Ngaba ukhe waphawula ukuba elinye lamasende akho libonakala likhulu okanye lijinga ngaphantsi kwelinye? Okanye mhlawumbi ngamanye amaxesha uziva iintlungu ezingathandekiyo okanye ubunzima kwisinqe sakho? Ezi mpawu zisenokuba zibangelwa yimeko ebizwa ngokuba yi-varicocele—ingxaki eqhelekileyo amadoda amaninzi ahlangabezana nayo kodwa bambalwa abathetha ngayo. Nceda ungakhathazeki; le ayisiyongxaki esongela ubomi. Apha eNirogi Lanka, makhe sihambe ngentsingiselo yoku ngolwimi olulula nolucacileyo.
Yintoni kanye kanye i-varicocele? Masiyigcine ilula
Ngamafutshane, i-varicocele kukukhula kwemithambo ngaphakathi kwe-scrotum yakho.
Cinga ngayo njengemithambo evuvukileyo abanye abantu abayifumana emilenzeni yabo. I-scrotum sisingxobo sesikhumba esingasemva kwepenis yakho esibamba amasende akho. Amasende akho anemithambo enoxanduva lokuthwala igazi eliphelelwe yioksijini libuyele entliziyweni yakho. Xa le mithambo idumba kwaye ikhula, yaziwa ngokuba yi-varicocele.
Le meko ixhaphake kakhulu kwi-testicle yasekhohlo ngenxa yendlela eyahlukileyo imithambo yegazi yethu eyakhiwe ngayo ngokwe-anatomiki. Nangona kunjalo, ngamanye amaxesha inokwenzeka kwicala lasekunene okanye kumacala omabini.
Uyazi njani ukuba une-varicocele? Iimpawu
Amadoda amaninzi ane-varicocele awabi nazimpawu konke konke. Nangona kunjalo, abanye banokuphawula oku kulandelayo:
| Uphawu | Inkcazo |
|---|---|
| Intlungu yamasende | Ngokwesiqhelo iintlungu ezibuhlungu okanye imvakalelo enzima, erhuqayo endaweni yentlungu ebukhali. Ihlala iba mandundu emva kokuma ixesha elide okanye ngexesha lokuzilolonga, kwaye idla ngokuncipha xa ulele. |
| Ukudumba kweScrotal | Elinye icala lesinqe lisenokubonakala likhulu kakhulu kunelinye. |
| Ubume obunamaqhuqhuva | Kwiimeko ezibonakala kakhulu, ungaziva "ingxowa yeempethu" xa uchukumisa indawo engaphezulu kwesende. |
| Ukuwohloka Kwamasende | Isende elichaphazelekileyo lisenokubonakala lincinci kancinci kunelo liphilileyo. |
| Imingeni yokuchuma | Ukuba ubuzama ukukhulelwa ixesha elingaphezu konyaka kodwa ungaphumeleli, i-varicocele inokuba negalelo. |
Kuthetha ukuthini ukuziva ngathi “yingxowa yeempethu”?
Le yinkcazo eqhelekileyo esetyenziswa ziingcali zonyango. Xa i-varicocele inkulu ngokwaneleyo, imithambo evulekileyo ivakala njengeqela leentambo ezidityanisiweyo nezinamaqhina phantsi kolusu. Ii-varicocele ezincinci zihlala zingabonakali kwaye zingavakali.
Kutheni ii-varicoceles zenzeka?
Nangona unobangela ungacaci rhoqo, ingcamango ephambili kukuba iivalvu ezikwimithambo yegazi ezithwala igazi elisuka kumasende azisebenzi kakuhle.
Cinga ngezi valve njengeegeyithi eziya kwicala elinye. Umsebenzi wazo kukuqinisekisa ukuba igazi lihamba phezulu ngokuchasene nomxhuzulane kwaye alibuyi libuyele ezantsi. Ukuba ezi valve azivaleki kakuhle, igazi lihamba libuyela umva kwaye liqokelelane emthanjeni. Ekuhambeni kwexesha, oku kubangela ukuba imithambo yoluleke, idumbe, kwaye ijijeke, yenze i-varicocele.
IiVaricoceles zifunyanwa kakhulu ngexesha lokufikisa . Njengoko ukuhamba kwegazi ukuya kwizitho zokuzala kusanda kakhulu ngeli xesha lokukhula, naziphi na iingxaki zemithambo yegazi ezingaphantsi komzimba zihlala zibonakala ngakumbi.
Ingaba oku kuyingozi? Ngaba kuyayichaphazela inzala?
Okokuqala nokubalulekileyo, i-varicocele ayisiyongxaki esongela ubomi okanye uhlobo lomhlaza.
Nangona kunjalo, ibalulekile ngokwezonyango ngenxa yempembelelo yayo enokubakho ekuzaleni . Kuqikelelwa ukuba ii-varicoceles zikhona malunga ne-40% yamatyala abandakanya ukungazali kwamadoda . Oko kuthethiweyo, ukuba ne-varicocele akuthethi ukuba awunakuba nabantwana ngokuzenzekelayo; amadoda amaninzi anale meko akanangxaki yokuzala.
I-varicocele iyichaphazela njani inzala?
Ithiyori ekhoyo inxulumene nokunyuka kwamaqondo obushushu .
- Ubushushu beScrotal: Ukuze kuveliswe isidoda esiphilileyo, amasende kufuneka apholile kancinci kunamanye amalungu omzimba.
- Ukudibanisa igazi: Ngenxa yokuba igazi lidibanisa imithambo yegazi, ubushushu obungaphakathi nangaphandle kwamasende buyanyuka.
- Impembelelo kwi-Sperm: Olu bushushu buphezulu bunokuphazamisa ukuveliswa kwesidoda, umgangatho, kunye nokuhamba kwaso, yiyo loo nto kunokubangela iingxaki zokuzala.
Ukongeza, i-varicocele ingakhokelela kwezinye iingxaki:
- Amanqanaba eTestosterone asezantsi: Ekubeni amasende evelisa i-testosterone, i-varicocele ngamanye amaxesha inokuphazamisana nale nkqubo. Oku kunokubangela iimpawu ezinje ngokuncipha kwe-libido, ukuncipha kwemisipha, okanye ukudinwa.
- I-Azoospermia: Kwiimeko ezingaqhelekanga nezinzima, i-varicocele inokubangela i-azoospermia, apho kungekho sperm ngokupheleleyo kwi-semen.
Qaphela: Ukuba ufumana intlungu ekhawulezileyo, enzima okanye ukudumba, nceda ufumane unyango ngokukhawuleza kwicandelo likaxakeka elikufutshane nawe.
Eyona nto ibalulekileyo ekufuneka uyikhumbule kukuba ukuba uneengxaki malunga nokuzala, kufuneka ubonane nogqirha ngokukhawuleza ukuze uxoxe ngazo.
Oogqirha baxilonga njani i-varicocele?
Xa undwendwela ugqirha wakho, baza kuqala ngokukubuza ngeempawu zakho baze bakwenze uvavanyo lomzimba. Kunokwenzeka ukuba ucelwe ukuba ume kweli candelo lovavanyo.
Ngelixa ugqirha wakho ehlola isinqe sakho, angakucela ukuba wenze uvavanyoIndlela yokuqhuba iValsalva—oku kuquka ukuphefumla nzulu, ukuyibamba, nokuthoba ngokungathi uzama ukukhupha isisu. Esi senzo sonyusa uxinzelelo esiswini sakho, nto leyo enceda ekwenzeni i-varicocele ibonakale ngakumbi. Ukuba ikhona, ugqirha unokuziva imithambo ekhulisiweyo, nto leyo eqinisekisa ukuba kukho isifo.
Ukongeza, ugqirha wakho unokucebisa ezi mvavanyo zilandelayo zokuxilonga:
- I-Scrotal Ultrasound Scan: Olu lolona vavanyo luqhelekileyo. Yinkqubo yokufota engenabuhlungu evumela ugqirha wakho ukuba abone ngokucacileyo imeko yemithambo ye-scrotal aze ahlole ukuhamba kwegazi.
- Uhlalutyo lwe-Semen: Ukuba unengxaki yokukhulelwa, ugqirha wakho uya kucebisa olu vavanyo. Isampulu ye-semen iya kuvavanywa ukujonga inani le-sperm, umgangatho, kunye nokuhamba kwayo (intshukumo).
- Uvavanyo lweGazi: Olu vavanyo lunceda ekulinganiseni amanqanaba eehomoni zakho, ingakumbi i-testosterone, ukuqinisekisa ukuba yonke into ikwinqanaba elifanelekileyo.
Ngaba kukho iintlobo ezahlukeneyo ze-varicoceles? (Ukubeka amanqaku)
Oogqirha bahlula ii-varicoceles zibe ziindidi ezahlukeneyo ngokusekwe kubunzima bazo. Oku kubalulekile ekumiseleni isicwangciso sonyango esifanelekileyo.
| Ibanga | Inkcazo |
|---|---|
| Ibanga 0 | Uhlobo oluncinci. Alunakuviwa ngexesha lovavanyo lomzimba kwaye lubonwa kuphela nge-ultrasound scan. |
| Ibanga loku-1 | Ayinakuvakala xa uxilongwa ngendlela eqhelekileyo, kodwa ivakala kakuhle xa usenza iValsalva maneuver. |
| Ibanga lesi-II | Ingaviwa ngugqirha ngelixa umi, nangona ingabonakali iValsalva maneuver. |
| Ibanga lesi-3 | Uhlobo olunzima kakhulu. Lubonakala ngokucacileyo kwaye kulula ukuluva. |
Iphathwa njani?
Ukuba ufuna unyango kuxhomekeke kwiimpawu zakho, umgangatho we-varicocele, kunye nokuba ingaba ichaphazela na ukuzala kwakho.
Ukhathalelo Lwasekhaya kunye noLawulo lweNdlela yokuphila
Ukuba une-varicocele encinci engabangeli ntlungu okanye iingxaki zokuzala, unyango alusoloko luyimfuneko. Nangona kunjalo, ukuba ufumana iintlungu okanye ukungakhululeki, ungafumana isiqabu ngala manyathelo:
- Impahla yangaphantsi exhasayo: Ukunxiba iibhulukhwe ezixhasayo okanye i-jockstrap kunokunceda ukunciphisa iintlungu, ingakumbi ngexesha lokuzilolonga okanye ixesha elide lokuma.
- Ukucinezela Ngomkhuhlane: Ukuze unciphise iintlungu, ungabeka ipakethe yomkhenkce ebhijelwe ngetawuli kwisinqe sesisu imizuzu eli-10-15. (Ungaze uwufake umkhenkce ngqo eluswini).
- Izithomalalisi zentlungu: Ii-NSAID ezithengiswa ngaphandle kwemvume kagqirha (ezifana ne-ibuprofen) zinokunceda kwiintlungu, kodwaSoloko uqhagamshelana nogqirha wakho ngaphambi kokuba uqalise naluphi na unyango ukuqinisekisa ukuba lukulungele.
Utyando (i-Varicocelectomy)
Ukuba i-varicocele yakho ibangela iintlungu ezingapheliyo, ukushwabana kwamasende, okanye iingxaki zokuzala, ugqirha wakho unokucebisa inkqubo yotyando.
Ngexesha lotyando lwe-varicocelectomy, ugqirha uchonga imithambo eyonakeleyo neyandisiweyo aze ayivale. Oku kubuyisela ukuhamba kwegazi kwimithambo ephilileyo. Le yinkqubo eqhelekileyo nephumelelayo. Ukuphila ngokupheleleyo kudla ngokuthatha malunga neeveki ezi-6.
Yintoni umahluko phakathi kwe-varicocele kunye ne-hydrocele?
Ezi meko zimbini zihlala zibhideka kuba zombini zibandakanya isinqe.
- I-Varicocele: Ingxaki ebandakanya imithambo emikhulu ngaphakathi kwe-scrotum.
- I-Hydrocele: Ingqokelela yolwelo olujikeleze i-testicle. Oku kuqhele ukubonwa kwiintsana kodwa kunokwenzeka nakubantu abadala.
Ekubeni iimpawu kunye nonyango zahlukile, kubalulekile ukubona ugqirha ukuze ufumane uxilongo oluchanekileyo.
Umyalezo oya nawo ekhaya kunye neNirogi Lanka
- IiVaricoceles zixhaphake kakhulu kumadoda; akukho mfuneko yokuba neentloni okanye uxhalabe kakhulu.
- Amadoda amaninzi akanazo iimpawu kwaye akafuni nyango konke konke.
- Asiyonto isongela ubomi, nangona inokuchaphazela ukuzala.
- Ukuba ufumana iintlungu zamasende, ukudumba, okanye uva iqhuma, nceda undwendwele ugqirha wakho ngokukhawuleza.
- Ukususela kuhlengahlengiso lwendlela yokuphila ukuya kwiindlela zotyando eziphumelelayo, zininzi iindlela zokulawula le meko ngokufanelekileyo. Impilo yakho yeyona nto iphambili kuthi eNirogi Lanka.
I-Varicocele, imithambo ye-scrotal, ukungazali kwamadoda, iintlungu ze-scrotal, i-varicocelectomy
