Ingaba imithambo esemasendeni ijijekile? Masifunde yonke into malunga notyando lweVaricocelectomy!

Ngaba uziva ngathi ufumana imithambo emininzi emasendeni akho? Okanye kukho into enzima okanye ebuhlungu kancinci kuloo ndawo? Ukuba uneengxaki zokukhulelwa umntwana kunye nezi zinto, usenokuba nento oogqirha abayibiza ngokuba yi-'Varicocele'. Ungakhathazeki, le yimeko enokunyangeka echaphazela amadoda amaninzi. Ke namhlanje, masithethe ngokuba yintoni iVaricocele kunye notyando lweVaricocele olwenzelwa yona.

Ngamafutshane, yintoni iVaricocele?

I-Varicocele yimeko apho imithambo engaphakathi kwe-scrotum yakho idumba, ikhule, kwaye ijijeke. Kufana nendlela abanye abantu abafumana ngayo imithambo evuvukileyo emilenzeni yabo. Xa iivalvu ezikwimithambo ethwala igazi elingcolileyo ukusuka kumasende ziba buthathaka, igazi linokubuyela kule mithambo. Kulapho le mithambo idumba kwaye ikhule khona.

Nangona oku kunokwenzeka nakweyiphi na iminyaka, uninzi lwabantu luyaqonda ukuba lunaso ngexesha lobutsha babo, oko kukuthi, emva kokufikelela ekufikiseni.

Ngubani omele enze utyando lwe-Varicocelectomy?

Ayinguye wonke umntu one-varicocele oya kufuna utyando, kodwa kukho izizathu ezininzi eziphambili zokuba ugqirha wakho angacebisa olu tyando.

• Ukungazali Kwamadoda: I-Varicocele yeyona nto ibangela ukungazali kwamadoda. Oku kungenxa yokuba imithambo yegazi izaliswe ligazi kwaye ubushushu obujikeleze amasende buyanda. Olu bushushu bunyukayo luchaphazela kakubi ukuveliswa kwesidoda kunye nomgangatho waso. Ngoko ke, ukuba isibini esizama ukuba nomntwana sinale ngxaki kwicala lamadoda, ugqirha uya kucebisa olu tyando.
• Intlungu yamasende: Abanye abantu banokufumana ukuziva ubunzima okanye iintlungu zokutsala amasende abo ngenxa yeVaricocele. Le ntlungu inokuba mandundu xa bemi imini yonke okanye besenza umthambo. Ukuba le ntlungu iphazamisana nemisebenzi yemihla ngemihla, utyando lunokuba sisisombululo esilungileyo.
• Ukuwohloka Kwamasende: Isende elichaphazelekileyo lisenokuba lincinci lize liqale ukushwabana ngenxa ye-varicocele. Kwimeko enjalo, ugqirha unokucebisa utyando.
• Ukuncipha kweTestosterone: Kwezinye iimeko, iVaricocele inokubangela ukwehla kwemveliso yetestosterone yehomoni yamadoda. Esi sisizathu sokuba utyando lusebenze.

Uyifumana njani le nto, Gqirha?

Xa usiya kugqirha wakho, uza kukubuza ngeempawu zakho aze akuhlole umzimba. Uza kuhlola isinqe sakho. Usenokucelwa ukuba ume, uhlale phantsi, kwaye ubambe umphefumlo wakho (indlela yeValsalva). Xa usenza oku, uya kukwazi ukuva ngokucacileyo le mithambo idumbileyo.

Amaxesha amaninzi (malunga ne-90%) i-Varicocele yenzeka kwi-testicle yasekhohlo. Nangona kunjalo, ngamanye amaxesha inokwenzeka kumacala omabini.

Ugqirha uza kuyalela iimvavanyo ezininzi ukuqinisekisa ukuxilongwa nokuqonda ubunzulu bemeko.

• I-Ultrasound Scan: Oku kukuvumela ukuba ubone ngokucacileyo imeko yemithambo yegazi kunye nokuhamba kwegazi ngaphakathi kwamasende.
• Uhlalutyo lwamadlozi: Olu vavanyo lubalulekile ukuqonda ubungakanani, intshukumo, kunye nokuma kwesidoda sakho.
• Uvavanyo lweGazi: Oku kunceda ukujonga amanqanaba eehomoni, ingakumbi amanqanaba e-testosterone.

Emva kwezi mvavanyo, kwenziwa inqanaba ngokusekelwe kubukhali beVaricocele yakho.

Ziziphi iindlela zokwenza i-Varicocelectomy?

Kukho iindlela ezimbini eziphambili zokwenza olu tyando. Olunye lutyando oluvulelekileyo lwendabuko. Olunye lutyando olungenasithintelo kangako. Ugqirha wakho uya kugqiba ukuba loluphi uhlobo olulungele wena.

1. Utyando Oluvulekileyo

Kule nto, ulusu luyasikwa kwaye imithambo efanelekileyo iyanyangwa.

• I-Inguinal Ligation: Imithambo inyangwa ngokwenza umngxuma omncinci kwindawo ye-groin.
• I-Subinguinal Ligation: Kwenziwa ukusika ngaphantsi kwe-groin.
• Ukufakwa kwe-Retroperitoneal Ligation: Kwenziwa umngxuma omncinci ecaleni lesisu kwaye imithambo inyangwa ngaphakathi.

2. Utyando Olungenabungozi Kancinci

Ezi zinto azibangeli monakalo mkhulu emzimbeni kwaye azidingi xesha lininzi lokuphola.

• I-Laparoscopic Varicocelectomy: Olu tyando lwenziwa ngokwenza imingxunya embalwa kakhulu esiswini, kufakwa ityhubhu encinci (i-laparoscope) enekhamera eqhotyoshelweyo, kwaye uyibukele kwisikrini, kusetyenziswa izixhobo ezithambileyo.
• Utyando lwe-Microsurgical Varicocelectomy: Le yindlela ethathwa njengeyona iphumelele kakhulu neyona ilungileyo ekhoyo. Kwenziwa umngxuma omncinci kakhulu kwindawo ye-groin, kwaye imithambo iphathwa ngononophelo phantsi kwesikhokelo se-microscope enamandla kakhulu (i-Operating Microscope). Kule ndlela, umngcipheko wokonakala kwemithambo esempilweni, imithambo ye-lymphatic, kunye nemithambo yegazi uphantsi kakhulu. Ke ngoko, iingxaki nazo zincinci.

Uzilungiselela njani ngaphambi kotyando?

Ugqirha wakho uza kukunika imiyalelo kwiintsuku ezimbalwa ngaphambi kotyando.

• Xelela ugqirha wakho ngayo nayiphi na imithi oyithathayo: Qiniseka ukuba uxelela ugqirha wakho ngayo nayiphi na imithi, iivithamini, okanye iimveliso zezityalo ozithathayo. Ingakumbi ukuba uthatha amayeza okunciphisa igazi afana ne-aspirin, uya kucelwa ukuba uyeke ukuwasebenzisa kwiintsuku ezimbalwa ngaphambi kotyando.
• Xelela ugqirha wakho ngazo naziphi na izinto ezibangela ukunganyamezelani komzimba (ezifana namayeza, izinto zokucoca ulusu, i-latex).
• Ukuzila ukutya: Uya kucetyiswa ukuba ungatyi okanye ungaseli nto kangangeeyure ezimbalwa ngaphambi kotyando. Oku kubaluleke kakhulu . Ukuba unokutya esiswini sakho ngelixa uphantsi kwe-anesthesia, unokukuhlanza kwaye kusenokungena emiphungeni yakho. Oku kunokubangela usulelo olukhulu (i-aspiration pneumonia).

Kwenzeka ntoni ngexesha lotyando?

Akukho nto yokoyika. Olu tyando lwenziwa liqela leengcali kwiinkqubo zomchamo nezokuzala (Urologist), i-anesthesiologist, kunye nabasebenzi bomongikazi.

Uza kunikwa i-anesthetic eqhelekileyo, ukuze ungaziva ntlungu ngexesha lotyando. Kuza kuba ngathi ulele ubuthongo.

Emva kokuba ungekho zingqondweni, ugqirha uza kwenza utyando ngokwendlela oyikhethileyo aze afumane umthambo ovuvukileyo (varicocele). Emva koko, umthambo uyanqunyulwa kwaye iziphelo zombini zivalwe. Oku kuyayekisa igazi ukuba lihambe ngaloo mthambo kwaye kuvumela igazi ukuba lihambe ngeminye imithambo ephilileyo kwi-scrotum.

Ngamanye amaxesha, iityhubhu ezincinci ze-silicone (ii-drain) zingafakwa ukuze kukhutshwe naliphi na igazi okanye ulwelo oluqokelelwa emva kotyando. Ekugqibeleni, i-incision ivalwa ngezititshi.

Ngokwesiqhelo, utyando lwe-laparoscopic lungathatha malunga nemizuzu engama-30-40, ngelixa utyando lwe-microsurgical lungathatha malunga neyure eli-1-3.

Kwenzeka ntoni emva kotyando?

Emva kotyando, uza kusiwa kwigumbi lokuchacha, apho abasebenzi bezonyango baza kujonga imeko yakho ude ubuyele ezingqondweni.

Xa ubuyela ezingqondweni, ungaziva unesizungu kwaye ube nentlungu kwindawo yokusikwa. Emva kokuqinisekisa ukuba yonke into iqhelekile, uya kuvunyelwa ukuba ugoduke kwiiyure ezimbalwa. Nangona kunjalo, kufuneka ube nomntu oza kukusa ekhaya. Kubaluleke kakhulu ukuba nomntu oza kukunceda ngosuku lokuqala okanye ezimbini.

Ziziphi iingenelo kunye neengozi zalo tyando?

Njengalo naluphi na utyando, olu luneengenelo kunye neengozi ezimbalwa ezincinci.

Iingenelo

• Utyando olukhuselekileyo kakhulu: umngcipheko weengxaki uphantsi kakhulu.
• Ukwanda kokuzala: Ngenxa yokwanda kwemveliso yesidoda kunye namanqanaba e-testosterone hormone, amathuba okuba nabantwana anokunyuka ukuya kuthi ga kwi-70%.
• Ukuphelisa iintlungu: Iintlungu nobunzima obukwii-testicles ziyanyamalala ngokupheleleyo.
• Inkangeleko ephucukileyo: Inkangeleko "yebhola leempethu" engathandekiyo iyanyamalala, kwaye inkangeleko yesinqe ibuyela kwisiqhelo.

Iingozi

Ezi zinto azisoloko zisenzeka, kodwa kulungile ukuzazi.

• Iingozi ezinxulumene ne-anesthesia.
• Iingxaki zokuphiliswa kwamanxeba okanye usulelo.
• Ihlwili legazi (iHematoma).
• Ukudumba, ukukrweleka, kunye namanxeba.
• I-Hydrocele (ukuqokelelana kolwelo olujikeleze amasende).
• Ukonakala komthambo ohambisa igazi kwi-testicle (kunqabile kakhulu).
• Ukuphinda kwe-Varicocele.

Ixesha lokuchacha kunye nezinto eziza kulandela ekhaya

Ixesha elithathwayo ukuze umntu aphile ngokupheleleyo liyahluka kumntu nomntu. Ngokwesiqhelo, ukudumba kunye nokukrweleka kuya kuphela kwiiveki ezi-3-4. Nangona kunjalo, ezinye iintlungu kwindawo yempundu zinokuhlala ixesha elide ukuya kuthi ga kwiiveki ezi-6.

• Ulawulo lweentlungu: Sela amayeza okudambisa iintlungu abhalwe ngugqirha wakho ngexesha. Ukunciphisa ukudumba, beka ipakethe yomkhenkce egqunywe ngelaphu elicocekileyo phezu kwenxeba malunga nemizuzu eli-10. Ungakwenza oku izihlandlo ezininzi ngemini.
• Gcina inxeba licocekile: Hlamba izandla zakho kakuhle ngesepha namanzi ngaphambi kokuba uchukumise inxeba. Tshintsha amabhandeji njengoko uyalelwe ngugqirha wakho.
• Ukuhlamba: Kuphephe ukuntywila ebhafini okanye ukudada ude uphile. Kulungile ukuhlamba.
• Ukuphakamisa iintsimbi: Musa ukuphakamisa iintsimbi ezidlula ubunzima obuyi-5 kg ​​ubuncinane iiveki ezimbini. Kuphephe ukuzilolonga okunzima kunye nomsebenzi onzima.
• Ukutya: Kubaluleke kakhulu ukuphepha ukuqhinwa. Ukuziqinisa ngexesha lokuhamba kwamathumbu akulunganga kwinxeba. Ngoko ke, yitya ukutya okuninzi okunefayibha eninzi njengemifuno eluhlaza, imifuno kunye neziqhamo. Sela amanzi amaninzi imini yonke.
• Isenzo sokwabelana ngesondo: Kuphephe ukulala okanye ukuphulula amalungu esini ubuncinane iveki .
• Ukuya emsebenzini okanye esikolweni: Uninzi lwabantu lunokubuyela kwimisebenzi yabo yesiqhelo kwiintsuku ezintathu.

Ixesha lokubona ugqirha ngoko nangoko

Ukuba ufumana naziphi na kwezi mpawu zilandelayo, fowunela ugqirha wakho ngokukhawuleza.

• Ukopha kakhulu ngenxa yesilonda.
• Ukuba nomkhuhlane we-100°F (38°C) okanye ngaphezulu.
• Ukuba inxeba lidumbile, libomvu, kwaye likhupha ubomvu (iimpawu zosulelo).
• Ukuba intlungu iya isiba mandundu.