Ingabe ngezinye izikhathi uzizwa okuthile okuhlukile, okunzima, noma okufana nebhola lentambo emasendeni akho? Ngezinye izikhathi kungaba buhlungu. Nakuba abantu abaningi benamahloni okukhuluma ngakho, lesi yisimo esivame kakhulu phakathi kwabesilisa. Namuhla sizokhuluma ngesimo esibizwa ngokuthi 'i-Varicocele' kanye nokuhlinzwa okubizwa ngokuthi 'i-Varicocelectomy'. Ungakhathazeki, sizokhuluma ngalokhu kalula nangendlela wonke umuntu angayiqonda.
Kuyini i-Varicocele?
Kalula nje, i-varicocele yisimo lapho imithambo engaphakathi kwe-scrotum, isikhwama sesikhumba esibamba amasende akho, iba mikhulu futhi ivuvuke kunokujwayelekile. Cabanga ngakho njengemithambo evuvukele emilenzeni yethu, futhi kwenzeka into efanayo kumasende.
Nakuba lesi simo singavela kunoma yimuphi ubudala, sivame ukubonakala okokuqala ebudaleni, okungukuthi, ngemva kokuthomba. Ezweni elifana neMelika, kuthiwa indoda eyodwa kwabahlanu inalesi simo. Ngakho ungacabanga ukuthi lokhu kuvame kangakanani.
Ubani odinga i-Varicocelectomy?
Akuwona wonke umuntu one-varicocele ozodinga ukuhlinzwa. Kodwa-ke, kunezimo ezimbalwa lapho udokotela wakho angancoma khona lokhu kuhlinzwa:
- Ukungazali: I-Varicocele iyimbangela enkulu yokungazali kwabesilisa. Ngakho-ke, lokhu kuhlinzwa kungandisa ukuzala kumuntu okhulelwe umntwana. Eqinisweni, izifundo zibonisa ukuthi amathuba okukhulelwa ngemva kwalokhu kuhlinzwa anganda ngamaphesenti angama-70.
- Ubuhlungu be-testicular: Uma uzwa ubuhlungu be-testicular njalo.
- Amazinga aphansi e-testosterone: I-Varicocele ingabangela ukuthi ukukhiqizwa kwe-testosterone ye-hormone yabesilisa kwehle.
- Ukuwohloka Kwamasende: Uma isende eliseceleni eline-varicocele lincane kakhulu kunelinye.
Udokotela uhlonza kanjani i-Varicocele?
Uma uya kudokotela, uzokubuza ngezimpawu zakho bese ekwenza ukuhlolwa ngokomzimba. Phakathi nalesi sikhathi, uzocelwa ukuba ume, uhlale phansi, futhi ubambe umoya wakho ngenkathi ufinyeza imisipha yesisu sakho, njengokungathi uhambisa isisu (i-Valsalva maneuver) . Lokhu kwenzelwa ukubona ukuthi ungakuzwa kahle yini ukuvuvukala kwemithambo yakho.
Esikhathini esiningi (cishe u-90%) lesi simo sibonakala kuphela e-testicle yesobunxele, kodwa ngezinye izikhathi singaba khona nhlangothi zombili.
Udokotela angase ancome ezinye izivivinyo eziningana ukuze athole ukuxilongwa okunembile.
- I-Ultrasound Scan: Lokhu kukuvumela ukuthi ubone ngokucacile isimo semithambo ngaphakathi kwamasende.
- Ukuhlaziywa Kwesidoda: Lokhu kuhlolwa kusiza ekunqumeni ukuthi lesi simo sithinte yini ukuzala kwakho.
- Ukuhlolwa Kwegazi: Hlola izinto ezifana namazinga ama-hormone.
Ngemva kwalezi zivivinyo, i-Varicocele yakho izohlukaniswa ngamamaki ngokusekelwe ebunzimeni bayo.
| Ibanga le-Varicocele | Incazelo |
|---|---|
| Ibanga 0 | Lolu uhlobo oluncane kakhulu. Alukwazi ukuzwakala ngesikhathi sokuhlolwa ngokomzimba, kodwa lungabonakala nge-ultrasound scan. |
| Ibanga I | Udokotela angakuzwa kuphela uma wenza i-Valsalva maneuver (bamba umoya wakho bese ucindezela). |
| Ibanga lesi-2 | Ngisho noma usesimweni esijwayelekile, ungakuzwa, kodwa awukwazi ukukubona. |
| Ibanga lesi-3 | Lolu uhlobo olukhulu kunawo wonke. Lubonakala kahle ngaphandle. |
Yiziphi izinhlobo zokuhlinzwa kwe-Varicocelectomy?
Kunezindlela ezimbili eziyinhloko zokwenza lokhu kuhlinzwa.
1. Ukuhlinzwa Okuvulekile
Kulokhu, ukuhlinzwa kwenziwa ngokusika isikhumba nokubuka kahle izicubu ezingaphakathi. Kuhlukaniswe ngezinhlobo eziningana kuye ngokuthi indawo yokusikwa iphini. (Isibonelo: Inguinal, Subinguinal).
2. Ukuhlinzwa Okungangeni Kakhulu
Kulezi zindlela, kunomonakalo omncane kakhulu esikhumbeni nasezicutshini, ngakho-ke isikhathi sokuphulukiswa sifushane.
- Ukuhlinzwa kwe-Laparoscopic Varicocelectomy: Kulokhu, kwenziwa imivimbo embalwa emincane kakhulu esiswini esingezansi bese kufakwa ipayipi elincane elinekhamera (i-laparoscope). Udokotela angabona emshinini wokuqapha futhi enze ukuhlinzwa ngamathuluzi abucayi kakhulu. Lokhu kuhlinzwa kuthatha isikhathi esifushane, cishe imizuzu engama-30-40.
- Ukuhlinzwa kwe-Microsurgical Varicocelectomy: Lokhu futhi kuwukusika okuncane, futhi kusetshenziswa i-microscope enamandla kakhulu ukubona kahle imithambo ebucayi. Lena ibhekwa njengendlela ephumelela kakhulu nephephile kakhulu etholakalayo. Lokhu kungathatha phakathi kwamahora angu-1-3.
Ululama kanjani ngemva kokuhlinzwa?
Isikhathi sokululama singahluka kumuntu nomuntu, kodwa ngokuvamile, lezi yizinto okufanele uzilindele.
Into ebaluleke kakhulu ukulandela imiyalelo kadokotela ngqo.
- Ubuhlungu nokuvuvukala: Ukuvuvukala nokulimala endaweni yesisu kanye ne-scrotum kuzophela ngemva kwamasonto ama-3-4. Sebenzisa imithi yokwelapha ubuhlungu enikezwe udokotela wakho ukuze unciphise ubuhlungu. Ukusebenzisa i-ice pack nakho kuhle ekuvuvukeni.
- Umsebenzi: Gwema ukuphakamisa noma yini esinda ngaphezu kwama-4.5 kg (10 lbs) okungenani amasonto amabili. Futhi, gwema ukushaya indlwabu kanye nocansi isonto elilodwa noma amabili.
- Ukunakekelwa kwenxeba: Gcina inxeba lihlanzekile. Kungcono ukugeza kunokugeza.
- Ukudla: Yidla ukudla okune-fiber eningi (izithelo, imifino) futhi uphuze amanzi amaningi ukuze uvimbele ukuqunjelwa. Ukuzikhandla ngenkathi ukhipha indle akukuhle enxebeni.
- Ukubuyela emsebenzini/esikoleni: Iningi labantu lingabuyela emisebenzini evamile zingakapheli izinsuku ezintathu.
Yiziphi izinzuzo nezingozi zalokhu kuhlinzwa?
Njenganoma yikuphi ukuhlinzwa, lokhu kunezinzuzo kanye nezingozi ezincane.
| Izinzuzo | Izingozi |
|---|---|
| Ukwanda kokukhiqizwa kwesidoda kanye ne-testosterone, okwandisa ukuzala . | Izingozi ezihlobene nokubulala izinzwa. |
| Ubuhlungu obunciphile emasendeni. | Ukutheleleka kwesilonda. |
| Ukubonakala kwamasende kubuyela esimweni esijwayelekile. | I-Hematoma (igazi eliqhekekile). |
| Ukuhlinzwa kuphephile impela futhi izinkinga azivamile. | I-Hydrocele (ukunqwabelana koketshezi oluzungeze amasende). |
| Akuvamile ukuthi i-varicocele ibuye ibuye. |
Kunini lapho udinga ukubonana nodokotela ngokushesha?
Ngemva kokuhlinzwa, udokotela wakho uvame ukukunikeza usuku lokulandelela. Kodwa-ke, uma unezinye zezimpawu ezilandelayo, shayela udokotela wakho ngokushesha.
- Ukopha ngokweqile ngenxa yokusikeka.
- Ukuba nomkhuhlane ongaphezu kwama -degree Celsius angu-38 (100 Fahrenheit).
- Izimpawu zokutheleleka kwenxeba (ubomvu, ukuvuvukala, ubomvu).
- Ubuhlungu buyaphela .
Umlayezo Wokuya Nawe Ekhaya
- I-Varicocele iyisimo esivamile futhi esingelapheka phakathi kwamadoda, ngakho-ke asikho isizathu sokwesaba noma sokuba namahloni ngaso.
- Nakuba lesi simo singathinta ukuzala, kunethuba elikhulu lokuthi ukuhlinzwa kwe-varicocelectomy kungathuthukisa ukuzala.
- Lokhu kuyindlela yokuhlinzwa ephephile, kodwa ukuze uthole imiphumela ephumelelayo, kubalulekile ukulandela imiyalelo kadokotela ngokucophelela ngemva kokuhlinzwa.
- Uma unemibuzo noma ukungabaza ngalokhu, khuluma nodokotela wakho ngokukhululekile ngakho. Uzokuchazela konke.
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