, he ʻano hiki ke mālama ʻia kēia e hoʻopilikia i nā kāne he nui. No laila i kēia lā, e kamaʻilio kākou e pili ana i ke ʻano o Varicocele a me ke ʻoki ʻana o Varicocelectomy i hana ʻia no ia mea.

I ka ʻōlelo maʻalahi, he aha ka Varicocele?

ʻO Varicocele kahi maʻi kahi e pehu ai, hoʻonui ʻia, a wili ʻia nā aʻa koko i loko o kou scrotum. Ua like ia me ke ʻano o ka loaʻa ʻana o nā aʻa koko varicose i kekahi poʻe i ko lākou mau wāwae. Ke nāwaliwali nā valves i loko o nā aʻa koko e lawe ana i ke koko lepo mai nā testicles, hiki i ke koko ke piʻi hou i loko o kēia mau aʻa koko. ʻO kēia ka manawa e pehu ai a hoʻonui ʻia kēia mau aʻa koko.

ʻOiai hiki ke hana ʻia kēia i kēlā me kēia makahiki, ʻike ka hapa nui o ka poʻe ua loaʻa iā lākou i ko lākou wā ʻōpiopio, ʻo ia hoʻi, ma hope o ka hiki ʻana i ka wā ʻōpio.

ʻO wai ka mea e pono ke hana ʻia ke ʻoki Varicocelectomy?

ʻAʻole pono nā kānaka a pau me ka varicocele i ke ʻoki ʻana, akā aia kekahi mau kumu nui e ʻōlelo ai kāu kauka i kēia ʻoki ʻana.

• ʻO ka hānau ʻole ʻana o ke kāne: ʻO Varicocele kekahi kumu nui o ka hānau ʻole ʻana o ke kāne. ʻO kēia no ka mea ua piha nā aa koko i ke koko a piʻi ka mahana a puni nā testicles. Hoʻopilikia maikaʻi ʻole kēia mahana i ka hana ʻana o ka sperm a me ko lākou maikaʻi. No laila, inā loaʻa kēia pilikia i kahi kāne e hoʻāʻo nei e loaʻa kahi keiki, e paipai ke kauka i kēia ʻoki kino.
• ʻEha testicle: Hiki i kekahi poʻe ke ʻike i ka manaʻo kaumaha mau a i ʻole ka huki ʻana i ka ʻeha i loko o kā lākou testicles ma muli o Varicocele. Hiki ke ʻoi aku ka ʻeha o kēia ʻeha ke kū i ka lā a pau a i ʻole e hoʻoikaika kino ana. Inā hoʻopilikia kēia ʻeha i nā hana o kēlā me kēia lā, he hopena maikaʻi paha ke ʻoki ʻana.
• ʻO ka Atrophy Testicular: Hiki ke liʻiliʻi ka testicle i hoʻopilikia ʻia a hoʻomaka e emi ma muli o ka varicocele. I kēia hihia, hiki i ke kauka ke ʻōlelo i ke ʻoki kino.
• Ka Hoʻemi ʻia ʻana o ka Testosterone: I kekahi mau hihia, hiki i ka Varicocele ke hoʻemi i ka hana ʻana o ka hormone kāne testosterone. He kumu kēia e hoʻohana ai i ke ʻoki kino.

Pehea ʻoe e ʻike ai i kēia, e Kauka?

Ke hele ʻoe e ʻike i kāu kauka, e nīnau ʻo ia iā ʻoe e pili ana i kāu mau hōʻailona a hana i kahi hoʻokolokolo kino. E nānā ʻo ia i kou scrotum. Hiki ke noi ʻia ʻoe e kū, noho, a paʻa i kou hanu (ka hana Valsalva). Ke hana ʻoe i kēia, hiki iā ʻoe ke ʻike maopopo i kēia mau aa pehu.

ʻO ka hapa pinepine (ma kahi o 90%), ʻike ʻia ka Varicocele ma ka testicle hema. Eia nō naʻe, i kekahi manawa hiki ke ʻike ʻia ma nā ʻaoʻao ʻelua.

E kauoha ke kauka i kekahi mau hoʻokolohua hou aʻe e hōʻoia i ka hōʻailona a hoʻomaopopo i ke koʻikoʻi o ke kūlana.

• ʻO ke scan Ultrasound: Hiki iā ʻoe ke ʻike maopopo i ke kūlana o nā aa koko a me ke kahe o ke koko i loko o nā testicles.
• Ka Nānā ʻana i ka Semen: He mea nui kēia hoʻāʻo no ka hoʻomaopopo ʻana i ka nui, ka neʻe ʻana, a me ke ʻano o kāu sperm.
• Hoʻāʻo Koko: Kōkua kēia i ka nānā ʻana i nā pae hormone, ʻoi aku hoʻi nā pae testosterone.

Ma hope o kēia mau hoʻokolohua, hana ʻia kahi māka ma muli o ke koʻikoʻi o kāu Varicocele.

He aha nā ʻano hana e hana ai i ka Varicocelectomy?

ʻElua mau ʻano hana nui no ka hana ʻana i kēia ʻoki kino. ʻO kekahi, ʻo ia ke ʻoki kino hāmama kuʻuna. ʻO kekahi, ʻo ia ke ʻoki kino minimally invasive. Na kāu kauka e hoʻoholo i ke ʻano hana kūpono loa iā ʻoe.

1. ʻOki Hana Hāmama

Ma kēia ʻano, ʻoki ʻia ka ʻili a mālama ʻia nā aa koko pili.

• Ligation Inguinal: Hoʻomaʻamaʻa ʻia nā aʻa koko ma ka hana ʻana i kahi ʻoki liʻiliʻi ma ka ʻāpana groin.
• Ligation Subinguinal: Hana ʻia kahi ʻoki ma lalo pono o ka ʻūhā.
• Ligation Retroperitoneal: Hana ʻia kahi ʻoki liʻiliʻi ma ka ʻaoʻao o ka ʻōpū a mālama ʻia nā aa koko mai loko mai.

2. ʻO ke ʻoki kino liʻiliʻi loa

ʻAʻole hōʻeha nui kēia i ke kino a ʻaʻole pono ka manawa hoʻōla hou.

• Laparoscopic Varicocelectomy: Hana ʻia ke ʻoki ʻana ma ka hana ʻana i kekahi mau ʻoki liʻiliʻi loa i loko o ka ʻōpū, e hoʻokomo ana i kahi ʻōmole lahilahi (laparoscope) me kahi kāmela i hoʻopili ʻia, a nānā iā ia ma kahi monitor, me ka hoʻohana ʻana i nā mea hana akahai.
• ʻO ka Varicocelectomy Microsurgical: Ua manaʻo ʻia kēia ʻo ke ʻano holomua loa a maikaʻi loa . Hana ʻia kahi ʻoki liʻiliʻi loa ma ka ʻāpana groin, a mālama pono ʻia nā aa koko ma lalo o ke alakaʻi ʻana o kahi microscope ikaika loa (Operating Microscope). Ma kēia ʻano hana, haʻahaʻa loa ka pilikia o ka hōʻino ʻana i nā aa koko olakino, nā kīʻaha lymphatic, a me nā aʻa. No laila, emi pū kekahi nā pilikia.

Pehea ʻoe e hoʻomākaukau ai ma mua o ke ʻoki kino?

E hāʻawi aku kāu kauka iā ʻoe i kekahi mau kuhikuhi i kekahi mau lā ma mua o ke ʻoki ʻana.

• E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āu e lawe nei: E hōʻoia e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau, nā huaora, a i ʻole nā ​​​​huahana lāʻau lapaʻau āu e lawe nei. ʻOi loa inā ʻoe e lawe ana i nā lāʻau hoʻokahe koko e like me ka aspirin, e noi ʻia ʻoe e hoʻōki i ka lawe ʻana iā lākou i kekahi mau lā ma mua o ke ʻoki kino.
• E haʻi i kāu kauka e pili ana i kekahi mau maʻi allergies āu e loaʻa ai (e like me nā lāʻau lapaʻau, nā mea hoʻomaʻemaʻe ʻili, latex).
• Ka hoʻokē ʻai ʻana: E aʻo ʻia ʻoe ʻaʻole e ʻai a inu paha i kekahi mea no kekahi mau hola ma mua o ke ʻoki kino. He mea nui loa kēia. Inā he meaʻai kāu i loko o kou ʻōpū i kou wā ma lalo o ka anesthesia, hiki iā ʻoe ke luaʻi a komo i loko o kou mau māmā. Hiki i kēia ke hana i kahi maʻi koʻikoʻi (aspiration pneumonia).

He aha ka mea e hana ʻia i ka wā o ke ʻoki kino?

ʻAʻohe mea e makaʻu ai. Hana ʻia kēia ʻoki kino e kahi hui o nā loea i nā ʻōnaehana mimi a me ka hānau keiki (Urologist), kahi anesthesiologist, a me kahi limahana kahu maʻi.

E hāʻawi ʻia ʻoe i kahi anesthetic laulā, no laila ʻaʻole ʻoe e ʻeha i ka wā o ke ʻoki ʻana. E like me ʻoe e hiamoe wikiwiki ana.

Ma hope o kou nalowale ʻana o ka ʻike, e hana ke kauka i kahi ʻoki e like me kāu ʻano i koho ʻia a e ʻimi i ke aʻa pehu (varicocele). A laila, ʻoki ʻia ke aʻa a hoʻopaʻa ʻia nā wēlau ʻelua. Hoʻōki kēia i ke koko mai ke kahe ʻana ma o kēlā aʻa a ʻae i ke koko e kahe ma o nā aʻa olakino ʻē aʻe i loko o ka scrotum.

I kekahi manawa, hiki ke kau ʻia nā ʻōmole silicone liʻiliʻi (nā ʻauwai) e hoʻokahe i kekahi koko a wai paha e hōʻiliʻili ana ma hope o ke ʻoki ʻana. ʻO ka hope loa, ua pani ʻia ka ʻoki me nā humuhumu.

ʻO ka maʻamau, hiki i kahi ʻoki laparoscopic ke hala ma kahi o 30-40 mau minuke, ʻoiai ʻo kahi ʻoki microsurgical hiki ke hala ma kahi o 1-3 mau hola.

He aha ka mea e hana ʻia ma hope o ke ʻoki kino?

Ma hope o ke ʻoki kino, e lawe ʻia ʻoe i kahi lumi hoʻōla, kahi e nānā ai nā limahana lapaʻau i kou kūlana a hiki i kou hoʻi hou ʻana i ka ʻike.

Ke hoʻi hou ʻoe i ka ʻike, e manaʻo paha ʻoe i kahi poniuniu a loaʻa paha iā ʻoe kekahi ʻeha ma kahi i ʻoki ʻia. Ma hope o ka hōʻoia ʻana ua maʻamau nā mea āpau, e ʻae ʻia ʻoe e hoʻi i ka home i loko o kekahi mau hola. Eia nō naʻe, pono ʻoe e loaʻa i kekahi e lawe iā ʻoe i ka home. He mea nui loa ka loaʻa ʻana o kekahi e kōkua iā ʻoe no ka lā mua a ʻelua paha.

He aha nā pōmaikaʻi a me nā pilikia o kēia ʻoki kino?

E like me nā ʻoki kino āpau, loaʻa i kēia kekahi mau pōmaikaʻi a me kekahi mau pōʻino liʻiliʻi.

Nā Pōmaikaʻi

• He ʻoki kino palekana loa: haʻahaʻa loa ka pilikia o nā pilikia.
• Hoʻonui ʻia ka hānau keiki: Ma muli o ka hoʻonui ʻia o ka hana sperm a me nā pae testosterone, hiki ke hoʻonui ʻia ka loaʻa ʻana o nā keiki a hiki i ka 70%.
• Hoʻomaha ʻeha: Nalo loa ka ʻeha a me ke kaumaha ma nā testicles.
• Hoʻomaikaʻi ʻia ke ʻano: Nalo aku ke ʻano "pōpō ilo" ʻoluʻolu ʻole, a hoʻi hou ke ʻano o ka scrotum i ka maʻamau.

Nā Pōʻino

ʻAʻole hana pinepine ʻia kēia mau mea, akā he mea maikaʻi ke ʻike iā lākou.

• Nā pilikia e pili ana i ka anesthesia.
• Nā pilikia ho'ōla ʻeha a i ʻole nā ​​maʻi.
• ʻO ke koko paʻa (Hematoma).
• Ka pehu ʻana, ka ʻūlū ʻana, a me ka ʻeha.
• ʻO ka hydrocele (ka hōʻiliʻili ʻana o ka wai a puni nā testicles).
• Ka hōʻino ʻana i kahi aʻa e hoʻolako ana i ke koko i ka testicle (kākaʻikahi loa).
• Hoʻi hou ʻana o Varicocele.

Ka manawa hoʻōla a me nā mea e hahai ai ma ka home

ʻOkoʻa ka manawa e ho'ōla piha ai mai kēlā kanaka a kēia kanaka. ʻO ka maʻamau, e nalowale ka pehu a me ka palapū i loko o 3-4 mau pule. Eia nō naʻe, hiki ke hoʻomau kekahi ʻeha ma ka ʻāpana ʻūhā a hiki i 6 mau pule.

• Ka mālama ʻeha: E lawe i nā lāʻau hoʻomaha ʻeha i kuhikuhi ʻia e kāu kauka i ka manawa kūpono. No ka hōʻemi ʻana i ka pehu, e kau i kahi ʻeke hau i wahī ʻia i kahi lole maʻemaʻe ma luna o ka ʻeha no kahi o 10 mau minuke. Hiki iā ʻoe ke hana i kēia i nā manawa he nui i ka lā.
• E mālama i ka ʻeha maʻemaʻe: E holoi pono i kou mau lima me ke kopa a me ka wai ma mua o ka hoʻopā ʻana i ka ʻeha. E hoʻololi i nā kāʻei e like me ke kuhikuhi a kāu kauka.
• ʻAuʻau: Mai hoʻoluʻu i loko o ka ʻauʻau a i ʻole ka ʻauʻau ʻana a hiki i kou ho'ōla ʻia. He mea maikaʻi ke ʻauʻau.
• Ka hāpai ʻana i nā mea kaumaha: Mai hāpai i nā mea kaumaha ma mua o 5 kg no ka liʻiliʻi he ʻelua pule. E pale i ka hoʻoikaika kino nui a me ka hana kaumaha.
• ʻAi: He mea nui loa ia e pale aku i ka paʻa ʻana o ka ʻōpū. ʻAʻole maikaʻi ka hoʻoluhi ʻana i ka wā o ka neʻe ʻana o ka ʻōpū no ka ʻeha. No laila, e ʻai i nā meaʻai fiber kiʻekiʻe e like me nā greens, nā mea kanu, a me nā huaʻai. E inu i ka wai nui i ka lā a pau.
• Hana moekolohe: E pale i ka moekolohe a i ʻole ka masturbation no hoʻokahi pule ma ka liʻiliʻi .
• Ke hele nei i ka hana a i ke kula paha: Hiki i ka hapa nui o ka poʻe ke hoʻi i kā lākou hana maʻamau i loko o ʻekolu lā.

I ka manawa e ʻike koke ai i ke kauka

Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, ​​e kāhea koke aku i kāu kauka.

• Ke kahe nui ʻana o ke koko mai ka ʻoki.
• Loaʻa ke kuni o 100°F (38°C) a ʻoi aku paha.
• Inā pehu ka ʻeha, ʻulaʻula, a kahe ka pus (nā hōʻailona o ka maʻi).
• Inā e ʻoi aku ka ʻeha.