The ize ndụ nke varicocele na ndị ikom?

Varicocele ada nnọọ ihe ọhụrụ, ma daa ọrịa bụ nnọọ nkịtị n'etiti ndị ikom na ndị bụ a deformation nke varicose veins emi odude ke spermatic eriri na testicles. A yiri ọrịa nwere otutu bụghị nnọọ obi ụtọ mgbaàmà, nke nwere ike a ga-agbaso mebiri nke usoro nke spermatogenesis, na omumu ike nsogbu Nchoputa banye n'oge infertility. N'isiokwu a, anyị ga-amụta ihe a varicocele bụ ize ndụ dị ka a daa ọrịa na-egosipụta onwe ya na ihe bụ echiche nke ndị ọkachamara na ọgwụgwọ.

Njirimara nke ọrịa

Otu n'ime ihe ndị dị iche iche nke ọrịa na-egosipụta urological uwa varicocele onye na ndị ikom iri ndị ịga na dibịa na mkpesa nke ọzịza, nro na ọzịza na inguinal mpaghara.

The aha nke ọrịa - na Latin, nke pụtara n'ụzọ nkịtị "ọzịza nke veins, edema."

A ole na ole banyere varicocele:

1. Bụ a daa ọrịa, dị ka a N'ihi nke a mgbanwe na veins nke spermatic udo na amu.
2. Ndị kasị Ugboro ọnya nke esịtidem spermatic akwara na ekpe testicular akwara.
3. 67% niile ngosipụta nke venous varices na-hụrụ na n'aka ekpe nke ahu.
4. Vasodilation dị mwute ikwu na persistent na irreversible onu.
5. N'ihi ya, thinning nke arịa mgbidi emee veins deformation egosi nodularity.
6. Blood aga si nke oruru arịa nta na iji nwayọọ.
7. N'ihi - arịa nke testis na spermatic udo ọbara stasis kpụrụ.
8. E nwere onye na mbufụt nke gbara ya gburugburu na nsụkọrọ na ha ụdi ọzịza.
9. Na ụba edema apụta mgbu, mmetụta nke arọ na erughị ala na na onye ọ bụla ije nchegbu mmadụ.
10. The ize ndụ varicocele? Ọ bụrụ na ọrịa ahụ na-aga n'ihu, na-ekwe omume-emeghasịkwa nke spermatogenesis usoro, nke, n'aka, bụ ihe na-akpata oke infertility n'oge.

akpata

N'oge ahụ, ndị dọkịta bụ isi ihe atọ mere e nwere a varicocele na ndị ikom na:

1. The ịmanye na gbasara akụrụ veins.
2. Nkwarụ testicular akwara. Ma eleghị anya, valvụ ma ọ bụ anatomical.
3. The Nchikota ma pathologies.

Mgbe ụfọdụ daa ọrịa nwere ike ịrụpụta mgbe nile ahụ nchegbu na ike ọgwụgwụ, bụ ndị nwere ihe na-akpata nke mụbara intra-abdominal nrụgide ma ọ bụ mkpakọ nke gbasara akụrụ arịa.

The ize ndụ varicocele? Ajụjụ a bụ nke na-adọrọ mmasị na ọtụtụ ndị. Anyị ga-aghọta.

The usoro nke daa ọrịa

1. Anatomically inguinal mgbanaka na jikọọ na amu spermatic ụdọ.
2. Ọ dị mkpa na n'ime inguinal mgbanaka bụ bụghị naanị Vas deferens, ma arịa: venous, lymphatic, ọbara.
3. Na ugbu kpọmkwem akwara valves, site nke ụkpụrụ nke ọbara pụtara.
4. Varicose otụk acinar plexus emi odude ke spermatic ụdọ.
5. E nwere onye na mgbasa spermatic akwara, thinning nke mgbidi ya, e nwere a nodularity.
6. Ọ bụ a mebiri nke outflow ọbara si testicles arịa.
7. Ọ bụrụ na e nwere onye na anatomical nkwarụ na n'aka ekpe, ndị outflow ọbara siri ike site n'aka ekpe.
8. Dị ka a n'ihi nke mebiri Lymph na ọbara nwere ike ime ka mbufụt ma ọ bụ zuru ezu-agbawa nke veins, sochiri hemorrhage n'ime scrotum.
9. Na-enwe ọganihu varicocele nwere ike ime ka infertility na mmadụ.

Akpata krovoottoka

• Ọ na-atụle nkịtị, mgbe n'iguzo ọbara site na veins nwere a direction si gbasara akụrụ veins ruo acinar plexus.
• Na supine ọnọdụ ọbara eruba site veins ga nwere a Ntuziaka si veins nke testicles na gbasara akụrụ veins.
• N'ihe banyere mgbasa na deformation nke veins amalite progression varicocele.
• Ọ bụrụ na e nwere mụbara mgbali na-adịghị ala ala gbasara akụrụ arịa, ọbara-agbapụta n'ahụ adị collaterals. Otu n'ime ndị a arịa - testieular Vienna.
• Na-akpata gbasara akụrụ ọbara mgbali nwere ike a thrombosis arịa na anatomical mbido nke ntụpọ.
• Hemodynamic disturbances nwere ike ime mgbe ndị gosiri ọbara n'ahụ si ndiiche testicular n'ime gbasara akụrụ akwara.
• The mgbe nile mgbanwe ọbara site na veins nwere ike ime ka a N'ihi nke a congenital nkwarụ ma ọ bụ na a ntụpọ n'ihi otu ihe.

N'ihi ya, e nwere mgbe niile ọnọdụ na-achọghị ọbara arịa nke scrotum. N'ihi bụ na-abawanye na venous mgbali na spermatic arịa ruo 3-4 ugboro. Na nke a, varicocele ịwa ahụ na amu bụ kwesịrị.

varicocele ogbo

ọtụtụ ihe na-emetụta ndị ọrịa ihe mgbaàmà. Modern ọkachamara n'ịgwọ ọrịa na-ahọrọ iji a anọ na-nhazi ọkwa, n'okpuru nke ndị dọkịta pụrụ ịzụlite dị irè ọgwụgwọ plan na ịkọ mgbake. N'ihi ya, anọ nkebi nke varicocele:

• The akpa ogbo. Mgbe a na ogbo, e varicose veins na spermatic veins nke spermatic ụdọ. Otú ọ dị, mkpebi ya siri ike bụ na o kwere omume na na-enyemaka nke Doppler.
• Agba nke abụọ. Varicose deformation nke agwa nwere ike kpebisie ike site palpation na eguzo postcho. ma na-arụ ọrụ dị ize ndụ na varicocele? On a gasịrị.
• Agba nke atọ. Identification nke varicose mgbanwe nwere ike ọ bụghị naanị na guzo, ma na-na supine ọnọdụ.
• The anọ ogbo. Nodularity na veins deformation nwere ike kpebisie ike site nnyocha nke kenwe.

Dị otú ahụ daa ọrịa nwere ike dị na nnọọ ọ bụla afọ. Na-eto eto na-eto eto ụmụ nwoke varicocele emee Ọtụtụ n'oge ah u. The ndị na-okenye afọ na ndị agadi na ọrịa nwere ike mere site ẹdude gbasara akụrụ ọbara mgbali na mbụ nkebi ma ọ bụ congenital vaskụla ntụpọ, ihe ọjọọ, bufee mbụ. Ọ bụ ya mere ihe dị mkpa na-echebara ihe mere eme na ugbu a ọgwụ na ọnọdụ na nchoputa nke varicocele (photos nwere ike hụrụ na isiokwu).

nhazi ọkwa nke varicocele

Today na-eji ihe karịrị otu nhazi ọkwa. Onye ọ bụla n'ime ha na-elebara ahụ kpọmkwem ihe mere ọrịa bilitere, nakwa dị ka onye e ji mara onye ọ bụla nke forms site na nke na-aga ọrịa. Ndị ọkachamara na-na ubi nke urology na nephrology na ha omume ịmata karịa ise akpịrịkpa.

The nhazi ọkwa nke emetụtara n'akụkụ. Otu ụdị bụ a ekpe-kwadoro varicocele. Na nke a, e meriri hapụrụ gụrụ testieular Vienna. RHD varicocele n'akparamagwa banyere 50% nke ikpe, mgbe gburu nri testieular Vienna. Nnọọ obere ụdị a bilateral varicocele. Ọ na-adị na naanị 5-6% nke ọrịa.

Nhazi ọkwa site shunt ụdị. The mbụ ụdị akọ varicocele, nke na ọbara ya bụ nrụpụta si gbasara akụrụ veins na testicular akwara. The abụọ ụdị akọ daa ọrịa, nke na shunt emee si iliac akwara. Ụdị nke atọ na-ezo varicocele jikọrọ orùrù-ọbara si gbasara akụrụ akwara na iliac akwara nke.

Nhazi ọkwa site na etymology nke omume. Urologists iche bụ isi na sekọndrị varicocele na mmadụ. Ke akpa idaha, ọrịa nwere ebum pụta ụwa ọdịdị nke si nwere ike ịbụ n'ihi mkpụrụ ndụ ihe nketa na-akpụpụta abnormalities na gbasara akụrụ arịa na ha valves na akwara nke ndị spermatic ụdọ. Nke abụọ ahụ - bụ a N'ihi ya nke thrombosis, ọjọọ, etuto ahụ na obere pelvis na afo, compressing nile nke spermatic ụdọ si n'èzí.

Mgbaàmà nwere ike ịdị nwayọọ na oké. Ọ niile na-adabere ihe ogbo ọrịa.

Symptomatology akpa ogbo

• Na-adịghị ahụkebe mgbu ịda na ukwu mgbe egwuregwu nsogbu ma ọ bụ nke anụ ahụ ike ọgwụgwụ.
• E wezụga nke a ọrịa nwere ike ịchọpụta na dọkịta na-awa ma ọ bụ urologist n'oge manye anụ ahụ.

The ize ndụ testicular varicocele abụọ ogbo?

Symptomatology nzọụkwụ nke abụọ

• Oge erughị ala na ukwu, ịda mgbe mberede mmegharị.
• Iru ala sensations na-erukwa na mgbe oké ígwè, na jogging ma ọ bụ oké ma ruo ogologo oge na-eje ije.
• Erughị ala na-egosipụta dị ka wetara Anam Udeme igbu mgbu mgbu dị ka tingling. Ọrịa na-ekwu na ihe mgbu na-adịghị akpọ Otú ọ dị, ogologo.
• Onye ọrịa nwere ike na-achọpụta nta sagging testicles, mmekọahụ dysfunction.
• Na progression nke varicocele na ndị ikom na (na ihe ize ndụ, tụlere n'okpuru) nwere ike ime ka a mara asymmetry nke scrotum.

Symptomatology nke atọ ogbo:

• Egosi na nduzi nke omume nke ihe mgbu nke spermatic ụdọ si anụ siri ike.
• The ngosipụta nke mgbu predominantly site n'otu akụkụ.
• Ntoputa na bursting na pulsating mgbu na scrotum mgbe a mgbanwe ahụ ọnọdụ.
• The omume nke ihe mgbu na-ezu ike, n'abalị.
• Mmekọahụ dysfunction - nnyocha-enye gị ohere anya mata a ịrịba asymmetry nke scrotum.
• Ọdịdị nke gnarled veins n'okpuru anụ, ihe mgbu na palpation.

Ọ dị ize ndụ varicocele?

Pathology dị ka ndị dị otú ahụ adịghị ize ndụ, ma nsogbu na nwere ike ime, inwe a ịrịba ihe iyi egwu ahụ ike na ndụ ndị mmadụ, na mgbe ọ bụla afọ. Mbubreyo ọgwụgwọ ọkachamara ma ọ bụ mkpochapu ọkachamara aka nwere ike ịchọ Vol pụtara na ọnụnọ nke ndị na-esonụ ihe:

1. Ogologo oge testicular ischemia dị ka a N'ihi nke ezughi oke ọbara ekesa.
2. Amụba okpomọkụ nke testes, nke gụnyere emeghasịkwa nke spermatogenesis usoro.
3. Iji ripened ike spam a chọrọ na 33 degrees okpomọkụ.
4. Dị ka a n'ihi nke mbufụt okpomọkụ adahade ahu okpomọkụ larịị. Dị ka a N'ihi ya, spam-adịghị ejekwa ozi, na-agbanwe ha size na udi.
5. N'ihi ya, ọrịa ntutu ịdapụsị shunt n'ọrụ ogige inhibit spermatogenesis usoro.
6. Dị ka a n'ihi nsogbu - postoperative lymphostasis ma ọ bụ hydrocele.

ọgwụgwọ varicocele

One, ma ọ bụghị naanị usoro ọgwụgwọ bụ varicocelectomy. ma na-arụ ọrụ dị ize ndụ?

Varicocele nwere ike achọpụtara na akpa ogbo, mgbe ahụ, nanị ihe na-na-chọrọ - bụ ịgbanwe ụzọ ndụ ha na-amachi emega ahụ.

Iji normalize na intra-abdominal mgbali kwesịrị oge na-egbochi afọ ntachi. Dọkịta nditịm gbochie eweli arọ ihe, nkọ nkwaghari, na-agba ọsọ.

Na-emeso varicocele ọrụ a rụrụ na na abụọ na nke atọ nkebi nke ọrịa. Ndị na-esonụ usoro ịwa ahụ nwere ike rụrụ:

• Embolization nke akwara, ọ kleppirovanie ma ọ bụ ligation.
• Plastic na-ebuli sagging testicles.
• Mwepụ nke varicocele surgically.

Vienna, ọrịa, nwere ike excised ma ọ bụ embolized. Atọ na o kwere omume ohere:

1. Subingvinalny ohere.
2. Invaginalny ohere.
3. Retroperinealny.

Modern urology eji laparoscopic n'ịwa ahụ. Ha adịghị agụnye a nnukwu mbepụ, na ndị ọrịa nke nwere ike wepụrụ site na obere size nke-eme Nchoputa Banyere. Ndị a azụmahịa metụtara ubi nke microsurgery. Mgbe aka ike ịnọgide na obere scars na-agwọ n'ime otu izu mgbe ịwa ahụ. Ọrịa mgbe laparoscopy nwere ike ịlaghachi n'ụzọ ndụ ya mbụ na ụbọchị iri. Dọkịta na-achọ a mmachi emega ahụ. Nke a na-egosi na ọrịa varicocele reviews.

Prevention of varicocele

Jikoro iji gbochie varicoceles niile dị mfe. Ọ dị mkpa na-eso a ole na ole iwu, na ọ ga-ebelata ihe ize ndụ nke ọrịa:

1. Ị ga-consciously abịaru nso mmega ahụ na echefukwala banyere ndị ọzọ.
2. Mkpa ka ị na-ebi ndụ a mgbe nile mmekọahụ ndụ.
3. Atụla mehiere amachi aṅụ oké mmanya.
4. Ị mkpa na-eri elu-edu na echiche ziri ezi. The mbụ bụ izere omume nke afọ ntachi.
5. Ọ dị mkpa ka n'ụzọ zuru ezu zuru ike na-ehi ụra.
6. Ọ dị mkpa na-vitamin na offseason.
7. The adọ Itie ọgwụ nnyocha, karịsịa ma ọ bụrụ na e nwere ịdọ aka ná ntị ịrịba ama.

Nyocha

Surgery na-emeso ọrịa na-eme a otutu mma nzaghachi. Karịsịa irè laparoscopy. Ọ nweghị scars, nsogbu kwa.

n'ihe ize ndụ otu

Varicocele bụ kasị nkịtị na ndị ikom na ndị na-ọkachamara na-eme egwuregwu na-weightlifting, iti ọkpọ, na-agba ọsọ ahụ n'ihi na ihe karịrị awa anọ a ụbọchị, nwetaworo ma ọ bụ congenital nhata na-ata ahụhụ thromboembolism ma ọ bụ thrombosis nke gbasara akụrụ veins.

Anyị na-ele anya dị ize ndụ karịa varicocele.