Uma umfana wakho omncane edlala bese eqala ukukhala ngokuzumayo ethi, "Mama... ithambo lami libuhlungu!", bekungeke yini kube nomama noma ubaba osaba kakhulu? Kuyindawo ebucayi kakhulu, ngakho-ke ngisho nobuhlungu obuncane kunzima kumntwana ukuyithwala. Esinye sezizathu eziyinhloko zobuhlungu obungazelelwe obunjalo ukusonteka kwengxenye encane esizokhuluma ngayo namuhla ebizwa ngokuthi 'i-Appendix Testis'. Ngisho noma igama lizwakala njengento enkulu, ungesabi. Ake sixoxe ngalokhu kalula.
Kuyini ngempela i-Appendix Testis?
Kalula nje, lesi yisicucu esincane kakhulu, esingenamsebenzi esilenga phezulu kwesende lomfana. Cabanga ngaso njengentambo encane esele ngemuva kokuthunga ingubo.
Lokhu kuzokucaca uma uqonda ukuthi kukhula kanjani. Ezigabeni zokuqala zokukhula komntwana esibelethweni, kukhona ipayipi elisetshenziselwa ukuthuthukisa uhlelo lokuzala lwentombazane (isibeletho, amashubhu e-fallopian, njll.). Libizwa ngokuthi `(i-Müllerian duct)`. Kodwa-ke, lapho umfana ekhula, le payipi ayisadingeki. Ngakho-ke kancane kancane iba yinto engasebenzi futhi inyamalale. Ingcezu encane esele kulelo payipi elinyamalalayo ibizwa ngokuthi `i-Appendix Testis`.
Lokho kusho ukuthi akusona isifo noma into engavamile. Kujwayelekile ngokuphelele, kuthinta abafana abangaba ngu-8 kwabayi-10. Abanye abafana bangase babe naso emasendeni womabili.
Uma lokhu kungasizi ngalutho, uyiqala kanjani inkinga?
Nakuba le `Appendix Testis` ingenamsebenzi, inamathele esithendeni ngesiqu esincane. Njengesithelo esincane esilenga esihlahleni. Ngezinye izikhathi, ngaphandle kwesizathu esibonakalayo, le ngxenye encane yezicubu ingajika futhi iziphendulele. Yilokho esikubiza ngokuthi `Appendix Testis Torsion` kwezokwelapha.
Ukugoba kusho ukugoba. Uma kugoba kanje, ukuphakelwa kwegazi kuleyo ngxenye encane yezicubu kuyama, bese kuqala ukufa kancane kancane. Yilokhu okubangela ubuhlungu obungazelelwe nobubukhali.
Yiziphi izimpawu ezingabonakala kulesi simo?
Le `Appendix Testis Torsion` ivame ukubonakala kubafana abaneminyaka ephakathi kuka-7 no-12. Uma kwenzeka into efanayo endodaneni yakho, qaphela lezi zimpawu.
| Isibonakaliso | Incazelo elula |
|---|---|
| Ubuhlungu obungazelelwe, obubukhali | Ingane ingakhala ngokuzumayo ngenxa yobuhlungu. Lobuhlungu buvame ukuzwakala e-testicle eyodwa (ngokuvamile engxenyeni engenhla). |
| Ukuvuvukala nokubomvu kwe-scrotum | I-scrotum ohlangothini lobuhlungu ingase ibe bomvu futhi ivuvuke kancane. |
| "Uphawu Lwechashazi Eliluhlaza okwesibhakabhaka" | Lesi isibonakaliso esibaluleke kakhulu. Ngenxa yokuthi ingxenye yezicubu ezisontekile ilahlekelwe yigazi futhi iphenduka ibe mnyama/luhlaza okwesibhakabhaka, ngezinye izikhathi ingabonakala njengechashazi elincane eliluhlaza okwesibhakabhaka esikhumbeni se-scrotum. Odokotela bazokuhlola lokhu ngokucophelela. |
| Ubuhlungu besisu nokuhlanza | Ubuhlungu bubukhali kangangokuthi ezinye izingane zingase zizwe sengathi bukhuphukela esiswini sazo. Zingase futhi zizwe sengathi ziyahlanza. |
Okubaluleke Kakhulu: Ungadidanisi i-Appendix Testis Torsion ne-Testicular Torsion!
Lena yingxenye ebaluleke kakhulu yalesi sihloko. Abanye abantu bangase badide la magama amabili ngoba azwakala efana. Kodwa-ke, kunomehluko omkhulu phakathi kwalezi zimo ezimbili.
1. Isithasiselo se-Testis Torsion (esikhuluma ngakho): Lesi isicubu esincane nje, esingenamsebenzi esisontayo. Nakuba lokhu kubuhlungu, akubangeli umonakalo e-testicle. Ngakho-ke, lesi akusona isimo esidinga ukuhlinzwa okuphuthumayo.
2. Ukugoba Kwamasende: Lesi yisimo esibucayi kakhulu nesiphuthumayo . Akuyona isende eligobile. Yintambo yesidoda, okuwumthambo wegazi oyinhloko ohlinzeka ngegazi esende uqobo. Uma lokhu kwenzeka, ukuhlinzekwa kwegazi esende kunganqamuka ngokuphelele phakathi namahora ambalwa, okubangela ukuba lingasebenzi unomphela (life).
Ngakho khumbula lokhu: Uma indodana yakho inobuhlungu be-testicular, ungahlali ekhaya ucabange ukuthi, "Kungenzeka ukuthi lokhu kuyi-testicle ejiyile, akukho okufanele ukhathazeke ngakho." Ngoba izimpawu zazo zombili zifana kakhulu. Udokotela kuphela onganquma ukuthi yikuphi okubili okuyikho. Ngakho-ke thatha ingane yakho uyiyise kudokotela oseduze noma egumbini lezimo eziphuthumayo (ETU) esibhedlela ngokushesha.
Udokotela uzohlola ingane, futhi uma kudingeka, enze i-ultrasound scan ukuqinisekisa ukuthi yiziphi lezi zimo ezimbili ezikhona.
Iphathwa kanjani?
Ngemva kokuba udokotela emhlolile futhi eqinisekisile ukuthi lokhu kwakuyi-'Appendix Testis Torsion' hhayi i-'Testicular Torsion' engathi sína, ukwelashwa kwakulula kakhulu.
- Ukuphumula: Kufanele ugweme ukugijima nokudlala izinsuku ezimbalwa futhi uvumele ingane yakho iphumule ngokwanele.
- Iqhwa: Ukufaka iphakethe leqhwa eligoqwe ngendwangu ehlanzekile endaweni ebuhlungu imizuzu eyi-10-15 kungasiza ekunciphiseni ukuvuvukala nobuhlungu.
- Ama-Painkiller: Nikeza umthamo onqunyiwe we-paracetamol noma izidakamizwa ezingezona eze-steroidal ezilwa nokuvuvukala (ama-NSAID) (isib. i-ibuprofen) njengoba kunqunywe udokotela.
- Ukuphakama kwe-scrotal: Ngesikhathi ingane ilele phansi, ukubeka into efana nendwangu encane, ethambile ngaphansi kwe-scrotum ukuze iyisekele kancane phezulu kungasiza ekunciphiseni ubuhlungu.
Ngokuvamile, ngale ndlela yokwelapha , ubuhlungu nokuvuvukala kuzophela cishe ngokuphelele phakathi nesonto. Umzimba uzoncibilika futhi umunce ingxenye encane yezicubu ezisontekile. Ukuhlinzwa akuvamile ukudingeka. Kuphela uma ubuhlungu bungabekezeleleki noma uma kukhona ukungabaza ngokutholakala kwesifo.
Umlayezo Wokuya Nawe Ekhaya
- I-'Appendix Testis' iyisicubu esincane, esivamile, esingenangozi, nesingenamsebenzi esitholakala emasendeni abafana.
- Lokhu kugoba kungadala ubuhlungu obungazelelwe, obubukhali, ikakhulukazi ezinganeni eziphakathi kweminyaka engu-7-12.
- Lesi simo sihluke ngokuphelele ku-'Testicular Torsion', okuyisimo esibi esidinga ukuhlinzwa okusheshayo.
- Kodwa-ke, noma yikuphi ubuhlungu obungazelelwe emasendeni engane akufanele bunganakwa. Udokotela kufanele axhumane naye ngokushesha ukuze anqume ukuthi kuyisimo esibi yini.
- Ukwelashwa kwe-'Appendix Testis Torsion' ngokuvamile kungelashwa ngokuphumula, iqhwa, kanye nezinhlungu zobuhlungu.
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