Kei te rongo koe i ētahi wā i tētahi mea rerekē, i tētahi mea taumaha, i tētahi mea rānei he pōro aho kei roto i ō ure? Ka mamae pea i ētahi wā. Ahakoa he maha ngā tāngata e whakama ana ki te kōrero mō tēnei mea, he mate tino noa tēnei i waenga i ngā tāne. I tēnei rā ka kōrero tātou mō tētahi mate e kiia nei ko te 'Varicocele' me te pokanga e kiia nei ko te 'Varicocelectomy'. Kaua e manukanuka, ka kōrerohia e tātou tēnei mea i roto i tētahi huarahi māmā noa iho, ā, ka mārama te katoa.
He aha te Varicocele?
He whakarāpopototanga noa iho, ko te varicocele he mate e nui haere ai, e pupuhi ai hoki ngā uaua i roto i te scrotum, te pēke kiri e pupuri ana i ō testicles, i te mea noa. Whakaarohia he rite ki ngā uaua varicose i roto i ō tātou waewae, ā, ka pērā anō te mea ka pā ki ngā testicles.
Ahakoa ka taea tēnei mate te puta i ngā tau katoa, ko te nuinga o te wā ka kitea tuatahitia i te wā taitamarikitanga, arā, i muri i te pakeketanga. I tētahi whenua pērā i Amerika, e kiia ana kotahi i roto i te rima ngā tāne e pāngia ana e tēnei mate. Nō reira, ka taea e koe te whakaaro ki te whānui o tēnei.
Ko wai e hiahia ana ki te Varicocelectomy?
Ehara i te mea ko te hunga katoa he varicocele e hiahiatia ana he pokanga. Heoi, tera etahi ahuatanga ka tūtohu pea tō tākuta i tēnei pokanga:
- Te Korekore: Ko te Varicocele tētahi o ngā tino take o te korekore o te tāne. Nō reira, ka taea e tēnei pokanga te whakanui ake i te momonatanga o te tāne e hapu ana. Inaa, e whakaatu ana ngā rangahau ka piki ake te tūponotanga o te haputanga i muri i tēnei pokanga tae atu ki te 70%.
- Mamae o te kōpū: Mena ka pāngia koe e te mamae o te kōpū i ngā wā katoa.
- Ngā taumata testosterone iti: Ka taea e te Varicocele te whakaiti i te hanga o te homoni tāne testosterone.
- Te ngoikore o te hope: Mena he iti ake te hope i te taha e pāngia ana e te varicocele i tetahi atu.
Me pēhea te tākuta e tautuhi ai i te Varicocele?
Ina haere koe ki te tākuta, ka pātai atu ia ki a koe mō ō tohumate, ā, ka tirotirohia hoki e ia tō tinana. I tēnei wā, ka tonoa koe kia tū, kia noho, kia pupuri i tō manawa i a koe e whakakorikori ana i ō uaua puku, me te mea kei te neke koe i te puku (te nekehanga Valsalva) . Ko tā tēnei he tirotiro mēnā ka taea e koe te rongo i te pupuhi o ō uaua.
I te nuinga o te wā (tata ki te 90%) ka kitea noa tēnei āhuatanga i te rae maui, engari i ētahi wā ka kitea pea i ngā taha e rua.
Tērā pea ka tūtohu te tākuta i ētahi atu whakamātautau kia tika ai te tautuhi.
- Matawai Ultrasound: Mā tēnei ka taea e koe te kite mārama i te āhua o ngā uaua i roto i ngā huakita.
- Tātaritanga Parāoa: Mā tēnei whakamātautau ka taea te whakatau mēnā kua pā tēnei āhuatanga ki tō momonatanga.
- Whakamātautau Toto: Tirohia ngā mea pēnei i te taumata o ngā homoni.
I muri i ēnei whakamātautau, ka whakarōpūtia tō Varicocele ki ngā taumata i runga i te kaha o te mate.
| Te Tohu Varicocele | Whakaahuatanga |
|---|---|
| Tau 0 | Koinei te momo iti rawa. Kāore e taea te rongo i te wā e tirotirohia ana te tinana, engari ka kitea mā te matawai ultrasound. |
| Taumata Tuatahi | Ka taea anake e te tākuta te rongo i te manawa ina mahi koe i te mahi Valsalva (pupurihia tō manawa ka pēhi). |
| Tau II | Ahakoa kei roto koe i te tūnga noa, ka taea e koe te rongo, engari kāore e kitea. |
| Taumata III | Koinei te momo nui rawa atu. E kitea mārama ana mai i waho. |
He aha ngā momo pokanga Varicocelectomy?
E rua ngā tikanga matua mō te mahi i tēnei pokanga.
1. Pokanga Tuwhera
I tēnei, ka mahia te pokanga mā te tapahi i te kiri, me te tiro mārama ki te kiko o roto. E wehea ana kia maha ngā momo i runga i te wāhi i tapahia ai. (Tauira: Inguinal, Subinguinal).
2. Pokanga Whakaiti i te Whakaurunga
I roto i ēnei tikanga, he iti noa te kino ki te kiri me ngā kiko, nō reira he poto te wā whakaora.
- Varicocelectomy Laparoscopic: I roto i tēnei, ka mahia he tapahi iti noa iho ki te puku o raro, ā, ka whakauruhia he ngongo angiangi me te kāmera (laparoscope). Ka taea e te tākuta te tiro i runga i te aroturuki, ā, ka taea te mahi i te pokanga me ngā taputapu tino ngawari. He poto te wā e pau ana ki tēnei pokanga, tata ki te 30-40 meneti.
- Te Varicocelectomy Microsurgical: Ka mahia hoki tēnei mā te tapahi iti, mā te whakamahi i tētahi karu hiko tino kaha hei tiro mārama i ngā uaua ngawari. Koinei te tikanga tino angitu me te tino haumaru. Ka roa pea tēnei i waenga i te 1-3 hāora.
Me pēhea te whakaora i a koe i muri i te pokanga?
Ka rerekē pea te roa o te whakaoranga i ia tangata, i ia tangata, engari ko te tikanga whānui, koinei ngā mea hei tumanakohia.
Ko te mea nui ko te whai i ngā tohutohu a te tākuta kia tino tika.
- Mamae me te pupuhi: Ka memeha haere te pupuhi me te marutanga o te hope me te kiriuhi i muri i ngā wiki e 3-4. Whakamahia ngā rongoā whakamamae mamae kua tohua e tō tākuta hei whakamama i te mamae. He pai hoki te pani i te putea hukapapa mō te pupuhi.
- Mahi: Kaua e hiki i tētahi mea taumaha atu i te 4.5 kg (10 lbs) mō te iti rawa i te rua wiki. Kaua hoki e puremu me te moe tāne mō te wiki kotahi, e rua rānei.
- Te tiaki i te patunga: Kia ma te patunga. He pai ake te kaukau i te kaukau.
- Kai: Kai i ngā kai momona i te muka (hua rākau, huawhenua) me te inu i te nui o te wai hei ārai i te mate puku. Kāore te mirimiri i te wā e tūtae ana i te pai mō te patunga.
- Hoki ki te mahi/kura: Ka taea e te nuinga o te tangata te hoki ki ngā mahi o ia rā i roto i ngā rā e 3.
He aha ngā painga me ngā mōrearea o tēnei pokanga?
Pērā i ngā pokanga katoa, he painga, he iti noa hoki ngā mōrearea o tēnei pokanga.
| Ngā Painga | Ngā Tūponotanga |
|---|---|
| Ka nui ake te hanga parāoa me te testosterone, ka nui ake te momonatanga . | Ngā tūponotanga e pā ana ki te rongoā whakamoe. |
| Te whakaiti i te mamae i roto i ngā kōpū. | Te pangia o te patunga. |
| Ka hoki anō te āhua o ngā whekau ki te āhua noa. | He toto totoka (Hematoma). |
| He tino haumaru te pokanga, ā, he onge ngā raruraru. | Te hydrocele (te kohikohinga wai huri noa i ngā rauropi). |
| He onge noa iho te hokinga mai o te varicocele. |
Āhea koe me toro atu ki te tākuta tonu?
I muri i te pokanga, ka whakaritea e tō tākuta he rā mō te tirotiro anō. Heoi, ki te pā mai ētahi o ngā tohu e whai ake nei ki a koe, waea atu ki tō tākuta tonu.
- Te toto nui mai i ngā motu.
- He kirika neke atu i te 38 nekehanga Celsius (100 Fahrenheit).
- Ngā tohu o te mate pāwera o te patunga (whero, pupuhi, pupuhi).
- Ka kore e taea te manawanui te mamae .
Karere Tangohia ki te Kāinga
- He mate noa te Varicocele, ā, ka taea te rongoā i waenga i ngā tāne, nō reira kāore he take e wehi ai, e whakama ai rānei.
- Ahakoa ka pā tēnei āhuatanga ki te momonatanga, he nui te tūponotanga ka taea e te pokanga varicocelectomy te whakapai ake i te momonatanga.
- He pokanga haumaru tēnei, engari kia angitu ai ngā hua, he mea nui kia ata whai i ngā tohutohu a te tākuta i muri i te pokanga.
- Mena he pātai, he ruarua rānei āu mō tēnei mea, kōrero mārire atu ki tō tākuta. Māna e whakamārama ngā mea katoa ki a koe.
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