Sɔntɛnde yu kin fil sɔntin difrɛn, ebi, ɔ lɛk bɔl we gɛt strɛch na yu tɛstikul? Sɔntɛnde, i kin mek pɔsin fil pen. Pan ɔl we bɔku pipul dɛn kin shem fɔ tɔk bɔt am, dis na tin we kin apin to man dɛn. Tide wi go tɔk bɔt wan kɔndishɔn we dɛn kɔl ‘Varicocele’ ɛn di ɔpreshɔn we dɛn kɔl ‘Varicocelectomy’. Nɔ wɔri, wi go tɔk bɔt dis simpul wan ɛn di we we ɔlman go ɔndastand.
Wetin na Varicocele?
Fɔ tɔk am simpul wan, varicocele na wan sik we di vein dɛn we de insay di skrotum, di sak na di skin we de ol yu tɛstikul dɛn, kin big ɛn swel pas aw i kin bi. Tink bɔt am lɛk di vayrɔs vein dɛn na wi leg, ɛn di sem tin kin apin to di tɛstikul dɛn.
Pan ɔl we dis sik kin apin pan ɛni ej, bɔku tɛm dɛn kin si am fɔs we pɔsin yɔŋ, dat na afta we i dɔn big. Insay kɔntri lɛk Amɛrika, dɛn kin se pan ɔl fayv man dɛn, wan pan dɛn gɛt dis sik. So yu kin imajin aw dis kin apin.
Udat nid fɔ gɛt Varicocelectomy?
Nɔto ɔlman we gɛt varicocele go nid ɔpreshɔn. Bɔt sɔm tin dɛn de we yu dɔktɔ go tɛl yu fɔ du dis ɔpreshɔn:
- Infεtiliti: Varicocele na di men tin we kin mek man nɔ ebul fɔ bɔn pikin. So, dis ɔpreshɔn kin mek man we de op fɔ bɔn pikin, ebul fɔ bɔn pikin mɔ ɛn mɔ. infakt, stכdi dεm sho se di prכbabiliti fכ bεlε afta dis כpεrayshכn kin inkrεs bay 70%.
- Testicular pain: If yu de gɛt testicular pen ɔltɛm.
- di lכw tεstostεron lεvεl: Varikosεl kin mek yu prodakshכn fכ di man כmon tεstostεron dכn.
- Testicular Atrophy: if di testicular na di sayd wit di varicocele sכmtεm sכmtεm pas di כda wan.
Aw dɔktɔ kin no se i gɛt Varicocele?
We yu go to dɔktɔ, i go aks yu bɔt di sik dɛn we yu gɛt ɛn du ɛgzam fɔ yu bɔdi. Insay dis tɛm, dɛn go aks yu fɔ tinap, sidɔm, ɛn ol yu briz we yu de kɔntrakt yu bɛlɛ mɔsul dɛn, lɛk se yu de muv yu bɔdi (di Valsalva manejmɛnt) . Dis na fɔ si if yu kin fil klia wan se yu vein dɛn de swel.
כl di tεm dεm (lεk 90%) dεn kin si dis kכndyushכn nכmכ na di lεft tεstikul, bכt sכmtεm i kin de na di tu say dεm.
Di dɔktɔ kin tɛl yu fɔ du sɔm ɔda tɛst dɛn fɔ no if yu gɛt di sik kɔrɛkt wan.
- Ultrasound Scan: dis de mek yu si klia wan di kondishכn fכ di vein dεm we de insay di tεstikul dεm.
- Semen Analysis: Dis tεst de εp fכ no if dis kכndyushכn dכn afekt yu fεtiliti.
- Blɔd Tɛst: Chɛk tin dɛn lɛk di ɔmon lɛvɛl.
Afta dɛn tɛst ya, dɛn go klas yu Varicocele insay gred dɛn bay aw i siriɔs.
| Varikɔsɛl Gret | Tɔk bɔt |
|---|---|
| Gret 0 we de na di skul | Dis na di kayn we we smɔl pas ɔl. Yu nɔ kin fil am we dɛn de chɛk yu bɔdi, bɔt yu kin si am wit ɔltra saund skan. |
| Gret I | Di dɔktɔ kin jɔs fil am we yu du di Valsalva manejmɛnt (ol yu briz ɛn swɛt). |
| Gret II | Ivin we yu de na nɔmal pozishɔn, yu kin fil am, bɔt yu nɔ kin si am. |
| Gret III | Dis na di kayn we we big pas ɔl. Yu kin si am klia wan frɔm do. |
Wetin na di kayn ɔpreshɔn fɔ Varicocelectomy?
Tu men we dɛn de fɔ du dis ɔpreshɔn.
1. Opin Ɔpreshɔn
Insay dis, dɛn kin du di ɔpreshɔn bay we dɛn kin kɔt di skin ɛn si di tisu we de insay klia wan. Dɛn sheb am to difrɛn kayn dɛn dipen pan usay dɛn kɔt am. (Ɛgzampul: Inguinal, Subinguinal).
2. Minimally Invasive Surgery we dɛn kin du
Insay dɛn we ya, na smɔl damej de pan di skin ɛn di tisu dɛn, so di tɛm fɔ wɛl kin shɔt.
- Laparoscopic Varicocelectomy: insay dis, dεn kin mek fכ sכm sכm sכm sכm sכm pat dεm na di lכw bכdi εn dεn kin put wan tin tכb wit kεmεra (laparoscope). Di dɔktɔ kin si pan monita ɛn du di ɔpreshɔn wit inschrumɛnt dɛn we rili dilik. Dis ɔpreshɔn kin tek shɔt tɛm, lɛk 30-40 minit.
- Microsurgical Varicocelectomy: Dis na smɔl say we dɛn kɔt bak, ɛn dɛn kin yuz maykroskɔp we rili pawaful fɔ si di dilik vein dɛn klia wan. Dɛn kin tek dis as di we we go wok fayn ɛn we nɔ gɛt wan prɔblɛm. Dis kin tek bitwin 1-3 awa.
Aw yu kin wɛl afta dɛn dɔn du yu ɔpreshɔn?
Di tɛm fɔ wɛl kin difrɛn frɔm wan pɔrsin to ɔda pɔrsin, bɔt in jɛnɛral, na dɛn tin ya fɔ ɛkspɛkt.
Di tin we impɔtant pas ɔl na fɔ fala di dɔktɔ in instrɔkshɔn dɛn di rayt we.
- Pen εn swεla: di swel εn brus na di groin εn skrotum εria go sכbכt afta 3-4 wik. Yuz mɛrɛsin wae yu dɔktɔ gi yu fɔ mek yu nɔ fil pen. If yu put ays pak, i fayn bak fɔ mek yu swel.
- Aktiviti: Nɔ es ɛnitin we ebi pas 4.5 kg (10 lbs) fɔ at le tu wiks. Dɔn bak, nɔ fɔ ple wit yu bɔdi ɛn du mami ɛn dadi biznɛs fɔ wan ɔ tu wiks.
- Fɔ kia fɔ di wund: Kip di wund klin. I bɛtɛ fɔ shaw pas fɔ was.
- Di it: It it dɛn we gɛt fayv (frut, vɛjitebul) ɛn drink bɔku wata fɔ mek yu nɔ gɛt kɔnstipɛshɔn. Fɔ strɛch we yu de pul yu dɔti nɔ fayn fɔ di wund.
- Ritɔn to wok/skul: Bɔrku pipul kin go bak to nɔmal aktiviti insay 3 dez.
Wetin na di bɛnifit ɛn prɔblɛm dɛn we dis ɔpreshɔn de gi?
Lɛk ɛni ɔpreshɔn, dis wan gɛt bɛnifit ɛn smɔl prɔblɛm dɛn.
| Di bɛnifit dɛn we pɔsin kin gɛt | Risk dɛn we kin apin |
|---|---|
| di sεl dεm we de mek di sεl dεm εn di tεstostεron de bכku, i de mek di fεtiliti bכku . | Risk dɛn we gɛt fɔ du wit anestezi. |
| Di pen we de na di tɛstikul dɛn nɔ bɔku. | Infεkshכn na di wund. |
| di we aw di tεstikul dεm de sho de kam bak to nכmal. | Blɔd we de klɔt (Hematoma). |
| Di ɔpreshɔn nɔ kin sef ɛn prɔblɛm dɛn nɔ kin apin so ɔltɛm. | Hydrocele (fluid akyumyuleshכn arawnd di tεstikul dεm). |
| Na smɔl tɛm nɔmɔ, wan varikɔsɛl kin kam bak. |
Ustɛm yu nid fɔ go to dɔktɔ wantɛm wantɛm?
Afta dɛn dɔn du di ɔpreshɔn, yu dɔktɔ go gi yu wan de fɔ mek dɛn fala yu. Bɔt if yu gɛt ɛni wan pan dɛn sayn ya, kɔl yu dɔktɔ wantɛm wantɛm.
- Blɔd we de kɔmɔt pasmak bikɔs dɛn kɔt am.
- Fɔ gɛt fiva we pas 38 digri sɛlshiɔs (100 Fahrenheit).
- Sayn dεm fכ wund infεkshכn (rεd, swεla, pus).
- Di pen kin bi pɔsin we pɔsin nɔ ebul fɔ bia .
Mɛsej we dɛn kin kɛr go na os
- Varicocele na wan sik we man dɛn kin gɛt ɛn we dɛn kin trit, so no rizin nɔ de fɔ mek wi fred ɔ shem fɔ am.
- pan ɔl we dis kכndyushכn kin afekt fεtiliti, bכku chans de fכ mek di varicocelectomy כpεrayshכn kin bεtε fεtiliti.
- Dis na ɔpreshɔn we nɔ bad, bɔt fɔ mek yu go ebul fɔ du di wok fayn fayn wan, i impɔtant fɔ tek tɛm fala di dɔktɔ in instrɔkshɔn dɛn afta di ɔpreshɔn.
- If yu gɛt ɛni kwɛstyɔn ɔ dawt bɔt dis, tɔk to yu dɔktɔ opin wan bɔt am. I go ɛksplen ɔltin to yu.
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