Testicular torsion - ngwa ngwa na nke dọkịta

Torsion nke testes ma ọ bụ testicles - ọ mbịne àkwá na spermatic ụdọ. Nke a anomaly-emekarị ụmụ nwoke ha n'oge ha nọ n'ọrụ pubati ruo iri-na-ise. Ma adịghị zuru ike, n'ihi na ọ pụrụ ime na ndị ikom na mgbe ọ bụla afọ.

Testicular torsion nwere ike ime ka a dịghị ihe doro anya kpatara. Ma, ọ pụrụ ịkpata na ike anụ ahụ na-arụ ọrụ, na a dịgasị iche iche nke scrotal trauma, na ihe ndị ọzọ na-eme ka a nkọ mkpi nke uru ahụ. N'ihi ya, e a mpiaji eweli àkwá, na ọ gbagọrọ agbagọ 180 ogo, na mgbe ụfọdụ ọzọ - gburugburu ya axis, n'ihi na nke a ka ọbara na-agbajikwa àkwá, na-akpata ihe ọzọ necrosis. Testicular Torsion nwere ike ime n'ihi ọnụnọ nke dị iche iche abnormalities, na-eme ihe ọjọọ egg mmasị ka ala nke scrotum.

Testicular torsion ekewa ndị na-esonụ ụdị:

- vnevlagalischny na edemede na shells testis hụrụ ụmụntakịrị n'okpuru afọ otu afọ;

- mmamiri ochichi nke pụtara n'ime tunica vaginalis testis.

Mgbaàmà.

Isi mgbaàmà nke eziokwu ahụ bụ na e nwere a testicular torsion, bụ ọnụnọ nke nnukwu ihe mgbu na otụk akụkụ nke scrotum, nke e nyere na ukwu ebe. Ha nwekwara ike na-enweta vomiting na ọgbụgbọ.

Ọ bụrụ na testicular torsion etịbe ke nwa ọhụrụ, ọ ga-hụrụ site na-abawanye nke na scrotum, nakwa dị ka blanching ma ọ nācha ọbara-ọbara. Ọ bụrụ na nwatakịrị na esesịn kwuru na ọ ga-eme mkpesa banyere onye ahụ nke ihe mgbu ke afo na ukwu.

Nchoputa.

Mgbe probing scrotum egg ga-anọ n'elu, ebe ọ bụ na a shortening nke spermatic ụdọ. Ke adianade do, ihe odide ntụkwasị nwere ike ịbụ Front àkwá. Na nke a, mgbe probing ndị scrotum nwere ike ịbụ maloboleznennoy. Spermatic eriri n'ihi torsion bụ ọtụtụ thicker. Si otú eme nācha ọbara-ọbara na ọzịza nke scrotum.

Mgbe ultrasound ule kwupụtara n'ihu ma ọ bụ na-anọghị nke ọbara na-testis. Iji chọpụta na ọdịnaya nke egg shells nwere ike na-ebu na-achọpụta ọrịa mgbapu na transillumination.

Ọgwụgwọ.

Ụfọdụ ọrịa na testicular torsion nwere ike a na-emeso ke akpa awa mgbe ọ chọpụtara nke ọrịa. Iji mee nke a, igosi a ntuziaka unwinding. Onye ọrịa dina n'elu ya azụ ma jiri nlezianya na-ebu ndị unwinding nke bloat na-abụghị uzo. Na nke a, ndị egg ubé kwaturu. Ọ bụrụ na mere ziri ezi, ihe mgbu na-budata belata ma ọ bụ tutu amama kpamkpam. Ọ bụrụ na a na usoro naghị arụ ọrụ, mgbe ahụ, onye ọrịa na-arụ ọrụ. Mụụrụ ihe otopsii nke scrotum, mgbe ahụ, na-emefu unwinding àkwá na-amata ya viability. Ọ bụrụ na aka e nyere akaha na egg ama unsustainable, mgbe ahụ, na-emepụta ya mwepụ.

Mgbe a ogologo ma dị warara ụkwụ, mgbe gidatidy testicular torsion nwere ike ime, ebe ọrịa na-egosipụta ọtụtụ obere ugboro ugboro. Ihu ọma n'ebe ahụ bụ a nsogbu na mgbasa gidatidy ma ọ bụ ya mbufụt. Nke a bụ n'ihi inflection gidatidy ụkwụ, disturbances nke venous outflow ọbara n'oge omumu ma ọ bụ dị iche iche na mmerụ, nakwa dị ka n'oge torsion na n'amaghi unwinding.

Ụmụaka ndị gburu gidatida nwere ike ọgbụgbọ, ha nwere ike agbụpụ, nwere ike pụta okpomọkụ. Mgbe nke a emee hyperemia na edema nke scrotum, nke bụ mgbe niile na-eto eto.

Perekurt gidatid e ji ndị na-esonụ atụmatụ:

- ọdịdị mberede mgbu na amu;

- scrotal edema (symmetrically) na omume nke njali elu;

- ọdịdị nke a na ok infiltrate.

Nsogbu nke torsion gidatid:

- hydrocele, nke na-aghọ ala ala na ekemende na-eduga ná emeghasịkwa nke ọbara na Lymph mgbasa, na-eduga na atrophy;

- epididymo, n'ihi na nke e excretory infertility;

- testicular dysfunction na ụdi atrophy.

O siri ike na ị na-ahụ testicular torsion ga ozugbo ịkpọ a ọkachamara.