Thaum koj hloov koj tus menyuam mos daim ntaub qhwv menyuam, koj puas tau pom tias ib sab ntawm nws lub noob qes (cov pob) loj dua lwm sab? Qee zaum qhov o tuaj yeem ploj mus thaum sawv ntxov, tab sis thaum hnub dhau mus, tshwj xeeb tshaj yog thaum tus menyuam quaj lossis ntxhov siab, qhov o tuaj yeem nce ntxiv? Ntau tus niam txiv ntshai me ntsis thaum lawv pom qhov no, thiab nws yog qhov ib txwm muaj. Tab sis feem ntau, nws tsis yog ib yam dab tsi uas yuav tsum ntshai. Niaj hnub no, peb tab tom tham txog qhov mob no uas ntau tus menyuam muaj, uas hu ua Communicating Hydrocele .
Hauv lus yooj yim, qhov Communicating Hydrocele no yog dab tsi?
Zoo, cia peb ua kom qhov no yooj yim heev. Hydrocele yog ib lub hnab zoo li cov kua dej uas puv nkaus uas tsim nyob ib puag ncig lub noob qes. Tam sim no koj yuav nug, "Yog li qhov 'Sib Txuas Lus' no yog dab tsi?" Qhov ntawd yog qhov tseem ceeb tshaj plaws.
Xav txog seb, hauv peb lub plab (qhov chaw mos) muaj cov kua dej nrog rau cov kab mob xws li peb cov hnyuv thiab siab. Thaum tus menyuam nyob hauv niam lub tsev menyuam, cov noob qes pib tsim hauv tus menyuam lub plab. Tom qab ntawd lawv maj mam nqis los thiab mus txog lub scrotum. Thaum lawv nqis los, ib txoj kev me me zoo li lub raj tau tsim los ntawm lub plab mus rau lub scrotum. Hauv kev kho mob, peb hu qhov no "processus vaginalis". Feem ntau, txoj kev no kaw ua ntej lossis tom qab tus menyuam yug los.
Tiamsis rau qee tus menyuam mos, qhov kev hla no tsis kaw tag, tawm hauv ib lub qhov me me. Los ntawm lub qhov ntawd, cov kua dej hauv plab tuaj thiab sib sau ua ke nyob ib puag ncig lub scrotum. Qhov no hu ua communicating hydrocele vim tias muaj "kev sib txuas" lossis "kev sib txuas lus" nrog cov kua dej hauv plab.
Qhov no zoo li nthwv dej ntawm ntug hiav txwv uas los thiab mus. Thaum tus me nyuam sawv ntsug thiab co, qhov siab hauv plab nce ntxiv, ua rau cov kua dej nqes los thiab qhov o tuaj loj dua. Thaum tus me nyuam pw tsaug zog, cov kua dej rov qab mus rau hauv plab, ua rau qhov o me dua.
Qhov txawv ntawm kev sib txuas lus hydrocele thiab kev sib txuas lus hydrocele yog dab tsi?
Muaj qhov sib txawv me me tab sis tseem ceeb ntawm ob hom no. Nws yog ib qho tseem ceeb heev rau koj kom paub qhov no.
| Yam ntxwv | Kev Sib Txuas Lus Hydrocele | Hydrocele uas tsis sib txuas lus |
|---|---|---|
| Vim li cas | Qhov kev hla ntawm lub plab thiab lub scrotum (processus vaginalis) tseem qhib. | Txoj kev hla raug kaw lawm, tab sis cov kua dej uas thaum xub thawj sib sau ua ke tseem nyob vim lub cev tsis nqus nws. |
| Xwm txheej ntawm o | Tus nqi hloov pauv thoob plaws hnub (tsawg dua thaum sawv ntxov, ntau dua thaum koj tsim). | Qhov loj feem ntau ruaj khov lossis nce qeeb heev. |
| Kev Ua Siab Loj | Koj yuav tsum tau ceev faj me ntsis ntxiv, vim tias muaj kev pheej hmoo ntawm kev tsim hernia los ntawm qhov no. | Feem ntau nws tsis muaj teeb meem dab tsi thiab nws kho tau nws tus kheej. |
Yog tias tsis kho, yuav muaj li cas? Kev pheej hmoo ntawm hernia
Qhov laj thawj tseem ceeb uas peb yuav tsum txhawj xeeb ntxiv txog 'Communicating Hydrocele' yog qhov kev pheej hmoo ntawm kev tsim inguinal hernia . Yog tias qhov qhib uas peb tau tham txog tseem qhib, tsis yog tsuas yog cov kua dej hauv plab xwb, tab sis qee zaum ib feem me me ntawm cov hnyuv kuj tuaj yeem nqes los ntawm qhov ntawd thiab mus rau hauv lub scrotum. Qhov ntawd yog qhov peb hu ua hernia. Yog tias hernia tshwm sim, qee zaum nws tuaj yeem daig, uas yog ib qho mob hnyav uas yuav tsum tau phais mob ceev. Yog li ntawd, yog tias koj pom 'Hydrocele', nws yog qhov tseem ceeb uas yuav tsum qhia rau kws kho mob.
Leej twg yuav pom qhov mob no tshaj?
Qhov no yeej yog ib qho teeb meem uas tshwm sim ntau heev.
- Cov tub hluas yug tshiab: Tus mob no tuaj yeem cuam tshuam txog li 50% ntawm cov tub hluas yug tshiab. Txawm li cas los xij, feem ntau cov mob yuav ploj mus lawv tus kheej yam tsis tas yuav kho dab tsi thaum tus menyuam muaj li ib xyoos.
- Cov menyuam yaus loj dua thiab cov neeg laus: Qee zaum nws tuaj yeem tshwm sim rau cov menyuam yaus thiab cov txiv neej laus, tab sis thaum muaj hnub nyoog ntawd nws yuav tshwm sim nrog rau qhov mob hernia.
Cov tsos mob yog dab tsi? Koj xav li cas?
Cov tsos mob tseem ceeb ntawm qhov no yog qhov o tsis mob. Nws tuaj yeem zoo li lub pob me me uas muaj dej nyob hauv lub noob qes.
| Pawg hnub nyoog | Cov tsos mob pom tseeb |
|---|---|
| Cov menyuam mos tshiab |
|
| Cov menyuam yaus laus dua thiab cov neeg laus |
Tseem Ceeb: Yog tias ib tug menyuam loj dua tam sim ntawd pib o thiab mob hnyav rau hauv lub noob qes, nws yuav yog qhov xwm txheej ceev hu ua 'Testicular Torsion'. Yog tias qhov no tshwm sim , mus rau chav kho mob ceev (ETU) ze tshaj plaws hauv tsev kho mob yam tsis muaj kev ncua.
Tus kws kho mob paub qhov no li cas?
Thaum koj qhia rau koj tus kws kho mob txog qhov o ntawm koj tus menyuam, thawj qhov uas nws yuav ua yog kuaj koj tus menyuam kom zoo zoo. Feem ntau qhov no tuaj yeem kuaj tau los ntawm kev kuaj yooj yim heev.
1. Kev kuaj lub cev: Tus kws kho mob yuav kov qhov o. Nws yuav xyuas seb nws puas mos, tawv, mob, thiab nws loj npaum li cas.
2. Kev Pom Kev Pom Kev: Qhov no yog ib qho kev kuaj yooj yim heev. Tus kws kho mob siv lub cuab yeej me me zoo li lub teeb los ci lub teeb rau ntawm lub noob qes o. Yog tias tsuas muaj kua dej nyob hauv, lub teeb yuav hla dhau nws thiab zoo li xim liab. Qhov no yuav lees paub tias nws yog hydrocele feem ntau.
3. Kev Ntsuas Ultrasound: Qee zaum, yog tias qhov o loj heev, yog tias muaj ib lub pob tawv, lossis yog tias muaj kev xav tias muaj lwm yam teeb meem (xws li mob qog noj ntshav), tus kws kho mob yuav xaj kom kuaj 'Ultrasound'. Qhov no yog kev kuaj mob uas tsis mob thiab muaj kev nyab xeeb.
Yuav kho li cas? Puas tsim nyog phais?
Nov yog qhov xov xwm zoo tshaj plaws rau ntau tus niam txiv.
Feem ntau, qhov ntawd yog li ntawm 90% ntawm cov menyuam mos,Tsis tas yuav kho mob. Thaum tus me nyuam muaj li ib xyoos, lub qhov uas peb tau tham txog ua ntej yuav kaw nws tus kheej thiab qhov o yuav ploj mus.
Yog li ntawd, tus kws kho mob feem ntau siv txoj hauv kev "cia peb saib". Nws yuav hais kom koj coj tus menyuam mus kuaj mob txhua ob peb lub hlis.
Yog li, thaum twg thiaj tsim nyog phais (Hydrocelectomy)?
- Yog tias tus menyuam tsis tau muaj o rau ib xyoos lossis ob xyoos .
- Yog tias qhov o loj heev lossis ua rau tus menyuam tsis xis nyob.
- Yog tias paub tseeb tias muaj hernia (inguinal hernia) nrog rau hydrocele.
Qhov kev phais no tsis yog ib qho teeb meem loj. Feem ntau, yuav muaj ib qho kev phais me me (kwv yees li 2 centimeters) nyob rau hauv thaj chaw ntawm lub qhov ncauj, cov kua dej sab hauv raug tso tawm, thiab lub qhov raug kaw. Qhov no yog kev phais ib hnub, uas txhais tau tias koj tuaj yeem coj koj tus menyuam mus tsev tib hmo ntawd.
Yuav ua li cas saib xyuas tus menyuam tom qab phais?
Tus me nyuam yuav rov qab zoo li qub li ob peb hnub tom qab phais, tab sis koj yuav tsum ceev faj txog tej no li ob mus rau peb lub lis piam.
- Tsis txhob nqa khoom hnyav: Tsis txhob cia koj tus menyuam zaum saum cov khoom ua si uas muaj lawv ob txhais ceg ncab tawm, xws li cov nees co. Txwv qhov nce, khiav, thiab dhia uas koj tus menyuam ua.
- Saib xyuas qhov phais: Nws yog ib qho ib txwm muaj me ntsis o nyob ib ncig ntawm qhov phais. Tus kws kho mob yuav sau tshuaj loog mob.
- Hu rau koj tus kws kho mob tam sim ntawd: Yog tias koj pom cov tsos mob hauv qab no, hu rau koj tus kws kho mob tam sim ntawd.
- Yog tias qhov txiav los ntshav
- Yog tias qhov mob nce ntxiv
- Yog tias tus menyuam muaj kub taub hau
- Yog tias qhov o nce ntxiv ntau dhau
- Yog koj pom tias koj daim tawv nqaij hloov xim li cas (liab, ntshav, xim av, lossis dub)
Thaum twg koj yuav tsum mus ntsib kws kho mob
Txawm hais tias qhov mob hydrocele yooj yim tsis yog qhov mob hnyav, yog tias koj tus menyuam muaj ib qho ntawm cov tsos mob hauv qab no, nws yuav yog ib qho cim ntawm tus mob hernia strangulated. Yog li nrhiav kev pab kho mob tam sim ntawd.
| Cov cim ceeb toom uas yuav tsum tau saib xyuas | |
|---|---|
| Yam ntxwv | Kev piav qhia |
| Ib qho o los yog pob | Muaj ib lub pob tawv tawv hauv lub qhov zis lossis qhov chaw mos. |
| Qhov mob meej meej | Tus me nyuam mos quaj tas li, tsis tuaj yeem nplij siab, thiab quaj ntxiv thaum kov qhov o. |
| Kev ntshaw noj mov | Yog tias tus me nyuam tsis pub niam mis lossis tsis noj mov li niaj zaus. |
| Ntuav | Yog tias tus menyuam ntuav tsis muaj laj thawj pom tseeb. |
| Txo cov kev tawm ntawm txoj hnyuv | Yog tias tus menyuam tsis quav li niaj zaus. |
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Qhov no yog ib qho uas tshwm sim ntau heev: Kev sib kis Hydrocele yog ib qho uas tshwm sim ntau heev rau cov tub hluas uas yug tshiab. Yog li ntawd, tsis txhob ntshai heev.
- Nws kho tau nws tus kheej: Feem ntau, tus mob no zoo dua nws tus kheej yam tsis tas kho dab tsi thaum tus menyuam muaj ib xyoos.
- Kev hloov pauv ntawm qhov o: Nws yog ib qho tsos mob ntawm tus kab mob no uas qhov o nce thiab txo qis thoob plaws hnub. Qhov no yog ib txwm muaj.
- Qhia rau kws kho mob : Yog tias koj pom muaj qhov o ntawm koj tus menyuam lub noob qes, nws yog ib qho tseem ceeb uas yuav tsum qhia rau kws kho mob kom paub tseeb tias koj muaj mob.
- Ceev faj txog mob hernias: Yog tias koj muaj cov tsos mob xws li mob tam sim ntawd, ib lub pob tawv, lossis ntuav, nws yuav yog mob hernia, yog li mus rau tsev kho mob tam sim ntawd.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus