Uma ubheka amasende akho, ingabe uhlangothi olulodwa lubonakala lulenga kakhulu kunolunye? Noma ingabe ngezinye izikhathi uzizwa ubuhlungu obungavamile noma ubunzima endaweni yamasende akho ? Imbangela yalezi zinto ingaba yisimo esivamile kodwa esingavamile kakhulu esibizwa ngokuthi 'i-Varicocele'. Ungakhathazeki, lokhu akusongeli impilo. Namuhla, sizochaza konke ngalokhu ngendlela elula, njengokungathi ukhuluma nomngane.
Kuyini i-Varicocele? Ake sikuqonde kalula.
Kalula nje, i-Varicocele yilapho imithambo noma imithambo eluhlaza okwesibhakabhaka esinqeni sakho ivuvukala, ikhule, futhi isonteke.
Cabanga nje, abanye bethu banemithambo evuvukalayo emilenzeni yethu, akunjalo? Sikubiza ngokuthi 'imithambo ye-Varicose'. Kwenzeka into efanayo emithanjeni esemathunjini. I-scrotum iyisikhwama sesikhumba esingemuva kwepenisi. Amasende akho avikelwe ngaphakathi kwalesi sikhwama. Kunemithambo ethwala igazi elingcolile elivela kula masende libuyele enhliziyweni. Lapho le mithambo ivuvukala futhi ikhula, siyibiza ngokuthi 'i-Varicocele'.
Ngokuvamile, lesi simo senzeka esendeni lesobunxele. Lokhu kungenxa yomehluko omncane endleleni imithambo yegazi ehlelwe ngayo emzimbeni wethu. Kodwa-ke, akuvamile, ukuthi kwenzeke ohlangothini lwesokudla noma kuzo zombili izinhlangothi.
Wazi kanjani ukuthi une-varicocele? Izimpawu
Abantu abaningi abane-Varicocele ababonisi zimpawu, kodwa abanye bangase babe nalezi zimpawu.
| Isibonakaliso | Incazelo |
|---|---|
| Ubuhlungu bamasende | Kuzwakala sengathi ubuhlungu obunzima, obungajabulisi kunobuhlungu obubukhali. Lobuhlungu bungaba bubi nakakhulu uma ume usuku lonke noma uzivocavoca. Ubuhlungu buvame ukuncipha uma ulele phansi. |
| Ukuvuvukala kwe-testicle | Isende ngakolunye uhlangothi lingase libonakale likhulu kunelinye. |
| Amafindo abanjwa esandleni | Uma i-varicocele inkulu, ingase izwakale “njengesikhwama sezimpethu” uma uthinta ingxenye ephezulu yesinqe. |
| Ukuwohloka kwamasende | Isende eliseceleni eline-varicocele lingase libe lincane ngobukhulu kunehlangothini eliphilile. |
| Ubunzima bokuba nezingane | Uma unenkinga yokukhulelwa ingane ngemuva kokuzama okungenani unyaka ngaphandle kwesivikelo, i-Varicocele ingaba yimbangela. |
Kusho ukuthini ukuzizwa "njengesiphepho sezimpethu"?
Lesi yisibonelo esivame kakhulu esisetshenziswa ukuchaza i-varicocele. Uma uthinta i-scrotum yendoda ene-varicocele enkulu, izwakala njengenqwaba yama-noodle aboshwe ngamafindo ngaphansi kwesikhumba. Yingakho ibizwa ngokuthi "isikhwama sezimpethu." Kodwa-ke, i-varicocele encane ayibonakali noma ayizwakali.
Kungani lokhu kwenzeka? Iyini imbangela?
Odokotela abakayitholi imbangela eyodwa eqinisekile yalokhu, kodwa inkolelo-mbono eyinhloko ukuthi kubangelwa ama-valve emithanjeni athwala igazi lisuka emasendeni angasebenzi kahle .
Cabanga ngala ma-valve njengamasango amancane avuleka ohlangothini olulodwa kuphela. Umsebenzi wawo ukuvimba igazi ukuthi lingaphinde ligeleze phansi ngemva kokuba selikhuphuke ngokumelene namandla adonsela phansi. Ngakho-ke uma la masango engavali kahle, igazi liphinde ligeleze phansi futhi liqoqeke ngaphakathi kwemithambo. Ngokuhamba kwesikhathi, leli gazi liyagcwala, imithambo ivuvukale, bese kwakheka 'i-Varicocele'.
Lesi simo sivame ukuvela okokuqala ngesikhathi sobusha, ikakhulukazi ngesikhathi sokuthomba . Lokhu kungenxa yokuthi ukugeleza kwegazi ezithweni zangasese kuyanda phakathi nalesi sikhathi, futhi noma yiziphi izinkinga ngale mithambo ziba sobala.
Ingabe lokhu kuyingozi? Ingabe kuzothinta ukuba nezingane?
Okokuqala, i-'Varicocele' akuyona inkinga esongela impilo, engathi sína njengomdlavuza.
Kodwa-ke, inkinga enkulu engaba yingozi kakhulu umphumela ekuzaleni . I-Varicocele itholakale ihlobene cishe nezimbangela ezingama-40% zokungazali kwabesilisa . Kodwa-ke, lokhu akusho ukuthi wonke umuntu one-Varicocele akanakuba nezingane. Iningi labantu linabantwana ngaphandle kwezinkinga.
I-Varicocele ithinta kanjani ukuzala?
Indlela eqondile yokwenza lokhu isacwaningwa, kodwa inkolelo-mbono eyinhloko ukuthi kungenxa yokushisa okuphezulu .
- Izinga lokushisa lamasende: Ukuze kukhiqizwe isidoda esinempilo, izinga lokushisa lamasende kufanele libe phansi kancane kunezinga lokushisa lomzimba wethu elivamile.
- Ukuqongelela kwegazi: Ku-varicocele, igazi liqongelela emithanjeni, okwenza izinga lokushisa elizungeze amasende likhuphuke ngaphezu kwamazinga ajwayelekile.
- Imiphumela esidoda: Lokhu kukhula kwezinga lokushisa kungathinta kabi ukukhiqizwa kwesidoda, ikhwalithi yesidoda, kanye nokuhamba. Yilokhu okubangela ukungazali.
Ngaphezu kwalokhu, ezinye izinkinga eziningana zingavela ngenxa ye-'Varicocele':
- Amazinga aphansi e-testosterone: I-Testosterone iyi-hormone eyinhloko yabesilisa. Ikhiqizwa emasendeni. I-Varicocele ingaphazamisa ukusebenza kwamasende futhi yehlise izinga lale hormone. Lokhu kungaholela ekunciphiseni isifiso sobulili, ubuthakathaka bemisipha, kanye nokucindezeleka kwengqondo.
- I-Azoospermia: Lesi yisimo esingavamile. I-Azoospermia ukungabikho kwesidoda esidodeni. Lokhu kungenzeka ezimweni ezimbi kakhulu ze-Varicocele.
Into ebaluleke kakhulu ukuthi uma unombuzo mayelana nokuthola ingane, bonana nodokotela ngokushesha bese uxoxa ngakho.
Udokotela ukuxilonga kanjani lokhu? (Ukuxilongwa)
Uma uya kudokotela, uzoqala ngokukubuza ngezimpawu zakho bese ekwenza ukuhlolwa ngokomzimba. Phakathi nalokhu kuhlolwa, uzokucela ukuthi usukume.
Ngesikhathi udokotela wakho ehlola i-scrotum yakho, uzokucela ukuthi uvale ikhala lakho nomlomo, uqinise imisipha yesisu sakho, bese ukhipha umoya sengathi uzama ukuphefumula. Lokhu kubizwa ngokuthi i-Valsalva maneuver. Lokhu kwandisa ingcindezi ngaphakathi kwesisu sakho, okungenza imithambo ibukeke ikhukhumele kakhulu uma une-varicocele. Lokhu kuzovumela udokotela ukuthi ayizwe futhi ayiqinisekise.
Ngaphezu kwalokho, kungenziwa izivivinyo ezilandelayo ukuqinisekisa ukuxilongwa:
- I-Scrotal Ultrasound Scan: Lolu vivinyo oluvame ukwenziwa. Lokhu kuskena okungenabuhlungu kungabona ngokucacile isimo semithambo esesinqeni kanye nendlela igazi eligeleza ngayo.
- Ukuhlaziywa kwesidoda: Uma unenkinga yokukhulelwa, udokotela wakho angase akuncome lokhu kuhlolwa. Lokhu kuhilela ukuthatha isampula yesidoda sakho bese usihlola inani, ikhwalithi, kanye nokuhamba kwesidoda.
- Ukuhlolwa kwegazi: Lokhu kusiza ukuhlola ukuthi amazinga akho ama-hormone, ikakhulukazi ama-hormone afana ne-testosterone, ajwayelekile yini.
Ingabe kukhona izinhlobo ze-Varicocele? (Izinga)
Odokotela bahlukanisa i-varicocele ngama-grades ngokusekelwe ebunzimeni bayo. Lokhu kubaluleke kakhulu ekunqumeni ukwelashwa.
| Ibanga | Incazelo |
|---|---|
| Ibanga 0 | Uhlobo oluncane kakhulu. Alukwazi ukuzwakala ngesikhathi sokuhlolwa ngokomzimba. Lungatholakala kuphela ngokuskena kwe-ultrasound. |
| Ibanga I | Akuvamile ukubanjwa esandleni. Ibanjwa esandleni kuphela uma kwenziwa i-Valsalva maneuver (ukucindezela) okukhulunywe ngayo ekuqaleni. |
| Ibanga lesi-2 | Ngisho noma kungekho ndlela yokwelapha iValsalva, udokotela angakuzwa ngokukuthinta lapho emi, kodwa akakwazi ukubona ngaphandle. |
| Ibanga lesi-3 | Uhlobo olukhulu kunawo wonke. Lubonakala kahle ngaphandle futhi lungena kahle esandleni. |
Iphathwa kanjani?
Ukuthi uzoyelapha noma cha kuncike ezimpawini zakho, izinga le-Varicocele, nokuthi unezinkinga zokuthola abantwana.
Ekhaya kanye nokuphathwa okujwayelekile
Uma une-varicocele encane futhi ingakubangeli ubuhlungu noma izinkinga zokuzala, cishe ngeke udinge ukwelashwa. Kodwa uma uzwa ubuhlungu noma ukungakhululeki, ungazama lezi zinto:
- Izingubo zangaphansi ezisekelayo: Ukugqoka izingubo zangaphansi eziqinile nezisekelayo noma i-jockstrap kungasiza ekunciphiseni ubuhlungu, ikakhulukazi lapho uzivocavoca noma uma ume isikhathi eside.
- Iqhwa: Uma ubuhlungu, ungathola impumuzo ngokubeka iphakethe leqhwa eligoqwe ngethawula esinqeni sesisu cishe imizuzu eyi-10-15. (Ungalokothi ubeke iqhwa ngqo esikhumbeni).
- Iziqeda-zinhlungu: Ungathatha iziqeda-zinhlungu (ama-NSAID) njenge-'Ibuprofen' ngeseluleko sikadokotela wakho. Kodwa-ke, kufanele nakanjani uthintane nodokotela ngaphambi kokuzisebenzisa ukuze uqiniseke ukuthi zikufanele.
Ukuhlinzwa (i-Varicocelectomy)
Uma ubuhlungu obukhulu ngenxa ye-varicocele, uma amasende akho enciphile, noma uma kuphazamisa ikhono lakho lokuba nabantwana, udokotela wakho angase akuncomele ukuhlinzwa.
Lokhu kuhlinzwa kulula kakhulu. Udokotela ohlinzayo uthola inkinga, avuvuke imithambo yegazi, ayinqume, bese eyivala. Lokhu kuvimbela igazi ukuthi ligeleze kuleyo mithambo yegazi, bese igazi liqala ukugeleza kweminye imithambo yegazi enempilo. Lokhu ukuhlinzwa okuphumelelayo. Kungathatha cishe amasonto ayisithupha ukululama ngokuphelele kusukela ekuhlinzweni.
Uyini umehluko phakathi kwe-Varicocele ne-Hydrocele?
Abanye abantu badidanisa lezi zimo ezimbili ngoba zenzeka emasendeni.
- I-Varicocele: Lena inkinga ngemithambo yegazi . Imithambo esesithendeni iyavuvukala.
- I-Hydrocele: Lesi sikhwama esigcwele uketshezi . I-Hydrocele ibangelwa uketshezi oluqongelela emasendeni. Lokhu kuvame kakhulu ezinganeni ezincane.
Izimpawu kanye nokwelashwa kwazo zombili kuhluke ngokuphelele, ngakho-ke uma unenkinga, kubalulekile ukubona udokotela ukuze uthole ukuthi iyini ngempela.
Umlayezo Wokuya Nawe Ekhaya
- I-Varicocele iyisifo esivame kakhulu phakathi kwamadoda. Asikho isidingo sokuba namahloni noma sokwesaba.
- Iningi labantu alibi nazo izimpawu, futhi ezimweni ezinjalo, akukho ukwelashwa okudingekayo.
- Lesi akusona isifo esisongela ukuphila, kodwa singathinta ukuzala.
- Uma unobuhlungu bamasende, ukuvuvukala, iqhubu engalweni yakho, noma unenkinga yokukhulelwa, bona udokotela ngokushesha.
- Kunezindlela ezilula zokuphatha kanye nokuhlinzwa okuphumelelayo kakhulu njengokwelashwa. Ngakho-ke, kubalulekile ukufuna iseluleko sezokwelapha esifanele.
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