I-Varicocele kubantwana nakwishumi elivisayo

Umxholo

• Yintoni ebangela
• Iimpawu kunye neempawu ezinokubakho
• Unyango lwenziwa njani

I-varicocele yabantwana iqhelekile kwaye ichaphazela malunga ne-15% yabantwana abangamadoda nakwishumi elivisayo. Le meko yenzeka ngenxa yokwanda kwemithambo yamatyhalarha, ekhokelela ekufumaneni kwegazi kuloo ndawo, kwimeko ezininzi, kodwa inokubangela ukungachumi.

Le ngxaki ixhaphake kakhulu kulutsha kunasebantwaneni, kuba xa ufikisa iyonyusa ukuhamba kwegazi kumathambo, anokugqitha kumthamo we-venous, okukhokelela ekuvulekeni kwemithambo yamatyhalarha.

Yintoni ebangela

Oyena nobangela we-varicocele awaziwa ngokuqinisekileyo, kodwa kucingelwa ukuba kwenzeka xa izivalo ezingaphakathi kwemithambo yamatyhalarha zithintela igazi ukuba lingadluli ngokufanelekileyo, libangele ukuqokelelana kwindawo kunye nokonyuka okulandelayo.

Kubantwana abakwishumi elivisayo kunokwenzeka ngokulula ngenxa yokonyuka kokuhamba kwegazi, uphawu lokufikisa, ukuya kumasende, anokugqitha kumthambo we-venous, okukhokelela ekuvulekeni kwale mithambo.

I-Varicocele inokuba ngamacala amabini kodwa ixhaphake kakhulu kumatyhalarha asekhohlo, anokuhambelana nokwahluka kwe-anatomical yamatyhalarha, kuba umthambo wamatyhalarha wasekhohlo ungena kumthambo we-renal, ngelixa umthambo wamatyhalarha olungileyo ungena kwi-vena cava engaphantsi. Umahluko kuxinzelelo lwe-hydrostatic kunye notyekelo olukhulu lwe-varicocele eyenzeka apho kukho uxinzelelo ngakumbi.

Iimpawu kunye neempawu ezinokubakho

Ngokubanzi, xa i-varicocele yenzeka kwinqanaba lokufikisa, ayibonisiimpawu, kwaye kunqabile ukuba ibangele iintlungu, ukufunyaniswa ngugqirha kugqirha kuvavanyo oluqhelekileyo. Nangona kunjalo, ezinye iimpawu zinokwenzeka, njengentlungu, ukungonwabi okanye ukudumba.

I-Spermatogenesis ngumsebenzi wamatyhalarha ochaphazeleka kakhulu yi-varicocele. Kubantwana abakwishumi elivisayo abanayo le meko, ukwehla kobuninzi besidoda, ukuguqulwa kwesidoda morphology kunye nokwehla kokuhamba kuye kwaqwalaselwa, oku kungenxa yokuba i-varicocele ikhokelela ekwandeni kweeradicals zasimahla kunye nokungalingani kwe-endocrine kwaye inciphisa abalamli abazenzekelayo abonakalisa ukusebenza kwamatyhalarha kunye nokuzala.

Unyango lwenziwa njani

Unyango luboniswa kuphela ukuba i-varicocele ibangela iimpawu ezinje nge-testicular atrophy, iintlungu okanye ukuba uhlalutyo lwesidoda aluqhelekanga, olunokubeka esichengeni ukuchuma.

Kunganyanzeleka ukuba kwenziwe utyando, olusekwe ekubambeni okanye ekubanjweni kwemithambo yangaphakathi ye-spermatic okanye ulondolozo lwe-microsurgical lymphatic kunye ne-microscopy okanye i-laparoscopy, enxulunyaniswa nokwehliswa kwezinga lokuphindaphinda kunye neengxaki.

Akukaziwa ukuba unyango lwe-varicocele ebuntwaneni nasebusheni lukhuthaza isiphumo esingcono seempawu zobudoda, kunonyango olwenziwe kamva. Ukubeka iliso kulutsha kufuneka kwenziwe ngemilinganiselo yamatyhalarha rhoqo ngonyaka nasemva kokufikisa, ukubekwa kweliso kunokwenziwa ngovavanyo lwesidoda.