Yu dɔn ɛva fred fɔ si wan ɔ ɔl tu pan yu smɔl bɔbɔ in tɛstikul dɛn swel smɔl, lɛk smɔl wata balyɔn? Bɔku mama ɛn papa dɛn kin wɔri we dɛn si dis. Bɔt dis sik nɔ kin bi natin fɔ wɔri bɔt. We wi de tɔk bɔt mɛrɛsin, wi kin kɔl am haydrosɛl. insay simpul Sinhala, na wan kכlekshכn fכ wata we de rawnd di tεstikul dεm. So, lɛ wi tɔk bɔt dis klia ɛn simpul we tide. Lɛ wi no wetin i rili bi, wetin mek i kin apin, ɛn wetin wi fɔ du.
Fɔ tɔk am simpul wan, wetin na Hydrocele?
Hydrocele na we di skrotum we de swel, we na di sak we de na di skin we gɛt yu tɛstikul dɛn. I kin apin na wan say na di skrotum, ɔ na ɔl tu di say dɛm. Sɔntɛnde, we di tu say dɛn swel, dɛn kin kɔl am baylatarɛl haydrosɛl.
Pan ɔl we dis sik kin apin to man dɛn we ol ɛni ej, i kin apin mɔ to pikin dɛn we dɛn jɔs bɔn. Bɔt sɔntɛnde, i kin apin wantɛm wantɛm fɔ no rizin pan big pipul dɛn.
Yu tink se dis na siriɔs tin we de mek pɔsin denja?
di tεstikul dεm na εria we rili sεnsitiv, so i nכmal fכ wori we yu si wan lump de. Sɔntɛnde, if dis lump big smɔl, yu kin fil smɔl we yu sidɔm ɔ waka.
Bɔt di tin we impɔtant pas ɔl na dat fɔ bɔku pipul dɛn, dis haydrosɛl kɔndishɔn nɔ kin siriɔs ɔr kin mek dɛn fil pen. I nɔ de kɔz bɔku trɔbul. So, i rili impɔtant fɔ lɛ wi nɔ fred fɔs.
Tu men kayn haydrosɛl de:
Wi sheb dis situeshɔn to tu men kayn. Smɔl difrɛns de bitwin dɛn tu.
1. Kɔmyuniket haydrosɛl
2. Hydrocele we nɔ de kɔmyunikeshɔn
Naw lɛ wi jɔs ɔndastand wetin na dɛn tu tin ya.
Kɔmyunikeshɔn Hydrocele
Dis kin apin bikɔs ɔf sɔntin we kin apin we di pikin de na di bɛlɛ. Imajin se smɔl pasej ɔ tiub de bitwin di bɛlɛ ɛn di skrotum. Wi kin kɔl dis di ‘processus vaginalis’. nכmal wan, di pikin in tεstikul dεm de dכn along dis rod frכm di bכdi, go insay di skrotum, εn afta dat dis rod de kכloz.
Bɔt pan sɔm bebi dɛn, dis pasej nɔ kin lɔk fayn. afta dat sכm pan di wata we de kכmכt na di bכdi de kam dכn dis pasej εn kכlekt insay di skrotum. "Kכnekt" min se kכnεkshכn stil de to di bכdi. Insay dis kayn, di swɛlin kin go ɔp ɔ dɔŋ ɔl di de.Yu kin notis se yu de swel na nɛt pas na mɔnin.
Hydrocele we nɔ de tɔk to pipul dɛn
insay dis kayn we, di prכsεs vaginalis we a bin tכk bכt, de kכmplit kכlכs. Bɔt bifo i lɔk, sɔm wata dɔn go insay di skrotum ɛn i kin trɔp de. Dis min se no we nɔ de fɔ mek nyu wata kam insay ɔ fɔ mek di wata we dɔn de go bak kɔmɔt. Insay dis kayn , di swɛlin kin de di sem sayz, ɔ i kin rili big.
Si dis tebul fɔ ɛksplen mɔ bɔt di difrɛns bitwin dɛn tu kayn ya.
| Di kwaliti we pɔsin gɛt | Kɔmyuniket haydrosil | Hydrocele we nɔ de kɔmyunikeshɔn |
|---|---|---|
| Rizin | di pasej bitwin di bכdi εn di skrotum de stil opin. | Ivin if di rod blok, sɔm wata go trɔp insay. |
| Di kayn we aw di swɛlin de | di amount of swelling kin difrεn (increase/dicrease) tru di de. | Di swɛlin kin stil de di sem saiz ɔ i kin gro smɔl smɔl. |
| Ɔda prɔblɛm dɛn we kin apin | Risk de rili rare fɔ mek yu gɛt inguinal hernia. | Di risk fɔ ɔda kɔmplikeshɔn dɛn kin jɔs smɔl. |
Wetin na di sayn dɛm we pɔsin kin gɛt we i gɛt haydrosɛl?
di men εn we de sho klia wan na we yu de swel na wan כ tu say dεm na di skrotum. Dis swel kin fil saf we yu tɔch am, lɛk smɔl bɔl we gɛt wata. Ɔda sayn dɛn kin de bak.
- Di kayn we aw pɔsin kin swel kin chenj ɔl di de.
- Fɔ fil sɔm kayn pwɛl hat, ivin if nɔr de fil pen.
- Sɔm pipul (especially big pipul) kin fil sɔm pen.
- Fɔ fil se yu gɛt ebi ebi na di skrotum.
Yu tink se dis kin afɛkt di we aw pɔsin kin bɔn pikin?
Dis na prɔblɛm we bɔku pipul dɛn gɛt. Bɔt di gud nyus na dat, bɔku tɛm, haydrosɛl nɔ kin afɛkt di we aw pɔsin kin bɔn pikin.
Wetin mek dis Hydrocele kin apin?
Di rizin fɔ dis kin difrɛn difrɛn wan bay di ej we pɔsin ol.
Fɔ pikin dɛn we dɛn jɔs bɔn
As a bin dɔn tɔk, dis kin apin to pikin dɛn as pat pan di divɛlɔpmɛnt na di bɛlɛ. di men rizin na dat di prכsεs vaginalis, di pasεj bitwin di bכdi kכva εn di skrotum, nכ de kכloz fayn fayn wan. Sɔntɛnde, ivin if da pasej de lɔk, sɔm wata kin trɔp insay.
di bεst pat na dat bכku pikin dεn bכdi de tek dis wata sכmtεm εn di swεla de kכmplit insay di fכs ia כ tu ia. Na lɛk 10% pan di bɔy pikin dɛn we dɛn jɔs bɔn kin gɛt dis sik, so i kin rili kɔmɔn.
Fɔ yɔŋ pikin dɛn ɛn big pipul dɛn
If dis kin apin to pɔsin we dɔn ol, ɔda tin dɛn kin apin.
- Wan injuri ɔ blo na di skrotum eria.
- Sɔm infɛkshɔn ɔ inflamɛns kin de na da say de.
Dis sik kin afɛkt lɛk 1% pan di big pipul dɛm, ɛn bɔku tɛm, i kin go we dɛn nɔ gɛt tritmɛnt.
Aw dɔktɔ kin no dis?
We yu go to dɔktɔ, i go fala sɔm tin dɛn fɔ no if na haydrosɛl.
1. Fɔ aks kwɛstyɔn: Fɔ aks yu ɔ yu pikin bɔt dɛn sik.
2. Fɔ chɛk yu bɔdi: Di dɔktɔ go palpate di say we dɔn swel. Dɛn kin pres pan di groin eria smɔl, ɔ aks yu fɔ kɔf. Si if di swɛlin chenj.
3. Transillumination: Dis na wan rili simpul tɛst. Di dɔktɔ tek wan smɔl tɔch na dak rum ɛn ol am te i swel. If wata we tan lɛk wata de insay, di layt kin pas insay ɛn di wan ol swɛlin kin shayn rɛd. Dis kin gi di dɔktɔ big aidia.
4. Ɔda tɛst dɛn: Bɔku tɛm, di tɛst dɛn we wi dɔn tɔk bɔt kin kɔnfɔm se na haydrosɛl. Bɔt sɔntɛnde, if pɔsin tink se na ɔda sik, yu dɔktɔ kin rifer yu fɔ ɔda tɛst.
- di pεlvik כltra saund: dis kin mek yu si klia wan di tεstikul dεm εn di tisu dεm we de rawnd am. Dis na di skan we dɛn kin yuz fɔ kɔnfɔm wan haydrosɛl.
- CT skan: .Dis na wan kayn X-ray bak, bɔt i kin mek klia tri-dimɛnshɔnal (3D) pikchɔ dɛn.
Wetin na di tritmɛnt dɛm fɔ haydrosɛl?
Dis na di pat we impɔtant pas ɔl. Bɔku pan di kes dɛm we gɛt haydrosɛl nɔ nid ɛni tritmɛnt.
We i kam pan bebi dɛn, wi kin wet te dɛn ol wan ɔ tu ia. Bikɔs insay da tɛm de i go go fɔ insɛf. Ivin pan big pipul, if no pen ɔr nɔr de fil fayn, yu kin wet te i wɛl fɔ insɛf.
Bɔt,
- If di pikin in swɛlin nɔ dɔn stɔp afta tu ia, .
- If di swɛlin rili big, .
- If i de mek pɔsin fil pen ɔ i de mek i nɔ fil fayn, .
- Ɔ if risk de fɔ mek yu gɛt wan kɔmyunikeshɔn haydrosɛl ɛn wan hεnia, .
Dɔn yu dɔktɔ go tɛl yu fɔ du smɔl ɔpreshɔn . Wi kin kɔl dis ɔpreshɔn haydrosɛlektɔmi. Dis min se yu fɔ kɔt smɔl say, pul di wata we de insay, ɛn du ɛnitin we yu nid fɔ mek di wata nɔ bɔku bak. if na tכp we kכnεkt, dεn kin kכloz di pasεj we de go na di bכdi.
Mɛmba se, no mɛrɛsin nɔ de we pɔsin kin tek fɔ ridyus dis. If i nɔ go fɔ insɛf, di wangren tin we go sɔlv am na fɔ ɔpreshɔn.
Wetin kin apin if dɛn nɔ trit am?
Bɔku tɛm, prɔblɛm nɔ kin de. כltu, insay di kes fכ wan haydrosεl we de kכmyuniket, if di pasεj wit di bכdi kכva rili big εn dεn nכ trit am, wan kכndyushכn we nכ kin apin we dεn kכl inguinal hεnia kin apin. dis min se sכmtin lεk wan pat pan di intestכn de kam dכn tru di pasej εn i de stכk na di groin. I kin mek pɔsin fil pen ɛn sɔntɛnde i kin denja.
Ustɛm yu fɔ go to dɔktɔ?
If yu notis se yu bɔy pikin in skrotum swɛlin, i go fayn fɔ mek yu nɔ panik ɛn kɛr am go to di dɔktɔ we de nia yu. Dis na fɔ mek shɔ se na haydrosɛl ɔ ɔda tin. Ɛspɛshali if dɛn sayn ya de, yu fɔ rili go to dɔktɔ.
| Ficha dɛn we yu fɔ luk fɔ | Tɔk bɔt |
|---|---|
| Wan lump ɔ swɛlin | If yu notis nyu lump na di skrotum ɔ groin eria. |
| I kin fil pen bad bad wan | If i tan lɛk se di pikin de fil pen ɛn i de kray nɔ stɔp. |
| Vɔmit ɔ nɔs | If di pikin de nɔs ɔ i de vɔmit. |
| Fil fɔ it | If di pikin nɔ de it ɔ drink nɔmal wan. |
Yu tink se dɛn go ebul fɔ stɔp dis?
Natin nɔ de we wi kin du fɔ mek dis nɔ apin to pikin dɛn we dɛn jɔs bɔn, bikɔs na pat pan di bɔdi in divɛlɔpmɛnt prɔses.
Bɔt fɔ big pikin ɛn big pipul dɛn, di bɛst we fɔ mek dɛn nɔ gɛt haydrosɛl na fɔ protɛkt di say we di skrotum nɔ wund. If yu na atlet, i rili impɔtant fɔ wɛr atletik kɔp, mɔ we yu de ple spɔt lɛk kriket ɔ futbɔl.
Mɛsej we dɛn kin kɛr go na os
- Hydrocele na sak we ful-ɔp wit wata na di skrotum. Na wan sik we rili kɔmɔn ɛn nɔ kin du bad to bɔy pikin dɛn we dɛn jɔs bɔn.
- pan bכku pikin dεm, dis swel kin kכmכt insεf insay di fכs ia כ tu ia. I nɔ nid ɛni tritmɛnt.
- If yu notis ɛni swɛlin na yu pikin in skrotum eria, nɔ panik ɛn kɛr am go to dɔktɔ fɔ kɔnfirm if na haydrosɛl ɔ ɔda sik.
- Ɔpreshɔn na if di swɛlin nɔ go dɔŋ fɔ insɛf, i rili big, ɔ i de mek pɔsin fil pen/nɔ fil fayn.
- I impɔtant fɔ mek big pipul dɛn protɛkt di skrotum eria we dɛn de ple spɔt ɔ du wok we go mek dɛn wund.
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