Testicles chhunga veins te hi a twisted em? Varicocelectomy surgery chungchang zawng zawng i zir vek ang u!

I testicles ah hian vein bunch khat i nei niin i hria em? A nih loh leh chu lai hmunah chuan thil rit emaw, hrehawm tlem emaw a awm em? Heng thilte bakah hian nau pai kawngah harsatna i neih chuan doctor-te’n ‘Varicocele’ an tih chu i nei thei a ni. Ngaihtuah buai suh, hei hi enkawl theih a ni a, mipa tam tak a nghawng a ni. Chuvangin vawiin hian Varicocele hi eng nge a nih leh a tana Varicocelectomy surgery an tih dan hi han sawi ila.

A awlsam zawngin, Varicocele hi eng nge ni?

Varicocele hi i scrotum chhunga veins te chu a lo hring chhuak a, a lian a, a inher chhuak thin. Mi thenkhatin an kea varicose veins an neih dan nen a inang hle. Testicles atanga thisen bawlhhlawh phur chhuaktu veins chhunga valve te chu a chak lo a nih chuan heng veins ah hian thisen chu a back up thei a ni. Hei hi heng veins te hi an lo hring chhuak a, an lo lian chho zel a ni.

Hei hi kum eng pawha thleng thei mah se, mi tam zawk chuan an tleirawl lai, chu chu puitlin hun an thlen hnuah an nei tih an hre chiang hle.

Tute nge Varicocelectomy surgery nei tur?

Varicocele vei zawng zawng hian operation an mamawh vek dawn lo a, mahse i doctor-in he surgery hi a rawt theih chhan lian tak tak engemaw zat a awm.

• Mipa nau pai theih lohna: Varicocele hi mipa nau pai theih lohna thlentu lian tak a ni. Hei hi a chhan chu vein-ah thisen a khat a, testicles vel temperature a sang chho zel a ni. Hetianga temperature sang hian sperm siamchhuah leh an quality a nghawng tha lo hle. Chuvangin, fa neih tum nupa tuak khatin mipa lamah hetiang harsatna hi an neih chuan doctor chuan he surgery hi a rawt ang.
• Testicular pain: Mi thenkhat chuan Varicocele vangin an testicles-ah rit emaw, pulling pain emaw an nei fo thei. He natna hi nilenga ding emaw, exercise lak emaw hian a zual thei hle. He natna hian nitin hnathawh a tibuai a nih chuan operation hi a solution tha tak a ni thei.
• Testicular Atrophy: Varicocele vangin testicle natna chu a te deuh thei a, a lo tlem tan thei bawk. Chutiang a nih chuan doctor chuan operation tih a rawt mai thei.
• Testosterone tlahniam: A then phei chuan Varicocele hian mipa hormone testosterone siamchhuah a ti tlahniam thei a ni. Hei hi surgery lama inrawlh chhan a ni bawk.

Engtin nge hei hi i hmuh theih, Doctor?

Doctor i pan hunah i symptoms te a zawt ang che a, physical exam a ti ang che. I scrotum chu a enfiah ang. Ding tur, thu turin leh thawk la turin an ti mai thei che (the Valsalva maneuver). Chutianga i tih chuan heng thisen zam hringte hi chiang takin i hre thei ang.

A tam ber (90% vel) Varicocele hi veilam testicle-ah a awm thin. Mahse, a chang chuan a sir lehlamah a thleng thei.

Doctor hian test eng emaw zat tih belh leh turin a ti ang a, chu chuan a natna hmuhchhuah a nih leh nih loh a hriat chian lehzual ang.

• Ultrasound Scan: Hei hian thisen kalna kawng (veins) dinhmun leh testicles chhunga thisen kal dan chiang takin a hmu thei a ni.
• Semen Analysis: He test hi i sperm lian leh te, a che vel leh a pianzia hriat chian nan a pawimawh hle.
• Thisen Test: Hei hian hormone level a check thei a, a bik takin testosterone level a check thei a ni.

Heng test te hi i Varicocele nasat dan a zirin grade siam a ni.

Varicocelectomy tih dan tur chu engte nge ni?

He surgery hi tih dan tlangpui pahnih a awm a. Pakhat chu traditional open surgery a ni. A dang chu minimally invasive surgery a ni. I doctor chuan eng method nge i tan a tha ber tih a rel ang.

1. Open Surgery neih a ni

Hetah hian vun chu tan a, a kaihhnawih vein te chu enkawl a ni.

• Inguinal Ligation: Veins te hi groin area ah incision te tak te siamin enkawl a ni.
• Subinguinal Ligation: Groin hnuai chiaha incision siam a ni.
• Retroperitoneal Ligation: Pum sir lamah incision te tak te siam a ni a, a chhung lam atanga veins te enkawl a ni.

2. Minimally Invasive Surgery tih a ni

Chungte chuan taksa a tichhe tlem a, dam lehna hun a mamawh tlem bawk.

• Laparoscopic Varicocelectomy: Surgery hi pum chhungah incision tenau tak tak engemawzat siamin, camera dahna tur tube te tak te (laparoscope) dahin, monitor-ah enin, instrument nalh tak tak hmangin an ti thin.
• Microsurgical Varicocelectomy: Hei hi hmanraw hlawhtling ber leh tha ber nia ngaih a ni. Groin area-ah hian incision te tak te tak tak siam a ni a, chu chu microscope chak tak (Operating Microscope) kaihhruaina hnuaiah nalh takin an enkawl a ni. Hetiang method hmang hian vein hrisel, lymphatic vessel leh arteries te tihchhiat theihna a tlem hle. Chuvangin complication pawh a tlem hle.

Operation hmain engtin nge i inbuatsaih thin?

I doctor chuan operation hma ni engemaw zat chhungin instruction set khat a pe ang che.

• I damdawi ei tur eng pawh doctor hnenah hrilh rawh: Damdawi, vitamin emaw, herbal product emaw i ei tur chu i doctor hnenah hrilh ngei ang che. A bik takin thisen tithianghlimtu aspirin ang chi i ei a nih chuan operation hma ni engemaw zat chhung chu ei tawh lo turin an ti ang che.
• Allergy i neih apiang (damdawi, vun tifai, latex ang chi) i doctor hnenah hrilh rawh .
• Chaw nghei: Zai hma darkar engemaw zat chhung chu engmah ei leh in lo turin thurawn i pe ang. Hei hi a pawimawh hle a ni . Anesthesia i pek laiin i pum chhungah ei tur i neih chuan i luak chhuak thei a, i lung chhungah a lut thei bawk. Hei hian natna khirh tak (aspiration pneumonia) a thlen thei a ni.

Surgery neih chhung hian eng nge thleng?

Hlauh tur a awm lo. He surgery hi urinary leh reproductive system lama specialist team (Urologist), anesthesiologist leh nursing staff te chuan an ti thin a ni.

General anaesthetic pek i ni ang a, chuvangin operation neih chhung hian natna engmah i nei lovang. I muhil nghal mai ang mai a ni ang.

I hriat loh hnuah doctor chuan i duh angin incision a siam ang a, a hring (varicocele) chu a hmu ang. Tichuan, vein chu an tan a, a tawp pahnih chu an seal leh thin. Hei hian chu vein kal tlanga thisen kal chu a titawp a, thisen chu scrotum chhunga vein hrisel dang kal tlangin a kal thei bawk.

A châng chuan, operation hnua thisen emaw, tui emaw khawlkhawm apiang chu chhuah chhuah nân silicone tube (drain) te te dah theih a ni. A tawpah chuan incision chu stitches hmangin an khar a.

A tlangpuiin laparoscopic surgery hian minute 30-40 vel a awh thei a, microsurgical surgery erawh chuan darkar 1-3 vel a awh thei thung.

Surgery hnuah eng nge thleng?

Surgery zawhah recovery room-ah hruai i ni ang a, chutah chuan medical staff-te chuan i hriatna i neih leh hma loh chuan i dinhmun an enfiah ang.

I hriatna i neih leh chuan i lu a buai deuh thei a, i incision na hmunah pawh natna engemaw zat i nei thei bawk. Engkim a pangngai tih i finfiah hnuah darkar tlemte hnuah haw phalsak i ni ang. Mahse, in lama hruai tur che i neih a ngai a ni. Ni khat emaw ni hnih emaw chhunga puitu tur i neih a pawimawh hle.

He surgery hian eng hlawkna leh hlauhawmna nge a neih?

Surgery dang ang bawkin he surgery hian hlawkna a nei a, chubakah hlauhawmna tenau tlemte a nei bawk.

A thatna te

• Surgery him tak: harsatna awm theihna a tlem hle.
• Nau neih chakna sang: Sperm siam chhuah tam leh testosterone hormone level avang hian fa neih theihna chance hi 70% thlengin a pung thei a ni.
• Pain relief: Testicles-a natna leh rit lutuk chu a bo vek.
• A lan dan tha zawk: "ball of worms" hmel nuam lo tak chu a bo a, scrotum hmel chu a pangngaiin a awm leh ta a ni.

Risk a awm thei

Hengte hi a thleng fo vak lova, mahse fimkhur a tha.

• Anesthesia nena inzawm hlauhawmna.
• Hliam damna lama harsatna emaw, natna hrik emaw a awm thei.
• Thisen chhuak (Hematoma).
• A hring, a hliam leh a hliam.
• Hydrocele (testicles chhehvela tui awmkhawm).
• Testicle-a thisen petu artery chhiatna (a tlem hle).
• Varicocele a lo awm leh thin.

Recovery hun leh in lama zawm tur thil

Dam kim theihna hun chhung hi mi hrang hrangah a inang lo. A tlangpuiin, a hring leh a hliam chu kar 3-4 chhungin a bo vek ang. Mahse, groin area-a natna thenkhat chu kar 6 thleng a awm thei.

• Pain management: Doctor-in a pek painkiller a hun takah ei thin ang che. Hliam hring tihtlem nan ice pack puan thianghlim taka khuh chu hliam chungah minute 10 vel dah la. Hei hi ni khatah vawi eng emaw zat i ti thei a ni.
• Hliam fai taka vawng tur: Hliam i khawih hmain sahbawn leh tuiin uluk takin kut sil hmasa phawt ang che. Doctor-in a tih angin bandage thlak thin ang che.
• Inbual: I dam hma chuan tub-ah inbual emaw, tui chawi emaw loh tur. Shower pawh a pawi lo.
• Thil rit chawi: Kar hnih tal kg 5 aia tam chawi loh tur. Exercise hahthlak leh hna rit tak tak tih loh tur.
• Diet: Constipation laka inven a pawimawh hle. Bowel movement laiin straining hi hliam tan a tha lo. Chuvangin, fiber tamna ei tur, greens, thlai, leh thei chi hrang hrang ei tam tur a ni. Nilengin tui tam tak in thin ang che.
• Sexual activity: Kar khat tal sex hman emaw, masturbate emaw loh tur .
• Hnathawh emaw, sikul kal emaw: Mi tam zawk chu ni thum vel chhungin an hnathawh dan pangngaiah an kir leh thei.

Doctor hmuh nghal hun tur

A hnuaia symptoms te hi i neih chuan doctor ko nghal rawh.

• Cut atanga thisen chhuak tam lutuk.
• Khawsik 100°F (38°C) aia sang nei.
• Hliam chu a hring a, a sen a, a hring (ozing pus) a nih chuan (infection chhinchhiahna).
• Natna a zual zel a nih chuan.