di vein dεm na di tεstikul dεm de twist? Lɛ wi lan ɔltin bɔt Varicocelectomy ɔpreshɔn!

yu fil se yu de geht wan bohnch vein na yu tehstikul? Ɔ sɔntin de we ebi ɔ we de mek pɔsin fil pen smɔl na da say de? If yu de gɛt prɔblɛm fɔ gɛt pikin wit dɛn tin ya, yu kin gɛt wetin dɔktɔ dɛn kɔl ‘Varicocele’. Nɔr wɔri, dis na wan sik wae kin trit wae kin afɛkt bɔrku man dɛm. So tide, lɛ wi tɔk bɔt wetin na Varicocele ɛn di Varicocelectomy ɔpreshɔn we dɛn kin du fɔ am.

Fɔ tɔk am simpul wan, wetin na Varicocele?

Varicocele na wan sik we di vein dεm we de insay yu skrotum kin swεla, big, εn twist. I tan lɛk di we aw sɔm pipul dɛn kin gɛt vayrɔs vein na dɛn leg. we di valv dεm na di vein dεm we de kכri dכti bכdi kכmכt frכm di tεstikul dεm wik, bכdi kin bak כp insay dεn vein dεm ya. Dis na we dɛn vein ya kin swel ɛn big.

Pan ɔl we dis kin apin ɛni ej, bɔku pipul dɛn kin no se dɛn kin gɛt am we dɛn yɔŋ, dat na afta dɛn dɔn rich dɛn yɔŋ pipul dɛn.

Udat dɛn fɔ gɛt Varicocelectomy ɔpreshɔn?

Nɔto ɔlman we gɛt varicocele go nid ɔpreshɔn, bɔt sɔm men rizin dɛn de we mek yu dɔktɔ kin tɛl yu fɔ du dis ɔpreshɔn.

• Man infεtiliti: Varicocele na di men tin we kin mek man infεtiliti. dis na biכs di vein dεm de fulכp wit bכdi εn di tεmprachכ we de rawnd di tεstikul dεm de go כp. dis tεmprachכ we de inkrεs de afekt di sεl dεm we de mek di sεl dεm εn dεn kwaliti nεgεtiv wan. So, if man ɛn in wɛf we de tray fɔ bɔn pikin gɛt dis prɔblɛm na di man say, di dɔktɔ go se dɛn fɔ du dis ɔpreshɔn.
• Testikul pen: Sɔm pipul kin fil ɔltɛm fɔ ebi ɔ pul pen na dɛn tɛstikul bikɔs ɔf Varicocele. Dis pen kin wɔs we yu tinap ɔl di de ɔ yu de du ɛksɛsayz. If dis pen de ambɔg di tin dɛn we pɔsin kin du ɛvride, ɔpreshɔn kin bi fayn sɔlv.
• Testicular Atrophy: di tεstikul we afekt kin sכm sכm εn bigin fכ shrink bikoz fכ wan varicocele. If na so i bi, di dɔktɔ kin tɛl yu fɔ du ɔpreshɔn.
• di tεstostεron we dεn dכn dכn: sכm tεm dεm, Varicocele kin mek di man כmon tεstostεron dεn dכn dכn. Dis na rizin bak fɔ mek dɛn yuz ɔpreshɔn.

Aw yu go fɛn dis, Dɔktɔ?

We yu go to yu dɔktɔ, i go aks yu bɔt yu sik dɛn ɛn du yu bɔdi ɛgzam. I go chɛk yu skrotum. Dɛn kin aks yu fɔ tinap, sidɔm, ɛn ol yu briz (di Valsalva manejmɛnt). We yu du dis, yu go ebul fɔ fil dɛn vein dɛn ya we dɔn swel klia wan.

כltεm (bכt 90%) vεrikosεl de apin na di lεft tεstikul. Bɔt sɔntɛnde, i kin apin na ɔl tu di say dɛn.

Di dɔktɔ go ɔda fɔ mek dɛn du sɔm ɔda tɛst fɔ no if pɔsin gɛt di sik ɛn fɔ ɔndastand aw di sik rili bad.

• Ultrasound Scan: Dis de mek yu si klia wan aw di vein dɛn de ɛn di blɔd we de flɔ insay di tɛstikul dɛn.
• Semen Analysis: Dis tεst imכtant fכ כndastand di sayz, muvmεnt, εn shep fכ yu sεl dεm.
• Blɔd Tɛst: Dis kin ɛp fɔ chɛk di ɔmon lɛvɛl, mɔ di tɛstostɛron lɛvɛl.

Afta dɛn tɛst ya, dɛn kin mek wan gred bay aw yu Varicocele siriɔs.

Wetin na di we dɛn fɔ du Varicocelectomy?

Tu men we dɛn de fɔ du dis ɔpreshɔn. Wan na tradishɔnal opin ɔpreshɔn. Di ɔda wan na ɔpreshɔn we dɛn nɔ kin du bɔku tin. Yu dɔktɔ go disayd us we fɔ du am bɛtɛ fɔ yu.

1. Opin Ɔpreshɔn

Insay dis, dɛn kin kɔt di skin ɛn trit di vein dɛn we gɛt fɔ du wit am.

• Inguinal Ligation: Dɛn kin trit di vein dɛn bay we dɛn mek smɔl say na di groin eria.
• Subinguinal Ligation: Dɛn kin mek wan say we dɛn kɔt jɔs dɔŋ di groin.
• Retroperitoneal Ligation: dεn kin mek sכm sכm say na di sayd fכ di bכdi εn dεn kin trit di vein dεm frכm insay.

2. Minimally Invasive Surgery we dɛn kin du

Dɛn tin ya kin mek di bɔdi nɔ pwɛl bɛtɛ ɛn i nɔ kin tek lɔng tɛm fɔ mek i wɛl.

• Laparoscopic Varicocelectomy: Dɛn kin du di ɔpreshɔn bay we dɛn kin kɔt sɔm rili smɔl smɔl tin dɛn na di bɛlɛ, put wan tin tiub (laparoskop) we gɛt kamɛra we dɛn tay, ɛn wach am pan monita, ɛn yuz dilik inschrumɛnt dɛn.
• Microsurgical Varicocelectomy: Dɛn kin tek dis as di we we go wok fayn ɛn we go wok fayn pas ɔl . wan rili sכmכl insεshכn de mek na di groin εria, εn dεn de trit di vein dεm rili dilikεt כnda di gayd fכ wan rili pawaful maykroskכp (Operating Microscope). insay dis mεtכd, di risk fכ damej di hεlty vein dεm, limf vεsεl dεm, εn atεri dεm rili sכm. So, di kɔmplikɛshɔn dɛn bak nɔ kin bɔku.

Aw yu kin pripia bifo dɛn du yu ɔpreshɔn?

Yu dɔktɔ go gi yu wan sɛt fɔ instrɔkshɔn sɔm dez bifo di ɔpreshɔn.

• Tɛl yu dɔktɔ bɔt ɛni mɛrɛsin we yu de tek: Mek shɔ se yu tɛl yu dɔktɔ bɔt ɛni mɛrɛsin, vaytamɛn, ɔ ɛbul prɔdak we yu de tek. Ɛspɛshali if yu de tek blɔd tin dɛn lɛk aspirin, dɛn go aks yu fɔ stɔp fɔ tek dɛn sɔm dez bifo di ɔpreshɔn.
• Tɛl yu dɔktɔ bɔt ɛni alɛji we yu gɛt (lɛk fɔ mɛrɛsin, tin fɔ klin yu skin, lɛtɛks).
• Fast: Dɛn go advays yu fɔ nɔ it ɔ drink ɛnitin fɔ sɔm awa bifo dɛn du di ɔpreshɔn. Dis rili impɔtant . If yu gɛt it na yu bɛlɛ we yu de ɔnda anestezi, yu kin vɔmit am ɛn i kin go insay yu lɔng. Dis kin mek yu gɛt siriɔs infɛkshɔn (aspiration pneumonia).

Wetin kin apin we dɛn de du ɔpreshɔn?

Natin nɔ de fɔ mek wi fred. Na wan tim we gɛt spɛshal pipul dɛn we sabi aw fɔ urinary ɛn riprodaktiv sistɛm (Urologist), wan dɔktɔ we de anestez, ɛn wan pɔsin we de wok fɔ di nɔs dɛn kin du dis ɔpreshɔn.

Dɛn go gi yu wan jenɛral anestetik, so yu nɔ go fil ɛni pen we dɛn de du di ɔpreshɔn. I go tan lɛk se yu de slip fast fast.

Afta yu nɔ no natin, di dɔktɔ go kɔt am akɔdin to di we aw yu dɔn pik ɛn fɛn di vein we dɔn swel (varicocele). Dɔn, dɛn kin kɔt di vein ɛn sial di tu ɛnd dɛn. dis de mek di bכdi nכ fכ fכlכ tru da vein de εn i de mek di bכdi fכ fכlכ tru כda hεlty vein dεm na di skrotum.

Sɔntɛnde, dɛn kin put smɔl silikon tyub dɛn (dreyn) fɔ pul ɛni blɔd ɔ wata we kin gɛda afta dɛn dɔn du di ɔpreshɔn. Fɔ dɔn, dɛn kin lɔk di say we dɛn kɔt wit stich.

Tipikli, laparoskopik ɔpreshɔn kin tek lɛk 30-40 minit, we maykrosɔj ɔpreshɔn kin tek lɛk 1-3 awa.

Wetin kin apin afta di ɔpreshɔn?

Afta di ɔpreshɔn, dɛn go kɛr yu go na wan rum usay dɛn de mɛn yu, usay di wan dɛn we de wok na di dɔktɔ go wach yu sik te yu gɛt kɔnshɛns bak.

We yu gɛt kɔnshɛns bak, yu kin fil smɔl diziz ɛn gɛt sɔm pen na di say we dɛn kɔt am. Afta yu dɔn kɔnfirm se ɔltin nɔmal, dɛn go alaw yu fɔ go na os insay sɔm awa. Bɔt, yu fɔ gɛt pɔsin fɔ kɛr yu go na os. I rili impɔtant fɔ gɛt pɔsin fɔ ɛp yu fɔ di fɔs ɔ tu dez.

Wetin na di bɛnifit ɛn prɔblɛm dɛn we dis ɔpreshɔn de gi?

Lɛk ɛni ɔpreshɔn, dis wan gɛt bɛnifit dɛn ɛn sɔm smɔl smɔl prɔblɛm dɛn bak.

Di bɛnifit dɛn we pɔsin kin gɛt

• Wan ɔpreshɔn we rili sef: di risk fɔ gɛt prɔblɛm dɛn rili smɔl.
• di fεtiliti we de go כp: biכs fכ di sεl dεm we de mek di sεl dεm we de go כp εn di tεstostεron lεvεl, di chans fכ bכn pikin kin inkrεs te to 70%.
• Di pen we de mek pɔsin nɔ fil pen: Di pen ɛn di ebi ebi we de na di tɛstikul dɛn kin dɔn kpatakpata.
• di we aw di skrotum de luk fayn: di "ball of worms" we nכ kɔmfyut de apin de disappear, εn di apinεns fכ di skrotum de kam bak to nכmal.

Risk dɛn we kin apin

Dɛn tin ya nɔ kin apin bɔku tɛm, bɔt i fayn fɔ no bɔt dɛn.

• Risk dɛn we gɛt fɔ du wit anestezi.
• Prɔblɛm fɔ mɛn wund ɔ infɛkshɔn.
• Blɔd we de klɔt (Hematoma).
• Swel, brus, ɛn skata.
• Hydrocele (fluid akyumyuleshכn arawnd di tεstikul dεm).
• damej pan wan at we de gi bכdi to di tεstikul (rili rare).
• Varicocele we de kam bak.

Di tɛm fɔ wɛl ɛn tin dɛn fɔ fala na os

Di tɛm we i kin tek fɔ wɛl ful wan kin difrɛn frɔm wan pɔsin to ɔda pɔsin. כltεm, di swel εn brus go kכmכt insay 3-4 wik. Bɔt sɔm pen na di groin eria kin kɔntinyu fɔ te 6 wik.

• Aw fɔ mɛn yu pen: Tek di mɛrɛsin we yu dɔktɔ tɛl yu fɔ mɛn yu pen di rayt tɛm. Fɔ mek yu nɔ swel, put ays pak we dɛn rap wit klin klos oba di wund fɔ lɛk 10 minit so. Yu kin du dis bɔku tɛm insay di de.
• Kip di wund klin: Was yu an fayn fayn wan wit sop ɛn wata bifo yu tɔch di wund. Chenj bandej dɛn lɛk aw yu dɔktɔ tɛl yu.
• Fɔ was: Nɔ sok insay tub ɔ swim te yu wɛl. I nɔ bad fɔ shaw.
• Liftin wet: Nɔ lif wet we pas 5 kg fɔ at le tu wiks. Nɔ ɛksesaiz tranga wan ɛn nɔ fɔ wok tranga wan.
• Di it: I rili impɔtant fɔ avɔyd kɔnstipɛshɔn. Fɔ strɛch we yu de muv yu bɔdi nɔ fayn fɔ di wund. So, it bɔku it dɛn we gɛt bɔku fayv lɛk grɛn, vɛjitebul, ɛn frut. Drink bɔku wata ɔl di de.
• Fɔ du mami ɛn dadi biznɛs: Nɔ du mami ɛn dadi biznɛs ɔ fɔ ple wit yu bɔdi fɔ at le wan wik .
• Fɔ go wok ɔ skul: Bɔrku pipul kin kam bak to dɛn nɔmal tin fɔ du insay lɛk tri dez so.

Ustɛm fɔ go to dɔktɔ wantɛm wantɛm

If yu gɛt ɛni wan pan dɛn sik ya, kɔl yu dɔktɔ wantɛm wantɛm.

• Blɔd we de kɔmɔt pasmak frɔm di say we dɛn kɔt am.
• Fɔ gɛt fiva we de 100°F (38°C) ɔ pas dat.
• If di wund swel, rɛd, ɛn puls de kɔmɔt (sayn fɔ infɛkshɔn).
• If di pen de go wɔs.