Varicocele

I-varicocele kukudumba kwemithambo ngaphakathi kwisingxobo samatyhalarha. Le mithambo ifunyanwa ecaleni kwentambo egcina amasende endoda (spermatic cord).

Iifom ze-varicocele xa izivalo ngaphakathi kwemithambo ezihamba ngentambo yesidoda zithintela igazi ukuba lingahambi kakuhle. Igazi libuyela umva, likhokelela ekudumbeni kunye nokwandiswa kwemithambo. (Oku kuyafana nemithambo ye-varicose emilenzeni.)

Uninzi lwexesha, ii-varicoceles zikhula kancinci. Zixhaphake kakhulu kumadoda aneminyaka eli-15 ukuya kwengama-25 kwaye zihlala zibonwa kwicala lasekhohlo lesikram.

I-varicocele kwindoda endala ebonakala ngequbuliso inokubangelwa sisifo sezintso, esinokuthintela ukuhamba kwegazi ukuya emthanjeni.

Iimpawu zibandakanya:

• Imithambo eyandisiweyo, ejijekileyo kwisingxobo samatyhalarha
• Ubuhlungu okanye ukungonwabi
  
• Isigaxa samatyhalarha angenasiphelo, ukudumba okunesirhabaxa, okanye ukudumba kwisingxobo samatyhalarha
• Iingxaki ezinokubakho ngokuzala okanye ukunciphisa ukubala kwesidoda

Amanye amadoda awanazo iimpawu.

Uya kuba novavanyo lwendawo yakho ye-groin, kubandakanya iproteum kunye namasende. Umboneleli wezempilo unokuziva ukukhula okugqwethekileyo ecaleni kwentambo yesidoda.

Ngamanye amaxesha ukukhula kunokungabonakali okanye ukuziva, ngakumbi xa ulele phantsi.

Ityhalarha esecaleni kwe-varicocele inokuba nencinci kunelinye icala.

Unokuba ne-ultrasound ye-scrotum kunye namathambo, kunye ne-ultrasound yezintso.

Umtya wejokethi okanye iimpahla zangaphantsi ezinqabileyo zinokunceda ukunciphisa ukungonwabi. Unokufuna olunye unyango ukuba iintlungu azipheli okanye uvelisa ezinye iimpawu.

Ugqirha ukulungisa i-varicocele ibizwa ngokuba yi-varicocelectomy. Kule nkqubo:

• Uya kufumana uhlobo oluthile lwe-anesthesia.
• Ugqirha womchamo uya kusika, rhoqo kwisisu esisezantsi, kwaye abophe imithambo engaqhelekanga. Oku kuhambisa ukuhamba kwegazi kule ndawo ukuya kwimithambo eqhelekileyo. Umsebenzi ungenziwa kwakhona njengenkqubo ye-laparoscopic (ngokusebenzisa iindlela ezincinci zekhamera).
• Uyakukwazi ukuphuma esibhedlele kwangolo suku lotyando lwakho.
• Uya kudinga ukugcina ipakethe yomkhenkce kwindawo yeeyure ezingama-24 zokuqala emva kotyando ukunciphisa ukudumba.

Enye indlela yotyando kukufakelwa kwe-varicocele. Kule nkqubo:

• Ityhubhu encinci engenanto ebizwa ngokuba yi-catheter (ityhubhu) ibekwa emthanjeni kwindawo yakho yokuthambisa okanye yentamo.
• Umboneleli uhambisa ityhubhu kwi-varicocele usebenzisa i-ray-ray njengesikhokelo.
• Ikhoyili encinci idlula kumbhobho ungene kwi-varicocele. Ikhoyili ivimba ukuhamba kwegazi kwimithambo emibi kwaye iyithumele kwimithambo eqhelekileyo.
• Uya kudinga ukugcina ipakethi yomkhenkce kwindawo ukunciphisa ukudumba kunye nokunxiba iscrotal inkxaso okwexeshana.

Le ndlela yenziwa ngaphandle kokuhlala esibhedlele ubusuku bonke. Isebenzisa ukusikwa okuncinci kakhulu kunotyando, ke uya kuphilisa ngokukhawuleza.

I-varicocele ihlala ingenabungozi kwaye amaxesha amaninzi ayifuni kunyangwa, ngaphandle kokuba kukho utshintsho kubungakanani bamatyhalarha akho okanye ingxaki yokuzala.

Ukuba uyatyandwa, ubalo lwamadlozi akho luya kunyuka kwaye lunokuphucula ukuzala kwakho. Kwiimeko ezininzi, ukumoshakala kwamatyhalarha (atrophy) akuphucuki ngaphandle kokuba utyando lwenziwe kwasekuqaleni kwinqanaba lokufikisa.

Ukungachumi kuyingxaki ye-varicocele.

Iingxaki zonyango zinokubandakanya:

• Amatyhalarha eAtrophic
• Ukubumba kwegazi
• Usulelo
• Ukwenzakala kwisingxobo samatyhalarha okanye isikhephe segazi esikufutshane

Tsalela umnxeba umboneleli wakho ukuba ufumanisa iqhuma lamatyhalarha okanye ufuna ukunyanga i-varicocele efunyanisiweyo.

Iimvumba ze-Varicose - i-scrotum

• Varicocele
• Inkqubo yokuzala eyindoda

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UGoldstein M. Ulawulo lotyando lokungachumi kwendoda. Ku: Wein AJ, Kavoussi LR, Partin AW, Peters CA, ii-eds. UCampbell-Walsh Urology. Ngomhla we-11. IPhiladelphia, PA: Elsevier; 2016: isahluko 25.

I-Palmer LS, iPalmer JS. Ukulawulwa kokungaqhelekanga kwilungu lobufazi elingaphandle kumakhwenkwe. Ku: Wein AJ, Kavoussi LR, Partin AW, Peters CA, ii-eds. UCampbell-Walsh Urology. Ngomhla we-11. IPhiladelphia, PA: Elsevier; I-2016: isahluko 146.

USilay MS, uHoen L, kunye neeQuadackaers J, et al. Unyango lwe-varicocele kubantwana nakwishumi elivisayo: Uphengululo lwenkqubo kunye nohlalutyo lweemeta ezivela kuMbutho waseYurophu weUrology / Umbutho waseYurophu wePhaneli yeZikhokelo zabantwana kwiUrology. Uol Uur. Ngo-2019; 75 (3): 448-461. IINKCUKACHA: 30316583 www.ncbi.nlm.nih.gov/pubmed/30316583.