We yu luk yu tɛstikul, i tan lɛk se wan say de hang smɔl pas di ɔda wan? Ɔ sɔntɛnde yu kin fil wan strenj pen ɔ ebi ebi na di say we yu tɛstikul dɛn de ? di kכz fכ dεn tin ya kin bi wan kכmכn bכt nכto bכku kכmכn kכndyushכn we dεn kכl `Varicocele`. Nɔ wɔri, dis nɔ de mek yu layf de pan denja. Tide, wi go ɛksplen ɔltin bɔt dis simpul we, lɛk se yu de tɔk to yu padi.
Wetin na Varicocele? Lɛ wi ɔndastand am simpul wan.
Fɔ tɔk am simpul wan, Varicocele na we di vein ɔ blu vein dɛn na yu skrotum kin swel, big, ɛn twist.
Imajin, sɔm pan wi gɛt varicose veins na wi leg, nɔto so? Wi kin kɔl am `Varikɔs veins`. di sem tin kin apin to di vein dεm na di skrotum. di skrotum na wan paus we gɛt skin biɛn di penis. Yu testikul dεm de protεkt insay dis paus. Sɔm vein dɛn de we kin kɛr dɔti blɔd frɔm dɛn tɛstikul ya bak to di at. we dεn vein dεm ya swεla εn big, wi kin kכl am `Varicocele`.
כltu, dis kכndyushכn kin apin na di lεft tεstikul. Dis kin bi bikɔs smɔl difrɛns de pan di we aw di blɔd vesel dɛn arenj na wi bɔdi. Bɔt nɔto ɔltɛm, i kin apin na di rayt say ɔ na ɔl tu di say dɛn.
Aw yu go no if yu gɛt varicocele? Sayn dɛn
Bɔrku pipul dɛm wae gɛt Varicocele nɔr kin sho ɛni sayn, bɔt sɔm kin gɛt dɛn kayn sik ya.
| Di sayn we de sho se di sik de | Tɔk bɔt |
|---|---|
| Testikul pen | I kin tan lɛk se yu de fil ebi ebi ɛn dɔl pen pas shap pen. Dis pen kin wɔs we yu tinap ɔl di de ɔr yu de du ɛksɛsayz. Bɔku tɛm, di pen kin stɔp we yu ledɔm. |
| Di tɛstikul we de swel | di tεstikul na wan say kin sho se i big pas di כda say. |
| Knot dɛn we kin kech na di an | if di varicocele big, i kin fil lεk "bag of wom" we yu tכch di tכp pat pan di tεstikul. |
| Testikul atrofi we de mek pɔsin nɔ ebul fɔ waka | di tεstikul na di sayd we di vεrikosεl kin sכm sכm pas di hεlty sayd. |
| I nɔ izi fɔ bɔn pikin dɛn | If yu gɛt prɔblɛm fɔ gɛt bɛlɛ afta yu dɔn tray fɔ at le wan ia we yu nɔ gɛt ɛni prɔtɛkshɔn, Varicocele kin bi di kɔz. |
Wetin i min fɔ fil lɛk "wɔm riot"?
Dis na di mכst kכmכn mεtafכr we dεn kin yus fכ dεskrεb wan vεrikosεl. We yu tɔch di skrotum fɔ man we gɛt big varikɔs, i kin tan lɛk wan bɔnch knot, kɔyl nuts ɔnda di skin. Na dat mek dɛn kɔl am "bag of wom." כltu, wan sכmכl vεrikosεl nכ de fכ si כ palp.
Wetin mek dis Varicocele kin apin? Wetin na di kɔz?
Dɔktɔ dɛn stil nɔ dɔn fɛn wan, difinitiv rizin fɔ dis, bɔt di men tiori na dat na di valv dɛn na di vein dɛn we de kɛr blɔd go ɔp frɔm di tɛstikul dɛn we nɔ de wok fayn .
Tink bɔt dɛn valv dɛn ya lɛk smɔl get dɛn we de opin na wan say nɔmɔ. Dɛn wok na fɔ stɔp di blɔd fɔ flɔ bak dɔŋ afta i dɔn go ɔp agens di graviti. So if dɛn get ya nɔ lɔk fayn, di blɔd kin flɔ bak dɔŋ ɛn gɛda insay di vein dɛn. as tεm de go, dis bכdi de fulכp, di vein dεm de swel, εn wan ‘Varicocele’ de fכm.
Bɔku tɛm, dis sik kin apin fɔs we pɔsin de yɔŋ, mɔ we i yɔŋ . dis na biכs di bכdi we de go na di jεnital dεm de bכku insay dis tεm, εn εni prכblεm wit dεn vein dεm ya de sho.
Yu tink se dis siriɔs tin? Yu tink se i go afɛkt di we aw pɔsin de bɔn pikin?
Fɔs, wi fɔ se `Varicocele` nɔto wan sik we de mek pɔsin in layf de pan denja, lɛk kansa.
Bɔt di men tin we kin rili siriɔs na di we aw i kin afɛkt di we aw i kin bɔn pikin . dεn fכnshכn se vεrikosεl de riliyt to lεk 40% pan di tin dεm we de mek man dεn nכ bכn pikin . Bɔt dis nɔ min se ɔlman we gɛt Varicocele nɔ go ebul fɔ bɔn pikin. Bɔku pipul dɛn kin gɛt pikin dɛn we nɔ gɛt ɛni prɔblɛm.
Aw Varicocele kin afɛkt di we aw pɔsin de bɔn pikin?
Dɛn stil de du risach bɔt di rayt we aw dis kin apin, bɔt di men tin we dɛn kin tɔk na dat na bikɔs di tɛmpracha kin go ɔp .
- di tεmprachכ na di tεstikul dεm: fכ mek di sεl dεm we gεt hεlty, di tεmprachכ fכ di tεstikul dεm fכ dכn sכmtεm pas wi nכmal bכdi tεmprachכ.
- di bכdi we de kכmכt: Insay varicocele, di bכdi de kכmכt na di vein dεm, we de mek di tεmprachכ we de rawnd di tεstikul dεm go כp pas di nכmal lεvεl.
- di ifekt dεm pan di sεl dεm: Dis tεmprachכ we de go כp kin afekt di sεl dεm we de mek di sεl dεm, di kwaliti fכ di sεl dεm, εn di we aw i de muv. Dis na wetin kin mek pɔsin nɔ ebul fɔ bɔn pikin.
apat frכm dis, sεvεra כda komplikashכn dεm kin apin bikoz fכ `Varicocele`:
- di lכw tεstostεron lεvεl: Tεstostεron na di mεn man כmon. I de kɔmɔt na di tɛstikul dɛn. di vεrikosεl kin mek di tεstikul dεm nכ wok fayn εn i kin ridyus di lεvεl fכ dis כmon. Dis kin mek i nɔ want fɔ du mami ɛn dadi biznɛs igen, in mɔsul dɛn kin wik, ɛn i kin mek in maynd strɛs.
- Azospermia: Dis na wan sik we nɔ kin apin so ɔltɛm. Azoospermia na we di sεl dεm nכ de na di sεmεn. Dis kin apin pan siriɔs kes dɛm fɔ Varicocele.
Di tin we impɔtant pas ɔl na dat if yu gɛt kwɛstyɔn bɔt aw fɔ adopt pikin, go to dɔktɔ wantɛm wantɛm ɛn tɔk bɔt am.
Aw di dɔktɔ kin no bɔt dis? (Diagnosis) .
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 ɛgzamin, i go aks yu fɔ tinap.
We yu dɔktɔ de chɛk yu skrotum, i go aks yu fɔ ol yu nos ɛn yu mɔt lɔk, tayt yu bɛlɛ mɔsul dɛn, ɛn pul briz lɛk se yu de tray fɔ blo. Dɛn kɔl dis di Valsalva manejmɛnt. dis kin mek di prεshכn we de insay yu bכdi bכku, we kin mek di vein dεm luk bכku bכku if yu gεt varicocele. Dis go mek di dɔktɔ fil am ɛn kɔnfɔm am.
Apat frɔm dat, dɛn kin du dɛn tɛst ya fɔ no if pɔsin gɛt di sik:
- Scrotal Ultrasound Scan: Dis na di tɛst we dɛn kin du mɔ. Dis skan we nɔ gɛt pen kin si klia wan aw di vein dɛn we de na di skrotum de ɛn aw di blɔd de flɔ.
- Semen analysis: If yu de gɛt prɔblɛm fɔ gɛt bɛlɛ, yu dɔktɔ kin tɛl yu fɔ du dis tɛst. Dis min se yu fɔ tek wan sεmpl pan yu sεmεn εn tεst am fכ di nכmba, di kwaliti, εn di mכtility fכ di sεl dεm.
- Blɔd tɛst: Dis kin ɛp fɔ chɛk if yu ɔmon lɛvɛl, mɔ di ɔmon dɛn lɛk tɛstostɛron, nɔmal.
Yu tink se kayn Varicocele de? (Ranking) .
Dɔktɔ dɛn kin put wan vayrɔs insay gred dɛn bay aw i siriɔs. Dis rili impɔtant fɔ no aw fɔ trit yu.
| Mak | Tɔk bɔt |
|---|---|
| Gret 0 we de na di skul | Di kayn we we smɔl pas ɔl. Nɔto palpable we dɛn de du di fyzikal ɛgzamin. Na ɔltra saund skan nɔmɔ dɛn kin no am. |
| Gret I | I nɔ kin ɔltɛm kech na di an. I kin jɔs kech na di an we yu de du di Valsalva manejmɛnt (swɛt) we wi bin dɔn tɔk bɔt. |
| Gret II | Ivin if di Valsalva manejmɛnt nɔ de, di dɔktɔ kin fil am bay we i tɔch am we i tinap, bɔt i nɔ kin si na do. |
| Gret III | Di kayn we we big pas ɔl. Yu kin si am klia wan frɔm do ɛn i kin fit fayn fayn wan na di an. |
Aw dɛn kin trit am?
If yu fɔ trit am ɔ nɔ fɔ trit am, i go dipen pan di sayn dɛm we yu gɛt, di gred we di Varicocele gɛt, ɛn if yu gɛt prɔblɛm fɔ bɔn pikin.
Na os ɛn jenɛral manejmɛnt
If yu gɛt smɔl varicocele ɛn i nɔ de mek yu gɛt ɛni pen ɔr prɔblɛm wit yu bɔn pikin, sɔntɛm yu nɔ go nid ɛni tritmɛnt. Bɔt if yu de fil pen ɔ yu nɔ de fil fayn, yu kin tray dɛn tin ya:
- Ɔndawea we de sɔpɔt yu: We yu wɛr tayt, sɔpɔt ɔndawea ɔ jokstrap kin ɛp fɔ ridyus pen, mɔ we yu de du ɛksɛsayz ɔ tinap fɔ lɔng tɛm.
- Ays: We yu de fil pen, yu kin gɛt rilif bay we yu put ays pak we dɛn rap wit tawɛl na di skrotum fɔ lɛk 10-15 minit. (Nɔ ɛva put ays dairekt pan di skin).
- Painkillers: Yu kin tek pen kil (NSAID) lɛk `Ibuprofen` pan yu dɔktɔ in advays. Bɔt yu fɔ rili go to dɔktɔ bifo yu yuz dɛn tin ya fɔ mek shɔ se dɛn fayn fɔ yu.
Ɔpreshɔn (Varicocelectomy) we dɛn kin du .
If yu gɛt bad bad pen bikɔs ɔf wan varikɔs, if yu tɛstikul dɛn dɔn shrink, ɔ if i de afɛkt yu ebul fɔ bɔn pikin, yu dɔktɔ kin tɛl yu fɔ du ɔpreshɔn.
Dis ɔpreshɔn rili simpul. Di dɔktɔ we de du di ɔpreshɔn kin no di prɔblɛm, di vein dɛn we dɔn swel, i kin kɔt dɛn, ɛn sial dɛn. Dis kin mek di blɔd nɔ go pas na dɛn vein dɛn de, ɛn di blɔd kin bigin fɔ flɔ tru ɔda vein dɛn we gɛt wɛlbɔdi. Dis na ɔpreshɔn we dɛn kin du fayn fayn wan. I kin tek lɛk 6 wiks fɔ rili wɛl frɔm di ɔpreshɔn.
Wetin na di difrɛns bitwin Varicocele ɛn Hydrocele?
Sɔm pipul dɛn kin kɔnfyus dɛn tu tin ya bikɔs dɛn kin apin na di tɛstikul.
- Varicocele: Dis na prɔblɛm wit di veins . Di vein dɛn we de na di tɛstikul dɛn kin swel.
- Hydrocele: Dis na sak we ful-ɔp wit wata . di haydrosεl de kכz fכ wata we de kכmכt rawnd di tεstikul dεm. Dis kin apin mɔ pan yɔŋ bebi dɛn.
De sayn dɛm ɛn tritmɛnt fɔ ɔl tu difrɛn, so if yu gɛt prɔblɛm, i impɔtant fɔ go to dɔktɔ fɔ no ustɛm i bi.
Mɛsej we dɛn kin kɛr go na os
- Varicocele na wan sik wae kin pasmak pan man dɛm. Wi nɔ nid fɔ shem ɔ fred am.
- Bɔrku pipul nɔr kin gɛt ɛni sayn, ɛn na dɛn kayn tin ya, dɛn nɔr nid fɔ gɛt ɛni tritmɛnt.
- Dis nɔto sik we de mek pɔsin in layf de pan denja, bɔt i kin afɛkt di we aw i de bɔn pikin.
- If yu gɛt pen na yu tɛstikul, yu de swel, yu gɛt wan lump na yu an, ɔ yu gɛt prɔblɛm fɔ gɛt bɛlɛ, go to dɔktɔ wantɛm wantɛm.
- Simpul we dɛn de fɔ manej ɛn bak ɔpreshɔn dɛn we kin rili wok fayn as tritmɛnt. So, i impɔtant fɔ mek yu go to dɔktɔ di rayt advays.
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