Ngaba wakha waziva into efana nebhola yentambo okanye iimpethu ezincinci ngaphakathi kwe-scrotum yakho? Okanye ngamanye amaxesha uziva ubunzima obuncinci okanye iintlungu ezitsalayo kuloo ndawo? Le meko, eyenzeka kumadoda amaninzi, ingakumbi ebutsheni bawo, ibizwa ngokuba yiVaricocele kwisayensi yezonyango. Musa ukoyika xa usiva eli gama. Alibi nzulu kangako. Kodwa kubaluleke kakhulu ukwazi ukuba liyintoni kanye kanye. Ngoko ke namhlanje siza kuthetha ngayo yonke into, ngokulula, ngendlela onokuyiqonda.
Ngamafutshane, yintoni iVaricocele?
I-Varicocele yimeko apho imithambo engaphakathi kwe-scrotum yakho, imithambo ethwala igazi elingcolileyo, idumba, ikhule, kwaye ijijeke. Ukuba yinyani, umele ukuba ukhe wabona eminye yemilenze yethu inemithambo ejijekileyo, akunjalo? Siyibiza ngokuba yi-`(imithambo ye-Varicose)`. Imeko efanayo yenzeka ngaphakathi kwe-scrotum.
Ngokwesiqhelo, kukho inethiwekhi yemithambo emincinci ethwala igazi elingcolileyo ukusuka emasendeni ethu ukuya entliziyweni. Ngaphakathi kwezi veins kukho iivalvu ezincinci. Kufana nevalvu kumbhobho wamanzi evumela amanzi ukuba ahambe kwicala elinye kuphela. Umsebenzi wezi valve kukuthintela igazi ukuba libuye libuyele ezantsi emva kokuba linyukile. Kodwa ngamanye amaxesha xa ezi valve zingasebenzi kakuhle, igazi libuyela ezantsi lize liqokelele kuloo veins. Ekuhambeni kwexesha, eli gazi liyaqokelelana kwaye imithambo idumbe, yoluleke, ize iqhineke njengebhola yentambo. Yiloo nto siyibiza ngokuba yiVaricocele.
Ixesha elininzi, oku akubangeli ntlungu ingako . Nangona kunjalo, abanye abantu banokuziva betsalwa kancinci okanye besindwa ngamanye amaxesha, njengaxa besebenza okanye bezilolonga kwaye bemi imini yonke. Intlungu idla ngokuphela xa belele.
Into ebalulekileyo kukuba iVaricocele ayisosisongelo kubomi. Nangona kunjalo, kwezinye iimeko, inokuchaphazela amandla akho okuba nabantwana. Kungoko ke, kubaluleke kakhulu ukuqaphela oku.
Yintoni ubudlelwane phakathi kweVaricocele kunye nokuzala?
Ewe, lo ngumbuzo abantu abaninzi abawubuzayo. Kusenokubakho unxibelelwano phakathi kwemeko yeVaricocele kunye nokungazali. Enyanisweni, kufunyenwe ukuba malunga ne-40% yezizathu zokungazali kwamadoda zinxulumene neVaricocele. Kodwa oko akuthethi ukuba wonke umntu oneVaricocele akanakuba nabantwana. Uninzi lwabantu abaneVaricocele banabantwana ngaphandle kweengxaki.
Oogqirha abakayazi kakuhle indlela i-varicocele echaphazela ngayo ukuzala. Kodwa ingcamango ephambili yile. Xa imithambo engaphakathi kwi-scrotum izaliswe ligazi, ubushushu kuloo ndawo buyanda kancinci ngaphezu kwesiqhelo. Amasende ethu angaphandle komzimba, exhonywe phantsi. Oku kungenxa yokuba afuna ubushushu obupholileyo kancinci kunobushushu bomzimba obuqhelekileyo ukuze avelise isidoda.
Ngoko ke xa ubushushu obujikeleze amasende bunyuka ngenxa ye-varicocele, inokuphazamisana nenkqubo yokuveliswa kwesidoda. Inokunciphisa inani lesidoda, inciphise ukuhamba kwesidoda, okanye itshintshe imo yesidoda. Zonke ezi zinto zinokuchaphazela amandla okukhulelwa umntwana.
Ukuba utshatile, ulindele umntwana, kwaye ucinga ukuba une-Varicocele, qiniseka ukuba ubona ugqirha wakho kwaye uthethe ngayo .
Kuqheleke kangakanani oku? Zithini iimpawu?
Esi sisifo esixhaphakileyo ngokwenene. Ngokomyinge, phakathi kwe-15% kunye ne-20% yamadoda, okanye malunga ne-1 kwi-5 yamadoda, banokuba ne-Varicocele.
Oku kwenzeka rhoqo kwi-testicle yasekhohlo . Oku kungenxa yomahluko omncinci wolwakhiwo kwindlela umthambo othwala igazi kwi-testicle yasekhohlo oqhagamshelwe ngayo kwicala lasekhohlo lomzimba wethu. Nangona kunjalo, akunakwenzeka ukuba kwenzeke kwicala lasekunene okanye kumacala omabini.
Uninzi lwabantu alunazo iimpawu. Idla ngokufunyanwa ngengozi ngexesha lovavanyo lwezonyango lwenye into. Nangona kunjalo, abanye abantu banokufumana ezi mpawu zilandelayo:
| Uphawu | Inkcazo |
|---|---|
| Intlungu okanye ukungakhululeki | Intlungu ebuhlungu nengathethekiyo evela ngaphakathi kwi-scrotum. Le ntlungu inokuba qatha ngakumbi xa ume ixesha elide, usenza umthambo, okanye uphakamisa izinto ezinzima. Ihlala iphela xa ulele phantsi. |
| Iqhina elibanjwa esandleni | Ngaphezulu kwe-scrotum, phantsi kolusu, ungaziva into efana neempethu okanye ibhola yentambo. Oogqirha bakubiza oku ngokuthi "yingxowa yeempethu." |
| Ukudumba kwamasende | Ngamanye amaxesha isinqe okanye ingxowa ejikeleze sona inokuvuvukala. |
| Ukuncitshiswa kwamasende | I-testicle esecaleni eline-varicocele isenokuba ncinci kunelinye icala. Oku sikubiza ngokuba yi-testicular atrophy . |
| Ukungazali | Ukuba ubuzama unyaka wonke ngaphandle kokuzikhusela kodwa awukakhulelwa, unobangela usenokuba yiVaricocele. |
Kutheni iVaricocele isenzeka? Ngubani onokuthi abe nayo?
Isizathu esichanekileyo soku asikafunyanwa. Kodwa ingcamango ephambili kukuba, njengoko benditshilo ngaphambili, kukho ubuthathaka ekusebenzeni kweevalvu kwimithambo. Mhlawumbi oku yinto ezuzwe njengelifa.
IiVaricoceles zihlala ziqatshelwa okanye zivakalelwe okokuqala kwiminyaka yobutsha . Oko kukuthi, malunga neminyaka eli-13, eli-14, okanye eli-15. Oku kungenxa yokuba ngexesha lokufikisa, igazi liya kuphuma kwizitho zangasese. Emva koko, imithambo, enezivalo ezibuthathaka, ayisakwazi ukumelana noxinzelelo lwegazi oluphezulu kwaye imithambo iqala ukudumba. Oku kunokuphazamisana nophuhliso lwamasende kwabanye abafana abancinci.
Ngaba i-varicocele ingabangela ezinye iingxaki?
I-Varicocele encinci ayidli ngokubangela iingxaki ezinkulu. Nangona kunjalo, i-Varicocele enkulu, enganyangwanga inokubangela iingxaki ezithile.
- I-Testosterone Hormone Enciphileyo (I-Male Hypogonadism): I-Testosterone yi-hormone yamadoda. Iveliswa ngama-testicles. Ukuba ama-testicles onakele ngenxa ye-varicocele, ukuveliswa kwale hormone kunokuncipha. Oku kunokukhokelela ekunciphiseni umnqweno wesondo, ukuncipha kwemisipha, kunye nokudakumba.
- I-Azoospermia: Le yimeko enzulu ngakumbi. I-Azoospermia iyenzeka xa kungekho ziseli zesidoda kwimbewu yesidoda. Oku kukwangunobangela omkhulu wokungabi nabantwana kwamadoda.
Ezi ngxaki azixhaphakanga kakhulu, kodwa ukuba uneengxaki, kungcono ukufuna ingcebiso kagqirha.
Ugqirha uyifumanisa njani le nto?
Xa usiya kugqirha, uza kuqala akubuze ngeempawu zakho aze emva koko akuhlole ngokwasemzimbeni.
Ngexesha lovavanyo, ugqirha uza kukwenza ume uhlole isinqe sakho. Emva koko uza kukuxelela ukuba "phefumla nzulu, usibambe, kwaye utyhale isisu sakho phantsi." Oku kubizwa ngokuba yiValsalva maneuver . Oku kwandisa uxinzelelo ngaphakathi kwemithambo, ngoko ke ukuba une-varicocele, uya kukwazi ukuyiva ngokucacileyo.
Ngamanye amaxesha, kunokwenziwa ezinye iimvavanyo ezininzi ukuqinisekisa ukuxilongwa.
- I-Ultrasound yePelvic: Olu luvavanyo olulula nolungenabuhlungu. Lunokuyibona ngokucacileyo imeko yemithambo-luvo ngaphakathi kwi-scrotum kunye nendlela igazi elihamba ngayo.
- Uhlalutyo lwe-Semen: Olu vavanyo luyacetyiswa ukuba uneengxaki zokukhulelwa. Oku kuquka ukuthatha isampuli ye-semen yakho kunye nokuhlola inani le-sperm, intshukumo, kunye nokuma kwayo.
- Uvavanyo lweGazi: Oku kuvavanya amanqanaba eehomoni emzimbeni wakho, ingakumbi i-testosterone kunye ne-Follicle-Stimulating Hormone (FSH).
Ngaba kukho iintlobo ze-varicocele?
Ewe. Oogqirha bahlula iVaricocele ibe ngamanqanaba ahlukeneyo ngokusekwe kubukhali bayo. Oku kubaluleke kakhulu ekumiseleni unyango.
| Ibanga | Inkcazo |
|---|---|
| Ibanga 0 | Eli lelona nqanaba lincinci. Alivakali xa kuhlolwa umzimba. Linokubonwa kuphela nge-ultrasound scan. |
| Ibanga loku-1 | Akubonakali xa uhlola ngokwesiqhelo. Kodwa kubonakala kuphela xa usenza iValsalva maneuver (xa ubambe umphefumlo wakho). |
| Ibanga lesi-II | Nokuba ungenayo iValsalva maneuver, ungayiva ngesandla sakho xa uxilongwa ngendlela eqhelekileyo, kodwa awukwazi ukuyibona ngaphandle. |
| Ibanga lesi-3 | Eli lelona nqanaba likhulu. Libonakala ngokucacileyo ngaphandle kwaye libanjwa lula esandleni (njengezo zinambuzane). |
Zithini iindlela zonyango zoku?
Isigqibo sokunyanga okanye ukunganyanga sixhomekeke kwiimpawu zakho, ubungakanani beVaricocele, kunye nokuba uneengxaki zokuba nabantwana.
Izinto onokuzenza ekhaya kunye nonyango olulula
I-Varicocele encinci, engenazimpawu, efana neBanga 0 okanye iBanga I, isenokungafuni naluphi na unyango. Nangona kunjalo, ukuba kukho intlungu okanye ukungakhululeki, ezi zinto zinokunceda.
- Impahla yangaphantsi exhasayo: Ukunxiba impahla yangaphantsi exhasayo okanye i-jockstrap ngelixa uzilolonga okanye umile kunokunceda ukunciphisa iintlungu.
- Umkhenkce: Xa unentlungu, bamba ipakethe yomkhenkce ebhijelwe ngetawuli kwi-scrotum yakho malunga nemizuzu eli-10-15. Musa ukuwufaka umkhenkce ngqo eluswini lwakho.
- Iipilisi zokunciphisa iintlungu: Ungathatha iyeza elichasene nokuvuvukala elingeyo-steroidal (NSAID) njenge-ibuprofen njengoko kuyalelwe ngugqirha wakho. Kodwa khumbula, ungaqhubeki nokusebenzisa naluphi na unyango ngaphandle kwengcebiso kagqirha.
Ingaba inyangwa ngotyando?
Ewe. Ugqirha wakho angakucebisa utyando kwiimeko ezilandelayo.
- Ukuba intlungu inzima kwaye iphazamisana nemisebenzi yemihla ngemihla.
- Ukuba i-varicocele ichaphazele amandla akho okuba nabantwana.
- Ukuba amasende ayancipha (ingakumbi kubafana abancinci).
Olu tyando lubizwa ngokuba yiVaricocelectomy . Oku kuquka ukuchonga imithambo evuvukileyo eqokelela igazi, ukuyisika, nokuyibopha (ukuyitywina). Oku kuthintela igazi ukuba lingaphumi kuloo mithambo, kwaye kuvumela igazi ukuba liphume kwimithambo ephilileyo neqhelekileyo. Olu tyando ludla ngokuba yimpumelelo. Kungathatha malunga neeveki ezi-6 ukuba liphile ngokupheleleyo emva kotyando.
Ufanele uye nini kugqirha?
Ukuba unayo nayiphi na kwezi zilandelayo, musa ukuchitha ixesha uye kugqirha.
- Ukuba unentlungu okanye ukudumba kwisinqe sakho.
- Ukuba ubona umahluko omkhulu phakathi kobukhulu bamasende amabini.
- Ukuba uziva iqhuma okanye into engaqhelekanga esandleni sakho.
- Ukuba ungumntwana okwishumi elivisayo kwaye ubona utshintsho olunje.
- Ukuba wena neqabane lakho nizama ukuba nomntwana, kodwa ningaphumeleli.
Musa ukoyika ukubuza le mibuzo xa ubona ugqirha.
- Uqinisekile ukuba ndineVaricocele?
- Ngaba ndifuna unyango?
- Ngaba iimpawu zam ziya kuba mandundu ukuba azinyangwa?
- Ngaba oku kungachaphazela amandla am okuba nabantwana?
- Ziziphi iindlela zonyango endinazo?
- Ukuba ndityandwa, ngaba oko kuya kuyiphucula indlela endikwazi ngayo ukuba nabantwana?
Umyalezo Wokuya Ekhaya
- I-Varicocele kukudumba kwemithambo esesinqeni. Le yimeko eqhelekileyo kakhulu.
- Uninzi lwabantu alunazo iimpawu, kwaye azibangeli monakalo mkhulu.
- Kwezinye iimeko, ingakumbi iiVaricoceles ezinkulu zinokubangela iintlungu, ukushwabana kwamasende, kwaye zichaphazele amandla okufumana abantwana.
- Ukuba unentlungu, ukudumba, utshintsho kubungakanani bamasende akho, okanye iingxaki zokuba nabantwana, qiniseka ukuba ubona ugqirha.
- Kukho unyango olusebenzayo koku. Ngoko ke akukho sizathu sokoyika okanye sokuba neentloni. Cinga ngempilo yakho kwaye uthathe amanyathelo afunekayo.
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