Wake wesaba ukubona i-testicle eyodwa noma zombili zomfana wakho zivuvukele kancane, njengebhaluni elincane lamanzi? Abazali abaningi bayakhathazeka uma bebona lokhu. Kodwa lesi simo ngokuvamile asiyona into okufanele sikhathazeke ngayo. Ngokwezokwelapha, sikubiza ngokuthi i-hydrocele. NgesiSinhala esilula, kuyiqoqo lamanzi azungeze i-testicle. Ngakho-ke, ake sixoxe ngalokhu ngendlela ecacile nelula namuhla. Ake sithole ukuthi kuyini ngempela, kungani kwenzeka, nokuthi yini okufanele siyenze.
Kalula nje, iyini i-Hydrocele?
I-hydrocele ukuvuvukala kwe-scrotum, isikhwama sesikhumba esiqukethe amasende akho. Kungavela ohlangothini olulodwa lwe-scrotum, noma kuzo zombili izinhlangothi. Ngezinye izikhathi, lapho izinhlangothi zombili zivuvukile, kubizwa ngokuthi i-bilateral hydrocele.
Nakuba lesi simo singase senzeke kwabesilisa banoma yibuphi ubudala, sivame kakhulu ezinganeni zabafana ezisanda kuzalwa. Kodwa-ke, ngezinye izikhathi singase senzeke ngokuzumayo ngaphandle kwesizathu esibonakalayo kubantu abadala.
Ingabe lesi isimo esibucayi nesiyingozi?
Amasende ayindawo ebucayi kakhulu, ngakho-ke kungokwemvelo ukukhathazeka uma ubona iqhubu lapho. Ngezinye izikhathi, uma leli qhubu liba likhulu kancane, ungase uzizwe ungakhululekile uma uhleli noma uhamba.
Kodwa into ebaluleke kakhulu ukuthi kubantu abaningi, lesi simo se-hydrocele asibi kakhulu noma asibuhlungu. Asibangeli nkinga enkulu. Ngakho-ke, kubaluleke kakhulu ukungesabi ekuqaleni.
Kunezinhlobo ezimbili eziyinhloko ze-hydrocele:
Sihlukanisa lesi simo sibe izinhlobo ezimbili eziyinhloko. Kunomehluko omncane phakathi kwalezi ezimbili.
1. Ukuxhumana nge-hydrocele
2. I-hydrocele engaxhumanisi
Manje ake siqonde ukuthi ziyini lezi ezimbili.
Ukuxhumana nge-Hydrocele
Lokhu kwenzeka ngenxa yento eyenzekayo lapho umntwana esesibelethweni. Cabanga ukuthi kukhona ithubhu elincane, noma ipayipi, phakathi komgodi wesisu kanye ne-scrotum. Lokhu sikubiza ngokuthi 'i-processus vaginalis'. Ngokuvamile, amasende omntwana ehla ngale ndlela esuka emgodini wesisu, aye e-scrotum, bese le ndlela ivala.
Kodwa kwezinye izingane, le ndlela ayivaleki kahle. Bese kuthi okunye uketshezi oluvela esiswini luphume kule ndlela luqoqeke esikhumbeni. "Okuxhunyiwe" kusho ukuthi kusekhona ukuxhumana nomgodi wesisu. Kulolu hlobo, ukuvuvukala kunganda noma kunciphe usuku lonke.Ukuvuvukala kungase kubonakale kakhulu ebusuku kunasekuseni.
I-Hydrocele Engaxhumani
Kulolu hlobo, i-processus vaginalis, engikhulume ngayo ekuqaleni, ivalwe ngokuphelele. Kodwa ngaphambi kokuba ivalwe, uketshezi oluthile lungene esikhumbeni futhi luvaleleke lapho. Lokhu kusho ukuthi ayikho indlela yokuthi uketshezi olusha lungene noma ukuthi uketshezi olukhona luphinde luphume. Kulolu hlobo , ukuvuvukala kuvame ukuhlala kufana nosayizi, noma kuba kukhulu kakhulu.
Bheka leli thebula ukuze uchaze kabanzi umehluko phakathi kwalezi zinhlobo ezimbili.
| Isici | Ukuxhumana kwe-hydroseal | I-hydrocele engaxhumani |
|---|---|---|
| Isizathu | Indlela ephakathi komgodi wesisu kanye ne-scrotum ihlala ivulekile. | Ngisho noma indlela ivaliwe, uketshezi oluthile luzobhajwa ngaphakathi. |
| Uhlobo lokuvuvukala | Inani lokuvuvukala lingahluka (ukwanda/ukwehla) usuku lonke. | Ukuvuvukala kuhlala kufana noma kukhula kancane kakhulu. |
| Ezinye izingozi | Kukhona ingozi engavamile kakhulu yokuba ne-hernia ye-inguinal. | Ingozi yezinye izinkinga ngokuvamile iphansi. |
Ziyini izimpawu ze-hydrocele?
Uphawu oluyinhloko nolusobala kakhulu ukuvuvukala ohlangothini olulodwa noma zombili zesinqe. Lokhu kuvuvukala kungase kuzwakale kuthambile uma kuthintwa, njengebhola elincane lamanzi. Kungase kube nezinye izimpawu.
- Inani lokuvuvukala liyashintsha usuku lonke.
- Ukuzizwa ungakhululekile, noma ngabe akukho ubuhlungu.
- Abanye abantu (ikakhulukazi abantu abadala) bangase bezwe ubuhlungu.
- Ukuzwa isisindo esiswini.
Ingabe lokhu kuthinta ukuzala?
Lena inkinga abantu abaningi abanayo. Kodwa izindaba ezinhle ukuthi i-hydrocele ngokuvamile ayithinti ukuzala.
Kungani lokhu kwenzeka nge-hydrocele?
Isizathu salokhu singahluka kuye ngobudala.
Kwabasanda kuzalwa
Njengoba ngishilo ekuqaleni, lokhu kwenzeka ezinganeni njengengxenye yokukhula kwazo esibelethweni. Isizathu esiyinhloko ukuthi i-processus vaginalis, indlela ephakathi kwesisu kanye ne-scrotum, ayivaleki kahle. Ngezinye izikhathi, noma ngabe leyo ndlela ivala, uketshezi oluthile lungabanjwa ngaphakathi.
Ingxenye engcono kakhulu ukuthi imizimba eminingi yezingane imunca kancane kancane lolu ketshezi bese ukuvuvukala kunyamalala ngokuphelele phakathi nonyaka wokuqala noma emibili. Cishe u-10% wabafana abasanda kuzalwa babhekana nalesi simo, ngakho-ke kuvame kakhulu.
Kwabantwana abancane kanye nabantu abadala
Uma lokhu kwenzeka kumuntu omdala, kungase kuhileleke ezinye izici.
- Ukulimala noma ukushaywa endaweni ye-scrotum.
- Kungase kube nokutheleleka noma ukuvuvukala okuthile kuleyo ndawo.
Lesi simo sithinta cishe abantu abadala abangu-1%, futhi ezimweni eziningi, siyaphela ngaphandle kokwelashwa.
Udokotela ukubona kanjani lokhu?
Uma uya kudokotela, uzolandela izinyathelo eziningana ukuqinisekisa ukuthi ngabe yi-hydrocele.
1. Ukubuza imibuzo: Ukubuza wena noma ingane yakho ngezimpawu zayo.
2. Ukuhlolwa komzimba: Udokotela uzothinta indawo evuvukele. Bangase bacindezele indawo yembobo kancane, noma bakucele ukuthi ukhwehlele. Bheka ukuthi ukuvuvukala kuyashintsha yini.
3. Ukukhanya Okuguquguqukayo: Lokhu kuyindlela elula kakhulu yokuhlola. Udokotela uthatha ithoshi elincane ekamelweni elimnyama alibambe lize livuvuke. Uma kukhona uketshezi olufana namanzi ngaphakathi, ukukhanya kudlula kulo bese konke ukuvuvukala kukhanya kubomvu. Lokhu kunganikeza udokotela umbono omkhulu.
4. Ezinye izivivinyo: Esikhathini esiningi, izivivinyo ezingenhla zingaqinisekisa ukuthi kuyi-hydrocele. Kodwa-ke, ngezinye izikhathi, uma kukhona okusolakala ukuthi kuyisimo esithile, udokotela wakho angakuthumela kwezinye izivivinyo.
- I-ultrasound yesinqe: Lokhu kunganikeza isithombe esicacile samasende nezicubu ezizungezile. Lesi yiskeni esivame kakhulu esisetshenziswa ukuqinisekisa i-hydrocele.
- Ukuskena kwe-CT:Lolu futhi uhlobo lwe-X-ray, kodwa lungaveza izithombe ezicacile ezinezinhlangothi ezintathu (3D).
Yiziphi izindlela zokwelapha i-hydrocele?
Lena yingxenye ebaluleke kakhulu. Iningi lamacala e-hydrocele awadingi ukwelashwa.
Uma kwenzeka ezinganeni, sivame ukulinda zize zibe nonyaka noma emibili ubudala. Ngoba phakathi naleso sikhathi zizophela zodwa. Ngisho nakubantu abadala, uma kungekho ubuhlungu noma ukungakhululeki, ungalinda zize ziphole zodwa.
Kodwa,
- Uma ukuvuvukala komntwana kungapheli ngemva kweminyaka emibili,
- Uma ukuvuvukala kukhulu kakhulu,
- Uma kubangela ubuhlungu noma ukungakhululeki okukhulu,
- Noma uma kukhona ingozi yokuthola i-hydrocele exhumanayo kanye ne-hernia,
Udokotela wakho angase akuncomele ukuhlinzwa okuncane . Lokhu sikubiza ngokuthi i-hydrocelectomy. Lokhu kuhilela ukwenza i-incision encane, ukukhipha uketshezi olungaphakathi, nokwenza noma yini edingekayo ukuvimbela uketshezi ukuthi lungaphinde luqongelelane. Uma kuwuhlobo oluxhunyiwe, indlela eya emgodini wesisu ivaliwe.
Khumbula, ayikho imithi engasetshenziswa ukunciphisa lokhu. Uma ingapheli yodwa, ikhambi kuphela ukuhlinzwa.
Kwenzekani uma ingelashwa?
Ngokuvamile, akukho nkinga. Kodwa-ke, uma kwenzeka i-hydrocele exhumanayo, uma indlela ene-belly cavity inkulu kakhulu futhi ingelashwa, kungenzeka isimo esingavamile esibizwa ngokuthi i-inguinal hernia . Lokhu kusho ukuthi into ethile, njengengxenye yamathumbu, yehla ngendlela bese ibhajwa embotsheni. Kungaba buhlungu futhi ngezinye izikhathi kube yingozi.
Kufanele ubonane nini nodokotela?
Uma ubona ukuvuvukala esikhumbeni sengane yakho, kungcono ungesabi bese uyiyisa kudokotela oseduze. Lokhu kwenzelwa ukuqinisekisa ukuthi i-hydrocele noma okunye. Ikakhulukazi uma kukhona izimpawu ezilandelayo, kufanele nakanjani ubone udokotela.
| Izici okufanele uziqaphele | Incazelo |
|---|---|
| Iqhubu noma ukuvuvukala | Uma ubona iqhubu elisha endaweni yesinqe noma endaweni yengquza. |
| Ubuhlungu obukhulu | Uma ingane ibonakala sengathi isezinhlungwini futhi ikhala njalo. |
| Ukuhlanza noma isicanucanu | Uma ingane inesicanucanu noma ihlanza. |
| Isifiso sokudla | Uma ingane ingadli noma ingaphuzi ngendlela evamile. |
Ingabe lokhu kungavinjelwa?
Akukho esingakwenza ukuvimbela lokhu ukuthi kwenzeke ezinganeni ezisanda kuzalwa, ngoba kuyingxenye yenqubo yokukhula komzimba.
Kodwa-ke, ezinganeni ezindala kanye nabantu abadala, indlela engcono kakhulu yokuvimbela i-hydrocele ukuvikela indawo ye-scrotum ekulimaleni. Uma ungumsubathi, kubaluleke kakhulu ukugqoka indebe yezemidlalo, ikakhulukazi uma udlala imidlalo efana nekhilikithi noma ibhola.
Umlayezo Wokuya Nawe Ekhaya
- I-Hydrocele iyisikhwama esigcwele uketshezi esisesinqeni samabele. Kuyisimo esivamile kakhulu futhi ngokuvamile esingenangozi kubafana abasanda kuzalwa.
- Ezinganeni eziningi, lokhu kuvuvukala kuyaziphelela phakathi nonyaka wokuqala noma emibili. Akudingi ukwelashwa.
- Uma ubona noma yikuphi ukuvuvukala endaweni ye-scrotum yengane yakho, ungesabi futhi uyiyise kudokotela ukuze uqinisekise ukuthi i-hydrocele noma esinye isimo.
- Ukuhlinzwa kuyadingeka kuphela uma ukuvuvukala kungazinciphisi ngokwako, kukhulu kakhulu, noma kubangela ubuhlungu/ukungakhululeki.
- Kubalulekile ngabantu abadala ukuvikela indawo yesinqe lapho bedlala imidlalo noma benza umsebenzi ofaka ingozi yokulimala.
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