Ingabe uzwa ubuhlungu obukhulu emasendeni akho? Kungaba yi-Testicular Torsion! Ake sixoxe ngakho.

Kuthiwani uma ngokuzumayo uzwa ubuhlungu obukhulu kwelinye lamasende akho, “ibhola” esinqeni sakho? Noma uma ubuhlungu buhambisana nokuvuvukala? Lokhu akuyona into yokudlala ngakho. Lokhu kungaba yisimo esiphuthumayo sezokwelapha, futhi sikubiza ngokuthi i-Testicular Torsion. Kalula nje, umthambo wegazi othwala igazi uye esinqeni uphendukekile, unqande ukugeleza kwegazi.

Kubaluleke kangakanani lokhu?

Kulungile, manje cishe uyazibuza ukuthi lokhu (i-Testicular Torsion) kuyingozi kangakanani. Lesi yisimo sezokwelapha esibucayi kakhulu nesiphuthumayo. Uyazi ukuthini? Engangikusho ukuthi ipayipi elithwala igazi liye esithweni sangasese, intambo yesidoda, liyasonteka. Okwenzekayo ukuthi ukunikezwa kwegazi esithweni sangasese kunqanyulwe ngokuphelele. Kufana nepayipi lamanzi elibhajwa phakathi bese amanzi eyeka ukugeleza.

Ngakho-ke, uma ingelashwa ngokushesha, isende lingafa. Yebo, ungalilahlekelwa ngisho nayilo. Yingakho lokhu kuphuthuma kangaka.

Ngokusho kodokotela, lobu buhlungu buqala ngokuthi:

• Uma ukwelashwa kutholwa zingakapheli amahora angu-4 kuya kwangu-6 , i-testicle ingagcinwa.
• Uma uphuzile ngisho namahora angu-12, amathuba akho okusinda ancishiswa ngesigamu.
• Uma kudlula amahora angama-24, amathuba okusindisa isende aphansi kakhulu, cishe yi-10%.

Ngakho-ke, ungacabanga ukuthi udinga ukufika esibhedlela ngokushesha kangakanani. Akuyona into enhle ukufika sekwephuzile ngisho nangomzuzu owodwa.

Sivame kangakanani lesi simo?

Ukugoba kwamasende empeleni akuvamile kangako. Kuthinta cishe umfana oyedwa kwabangu-4,000 abangaphansi kweminyaka engu-25. Esikhathini esiningi, kwenzeka ngokuzumayo, ngaphandle kwesizathu esicacile.

Ngokuvamile kuthinta isende elilodwa, nakuba kuthiwa isende lesobunxele linamathuba amancane okuthuthukisa lesi simo kunesokudla.

Ingabe amasende womabili angasonta ngesikhathi esisodwa? Yebo, kungenzeka. Kodwa akuvamile kakhulu. Cishe u-2% wamacala anjalo athinta amasende womabili ngesikhathi esisodwa.

Ziyini izimpawu?

Kulungile, ake sibone manje ukuthi yiziphi izimpawu ezingavela kulesi simo (i-Testicular Torsion).

Into eyinhloko ukuthi ngokuzumayo uzwe ubuhlungu obukhulu, obungabekezeleleki kwelinye lamasende akho. Lobuhlungu bungenzeka nganoma yisiphi isikhathi, kungakhathaliseki ukuthi uvukile, ulele, umile, uhleli, noma wenza noma yimuphi umsebenzi.

Kunezinye izimpawu:

• Ukuvuvukala okubuhlungu kolunye uhlangothi lwesinqe sakho.
• Kuzwakala sengathi kufinyeziwe emasendeni.
• Isende elilodwa libekwe phezulu kancane kunelinye.
• Ukushintsha kombala wesikhwama samaqanda (kungaba bomvu, onsomi, onsundu, noma omnyama).
• Isicanucanu nokuhlanza .
• Ungase ube nobuhlungu besisu .
• Ukudinga ukuchama kaningi kunokujwayelekile.
• Ungase ube nomkhuhlane .

Into ebaluleke kakhulu ukuthi uma uzwa ubuhlungu noma ukungakhululeki ngokuzumayo e-testicle, noma ngabe awunazo ezinye izimpawu, bona udokotela ngokushesha. Ungakushayi indiva lokhu ngoba kungaba uphawu lwesimo esiphuthumayo sezokwelapha.

Buzwakala kanjani lobu buhlungu?

Abantu abaningi bazwa lobu buhlungu (be-Testicular Torsion) njengobuhlungu obungazelelwe, obukhulu esithweni sangasese. Ngezinye izikhathi lobu buhlungu bungasakazekela esiswini, noma bungase buzwe sengathi buhlanza. Abanye abantu babuhlungu kakhulu kangangokuthi abakwazi ngisho nokuhamba.

Kwabanye, lobu buhlungu bungase bube khona ngezikhathi ezithile, bufike bubuye budlule, kodwa akufanele bunganakwa uma buvela.

Kungani lokhu kwenzeka? Yiziphi izizathu?

Manje ungase uzibuze ukuthi kungani lokhu kwenzeka. Ukugoba kwamasende kuvame ukwenzeka kubantu abanesimo esibizwa ngokuthi i-Bell Clapper Deformity . Cabanga ngakho, ngokuvamile amasende ethu anamathela esinqeni se-scrotum kusuka ngaphakathi, ngakho awasonteki kalula. Kodwa kubantu abanale Bell Clapper Deformity, amasende awanamatheli ngokuqinile. Alenga ngokukhululeka ngaphakathi kwesinqe, njengolimi lwensimbi. Ngakho-ke ngenxa yokuthi alenga ngokukhululeka kanje, angasonteki kalula. Lesi yisona sizathu esiyinhloko.

Ngaphezu kwalokho, lesi simo singase senzeke uma ulimala ngengozi amasende noma ama-scrotum akho.

Kodwa khumbula into eyodwa, umsebenzi womzimba, njengokuzivocavoca, ukugxuma, noma ukusonta, akukubangeli lokhu (i-Testicular Torsion). Kungenzeka uma uzivocavoca, kodwa ukuzivocavoca akusona imbangela. Kumane kuyinto eyenzeka ngaleso sikhathi ngengozi.

Ubani ongatshala kangaka?

Ukugoba kwamasende kungenzeka kunoma ubani onamasende. Kodwa-ke, ama-65% ala macala abikwe ezinganeni ezincane eziphakathi kweminyaka eyi-12 neyi-18. Lokhu kusho ukuthi kuvame kakhulu kubantu abasha.

Futhi, uma wake waba nokugoba kwamasende kanye ngaphambili, kunethuba elincane lokuthi kuzophinde kwenzeke. Uma othile emndenini wakho, njengoyihlo noma umfowenu, eke waba nalesi simo, ingozi yakho yokuba naso iphakeme kancane.

Kwenzekani uma ingelashwa?

Njengoba sesixoxile ngaphambili, lokhu kungaba nemiphumela emibi kakhulu uma kungelashwa ngokushesha.

• Umonakalo ohlala njalo wesende: Isende lingaphila cishe amahora ayisithupha kuphela ngaphandle kokunikezwa kwegazi. Ngemva kwalokho, isende liqala ukufa. Uma lokho kwenzeka, kuzodingeka ukuhlinzwa ukuze kususwe isende elifile.
• Ukungazali Kwabesilisa: Ucwaningo lubonise ukuthi indoda eyodwa kwabathathu ene-Testicular Torsion inesibalo esincane sesidoda. Uma inani lesidoda sakho liphansi, lingathinta ikhono lakho lokuba ngubaba wengane.

Yingakho sithi ungakuthathi kalula lokhu, bese ubona udokotela ngokushesha.

Ukubona kanjani lokhu?

Uma unezinye zezimpawu ezishiwo ngenhla, kufanele uye esibhedlela ngokushesha. Lapho, udokotela uzobuza ngezimpawu zakho, athathe umlando wakho wezokwelapha, futhi ahlole amasende akho. Ezimweni eziningi, bazokudlulisela ngokushesha kudokotela wezifo zomchamo, udokotela ogxile ezifweni zesimiso somchamo kanye nesimiso sokuzala.Udokotela wezifo zomchamo (Urologist ) ubhekisela ku.

Ukuqinisekisa ukuthi lokhu kuyi-(Testicular Torsion) noma cha, udokotela uzoyala ukuthi kuhlolwe amasende nge-ultrasound (Scrotal Ultrasound). Lokhu ukuhlolwa okungenabuhlungu nokusheshayo. Lokhu kungahlola ukuthi igazi liyageleza ngaphakathi kwamasende noma cha. Uma ukugeleza kwegazi kumile, kungaba yi-(Testicular Torsion).

Ngingakwazi yini ukuhlola ukuthi nginayo yini le nto mina?

Lona umbuzo abantu abaningi abawubuzayo. Kodwa-ke, udokotela kuphela ongaxilonga ngokunembile (i-Testicular Torsion). Uma unesihlungu esinzima samasende, kungcono ukubona udokotela ngokushesha, kunokuzama ukuzixilonga. Yilokho okungcono kakhulu ongakwenza.

Yiziphi izindlela zokwelapha?

Ukuphela kwendlela yokwelapha i-Testicular Torsion ukuhlinzwa. Lokhu kuhlinzwa kubizwa ngokuthi i-Orchiopexy. Kule nqubo, udokotela ohlinzayo uzobeka kabusha i-testicle yakho ejiyile futhi abuyisele igazi endaweni. Ngemuva kwalokho, i-testicle izothungwa ngaphakathi kwe-scrotum ukuze ivimbele ukuthi ingajiyile futhi.

Esikhathini esiningi, lokhu kuhlinzwa kwenziwa nge-scrotum. Kodwa-ke, ngezinye izikhathi, kungase kudingeke ukuthi kunqunywe i-groin encane. Uma une-"Bell Clapper Deformity" engikhulume ngayo ekuqaleni, evame ukuthinta womabili amasende, udokotela ohlinzayo uzonamathisela elinye isende elingathintekile ngaphakathi kwe-scrotum ngendlela efanayo, ukuze livinjwe ukuthi lingasonteki esikhathini esizayo.

Ingabe i-Testicular Torsion izoba ngcono ngokwayo?

Cha, i-Testicular Torsion ngeke ibe ngcono ngokwayo. Uma ungahlinzwa zingakapheli amahora ayisithupha, i-testicle ethintekile cishe kuzodingeka isuswe.

Izinsana ezisanda kuzalwa zivame ukulahlekelwa yi-testicle uma ziqala ukugoba kwe-testicle. Kulesi simo, udokotela ohlinzayo uzosusa i-testicle efile bese elungisa enye i-testicle ukuze ingajiki kamuva.

Unjani ngemva kokuhlinzwa?

Izinsuku ezimbalwa zokuqala ngemva kwalokhu kuhlinzwa zingase zibe buhlungu kancane. Ungase ube nokuvuvukala noma ukuphuka kwesisu noma imbobo yakho cishe isonto lonke.

Ngemva kwesonto cishe, ubuhlungu buzobe sebuphelile kakhulu, futhi uzokwazi ukubuyela emisebenzini evamile, njengomsebenzi wakho noma isikole.

Kodwa,Kufanele ugweme ukuphakamisa izinsimbi noma ukwenza imisebenzi enzima (njengezemidlalo) okungenani amasonto amathathu kuya kwamane. Khuluma nodokotela wakho ngaphambi kokuphinda wenze noma yimuphi umsebenzi.

Khumbula, umzimba wakho uhlukile kweminye, ngakho-ke isikhathi sakho sokululama singahluka. Landela imiyalelo kadokotela wakho ngokucophelela mayelana nendlela yokuphatha ubuhlungu nokungakhululeki.

Ingabe lokhu kungavinjelwa?

Ukuphela kwendlela yokuvimbela ukugoba kwamasende ukuba kwenziwe ukuhlinzwa. Abantu abaningi abazi ukuthi bangayithola le nkinga kuze kube yilapho kwenzeka. Ukuhlinzwa kungavimbela elinye isende lakho ukuthi lijike ngale ndlela.

Kwenzekani uma kwenzeka (i-Testicular Torsion)?

Uma uthola ukwelashwa ngokushesha, kungakapheli amahora ayisithupha, ungalulama kahle kulesi simo. Ezimweni eziningi, isende lingasindiswa.

Kodwa-ke, uma isende lingasakwazi ukugeleza kwegazi isikhathi esingaphezu kwamahora ayisithupha, lingalahlekelwa ukusebenza kwalo. Uma kunjalo, udokotela ohlinzayo kuzodingeka alisuse.

Kwenzekani uma ungayinaki i-Testicular Torsion?

Uma ungatholi ukwelashwa ngokushesha, kungakapheli amahora ayisithupha, i-Testicular Torsion ingabangela umonakalo ongapheli ku-testicle yakho (infarction). Uma ungatholi ukwelashwa ngesikhathi, udokotela ohlinzayo uzosusa i-testicle eyonakele.

Futhi, ukugoba kwamasende kungathinta ikhono lakho lokuthola abantwana (ukuzala kwakho).

Kufanele ngimbone nini udokotela wami?

Ngemva kokuhlinzwa ukuze kulungiswe ukugoba kwamasende, hlela i-aphoyintimenti yokulandelela nodokotela wakho. Bazokuhlola ukugoba kwakho futhi babone ukuthi ululama kahle kangakanani.

Uma uhlangabezana nanoma yiziphi zalezi zimpawu ngemva kokuhlinzwa, shayela udokotela wakho ngokushesha:

• Uma amanxeba akho ephuma igazi ngokweqile.
• Uma unomkhuhlane .
• Uma ubuhlungu bukhula .
• Ukuvuvukala kuyanda.Amagama.

Kufanele ngiye nini egumbini lezimo eziphuthumayo?

Ukushaqeka Kwamasende kuyisimo esiphuthumayo sezokwelapha. Uma unezinye zalezi zimpawu, iya eMnyangweni Wezimo Eziphuthumayo (ETU) ngokushesha. Uma ungatholi ukwelashwa isikhathi esingaphezu kwamahora ayisithupha, ukushaqeka kwamasende kungadala umonakalo ongapheli emasendeni akho.

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

Uma ubona udokotela wakho, kuwumqondo omuhle ukubuza le mibuzo:

• Wazi kanjani ukuthi ngine-Testicular Torsion?
• Ingabe isende lami lingasindiswa?
• Ingabe nginalokho okubizwa ngokuthi ``Bell Clapper Deformity''?
• Uma ngilahlekelwa yi-testicle yami, ingabe ngizokwazi ukuba nezingane?
• Ingabe elinye isende lami lingathuthuka nokugoba kwesende?

Okokugcina, into ebaluleke kakhulu okudingeka uyikhumbule!

Ukugoba kwamasende yisimo esidinga ukwelashwa okusheshayo ukuze kuvinjelwe umonakalo ohlala njalo kumasende. Ungase ucabange ukuthi ukulala phansi, ukuphumula, noma ukusebenzisa iqhwa kuzosiza ekunciphiseni ubuhlungu.

Kodwa, khumbula, ubuhlungu obukhulu emasendeni akho umzimba wakho ukutshela ukuthi kukhona okungahambi kahle. Ukufuna iseluleko sezokwelapha ngokushesha ngangokunokwenzeka kuyindlela kuphela yokuthola umphumela omuhle kakhulu. Ngakho-ke, uma uhlangabezana nanoma yiziphi zalezi zimpawu, sicela ungazinaki. Yiya esibhedlela ngokushesha. Impilo yakho ibaluleke kakhulu kuwe!