I naute piang thar diaper i thlak hian a scrotum (balls) sir khat chu a sir dang aiin a lian deuh tih i hmu em? A chang chuan zing lamah a hring a tlahniam a, mahse ni a kal zel a, a bik takin naute a buai emaw, a tap emaw lai hian a hring chu a pung zel niin a lang em? Nu leh pa tam tak chuan hei hi an hmuh hian an hlauthawng deuh thin a, thil pangngai a ni. Mahse a tam zawkah chuan hlauh tur a ni lo. Vawiin hian naute tam takin an neih thin he natna hi kan sawi dawn a, chu chu Communicating Hydrocele tih a ni.
A awlsam zawngin, he Communicating Hydrocele hi eng nge ni?
Okay, hei hi i ti awlsam hle ang u. Hydrocele chu sac ang chi fluid-a khat, testicle vel a lo awm a ni. Tunah chuan, "Chuti a nih chuan he 'Communicating' hi eng nge ni?" Chu chu a pawimawh ber a ni.
Ngaihtuah teh, kan pum chhungah (abdominal cavity) ah hian kan intestines leh liver ang chi organs te nen fluid a awm a. Nausen chu nu pum chhungah a awm chuan naute pum chhungah hian testcle te chu a lo thang hmasa ber a ni. Tichuan zawi zawiin an chhuk a, scrotum an thleng ta a ni. An chhuk chhoh zel chuan pum atanga scrotum thlengin tube ang maia kawng te tak te a lo piang a. Damdawi lamah chuan hei hi ``processus vaginalis`` kan ti thin. A tlangpuiin he kawng hi naute pian hma emaw, a pian hnuah emaw a inkhar nghal vek thin.
Mahse naute thenkhatah chuan he kawng hi a khar kim lo va, khur te tak te a awm ta a ni. Chu khur atang chuan pum chhunga tui chu a lo kal a, scrotum vel chu a rawn khawm ta a ni. Hei hi pum chhunga tui awm nen hian "connection" emaw "communication" emaw a awm avangin communicating hydrocele an ti a.
Hei hi tuipui kama tuipui lian lo kal leh chhuak ang mai a ni. Naute chu a ding chhuak a, a hrual chuan a pum chhunga pressure a sang a, chu chuan tui chu a tla thla a, a hring chu a lian zual sauh sauh a ni. Naute a mut chuan a tui chu a pum chhungah a lut leh a, chu chuan a hring chu a ti tlem a ni.
Hydrocele inbiakpawhna leh inbiakpawhna nei lo hi eng nge a danglamna?
Heng chi hnih inkarah hian danglamna tlemte mahse pawimawh tak a awm a. Hei hi i hriat a pawimawh hle.
| Mihring ziarang | Inbiakpawhna Hydrocele | Inbiakpawhna nei lo Hydrocele |
|---|---|---|
| Chhan | Pum leh scrotum (processus vaginalis) inkar kawng chu a inhawng reng a. | Passage chu khar a ni a, mahse a tir lama tui awmkhawm chu taksain a hip loh avangin a awm reng a ni. |
| A hring (swelling) awm dan | Nilengin a zat a inthlak (zing lamah a tlem a, i harh laiin a tam zawk). | A lian zawng hi a stable emaw, a pung zawi zawi emaw fo thin. |
| Seriousness a ni | Tlemin fimkhur deuh a ngai a, a chhan chu hei hmang hian hernia siam theihna a awm a ni. | A hlauhawm lo fo va, a mah chauhin a tidam. |
Enkawl loh chuan eng nge thleng ang? Hernia vei theihna a awm
`Communicating Hydrocele` chungchang tlem kan ngaihtuah zawk chhan ber chu inguinal hernia kan neih theihna a ni . Chu hawnna kan sawi tawh chu a inhawng reng a nih chuan, pum chhunga tui chauh ni lovin, a chang chuan intestine hmun tlemte pawh chu chu khur atang chuan a chhuk thla thei a, scrotum chhungah a lut thei bawk. Chu chu hernia kan tih chu a ni. Hernia a lo awm chuan a chang chuan a tlakbuak thei a, hei hi natna khirh tak a ni a, emergency surgery a ngai a ni. Chuvangin `Hydrocele` i hmuh chuan Doctor hnena entir a pawimawh hle.
He dinhmun hi tuin nge hmu tam ber?
Hei hi a takah chuan thil awmdan pangngai tak a ni.
- Mipa nau piang thar: He natna hian nau piang thar 50% thleng a nghawng thei a ni. Mahse, a tam zawk chu naute kum khat vel a tlin meuh chuan enkawlna engmah awm lovin a mah chauhin a reh thin.
- Naupang kum upa zawk leh puitling: Naupang tê leh mipa puitlingah a awm thei a, mahse chutiang kum chuan hernia nena inzawm a nih a rinawm zawk.
Eng nge a lan chhuah dan? Engtin nge i ngaih?
Hei hi a lan chhuahna ber chu natna nei lo swelling a ni. Scrotum chhunga tuiin a khat ball te tak te ang maiin a lang thei.
| Kum hrang hrang | Hmuh theih symptoms te |
|---|---|
| Nausen piang thar |
|
| Naupang kum upa zawk leh puitling tan |
Pawimawh: Naupang kum upa zawkin a testicles-ah a hring leh natna nasa tak a neih thut chuan emergency `Testicular Torsion` tih a ni thei. Hetiang a nih chuan , damdawi in hnai ber Emergency Department (ETU) ah tihkhawtlai lovin kal rawh.
Engtin nge doctor hian hei hi a hriat chian?
Doctor hnenah i naute swelling chungchang i hrilh hian a tih hmasak ber tur chu i naute uluk taka enfiah hi a ni. Hei hi test awlsam tak hmanga hriat theih a ni tlangpui.
1. Taksa endik: Doctor chuan a vun na chu a hre mai ang. A nêm em, a khauh em, a hrehawm em, engtiang chiahin nge a lian tih a enfiah ang.
2. Transillumination: Hei hi test awlsam tak a ni. Doctor chuan torch ang chi hmanraw te tak te hmangin testicle hring dup chungah chuan êng a rawn eng a. A chhungah fluid chauh a awm chuan light chu a kal tlang ang a, pink angin a lang ang. Hei hian a tam zawkah chuan hydrocele a nihzia a nemnghet ang.
3. Ultrasound Scan: A chang chuan a vun a lian hle a nih chuan, lump khauh tak a awm a nih chuan, emaw, harsatna dang (cancer ang chi) rinhlelhna tlemte pawh a awm chuan, doctor chuan `Ultrasound` scan a ti ang. Hei hi test hrehawm lo leh him tak a ni.
Engtin nge enkawl a nih? Surgery neih a ngai em?
Hei hi nu leh pa tam tak tan chuan chanchin tha ber a ni.
A tam zawkah chuan chu chu naute 90% vel a ni a,Enkawl a ngai lo. Naute kum khat vel a tlin meuh chuan a hmaa kan sawi tawh khur chu a mah chauhin a inkhar ang a, a hring chu a bo vek ang.
Chuvangin doctor chuan "kan en ang" tih hi a hmang tlangpui. Thla engemaw zat hnuah naute chu checkup turin rawn hruai lut turin a hrilh ang che.
Chuti a nih chuan, engtikah nge surgery (Hydrocelectomy) neih a ngai?
- Naute hian kum khat emaw kum hnih emaw chhung chu a hring lo a nih chuan .
- A hring nasa lutuk emaw, naute tan harsatna thlentu emaw a nih chuan.
- Hydrocele nen hian hernia (inguinal hernia) a awm tih finfiah a nih chuan.
He surgery hi thil lian tak a ni lo. A tlangpuiin, groin area-ah hian incision te tak te (centimetre 2 vel) siam a ni a, a chhunga tui awm chu a chhuak a, a khur chu khar a ni. Hei hi ni khata surgery a ni a, chu chu zan vek hian i naute chu in lamah i hruai thei tihna a ni.
Naute chu operation hnuah engtin nge kan enkawl ang?
Naute chu zai a nih hnu ni engemaw zat chhungin a pangngaiin a lo kir leh ang a, mahse heng thilte hi kar hnih atanga kar thum chhung chu fimkhur tur a ni.
- Thil rit phurh loh tur: I naute chu sakawr rocking ang chi, a ke phar chhuak toys-ah thut tir suh. I naute hian a lawn, a tlan leh a zuang zat chu tihtlem rawh.
- Incision hi enkawl rawh: Incision vel ah hian a hring tlem a awm hi thil pangngai a ni. Doctor chuan natna damdawi a pe ang.
- Doctor ko nghal rawh: A hnuaia symptoms te hi i hriat chuan doctor ko nghal rawh.
- Cut chu thisen chhuak a nih chuan
- Natna a zual chuan
- Naute hian khawsik a neih chuan
- A hring a pung lutuk a nih chuan
- Vun rawng (red, purple, brown, or black) a inthlak tih i hriat chuan .
Doctor i hmuh ngei ngei tur hunah
Hydrocele awlsam tak hi a pawi lo nain, i naute hian a hnuaia symptoms te hi a neih chuan strangulated hernia chhinchhiahna a ni thei. Chuvangin damdawi lam thurawn zawng nghal rawh.
| Vaukhânna chhinchhiahna fimkhur tûr | |
|---|---|
| Mihring ziarang | Hrilhfiahna |
| A hring emaw, a hring emaw | Scrotum emaw groin area-a lump khauh tak lo awm nghal mai. |
| Natna chiang tak | Naute chu a tap chhunzawm zel a, thlamuan theih a ni lo va, a hring chu khawih a nih chuan a tap nasa lehzual. |
| Chaw chakna | Nausen chu a hnute a pek loh emaw, a hma anga a ei loh emaw chuan. |
| Luak chhuak | Naute chu chhan hriat loha a luak a nih chuan. |
| Bowel movement tlahniam | Naute chu a hma angin a poop lo a nih chuan. |
Take-Home Thuchah a ni
- Hei hi a awm fo: Communicating Hydrocele hi mipa naupang piang tharte zingah a awm fo thin. Chuvangin a tul lovah hlauthawng suh.
- Amah chauhin a dam: A tam zawkah chuan he natna hi naute kum khat a tlin meuh chuan enkawlna engmah awm lovin a mah chauhin a dam leh thin.
- Swelling changes: He natna lanchhuahna a ni a, nitin hian swelling a pung a, a tlahniam bawk. Hei hi thil pangngai a ni.
- Doctor hnenah entir : I naute sesticles-ah eng emaw swelling i hmuh chuan a dik taka hriat theih nan doctor hnenah entir a pawimawh hle.
- Hernias hi fimkhur rawh: Natna rang tak, lump khauh tak, emaw, luak chhuak ang chi symptom i neih chuan hernia a ni thei a, chuvangin damdawi inah kal nghal rawh.
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