Uke waphawula ukuthi elinye lamasende akho libonakala likhulu noma lilenga ngaphansi kwelinye? Noma mhlawumbe ngezinye izikhathi uzizwa ubuhlungu obungacacile noma umuzwa wokusinda esinqeni sakho? Lezi zimpawu zingase zibangelwe yisimo esibizwa ngokuthi i-varicocele—inkinga evamile amadoda amaningi abhekana nayo kodwa abambalwa abakhuluma ngayo. Sicela ungakhathazeki; lesi akusona isimo esisongela impilo. Kwa-Nirogi Lanka, ake sixoxe ngokuthi lokhu kusho ukuthini ngolimi olulula nolulula.
Iyini ngempela i-varicocele? Masiyigcine ilula
Ngamafuphi, i-varicocele iwukukhula kwemithambo ngaphakathi kwe-scrotum yakho.
Cabanga ngakho njengemithambo evuvukalayo abanye abantu abayithola emilenzeni yabo. I-scrotum iyisikhwama sesikhumba esingemuva kwepenisi yakho esibamba amasende akho. Amasende akho anemithambo ebangela ukuthwala igazi eliphelelwe umoya-mpilo libuyele enhliziyweni yakho. Lapho le mithambo ivuvukala futhi ikhula, yaziwa ngokuthi i-varicocele.
Lesi simo sivame ukutholakala e-testicle yangakwesobunxele ngenxa yendlela ehlukile imithambo yegazi yethu ehlelwe ngayo ngokwesimo somzimba. Kodwa-ke, ngezinye izikhathi singavela ohlangothini lwesokudla noma zombili izinhlangothi.
Wazi kanjani ukuthi une-varicocele? Izimpawu
Amadoda amaningi ane-varicocele awabi nazo nhlobo izimpawu. Kodwa-ke, abanye bangase baqaphele okulandelayo:
| Isibonakaliso | Incazelo |
|---|---|
| Ubuhlungu bamasende | Ngokuvamile ubuhlungu obungajabulisi noma umuzwa onzima, odonsayo kunokuba ubuhlungu obubukhali. Buvame ukuba bubi kakhulu ngemva kokuma isikhathi eside noma ngesikhathi sokuzivocavoca umzimba, futhi buvame ukuncipha uma ulele phansi. |
| Ukuvuvukala kwe-Scrotal | Uhlangothi olulodwa lwesinqe lungase lubonakale lukhulu kakhulu kunolunye. |
| Ukuthungwa Okunamaqhubu | Ezimweni ezivame kakhulu, ungase uzwe ukuthungwa “kwesikhwama sezibungu” uma uthinta indawo engaphezulu kwesende. |
| Ukuwohloka Kwamasende | Isende elithintekile lingase libonakale lincane kancane kuneliphilile. |
| Izinselele Zokuzala | Uma ubulokhu uzama ukukhulelwa isikhathi esingaphezu konyaka kodwa ungaphumeleli, i-varicocele ingaba yimbangela. |
Kusho ukuthini ukuzizwa “njengesikhwama sezimpethu”?
Lena incazelo evamile esetshenziswa ochwepheshe bezokwelapha. Uma i-varicocele inkulu ngokwanele, imithambo evulekile izwakala njengeqoqo lezintambo eziboshiwe, eziboshwe ngaphansi kwesikhumba. Ama-varicocele amancane avame ukungabonakali noma ukungabonakali.
Kungani kwakheka ama-varicoceles?
Nakuba imbangela eqondile ingacaci ngaso sonke isikhathi, inkolelo-mbono ehamba phambili ukuthi ama-valve angaphakathi kwemithambo yegazi ethwala igazi esuka emasendeni awasebenzi kahle.
Cabanga ngala ma-valve njengamasango ahamba ngendlela eyodwa. Umsebenzi wawo ukuqinisekisa ukuthi igazi ligeleza phezulu ngokumelene namandla adonsela phansi futhi alihlangani phansi. Uma la ma-valve ehluleka ukuvala kahle, igazi ligeleza emuva futhi liqongelela emthanjeni. Ngokuhamba kwesikhathi, lokhu kubangela ukuthi imithambo yeluleke, ivuvuke, futhi iphenduke, kwakha i-varicocele.
Ama-Varicoceles avame ukutholakala ngesikhathi sokuthomba . Njengoba ukugeleza kwegazi ezithweni zokuzala kukhuphuka kakhulu phakathi nalesi sigaba sokukhula, noma yiziphi izinkinga zemithambo yegazi eziyisisekelo zivame ukubonakala kakhulu.
Ingabe lokhu kuyingozi? Ingabe kuyayithinta inzalo?
Okokuqala nokubaluleke kakhulu, i-varicocele akuyona inkinga esongela ukuphila noma uhlobo lomdlavuza.
Kodwa-ke, kubaluleke kakhulu ngokwezokwelapha ngenxa yomthelela wayo ongaba khona ekuzaleni . Kulinganiselwa ukuthi ama-varicocele akhona cishe kuma-40% amacala ahilela ukungazali kwabesilisa . Lokho kusho ukuthi, ukuba ne-varicocele akusho ngokuzenzakalelayo ukuthi awukwazi ukuba nezingane; amadoda amaningi analesi simo awanazo izinkinga zokuzala.
I-varicocele iyithinta kanjani inzalo?
Inkolelo-mbono evamile ihlobene nokushisa okuphezulu .
- Izinga Lokushisa Kwe-Scrotal: Ukuze kukhiqizwe isidoda esinempilo, amasende kudingeka apholile kancane kunomzimba wonke.
- Ukuhlangana Kwegazi: Ngenxa yokuthi igazi liyahlangana emithanjeni, izinga lokushisa ngaphakathi nangaphandle kwamasende liyakhuphuka.
- Umthelela ku-Sperm: Lokhu kushisa okuphezulu kungaphazamisa ukukhiqizwa kwesidoda, ikhwalithi, kanye nokuhamba, yingakho kungaholela ezinseleleni zokuzala.
Ngaphezu kwalokho, i-varicocele ingadala ezinye izinkinga:
- Amazinga E-Testosterone Aphansi: Njengoba amasende ekhiqiza i-testosterone, i-varicocele ngezinye izikhathi ingaphazamisa le nqubo. Lokhu kungabangela izimpawu ezifana nokuncipha kwesifiso sobulili, ukuncipha kwemisipha, noma ukukhathala.
- I-Azoospermia: Ezimweni ezingavamile nezinzima, i-varicocele ingabangela i-azoospermia, lapho kungekho khona isidoda ngokuphelele esidodeni.
Qaphela: Uma uzwa ubuhlungu obungazelelwe, obukhulu noma ukuvuvukala kwe-scrotal, sicela ufune usizo lwezokwelapha ngokushesha emnyangweni wezimo eziphuthumayo oseduze nawe.
Into ebaluleke kakhulu okufanele uyikhumbule ukuthi uma unenkinga mayelana nokuzala, kufanele uthintane nodokotela ngokushesha okukhulu ukuze uxoxe ngayo.
Odokotela bahlonza kanjani i-varicocele?
Uma uvakashela udokotela wakho, bazoqala ngokubuza ngezimpawu zakho bese benza ukuhlolwa ngokomzimba. Cishe uzocelwa ukuthi ume kule ngxenye yokuhlolwa.
Ngesikhathi udokotela wakho ehlola i-scrotum yakho, angase akucele ukuthi wenze i-aphoyintimentiIndlela ye-Valsalva esebenza ngayo—lokhu kuhilela ukuphefumula okujulile, ukuyibamba, nokwehlisa umoya njengokungathi uzama ukunyakaza kwamathumbu. Lesi senzo sandisa ingcindezi esiswini sakho, okusiza ukwenza i-varicocele ivele kakhulu. Uma ikhona, udokotela angase azizwe imithambo ekhulisiwe, okuqinisekisa ukuxilongwa.
Ngaphezu kwalokho, udokotela wakho angancoma ukuhlolwa okulandelayo kokuxilonga:
- I-Scrotal Ultrasound Scan: Lolu uhlobo lokuhlolwa oluvame kakhulu. Luyinqubo yokuthwebula izithombe engenabuhlungu evumela udokotela wakho ukuthi abone kahle isimo semithambo ye-scrotal futhi ahlole ukuhamba kwegazi.
- Ukuhlaziywa Kwesidoda: Uma ubhekene nobunzima bokukhulelwa, udokotela wakho cishe uzoncoma lokhu kuhlolwa. Isampula yesidoda izohlolwa ukuze kuhlolwe inani lesidoda, ikhwalithi, kanye nokuhamba (ukunyakaza).
- Ukuhlolwa Kwegazi: Lokhu kusiza ekulinganiseni amazinga akho ama-hormone, ikakhulukazi i-testosterone, ukuqinisekisa ukuthi konke kungaphakathi kwesilinganiso esinempilo.
Ingabe kunezinhlobo ezahlukene zama-varicoceles? (Ukulinganisa)
Odokotela bahlukanisa ama-varicoceles ngama-grade ahlukene ngokusekelwe ebunzimeni bawo. Lokhu kubalulekile ekunqumeni uhlelo lokwelapha olufanele kakhulu.
| Ibanga | Incazelo |
|---|---|
| Ibanga 0 | Uhlobo oluncane kakhulu. Alukwazi ukuzwakala ngesikhathi sokuhlolwa ngokomzimba futhi lutholakala kuphela nge-ultrasound scan. |
| Ibanga I | Ayizwakali ngesikhathi sokuhlolwa okuvamile, kodwa izwakala kalula uma wenza i-Valsalva maneuver. |
| Ibanga lesi-2 | Udokotela angakuzwa ngenkathi umi, ngisho noma ungenayo indlela yeValsalva, yize ingabonakali. |
| Ibanga lesi-3 | Uhlobo olunzima kakhulu. Lubonakala kahle futhi luzwakala kalula. |
Iphathwa kanjani?
Ukuthi udinga ukwelashwa kuncike ezimpawini zakho, izinga le-varicocele, nokuthi ngabe kuthinta yini ukuzala kwakho.
Ukunakekelwa Kwasekhaya Nokuphathwa Kwendlela Yokuphila
Uma une-varicocele encane engabangeli ubuhlungu noma izinkinga zokuzala, ukwelashwa ngokuvamile akudingeki. Kodwa-ke, uma uzwa ubuhlungu noma ukungakhululeki, ungathola impumuzo ngalezi zinyathelo:
- Izingubo Zangaphansi Ezisekelayo: Ukugqoka amabhulukwe asekelayo noma i-jockstrap kungasiza ekunciphiseni ubuhlungu, ikakhulukazi ngesikhathi sokuzivocavoca noma isikhathi eside sokuma.
- Ukucindezela Okubandayo: Ukuze unciphise ubuhlungu, ungafaka iphakethe leqhwa eligoqwe ngethawula esikhumbeni imizuzu eyi-10-15. (Ungalokothi ufake iqhwa ngqo esikhumbeni).
- Iziqeda Ubuhlungu: Ama-NSAID atholakala ngaphandle kwemithi (njenge-ibuprofen) angasiza ngobuhlungu, kodwahlala uthintana nodokotela wakho ngaphambi kokuqala noma yimuphi umuthi ukuqinisekisa ukuthi ukulungele.
Ukuhlinzwa (i-Varicocelectomy)
Uma i-varicocele yakho ibangela ubuhlungu obuqhubekayo, ukushwabana kwamasende, noma izinkinga zokuzala, udokotela wakho angase ancome inqubo yokuhlinzwa.
Ngesikhathi sokuhlinzwa kwe-varicocelectomy, udokotela ohlinzayo uthola imithambo eyonakele, ekhulisiwe bese eyivala. Lokhu kuqondisa ukugeleza kwegazi emithanjeni enempilo. Lena inqubo ejwayelekile nephumelelayo. Ukululama okuphelele kuvame ukuthatha cishe amasonto ayi-6.
Uyini umehluko phakathi kwe-varicocele ne-hydrocele?
Lezi zimo ezimbili zivame ukudideka ngoba zombili zihilela i-scrotum.
- I-Varicocele: Inkinga ehilela imithambo emikhulu ngaphakathi kwe-scrotum.
- I-Hydrocele: Iqoqo loketshezi oluzungeze isende. Lokhu kuvame ukubonwa ezinganeni kodwa kungenzeka kubantu abadala.
Njengoba izimpawu kanye nokwelashwa kuhlukile, kubalulekile ukubona udokotela ukuze uthole ukuxilongwa okunembile.
Umyalezo Wokuya Ekhaya NeNirogi Lanka
- Ama-Varicoceles avame kakhulu kwabesilisa; asikho isidingo sokuzizwa unamahloni noma ukhathazekile ngokweqile.
- Amadoda amaningi awanazo izimpawu futhi awadingi ukwelashwa nhlobo.
- Akuyona inkinga esongela ukuphila, yize ingathinta ukuzala.
- Uma uzwa ubuhlungu bamasende, ukuvuvukala, noma uzwa iqhubu, sicela uvakashele udokotela wakho ngokushesha.
- Kusukela ekulungiseni indlela yokuphila kuya ezinqubweni zokuhlinzwa eziphumelelayo, kunezindlela eziningi zokuphatha lesi simo ngempumelelo. Impilo yakho iza kuqala kithi eNirogi Lanka.
I-Varicocele, imithambo ye-scrotal, ukungazali kwabesilisa, ubuhlungu be-scrotal, ukususwa kwe-varicocel
