I testicles i en hian a sir khat chu a sir dang aiin a innghat deuh niin a lang em? A nih loh leh i testicles area ah hian a chang chuan natna mak tak tak emaw rit tak emaw i nei thin em ? Heng thil awm chhan hi `Varicocele` an tih natna tlanglawn tak, mahse a tlangpui lo tak a ni thei. Lungngai suh, hei hi nunna atana hlauhawm a ni lo. Vawiin hian hemi chungchang zawng zawng hi a awlsam zawngin, i thianpa nen in inbia ang maiin kan sawifiah dawn a ni.
Varicocele hi eng nge ni? A awlsam zawngin i hrethiam ang u.
A awlsam zawngin, Varicocele chu i scrotum chhunga veins emaw blue veins emaw te chu a lo hring chhuak a, a lian a, a inzawm khawm a ni.
Ngaihtuah teh, kan zinga ṭhenkhat chuan kan keah varicose veins kan nei a, a dik em? `Varicose veins` kan ti a. Chutiang bawk chu scrotum chhunga veins te pawh a thleng thin. Scrotum hi penis hnung lama vun pouch a ni. He pouch chhungah hian i testicles te hi venhim a ni. Heng testicles atang hian thisen bawlhhlawh chu thinlungah phur kir lehtu vein thenkhat a awm bawk. Heng vein te hi a lo hring a, a lo lian chuan `Varicocele` kan ti thin.
A tam zawkah chuan he natna hi veilam testicle-ah a awm thin. Hei hi kan taksaa thisen kalna kawng inrem dan a inang lo deuh vang a ni. Mahse, a tlem berah chuan dinglam emaw, a sir lehlamah emaw a thleng thei.
Engtin nge varicocele i vei tih i hriat theih ang? Natna
Varicocele vei tam tak chuan natna lanchhuahna an nei lo a, mahse thenkhat chuan heng natna hi an nei thei a ni.
| Symptom a ni | Hrilhfiahna |
|---|---|
| Testicular natna a awm | Natna nasa tak aiin natna rit tak, dull ang maiin a lang zawk. He natna hi nilengin i ding emaw, exercise i tih hian a na zual thei. A natna chu i mut hian a reh tlangpui. |
| Testicle a hring chhuak | A sir khata testicle chu a sir dang aiin a lian zawkin a lang thei. |
| Knots chu kut ah a inkhung a | Varicocele a lian a nih chuan testicle chunglam i khawih chuan "bag of worms" ang maiin a lang thei. |
| Testicular atrophy a awm thei | Varicocele awmna sir lama testicle chu a hrisel lam aiin a lian lo zawk thei. |
| Fa neih harsat | Kum khat tal venhimna awm lovin nau pai harsat i neih chuan Varicocele hi a chhan a ni thei. |
"Worm riot" ang maia inhriat hi eng nge a awmzia?
Hei hi varicocele sawina atana hman tlanglawn ber a ni. Varicocele lian tak nei mipa scrotum i khawih chuan a vun hnuaia knotted, coiled noodles bunch ang maiin a lang. Chuvangin "bag of worms" an ti a ni. Mahse, varicocele te tak te chu hmuh theih loh leh khawih theih a ni lo.
Engvangin nge he Varicocele hi a lo awm? A chhan chu eng nge ni?
Doctor-te chuan hei hi a chhan chiang tak pakhat mah an la hmu lo a, mahse a theory ber chu , testicles atanga thisen phur chhuaktu veins-a valve-te hnathawh that loh vang a ni tih hi a ni
Heng valve te hi kawngkhar te tak te, kawng khata hawn theih angin ngaihtuah rawh. An hna chu thisen chu gravity dodal zawnga a kal chhoh hnua a hnuai lam pan leh tur tihtawp a ni. Chuvangin heng kawngkharte hi a khar tha lo a nih chuan thisen chu a luang leh a, thisen kalna kawng chhungah a inkhawm leh thin. Hun a kal zel a, he thisen hi a khat a, thisen kalna kawngte chu a lo hring a, ‘Varicocele’ a lo piang ta a ni.
He dinhmun hi tleirawl lai hian a lang hmasa ber fo thin a, a bik takin puitlin lai hian a lang hmasa fo thin . Hei hi a chhan chu he hun chhung hian mipat hmeichhiatna lama thisen kalna a pung a, heng thisen kalna kawng hrang hranga harsatna awm apiang a lang chhuak thin.
Hei hi thil pawi tak a ni em? Fa neihna a nghawng dawn em?
A hmasa berah chuan ‘Varicocele’ hi cancer ang chi, nunna atana hlauhawm, natna khirh tak a ni lo .
Mahse, thil pawi tak ni thei ber chu nau neihna a nghawng dan hi a ni . Varicocele hi mipa naupai theih lohna chhan 40% vel nen a inzawm tih hmuhchhuah a ni . Mahse, hei hian Varicocele vei zawng zawngin fa an nei thei lo tihna erawh a ni lo. Mi tam zawk chuan harsatna nei lovin fa an nei a.
Varicocele hian engtin nge fa neih hi a nghawng?
Hei hi a awm dan dik tak chu zirchian mek a ni a, mahse theory ber chu temperature sang vang a ni tih hi a ni .
- Testicular temperature: Mihring chi hrisel siam chhuah tur chuan kan taksa lumna pangngai aiin a lumna hi a hniam deuh tur a ni.
- Thisen awm zat: Varicocele-ah chuan thisen chu thisen kalna kawng (veins)-ah a pungkhawm a, chu chuan testicles chhehvel boruak lumna chu a pangngai aia sangin a tisang a ni.
- Sperm-a nghawng: Hetiang temperature sang hian sperm siamchhuahna, sperm quality leh motility-ah nghawng tha lo tak a nei thei a ni. Hei hi nau pai theih lohna thlentu a ni.
Hei bakah hian `Varicocele` vang hian harsatna dang engemaw zat a awm thei bawk:
- Testosterone level hniam: Testosterone hi mipa hormone ber a ni. Testicles ah a lo chhuak thin. Varicocele hian testicles hnathawh a tichhe thei a, he hormone level pawh a tihniam thei bawk. Hei hian mipat hmeichhiatna lama duhna a tlahniam thei a, taksa ruh chak lohna a thlen thei a, rilru hahna a thlen thei bawk.
- Azoospermia: Hei hi a awm ve lo. Azoospermia chu semen-a sperm awm loh vang a ni . Hei hi Varicocele natna khirh tak takah a thleng thei.
A pawimawh ber chu fa enkawl chungchanga zawhna i neih chuan doctor pan nghal la, sawipui rawh.
Engtin nge doctor hian hei hi a hriat chian? (Diagnosis) tih a ni.
Doctor i pan hunah i natna lan chhuah dan a zawt hmasa ang che a, chumi hnuah taksa enfiahna a nei leh ang. He exam chhung hian ding turin a ti ang che.
I doctor-in i scrotum a enfiah lai hian i hnar leh hmui khar turin a ti ang che a, i pum ruhte kha tikhauh turin a ti ang che a, thawk chhuah tum ang maia thawk chhuah tir turin a ti ang che. Hei hi Valsalva maneuver an ti a. Hei hian i pum chhunga pressure a tisang a, chu chuan varicocele i neih chuan veins te chu a bulging zawkin a lang thei a ni. Hei hian doctor chuan a hre thei ang a, a nemnghet thei bawk ang.
Chu bakah, a hnuaia test te hi a diagnosis finfiah nan tih theih a ni bawk:
- Scrotal Ultrasound Scan: Hei hi test tih tam ber a ni. He painless scan hian scrotum chhunga veins awm dan leh thisen kal dan chiang takin a hmu thei a ni.
- Semen analysis: Naupai harsatna i neih chuan i doctor chuan he test hi a rawt thei ang. Hei hian i semen sample lak a, sperm awm zat, quality leh motility test a huam a ni.
- Thisen test: Hei hian i hormone level, a bik takin hormone testosterone te chu a normal em tih enfiah nan a pui thin.
Varicocele chi hrang hrang a awm em? (Ranking) a ni.
Doctor-te chuan varicocele hi a nasat dan azirin grade hrang hrangah an thliar hrang a. Hei hi enkawl dan tur hriatfiah nan a pawimawh hle.
| Pawl | Hrilhfiahna |
|---|---|
| Pawl 0 a ni | A chi te ber. Taksa enfiah laiin palpable lo. Ultrasound scan hmang chauhin hriat theih a ni. |
| Pawl I zir tur a ni | Kut ah a inkhung lo tlangpui. A hmaa kan sawi tawh Valsalva maneuver (squeezing) tih hian kut ah a man chauh a ni. |
| Pawl II-na a ni | Valsalva maneuver tel lo pawhin Doctor chuan ding chungin a khawih chuan a hre thei a, mahse pawn lam a hmu thei lo. |
| Pawl III | A lian ber chi. Pawn lam atang chuan chiang takin a lang a, kut ah pawh nuam takin a in fit. |
Engtin nge enkawl a nih?
Enkawl leh enkawl loh chu i natna lan chhuah dan, Varicocele grade leh fa neih harsatna i neih leh neih lohah a innghat a ni.
In lamah leh general management-ah te
Varicocele te tak te i neih a, natna emaw, nau neih lama harsatna emaw a thlen loh chuan enkawlna engmah i mamawh lo mai thei. Mahse, natna emaw, lungawi lohna emaw i neih chuan hengte hi i lo enchhin thei ang:
- Supportive underwear: Tight, supportive underwear emaw jockstrap emaw bun hian natna a tiziaawm thei a, a bik takin exercise emaw hun rei tak ding emaw hian a tiziaawm thei a ni.
- Ice: Natna i neih chuan ice pack towel-a khuh chu scrotum-ah minute 10-15 vel dah la, i rilru hahdamna i hmu thei. (Ice hi vunah direct-in dah ngai suh).
- Painkillers: Doctor thurawn angin `Ibuprofen` ang chi painkillers (NSAIDs) i ei thei. Mahse, hengte hi i hman hmain doctor rawn hmasa phawt tur a ni a, chu chu i tan a tha em tih enfiah hmasa phawt tur a ni.
Surgery (Varicocelectomy) tih a ni.
Varicocele avanga natna nasa tak i neih chuan, i testicles a lo tlahniam a nih chuan, emaw, fa neih theihna a nghawng a nih chuan i doctor chuan operation neih a rawt thei ang.
He surgery hi a awlsam hle. Surgeon chuan harsatna chu a hmuchhuak a, thisen kalna (veins) a hring a, a tikehsawm a, a seal a ni. Chu chuan chu thisen chu chu thisen kal tlang chu a titawp a, thisen chu thisen hrisel dang kal tlangin a luang tan ta a ni. Hei hi surgery hlawhtling tak a ni. Surgery atanga a dam kim theih nan kar 6 vel a ngai thei.
Varicocele leh Hydrocele hi eng nge an danglamna?
Mi thenkhat chuan heng natna pahnih hi testicles-ah a awm avangin an buaipui thin.
- Varicocele: Hei hi veins-a harsatna a ni . Testicles chhunga veins te chu a lo hring chhuak thin.
- Hydrocele: Hei hi fluid- filled sac a ni. Hydrocele hi testicles chhehvela tui awmkhawm vang a ni. Hei hi nausen naupangte zingah a tam ber.
An pahnih symptom leh enkawl dan pawh a inang lo vek a, chuvangin harsatna i neih chuan eng nge a nih chiang taka hriat theih nan doctor pan a pawimawh.
Take-Home Thuchah a ni
- Varicocele hi mipa zingah a awm fo thin. Zak leh hlauh a ngai lo.
- Mi tam zawk chuan natna lanchhuahna engmah an nei lo va, chutiang hunah chuan enkawl ngai a awm lo.
- Hei hi nunna atana hlauhawm tak a ni lo nain nau neih theihna a nghawng thei a ni.
- Testicular pain, swelling, i kut ah lump i neih emaw, naupai harsatna i neih chuan doctor pan nghal rawh.
- Enkawl dan awlsam tak bakah enkawlna atan surgery hlawhtling tak tak a awm bawk. Chuvangin damdawi lam thurawn mumal tak zawn a pawimawh.
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