Wake wazizwa into efana nebhola lentambo noma izibungu ezimbalwa ezincane ngaphakathi kwe-scrotum yakho? Noma ngezinye izikhathi uzizwa unzima kancane noma ubuhlungu obudonsayo kuleyo ndawo? Lesi simo, esivame kubantu besilisa abaningi, ikakhulukazi ebusheni babo, sibizwa ngokuthi i-Varicocele ngokwezokwelapha. Ungesabi uma uzwa leli gama. Akulona elibi kangako. Kodwa kubaluleke kakhulu ukwazi kahle ukuthi liyini. Ngakho-ke namuhla sizoxoxa ngakho konke, kalula, ngendlela ongayiqonda.
Kalula nje, iyini i-Varicocele?
I-Varicocele yisimo lapho imithambo engaphakathi kwe-scrotum yakho, imithambo ethwala igazi elingcolile, ivuvukala, ikhule, futhi ijijeke. Ukuze kube sobala, kumelwe ukuthi uke wabona eminye yemilenze yethu inemithambo ejijeke, akunjalo? Sikubiza ngokuthi `(imithambo ye-Varicose)`. Isimo esifanayo senzeka ngaphakathi kwe-scrotum.
Ngokuvamile, kunenethiwekhi yemithambo emincane ethwala igazi elingcolile lisuka emasendeni ethu liyise enhliziyweni. Ngaphakathi kwale mithambo kunezivalo ezincane. Kufana ne-valve epayipini lamanzi evumela amanzi ukuba ageleze ohlangothini olulodwa kuphela. Umsebenzi walezi zivalo ukuvimba igazi ukuthi lingagelezi phansi ngemuva kokuba selikhuphukile. Kodwa ngezinye izikhathi lapho lezi zivalo zingasebenzi kahle, igazi ligeleza phansi libuye liqoqeke kuleyo mithambo. Ngokuhamba kwesikhathi, leli gazi liyaqoqana futhi imithambo ivuvukale, yelule, futhi iboshwe njengebhola lentambo. Yilokho esikubiza ngokuthi i-Varicocele.
Esikhathini esiningi, lokhu akubangeli ubuhlungu obukhulu . Kodwa-ke, abanye abantu bangase bazizwe bedonseka kancane noma besindwa ngezinye izikhathi, njengalapho besebenza noma bezivocavoca futhi bema usuku lonke. Ubuhlungu buvame ukuncipha lapho belele phansi.
Into ebalulekile ukuthi i-Varicocele ayisona isifo esisongela ukuphila. Kodwa-ke, kwezinye izimo, ingathinta ikhono lakho lokuba nezingane. Ngakho-ke, kubaluleke kakhulu ukuqaphela lokhu.
Buyini ubudlelwano phakathi kwe-Varicocele nokuzala?
Yebo, lo ngumbuzo abantu abaningi abawubuzayo. Kungase kube nokuxhumana phakathi kwesimo se-Varicocele kanye nokungazali. Eqinisweni, kutholakale ukuthi cishe ama-40% ezimbangela zokungazali kwabesilisa ahlobene ne-Varicocele. Kodwa lokho akusho ukuthi wonke umuntu one-Varicocele akanakuba nezingane. Iningi labantu abane-Varicocele linabantwana ngaphandle kwezinkinga.
Odokotela abakakazi kahle ukuthi i-varicocele ithinta kanjani ukuzala. Kodwa umqondo oyinhloko yilo. Lapho imithambo engaphakathi kwe-scrotum igcwala igazi, izinga lokushisa kuleyo ndawo likhuphuka kancane ngaphezu kokujwayelekile. Amasende ethu atholakala ngaphandle komzimba, elenga phansi. Lokhu kungenxa yokuthi adinga izinga lokushisa eliphansi kancane kunezinga lokushisa lomzimba elijwayelekile ukuze akhiqize isidoda.
Ngakho-ke uma izinga lokushisa elizungeze amasende likhuphuka ngenxa ye-varicocele, lingaphazamisa inqubo yokukhiqizwa kwesidoda. Kunganciphisa inani lesidoda, kunciphise ukunyakaza kwesidoda, noma kushintshe ukuma kwesidoda. Konke lokhu kungathinta ikhono lokukhulelwa umntwana.
Uma ushadile, ulindele umntwana, futhi ucabanga ukuthi une-Varicocele, qiniseka ukuthi ubona udokotela wakho bese ukhuluma ngakho .
Kuvamile kangakanani lokhu? Ziyini izimpawu?
Empeleni lesi yisimo esivame kakhulu. Ngokwesilinganiso, phakathi kuka-15% no-20% wamadoda, noma cishe oyedwa kwabesilisa aba-5, angaba ne-Varicocele.
Ngokuvamile, lokhu kwenzeka esendeni lesobunxele . Lokhu kungenxa yomehluko omncane wesakhiwo endleleni umthambo othwala igazi elivela esendeni lesobunxele oxhumene ngayo nohlangothi lwesobunxele lomzimba wethu. Kodwa-ke, akunakwenzeka ukuthi kwenzeke ohlangothini lwesokudla noma kuzo zombili izinhlangothi.
Iningi labantu alinazo izimpawu. Kuvame ukutholakala ngengozi ngesikhathi sokuhlolwa kwezokwelapha okunye. Kodwa-ke, abanye abantu bangase babe nezimpawu ezilandelayo:
| Isibonakaliso | Incazelo |
|---|---|
| Ubuhlungu noma ukungakhululeki | Ubuhlungu obungajabulisi, obubuhlungu obuvela ngaphakathi kwe-scrotum. Lobuhlungu bungaba bukhulu kakhulu uma ume isikhathi eside, uvivinya umzimba, noma uphakamisa izinto ezisindayo. Ngokuvamile buyaphela uma ulele phansi. |
| Ifindo elibanjwa esandleni | Ngaphezulu kwe-scrotum, ngaphansi kwesikhumba, ungase uzwe okuthile okufana nezimpethu noma ibhola lentambo. Odokotela bakubiza lokhu ngokuthi "isikhwama sezimpethu." |
| Ukuvuvukala kwamasende | Ngezinye izikhathi i-scrotum noma isikhwama esizungezile singase sivuvuke. |
| Ukuncishiswa kwamasende | Isende eliseceleni eline-varicocele lingase libe lincane kunelinye icala. Lokhu sikubiza ngokuthi (i-testicular atrophy) . |
| Ukungazali | Uma usuzame unyaka wonke ngaphandle kokuzivikela kodwa ungakakhulelwa, imbangela ingaba yi-Varicocele. |
Kungani i-Varicocele yenzeka? Ngubani okungenzeka kakhulu ukuthi ibe nayo?
Imbangela yangempela yalokhu ayikatholakali. Kodwa inkolelo-mbono eyinhloko ukuthi, njengoba ngishilo ekuqaleni, kukhona ubuthakathaka ekusebenzeni kwama-valve emithanjeni. Lokhu mhlawumbe kuyinto ezuzwe njengefa.
Ama-Varicocele avame ukuqashelwa noma ukuzwakala okokuqala eminyakeni yobusha . Okusho ukuthi, cishe eminyakeni eyi-13, 14, noma 15. Lokhu kungenxa yokuthi ngesikhathi sokuthomba, ukuphakelwa kwegazi ezithweni zangasese kuyanda. Ngemuva kwalokho, imithambo, enama-valve abuthakathaka, ayisakwazi ukubhekana nomfutho wegazi ophakeme futhi imithambo iqala ukuvuvukala. Lokhu kungaphazamisa nokukhula kwama-testicle kwabanye abafana abancane.
Ingabe i-varicocele ingabangela ezinye izinkinga?
I-Varicocele encane ngokuvamile ayibangeli izinkinga ezinkulu. Kodwa-ke, i-Varicocele enkulu, engalashwanga ingabangela ezinye izinkinga.
- I-Testosterone Hormone Enciphile (I-Hypogonadism Yabesilisa): I-Testosterone iyi-hormone yabesilisa. Ikhiqizwa amasende. Uma amasende onakele ngenxa ye-varicocele, ukukhiqizwa kwale hormone kungase kwehle. Lokhu kungaholela ekunciphiseni isifiso sobulili, ukwehla kwemisipha, kanye nokucindezeleka.
- I-Azoospermia: Lesi yisimo esibi kakhulu. I-Azoospermia yilapho kungekho khona amaseli esidoda esidoda. Lokhu futhi kuyimbangela enkulu yokungazali kwabesilisa.
Lezi zinkinga azivamile, kodwa uma unenkinga, kungcono ukufuna iseluleko sezokwelapha.
Udokotela ukuxilonga kanjani lokhu?
Uma uya kudokotela, uzoqala ngokukubuza ngezimpawu zakho bese ekwenza ukuhlolwa ngokomzimba.
Phakathi nalolu vivinyo, udokotela uzokumisa uhlole i-scrotum yakho. Uzobe esekutshela ukuthi "thatha umoya ojulile, uwubambe, bese ucindezela isisu sakho phansi." Lokhu kubizwa ngokuthi i-Valsalva maneuver . Lokhu kwandisa ingcindezi ngaphakathi kwemithambo yegazi, ngakho-ke uma une-varicocele, uzokwazi ukuyizwa kahle.
Ngezinye izikhathi, kungase kwenziwe ezinye izivivinyo eziningana ukuqinisekisa ukuxilongwa.
- I-Ultrasound Yesinqe: Lokhu kuyindlela elula nengenabuhlungu. Ingabona ngokucacile isimo semithambo ngaphakathi kwe-scrotum nokuthi igazi ligeleza kanjani.
- Ukuhlaziywa Kwesidoda: Lokhu kuhlolwa kuyanconywa uma unezinkinga zokukhulelwa. Lokhu kuhilela ukuthatha isampula yesidoda sakho bese uhlola inani lesidoda, ukunyakaza, kanye nesimo.
- Ukuhlolwa Kwegazi: Lokhu kuhlola amazinga ama-hormone emzimbeni wakho, ikakhulukazi i-testosterone kanye ne-Follicle-Stimulating Hormone (FSH).
Ingabe kukhona izinhlobo ze-varicocele?
Yebo. Odokotela bahlukanisa i-Varicocele ngamazinga amaningana ngokusekelwe ebunzimeni bayo. Lokhu kubaluleke kakhulu ekunqumeni ukwelashwa.
| Ibanga | Incazelo |
|---|---|
| Ibanga 0 | Leli yizinga elincane kakhulu. Alizwakali ngesikhathi sokuhlolwa ngokomzimba. Lingatholakala kuphela ngokuskena kwe-ultrasound. |
| Ibanga I | Akubonakali uma wenza ukuhlola okuvamile. Kodwa kubonakala kuphela uma wenza i-Valsalva maneuver (uma ubamba umoya wakho). |
| Ibanga lesi-2 | Ngisho noma ungenayo indlela yeValsalva, ungayizwa ngesandla sakho ngesikhathi sokuhlolwa okuvamile, kodwa awukwazi ukuyibona ngaphandle. |
| Ibanga lesi-3 | Leli yizinga elikhulu kunawo wonke. Libonakala kahle ngaphandle futhi libanjwa kalula esandleni (njengalezo zimpethu). |
Yiziphi izindlela zokwelapha lokhu?
Isinqumo sokwelapha noma cha sincike ezimpawini zakho, ubukhulu be-Varicocele, nokuthi ngabe unezinkinga zokuthola abantwana.
Izinto ongazenza ekhaya kanye nokwelashwa okulula
I-Varicocele encane, engenazimpawu, njengeBanga 0 noma iBanga I, ingase ingadingi ukwelashwa. Kodwa-ke, uma kukhona ubuhlungu noma ukungakhululeki, lezi zinto zingasiza.
- Izingubo zangaphansi ezisekelayo: Ukugqoka izingubo zangaphansi ezisekelayo noma i-jockstrap ngenkathi uzivocavoca noma umile kungasiza ekunciphiseni ubuhlungu.
- Iqhwa: Uma uzwa ubuhlungu, bamba iphakethe leqhwa eligoqwe ngethawula esinqeni sakho cishe imizuzu eyi-10-15. Ungalifaki iqhwa ngqo esikhumbeni sakho.
- Iziqeda-zinhlungu: Ungathatha umuthi ongeyona i-steroidal anti-inflammatory (NSAID) njenge-ibuprofen njengoba uqondiswe udokotela wakho. Kodwa khumbula, ungaqhubeki nokusebenzisa noma yimuphi umuthi ngaphandle kweseluleko sikadokotela.
Ingabe iphathwa ngokuhlinzwa?
Yebo. Udokotela wakho angancoma ukuhlinzwa ezimweni ezilandelayo.
- Uma ubuhlungu bukhulu futhi buphazamisa imisebenzi yansuku zonke.
- Uma i-varicocele ithinte ikhono lakho lokuba nezingane.
- Uma amasende encipha (ikakhulukazi kubafana abancane).
Lokhu kuhlinzwa kubizwa ngokuthi i-Varicocelectomy . Lokhu kuhilela ukuhlonza imithambo evuvukele eqoqa igazi, ukuyisika, nokuyibopha ndawonye (ukuvala). Lokhu kuvimbela igazi ukuthi ligeleze kuleyo mithambo, futhi kuvumela igazi ukuthi ligeleze emithanjeni enempilo nejwayelekile. Lokhu kuvame ukuba ukuhlinzwa okuphumelelayo. Kungathatha cishe amasonto ayisithupha ukululama ngokuphelele kusukela ekuhlinzweni.
Kufanele ubonane nini nodokotela?
Uma unezinye zalezi ezilandelayo, ungachithi isikhathi bese ubona udokotela.
- Uma unobuhlungu noma ukuvuvukala kwe-scrotum yakho.
- Uma ubona umehluko omkhulu phakathi kobukhulu bamasende amabili.
- Uma uzwa iqhubu noma into engavamile esandleni sakho.
- Uma usemusha futhi ubona ushintsho olunje.
- Uma wena nomlingani wakho nizama ukuba nomntwana, kodwa ningaphumeleli.
Ungesabi ukubuza le mibuzo uma ubona udokotela.
- Uqinisekile ukuthi ngine-Varicocele?
- Ingabe ngidinga ukwelashwa?
- Ingabe izimpawu zami zizoba zimbi kakhulu uma zingelashwa?
- Ingabe lokhu kungathinta ikhono lami lokuba nezingane?
- Yiziphi izindlela zokwelapha enginazo?
- Uma ngihlinzwa, ingabe kuzothuthukisa ikhono lami lokuba nezingane?
Umlayezo Wokuya Nawe Ekhaya
- I-Varicocele ukuvuvukala kwemithambo esesinqeni sama-scrotum. Lesi yisimo esivame kakhulu.
- Iningi labantu alinazo izimpawu, futhi akubanga yingozi enkulu.
- Kwezinye izimo, ikakhulukazi ama-Varicoceles amakhulu angabangela ubuhlungu, ukushwabana kwamasende, futhi athinte ikhono lokuthola abantwana.
- Uma unobuhlungu, ukuvuvukala, ushintsho ngobukhulu bamasende akho, noma izinkinga zokuba nezingane, qiniseka ukuthi ubona udokotela.
- Kunezindlela zokwelapha ezisebenzayo zalokhu. Ngakho-ke asikho isizathu sokwesaba noma sokuba namahloni. Cabanga ngempilo yakho bese uthatha izinyathelo ezidingekayo.
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