Iimpawu zeMpawu zeMpawu zeMpawu kunye neZimpawu, Indlela ezibangelwa ngayo ukungabikho, kunye neZonyango zokukhetha
I-varicocele (ebizwa ngokuba yi-VAR-co-cell) iyinambuzane ephakamileyo kwi-scrotum kunye neengqungquthela, ngokuqhelekileyo ifunyenwe kwicala lasekhohlo, kodwa iphinda ifunyenwe kumacala omabini e-scrotum, kwaye inqabile nje kuphela kwicala lasekunene. Uyazi kakuhle iimvumba ze-varicose, ezenzeka kwimilenze. Njengemivilini ye-varicose, xa i-varicocele ikhona, i-valve yevini eyanceda igazi ligijimele phezulu kwinhliziyo liya kuba yinto engasebenzi.
Oku kubangela ukuba igazi lidibanise kwindawo. Oku kunokukhokelela ekukhukhuleni, ukwehla kwamathambo, ukungabi nantlungu, kwaye ngezinye iintlungu.
Ii-Varicocele ziqhelekile, zivela kwi-15% yamadoda. Eyona nto ibangela imbangela yokungabikho kwindoda , kufumaneka kuma-40% wamadoda aneenani eliphantsi lokubala. Ii-Varicoceles zonyango, kwaye ngokude nezinye iingxaki zokuzala azikho kwiqabane lamadoda okanye labesetyhini, ukukhulelwa ngaphandle kokunyanga kwenyango olongezelelweyo kunokwenzeka.
Nangona kunjalo, ingaba unyango lwe-varicocele luphucula izinga lokuphumelela kokukhulelwa kuzo zonke iimeko umcimbi weengxoxo, ngezifundo ezithile ezibonisa ukuphucula amazinga okukhulelwa kunye nabanye. Kufuneka uthethe kubo bobabini urologist kunye ne- endocrinologist yokuzalana nokuba ngaba utyando lucacile kwimeko ethile.
Varicocele Symptoms and Identification
Amadoda amaninzi ayengazi i-varicocele ade abe neengxaki zokuzala. Isiphumo sokuhlalutya isisu esingavumelekanga siya kulandelwa ngophando lomzimba loogqirha, kwaye yilapho i-varicocele ingafunyanwa.
Nangona kunjalo, amanye amadoda enza amava okanye iimpawu ngaphandle kokungabikho. Zingaquka ezi zilandelayo:
- Ukuqhayisa okanye ukuva ubunzima kwinqumle, ngakumbi emva kokuzivocavoca
- Ukuvuvukala okanye ubunzima kwi-scrotum, ngamanye amaxesha kuchazwa njengento efana nengxowa yeeodle
- Enye itekisi ibonakala iyincinane kunomnye
I-varicocele ingafunyanwa ngexesha lovavanyo lomzimba. Urologist unokucela ukuba ume uze ulele phantsi. Uya kuthi ahlole umzimba wakho. Ukuba i-varicocele ikhoyo, ukunyamezela kwakho kuya kubangela ukuba i-varicocele ikhulise kwaye ibonakale. Ikwabonakala kwakhona ngaphandle kokufuna ukuwa phantsi. Ugqirha wakho unokukuvavanya xa elele. I-varicocele kufuneka ilahleke xa usesikhundleni esingenanto.
Kungenzeka ukuba ne-varicocele engabonakaliyo ngexesha lovavanyo lomzimba, kwaye lufumene kuphela ngokusetyenziswa kwe-ultrasound. Nangona kunjalo, i-varicocele yalesi sikhulu ngokuqhelekileyo ishiywe ingaphendulwanga, njengoko uphando alufumananga ubudlelwane bokungabikho kwezi zizathu.
Ugqirha wakho unokuyalela i-ultrasound ye-scrotum ukuba uvavanyo lomzimba luquka, okanye ukuba kukho ubungqina obuninzi bokungabonakali. Nangona i-varicocele ibhekwa njengento engenakonakala ukuba intlungu kunye nokuzala akuyiyo imbambano, ungacingi ukuba ubunzima obuyifumana kwi-scrotum yakho yi-varicocele. Ubunzima bunokuba yinto ebaluleke ngakumbi efuna unyango olukhawulezileyo.
Indlela i-Varicocele ingabangela ngayo ukungenzi lutho
Ukuba khona kwe-varicocele kuye kwadibaniswa nokubalwa kwe-sperm count, ukwanda kwe-DNA eyonakaliswe umdaka, i-poor morphology (okanye imo), kunye nokunyuka kwesisu.
Akucaci isizathu sokuba i-varicoceles ibangele ukungabikho komntwana, kodwa kukho iingcamango.
Inkolelo eyaziwayo kakhulu kukuba igazi elixubileyo liphakamisa ubushushu obushushu kwi-scrotum kunye namathambo. Ukunyusa okutshatyalaliswayo kusenokubangela umonakalo kumntu.
Enye ingcamango kukuba ukusabalalisa okungahambi kakuhle kukukhokelela kumanqanaba okwanda kweetekisi, oko kukukhokelela kwimpilo yezilwanyana ezihluphekileyo. Enye imbono ibonisa ukuba ukunyanzeliswa kokunyuka kwenyango kukulimaza impilo. I-oxygen engalunganga yamathambo ayikho enye ingcamango.
Izizathu ze-Varicocele kunye neengozi
Akukho mntu oqinisekileyo oko kubangela ukuba varicoceles benze. Basenokuqala ukuvela ebusheni kwaye baninzi kakhulu kumadoda aneminyaka eyi-15 ukuya ku-25.
Ukugqithisa kakhulu kunokunyusa umngcipheko wokuphuhlisa i-varicocele.
I-Varicocele Treatment
Ingaba okanye ukunyanga i-varicocele kuya kuxhomekeka kubukhulu be-varicocele, ingaba kukubangela intlungu, nokuba kukho izinto ezongezelelekileyo zokuzala, kunye nokuba yintoni na wena kunye nesicwangciso sonyango sakho sokunyanga sonyango kubonakala ngathi. Ubudala bomlingani wesibini kuya kuqwalaselwa, ekubeni unyango aluvelisi iziphumo ngokukhawuleza. (Okunye ngezantsi apha.)
Ukuba, umzekelo, unyango lwe-IVF luyadingeka ngenxa yobuncinane bentombi, ukunyanga ukulungisa i-varicocele akunakukhuthazwa. Esinye isizathu sokuba unyango lungacetyiswa ukuba ngaba uhlalutyo lwakho lwesilwane alufumani naluphi uhlobo lwesidoda, nolwaziwa ngokuba yi-azoospermia, kunye ne-azoospermia alubangelwa ngumqobo kwizitho zomzimba zesilisa. Olunye uphando alufumananga unyango olulungileyo kulolu hlobo, kwaye amadoda asebenze ukuhlinzwa angadinga i-TESE (okanye i-testicular sperm extraction) ukuze athole i-sperm ye- IVF .
Ngakolunye uhlangothi, ukuba akukho zixhobo ezongezelelweyo zokuzala, kwaye ubuchule bakho besilisa buphantsi nje (ngokuchasene nokungabikho ngokupheleleyo), unyango lunokuba lukhethi olufanelekileyo kuwe.
Izikhetho zonyango lwe-Varicocele ziquka:
- I-varicocelectomy ye-microsurgical: Le ndlela yokuhlinzwa eqhutywe ngayo iqhutywe ingcambu, ithetha ngokugqithisa, okanye i-subinguinal, intsingiselo ngokubakho ngokukodwa okunye malunga neyintshi enye ngaphezulu nangapha kwicala, kwaye isebenzisa i-microscope ekuncedeni ukulungiswa. Le ndlela yokucubungula inobungozi obuncinane kunye nexesha elifutshane lokubuyisela, okwenza unyango olukhethiweyo lukhethwe.
- I-laparoscopic varicocelectomy: Kule meko, ukulungiswa kwenziwa ngeesisu. Ngenxa yengozi yokwandisa kunye nexesha elide lokubuyisela, oku kudla ngokukhawuleza.
- Ukwelashwa kwamathambo angaphantsi (okubizwa ngokuba yi-radiologic ablation): Le ndlela yindlela engabonakaliyo kunye nemingcipheko kunye neentlungu ezincinci kunezo zilapha zilapha. Olu unyango lubandakanya i-radiologicalist injecting into ingxaki yecilinci encinci okanye utywala ukuvimba umkhuhlane obangela ingxaki. Olu unyango ludinga ulwazi lwe-radiologist kule nkqubo, engenakufumaneka kuzo zonke iindawo. Kukho ukuphikisana malunga namazinga okuphumelela kwithuba elide lonyango.
Zonke ezi zonyango zithatha inqanaba elithile lomngcipheko, kunye nokuqulunqwa kwemithwalo engapheliyo enomngcipheko omncinci kunye nokulungiswa kwe-laparoscopic ephethe umngcipheko omkhulu. Qiniseka ukuba uxoxe nodokotela wakho konke okusemandleni akho unyango, kubandakanya ulwazi olupheleleyo kwiingozi, amazinga okuphumelela kunye namaxesha okubuyisela.
Amanani okuphumelela ayahluka kumntu kumntu, kodwa uphando oluthe lwafumana uphuculo lwempilo yesondlo ngaphezu kweyesibini kwisigidi sezigulane. Kwakhona, i-30 ukuya kwi-50% yezibini ziya kukwazi ukufikelela ekukhulelweni ngokwemvelo emva kokuhlinzwa.
Qaphela, nangona kunjalo, ngenxa yokujikeleza komzi, kuya kuthatha iinyanga ezintathu ukuya kwezine emva kokulungiswa ngaphambi kokuba impilo yempilo ibonise ukuphuculwa. Ugqirha wakho unokubonisa ukuba uhlalutyo lwesilwanyana olulandelelanayo emva kweenyanga ezintathu ukuya ezine, ukujonga ukuba unyango luphumelele ngokwenene. Kungathatha iinyanga ezintandathu ukuya kwezilishumi elinesibini ngaphambi kokukhulelwa kuza kwenzeka unyango lweposi.
Oku ngakumbi kwinqanaba lomntu lokungapheli:
- Konke Ngokubhekiselele Kwindoda
- Izinto Zonke Umntu Omele Ukwazi Ngobubele (Nangona kulungile ukuba abafazi bazi le nto, nabo!)
- Uhlalutyo Lwenjani?
- Ukuqonda iziphumo zokuhlalutya i-Semen: Yintoni eqhelekileyo, Yintoni engavumelekanga, kwaye Kutheni
- Kuthiwani Ukuba Iziphumo Zokuhlalutya Ngeenjongo Zakho Zingavamile?
- Ukuxhalabisa ngeNtsebenzo ngexesha lovavanyo kunye noLonyango
- Iingcebiso ezili-10 zokunyusa ukwanda komntu
- Ukubhema kunye noLuntu lokuNzala
- Intracytoplasmic Injection ye-Sperm: Okufuneka Ukwazi Nge-ICSI
- Ukujamelana noDokotela obhalwe ngesondo ngexesha lotyando lwezonyango
- Top Sperm Friendly Lubricants
- Indlela i-TTC ifuthe ngayo Ubomi bakho boBomi
- Isikhokelo esipheleleyo kwiNtsana yokwenza ubulili
Imithombo:
UFicarra V, uCrestani A, uNobara G, uMirone V. "Ukulungiswa kwe-Varicocele yokungabikho komntwana: yintoni ubungqina?" UCrr Opin Urol. 2012 Nov; 22 (6): 489-94. i-doi: 10.1097 / MOU.0b013e328358e115.
I-Varicocele: I-Sheet Fact Sheet Sheet. Umbutho waseMelika weMithi yokuzala. Kufikelele ngoJuni 20, 2013. http://www.asrm.org/uploadedFiles/ASRM_Content/Resources/Patient_Resources/Fact_Sheets_and_Info_Booklets/Varicocele.pdf
Varicocele. I-Weill Cornell Medical College, uJames Buchanan Brady Foundation, iSebe le-Urology. Kufikelele ngoJuni 20, 2013. https://www.cornellurology.com/clinical-conditions/male-infertility/general-information/varicocele/
Ingxelo nge-varicocele kunye nokungabikho. Ikomidi leZenzo zoMbutho we-American Society for Medicine Reproductive. Kufikelele ngoJuni 20, 2013. http://www.asrm.org/uploadedFiles/ASRM_Content/News_and_Publications/Practice_Guidelines/Joint_Reports/Report_on_varicocele(1).pdf
USchlegel PN, uKaufmann J. Fertil Steril. 2004 Juni; 81 (6): 1585-8. "Indima ye-varicocelectomy kumadoda angenayo i-azoospermia."
Schlesinger MH, iWilets IF, i-Nagler HM. Isiphumo sokwelashwa emva kwe-varicocelectomy. Urol Clin North Am. Ngo-1994 uAgasti; 21 (3): 517-29.