Uvavanyo lweTorsion

Umxholo

• Yintoni iTorsion Torsion?
• Yintoni ebangela ukuvavanywa kwamatyhalarha?
• Izinto zokuzalwa
• Ezinye izizathu
• Ziintoni iimpawu zovavanyo lwetyhalarha?
• Lufunyaniswa njani utyhalarha lwamatyhalarha?
• Zeziphi iindlela zonyango ezikhoyo ze-testicular torsion?
• Ukulungiswa kotyando
• Yintoni ebandakanyekayo ekubuyiseleni kuqhaqho lomqala?
• Uncedo lwentlungu
• Ucoceko
• Ukuphumla nokuchacha
• Zeziphi iingxaki ezinxulunyaniswa notyando lwamatyhalarha?
• Usulelo
• Ukungachumi
• Ukukhubazeka kwezithambiso
• I-Atrophy
• Ukufa kwamatyhalarha
• Zeziphi iimeko ezinokuthi zifane netorsion torsion?
• Epididymitis
• I-Orchitis
• Torsion yesihlomelo testis
• Ithini imbonakalo yexesha elide yabantu abane-testicular torsion?

Sibandakanya iimveliso esicinga ukuba ziluncedo kubafundi bethu. Ukuba uthenga amakhonkco kweli phepha, sinokufumana ikhomishini encinci. Nantsi inkqubo yethu.

Yintoni iTorsion Torsion?

Esona sizathu sixakekileyo sonxunguphalo esinxulumene nephepha lesini lendoda lelona libi kakhulu elibizwa ngokuba yi-testicular torsion.

Amadoda anamasende amabini aphumla ngaphakathi kwisingxobo samatyhalarha. Intambo eyaziwa ngokuba yintambo yesidoda ihambisa igazi liye kumasende. Ngexesha lokudinwa kwamatyhalarha, le ntambo iyajija. Ngenxa yoko, ukuhamba kwegazi kuyachaphazeleka kwaye izicwili ezikumatyhalarha zingaqala ukufa.

Ngokwe-American Urological Association, le meko ayiqhelekanga kwaye ichaphazela kuphela umntu omnye kwabangama-4,000 abangaphantsi kweminyaka engama-25.

Torsion ixhaphake kakhulu kumadoda akwishumi elivisayo. Abo baphakathi kweminyaka eli-12 ukuya kweli-18 ubudala banika iipesenti ezingama-65 zabantu abanale meko, ngokweCleveland Clinic. Nangona kunjalo, iintsana kunye nabantu abadala abadala banokuchaphazeleka.

Yintoni ebangela ukuvavanywa kwamatyhalarha?

Uninzi lwabo bane-testicular torsion bazalwe benomngcipheko ophezulu wale meko, nangona besenokungayazi.

Izinto zokuzalwa

Ngokwesiqhelo, amasende awanako ukuhamba ngokukhululekileyo ngaphakathi kwisingxobo samatyhalarha. Izicubu ezijikelezileyo zomelele kwaye ziyaxhasa. Abo banamava oxinzelelo ngamanye amaxesha banezicubu ezibuthathaka zokunxibelelana kwisikram.

Kwezinye iimeko, oku kunokubangelwa yinto yokuzalwa eyaziwa ngokuba yi "bell clapper" ukukhubazeka. Ukuba unesiphene kwentsimbi, amasende akho anokuhamba ngokukhululekileyo kwisingxobo samatyhalarha. Le ntshukumo inyusa umngcipheko wentambo yesidoda ukuba ijijeke. Olu khubazeko lubangela iipesenti ezingama-90 zamatyala etorsion torsion.

Ukuvavanywa kobungqina kungasebenza kwiintsapho, kuchaphazela izizukulwana ezininzi kunye nabantakwabo. Izinto ezinegalelo kumngcipheko ophezulu azaziwa, nangona intsimbi yentsimbi ekhubazekileyo inokuba negalelo. Ukwazi ukuba abanye kusapho lwakho banamava etorsion torsion kunokukunceda ucele unyango olungxamisekileyo kwangoko ukuba iimpawu zalo zikuchaphazela okanye umntu osapho lwakho.

Asinguye wonke umntu ofumana le meko enofuzo kuyo, nangona kunjalo. Phantse iipesenti ezili-10 zalabo abane-testicular torsion banembali yosapho kwimeko, ngokophando oluthile oluncinci.

Ezinye izizathu

Le meko inokwenzeka nanini na, nangaphambi kokuzalwa. Ukutshutshiswa kwamatyhalarha kuyenzeka xa ulele okanye uzibandakanya nomsebenzi womzimba.

Inokwenzeka kwakhona emva kokulimala kwi-groin, njengokulimala kwezemidlalo. Njengenyathelo lokuthintela, unganxiba [INDLELA YOKUXHUMANA:] indebe yemidlalo yokunxibelelana.

Ukukhula ngokukhawuleza kwamatyhalarha ngexesha lokufikisa nako kunokubangela imeko.

Ziintoni iimpawu zovavanyo lwetyhalarha?

Iintlungu kunye nokudumba kwengxowa yescrotal zezona mpawu ziphambili zokuvavanywa kwamatyhalarha.

Ukuqala kwentlungu kunokuba ngequbuliso, kwaye iintlungu zinokuba nzima. Ukudumba kunokulinganiselwa kwicala elinye, okanye kunokwenzeka kwisingxobo samatyhalarha siphela. Ungaqaphela ukuba elinye ityhalarha liphezulu kunelinye.

Unokuba namava:

• isiyezi
• isicaphucaphu
• ukugabha
• amaqhuma kwingxowa ekrwada
• igazi kwiimbewu

Kukho ezinye izinto ezinokubangela iintlungu ezibukhali zamatyhalarha, ezinje ngemeko yokuvuvukala i-epididymitis. Kuya kufuneka uthathe ezi mpawu nzulu kwaye ufune unyango olungxamisekileyo.

Ukutshutshiswa kwamatyhalarha kuhlala kwenzeka kwitestamente elinye kuphela. I-Bilateral torsion, xa zombini iimvavanyo zichaphazeleka ngaxeshanye, inqabile kakhulu.

Lufunyaniswa njani utyhalarha lwamatyhalarha?

Iimvavanyo ezingasetyenziselwa ukuxilonga i-torsion zibandakanya:

• iimvavanyo zomchamo, ezijonga usulelo
• iimviwo zomzimba
• ukucinga ngesikram

Ngethuba lovavanyo lomzimba, ugqirha wakho uya kujonga i-scrotum yakho ukuvuvukala. Banokuphina ngaphakathi kwethanga lakho. Ngokwesiqhelo oku kubangela ukuba amasende angene kwisivumelwano. Nangona kunjalo, le reflex inokunyamalala ukuba une-torsion.

Unokufumana kwakhona i-ultrasound yesikhalazo sakho. Oku kubonisa ukuhamba kwegazi ukuya kumasende. Ukuba ukuhamba kwegazi kusezantsi kunesiqhelo, unokuba uhlangabezana nobunzima.

Zeziphi iindlela zonyango ezikhoyo ze-testicular torsion?

I-Torsion ye-testes ingxamisekileyo kwezonyango, kodwa uninzi lwabakwishumi elivisayo bayathandabuza ukutsho ukuba bayonzakala okanye bafuna unyango kwangoko. Kufuneka ungaze uyityeshele intlungu ebukhali yamatyhalarha.

Kuyenzeka ukuba abanye babenamava oko kwaziwa ngokuba kukuphinda-phinda phakathi komoya. Oku kubangela ukuba ityhalarha lijijeke kwaye lingaqiniseki. Ngenxa yokuba imeko inokwenzeka ukuba iphinde yenzeke, kubalulekile ukuba ufune unyango, nokuba iintlungu ziba bukhali zize zidambe.

Ukulungiswa kotyando

Ukulungiswa kotyando, okanye i-orchiopexy, ihlala ifuneka ukunyanga ityorsion torsion. Kwiimeko ezinqabileyo, ugqirha wakho unokukwazi ukungayibeki intambo yespermatic ngesandla. Le nkqubo ibizwa ngokuba yi "manual detorsion."

Utyando lwenziwa ngokukhawuleza ukubuyisela ukuhamba kwegazi kumasende. Ukuba ukuhamba kwegazi kunqunyulwe ngaphezulu kweeyure ezintandathu, izicwili zamatyhalarha zingafa. Amatyhalarha achaphazelekayo aya kuthi emva koko asuswe.

Ukukhutshwa kokuhlinzwa kwenziwa phantsi kwe-anesthesia ngokubanzi. Uya kulala kwaye ungazi ngenkqubo.

Ugqirha wakho uya kwenza isicatshulwa esincinci kwi-scrotum yakho kwaye ungayiboni intambo. Izitofu ezincinci ziya kusetyenziselwa ukugcina ityhalarha endaweni yayo kwisikram. Oku kuthintela ukujikeleza kungenzeki kwakhona. Ugqirha ke ugqibe ukuvala isitovu ngemithungo.

Yintoni ebandakanyekayo ekubuyiseleni kuqhaqho lomqala?

I-Orchiopexy ayifuni ukuhlala esibhedlele ubusuku bonke. Uya kuhlala kwigumbi lokuchacha iiyure ezininzi ngaphambi kokuba ukhuphe.

Njengayo nayiphi na inkqubo yotyando, usenokungonwabi emva kotyando. Ugqirha wakho uya kuncoma okanye anike amayeza afanelekileyo eentlungu. Ukuba ityhalarha lakho lifuna ukususwa, uya kuhlala esibhedlele ubusuku bonke.

Uncedo lwentlungu

Ugqirha wakho uya kusebenzisa iziqu ezinokunyibilika kwinkqubo yakho, ngenxa yoko akuyi kufuna ukuba zisuswe. Emva koqhaqho, unokulindela ukuba iscrotum sakho sidumbe iiveki ezimbini ukuya kwezine.

Ungasebenzisa ipakethi yomkhenkce amatyeli aliqela ngemini kangangemizuzu eli-10 ukuya kwengama-20. Oku kuya kunceda ukunciphisa ukudumba.

Ucoceko

Ukucinywa okwenziwe ngexesha lotyando kusenokuphinda kuphume ulwelo kusuku olunye ukuya kwiintsuku ezimbini. Qinisekisa ukugcina indawo icocekile ngokuhlamba ngobunono ngamanzi ashushu anesepha.

Ukuphumla nokuchacha

Ugqirha wakho uya kuncoma ukuba uyeke iintlobo ezithile zemisebenzi iiveki ezimbalwa emva kotyando. Oku kubandakanya imisebenzi yesondo kunye nokukhuthaza, njengokuphulula amalungu esini kunye nokwabelana ngesondo.

Uyacetyiswa kwakhona ukuba uphephe imisebenzi yeembaleki okanye enzima. Ngeli xesha, kubalulekile ukuba uyeke ukuphakamisa okunzima okanye uxinzelelo ngexesha lokuhamba kwamathumbu.

Qiniseka ukuba ufumana ukuphumla okuninzi ukuze umzimba wakho uphinde ubuye. Musa ukuhlala phantsi ngokupheleleyo, nangona kunjalo. Ukuhamba kancinci suku ngalunye kuya kunceda ukwandisa ukuhamba kwegazi kuloo ndawo, kuxhasa ukubuyela kwimeko yesiqhelo.

Zeziphi iingxaki ezinxulunyaniswa notyando lwamatyhalarha?

Ukutshutshiswa kwamatyhalarha kungxamiseko olufuna ukhathalelo kwangoko. Xa unganyangwa ngokukhawuleza, okanye konke, le meko inokubangela iingxaki ezinzima.

Usulelo

Ukuba inyama yamatyhalarha efileyo okanye eyonakaliswe kakhulu ayisuswanga, i-gangrene inokwenzeka. I-Gangrene sisifo esisongela ubomi. Ingasasazeka ngokukhawuleza kuwo wonke umzimba wakho, ikhokelele kukothuka.

Ukungachumi

Ukuba kwenzeka umonakalo kuwo omabini amasende, kuya kubakho inzalo. Ukuba ufumana ukulahleka kwe-testicle enye, nangona kunjalo, ukuzala kwakho akufanele kuthinteke.

Ukukhubazeka kwezithambiso

Ukuphulukana ne-testicle enye kunokubangela ukubola kwezithambiso ezinokubangela ukuphazamiseka ngokweemvakalelo. Oku kunako, nangona kunjalo, kujongwane nokufakwa kweprotesthesis yokufakelwa.

I-Atrophy

Ukunganyangwa kwamatyhalarha kungakhokelela kwi-atrophy yamatyhalarha, kubangela ukuba ityhalarikhi lehle ngokuthe ngcembe kubungakanani. Ityhalarha elikhutshiweyo alinako ukuvelisa isidoda.

Ukufa kwamatyhalarha

Ukuba ishiywe ingakhange inyangwe ngaphezulu kweeyure ezininzi, ityhalarha lingonakala kakhulu, lifuna ukuba lisuswe. Amatyhalarha anokugcinwa ngefestile iiyure ezine ukuya kwezintandathu.

Emva kwexesha leeyure ezili-12, kukho amathuba angama-50 epesenti okugcina ityhalarha. Emva kweeyure ezingama-24, amathuba okonga ityhalarha aye kwiipesenti ezili-10.

Zeziphi iimeko ezinokuthi zifane netorsion torsion?

Ezinye iimeko ezichaphazela amasende zinokubangela iimpawu ezifanayo nezo zamatyhalarha.

Nokuba yeyiphi kwezi meko ocinga ukuba unayo, kubalulekile ukuba ubonane nogqirha ngokukhawuleza. Banokugweba ukuphuma kwamatyhalarha okanye bakuncede ufumane naluphi na unyango oluyimfuneko.

Epididymitis

Le meko ibangelwa yintsholongwane, kubandakanya izifo ezosulela ngokwabelana ngesondo njenge chlamydia kunye ne gonorrhea.

Iimpawu ze-epididymitis zihlala zisiya ngokuthe chu kwaye zinokubandakanya:

• iintlungu zamatyhalarha
• ukuchama kabuhlungu
• bomvu
• ukudumba

I-Orchitis

I-Orchitis ibangela ukudumba kunye nentlungu kwelinye okanye kumabini amasende kunye nakwindawo yokuthambisa.

Ingabangelwa yintsholongwane okanye intsholongwane. Ihlala inxulunyaniswa noqwilikana.

Torsion yesihlomelo testis

Isihlomelo testis sisiqwenga esincinci sezicubu eziqhelekileyo ezibekwe phezulu kumatyhalarha. Ayisebenzi. Ukuba esi sicwili sijija, sinokubangela iimpawu ezifanayo nokuqina kwamatyhalarha, njengentlungu, ukuba bomvu kunye nokudumba.

Le meko ayifuni kutyando. Endaweni yoko, ugqirha uya kuyibona imeko yakho. Kananjalo baya kuncoma ukuphumla kunye neyeza zonyango.

Ithini imbonakalo yexesha elide yabantu abane-testicular torsion?

Ngokwe-TeensHealth, iipesenti ezingama-90 zabantu baphathwe i-testicular torsion kwisithuba seeyure ezine ukuya kwezintandathu ukuqala kwentlungu akufuneki ekugqibeleni kususwe amasende.

Nangona kunjalo, ukuba unyango luhanjiswa iiyure ezingama-24 okanye nangaphezulu emva kokuba iintlungu ziqale, kuqikelelwa ukuba iipesenti ezingama-90 zifuna ukususwa kotyando.

Ukususwa kwetyhalarha, elibizwa ngokuba yi-orchiectomy, kunokuchaphazela ukuveliswa kwehomoni kwiintsana. Inokuchaphazela nokuzala kwexesha elizayo ngokunciphisa ukubala kwesidoda.

Ukuba umzimba wakho uqala ukwenza ii-anti-sperm antibodies ngenxa ye-torsion, oku kungathoba amandla okuhamba kwesidoda.

Ukuthintela ezi ngxaki zinokwenzeka, kuya kufuneka ufune unyango olukhawulezileyo kwangoko ukuba ukrokrela ukuba wena okanye umntwana wakho unamava etorsion torsion. Utyando lwe-testicular torsion lusebenza kakuhle ukuba imeko ibanjwe kwangoko.