Ingabe imithambo esesiswini igobile? Ake sifunde konke mayelana nokuhlinzwa kwe-Varicocelectomy!

Uzizwa sengathi uthola imithambo eminingi emasendeni akho? Noma kukhona into esindayo noma ebuhlungu kancane kuleyo ndawo? Uma unezinkinga zokukhulelwa umntwana kanye nalezi zinto, ungase ube nalokho odokotela abakubiza ngokuthi 'i-Varicocele'. Ungakhathazeki, lesi yisimo esingelapheka esithinta amadoda amaningi. Ngakho-ke namuhla, ake sixoxe ngokuthi iyini i-Varicocele kanye nokuhlinzwa kwe-Varicocelectomy okwenziwa ngenxa yayo.

Kalula nje, iyini i-Varicocele?

I-Varicocele yisimo lapho imithambo engaphakathi kwe-scrotum yakho ivuvukala, ikhule, futhi ijijeke. Kufana nendlela abanye abantu abathola ngayo imithambo evuvukala emilenzeni yabo. Lapho ama-valve emithambo ethwala igazi elingcolile esuka emasendeni eba buthakathaka, igazi lingabuyela emuva kule mithambo. Yilapho le mithambo ivuvukala futhi ikhule khona.

Nakuba lokhu kungenzeka kunoma yimuphi ubudala, abantu abaningi bayaqaphela ukuthi banakho ebusheni babo, okungukuthi, ngemva kokufinyelela ekuthombeni.

Ubani okufanele ahlinzwe i-Varicocelectomy?

Akuwona wonke umuntu one-varicocele ozodinga ukuhlinzwa, kodwa kunezizathu eziningana eziyinhloko zokuthi kungani udokotela wakho angancoma lokhu kuhlinzwa.

• Ukungazali Kwabesilisa: I-Varicocele iyimbangela enkulu yokungazali kwabesilisa. Lokhu kungenxa yokuthi imithambo igcwala igazi futhi izinga lokushisa elizungeze amasende liyakhuphuka. Lokhu kukhula kwezinga lokushisa kuthinta kabi ukukhiqizwa kwesidoda kanye nekhwalithi yaso. Ngakho-ke, uma umbhangqwana ozama ukuba nomntwana unale nkinga ohlangothini lwabesilisa, udokotela uzoncoma lokhu kuhlinzwa.
• Ubuhlungu bamasende: Abanye abantu bangase babe nomuzwa oqhubekayo wokusinda noma wokudonsa ubuhlungu emasende abo ngenxa ye-Varicocele. Lobuhlungu bungase bube bubi kakhulu lapho bemi usuku lonke noma bezivocavoca. Uma lobu buhlungu buphazamisa imisebenzi yansuku zonke, ukuhlinzwa kungaba yisisombululo esihle.
• Ukuwohloka Kwamasende: Isende elithintekile lingase libe lincane futhi liqale ukuncipha ngenxa ye-varicocele. Kulesi simo, udokotela angase atuse ukuhlinzwa.
• Ukwehla kwe-Testosterone: Kwezinye izimo, i-Varicocele ingabangela ukwehla kokukhiqizwa kwe-testosterone ye-hormone yabesilisa. Lesi futhi yisizathu sokusebenzisa ukuhlinzwa.

Ukuthola kanjani lokhu, Dokotela?

Uma uya kudokotela wakho, uzokubuza ngezimpawu zakho bese ekwenza ukuhlolwa ngokomzimba. Uzohlola i-scrotum yakho. Ungase ucelwe ukuthi ume, uhlale phansi, futhi ubambe umoya wakho (i-Valsalva maneuver). Uma wenza lokhu, uzokwazi ukuzwa kahle le mithambo evuvukele.

Ngokuvamile (cishe ama-90%) i-Varicocele yenzeka e-testicle yangakwesobunxele. Kodwa-ke, ngezinye izikhathi ingenzeka kuzo zombili izinhlangothi.

Udokotela uzoyala ukuhlolwa okwengeziwe ukuqinisekisa ukuxilongwa nokuqonda ubucayi besimo.

• I-Ultrasound Scan: Lokhu kukuvumela ukuthi ubone kahle isimo semithambo yegazi kanye nokugeleza kwegazi ngaphakathi kwamasende.
• Ukuhlaziywa Kwesidoda: Lokhu kuhlolwa kubalulekile ukuqonda ubukhulu, ukunyakaza, kanye nesimo sesidoda sakho.
• Ukuhlolwa Kwegazi: Lokhu kusiza ukuhlola amazinga ama-hormone, ikakhulukazi amazinga e-testosterone.

Ngemva kwalezi zivivinyo, ibanga lenziwa ngokusekelwe ebunzimeni be-Varicocele yakho.

Yiziphi izindlela zokwenza i-Varicocelectomy?

Kunezindlela ezimbili eziyinhloko zokwenza lokhu kuhlinzwa. Enye ukuhlinzwa okuvulekile kwendabuko. Enye ukuhlinzwa okungangenisi kakhulu. Udokotela wakho uzonquma ukuthi iyiphi indlela engcono kakhulu kuwe.

1. Ukuhlinzwa Okuvulekile

Kulokhu, isikhumba siyasikwa bese kwelashwa imithambo efanele.

• Ukubopha I-Inguinal: Imithambo yelashwa ngokwenza ukusika okuncane endaweni ye-groin.
• I-Subinguinal Ligation: Kwenziwa i-incision ngaphansi kwe-groin.
• Ukufakwa kwe-Retroperitoneal Ligation: Kwenziwa i-incision encane ohlangothini lwesisu bese imithambo iphathwa ngaphakathi.

2. Ukuhlinzwa Okungangeni Kakhulu

Lokhu kubangela umonakalo omncane emzimbeni futhi kudinga isikhathi esincane sokululama.

• Ukuhlinzwa kwe-Laparoscopic Varicocelectomy: Ukuhlinzwa kwenziwa ngokwenza izimbobo eziningana ezincane kakhulu esiswini, kufaka ithubhu elincane (i-laparoscope) elinekhamera enamathiselwe, bese ulibuka kusikrini, kusetshenziswa amathuluzi athambile.
• Ukuhlinzwa Kwe-Varicocelectomy Okuncane: Lokhu kubhekwa njengendlela ephumelela kakhulu futhi engcono kakhulu etholakalayo. Kwenziwa ukusikwa okuncane kakhulu endaweni ye-groin, futhi imithambo iphathwa ngokucophelela ngaphansi kwesiqondiso se-microscope enamandla kakhulu (i-Operating Microscope). Kule ndlela, ingozi yokulimala kwemithambo enempilo, imithambo ye-lymphatic, kanye nemithambo iphansi kakhulu. Ngakho-ke, izinkinga nazo zincane.

Uzilungiselela kanjani ngaphambi kokuhlinzwa?

Udokotela wakho uzokunikeza imiyalelo ezinsukwini ezimbalwa ngaphambi kokuhlinzwa.

• Tshela udokotela wakho nganoma yimiphi imithi oyithathayo: Qiniseka ukuthi utshela udokotela wakho nganoma yimiphi imithi, amavithamini, noma imikhiqizo yamakhambi oyithathayo. Ikakhulukazi uma uthatha imithi yokunciphisa igazi njenge-aspirin, uzocelwa ukuthi uyeke ukuyithatha ezinsukwini ezimbalwa ngaphambi kokuhlinzwa.
• Tshela udokotela wakho nganoma yikuphi ukungezwani komzimba onakho (njengemithi, izihlanzi zesikhumba, i-latex).
• Ukuzila Ukudla: Uzokwaziswa ukuthi ungadli noma uphuze lutho amahora ambalwa ngaphambi kokuhlinzwa. Lokhu kubaluleke kakhulu . Uma unokudla esiswini sakho ngenkathi ungaphansi kwe-anesthesia, ungase ukuhlanze futhi kungase kungene emaphashini akho. Lokhu kungabangela ukutheleleka okukhulu (i-aspiration pneumonia).

Kwenzekani ngesikhathi sokuhlinzwa?

Akukho okufanele ukwesabe. Lokhu kuhlinzwa kwenziwa yithimba lochwepheshe bezinhlelo zomchamo nezokuzala (Urologist), udokotela wezinzwa, kanye nabasebenzi bobuhlengikazi.

Uzonikezwa umuthi wokubulala izinzwa ojwayelekile, ngakho ngeke uzizwe ubuhlungu ngesikhathi sokuhlinzwa. Kuzoba sengathi ulele ubuthongo obukhulu.

Ngemva kokuba uqulekile, udokotela uzokwenza i-incision ngokwendlela oyikhethile bese ethola umthambo ovuvukele (varicocele). Ngemuva kwalokho, umthambo uyasikwa bese kuvalwa izinhlangothi zombili. Lokhu kuvimbela igazi ukuthi ligeleze kulowo mthambo futhi kuvumela igazi ukuthi ligeleze kweminye imithambo enempilo esesinqeni.

Ngezinye izikhathi, amapayipi amancane e-silicone (amapayipi okudonsa) angafakwa ukuze kukhishwe noma yiliphi igazi noma uketshezi oluqongelela ngemva kokuhlinzwa. Ekugcineni, i-incision ivalwa ngezitishi.

Ngokuvamile, ukuhlinzwa kwe-laparoscopic kungathatha cishe imizuzu engama-30-40, kanti ukuhlinzwa kwe-microsurgical kungathatha cishe amahora angu-1-3.

Kwenzekani ngemva kokuhlinzwa?

Ngemva kokuhlinzwa, uzoyiswa ekamelweni lokululama, lapho abasebenzi bezokwelapha bezoqapha khona isimo sakho uze ubuye uqonde.

Uma uphinda uqaphile, ungase uzizwe unesizungu futhi ube nobuhlungu endaweni yokusikwa. Ngemva kokuqinisekisa ukuthi konke kujwayelekile, uzovunyelwa ukuya ekhaya emahoreni ambalwa. Kodwa-ke, kufanele ube nomuntu ozokuthatha akuyise ekhaya. Kubaluleke kakhulu ukuba nomuntu ozokusiza ngosuku lokuqala noma ezimbili.

Yiziphi izinzuzo nezingozi zalokhu kuhlinzwa?

Njenganoma yikuphi ukuhlinzwa, lokhu kunezinzuzo kanye nezingozi ezimbalwa ezincane.

Izinzuzo

• Ukuhlinzwa okuphephile kakhulu: ingozi yezinkinga iphansi kakhulu.
• Ukwanda kokuzala: Ngenxa yokwanda kokukhiqizwa kwesidoda kanye namazinga e-testosterone, amathuba okuba nezingane anganda ngamaphesenti afinyelela ku-70.
• Ukuqeda ubuhlungu: Ubuhlungu nobunzima emasendeni kuyanyamalala ngokuphelele.
• Ukubukeka okuthuthukisiwe: Ukubukeka "kwebhola lezibungu" okungakhululekile kuyanyamalala, futhi ukubonakala kwe-scrotum kubuyela esimweni esijwayelekile.

Izingozi

Lokhu akwenzeki kaningi, kodwa kuhle ukukuqaphela.

• Izingozi ezihambisana nokubulala izinzwa.
• Izinkinga zokuphulukiswa kwamanxeba noma izifo.
• I-Hematoma (igazi eliqhekekile).
• Ukuvuvukala, ukudumba, kanye nezibazi.
• I-Hydrocele (ukunqwabelana koketshezi oluzungeze amasende).
• Ukulimala komthambo ohambisa igazi emathangeni (akuvamile kakhulu).
• Ukuphinda kwe-Varicocele.

Isikhathi sokululama nezinto okufanele zilandelwe ekhaya

Isikhathi esithathwayo ukuze kuphulukiswe ngokuphelele siyahlukahluka kuye ngomuntu nomuntu. Ngokuvamile, ukuvuvukala kanye nokubhoboka kuzophela emavikini angu-3-4. Kodwa-ke, ubuhlungu obuthile endaweni yembobo bungaqhubeka kuze kube amasonto ayisithupha.

• Ukulawulwa kobuhlungu: Phuza imithi yobuhlungu enqunywe udokotela wakho ngesikhathi. Ukuze unciphise ukuvuvukala, beka iphakethe leqhwa eligoqwe ngendwangu ehlanzekile phezu kwesilonda cishe imizuzu eyi-10. Ungakwenza lokhu izikhathi eziningana ngosuku.
• Gcina inxeba lihlanzekile: Geza izandla zakho kahle ngensipho namanzi ngaphambi kokuthinta inxeba. Shintsha amabhandeji njengoba kuqondiswe udokotela wakho.
• Ukugeza: Gwema ukucwilisa ebhavini noma ukubhukuda uze ululame. Kulungile ukugeza.
• Ukuphakamisa izinsimbi: Ungaphakamisi izinsimbi ezingaphezu kuka-5 kg ​​okungenani amasonto amabili. Gwema ukuzivocavoca okunzima nomsebenzi onzima.
• Ukudla: Kubaluleke kakhulu ukugwema ukuqunjelwa. Ukuzikhandla ngesikhathi sokuhamba kwamathumbu akukuhle enxebeni. Ngakho-ke, yidla ukudla okuningi okune-fiber ephezulu njengemifino eluhlaza, imifino nezithelo. Phuza amanzi amaningi usuku lonke.
• Umsebenzi wocansi: Gwema ukuya ocansini noma ukushaya indlwabu okungenani isonto .
• Ukuya emsebenzini noma esikoleni: Iningi labantu lingabuyela emisebenzini yalo evamile cishe ezinsukwini ezintathu.

Isikhathi sokubona udokotela ngokushesha

Uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo, shayela udokotela wakho ngokushesha.

• Ukopha ngokweqile ngenxa yesilonda.
• Ukuba nomkhuhlane ongu-100°F (38°C) noma ngaphezulu.
• Uma inxeba livuvukile, libomvu, futhi liphuma ubomvu (izimpawu zokutheleleka).
• Uma ubuhlungu buqhubeka buba bubi kakhulu.