Paunochinja manapukeni emwana wako achangoberekwa, wakaona here kuti rimwe divi remazamu ake (mabhora) rakakura zvishoma pane rimwe? Dzimwe nguva kuzvimba kunodzikira mangwanani, asi zuva richifamba, kunyanya kana mwana achinyunyuta kana kuchema, kuzvimba kunoita sekunowedzera? Vabereki vazhinji vanotya zvishoma pavanoona izvi, uye zvakajairika. Asi kazhinji, hachisi chinhu chekutya. Nhasi, tiri kutaura nezvechirwere ichi chine vacheche vazhinji, chinonzi Communicating Hydrocele .
Zvichitaurwa zviri nyore, chii chinonzi Communicating Hydrocele iyi?
Zvakanaka, ngatirambei tichiita izvi zviri nyore. Hydrocele ibhegi rakazadzwa nemvura rakaita sebhegi rinoumba rakatenderedza testis. Zvino ungave uchibvunza kuti, "Saka chii chinonzi 'Kutaurirana'?" Ndicho chinhu chakakosha.
Fungidzira, mukati medumbu redu (mudumbu) mune mvura pamwe chete nenhengo dzakadai seura hwedu nechiropa. Kana mwana ari mudumbu raamai, machende anotanga kukura mukati medumbu remwana. Zvadaro anodzika zvishoma nezvishoma osvika paburi. Paanoburuka, nzira diki yakaita sechubhu inoumbwa kubva mudumbu kuenda paburi. Mukurapa, tinodana izvi kuti ``processus vaginalis``. Kazhinji, nzira iyi inovhara yoga mwana asati aberekwa kana kuti mushure mekunge aberekwa.
Asi mune vamwe vacheche, nzira iyi haivharike zvachose, zvichisiya buri diki. Nepaburi iroro, mvura iri mudumbu inouya youngana yakatenderedza scrotum. Izvi zvinonzi communicating hydrocele nekuti pane "kubatana" kana "kutaurirana" nemvura iri mudumbu.
Izvi zvakafanana nemafungu ari pamhenderekedzo yegungwa achiuya achienda. Kana mwana akasimuka obva aita manyawi, kumanikidzwa kwedumbu kunowedzera, zvichiita kuti mvura iburuke uye kuzvimba kukure. Kana mwana akarara, mvura inodzokera mudumbu, zvichiita kuti kuzvimba kuome.
Ndeupi musiyano uripo pakati pehydrocele yekutaurirana neisiri kutaura?
Pane musiyano mudiki asi unokosha pakati pemhando mbiri idzi. Zvakakosha zvikuru kuti uzive izvi.
| Hunhu | Kutaurirana kweHydrocele | Hydrocele Isina Kutaurirana |
|---|---|---|
| Chikonzero | Nzira iri pakati pedumbu nepaburi remazamu (processus vaginalis) inoramba yakavhurika. | Nzira yacho yakavharwa, asi mvura yaiungana pakutanga inoramba iripo nekuti muviri hauinye. |
| Hunhu hwekuzvimba | Huwandu hunochinja mukati mezuva (hushoma mangwanani, hwakawanda paunenge wakamuka). | Saizi yacho inowanzo gadzikana kana kuwedzera zvishoma nezvishoma. |
| Kukoshesa zvinhu zvakanyanya | Unofanira kungwarira zvishoma, nekuti pane njodzi yekuti hernia ibude kuburikidza neizvi. | Kazhinji hazvikuvadzi uye zvinopora zvega. |
Chii chinoitika kana chikasarapwa? Ngozi yekuva nehernia
Chikonzero chikuru chatinofanira kunyanya kunetseka nacho nezve `Communicating Hydrocele` injodzi yekuve nehernia yegumbo . Kana buri iroro ratakataura nezvaro rikaramba rakavhurika, kwete mvura iri mudumbu chete, asi dzimwe nguva chikamu chidiki cheura chinogonawo kuburuka nepaburi iroro chichipinda musuru. Ndizvo zvatinodaidza kuti hernia. Kana hernia ikaitika, dzimwe nguva inogona kunamatira, inova chirwere chakakomba chinoda kuvhiyiwa nekukurumidza. Saka, kana ukaona `Hydrocele`, zvakakosha kuiratidza kuna chiremba.
Ndiani angangoona chirwere ichi zvakanyanya?
Izvi zvinowanzoitika kakawanda.
- Vakomana vachangoberekwa: Chirwere ichi chinogona kubata vakomana vanosvika 50% vachangoberekwa. Zvisinei, zvirwere zvakawanda zvinopera zvega pasina kurapwa mwana paanosvika gore rimwe chete.
- Vana vakuru nevakuru: Dzimwe nguva zvinogona kuitika kuvana vadiki nevarume vakuru, asi pazera iroro zvinowanzoitika pamwe chete nehernia.
Zviratidzo zvacho ndezvipi? Unonzwa sei?
Chiratidzo chikuru cheizvi kuzvimba kusingarwadzi. Kunogona kunzwa sebhora diki rakazadzwa nemvura mukati memasuru.
| Boka rezera | Zviratidzo zvinoonekwa |
|---|---|
| Vacheche vachangoberekwa |
|
| Vana vakuru nevakuru |
Zvakakosha: Kana mwana mukuru akangoerekana azvimba uye arwadziwa zvakanyanya mumachende, zvinogona kunge zviri emergency inonzi `Testicular Torsion`. Kana izvi zvikaitika , enda kuEmergency Department (ETU) yechipatara chiri pedyo nekukurumidza.
Chiremba anoziva sei izvi?
Kana ukaudza chiremba wako nezvekuzvimba kwemwana wako, chinhu chekutanga chaachaita ndechekuongorora mwana wako nokungwarira. Izvi zvinowanzoonekwa nebvunzo iri nyore.
1. Kuongororwa kwemuviri: Chiremba achanzwa kuzvimba. Achatarisa kana kwakapfava, kwakaoma, kunorwadza, uye kuti kwakakura sei.
2. Kuvhenekesa kwemuviri: Iyi bvunzo iri nyore kwazvo. Chiremba anoshandisa mudziyo mudiki wakaita setochi kuvhenekesa chibereko chakazvimba. Kana paine mvura mukati, chiedza chichapfuura nepakati pacho choita sepingi. Izvi zvichasimbisa kuti i hydrocele zvakanyanya.
3. Ultrasound Scan: Dzimwe nguva, kana kuzvimba kwakanyanya, kana paine bundu rakaomarara, kana paine fungidziro diki yerimwe dambudziko (rakadai sekenza), chiremba anorayira kuti paitwe `Ultrasound scan`. Iyi bvunzo isingarwadzi uye yakachengeteka.
Inorapwa sei? Kuvhiyiwa kunodiwa here?
Apa ndipo panowanikwa mashoko akanakisa kuvabereki vazhinji.
Kazhinji, vanenge 90% yevacheche,Hapana mushonga unodiwa. Mwana paanosvika gore rimwe chete, buri ratakataura nezvaro rinovhara roga uye kuzvimba kunozopera.
Saka chiremba anowanzo tora nzira yekuti "ngationei". Achakuudza kuti uuye nemwana kunoongororwa mwedzi mishoma yega yega.
Saka, kuvhiyiwa (Hydrocelectomy) kunodiwa rini?
- Kana mwana asina kuzvimba kwegore rimwe kana maviri .
- Kana kuzvimba kwacho kwakakura zvikuru kana kuti kuchikonzera kusagadzikana kumwana.
- Kana zvikaonekwa kuti pane hernia (inguinal hernia) pamwe chete nehydrocele.
Kuvhiyiwa uku hakusi nyaya hombe. Kazhinji, kucheka kudiki (kusvika masendimita maviri) kunoitirwa munzvimbo yedumbu, mvura iri mukati inobuda, uye buri rinovharwa. Uku kuvhiyiwa kwezuva rimwe chete, zvinoreva kuti unogona kuenda nemwana wako kumba manheru iwayo.
Nzira yekutarisira mwana mushure mekuvhiyiwa?
Mwana achadzoka pakuva munhu akajairika mukati memazuva mashoma mushure mekuvhiyiwa, asi unofanira kungwarira nezvezvinhu izvi kwemavhiki maviri kusvika matatu.
- Dzivisa kusimudza zvinhu zvinorema: Usarega mwana wako achigara pamatoyi akatambanudzwa makumbo, semabhiza anotambanudzwa. Deredza huwandu hwemwana wako hwekukwira, kumhanya, uye kusvetuka.
- Chengetedzai cheni yacho: Zvakajairika kuti pave nekuzvimba kudiki pacheni yacho. Chiremba achakupai mishonga yekurwadziwa.
- Fonera chiremba wako nekukasika: Kana ukaona zviratidzo zvinotevera, fonera chiremba wako nekukasika.
- Kana ronda racho richibuda ropa
- Kana kurwadziwa kukawedzera
- Kana mwana aine fivha
- Kana kuzvimba kukawedzera zvakanyanya
- Kana ukaona shanduko muruvara rweganda (tsvuku, pepuru, brown, kana dema)
Kana uchifanira kuona chiremba zvechokwadi
Kunyangwe kunwa mvura isina kuchena kusiri kukuru, kana mwana wako aine chimwe chezviratidzo zvinotevera, zvinogona kunge zviri chiratidzo che hernia yakapwanyika. Saka tsvaga rubatsiro rwechiremba nekukasika.
| Zviratidzo zvekunyevera zvekutarisira | |
|---|---|
| Hunhu | Tsananguro |
| Kuzvimba kana bundu | Kungoerekana kwaita bundu rakaomarara mudumbu kana muhudyu. |
| Kurwadziwa kwakajeka | Mwana anoramba achichema, haagoni kunyaradzwa, uye anotowedzera kuchema kana abatwa nekuzvimba. |
| Kuda kudya | Kana mwana asiri kuyamwisa kana kudya sezvaagara achiita. |
| Kurutsa | Kana mwana achirutsa pasina chikonzero chakajeka. |
| Kuderera kwekufamba kwedumbu | Kana mwana asiri kuita tsvina sezvaagara achiita. |
Mharidzo Yekuenda Nayo Kumba
- Izvi zvinowanzoitika: Kutaurirana nezveHydrocele kwakajairika muvakomana vachangoberekwa. Saka musavhunduke zvisina kufanira.
- Inopora yoga: Kazhinji, chirwere ichi chinova nani chega pasina kurapwa mwana paanosvika gore rimwe chete.
- Kuchinja kwekuzvimba: Chiratidzo chechirwere ichi ndechekuti kuzvimba kunowedzera uye kunoderera mukati mezuva. Izvi zvakajairika.
- Ratidza chiremba : Kana ukaona kuzvimba mumachende emwana wako, zvakakosha kuti uratidze chiremba kuti uwane chirwere chakarurama.
- Ngwarira hernias: Kana ukaona zviratidzo zvakaita sekurwadziwa kamwe kamwe, bundu rakaoma, kana kurutsa, inogona kunge iri hernia, saka enda kuchipatara nekukasika.
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