I fapa naupang testicles chu a lo hring tawh em? ‘Communicating Hydrocele’ a ni thei!

I fapa tê tê scrotum sir khat chu a sir dang aiin a lian deuh a, a hring ang maiin a lang tih i hmu ngai em? Zing lama i en chuan a hring chu a tlahniam tawh mai thei, mahse nilengin i inkhelh hnu chuan tlai lamah a hring leh ang tih a rinawm? Nu emaw pa emaw hian hetiang thil an hmuh hian tlem chuan hlauhna leh lungkhamna an neih hi thil pangngai tak a ni. Mahse, lungngai suh, a tam zawkah chuan a pawi lo. Vawiin hian hetiang thil thleng thei dinhmun tlanglawn tak tak kan sawi dawn a, chu chu Communicating Hydrocele tih a ni.

A awlsam zawngin Hydrocele chu eng nge ni?

He hydrocele hi eng nge a nih kan en hmasa ang. A awlsam khawp mai. Mipa testicles hi scrotum chhungah a awm a. Heng testicles pakhat vel ah hian bawm te tak te a lo awm a, chu chu tui ang chi tuiin a khat a, chu chu `Hydrocele` kan ti thin. Hei hian scrotum chu a hring chhuak niin a lang.

Tunah chuan zawhna i nei a, he Communicating Hydrocele hi eng nge ni ? "Inbiakpawhna" tih thumal hian "inzawmna neih" tihna a ni. Hetah pawh hian hetiang thil hi a thleng mek a ni.

He inzawmna hian, a nih loh leh, a kalna tur chu a inhawng a nih avangin, tui chu a kal leh chhuak thei a ni. Entirnan, naute chu a muhil emaw, a mut emaw chuan a tui chu a pum lam panin a kal leh a, chu chuan a hring (swelling) a ti tlem a ni. Naute a ding a, a hrual emaw, a tap emaw chuan a pum chhunga pressure a sang a, chu chuan tui chu hnuai lam hawiin a kal a, chu chuan a hring a tipung a ni.

He dinhmun hi a pawi em?

`Hydrocele` (Non-communication) pangngai chu chutiang chuan a serious lo. Testicle chhehvela tui tlemte awmkhawm mai a ni. Pum nen a inzawm lo. Chuvangin, a hring chu a lian leh te chu a inang reng a, a nih loh leh a lian hle bawk.

Mahse Communicating Hydrocele an tih condition hi ngaihven deuh deuh a ngai a, a chhan chu pum nena inzawmna, chu chu open passage tih hi harsatna a thlen thei a ni.

Enkawl loh chuan eng nge thleng ang?

He natna hi a mah chauhin a ṭhat loh emaw, enkawl loh emaw a nih chuan, a hlauhawm ber chu inguinal hernia lo awm hi a ni.

A awlsam zawngin, chu tui kalna tur kawng chu a lian deuh a nih chuan, pum chhunga intestine thenkhat pawh chu chu kalna kaltlangin, scrotum lam pan chuan a chhuk thei a ni. Chu chu hernia kan tih chu a ni. Hernia hi `Communicating Hydrocele` aiin a na zawk hle. Surgery a ngai tak zet a ni. Chuvang chuan he thil hi i fimkhur a ngai a ni.

Hei hi tuin nge dawng? Engtin nge a lo awm?

Hetiang dinhmun hi mipa naupang piang tharte zingah hmuh tur a tam ber . Dik tak chuan mipa naupang piang thar zinga 50% thlengin he natna hi an nei thei a ni. A hluar hle mai.

Chuti a nih chuan engvangin nge naute te te hian hetiang hi an neih?

Hei hi hrethiam tur chuan nausen pum chhunga a awm lai kha kan kir leh a ngai a ni. Naute chu nu pum chhunga a lo seilian lai hian a pum chhungah hian testcle te chu a lo thang lian hmasa ber thin. Tichuan zawi zawiin an chhuk a, scrotum chhungah an lut ta a ni. An chhuk chuan tube ang chi (`processus vaginalis`) te tak te, pum chhung khuh tu membrane atanga siam pawh a lo chhuk bawk.

Naute a pian dawn emaw, a pian hnuah emaw, he tube ang chi hi a mah chauhin a khar tur a ni. Tichuan pum leh scrotum inzawmna chu a bo ta a ni.

Hetiang dinhmun hi puitling emaw naupang te emaw hernia neiah a awm tlangpui.

Hetiang natna lan chhuah dan hi engte nge ni?

Chumi chhinchhiahna chu naupang kum a zirin a inang lo deuh thei.

Pawimawh: Tlangval upa zawkin hetiang hian lump a nei nghal a nih chuan chhan dang vang pawh a ni thei. Entirnan, natna hrik, testicular torsion, a nih loh leh, a tlem berah chuan tumor a ni thei. Chuvangin , kum eng pawha scrotum-a lump i hmuh chuan doctor pan a pawimawh.

Engtin nge hei hi i hmuh theih, Doctor?

A tam zawkah chuan doctor chuan naupang chu a enfiah thei a, a chipchiar zawngin a zawt thei a, a natna chu eng nge ni tih chiang takin a hrilh thei bawk.

• Taksa enfiahna: Doctor chuan a hringna hmun chu a hre ang a, a enfiah ang.
• Transillumination Test: Hei hi test awlsam tak, hrehawm lo tak a ni. Doctor chuan torch ang chi hmanrua te tak te hmangin a hring chungah chuan êng a rawn ti eng a. A chhungah tui ang chi tui a awm chuan a sir lehlamah chuan êng chu chiang takin a lang ang. Tui bottle chhunga meialh eng ang mai a ni. Hei hian awlsam takin `Hydrocele` a nihzia a nemnghet thei a ni.
• Ultrasound Scan: A chang chuan a vun a lian em em a, lungpui ang maia khauh taka a hriat chuan emaw, harsatna dang rinhlelhna a awm chuan doctor chuan `Ultrasound Scan` a order thei bawk. Hei pawh hi a hrehawm lo. Hei hian a chhungah tui a awm leh awm loh chu 100% in a nemnghet thei a ni.

Engtin nge enkawl a nih? Operation neih a ngai em?

Hei hi nu leh pate zawhna lian ber a ni: "Kan naupang tê hian operation a neih a ngai dawn em ni?"

A tlangpuiin, naupang kum khat vel a nih meuh chuan , kan sawi tawh processus vaginalis chu a mah chauhin a khar thin. Tichuan, pum atanga tui lo chhuak chu a luang tawh lo va, taksain tui la awm chu a hip lut a, chu chuan a hring chu a ti bo vek a ni.

Chuvangin doctor chuan "watchful waiting" an tih chu a ti tlangpui. Thla engemaw zat hnuah i naute rawn hruai kir leh turin a hrilh ang che. Hemi chhung hian a hring chu a tlahniam nge a pung tih a en ang.

Engtikah nge operation tih a ngai?

I doctor chuan a hnuaia thil awmte hi operation (hydrocelectomy) tih a rawt thei ang:

• Naupang kum 1-2 a tlin hnuah pawh a hliam chu a mah chauhin a tlahniam lo a nih chuan .
• Swelling chu zawi zawiin a lian chho zel a nih chuan .
• Naupang chu a na emaw, a hring vanga hrehawmna nasa tak a neih chuan.
• Hydrocele nen hian hernia (Inguinal Hernia) a awm tih finfiah a nih chuan.

He surgery hi a awlsam hle a, a him hle bawk. Surgeon chuan groin-ah hian incision te tak te (cm 2 vel) a siam a, tui tam lutuk chu a paih chhuak a, pum nena inzawmna (a hawnna) chu a khar a ni. Hei hi ni khata surgery a ni. Chumi awmzia chu zing lama admit i nih chuan chumi tlai vek chuan i fa chu i hruai haw thei tihna a ni.

Nausen zai zawhah engtin nge kan enkawl ang?

Nausen chu operation hnu ni engemaw zat chhungin a pangngaiin a lo kir leh ang a, mahse kar hnih atanga kar thum chhung chu tlem a fimkhur a ngai dawn a ni.

• Natna: Doctor chuan natna atan Paracetamol ang chi syrup a pe ang. A tul hunah, a zat tur ruahman angin pe thin ang che.
• Hnathawh tur: Naupang chu a pangngaiin a khel thei. Mahse, naupang chu a hnungzang chunga chuang ngai inkhelhna (e.g., bicycle te), zuang, leh tlan chhuah ngai te chu kar 2-3 chhung hman loh tur a ni , hengte hian incision hmunah hian a tul lovah pressure a siam thei a ni.
• Hliam: Incision na hmun hi fai leh vawt taka vawn tur a ni. Hemi chungchangah hian i doctor chuan thupek a pe ang che.
• Chaw: Naupang chu a pangngaiin chaw pek theih a ni.

Heng symptoms te hi i neih chuan doctor ko nghal tur a ni.

Operation hnua a hnuaia symptoms te hi i neih chuan doctor emaw damdawi in emaw ko nghal rawh.

• Hliam chu thisen chhuak a nih chuan .
• Naupang natna a pung zel a nih chuan .
• Naupangin khawsik a neih chuan .
• Hliam chhehvela hliam a pung nasa hle a nih chuan .
• Hliam awmna hmuna vun rawng chu sen, sen, sen, a nih loh leh dum-ah a inthlak a nih chuan .

Hetiang dinhmun hi ven dan tur a awm em?

Nausen piang tharin `Communicating Hydrocele` a neih loh nan nu leh pate tih theih a awm lo, naute chu nausen pum chhunga a lo seilian laia thilsiam (natural process) a inthlak danglamna tlemte avanga lo awm a nih avangin.

Mahse puitlingah chuan hydroceles hi a chang chuan hernias nen a inzawm tlat avangin hernias venna atana thil tih hian hlawkna engemaw zat a nei thei a ni:

• Gym-a weight chawi leh exercise i tih hian form dik tak hman. I chawi theih loh rit phurh tum lo.
• Taksa rihna hrisel tak vawn reng .
• Constipation venna. Chutiang ti tur chuan tui tam tak in a pawimawh a, fiber tamna ei tur, greens, thlai leh thei chi hrang hrang ei a pawimawh.