A châng chuan thil danglam tak, rit tak, emaw, i testicles-a hrui ball ang maiin i hre ṭhin em? A chang chuan a hrehawm thei hle. Mi tam takin sawi chhuah zak mah se, hei hi mipa zingah chuan a awm fo thin. Vawiin hian ‘Varicocele’ tih natna leh ‘Varicocelectomy’ tih surgery chungchang kan sawi dawn a ni. Ngaihtuah buai suh, he thu hi awlsam tak leh mi zawng zawngin an hriatthiam theih tur angin kan sawi dawn a ni.
Varicocele hi eng nge ni?
A awlsam zawngin, varicocele hi scrotum chhunga veins, i testicles vawngtu vun bawm, a tlangpui aia lian leh hring chhuak a ni. Kan kea varicose veins ang maiin ngaihtuah la, chutiang bawk chu testicles-ah pawh a thleng thin.
Hetiang dinhmun hi kum eng pawhah lo awm thei mah se, puitling naupang, chu chu puitlin hnua hmuh hmasak ber a ni. America ang ramah chuan mipa panga zinga pakhatin he natna hi a nei niin an sawi. Chuvangin hei hi a hluar zia chu i ngaihtuah thei ang.
Varicocelectomy hi tuin nge mamawh?
Varicocele vei zawng zawng hian operation an mamawh vek dawn lo. Mahse, i doctor-in he surgery hi a rawt theihna tur dinhmun tlemte a awm a:
- Infertility: Varicocele hi mipa nau pai theih lohna thlentu lian tak a ni. Chuvangin, he surgery hian nau neih beisei mipaah hian fertility a tipung thei a ni. Dik tak chuan zirchianna atanga a lan dan chuan he operation hnua naupai theihna hi 70% thlengin a pung thei a ni.
- Testicular pain: Testicular pain i neih fo chuan.
- Testosterone level hniam: Varicocele hian mipa hormone testosterone i siam chhuah a ti tlem thei a ni.
- Testicular Atrophy: Varicocele awmna sir lama testicle chu a dang aiin a tlem zawk tih a chiang a nih chuan.
Engtin nge doctor hian Varicocele hi a hriat theih ang?
Doctor i pan hunah i symptoms te a zawt ang che a, physical exam a ti ang che. Hetih lai hian i pum ruhte i tihkhawtlai laiin ding tur, thut tur leh thawk khap turin an ti ang che, chu chu i rilru a buai ang maiin (the Valsalva maneuver) Hei hi i thisen kalna (veins) a hring chhuak chiang taka i hriat theih leh theih loh en nan a ni.
A tam zawkah chuan (90% vel) he natna hi veilam testicle-ah chauh hmuh tur a awm a, mahse a chang chuan a sir lehlamah a awm thei bawk.
Doctor chuan dik taka hriat theihna turin test eng emaw zat dang neih belh leh a rawt thei bawk.
- Ultrasound Scan: Hei hian testicles chhunga veins awm dan chu chiang takin a hmu thei a ni.
- Semen Analysis: He test hian he natna hian i nau neih theihna a nghawng em tih hriat theih nan a pui a ni.
- Thisen Test: Hormone level ang chi thil te enfiah thin ang che.
Heng test neih zawh hian i Varicocele chu a nasat dan azirin grade hrang hrangah then a ni ang.
| Varicocele Grade a ni | Hrilhfiahna |
|---|---|
| Pawl 0 a ni | Hei hi chi te ber a ni. Taksa endik laiin hriat theih a ni lo va, ultrasound scan hmangin hmuh theih a ni. |
| Pawl I zir tur a ni | Doctor chuan Valsalva maneuver (i thawk khap la, i squeeze) i tih chauhvin a hre thei. |
| Pawl II-na a ni | Dinhmun pangngaia i awm lai pawhin i hre thei a, mahse i hmu thei lo. |
| Pawl III | Hei hi chi lian ber a ni. Pawn lam atang chuan chiang takin a lang. |
Varicocelectomy surgery chi hrang hrangte chu engte nge ni?
He surgery hi tih dan tlangpui pahnih a awm a.
1. Open Surgery neih a ni
Hetah hian vun chu tan a, a chhunga tissue awm chu chiang taka enin surgery hi tih a ni. Incision awmna hmun azirin chi hrang hrangah then a ni. (Entirnan: Inguinal, Subinguinal tih te hi a ni).
2. Minimally Invasive Surgery tih a ni
Heng hmanruaah hian vun leh taksa peng hrang hrangah chhiatna a awm tlem hle a, chuvangin a dam hun chhung hi a rei lo hle.
- Laparoscopic Varicocelectomy: Hetah hian pum hnuai lam ah hian incision tenau tak tak tlemte siamin camera (laparoscope) hmanga tube te tak te dah a ni. Doctor chuan monitor-ah a hmu thei a, instrument nalh tak tak hmangin surgery a ti thei bawk. He surgery hi hun rei lote, minute 30-40 vel a ni.
- Microsurgical Varicocelectomy: Hei hi incision te tak te hmanga tih a ni bawk a, microscope chak tak hmangin thisen kalna kawng nalh tak takte chu chiang takin a en thei a ni. Hei hi hmanraw hlawhtling ber leh him ber nia ngaih a ni. Hei hi darkar 1-3 inkar vel a ni thei.
Operation hnuah engtin nge i dam leh theih ang?
Damna hun hi mi tin a inang lo thei a, mahse a tlangpuiin hengte hi beisei tur a ni.
A pawimawh ber chu Doctor thupek dik taka zawm hi a ni.
- Natna leh hring: Groin leh scrotum area-a hliam leh hliam hi kar 3-4 hnuah a reh ang. Natna tihziaawm nan doctor-in a pek painkiller hmang la. Ice pack hnawih hi a hring tan pawh a tha hle.
- Thiltih: Kar hnih tal chu 4.5 kg (10 lbs) aia rit thil phurh loh tur. Tin, kar khat emaw kar hnih emaw chhung chu masturbation leh mipat hmeichhiatna hman loh tur a ni.
- Hliam enkawl: Hliam chu vawn fai tur a ni. Inbual ai chuan shower lak a tha zawk.
- Diet: Fiber tamna ei tur (thei, thlai) ei la, tui tam tak in la, chaw ei kham loh nan. Defecation laiin straining hi hliam tan a tha lo.
- Hnathawh/sikul lama kir leh: Mi tam zawk chu ni 3 chhungin thil pangngaiah an kir leh thei.
He surgery hian eng hlawkna leh hlauhawmna nge a neih?
Surgery dang ang bawkin he surgery hian hlawkna leh hlauhawmna tenau tak a nei a ni.
| A thatna te | Risk a awm thei |
|---|---|
| Sperm leh testosterone siam chhuah a tipung a, nau neih theihna a tipung . | Anesthesia nena inzawm hlauhawmna. |
| Testicles-a natna tihziaawm. | Hliam natna hrik awm. |
| Testicles hmel chu a pangngaiin a kir leh thin. | Thisen chhuak (Hematoma). |
| Surgery hi a him tawk a, harsatna pawh a awm tlem hle. | Hydrocele (testicles chhehvela tui awmkhawm). |
| A tlem berah chuan varicocele a lo lang leh thin. |
Engtikah nge doctor pan vat a ngaih?
Operation hnuah i doctor chuan ni khat chu follow-up atan a pe tlangpui ang che. Mahse, a hnuaia symptoms te hi i neih chuan doctor ko nghal tur a ni.
- Cut atanga thisen chhuak tam lutuk .
- 38 degree Celsius (100 Fahrenheit) aia sang khawsik nei .
- Hliam natna chhinchhiahna (redness, swelling, pus).
- A natna chu tuar theih lohvin a lo awm ta a ni .
Take-Home Thuchah a ni
- Varicocele hi mipa zingah natna tlanglawn leh enkawl theih a nih avangin hlauh tur leh zah tur a awm lo.
- Hetiang dinhmun hian nau neihna a tichhe thei a, mahse varicocelectomy surgery hian nau neihna a tichangtlung thei tih chance a sang hle.
- Hei hi surgery hi a him tawk lo hle a, mahse result hlawhtling tak neih theih nan chuan surgery zawhah doctor thupek uluk taka zawm a pawimawh hle.
- Hemi chungchangah hian zawhna emaw rinhlelhna emaw i neih chuan i doctor nen inhawng takin sawi rawh. Engkim a hrilhfiah ang che.
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