Ingabe isende lakho lisengozini? Ake sifunde ngamasende aqhekekile!

Ngezinye izikhathi izingozi zingase zenzeke ngokungalindelekile, akunjalo? Ikakhulukazi uma udlala imidlalo noma engozini, kunethuba elikhulu lokulimaza izingxenye zomzimba wethu ezizwelayo. Namuhla sizokhuluma ngesihloko esibaluleke kakhulu nesibucayi kancane kwabesilisa. Okusho ukuthi, ukulimala kwesende, ikakhulukazi isende eliqhumile, noma njengoba sikubiza ngamagama ezokwelapha , isende eliqhumile . Lesi yisimo esidinga ngempela ukwelashwa okuphuthumayo.

Kuyini i-testicle ephukile?

Kalula nje, ukuqhekeka kwamasende kuyisimo esiphuthumayo sezokwelapha. Kwenzeka lapho ulwelwesi oluvikelayo, noma olumboza, amasende luqhekeka. Cabanga ukuthi bekuzokwenzekani uma ugcwalisa ibhaluni ngamanzi bese ulishaya kakhulu? Kwenzeka into efanayo lapha, kodwa kuyinkimbinkimbi kakhulu. Uyazi, indoda inamasende amabili. Atholakala esikhwameni sesikhumba esilenga ngaphansi kwepenisi, esisibiza ngokuthi i-scrotum . La masende anemisebenzi emibili eyinhloko. Omunye ukukhiqiza ama-hormone wesilisa, ikakhulukazi i-testosterone. Omunye ukukhiqiza isidoda. Isende ngalinye limbozwe ulwelwesi oluqinile olubizwa ngokuthi i-'tunica albuginea'. Yilokhu okuvikela isende. Ngaphakathi kwesende, kunenethiwekhi enhle kakhulu yamashubhu akhiqiza isidoda, abizwa ngokuthi i-'Seminiferous Tubules.' Ngakho-ke, lapho isende liqhekeka, okwenzekayo ukuthi ulwelwesi lwe-'tunica albuginea'' luqhekeka, futhi la mashubhu ''semiminiferous'' angaphakathi agxume aphume.

Into ebaluleke kakhulu ukuthi, uma usola ngisho nokuncane ukuthi une -torsion yamasende , kubalulekile ukufuna iseluleko sezokwelapha ngokushesha okukhulu! Lokhu akuyona into ongayilapha ekhaya.

I-testicle ingaqhuma kanjani? Ziyini izimbangela?

Ngenxa yokuthi amasende atholakala ngaphandle komzimba futhi awavikelwe yimisipha noma amathambo aqinile, asengozini enkulu yokulimala. Ukuqhekeka kwamasende kuvame ukubangelwa ukulimala okunamandla noma ukulimala okungene ngaphakathi . Nazi ezinye zezimbangela ezivamile :

• Uma udlala imidlalo: Cabanga ngebhola elihamba ngokushesha lishaya amasende ngqo ngenkathi udlala ikhilikithi. Noma ukuwa kanzima noma ukukhahlela emdlalweni ofana neragbi noma ibhola likanobhutshuzwayo.
• Izingozi : Lolu hlobo lokulimala lungenzeka nasezimweni ezifana nengozi yemoto noma ukuwa kusuka endaweni ephakeme. Ngezinye izikhathi, i-testicle ingaqhuma ngenxa yokucindezelwa kwethambo le-pelvic.
• Ukuhlasela: Uma othile ekuhlasela, ikakhulukazi ngento efana nokukhahlela endaweni yesinqe.
• Ingozi ngesikhali esibukhali:Lokhu kungenzeka nasezimweni ezimbi kakhulu, njengokugwazwa noma ukudubula.
• Ukulunywa yisilwane: Lokhu kungenzeka kancane, kodwa akunakwenzeka.

Ngokuvamile kuthiwa amandla angamakhilogremu angaba ngu-50 angaphula isende. Cabanga nje, lokho kufana nokuthile okunesisindo esingamakhilogremu angu-22 okushaya indawo yesende ngokuzumayo. Ngakho lokhu akuyona into encane.

Ubani osengozini enkulu yalokhu? Ingabe lokhu kuvamile?

Lokhu kungenzeka kunoma yimuphi umuntu wesilisa wanoma yimuphi ubudala. Kodwa-ke, kuvame kakhulu entsheni nasebancane abadlala imidlalo . Lokhu kungenxa yokuthi bamatasa kakhulu futhi banamathuba amaningi okulimala ngesikhathi semidlalo. Kodwa-ke, nakuba ukulimala okuncane emasendeni kuyinto evamile, i-testicle ephukile ayivamile. Kodwa-ke, kubalulekile ukuqaphela lokhu.

Ziyini izimpawu zokuqhekeka kwesende?

Lokhu ikakhulukazi ubuhlungu obukhulu, obukhulu kakhulu esinqeni sakho se-scrotum. Ngesikhathi esifanayo, isinqe siqala nokuvuvukala . Lobuhlungu bukhulu kangangokuthi abanye abantu bangase babe nesicanucanu nokuhlanza. Ezinye izimpawu zifaka:

• Ukuphuka kanye nokuklwebheka kungabonakala emhubheni we-fallopian.
• Kungase kube negazi emchameni ( i-hematuria ) .
• Kungaba nzima ukuhamba noma ngisho nokuma.
• Akuvamile ukuthi kube nomkhuhlane .

Uma uhlangabezana nesinye noma ngaphezulu salezi zimpawu ngemva kokulimala kwamathambo akho, bona udokotela ngokushesha.

Odokotela bakuthola kanjani lokhu?

Uma ulimele esinqeni sakho futhi uzwa ubuhlungu noma ukuvuvukala, ungabonana nomhlinzeki wakho wokunakekelwa oyinhloko, udokotela wezifo zomchamo, noma uye ngqo egumbini lezimo eziphuthumayo esibhedlela. Udokotela uzoqala akubuze ngezimpawu zakho. Ukulimala kwenzeke kanjani, ubuhlungu bube khona isikhathi esingakanani, nokuthi yiziphi ezinye izimpawu ozizwayo. Ngemuva kwalokho, udokotela uzokwenza ukuhlolwa ngokomzimba kwendawo. Okulandelayo, udokotela cishe uzoyala ukuthi kwenziwe i-ultrasound scan.Lokhu kwenziwa ngokuthi: 1. Ijeli ifakwa esinqeni sakho. 2. Bese kuba nenduku encane ye-ultrasound efakwa ngobumnene endaweni kusuka ema-engeli ahlukene bese ihlolwa. 3. Lokhu kusebenzisa amaza omsindo ukudala izithombe ezicacile zangaphakathi kwamasende akho. Isende elonakele liyahlolwa futhi liqhathaniswe nesende eliphilile. Ngezinye izikhathi, uma i-ultrasound ingacacile, kungase kudingeke ezinye izivivinyo, njenge-MRI (Magnetic Resonance Imaging),. Ukuhlolwa komchamo (urinalysis) nakho kungenziwa ukuze kuhlolwe ukutheleleka noma esinye isifo. Kubalulekile ukuthola ukuxilongwa okunembile ngokushesha okukhulu. Kunezinye izimo ezingabangela izimpawu ezifana nokugoba kwamasende. Isibonelo:

• I-Hematocele: Ukuqoqwa kwegazi elizungeze isende.
• I-Hernia: Ukuphuma kwento efana namathumbu emgodini wesisu.
• Ukutheleleka : Emasendeni noma ezindaweni ezizungezile.
• Umdlavuza wamasende .
• Ukugoba Kwamasende : Lokhu nakho kuyisimo esiphuthumayo.

Ngakho-ke, kubalulekile ukuthola ukuthi kwenzekeni ngaphambi kokuqala ukwelashwa.

Uphatha kanjani ukuqhekeka kwamasende?

Ukuhlinzwa kuvame ukudingeka ukuze kuqhume isende. Ungakhathazeki ngalokhu. Izinhloso eziyinhloko zalokhu kuhlinzwa yilezi:

• Ukuyeka ukopha .
• Ukulungisa nokuthunga izinyembezi.
• Ukususa izicubu ezonakele ezingenakulungiseka.

Ukuhlinzwa kuvame ukuhamba kanje: 1. Okokuqala, ulaliswa, okusho ukuthi unikezwa i-anesthesia . Ngakho ngeke uzwe ubuhlungu. 2. Ngemuva kwalokho, udokotela ohlinzayo wenza i-incision encane esikhwameni sakho se-scrotum. 3. I-testicle nezakhiwo ezizungezile zihlolwa ngokucophelela. 4. Noma yikuphi ukudabuka noma ukuphuka kulungiswa ngezithungo ezincibilika ngemva kwezinsuku ezimbalwa zokuhlinzwa. 5. Ngezinye izikhathi, ipayipi elincane (i-drain) lingafakwa okwesikhashana esikhwameni se-scrotum ukuze kukhishwe igazi nolunye uketshezi. Kodwa-ke, kwezinye izimo ezimbi kakhulu, i-testicle ingase yonakale kangangokuthi ayikwazi ukulungiswa. Kulesi simo, i-testicle ingadinga ukususwa ngokuphelele (i-orchiectomy).

Yini engenziwa ukuze kugwenywe lolu hlobo lwengozi?

Akunakwenzeka ukusho ukuthi lezi zingozi zizokwenzeka nini noma kanjani. Kodwa-ke, singathatha izinyathelo zokuzivikela ngangokunokwenzeka.

• Uma udlala imidlalo: ikakhulukazi xhumana nemidlalo,Qiniseka ukuthi ugqoka indebe yokuzivikela noma i-jockstrap/i-athletic supporter , eyaziwa nangokuthi "i-guard". Kufanele ibe usayizi ofanele wena.
• Uma ushayela: Shayela ngokuphepha. Gqoka ibhande lesihlalo njalo.
• Uma usebenzisa izibhamu: Qaphela kakhulu ngazo. (Lokhu kungase kungabi yinto ebalulekile eSri Lanka, kodwa kuyinto evamile.)

Kuthatha isikhathi esingakanani ukuthi ukuqhekeka kwesende kuphole?

Lokhu kungathatha noma yikuphi kusukela emavikini ambalwa kuya ezinyangeni ezimbili ukuze kuphole. Lokhu kuzohluka kuye ngokuthi ukulimala kungakanani kanye nesimo sakho somzimba. Udokotela wakho angakunikeza iseluleko, njengalesi:

• Gwema umsebenzi womzimba, ezemidlalo ezithinta kakhulu, umsebenzi wocansi, kanye nokuphakamisa izinto ezisindayo amasonto amaningana.
• Vakashela udokotela wezifo zomchamo (udokotela ochwepheshe ezinhlelweni zomchamo nezokuzala) njalo ukuze uhlole ukuthi uphilile yini.
• Phuza imithi yokubulala izinhlungu (ama-NSAID - Imithi Engavimbeli Ukuvuvukala) enconywe udokotela wakho ukulawula ubuhlungu nokuvuvukala.
• Gqoka ingubo yangaphansi ekhethekile (i-jockstrap) ukuze usekele futhi uvikele amasende ngesikhathi sokuphulukiswa.

Ingabe ukuzala kuzolahleka uma i-testicle iqhuma?

Lokhu ukwesaba abantu abaningi abanakho. Kodwa-ke, ngokuvamile, uma isende elilodwa liphilile, kwanele ukukhiqiza isidoda nokugcina ikhono lokuzala abantwana. Ngakho-ke, uma elinye isende liphilile, akukho okufanele ukhathazeke ngakho. Kodwa-ke, kungcono ukukhuluma nodokotela wakho futhi ucacise lokhu.

Kunini lapho kufanele uthole khona iseluleko sezokwelapha ngokulimala kwe-testicular?

Uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo ngemuva kokulimala kwamasende akho noma i-scrotum, ungachithi isikhathi futhi funa iseluleko sezokwelapha ngokushesha:

• Igazi emchameni (`Hematuria`).
• Ukushintsha kombala noma ukufiphala kombala oluhlaza okwesibhakabhaka.
• Imfiva.
• Ubuhlungu obuqhubekayo noma obukhulayo.
• Ukuvuvukala.
• Unenkinga yokuchama.
• Iqhubu noma iqhubu elingavamile kuleyo ndawo.

Khumbula, ukuqhekeka kwesende kuyisimo esiphuthumayo sezokwelapha, ngakho ungakushayi indiva njengento encane.

Uyini umyalezo okufanele siwuthathe ekhaya kulokho esixoxe ngakho?

Kulungile, ngakho-ke lezi yizinto ezibaluleke kakhulu okudingeka uzikhumbule kulokho esikhulume ngakho namuhla.

• Ukuqhekeka kwesende kuyisimo esibi kakhulu esidinga ukwelashwa okuphuthumayo.
• Lokhu kuvame ukwenzeka ngemva kokushaywa ngamandla noma into ebukhali. Le ngozi iphezulu ngesikhathi semidlalo nezingozi.
• Ubuhlungu obukhulu nokuvuvukala yizimpawu eziyinhloko.
• Uma kwenzeka ingozi enjalo, futhi kuvela izimpawu, bona udokotela ngokushesha. Ukuxilongwa kuvame ukwenziwa ngokuhlolwa kwe-ultrasound.
• Ukwelashwa kuvame ukuhlinzwa. Uma ukwelashwa kusheshe kutholakale, amathuba okusindisa isende aba maningi.
• Izingozi ezinjengalezi zingavinjelwa ngokulandela izinyathelo zokuphepha (isib. ukugqoka 'isivikelo' lapho udlala imidlalo).
• Uma isende elilodwa liphilile, ngokuvamile alithinti ukuzala.

Ngakho-ke, ngithemba ukuthi lolu lwazi luwusizo kuwe. Ukuqaphela lesi simo kuzokusiza ukuthi uthathe isinyathelo ngokushesha uma kudingeka. Hlala uphilile! Ukuqhekeka kwamasende, Ukuqhekeka kwamasende, Izinkinga zamasende, Impilo yamadoda, Izingozi, Izingozi zemidlalo, Ubuhlungu bamasende