Kuopsa varicocele anthu?

Varicocele zikumveka zachilendo kwambiri, koma kudwala ndi zachilendo pakati pa amuna ndi ndi mapindikidwe wa mitsempha varicose ili mu chingwe spermatic maliseche. A matenda ofanana ali kwambiri zizindikiro osati osangalatsa kwambiri, yomwe ingathe kuchitidwa kuphwanya dongosolo la spermatogenesis ndi mavuto uchembere wabwino adzasefukira mu osabereka oyambirira. M'nkhani ino, tidzaphunzila ndi varicocele ndi owopsa monga kudwala imeneyi kumaonekera ndi zomwe maganizo a akatswiri pa mankhwala.

Zochita za matenda

Pakati zosiyanasiyana kwambiri matenda akuwonetseredwa Urological chikhalidwe varicocele imodzi amuna khumi kupita kwa dokotala madandaulo a kutupa, mwachikondi ndi kutupa mu dera inguinal.

Dzina la matenda - ". Kutupa mitsempha, edema" achilatini amene amatanthauza

A mfundo zingapo zokhudza varicocele:

1. Ndi kudwala, chifukwa chimene kusintha mu mitsempha ya chingwe spermatic ndi testicle.
2. The zotupa zambiri za mkati spermatic mtsempha ndi kumanzere testicular mtsempha.
3. 67% ya mawonetseredwe onse a varices venous zimapezeka kumanzere ya thupi.
4. Vasodilation mwatsoka khama ndipo sizingasinthe chodabwitsa.
5. Chifukwa, kupatulira pa khoma chotengera amapezeka mitsempha mapindikidwe limapezeka nodularity.
6. Magazi ugwira ntchito zida opunduka ang'onoang'ono ndi pang'onopang'ono.
7. Chifukwa - ziwiya za testis ndi spermatic chingwe magazi stasis anapanga.
8. Pali kutukusira kwa zimakhala ozungulira ndi kutupa anayamba.
9. Ndi edema kuchuluka kuoneka ululu, kumverera kwa kulemera ndi kusapeza kuti pa chilichonse kusuntha nkhawa munthu.
10. The varicocele oopsa? Ngati matenda ili m'kati, ndi kusokonezeka zotheka kwa ndondomekoyi spermatogenesis, amene nawonso, chifukwa cha osabereka wamwamuna oyambirira.

zimayambitsa

Pa nthawi, madokotala zifukwa zitatu zimene zimachititsa pali varicocele amuna:

1. Kuthamanga adakulabe mu mitsempha aimpso.
2. Chilema testicular mtsempha. Mwina vavu kapena anatomical.
3. Kuphatikiza pathologies onse.

Nthawi zina kudwala kungachititse ku nkhawa thupi ndi kutopa kwambiri, zomwe ndi chifukwa kuchuluka kwapakati pa-m'mimba kuthamanga kapena psinjika ziwiya aimpso.

The varicocele oopsa? Funso limeneli ndi lofunika kwa ambiri. Ife adzamvetsa.

The ndondomeko ya kudwala ndi

1. Anatomically mphete inguinal chikugwirizana kwa testicle spermatic chingwe.
2. Nkofunika kuti mkati mphete inguinal ndi osati vas deferens, komanso ziwiya: venous, lymphatic, wolumikizira.
3. Panopa kuli nthambi yeniyeni mtsempha, ndipo kudzera mwa lamulo la magazi kumachitika.
4. Varicose akhudzidwa acinar plexus ili mu chingwe spermatic.
5. Pali kuwonjezeka spermatic mtsempha, kupatulira makoma ake, pali nodularity.
6. Ndi kuphwanya outflow magazi zotengera machende.
7. Ngati pali chilema anatomical kumanzere, phunzirani kutulutsa magazi ndi zovuta kuchokera kumanzere.
8. Chifukwa cha kuphwanya lymph ndi magazi zikhoza kutupa kapena anawononga kwathunthu kwa mitsempha, kenako kukha magazi mu scrotum lapansi.
9. Kukula varicocele zingachititse osabereka anthu.

Zimayambitsa krovoottoka

• Iwo ankaona bwinobwino, pamene kuima magazi kudzera m'mitsempha ali ndi malangizo ochokera mitsempha aimpso pansi kwa acinar plexus.
• Mu malo supine otaya magazi kudzera mitsempha ayenera kukhala ndi kutumiza ku mitsempha ya maliseche kwa mitsempha aimpso.
• Pankhani ya kuwonjezeka ndi mapindikidwe wa mitsempha akuyamba kupitilira varicocele.
• Ngati pali kuthamanga m'zotengera aakulu aimpso, magazi kumaliseche amapezeka collaterals. Imodzi mwa zotengera - testieular Vienna.
• Zimayambitsa matenda oopsa aimpso angakhale thrombosis chotengera ndi chiyambi anatomical wa chilema.
• msokonezo Hemodynamic kumachitika pamene lofotokozedwa magazi kumaliseche kwa testicular nthenda mu mtsempha aimpso.
• Kusintha nthawi zonse magazi kudzera mitsempha kumachitika chifukwa cha chilema kobadwa nako kapena chilema chifukwa kuvulazidwa.

Chifukwa, pali stagnation zonse magazi ziwiya scrotum lapansi. Chifukwa ndi kuwonjezeka mu kuthamanga venous ziwiya spermatic maulendo 3-4. Pankhaniyi, varicocele opaleshoni testicle ndi lofunika.

siteji varicocele

zifukwa zambiri zimakhudza zizindikiro matenda. Modern madokotala amakonda kugwiritsa ntchito anayi Gawo umene madokotala angathe pulani ogwira mankhwala ndi kulosera kuchira. Motero, magawo anayi a varicocele:

• Gawo loyamba. Pa nthawi imeneyi, pali varicose mitsempha ndi mitsempha spermatic wa chingwe spermatic. Komabe, khama lake n'chotheka mothandizidwa ndi Doppler.
• Gawo lachiwiri. Varicose mapindikidwe khalidwe zingadziŵike ndi palpation mu kaimidwe ubwenzi. kaya ntchito ndi zoopsa varicocele? Pa lino.
• Mbali yachitatu. Chizindikiritso cha kusintha varicose mwina osati ataima, komanso malo supine.
• Mbali chachinayi. Nodularity ndi mitsempha mapindikidwe akhoza anatsimikiza mtima mosamala kumaliseche.

kudwala oterewa tingawapeze mu m'badwo mwamtheradi iliyonse. Mu achinyamata anyamata varicocele limapezeka nthawi zambiri akamakula. amuna mu m'badwo akulu ndi matenda okalamba chifukwa cha matenda oopsa alipo aimpso mu masiteji woyamba kapena kobadwa nako mtima chilema, kuvulala, anasamutsira kale. Choncho n'kofunika kuganizira mbiri nkhani ndi zinthu masiku ano mankhwala mu matenda a varicocele (zithunzi Tingaone m'nkhani).

gulu la varicocele

Today amagwiritsa gulu kuposa wina. Aliyense wa iwo amaganizira zifukwa enieni chifukwa matenda zayamba, komanso makhalidwe munthu aliyense wa mitundu yomwe umayenda matenda. Akatswiri a urology ndi nephrology mu zawo kusiyanitsa mamba zoposa zisanu.

Gulu la mbali akhudzidwa. mtundu umodzi ndi kumanzere amaganiza varicocele. Pankhaniyi, kugonjetsedwa padzuwa testieular Vienna. RHD varicocele amapezeka pafupifupi 50% ya milandu, pamene anakantha bwino testieular Vienna. chosowa kwambiri maonekedwe a varicocele amgwirizano. Kumachitika mu% 5-6 kokha odwala.

Gawo mwa mtundu shunt. Yoyamba anafotokoza varicocele, mmene magazi ndi Yambitsaninso kwa mitsempha aimpso mu mtsempha testicular. Mtundu wachiwiri anafotokoza kudwala, imene shunt amapezeka ku iliac mtsempha. Mtundu wachitatu amatanthauza varicocele kuphatikiza kumaliseche magazi mtsempha aimpso ndi iliac mtsempha wa.

Gawo ndi etymology wa yatsoka ndi. Urologists kusiyanitsa varicocele pulayimale ndi sekondale anthu. Mbali yoyamba, matenda ali ndi titadziwa chikhalidwe cha chiyambi mwina chifukwa cha kuvutika majini ndi anatomic m'zotengera aimpso mu mavavu awo mu mtsempha wa chingwe spermatic. Ngati chachiwiri - ndi zotsatira za thrombosis, kuvulala, zotupa mu mafupa a chiuno ang'ono ndi pamimba, compressing zipangizo za mchombo spermatic kuchokera kunja.

Zizindikiro akhale ofatsa kwambiri. Izi zidalira pa zimene siteji matenda.

Symptomatology gawo loyamba

• Osowa ululu akuwuka mu groin pambuyo zamtunduwu maganizo kapena kutopa thupi.
• Kupatula pa matenda akhoza oterewa ndi dokotala kapena urologist pa mokakamizidwa thupi.

Zolusa testicular varicocele gawo lachiwiri?

Symptomatology Sitepe yachiwiri

• Zodziwitsa kusapeza mu groin ndi, akuwuka pambuyo kayendedwe mwadzidzidzi.
• zomverera wovuta zimene zimachitika pambuyo zolemera kuthamanga kapena kwambiri ndi yaitali kuyenda.
• Kusapeza chidawoneka zosasangalatsa kukoka ndi kupweteka ululu monga kumva kulasalasa. Odwala kuti ululu si chitaperekedwa Koma nthawi.
• odwala akhoza zindikirani machende pang'ono sagging, kukanika kugonana.
• Ndi kupitirira wa varicocele anthu (zoopsa kwambiri, kukambirana pansipa) zikhoza ndi kutchulidwa asymmetry wa scrotum lapansi.

Symptomatology wa gawo lachitatu:

• Kulankhula kudalira wa zosayembekezereka ululu wa chingwe spermatic ku zofuna kukhetsa thukuta.
• Chiwonetsero cha ululu ambiri ku mbali imodzi.
• Zikamera ndi akuphulikira ndi ululu kugunda mu scrotum pambuyo kusintha malo thupi.
• Nthawi ya ululu pa mpumulo, usiku.
• Kugonana kukanika - anayendera limakupatsani zowoneka asankhe asymmetry chapadera cha scrotum lapansi.
• Maonekedwe a mitsempha gnarled pansi pa khungu, kuwawa pa palpation.

N'koopsa varicocele?

Kudwala ngati si owopsa, koma mavuto amene angayambe, loopsa kwambiri pa thanzi ndi moyo wa anthu, ndi pa msinkhu uliwonse. Mochedwa mankhwala katswiri kapena Kupha thandizo akatswiri mwina zikuphatikizapo sterility amapezeka pamaso pa zifukwa zotsatirazi:

1. Yaitali testicular ischemia chifukwa cha osakwanira magazi.
2. Kuwonjezeka kutentha kwa testes, amene kumatanthauza kusokoneza ndondomeko spermatogenesis.
3. Kuti wakucha wathanzi umuna chofunika pa 33 digiri kutentha.
4. Chifukwa cha kutupa kutentha limatuluka mlingo thupi kutentha. Chifukwa, umuna m'mbuyo, kusintha kukula ndi mawonekedwe.
5. Chifukwa, nthenda shunt mankhwala yogwira ziletsa spermatogenesis ndondomeko.
6. Chifukwa cha mavuto - postoperative lymphostasis kapena hydrocele.

Njira varicocele

Wina, koma osati njira yokhayo ya mankhwala varicocelectomy. kaya ntchito ndi oopsa?

Varicocele angathe kuonedwa mu gawo loyamba, ndiye chinthu chokha chimene chofunika - ndi kusintha moyo wawo ndi kuchepetsa zolimbitsa thupi.

Kuteteza matenda a kuthamanga kwapakati pa-m'mimba ayenera kukhala nthawi popewa kudzimbidwa. Madokotala mosamalitsa amaletsa kunyamula zinthu zolemera, lakuthwa kusuntha, kuthamanga.

Kuchitira ntchito varicocele imagwiridwa yekha pa magawo wachiwiri ndi wachitatu wa matenda. The kutsatira opaleshoni akhoza kuchitika:

• Embolization a mtsempha, izo kleppirovanie kapena ligation.
• Pulasitiki ndi zochotsa sagging machende.
• Kuchotsa varicocele opaleshoni.

Vienna, matenda, akhoza excised kapena embolized. Atatu mwayi zotheka:

1. mwayi Subingvinalny.
2. mwayi Invaginalny.
3. Retroperinealny.

Modern urology amagwiritsa opaleshoni laparoscopic. Iwo sakudziwa zikukhudza ang'ambe thupilo lalikulu, ndi gawo matenda akhoza kuchotsedwa ndi kukula ka probes lapansi. wotuluka zikugwirizana ndi munda wa microsurgery. Pambuyo alowererepo pa zikhale zipsera ting'onoting'ono olimbikitsa mkati mwa sabata pambuyo ntchito. Odwala pambuyo laparoscopy abwerere ku moyo wakale mu masiku khumi. Madokotala amafunika malire zolimbitsa thupi. Izi zikutsimikiziridwa ndi ndemanga matenda varicocele.

Kupewa varicocele

Njira kuteteza varicoceles onse yosavuta. M'pofunika kutsatira malamulo ochepa, ndipo kuchepetsa chiopsezo cha matenda:

1. Muyenera bwino asayandikire kwa thupi ndi musaiwale za mpumulo.
2. Muyenera kukhala zonse moyo kugonana.
3. Usachite wabisa kuchepetsa mowa.
4. Muyenera kudya apamwamba ndi moyenera. Woyamba ndi kupewa pakutchulidwa cha kudzimbidwa.
5. M'pofunika kwathunthu asangalale ndi kugona.
6. Nkofunika kutenga mavitamini mu offseason lapansi.
7. Ndime yake kulipenda kuchipatala, makamaka ngati pali machenjezo.

Reviews

Opaleshoni kuchiza matenda amayambitsa kwambiri za maganizo abwino. Makamaka ogwira laparoscopy. Pafupifupi palibe mabala, zosokonezeka kwambiri.

gulu chiopsezo

Varicocele ndi ambiri mwa anthu amene ali akatswiri othamanga chinkhoswe mu weightlifting, nkhonya, akuthamanga thupi kwa maola oposa anayi tsiku, ndapeza kapena kobadwa nako chosayenerera zowawa thromboembolism kapena thrombosis ya mitsempha aimpso.

Ife anayang'ana oopsa kuposa varicocele.