Testicular torsion - mwachangu kwa dokotala

Torsion wa testes kapena machende - izo kutembenukira mazira pa chingwe spermatic. anomaly kawirikawiri amapezeka anyamata potha msinkhu wawo udakali kwa zaka twente-faifi. Koma musati asangalale chifukwa angayambe amuna pa msinkhu uliwonse.

Testicular torsion angayambe kukhala chifukwa chenicheni. Koma kungakhale ndi ntchito yamasewera, ndipo zosiyanasiyana zoopsa scrotal, ndi zinthu zina zimene zimachititsa chidule lakuthwa minofu. Choncho, pali reflex kukweza mazira, ndipo wokhota madigiri 180, ndi zina zambiri - mozungulira nguli, chifukwa cha zomwe magazi wasweka mazira, chifukwa mu necrosis zina. Testicular Torsion kumachitika chifukwa kukhalapo kwa kuvutika zosiyanasiyana, kuchititsa dzira zoipa zaikidwa pansi scrotum lapansi.

Testicular torsion lagawidwa mitundu zotsatirazi:

- vnevlagalischny choti ndi zipolopolo testis anaona ana osakwana zaka chaka chimodzi;

- makonzedwe ukazi amene amapezeka mu tunica vaginalis testis.

Zizindikiro.

Zizindikiro zazikulu chakuti panali testicular torsion, ndi pamaso pa ululu waukulu mu gawo akhudzidwa wa scrotum, amene wapatsidwa m'dera groin. Iwo akhozanso kusanza, nseru.

Ngati testicular torsion amapezeka wakhanda, izo Tingaone ndi kuwonjezeka kwa scrotum, komanso ngati blanching kapena redness. Ngati mwana wanena kale izo akudandaula za maonekedwe a ululu pamimba ndi groin.

Matendawa.

Pamene akufufuza mpata scrotum dzira adzakhala pamwamba, kuyambira pali kufupikitsa chingwe spermatic. Komanso, zakumapeto kungakhale mazira Front. Pankhaniyi, pamene akufufuza mpata wa scrotum kungakhale maloboleznennoy. Spermatic chingwe chifukwa torsion ndi thicker kwambiri. Potero kupangitsa redness ndi kutupa scrotum lapansi.

Pamene ultrasound Kupenda kutsimikizidwa kukhalapo kapena kusapezeka kwa magazi mu testis lapansi. Pofuna kudziwa nkhani za zipolopolo dzira akhoza kunyamula matenda puncture ndi transillumination.

Chithandizo.

Ena odwala torsion testicular angachiritsidwe maola loyamba pamene anapeza matenda. Kuti tichite zimenezi, kuchita unwinding Buku. Wodwala kugona pa nsana wake ndi mosamala agwire unwinding wa bloat zosiyana. Pankhaniyi, dzira pang'ono inagumula. Ngati mwachita bwino, ululu ali kwambiri yafupika kapena inathetsedwa kwathunthu. Ngati njirayi sachiza, ndiye wodwalayo ntchito. Ankachititsa autopsy wa scrotum, ndiye amathera unwinding mazira adziwe viability ake. Ngati thandizo inaperekedwa mochedwa kwambiri ndi dzira ndi kale mwachisawawa, kenako kubereka kuchotsa ake.

Pamene yaitali ndi yopapatiza mwendo, ndiye gidatidy testicular torsion angayambe, mmene matenda akuwonetseredwa kwambiri kamodzikamodzi. Kwenikweni pali chisokonezo mu makope gidatidy kapena kutupa ake. Ichi ndi chifukwa Kukweza mawu miyendo gidatidy, chisokonezo cha outflow venous magazi pa masewera olimbitsa thupi kapena kuvulala zosiyanasiyana, komanso pa torsion ndi unwinding lachibadwa.

Ana amene anapha gidatida angakhale nayo nseru, iwo akhoza kusanza, akhoza onekera kutentha. Pambuyo izi zimachitika hyperemia ndi edema wa scrotum, amene nthawi zonse kukula.

Perekurt gidatid amakhala ndi zinthu zotsatirazi:

- kuoneka ululu mwadzidzidzi testicle ya;

- scrotal edema (symmetrically) ndi zosayembekezereka wa zinayambira;

- maonekedwe a adzalowerera wandiweyani.

Zovuta za torsion gidatid:

- hydrocele, amene akukhala aakulu ndipo kenako kumabweretsa kusokonezeka kwa magazi ndi lymph kufalitsa, zikubweretsa manja;

- epididymo, chifukwa chimene osabereka excretory;

- testicular kukanika ndi wotsatira manja.

Nkomwe inu kupeza testicular torsion ayenera yomweyo kukaonana ndi katswiri.