I testicles pakhat chu a dang aiin a lian zawk emaw, a hnuai lamah a innghat emaw tih i hmu tawh em? A nih loh leh i scrotum -ah hian a chang chuan dull ache emaw, heaviness emaw i nei mai thei ? Heng chhinchhiahnate hi varicocele an tih natna avang a ni thei a—chu chu mipa tam takin an tawn fo thin, mahse tlemte chauhvin an sawi thin. Khawngaihin lungngai suh; hei hi nunna atana hlauhawm dinhmun a ni lo. Nirogi Lanka-ah hian hei hian eng nge a awmzia tih hi ṭawng awlsam leh awlsam takin han thlir ila.
Varicocele hi eng nge ni tak tak? A awlsam zawngin i vawng ang u
A tawi zawngin, varicocele chu i scrotum chhunga vein te tihpunna a ni.
Mi thenkhatin an kea varicose vein an neih ang maiin han ngaihtuah teh. Scrotum chu i penis hnung lama vun pouch a ni a, chu chuan i testicles a vawng tlat a ni. I testicles hian oxygen tlakchhamna thisen i thinlung lam pan leh tura mawhphurtu vein a nei a. Heng vein te hi a hring a, a lian chuan varicocele tia hriat a ni.
Hetiang dinhmun hi kan thisen kalna kawng hrang hrang (anatomically structured) danglam tak avang hian veilam testicle-ah a awm tam ber a ni. Mahse, a chang chuan dinglam emaw, a sir lehlamah emaw a awm thei.
Engtin nge varicocele i vei tih i hriat theih ang? Natna
Varicocele vei mipa tam tak chuan symptoms an nei lo. Mahse, ṭhenkhat chuan a hnuaia mite hi an hre mai thei:
| Symptom a ni | Hrilhfiahna |
|---|---|
| Testicular Natna (Testicular Pain) a awm | A tlangpuiin natna dull emaw, natna rit tak, dragging sensation emaw a ni zawk. Hun rei tak ding hnuah emaw, taksa exercise laiin emaw a na zual fo va, a tlangpuiin i mut hian a reh thei bawk. |
| Scrotal a lo hring chhuak | Scrotum sir khat chu a sir dang aiin hmuh theihin a lian zawkin a lang thei. |
| Lumpy Texture a ni | A langsar zawkah chuan testicle chunglam i khawih hian “bag of worms” texture i nei thei. |
| Testicular Atrophy a awm thei | Testicle natna chu a hrisel aiin a te deuhin a lang thei. |
| Fertility lama harsatna awm thei te | Kum khat chuang zet nau pai i tum a, hlawhtling lo i nih chuan varicocele hi a puitu a ni thei. |
“Bag of worm” ang maia inhriat hi eng nge a awmzia?
Hei hi damdawi lam thiamte sawina hman tlanglawn tak a ni. Varicocele a lian tawk chuan dilated veins te chu vun hnuaia tangled, knotted cords cluster ang maiin a awm thin. Varicoceles te zawk hi hmuh theih loh leh khawih theih loh a ni fo.
Engvangin nge varicoceles hi a lo awm?
A chhan dik tak chu a chiang lo fo laiin, theory hmahruaitu chu, thisen testicles atanga thisen phur chhuaktu veins chhunga valve te chu a thawk tha lo tih hi a ni.
Heng valve te hi one-way gate angin ngaihtuah rawh. An hna chu thisen chu gravity dodal zawnga chunglam pan a, a pool back down loh nan a ni. Heng valve te hi a khar tha lo a nih chuan thisen chu hnunglam hawiin a luang khawm a, vein chhungah a pung khawm thin. Hun a kal zel a, hei hian thisen kalna kawngte chu a tizau a, a ti hring a, a tikehsawm a, varicocele a siam a ni.
Varicoceles hi puitlin lai hian hmuhchhuah a ni tlangpui . He hmasawnna hun chhung hian reproductive organs -a thisen kal chu nasa takin a pung zel a, a hnuaia vascular issues awm zawng zawng chu a langsar zual zel thin.
Hei hi thil pawi tak a ni em? Nau neih theihna a nghawng em?
A hmasa ber leh pawimawh ber chu varicocele hi nunna atana hlauhawm tak emaw, cancer chi khat emaw a ni lo .
Mahse, clinically significant a ni a, a chhan chu fertility a nghawng theih avangin . Mipa nau pai theih lohna 40% vel ah varicoceles a awm nia chhut a ni . Chutiang a nih lai chuan, varicocele neih hian fa i nei thei lo tihna a ni lo; he natna vei mipa tam tak hian nau neih chungchangah harsatna an nei lo.
Engtin nge varicocele hian nau neih theihna a nghawng?
Theory awm tawh chu temperature sang lutuk nen a inzawm a ni .
- Scrotal Temperature: Mihring chi hrisel siam chhuah tur chuan taksa peng dang aiin testicles hi a lum deuh a ngai a ni.
- Blood Pooling: Thisen chu thisen kalna kawng (veins)-ah a awm khawm avangin, testicles chhung leh a chhehvel boruak lumna a sang chho zel a ni.
- Sperm-a nghawng: Hetiang lumna sang hian sperm siam chhuah, quality leh motility a tichhe thei a, chuvang chuan nau neih kawngah harsatna a thlen thei a ni.
Tin, varicocele hian thil dang a thlen thei bawk:
- Testosterone Level tlahniam: Testicles hian testosterone a siam avangin varicocele hian a chang chuan he thil hi a tibuai thei a ni. Hei hian libido tlahniam, muscle mass tlahniam, emaw hahna ang chi symptoms a thlen thei.
- Azoospermia: A tlem berah, na tak takah chuan varicocele hian azoospermia a thlen thei a, chutah chuan semen-ah sperm a awm lo vek a ni.
Note: I scrotal pain nasa tak emaw, swelling emaw i neih chuan i hnaih ber emergency department-ah doctor pan nghal rawh.
Hriat tur pawimawh ber chu nau neih chungchanga ngaihtuahna i neih chuan a rang thei ang bera doctor rawn la, sawiho tur a ni.
Engtin nge doctor-te chuan varicocele hi an hriat theih?
I doctor i tlawh hunah chuan i natna lan chhuah dan zawtin an tan ang a, taksa enfiahna an nei ang. Exam ṭhenkhatah hian ding turin an ti che a rinawm.
I doctor-in i scrotum a enfiah lai hian aValsalva maneuver—hei hian thawk chhuah a, vawn tlat a, rilru hahna neih tum ang maia bear down a huam a ni. Hetiang thiltih hian i pum chhunga pressure a tisang a, chu chuan varicocele a langsar zawk nan a pui a ni. Pakhat a awm chuan doctor chuan thisen zam lian zawk chu a hre fo thin a, chu chuan natna hmuhchhuah chu a nemnghet thei a ni.
Tin, i doctor chuan a hnuaia diagnostic test te hi a rawt thei bawk ang:
- Scrotal Ultrasound Scan: Hei hi test tam ber a ni. Painless imaging procedure a ni a, i doctor chuan scrotal veins dinhmun chiang takin a hmu thei a, thisen kal dan pawh a teh thei bawk.
- Semen Analysis: Naupai harsatna i neih chuan i doctor chuan he test hi a rawn rawt mai thei. Semen sample endik a ni ang a, sperm count, quality, leh motility (movement) te enfiah a ni ang.
- Thisen Test: Hengte hian i hormone level, a bik takin testosterone tehna a pui a, engkim hi hrisel range chhungah a awm tih a hriat theih nan.
Varicoceles chi hrang hrang a awm em? (Grading) tih a ni.
Doctor-te chuan varicoceles hi a nasat dan a zirin grade hrang hrangah an thliar hrang a. Hei hi enkawlna ruahmanna dik ber tur hriat nan a pawimawh hle.
| Pawl | Hrilhfiahna |
|---|---|
| Pawl 0 a ni | A chi te ber. Taksa enfiahnaah hriat theih a ni lo va, ultrasound scan hmang chauhin hriat theih a ni. |
| Pawl I zir tur a ni | Examen pangngaiah chuan hriat theih a ni lo va, mahse Valsalva maneuver i tih chuan palpable a lo ni ta a ni. |
| Pawl II-na a ni | I ding laiin doctor chuan a hre thei a, Valsalva maneuver tel lo pawhin hmuh theih a ni lo nain. |
| Pawl III | A nasat ber chi. Chiang taka hmuh theih leh hriat awlsam tak a ni bawk. |
Engtin nge enkawl a nih?
Enkawlna i mamawh leh mamawh loh chu i natna lan chhuah dan te, varicocele grade te, leh i nau neih theihna a nghawng em tih te a innghat a ni.
In lama enkawlna leh nunphung enkawl dan
Varicocele te tak te, natna leh nau neih theihna lama harsatna nei lo i neih chuan enkawl a ngai lo fo thin. Mahse, natna emaw, nuam lo emaw i neih chuan heng step te hmang hian hahdamna i hmu thei ang:
- Supportive Underwear: Supportive briefs emaw jockstrap emaw bun hian natna a tiziaawm thei a, a bik takin exercise emaw hun rei tak ding lai emaw hian natna a tiziaawm thei a ni.
- Cold Compresses: Natna tihziaawm nan ice pack towel-a khuh chu scrotum-ah minute 10-15 chhung hnawih theih a ni. (Ice hi vunah direct-in hnawih ngai suh).
- Pain Relievers: Over-the-counter NSAIDs (ibuprofen ang chi) hian natna a tidam thei a, mahsedamdawi eng pawh i tan hmain i doctor rawn hmasa phawt la, i tan a tha em tih enfiah hmasa phawt ang che.
Surgery (Varicocelectomy) tih a ni.
I varicocele hian natna awm reng, testicular shrinkage, emaw fertility issues a thlen chuan i doctor chuan surgery tih a rawt thei ang.
Varicocelectomy an tih lai hian surgeon chuan vein chhia, lian zawk chu a hmuchhuak a, a seal off thin. Hei hian thisen kal chu thisen kalna kawng hrisel takah a hruai kir leh thin. Hei hi standard leh hlawhtling tak a ni. Full recovery hi a tlangpuiin kar 6 vel a ni.
Varicocele leh hydrocele hi eng nge an danglamna?
Heng dinhmun pahnih hi a buaithlak fo thin a, a chhan chu an pahnih hian scrotum a huam vek a ni.
- Varicocele: Scrotum chhunga vein lian zawka buaina.
- Hydrocele: Testicle chhehvela tui awmkhawm. Hei hi nausen-ah hmuh tur a awm tlangpui a, puitlingah erawh a thleng thei.
Symptom leh enkawl dan a inang lo avangin doctor pan a pawimawh hle a, dik taka hriat theih a ni.
Nirogi Lanka nen Take-Home Thuchah an sawi
- Varicoceles hi mipaah a tam hle a; zak leh lungkham lutuk a ngai lo.
- Mipa tam tak chuan symptom an nei lo va, enkawlna pawh an mamawh lo.
- Nau neih theihna a nghawng thei a, mahse nunna atana hlauhawm tak a ni lo.
- Testicular pain, swelling, lump i neih chuan doctor pan vat rawh.
- Nunphung siamrem atanga surgery hlawhtling tak tak thlengin, he natna hi tha taka enkawl theih dan kawng tam tak a awm. Nirogi Lanka-ah hian i hriselna hi kan ngaih pawimawh ber a ni.
Varicocele, scrotal veins, mipa naupai theih lohna, scrotal na, varicocelectomy
