Ukugoba Kwamasende: Qiniseka ukuthi uyazi ngobuhlungu obungazelelwe nobunzima!

Cabanga nje ukube ubudidekile, noma ulele, bese uzwa ubuhlungu obungabekezeleleki esithweni sakho sangasese? Lokhu akuyona into ongayinaka nje. Lesi yisimo esiphuthumayo sezokwelapha. Namuhla sikhuluma ngalesi simo esiyingozi, kodwa uma wazi, esingagwenywa esibizwa ngokuthi i-Testicular Torsion. Kubaluleke kakhulu kumfana, insizwa, kanye nakubazali ukuthi baqaphele lokhu.

Kuyini i-Testicular Torsion? Ake sikuqonde kalula.

Kalula nje, i-Testicular Torsion ukusonteka kwe-testicle ezungeze umthambo wegazi owunikezayo. Ubuwazi ukuthi ama-testicle ethu anamathele epayipini elibizwa ngokuthi i-spermatic cord? Leli payipi liqukethe imithambo yegazi, imizwa, nezinye izinto ezihlinzeka ngegazi ku-testicle.

Manje cabanga ukuthi njengoba nje ipayipi lamanzi lijikijelwa ngokuqinile kangangokuthi amanzi ayayeka ukugeleza, lapho le ntambo yesidoda ijikijelwa, ukuphakelwa kwegazi emasendeni kuyayeka ngokuphelele. Lapho ukugeleza kwegazi kunqanyulwa, izicubu emasendeni ziyaqala ukufa. Lesi yisimo esibuhlungu kakhulu esidinga ukwelashwa okuphuthumayo. Uma ukwelashwa kubambezeleka, amasende angonakala ngokuphelele futhi kudingeke asuswe ngokuhlinzwa.

Sibi kangakanani lesi simo? Kungani isikhathi sibaluleke kangaka?

Ubuhlungu be-Testicular Torsion bubhekwa njengesimo esiphuthumayo sezokwelapha. Uma uzwa ubuhlungu obungazelelwe, obukhulu be-testicle, kufanele uye eMnyangweni Wezimo Eziphuthumayo wesibhedlela (ETU) ngokushesha.

Isikhathi sibaluleke kakhulu kunegolide kulokhu, ngoba umzuzu ngamunye ophuza ukufuna ukwelashwa unciphisa amathuba okusindisa isende lakho.

Ithebula elingezansi lizokusiza ukuthi uqonde kangcono ukubaluleka kwalokhu.

Ziyini izimpawu zokugoba kwamasende?

Uphawu oluyinhloko nolusobala kakhulu ubuhlungu obungazelelwe, obukhulu, nobubukhali bamasende. Lobuhlungu bungenzeka nganoma yisiphi isikhathi, kungakhathaliseki ukuthi ulele phansi, uhamba, noma uhleli. Ngezinye izikhathi, lobu buhlungu bungasakazekela esiswini.

Ezinye izimpawu yilezi:

• Ukuvuvukala nobuhlungu ohlangothini olulodwa lwesinqe.
• Ukuzizwa sengathi kuneqhubu e-testicle.
• Isende elilodwa liphakeme kunelinye.
• Ukushintsha kombala wesikhumba se-scrotum (obomvu, onsomi, onsundu, noma omnyama).
• Isicanucanu nokuhlanza.
• Isisu esibuhlungu.
• Ukudinga njalo ukuchama.
• Imfiva.

Kwabanye abantu, lobu buhlungu bungase buvele ngokuzumayo, bunyamalale isikhashana, bese bubuya. Lokhu sikubiza ngokuthi i-Intermittent Torsion. Noma kunjalo, ungakushayi indiva. Ngokuqinisekile bonana nodokotela.

Kungani lokhu kwenzeka? Iyini imbangela yalokhu?

Ukugoba kwamasende kuvame ukwenzeka kubantu abanesimo sokuzalwa esibizwa ngokuthi "i-Bell Clapper Deformity."

Ngokuvamile, amasende ethu anamathele ngokuqinile ngaphakathi kwe-scrotum. Ngakho awakwazi ukusonta kalula. Kodwa, amasende abantu abanalesi (i-Bell Clapper Deformity) awanamathele kanjalo. Angashwibeka ngokukhululeka emuva naphambili, njenge-pendulum ensimbini yesonto. Ngenxa yokuthi alenga ngokukhululeka kanje, cishe ashwibeka kalula.

Ngokuvamile kuthinta abafana abancane, ikakhulukazi abaneminyaka ephakathi kuka-12 no-18. Futhi, uma othile emndenini wakho eke waba nalesi simo ngaphambili, ungase ube sengozini yokuba naso.

Okubalulekile: Abantu abaningi bacabanga ukuthi lokhu kwenzeka lapho bezivocavoca, begxuma, noma begijima. Lokhu kuyiphutha elingalungile. Ukushaqeka kwamasende akubangelwa yinoma yimuphi umsebenzi womzimba. Kodwa-ke, kungenzeka ngokungahleliwe ngisho nalapho uzivocavoca.

Yiziphi izinkinga ezingaba khona uma kungafunwa ukwelashwa okuphuthumayo?

Lesi simo, esithatha isikhathi eside, singaholela ezinkingeni ezimbili ezinkulu uma singelashwa ngokushesha.

1. Umonakalo ohlala njalo we-testicle: Njengoba sixoxile ngaphambili, uma ukugeleza kwegazi kunqamuka isikhathi esingaphezu kwamahora ayisithupha, izicubu ze-testicle zizoqala ukufa. Lokhu kubizwa ngokuthi i-infarct. I-testicle eyonakele ngale ndlela ayikwazi ukubuyiselwa. Udokotela ohlinzayo kuzodingeka ayisuse.

2. Ukungazali Kwabesilisa: Ngisho noma isende elonakele lisusiwe, ikhono lokuthola abantwana alipheli ngokuphelele ngoba elinye isende lisasebenza kahle. Kodwa-ke, ezinye izifundo zikhombisile ukuthi inani lesidoda lingase lehle ngemva kokugoba kwesende. Lokhu kungaba nomthelela othile ekhonweni lokuthola abantwana.

Udokotela ukuxilonga kanjani lokhu? Kuyini ukwelashwa?

Uma uya eMnyangweni Wezimo Eziphuthumayo (i-ETU), udokotela uzobuza ngezimpawu zakho futhi enze ukuhlolwa ngokomzimba. Ezimweni eziningi, lesi simo singatholakala ngokusekelwe ezimpawini kanye nokuhlolwa kuphela.

Uma udinga ukuqinisekiswa okwengeziwe, kungenziwa i-scrotal ultrasound scan ukuze kubonakale ukuthi igazi liyageleza yini emasendeni. Lokhu kunganquma ngokushesha ukuthi ukugeleza kwegazi kuyekile yini.

Ukwelashwa kuwukuhlinzwa!

Ukwelashwa okuwukuphela kwe-torsion yamasende ukuhlinzwa okuphuthumayo, esikubiza ngokuthi (i-Orchiopexy) .

Lokhu kuhlinzwa kuhilela:

• Udokotela ohlinzayo wenza imbobo encane esinqeni sesisu bese ebeka kabusha intambo yesidoda esontekile.
• Uma ukujikijela kuphenduka ngale ndlela, ukugeleza kwegazi kuya emasendeni kuyaqala futhi.
• Bese, ukuze ayeke ukusonta futhi, udokotela uthunga i-testicle ndawonye bese eyinamathisela odongeni lwangaphakathi lwe-scrotum.
• Ngokuvamile, isende eliphilile ngakolunye uhlangothi nalo lilungiswa ngokuhlinzwa ngendlela efanayo ukuze ligweme ukusonteka esikhathini esizayo.

Kuthatha isikhathi esingakanani ukululama ngemva kokuhlinzwa?

Kungase kube nobuhlungu nokuvuvukala ezinsukwini ezimbalwa zokuqala ngemva kokuhlinzwa. Lokhu kuvamile. Sebenzisa imithi yokwelapha izinhlungu udokotela wakho ayinikezayo njengoba kuqondisiwe.

• Ngemva kwesonto cishe, ubuhlungu buzobe sebuphelile kakhulu, futhi uzokwazi ukuqhubeka nemisebenzi evamile (isikole, umsebenzi wasehhovisi).
• Kodwa-ke, kufanele ugweme ngokuphelele ukuphakamisa izinto ezisindayo, ukugijima, ukugxuma ezemidlalo, kanye nokuzivocavoca okunzima okungenani amasonto ama-3-4.
• Kungcono ukukhuluma nodokotela wakho bese ucela iseluleko ngaphambi kokuqala noma yimuphi umsebenzi.

Kufanele ubonane nini nodokotela?

Ake sixoxe ngalokhu ngezingxenye ezimbili. Esinye yisimo esiphuthumayo, kanti esinye yilokho okufanele ukuqaphele ngemva kokuhlinzwa.