Dzimwe nguva unonzwa chimwe chinhu chakasiyana, chinorema, kana kuti chakaita sebhora retambo mumachende ako here? Dzimwe nguva zvinogona kurwadza. Kunyangwe vanhu vazhinji vachinyara kutaura nezvazvo, ichi chirwere chinowanzoitika pakati pevarume. Nhasi tichataura nezvechirwere chinonzi 'Varicocele' uye kuvhiyiwa kunonzi 'Varicocelectomy'. Usazvidya moyo, tichataura nezvazvo zviri nyore uye nenzira iyo munhu wese anogona kunzwisisa.
Chii chinonzi Varicocele?
Zvichitaurwa zviri nyore, varicocele chirwere apo tsinga dziri mukati memasuru, saga reganda rinobata machende ako, dzinokura uye dzinozvimba kupfuura zvakajairika. Funga nezvazvo setsinga dziri mumakumbo edu, uye chinhu chimwe chete chinoitika kumachende.
Kunyangwe chirwere ichi chichigona kuitika chero pazera ripi zvaro, chinowanzoonekwa kekutanga muvanhu vakura, ndiko kuti, mushure mekuyaruka. Munyika yakaita seAmerica, zvinonzi murume mumwe chete pavashanu vane chirwere ichi. Saka unogona kufungidzira kuti izvi zvakajairika sei.
Ndiani anoda Varicocelectomy?
Havasi vese vane varicocele vanoda kuvhiyiwa. Zvisinei, pane dzimwe nguva apo chiremba wako angakurudzira kuvhiyiwa uku:
- Kusabereka: Varicocele ndiyo inonyanya kukonzera kusabereka kwevarume. Saka, kuvhiyiwa uku kunogona kuwedzera kubereka kwemurume ari kutarisira mwana. Kutaura zvazviri, zvidzidzo zvinoratidza kuti mukana wekubata pamuviri mushure mekuvhiyiwa uku unogona kuwedzera kusvika ku70%.
- Kurwadziwa kwetsvimbo: Kana uchirwadziwa nguva nenguva.
- Kuderera kwemazinga e testosterone: Varicocele inogona kukonzera kuderera kwekugadzirwa kwe testosterone yehomoni yemurume.
- Kupera kwenhengo dzematesticular: Kana nhengo dzematesticular dziri padivi pevaricocele dziri diki zvakanyanya pane dzimwe.
Chiremba anoongorora sei chirwere cheVaricocele?
Paunoenda kunoona chiremba, iye achakubvunza nezvezviratidzo zvako uye oita bvunzo yemuviri. Munguva iyi, uchakumbirwa kumira, kugara, uye kubata mweya wako uku uchigunzva tsandanyama dzemudumbu, sekunge uri kuita zvemukati (Valsalva maneuver) . Izvi ndezvekuona kana uchinyatsonzwa kuzvimba kwetsinga dzako.
Kazhinji (anenge 90%) chirwere ichi chinongoonekwa munhengo yekuruboshwe chete, asi dzimwe nguva chinogona kuwanikwa kumativi ese.
Chiremba anogona kukurudzira mimwe miedzo yakawanda kuti awane chirwere chacho nemazvo.
- Ultrasound Scan: Izvi zvinokubatsira kuona zvakajeka mamiriro etsinga dziri mukati mematende.
- Kuongorora Urume: Kuongorora uku kunobatsira kuona kana chirwere ichi chakakanganisa kubereka kwako.
- Kuongororwa kweRopa: Tarisa zvinhu zvakaita semazinga emahormone.
Mushure mekuyedzwa uku, Varicocele yako ichaiswa muzvikamu zvichienderana nekuoma kwayo.
| Giredhi reVaricocele | Tsananguro |
|---|---|
| Giredhi 0 | Urwu ndirwo rudzi rudiki. Harunzwikwe panguva yekuongororwa kwemuviri, asi runogona kuonekwa ne ultrasound scan. |
| Giredhi I | Chiremba anogona kuinzwa chete kana ukaita Valsalva maneuver (bata mweya wako wodzvanya). |
| Giredhi rechipiri | Kunyangwe uri panzvimbo yakajairika, unogona kuinzwa, asi haugone kuiona. |
| Giredhi rechitatu | Iyi ndiyo mhando yakakura kupfuura dzose. Inonyatsoonekwa nekunze. |
Ndeapi marudzi ekuvhiyiwa kweVaricocelectomy?
Kune nzira mbiri huru dzekuita kuvhiyiwa uku.
1. Kuvhiyiwa Kwakavhurika
Mukuita izvi, kuvhiyiwa kunoitwa nekucheka ganda uye kuona zviri mukati zviri pachena. Yakakamurwa kuita mhando dzakasiyana zvichienderana nenzvimbo yakachekwa. (Muenzaniso: Inguinal, Subinguinal).
2. Kuvhiyiwa Kusingapindi Zvishoma
Munzira idzi, ganda nenyama hazvikuvadzi zvakanyanya, saka nguva yekupora ipfupi.
- Kuvhiyiwa kweLaparoscopic Varicocelectomy: Mukuita izvi, kunochekwa zvidimbu zvidiki zvishoma mudumbu uye pombi diki ine kamera (laparoscope) inoiswa. Chiremba anogona kuona pane monitor uye kuita kuvhiyiwa nemidziyo yakapfava zvikuru. Kuvhiyiwa uku kunotora nguva pfupi, ingangoita maminetsi makumi matatu kusvika makumi mana.
- Kuvhiyiwa kweVaricocelectomy muChikamu Chidiki: Izvi zvinoitwawo kuburikidza nekucheka kudiki, uchishandisa maikorosikopu ine simba guru kuti uone zvakajeka tsinga dzakatetepa. Iyi ndiyo nzira inoonekwa seyakabudirira uye yakachengeteka kupfuura dzose dziripo. Izvi zvinogona kutora pakati peawa 1-3.
Unopora sei mushure mekuvhiyiwa?
Nguva yekupora inogona kusiyana kubva pamunhu kusvika pamunhu, asi kazhinji, izvi ndizvo zvinhu zvekutarisira.
Chinhu chinonyanya kukosha ndechekutevedzera mirairo yachiremba nemazvo.
- Marwadzo nekuzvimba: Kuzvimba nekukuvara muhudyu nepamaburi zvinozopera mushure memavhiki matatu kusvika mana. Shandisa mushonga wekurwadziwa wakanyorerwa nachiremba wako kuti uderedze marwadzo. Kuisa ice pack kwakanakirawo kuzvimba.
- Chiito: Dzivisa kusimudza chinhu chinorema kupfuura 4.5 kg (10 lbs) kwemavhiki maviri kana kupfuura. Uyewo, dzivisa bonhora uye kusangana pabonde kwevhiki imwe kana maviri.
- Kutarisirwa kweronda: Chengeta ronda rakachena. Zviri nani kugeza pane kugeza.
- Kudya: Idya chikafu chine faibha yakawanda (michero, miriwo) uye inwa mvura yakawanda kudzivirira kuvimbiwa. Kuzvimanikidza paunenge uchibvisa tsvina hazvina kunaka paronda.
- Kudzokera kubasa/kuchikoro: Vanhu vazhinji vanogona kudzokera kumabasa avo enguva dzose mukati memazuva matatu.
Ndezvipi zvakanakira uye njodzi dzekuvhiyiwa uku?
Kufanana nekuvhiyiwa kupi zvako, uku kune zvakunobatsira uye njodzi diki.
| Zvakanakira | Njodzi |
|---|---|
| Kuwedzera kwekugadzirwa kwembeu ne testosterone, zvichiwedzera kubereka . | Njodzi dzine chekuita neanesthesia. |
| Kuderedza marwadzo mumachende. | Kutapukirwa kweronda. |
| Chitarisiko chemachende chinodzoka pakare. | Kugwamba kweropa (Hematoma). |
| Kuvhiyiwa kwacho kwakachengeteka uye matambudziko haawanzoitiki. | Hydrocele (kuungana kwemvura yakakomberedza machende). |
| Kashoma, varicocele inodzoka. |
Unofanira kuona chiremba nekukasika rini?
Mushure mekuvhiyiwa, chiremba wako anowanzo kukupa zuva rekutevera. Zvisinei, kana uine chimwe chezviratidzo zvinotevera, fonera chiremba wako nekukasika.
- Kubuda ropa rakawanda kubva pamaronda.
- Kuva nefivha inodarika madhigirii Celsius 38 (100 Fahrenheit).
- Zviratidzo zvehutachiona hwemaronda (kutsvuka, kuzvimba, pus).
- Marwadzo acho anova asingatsungiririki .
Mharidzo Yekuenda Nayo Kumba
- Varicocele chirwere chinowanzoitika uye chinorapika pakati pevarume, saka hapana chikonzero chekuchitya kana kunyara nacho.
- Kunyangwe chirwere ichi chichigona kukanganisa kubereka, pane mukana mukuru wekuti kuvhiyiwa kwevaricocelectomy kunogona kuvandudza kubereka.
- Uku kuvhiyiwa kwakachengeteka, asi kuti uwane mhedzisiro inobudirira, zvakakosha kutevedzera mirairo yachiremba nekungwarira mushure mekuvhiyiwa.
- Kana muine mibvunzo kana kusava nechokwadi nezvenyaya iyi, taurai nachiremba wenyu pachena nezvazvo. Iye achakutsanangurirai zvese.
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