I scrotum chhungah hian thread ball emaw, rulhut te tak te tlemte emaw ang chi thil i hre ngai em? A nih loh leh, chu lai hmunah chuan a rit deuh emaw, a hrual na emaw i nei fo em? Hetiang dinhmun hi mipa tam takah, a bik takin an tleirawl laiah a awm thin a, medical science-ah chuan Varicocele an ti a. He hming i hriat hian hlau suh. Chutiang chuan a serious lo. Mahse eng nge a nih chiang taka hriat a pawimawh hle. Chuvangin vawiinah hian a zawng zawng, awlsam takin, i hriatthiam theih angin kan sawi dawn a ni.
A awlsam zawngin, Varicocele hi eng nge ni?
Varicocele hi i scrotum chhunga veins, thisen bawlhhlawh phur veins te chu a hring chhuak a, a lian a, a inher chhuak thin. A dik tak chuan kan ke thenkhatah hian vein twisted vein a awm tih i hmu ngei ang, a dik em? `(Varicose veins)` kan ti a. Chutiang bawk chu scrotum chhungah pawh a awm ve bawk.
A tlangpuiin kan testicles atanga thisen bawlhhlawh chu thinlungah phur kir lehtu vein te tak te network a awm thin. Heng vein chhungah hian valve te te a awm a. Tui pipe chhunga valve awm ang mai a ni a, chu chuan kawng khatah chauh tui a luang chhuak thei a ni. Heng valve te hna chu thisen a chhoh hnua a hnuai lam pan leh tur tihtawp a ni. Mahse a chang chuan heng valve te hian hna an thawk tha lo a nih chuan thisen chu a hnuai lamah a luang leh a, chu vein ah chuan a inkhawm khawm thin. Hun a kal zel a, he thisen hi a inzawm khawm a, thisen kalna kawngte chu a hring chhuak a, a inzawm khawm a, hrui ball ang maiin a inzawm khawm ta a ni. Chu chu Varicocele kan tih chu a ni.
A tam zawkah chuan hei hian natna a thlen tam lo . Mahse, mi ṭhenkhat chuan a châng chuan hna emaw, exercise emaw, nilenga ding emaw, an inhnukdawk emaw, an rit deuh emaw an hre thei a ni. An mut hian a natna chu a reh tlangpui.
A pawimawh ber chu Varicocele hi nunna atana hlauhawm a ni lo. Mahse, a \henah chuan fa neih theihnaah a nghawng thei a ni. Chuvang chuan hei hi kan hriat chian a pawimawh hle a ni.
Varicocele leh nau neih theihna hi eng nge inzawmna?
Ni e, hei hi mi tam takin an zawh thin a ni. Varicocele natna leh nau pai theih lohna hi inzawmna a awm thei. Dik tak chuan mipa nau pai theih lohna chhan 40% vel chu Varicocele nen a inzawm tih hmuhchhuah a ni. Mahse chu chu Varicocele vei zawng zawngin fa an nei thei lo tihna erawh a ni lo. Varicocele vei tam zawk chuan harsatna nei lovin fa an nei thin.
Doctor-te chuan varicocele hian fertility a nghawng dan chiang takin an la hre lo. Mahse ngaihtuahna ber chu hei hi a ni. Scrotum chhunga veins te chu thisenin a khat chuan chu lai hmuna temperature chu a pangngai aia sang deuhin a sang chho ta a ni. Kan testicles hi taksa pawnah a awm a, hnuai lamah a innghat a ni. Hei hi a chhan chu sperm siam chhuah nan taksa lumna pangngai aia lum deuh deuh an mamawh vang a ni.
Chuvangin varicocele avanga testicles chhehvel temperature a san chuan sperm siamchhuahna a tibuai thei a ni. Sperm count a ti tlem thei a, sperm motility a ti tlem thei a, sperm pianzia a tidanglam thei bawk. Heng zawng zawng hian nau pai theihna a nghawng thei a ni.
Nupui pasal i nei a, naute i beisei a, Varicocele i nei nia i ngaih chuan i doctor hmu la, sawipui ngei ang che .
Hei hi engtiang chiahin nge a hluar? Eng nge a lan chhuah dan?
Hei hi a takah chuan thil awm dan tlangpui tak a ni. A vaiin mipa 15% leh 20% inkar emaw, mipa 5 zinga 1 vel emaw chuan Varicocele an vei thei a ni.
A tam zawkah chuan hei hi veilam testicle-ah a thleng thin . Hei hi a chhan chu veilam testicle atanga thisen phurtu vein chu kan taksa veilam a inzawm danah structural difference tlemte a awm vang a ni. Mahse, a dinglam emaw, a sir lehlamah emaw a awm tam lo hle.
Mi tam zawk chuan symptoms an nei lo. Thil dang avanga medical test neih laiin accident-a hmuhchhuah a ni fo. Mahse, mi thenkhat chuan a hnuaia symptoms te hi an nei thei a ni:
| Symptom a ni | Hrilhfiahna |
|---|---|
| Natna emaw, nuam lo emaw | Scrotum chhung atanga lo chhuak natna dull, na tak. He natna hi a bik takin hun rei tak i ding a, exercise i tih emaw, thil rit i chawi emaw hian a nasa thei hle. I mut hian a reh tlangpui. |
| Kut a knot a tlakbuak | Scrotum chungah, vun hnuaiah hian rulhut emaw, hrui ball ang maia lang i hre mai thei. Doctor-te chuan hei hi "bag of worms" an ti. |
| Testicles a hring chhuak | A châng chuan scrotum emaw, a chhehvel bawm emaw chu a hring thei bawk. |
| Testicular a tlahniam | Varicocele awmna sir lama testicle chu a sir lehlamah aiin a te zawk thei. Hei hi (testicular atrophy) kan ti a ni. |
| Nau pai theih lohna | Kum khat chhung zet venhimna engmah nei lovin i bei a, i la nau pai lo a nih chuan a chhan chu Varicocele a ni thei. |
Engvangin nge Varicocele hi a lo awm? Tuin nge a neih theih ber?
Hei hi a chhan dik tak erawh hriat a la ni lo. Mahse theory ber chu ka sawi tawh ang khan vein chhunga valve te hnathawh danah chak lohna a awm tih hi a ni. Hei hi rochun thil a ni ngei ang.
Varicoceles hi tleirawl lai hian hriat hmasak ber emaw hriat hmasak ber emaw a ni fo thin . Chu chu kum 13, 14, 15 vel a ni tihna a ni a, hei hi a chhan chu puitlin lai hian mipat hmeichhiatna lama thisen kalna a pung vang a ni. Tichuan, vein, valve chak lo nei te chuan thisen sang sang chu an tuar thei tawh lo va, vein te chu a lo hring tan ta a ni. Hei hian mipa naupang thenkhat testicles hmasawnna a tibuai thei bawk.
Varicocele hian harsatna dang a thlen thei em?
Varicocele te tak te hian harsatna lian tham a thlen lo tlangpui. Mahse, Varicocele lian tak, enkawl loh chuan harsatna engemaw zat a thlen thei a ni.
- Testosterone Hormone tlahniam (Male Hypogonadism): Testosterone hi mipa hormone a ni. Testicles atanga siam a ni. Varicocele avanga testicles a chhiat chuan he hormone siamchhuah hi a tlahniam thei a ni. Hei hian mipat hmeichhiatna lama duhna a tlahniam thei a, taksa ruh a tlahniam thei a, lungngaihna a thlen thei bawk.
- Azoospermia: Hei hi natna khirh zawk a ni. Azoospermia chu semen chhunga sperm cell awm loh hi a ni. Hei hi mipa nau pai theih lohna thlentu lian tak a ni bawk.
Heng harsatnate hi a tlem hle a, mahse ngaihtuahna i neih chuan damdawi lam thurawn lak a tha ber.
Engtin nge doctor hian hei hi a hriat chian ?
Doctor i pan hunah i natna lan chhuah dan a zawt hmasa ang che a, chumi hnuah taksa enfiahna a nei leh ang.
He test chhung hian doctor chuan ding chhuakin i scrotum chu a enfiah tir ang che. Chutah chuan "thâwk la la, chelh la, i pum chu hnuai lamah nawr rawh" a ti ang che. Hei hi Valsalva maneuver an ti a . Hei hian veins chhunga pressure a tisang a, chuvangin varicocele i neih chuan chiang takin i hre thei ang.
A châng chuan, a natna hriat chian nân test eng emaw zat tih belh leh theih a ni bawk.
- Pelvic Ultrasound: Hei hi natna nei lo, scan awlsam tak a ni. Scrotum chhunga veins awm dan leh thisen kal dan chiang takin a hmu thei a ni.
- Semen Analysis: Naupai lama harsatna i neih chuan he test hi a tha hle. Hei hian i semen sample lak a, sperm count, movement leh shape te enfiah a huam a ni.
- Thisen Test: Hei hian i taksa hormone level a test a, a bik takin testosterone leh Follicle-Stimulating Hormone (FSH) te a test thin.
Varicocele grade hrang hrang a awm em?
Awle. Doctor-te chuan Varicocele hi a nasat dan a zirin level hrang hrangah an thliar hrang a. Hei hi enkawl dan tur hriatfiah nan a pawimawh hle.
| Pawl | Hrilhfiahna |
|---|---|
| Pawl 0 a ni | Hei hi a level tenau ber a ni. Taksa endik laiin hriat a ni lo. Ultrasound scan hmang chauha hriat theih a ni. |
| Pawl I zir tur a ni | Check pangngai i tih hian a hriat theih loh. Mahse Valsalva maneuver i tih hian (i thawk i vawn lai) chauh a hriat theih. |
| Pawl II-na a ni | Valsalva maneuver tel lo pawhin enfiahna pangngaiah i kut hmangin i hre thei a, mahse pawn lam atang chuan i hmu thei lo. |
| Pawl III | Hei hi a level lian ber a ni. Pawn lam atang chuan chiang takin a lang a, kutah pawh awlsam takin a man thei (chutiang rulhut ang bawkin). |
Hei hi eng enkawlna nge ni?
Enkawl leh enkawl loh chungchanga thutlukna siam chu i natna lan chhuah dan te, Varicocele natna zau zawng te, fa neih chungchangah harsatna i neih leh neih lohah a innghat a ni.
In lama i tih theih thil leh enkawlna awlsam tak tak
Varicocele te tak te, natna lanchhuahna nei lo, Grade 0 emaw Grade I emaw ang chi hi enkawlna engmah a ngai lo mai thei. Amaherawhchu, natna emaw, lungawi lohna emaw a awm chuan heng thilte hian a pui thei a ni.
- Supportive underwear: Exercise emaw ding lai emawa supportive underwear emaw jockstrap emaw ha hian natna a tihziaawm thei.
- Ice: Natna i neih chuan ice pack towel-a khuh chu i scrotum-ah minute 10-15 vel dah la. Ice hi i vunah direct-in hnawih suh.
- Painkillers: I doctor-in a tih angin nonsteroidal anti-inflammatory drug (NSAID) ibuprofen ang chi i ei thei. Mahse, damdawi lam thurawn tel lo chuan eng damdawi pawh hmang chhunzawm suh tih hre reng ang che.
Surgery hmanga enkawl a ni em?
Awle. I doctor chuan a hnuaia thil thlengah hian operation neih a rawt thei che a ni.
- Natna a nasat a, nitin hnathawh tibuaitu a nih chuan.
- Varicocele hian fa neih theihna a nghawng a nih chuan.
- Testicles a tlahniam a nih chuan (a bik takin mipa naupangteah).
He surgery hi Varicocelectomy an ti a . Hei hian thisen khawlkhawmtu vein hring hringte hriatchhuah a, a tan a, a inzawm khawm (sealing) a huam a ni. Hei hian chu thisen chu chu thisen kalna tur chu a titawp a, thisen chu thisen kalna kawng hrisel leh pangngai tak takah a kal thei bawk. Hei hi surgery hlawhtling tak a ni tlangpui. Surgery atanga a dam kim theih nan kar 6 vel a ngai thei.
Engtikah nge Doctor i hmuh ang?
A hnuaia mite hi i neih chuan hun khawhral suh la, Doctor pan rawh.
- I scrotum-ah natna emaw, hliam emaw i neih chuan.
- Testcle pahnih lian leh te inthlauhna lian tak i hmuh chuan.
- I kut ah lump emaw thil danglam emaw i hriat chuan.
- Tleirawl i nih a, hetiang inthlak danglamna i hmuh chuan.
- Nang leh i kawppui nen naute neih tum in ni a, mahse in hlawhtling lo a nih chuan.
Doctor i hmuh hunah heng zawhnate hi zawh hreh suh.
- Varicocele ka nei tih i chiang em?
- Enkawlna ka mamawh em?
- Ka symptoms hi enkawl loh chuan a na zual ang em?
- Hei hian ka fa neih theihna a nghawng thei ang em?
- Eng enkawlna kawng nge ka neih?
- Surgery ka neih chuan ka fa neih theihna a titha ang em?
Take-Home Thuchah a ni
- Varicocele hi scrotum chhunga veins awmte a hring chhuak a ni. Hei hi a awm dan tlangpui a ni.
- Mi tam zawk chuan symptom an nei lo va, chhiatna a thlen vak lo.
- Thil engemaw takah chuan a bik takin Varicoceles lian tak takte hian natna a thlen thei a, testicular a ti tlahniam thei a, fa neih theihna a tichhe thei bawk.
- Natna i nei a, i hring a, i sesticles lian tham a inthlak a, fa neih harsatna i neih chuan doctor pan ngei ngei tur a ni.
- Hemi atan hian enkawlna tha tak tak a awm. Chuvangin hlauhna leh zak tur a awm lo. I hriselna ngaihtuah la, a tul angin hma la rawh.
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