Kua piko ngā uaua o ngā huakita? Me ako tātou i ngā mea katoa e pā ana ki te pokanga Varicocelectomy!

Kei te pēhia koe e te ahua kei te puta he uaua i roto i ō huakita? He mea taumaha rānei, he mea mamae rānei i taua wāhi? Mena kei te raru koe i te haputanga me ēnei mea, tera pea kei a koe te mate e kiia nei e ngā tākuta he 'Varicocele'. Kaua e manukanuka, he mate ka taea te rongoā tēnei e pā ana ki te tini o ngā tāne. Nō reira, i tēnei rā, me kōrero tātou mō te Varicocele me te pokanga Varicocelectomy e mahia ana mōna.

He aha te Varicocele i te nuinga o te wā?

Ko te Varicocele he āhuatanga e pupuhi ai, e whakanuia ai, e piko ai ngā uaua i roto i tō kiriuhi. He rite ki te āhua o ētahi tāngata e pāngia ai e ngā uaua varicose i ō rātou waewae. Ina ngoikore ngā takirere i roto i ngā uaua e kawe ana i te toto paru mai i ngā testicle, ka taea e te toto te hoki ake ki roto i ēnei uaua. Koinei te wā e pupuhi ai, e whakanuia ai ēnei uaua.

Ahakoa ka taea tēnei te pā i ngā tau katoa, ka mōhio te nuinga o te tangata kei te pāngia rātou i te wā o tō rātou tamarikitanga, arā, i muri i te pakeketanga.

Ko wai e tika ana kia pokangahia te Varicocelectomy?

Ehara i te mea ko te hunga katoa he varicocele e hiahiatia ana he pokanga, engari he maha ngā take matua e taunaki ai tō tākuta i tēnei pokanga.

• Te Korekore o te Tāne: Ko te Varicocele tētahi o ngā tino take o te korekore o te tāne. Nā te mea ka kī tonu ngā uaua i te toto, ā, ka piki ake te pāmahana huri noa i ngā poro. Ka pā kino tēnei pāmahana piki ake ki te whakaputanga parāoa me tōna kounga. Nō reira, ki te pāngia tētahi tokorua e ngana ana ki te whānau tamariki e tēnei raruraru i te taha tāne, ka tūtohu te tākuta i tēnei pokanga.
• Mamae o te kōpū: Tērā pea ka pāngia ētahi tāngata e te mamae taimaha, e te mamae tō rānei i roto i ō rātou kōpū nā te Varicocele. Ka kino ake pea tēnei mamae ina tū ana i te rā roa, ina whakakori tinana rānei. Mēnā ka whakararuraru tēnei mamae i ngā mahi o ia rā, he otinga pai pea te pokanga.
• Te ngoikore o te kōpū: Tērā pea ka iti haere te kōpū e pāngia ana, ka tīmata hoki te mimiti nā te varicocele. I tēnei wā, ka tūtohu pea te tākuta kia pokangahia.
• Te Hekenga o te Testosterone: I ētahi wā, ka heke te hanga o te homoni tāne testosterone i te Varicocele. He take anō hoki tēnei hei whakamahi i te pokanga.

Me pēhea e kitea ai tēnei e koe, e Tākuta?

Ina haere koe ki te kite i tō tākuta, ka pātai atu ia ki a koe mō ō tohumate, ā, ka tirotirohia hoki e ia tō kiriuhi. Ka tirohia pea e ia tō kiriuhi. Tērā pea ka tonoa koe kia tū, kia noho, kia pupuri i tō manawa (te mahi a Valsalva). Ina mahi koe i tēnei, ka mārama te rongo i ēnei uaua pupuhi.

I te nuinga o te wā (tata ki te 90%) ka puta te Varicocele i te rae maui. Heoi, i ētahi wā ka puta i ngā taha e rua.

Ka tohua e te tākuta ētahi atu whakamātautau hei whakaū i te tautuhi mate me te mārama ki te kaha o te mate.

• Matawai Ultrasound: Mā tēnei ka taea e koe te kite mārama i te āhua o ngā uaua me te rere o te toto i roto i ngā huakita.
• Tātaritanga Parāoa: He mea nui tēnei whakamātautau kia mārama ai koe ki te rahi, te nekehanga, me te āhua o tō parāoa.
• Whakamātautau Toto: Ka āwhina tēnei ki te tirotiro i ngā taumata homoni, inā koa ngā taumata testosterone.

I muri i ēnei whakamātautau, ka whakaritea he whakatauranga i runga i te kaha o tō Varicocele.

He aha ngā tikanga hei mahi i te Varicocelectomy?

E rua ngā tikanga matua mō tēnei pokanga. Ko tētahi he pokanga tuwhera tuku iho. Ko tētahi he pokanga iti rawa te whakaekenga. Mā tō tākuta e whakatau ko tēhea tikanga te mea pai mōu.

1. Pokanga Tuwhera

I roto i tēnei mahi, ka tapahia te kiri, ā, ka rongoatia ngā uaua e tika ana.

• Herea te puku: Ka rongoatia ngā uaua mā te tapahi i tētahi tapahi iti ki te rohe o te puku.
• Herea i raro i te kiri o te uma: Ka tapahia he tapa i raro noa i te hope.
• Herea Retroperitoneal: Ka tapahia he wahi iti ki te taha o te puku, ā, ka rongoatia ngā uaua mai i roto.

2. Pokanga Whakaiti i te Whakaurunga

He iti ake te kino o ēnei ki te tinana, ā, he poto ake te wā whakaora e hiahiatia ana.

• Varicocelectomy Laparoscopic: Ka mahia te pokanga mā te hanga i ētahi tapahi iti rawa ki te puku, ka whakauruhia he ngongo angiangi (laparoscope) me te kāmera e piri ana, ka mātakihia ki runga i te aroturuki, ma te whakamahi i ngā taputapu tairongo.
• Te Varicocelectomy Microsurgical: Koinei te tikanga tino angitu me te pai rawa atu e wātea ana. Ka tapahia he tapahi iti rawa ki te rohe o te hope, ā, ka ata rongoatia ngā uaua i raro i te arataki a te karuārai tino kaha (Operating Microscope). I roto i tēnei tikanga, he tino iti te tūponotanga o te kino ki ngā uaua hauora, ngā oko toto lymphatic, me ngā uaua. Nō reira, he iti ake hoki ngā raruraru.

Me pēhea te whakarite i mua i te pokanga?

Ka hoatu e tō tākuta he huinga tohutohu ki a koe i ētahi rā i mua i te pokanga.

• Kōrerotia ki tō tākuta ngā rongoā katoa e tangohia ana e koe: Kia mahara ki te kōrero ki tō tākuta mō ngā rongoā katoa, ngā huaora, ngā hua otaota rānei e tangohia ana e koe. Ina koa mēnā kei te tango koe i ngā rongoā whakaiti toto pēnei i te aspirin, ka tonoa koe kia mutu te tango i aua rongoā i ētahi rā i mua i te pokanga.
• Kōrerotia ki tō tākuta ngā mate pāwera kei a koe (pērā i ngā rongoā, ngā horoi kiri, te rapa).
• Nohopuku: Ka tohutohuhia koe kia kaua e kai, e inu rānei i tetahi mea mō ētahi haora i mua i te pokanga. He mea tino nui tēnei. Mena he kai kei roto i tō puku i a koe e noho ana i raro i te mate whakamoe, ka ruaki pea e koe, ā, ka uru ki roto i ō pukahukahu. Ka pā mai he mate kino (aspiration pneumonia).

He aha ngā mea ka tupu i te wā e pokangahia ana?

Kāore he mea e wehi ai. Mā tētahi rōpū tohunga mō ngā pūnaha mimi me te pūnaha whakaputa uri (Urologist), he tohunga whakamoe, me tētahi nēhi tēnei mahi pokanga.

Ka tukuna he rongoā whakamoe whānui ki a koe, kia kore ai koe e mamae i te wā e pokangahia ana. Ka rite koe ki te mea kei te moe roa koe.

Kia kore koe e mōhio, ka tapahia e te tākuta he uaua pupuhi (varicocele) i runga i te tikanga i whiriwhiria e koe, ā, ka kitea te uaua pupuhi (varicocele). Kātahi ka tapahia te uaua, ā, ka hiritia ngā pito e rua. Mā tēnei ka mutu te rere o te toto i roto i taua uaua, ā, ka taea te rere o te toto i roto i ētahi atu uaua hauora i roto i te scrotum.

I ētahi wā, ka whakatakotoria pea he ngongo silicone iti (he paipa waikeri) hei tango i te toto, i te wai rānei e kohia ana i muri i te pokanga. Hei whakamutunga, ka katihia te tapahi ki ngā tuitui.

I te nuinga o te wā, ka roa pea te pokanga laparoscopic mō te 30-40 meneti, ko te pokanga microsurgical ia ka roa pea mō te 1-3 hāora.

He aha ngā mea ka tupu i muri i te pokanga?

I muri i te pokanga, ka haria koe ki te rūma whakaora, ā, ka aroturukihia tō āhua e ngā kaimahi hauora kia hoki rā anō tō māramatanga.

Ina hoki mai tō māramatanga, tera pea ka pōuri koe, ka mamae hoki te wāhi i tapahia ai. Whai muri i te whakaū kei te pai ngā mea katoa, ka whakaaetia koe kia hoki ki te kāinga i roto i ētahi haora. Heoi anō, me whai tangata hei kawe i a koe ki te kāinga. He mea tino nui kia whai tangata hei āwhina i a koe mō ngā rā tuatahi, e rua rānei.

He aha ngā painga me ngā mōrearea o tēnei pokanga?

Pērā i ngā pokanga katoa, he pai ngā painga o tēnei pokanga, engari he iti noa ngā mōrearea.

Ngā Painga

• He pokanga tino haumaru: he iti rawa te mōrearea o ngā raruraru.
• Te pikinga ake o te momonatanga: Nā te pikinga ake o te hanga parāoa me ngā taumata homoni testosterone, ka piki ake te tūponotanga ki te whānau tamariki tae atu ki te 70%.
• Whakamamae mamae: Ka ngaro katoa te mamae me te taumaha i roto i ngā rakuraku.
• Te āhua pai ake: Ka ngaro te āhua "pōro noke" whakararuraru, ā, ka hoki anō te āhua o te kiriuhi ki te āhua noa.

Ngā Tūponotanga

Kāore ēnei e tino puta pinepine ana, engari he mea pai kia mōhio koe ki ēnei.

• Ngā tūponotanga e pā ana ki te rongoā whakamoe.
• Ngā raruraru whakaora patunga, ngā mate pāwera rānei.
• He toto totoka (Hematoma).
• Te pupuhi, te marō, me te whara.
• Te hydrocele (te kohikohinga wai huri noa i ngā rauropi).
• Te pakaru o te uaua e tuku toto ana ki te hope (he tino onge).
• Te hokinga mai o te varicocele.

Te wā whakaora me ngā mea hei whai i te kāinga

He rerekē te roa o te wā e ora katoa ai te tangata. I te nuinga o te wā, ka memeha te pupuhi me te marō i roto i ngā wiki e 3-4. Heoi, ka roa pea te mamae o te hope tae atu ki te 6 wiki.

• Te whakahaere mamae: Tangohia ngā rongoā whakamamae mamae kua tohua e tō tākuta i te wā tika. Hei whakaiti i te pupuhi, whakatakotoria he putea hukapapa kua takaihia ki te kakahu ma ki runga i te patunga mō te 10 meneti pea. Ka taea e koe te mahi i tēnei i ētahi wā i te rā.
• Kia ma te patunga: Horoia ō ringaringa ki te hopi me te wai i mua i te pā atu ki te patunga. Whakakapia ngā takai kia rite ki ngā tohutohu a tō tākuta.
• Kaukau: Kaua e kaukau i roto i te kaukau, kaua hoki e ruku ki roto i te kaukau kia ora rā anō koe. He pai te kaukau.
• Te hiki taumaha: Kaua e hiki i ngā taumaha neke atu i te 5 kg mō te iti rawa i te rua wiki. Āta karohia te whakakori tinana me te mahi taumaha.
• Kai: He mea tino nui kia kaua e mate puku. Kāore e pai te whakamātau i te puku i te wā e neke ana te puku. Nō reira, kai i ngā kai muka nui pērā i ngā kākano matomato, ngā huawhenua, me ngā hua rākau. Inuhia he nui te wai i te roanga o te rā.
• Ngā mahi ā-ira tangata: Kaua e moe tāne, kaua hoki e mahi i te mirimiri mō te iti rawa i te wiki .
• Te haere ki te mahi, ki te kura rānei: Ka taea e te nuinga o te tangata te hoki ki ā rātou mahi o ia rā i roto i ngā rā e toru.

Āhea te wā tika kia kite tonu i te tākuta

Ki te pāngia koe e tētahi o ngā tohu e whai ake nei, waea atu ki tō tākuta tonu atu.

• Te toto nui mai i te motu.
• Kei te pāngia koe e te kirika o te 100°F (38°C) neke atu rānei.
• Mena he pupuhi te patunga, he whero, he pupuhi hoki te wai (he tohu tēnei nō te mate).
• Mena kei te kino haere te mamae.