Ngaba ngamanye amaxesha uziva into eyahlukileyo, enzima, okanye ngathi yibhola yentambo emasendeni akho? Ngamanye amaxesha kunokuba buhlungu. Nangona abantu abaninzi beneentloni ukuthetha ngayo, le yimeko eqhelekileyo phakathi kwamadoda. Namhlanje siza kuthetha ngemeko ebizwa ngokuba yi-'Varicocele' kunye notyando olubizwa ngokuba yi-'Varicocelectomy'. Ungakhathazeki, siza kuthetha ngale nto ngokulula nangendlela wonke umntu anokuyiqonda.
Yintoni iVaricocele?
Ngamafutshane, i-varicocele yimeko apho imithambo engaphakathi kwe-scrotum, ingxowa yesikhumba ebamba amasende akho, iba nkulu kwaye idumbe kunesiqhelo. Cinga ngayo njengemithambo evuvukileyo emilenzeni yethu, kwaye kwenzeka into efanayo nakumasende.
Nangona le meko inokwenzeka nakweyiphi na iminyaka, idla ngokubonakala okokuqala kubantu abadala abancinci, oko kukuthi, emva kokufikisa. Kwilizwe elifana neMelika, kuthiwa indoda enye kwamahlanu inale meko. Ngoko ke ungacinga ukuba ixhaphake kangakanani le nto.
Ngubani ofuna i-Varicocelectomy?
Ayinguye wonke umntu one-varicocele oya kufuna utyando. Nangona kunjalo, kukho iimeko ezimbalwa apho ugqirha wakho angacebisa olu tyando:
- Ukungazali: I-Varicocele yeyona nto ibangela ukungazali kwamadoda. Ke ngoko, olu tyando lunokunyusa ukuzala kwindoda elindele umntwana. Enyanisweni, izifundo zibonisa ukuba amathuba okukhulelwa emva kolu tyando anokunyuka ukuya kuthi ga kwi-70%.
- Intlungu yamasende: Ukuba uva iintlungu zamasende rhoqo.
- Amanqanaba aphantsi e-testosterone: I-Varicocele inokubangela ukuba imveliso yakho ye-testosterone yehomoni yamadoda yehle.
- Ukuwohloka kwamasende: Ukuba isende elisecaleni eline-varicocele lincinci kakhulu kunelinye.
Ugqirha ufumanisa njani iVaricocele?
Xa usiya kugqirha, uza kukubuza ngeempawu zakho aze akwenze uvavanyo lomzimba. Ngeli xesha, uza kucelwa ukuba ume, uhlale phantsi, kwaye ubambe umphefumlo wakho ngelixa unciphisa izihlunu zesisu sakho, ngokungathi uhambisa isisu (iValsalva maneuver) . Oku kukujonga ukuba unokuziva na ukudumba kwemithambo yakho.
Ixesha elininzi (malunga ne-90%) le meko ibonakala kuphela kwi-testicle yasekhohlo, kodwa ngamanye amaxesha inokubakho kumacala omabini.
Ugqirha angacebisa ezinye iimvavanyo ezininzi ukuze afumane uxilongo oluchanekileyo.
- I-Ultrasound Scan: Oku kukuvumela ukuba ubone ngokucacileyo imeko yemithambo-luvo engaphakathi kwamasende.
- Uhlalutyo lwamadlozi: Olu vavanyo lunceda ekuqinisekiseni ukuba le meko ichaphazele ukuzala kwakho.
- Uvavanyo lweGazi: Jonga izinto ezifana namanqanaba eehomoni.
Emva kwezi mvavanyo, iVaricocele yakho iya kwahlulwa ngokwamanqanaba ngokusekwe kubunzima bayo.
| Ibanga leVaricocele | Inkcazo |
|---|---|
| Ibanga 0 | Olu lolona hlobo luncinci. Alunakuviwa ngexesha lovavanyo lomzimba, kodwa lunokubonwa nge-ultrasound scan. |
| Ibanga loku-1 | Ugqirha unokuziva kuphela xa usenza iValsalva maneuver (bamba umphefumlo wakho uze ucinezele). |
| Ibanga lesi-II | Nokuba ukwimeko eqhelekileyo, ungayiva, kodwa awukwazi ukuyibona. |
| Ibanga lesi-3 | Olu lolona hlobo lukhulu. Lubonakala ngokucacileyo ngaphandle. |
Ziziphi iintlobo zotyando lweVaricocelectomy?
Kukho iindlela ezimbini eziphambili zokwenza olu tyando.
1. Utyando Oluvulekileyo
Kule meko, utyando lwenziwa ngokusika ulusu nokubona ngokucacileyo izicubu ezingaphakathi. Lwahlulwe lwaba ziintlobo ezahlukeneyo ngokuxhomekeke kwindawo yokusika. (Umzekelo: Inguinal, Subinguinal).
2. Utyando Olungenabungozi Kancinci
Kwezi ndlela, akukho monakalo mkhulu kakhulu kulusu nakwizicwili, ngoko ke ixesha lokuphiliswa lifutshane.
- I-Laparoscopic Varicocelectomy: Kule meko, kwenziwa imingxunya embalwa emincinci esiswini esisezantsi kwaye kufakwa ityhubhu encinci enekhamera (i-laparoscope). Ugqirha angabona kwisikrini aze enze utyando ngezixhobo ezibuthathaka kakhulu. Olu tyando luthatha ixesha elifutshane, malunga nemizuzu engama-30-40.
- I-Microsurgical Varicocelectomy: Olu lukwalutyando oluncinci, kwaye i-microscope enamandla kakhulu isetyenziswa ukubona ngokucacileyo imithambo ethambileyo. Le yindlela ethathwa njengeyona iphumeleleyo nekhuselekileyo ekhoyo. Oku kungathatha phakathi kweyure eli-1-3.
Uchacha njani emva kotyando?
Ixesha lokuchacha linokwahluka kumntu nomntu, kodwa ngokubanzi, ezi zizinto onokuzilindela.
Eyona nto ibalulekileyo kukulandela imiyalelo kagqirha ngokuchanekileyo.
- Intlungu nokudumba: Ukudumba nokukrweleka kwindawo yempundu kunye ne-scrotum kuya kuphela emva kweeveki ezi-3-4. Sebenzisa amayeza okudambisa iintlungu achazwe ngugqirha wakho ukuze unciphise iintlungu. Ukusebenzisa i-ice pack nako kulungile ekudumbeni.
- Umsebenzi: Kuphephe ukuphakamisa nantoni na enzima kune-4.5 kg (10 lbs) ubuncinane iiveki ezimbini. Kwakhona, kuphephe ukuphulula amalungu esini kunye nokwabelana ngesondo kangangeveki okanye ezimbini.
- Ukunyamekela inxeba: Gcina inxeba licocekile. Kungcono ukuhlamba kunokuhlamba.
- Ukutya: Yitya ukutya okunefayibha eninzi (iziqhamo, imifuno) kwaye usele amanzi amaninzi ukuthintela ukuqhinwa. Ukuzihluza ngelixa ukhupha indle akulunganga kwinxeba.
- Ukubuyela emsebenzini/esikolweni: Uninzi lwabantu lunokubuyela kwimisebenzi yesiqhelo kwiintsuku ezi-3.
Ziziphi iingenelo kunye neengozi zalo tyando?
Njengalo naluphi na utyando, olu luneengenelo kunye neengozi ezincinci.
| Iingenelo | Iingozi |
|---|---|
| Ukwanda kwemveliso yesidoda kunye ne-testosterone, okwandisa ukuzala . | Iingozi ezinxulumene ne-anesthesia. |
| Ukunciphisa iintlungu kumasende. | Usulelo lwenxeba. |
| Inkangeleko yamasende ibuyela esiqhelweni. | Ihlwili legazi (iHematoma). |
| Olu tyando lukhuselekile kwaye iingxaki azifumaneki rhoqo. | I-Hydrocele (ukuqokelelana kolwelo olujikeleze amasende). |
| Amaxesha amaninzi, i-varicocele iphinda ivele. |
Kufuneka ubone ugqirha ngokukhawuleza nini?
Emva kotyando, ugqirha wakho uhlala ekunika usuku lokulandelelana. Nangona kunjalo, ukuba unezinye zeempawu ezilandelayo, fowunela ugqirha wakho ngoko nangoko.
- Ukopha kakhulu ngenxa yokusikeka.
- Ukuba nomkhuhlane ongaphezulu kwama- 38 degrees Celsius (100 Fahrenheit).
- Iimpawu zosulelo lwenxeba (ububomvu, ukudumba, ubomvu).
- Intlungu ayinyamezeleki .
Umyalezo Wokuya Ekhaya
- I-Varicocele yimeko eqhelekileyo nenganyangekayo phakathi kwamadoda, ngoko ke akukho sizathu sokuyoyika okanye sokuba neentloni ngayo.
- Nangona le meko inokuchaphazela ukuzala, kukho ithuba elikhulu lokuba utyando lwe-varicocelectomy lunokuphucula ukuzala.
- Olu lutyando olukhuselekileyo, kodwa ukuze ufumane iziphumo eziphumelelayo, kubalulekile ukulandela imiyalelo kagqirha ngononophelo emva kotyando.
- Ukuba unemibuzo okanye amathandabuzo ngale nto, thetha nogqirha wakho ngokukhululekileyo ngayo. Uza kukuchazela yonke into.
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