Yu dɔn ɛva fil sɔntin lɛk bɔl we gɛt trɛd ɔ sɔm smɔl smɔl wom dɛn insay yu skrotum? Ɔ sɔntɛnde yu kin fil smɔl smɔl ɔ pul pen na da say de? Dis sik we kin apin to bɔku man dɛn, mɔ we dɛn yɔŋ, dɛn kɔl am Varicocele insay mɛdikal sayɛns. Nɔ fred we yu yɛri dis nem. I nɔ siriɔs so. Bɔt i rili impɔtant fɔ no di rayt tin we i bi. So tide wi go tok abaut am ol, rili simpul, fo we we yu go andastan.
Fɔ tɔk am simpul wan, wetin na Varicocele?
Varicocele na wan sik we di vein dεm we de insay yu skrotum, di vein dεm we de kכri dכti blכd, kin swel, big, εn twist. Fɔ tɔk di kɔrɛkt tin, yu go dɔn si sɔm pan wi leg dɛn gɛt twist veins, nɔto so? Wi kin kɔl am `(Varikɔs veins)`. di sem tin kin apin insay di skrotum.
Nɔmal wan, wan nɛtwɔk de we gɛt smɔl smɔl vein dɛn we de kɛr dɔti blɔd frɔm wi tɛstikul dɛn bak to di at. insay dεn vein dεm ya, sכm sכm valv dεm de. I tan lɛk valv we de na wata paip we jɔs de mek wata flɔ na wan say. di wok we dεn valv dεm ya de du na fכ stכp di bכdi fכ fכlכ bak dכn afta i dכn go כp. Bɔt sɔntɛnde we dɛn valv ya nɔ de wok fayn, di blɔd kin flɔ bak dɔŋ ɛn gɛda na dɛn vein dɛn de. As tɛm de go, dis blɔd kin gɛda ɛn di vein dɛn kin swel, strɛch, ɛn knot lɛk bɔl we gɛt strɛch. Na dat wi de kɔl Varicocele.
Bɔku tɛm, dis nɔ kin mek pɔsin fil bɔku pen . Bɔt sɔm pipul dɛn kin fil se dɛn de pul dɛn smɔl ɔ dɛn kin ebi sɔm tɛm, lɛk we dɛn de wok ɔ we dɛn de du ɛksɛsayz ɛn tinap ɔl di de. Bɔku tɛm, di pen kin stɔp we dɛn de ledɔm.
Di impɔtant tin na dat, Varicocele nɔto wan sik we de mek pɔsin in layf de pan denja. Bɔt sɔntɛnde, i kin afɛkt di we aw yu ebul fɔ bɔn pikin. So, i rili impɔtant fɔ mek wi no bɔt dis.
Wetin na di rilayshɔn bitwin Varicocele ɛn fεtiliti?
Yɛs, dis na kwɛstyɔn we bɔku pipul dɛn kin aks. i kin bi se na link de bitwin di kכndyushכn fכ Varicocele εn infεrtiliti. infakt, dεn dכn fכnshכn se lεk 40% pan di tin dεm we de mek man dεn nכ bεlε, de riliyt to Varicocele. Bɔt dat nɔ min se ɔlman we gɛt Varicocele nɔ go ebul fɔ bɔn pikin. Bɔrku pipul dɛm wae gɛt Varicocele kin gɛt pikin dɛm wae nɔr gɛt ɛni prɔblɛm.
Dɔktɔ dɛn stil nɔ no di rayt we aw wan vayrɔs kin afɛkt di we aw pɔsin kin bɔn pikin. Bɔt di men aidia na dis. we di vein dεm we de insay di skrotum fulכp wit bכdi, di tεmprachכ na da εria de go כp sכmtεm pas di nכmal. wi testikul dεm de na do na di bכdi, dεn de hang dכn. dis na biכs dεn nid fכ kol sכm tεmprachכ pas nכmal bכdi tεmprachכ fכ mek sεl dεm.
so we di tεmprachכ we de rawnd di tεstikul dεm de inkrεs bikoz fכ di vεrikosεl, i kin intafεr di sεl prodakshכn prכsεs. I kin mek di sεl dεm nכ kכnt, i kin mek di sεl dεm nכ de muv, כ chenj di shep fכ di sεl dεm. Ɔl dɛn tin ya kin afɛkt di ebul fɔ gɛt bɛlɛ fɔ pikin.
If yu mared, yu de op fɔ bɔn pikin, ɛn yu tink se yu gɛt Varicocele, go mɔs go to yu dɔktɔ ɛn tɔk bɔt am .
Aw kɔmɔn tin dis? Wetin na di sayn dɛm we de sho se yu gɛt dis sik?
Dis na rili wan sik we kin rili kɔmɔn. pan avrej, bitwin 15% εn 20% pan di man dεm, כ lεk 1 pan 5 man dεm, kin gεt Varicocele.
Bɔku tɛm, dis kin apin na di lɛft tɛstikul . dis de bi fכ sכm sכm strכkchכral difrεns na di we aw di vein we de kכri bכdi frכm di lεft tεstikul de kכnekt to di lεft say na wi bכdi. Bɔt i nɔ kin rili apin na di rayt say ɔ na ɔl tu di say dɛn.
Bɔrku pipul nɔr kin gɛt ɛni sayn. Bɔrku tɛm dɛn kin kam fɔ no am bay we dɛn de du mɛdikal tɛst fɔ ɔda tin. Bɔt sɔm pipul dɛn kin gɛt dɛn sik ya:
| Di sayn we de sho se di sik de | Tɔk bɔt |
|---|---|
| Pen ɔ diskɔmfɔt | Wan dכl, pen we de at we de kכmכt insay di skrotum. Dis pen kin tranga mɔ we yu tinap fɔ lɔng tɛm, ɛksesaiz, ɔ es ebi ebi tin. Bɔku tɛm, i kin stɔp we yu ledɔm. |
| Wan knot we kin kech na di an | ɔp di skrotum, ɔnda di skin, yu kin fil sɔntin we tan lɛk wom ɔ bɔl we gɛt strɛch. Dɔktɔ dɛn kɔl dis "bag we gɛt wom." |
| Di tɛstikul dɛn we de swel | Sɔntɛnde di skrotum ɔ di sak we de rawnd am kin swel. |
| Di shrinkage we di tɛstikul dɛn de mek | di tεstikul we de na di sayd we di vεrikosεl de sכmtεm kin sכm sכm pas di כda say. Wi kin kɔl dis (testikul atrofi) . |
| Di we aw pɔsin nɔ ebul fɔ bɔn pikin | If yu dɔn de tray fɔ wan ia we yu nɔ gɛt ɛni prɔtɛkshɔn ɛn stil nɔ gɛt bɛlɛ, di tin we kin mek yu gɛt bɛlɛ kin bi Varicocele. |
Wetin mek Varicocele kin apin? Udat go mɔs gɛt am?
Dɛn nɔ dɔn fɛn di rayt tin we mek dis apin yet. Bɔt di men tiori na dat, lɛk aw a bin dɔn tɔk, wikɛd tin de we di valv dɛn we de na di vein dɛn de wok. I go bi se dis na sɔntin we pɔsin kin gɛt frɔm dɛn mama ɛn papa.
Bɔku tɛm dɛn kin notis ɔ fil di vayrɔs fɔs we dɛn yɔŋ . Dat min se, arawnd di ej dεm we i ol 13, 14, כ 15. Dis na biכs we di bכdi de bכn, di bכdi we de kכmכt na di bכdi de bכku. Dɔn, di vein dɛn we gɛt wik valv dɛn nɔ kin ebul fɔ handle di blɔd prɛshɔn we dɔn go ɔp igen ɛn di vein dɛn kin bigin fɔ swel. dis kin ambɔg di divεlכpmεnt fכ di tεstikul dεm bak na sכm yכng bכy pikin dεm.
Varicocele kin mek ɔda prɔblɛm dɛn?
Wan smɔl Varicocele nɔ kin gɛt ɛni big prɔblɛm. Bɔt wan big Varicocele we dɛn nɔ trit kin mek sɔm prɔblɛm dɛn.
- di tεstostεron כmon we de dכn (Male Hypogonadism): Tεstostεron na man כmon. Na di tɛstikul dɛn de mek am. if di tεstikul dεm dכn pwεl bikoz fכ di vεrikosεl, di prodakshכn fכ dis כmon kin dכn. Dis kin mek i nɔ want fɔ du mami ɛn dadi biznɛs, i nɔ kin gɛt bɛtɛ mɔsul, ɛn i kin gɛt pwɛl hat.
- Azospermia: Dis na wan sik wae de pasmak. azoospermia na we di sεl dεm nכ de na di sεmεn. Dis na di men tin bak we kin mek man dɛn nɔ ebul fɔ bɔn pikin.
Dɛn kɔmplikeshɔn ya nɔ kin bɔku, bɔt if yu gɛt ɛnitin fɔ wɔri bɔt, i go fayn fɔ mek yu go to dɔktɔ.
Aw di dɔktɔ kin no bɔt dis?
We yu go to dɔktɔ, i go aks yu fɔs bɔt di sik dɛn we yu gɛt ɛn afta dat i go chɛk yu bɔdi.
We dɛn de du dis tɛst, di dɔktɔ go mek yu tinap ɛn chɛk yu skrotum. Dɔn i go tɛl yu fɔ "tek dip briz, ol am, ɛn push yu bɛlɛ dɔŋ." Dɛn kɔl dis di Valsalva manejmɛnt . dis de mek di prεshכn we de insay di vein dεm go כp, so if yu gεt varicocele, yu go ebul fכ fil am klia wan.
Sɔntɛnde, dɛn kin du sɔm ɔda tɛst fɔ no if pɔsin gɛt di sik.
- Pelvic Ultrasound: Dis na wan simpul skan we nɔ de mek pɔsin fil pen. i kin si klia wan aw di vein dεm we de insay di skrotum de kכmכt εn aw di bכdi de fכlכ.
- Semen Analysis: dεn kin rεkomεnd fכ dis tεst if yu gεt prכblεm fכ bεlε. Dis min se yu fɔ tek wan sεmpl pan yu sεmεn εn chɛk aw di sεl dεm de kכnt, di muvmεnt, εn shep.
- Blɔd Tɛst: Dis de tɛst di ɔmon lɛvɛl na yu bɔdi, mɔ di tɛstostɛron ɛn Fɔlikul-Stimulatin Ɔmon (FSH).
Yu tink se gred dɛn de fɔ varicocele?
Yɛs. Dɔktɔ dɛn kin put Varicocele insay difrɛn lɛvul dɛn bay aw i siriɔs. Dis rili impɔtant fɔ no aw fɔ trit yu.
| Mak | Tɔk bɔt |
|---|---|
| Gret 0 we de na di skul | Dis na di smɔl smɔl lɛvul. Dɛn nɔ kin fil am we dɛn de chɛk in bɔdi. Na ɔltra saund skan nɔmɔ dɛn kin no am. |
| Gret I | I nɔ de notis we yu de du nɔmal chɛk. Bɔt i kin jɔs notis we yu du di Valsalva manejmɛnt (we yu ol yu briz). |
| Gret II | Ivin if yu nɔ gɛt di Valsalva manejmɛnt, yu kin fil am wit yu an we yu de du nɔmal ɛgzam, bɔt yu nɔ kin si am frɔm do. |
| Gret III | Dis na di lɛvul we big pas ɔl. Yu kin si am klia wan frɔm do ɛn i izi fɔ kech na di an (lɛk dɛn wom dɛn de). |
Wetin na di tritmɛnt dɛm fɔ dis?
Di disayd fɔ trit ɔ nɔ trit dipen pan di sayn dɛm we yu gɛt, aw di Varicocele de, ɛn if yu gɛt ɛni prɔblɛm fɔ bɔn pikin.
Tin dɛn we yu kin du na os ɛn simpul tritmɛnt dɛn
Smɔl Varicocele we nɔ gɛt ɛni sayn, lɛk Gret 0 ɔ Gret I, nɔ kin nid ɛni tritmɛnt. Bɔt if pen ɔr nɔr fil fayn, dɛn tin ya kin ɛp.
- Ɔndawea we de sɔpɔt yu: If yu wɛr ɔndawea we de sɔpɔt yu ɔ jokstrap we yu de du ɛksɛsayz ɔ tinap, dat kin ɛp fɔ mek yu nɔ fil pen.
- Ays: We yu gɛt pen, ol wan ays pak we dɛn rap wit tawɛl na yu skrotum fɔ lɛk 10-15 minit. Nɔ put di ays dairekt pan yu skin.
- Di tin dɛn we de mek pɔsin fil pen: Yu kin tek wan mɛrɛsin we nɔ de mek pɔsin fil pen (NSAID) lɛk ibuprofen lɛk aw yu dɔktɔ tɛl yu fɔ tek am. Bɔt mɛmba se nɔ kɔntinyu fɔ yuz ɛni mɛrɛsin we yu nɔ gɛt dɔktɔ advays.
Dɛn kin trit am wit ɔpreshɔn?
Yɛs. Yu dɔktɔ kin tɛl yu fɔ du ɔpreshɔn pan dɛn kayn tin ya.
- If di pen rili bad ɛn i de ambɔg di tin dɛn we yu de du ɛvride.
- If di varicocele dɔn afɛkt yu ebul fɔ bɔn pikin.
- if di tεstikul dεm de shrink (especially in yכng bכy pikin dεm).
Dɛn kɔl dis ɔpreshɔn Varicocelectomy . Dis involv fɔ no di vein dɛn we dɔn swel we de gɛda blɔd, kɔt dɛn, ɛn tay dɛn togɛda (sial). Dis kin mek di blɔd nɔ flɔ tru dɛn vein dɛn de, ɛn i kin mek di blɔd flɔ tru wɛlbɔdi ɛn nɔmal vein dɛn. Bɔku tɛm, dis na ɔpreshɔn we dɛn kin du fayn fayn wan. I kin tek lɛk 6 wiks fɔ rili wɛl frɔm di ɔpreshɔn.
Ustɛm yu fɔ go to dɔktɔ?
If yu gɛt ɛni wan pan dɛn tin ya, nɔ west tɛm ɛn go to dɔktɔ.
- If yu gɛt pen ɔ swɛlin na yu skrotum.
- If yu si big difrɛns bitwin di sayz dɛm fɔ di tu tɛstikul dɛm.
- If yu fil wan lump ɔ sɔntin we nɔ kɔmɔn na yu an.
- If yu na titi ɛn yu si chenj lɛk dis.
- If yu ɛn yu patna de tray fɔ bɔn pikin, bɔt nɔ gɛt sakrifays.
Nɔ fred fɔ aks dɛn kwɛstyɔn ya we yu go si dɔktɔ.
- Yu shɔ se a gɛt wan Varicocele?
- A nid tritmɛnt?
- Yu tink se di sik dɛn we a kin gɛt go wɔs if dɛn nɔ trit mi?
- Yu tink se dis go afɛkt di we aw a ebul fɔ bɔn pikin?
- Us tritmɛnt opshɔn dɛn a gɛt?
- If dɛn du mi ɔpreshɔn, yu tink se i go mek a ebul fɔ bɔn pikin dɛn?
Mɛsej we dɛn kin kɛr go na os
- Varicocele na we di vein dεm we de na di skrotum de swel. Dis na wan sik we kin rili kɔmɔn.
- Bɔrku pipul dɛn nɔr kin gɛt ɛni sayn, ɛn e nɔr kin kɔz bɔrku bad tin.
- Sɔntɛnde, mɔ big Varicoceles kin mek pɔsin fil pen, testicular shrinkage, ɛn afɛkt di abiliti fɔ bɔn pikin.
- If yu gɛt pen, swɛlin, yu tɛstikul dɛn saiz chenj, ɔ yu gɛt prɔblɛm fɔ bɔn pikin, mek shɔ se yu go to dɔktɔ.
- Sɔm tritmɛnt dɛn de we go ɛp dis. So no rizin nɔ de fɔ mek wi fred ɔ shem. Tink bɔt yu wɛlbɔdi biznɛs ɛn du di tin dɛn we yu nid.
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