I-Varicocele Izimpawu Nezibonakaliso, Indlela Abangela Ukungabi Naso, Nokukhethwa Kwokwelapha
I-varicocele (ebizwa nge-VAR-a-co-cell) yi-vein ekhulisiwe ku-scrotum kanye ne-testicle, evame ukutholakala ngakwesobunxele, kodwa futhi ingatholakala nakwezinhlangothi zombili ze-scrotum, futhi ngokungajwayelekile kakhulu ngakwesokudla. Kungenzeka ukuthi uyazi imivimbo ye-varicose, eyenzeka emilenzeni. Njengama-varicose veins, uma i-varicocele ikhona, i-valve ye-vein esiza igazi igeleza phezulu kuze kube yintliziyo iba yinto engasebenzi.
Lokhu kubangela ukuthi igazi lidibanise endaweni. Lokhu kungabangela ukukhukhumeza, ukwehla kwe-testicular, ukungasebenzi, futhi ubuhlungu ngezinye izikhathi.
I-Varicocele ayinto evamile, eyenzeka ngamadoda angu-15%. Empeleni, yiyona imbangela ehamba phambili yokungasebenzi komuntu , etholakala kuma-40% wamadoda anezibalo ezincane zesibalo. Ama-Varicoceles ayaphathwa, futhi uma nje ezinye izinkinga zokuzala zingekho kumlingani wesilisa noma wesifazane, ukukhulelwa ngaphandle kokwelashwa okungeziwe ngokwengeziwe kungenzeka.
Kodwa-ke, kungakhathaliseki ukuthi ukwelashwa kwe-varicocele kuthuthukisa amazinga okuphumelela kokukhulelwa kuzo zonke izimo kuyindaba yokuphikisana, ngezifundo ezithile ezibonisa amanani okukhulelwa okuthuthukisiwe nabanye abangekho. Kufanele ukhulume kokubili urologist kanye ne- endocrinologist yokuzala ukuthi ngabe ukuhlinzwa kunengqondo ngesimo sakho esithile.
I-Varicocele Izimpawu Nezifo
Amadoda amaningi awaqapheli i-varicocele aze abone izinkinga zokuzala. Umphumela wokuhlaziya wezinja ezingavamile uzolandelwa ukuhlolwa komzimba kadokotela, futhi lokhu kungukuthi i-varicocele ingatholakala.
Kodwa-ke, amanye amadoda enza izibonakaliso noma izimpawu ezitholakala ngaphandle kokungabikho. Bangase bahlanganise okulandelayo:
- Iphupho elimnandi noma umuzwa wokukhululeka esihlokweni, ikakhulukazi emva kokuzivocavoca
- Ukuvuvukala noma isisindo ku-scrotum, ngezinye izikhathi kuchazwe njengokuzizwa njengesikhwama sama-noodle
- Isilwane esisodwa sinokubonakala sincane kunezinye
A varicocele ingatholakala ngesikhathi sokuhlolwa ngokomzimba. Urologist angase akucele ukuthi ume bese ulele phansi. Uyobe esehlola ngokomzimba isikrini sakho. Uma i-varicocele ikhona, ukubekezela kwakho kuzokwenza ukuthi i-varicocele ikhulise futhi ibonakale. Kungase kubonakale ngaphandle kokudinga ukwehla phansi. Udokotela wakho angase akuhlole nalapho elele phansi. I-varicocele kufanele ilahleke uma usendaweni enezingqimba.
Kungenzeka ukuthi ube ne-varicocele engabonakali ngesikhathi sokuhlolwa komzimba, futhi kutholakale kuphela ngokusetshenziswa kwe-ultrasound. Kodwa-ke, i-varicocele yalesi sivama ngokuvamile ishiywe ingalashwa, njengoba ucwaningo lungatholakali ubudlelwane bokungabikho kulezi zimo.
Udokotela wakho angalawula i-ultrasound ye-scrotum uma ukuhlola ngokomzimba kubandakanya, noma uma kukhona ubukhulu be-testicular engabonakali njenge-varicocele. Ngenkathi i-varicocele ngokuvamile ibhekwa ingenangqondo uma ubuhlungu nokuzala akuyona inkinga, ungacabangi ukuthi inqwaba oyithola ku-scrotum yakho i-varicocele. Ubuningi bungaba yinto engathà sina esenza ukwelashwa ngokushesha.
Yeka ukuthi i-Varicocele ingabangela kanjani ukungabi nalutho
Ukutholakala kwe-varicocele kuye kwahlotshaniswa nesibalo se-sperm esilahlekile, ukwanda kwe-DNA eyonakalisiwe isidoda, i-poor morphology (noma ukuma kwesimo), kanye nokunyakaza kwesisu.
Akucaci ukuthi kungani i-varicoceles ibangela ukungasebenzi, kodwa kunezinkolelo.
Ithiyori ethandwayo kakhulu ukuthi igazi elihlanganisiwe liphakamisa izinga lokushisa jikelele ema-scrotum nama-testicles. Ukwandisa ukushisa kwama-scrotal kungaphazamisa isidoda.
Enye inkolelo ukuthi ukusakazeka okumbi kuholela emazingeni amaningi e-toxin, okuholela ekutheni kube nempilo empofu empofu. Enye inkolelo ekhombisa ukucindezela kakhudlwana kwe-scrotal kulimaza impilo yempilo. Ukuphefumula okwemvelo kwamathambo kungenye inkolelo.
Ama-Varicocele Causes and Factors Risk
Akekho oqinisekile ukuthi yini eyenza i-varicoceles ifake. Bangase bavele babonakale ebusheni futhi bavame kakhulu emadodeni abaneminyaka engu-15 kuya ku-25.
Ukweqa ngokweqile kungase kwandise ingozi yakho yokuthuthukisa i-varicocele.
I-Varicocele Treatment
Ukuthi noma ukwelapha i-varicocele kuzokwenzeka noma kuncike ebukhulu be-varicocele, kungakhathaliseki ukuthi kukubangela ubuhlungu, kungakhathaliseki ukuthi kunezici ezengeziwe zokubeletha ezithandwayo, nokuthi yini wena nomklomelo wakho wokwelashwa owenzela ukwelashwa kuboniswa kubonakala. Iminyaka yomlingani wesifazane nayo izocatshangelwa, ngoba ukwelashwa akukhipha imiphumela ngokushesha. (Okuningi ngalokhu ngezansi.)
Uma, isibonelo, ukwelashwa kwe-IVF kuyadingeka ngenxa yezinkinga zesifazane ezingasebenzi, ukwelashwa ukulungisa i-varicocele cishe ngeke kunconywa. Esinye isizathu sokuthi ukwelashwa kungasetshenziswanga ukuthi ngabe ukuhlaziywa kwamasamu akutholanga yini isidoda, esaziwa nangokuthi azoospermia, ne-azoospermia ayibangelwa ukuvinjelwa ngaphakathi kwezitho zobulili zesilisa. Olunye ucwaningo aluzange luthole ukwelashwa kwe-varicocele olufanele kulokhu, futhi amadoda asebenze ukuhlinzwa angase asadinga i- TESE (noma isisindo se-sperm testicular) ukuthola i-sperm ye- IVF .
Ngakolunye uhlangothi, uma kungekho izinto ezengeziwe zokuzala ezitholayo, futhi izibalo zakho zobuningi ziphansi kakhulu (ngokuphambene nokungabi khona ngokuphelele), ukwelashwa kungaba yindlela enhle kuwe.
Izinketho zokwelashwa ze-Varicocele zihlanganisa:
- I-varicocelectomy ye-microsurgical: Lokhu kuhlinzwa okunomsebenzi okwenziwe ngobuchwephesha kwenziwa inguinal, okusho ukuthi yi-groin, noma i-subinguinal, okusho ngenhlanganisela eyodwa okuyi-inch eyodwa ngenhla nangaphesheya le-penis, futhi isebenzisa i-microscope ukusiza ekulungiseni. Le ndlela yokuhlinzwa inezingozi ezimbalwa kakhulu futhi isikhathi esincane sokutakula, okwenza kube ukwelashwa okukhethwa ukwelashwa.
- I-varicocelectomy ye-Laparoscopic: Kulokhu, ukulungiswa kwenziwa ngesisu. Ngenxa yengozi eyengeziwe futhi isikhathi eside sokuphumula, lokhu kungavamile ukukhethwa.
- Imithi yokwelapha emzimbeni (eyaziwa nangokuthi i-radiologic ablation): Lena yindlela yokwelashwa enezingozi ezimbalwa kanye nobuhlungu kunanoma iyiphi yezokwelapha ezilapha ngenhla. Le ukwelashwa kuhilela isazi se-radiologist esilungisa inkinga emacilini amancane noma utshwala ukuvimbela umkhuhlane obangela inkathazo. Le ukwelashwa kudinga ulwazi lwe-radiologist nolwazi kule nqubo, okungenzeka ingatholakali kuzo zonke izindawo. Kunengxabano phezu kwamazinga okuphumelela wesikhathi eside salolu ukwelashwa.
Zonke lezi zonyango zithatha ingozi ethile, nge-embolization engenawo wonke umuntu ethwala ukulungiswa okungeyona engozini kanye ne-laparoscopic yokuhlinzwa okuphethe ingozi enkulu kakhulu. Qinisekisa ukuthi uxoxe nodokotela wakho zonke izindlela zakho zokwelashwa, kuhlanganise nolwazi oluphelele ngezingozi, amazinga okuphumelela, nezikhathi zokutakula.
Izinga lempumelelo lizohlukahluka komunye nomuntu, kodwa olunye ucwaningo luye lwathola ngcono empilweni yezinsikazi ezingaphezu kwezingxenye ezimbili kwezintathu zeziguli. Futhi, imibhangqwana engu-30 kuya ku-50% izokwazi ukufeza ukukhulelwa ngokwemvelo emva kokuhlinzwa.
Kodwa-ke, phawula ukuthi ngenxa yomjikelezo wokuphila wezinsikazi, kuzothatha izinyanga ezintathu kuya kwezine emva kokulungiswa ngaphambi kokuba impilo yezinsizwa izoboniswa ngcono. Udokotela wakho angase abonise ukuhlaziywa kwesilwane esilandelayo njalo emva kwezinyanga ezintathu ukuya kwezine ukulungiswa kokuthunyelwe, ukubona ukuthi ukwelashwa kwaphumelela ngempela. Kungathatha izinyanga eziyisithupha kuya kweziyishumi nambili ngaphambi kokukhulelwa kuzokwenzeka ukwelashwa kokuthunyelwe.
Okunye okuhlangothini lwesilisa lokungasebenzi:
- Konke Mayelana Nokungafani Kwamadoda
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- Ukubhekana noDokotela obhalwe ngodokotela ngesikhathi sokunakekelwa kokuzala
- I-Sperm Top Friendly Lubricants
- Indlela i-TTC eyithinta ngayo impilo yakho yobulili
- Umhlahlandlela ophelele wezingane ezenza ucansi
Imithombo:
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I-Varicocele: Iphepha Lokugcina Lokubekezela. UmNyango we-American for Medicine Reproductive. Ifinyelele ngo-Juni 20, 2013. http://www.asrm.org/uploadedFiles/ASRM_Content/Resources/Patient_Resources/Fact_Sheets_and_Info_Booklets/Varicocele.pdf
I-Varicocele. I-Weill Cornell Medical College, uJames Buchanan Brady Foundation, uMnyango Wezolimo. Ifinyelele ngo-Juni 20, 2013. https://www.cornellurology.com/clinical-conditions/male-infertility/general-information/varicocele/
Bika ku-varicocele nokungazalwa. IKomiti Yokuzikhandla Ye-American Society Yokwelapha Okuzala. Ifinyelele ngo-Juni 20, 2013. http://www.asrm.org/uploadedFiles/ASRM_Content/News_and_Publications/Practice_Guidelines/Joint_Reports/Report_on_varicocele(1).pdf
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