Varicocele

Iyo varicocele ndiko kuzvimba kwemitsipa mukati mechirume. Tsinga idzi dzinowanikwa pamwe chete netambo inobata machende emurume (spermatic cord).

Iyo varicocele inoumba kana mavharuvhu mukati metsinga anomhanya pamwe nespermatic tambo inodzivirira ropa kubva kuyerera nemazvo. Ropa rinosimudza kumusoro, zvichitungamira mukuzvimba nekukura kwetsinga. (Izvi zvakafanana nemavicose mutsinga mumakumbo.)

Kazhinji yenguva, varicoceles inokura zvishoma nezvishoma. Ivo vanozivikanwa zvakanyanya muvarume vane makore gumi nemashanu kusvika makumi maviri nemashanu uye vanowanzoonekwa kuruboshwe kuruboshwe.

Iyo varicocele mumurume akura iyo inowoneka kamwe-kamwe inogona kukonzerwa neitsvo yeitsvo, iyo inogona kudzivirira kuyerera kweropa kuenda mutsinga.

Zviratidzo zvinosanganisira:

• Yakawedzera, yakamonyoroka tsinga mukati meganda
• Kunetseka kurwadziwa kana kusagadzikana
  
• Isina bundu testicle bundu, rakanyanya kuzvimba, kana bundu muchikwama
• Zvinogona kuitika matambudziko nekubereka kana kudzikira kwesperm kuverenga

Vamwe varume havana zviratidzo.

Iwe unenge uine bvunzo yenzvimbo yako yekugomera, kusanganisira chikero nemachende. Anopa hutano anogona kunzwa kukura kwakamonyoroka pamwe netambo yespermatic.

Dzimwe nguva kukura kwacho hakugone kuoneka kana kunzwa, kunyanya kana uchinge wakarara pasi.

Iyo testicle iri kudivi revaricocele inogona kunge iri diki pane iyo kune rimwe divi.

Iwe unogona zvakare kuve neiyo ultrasound yeiyo scrotum uye testicles, pamwe neiyo ultrasound yeitsvo.

Tambo yejock kana zvipfeko zvemukati zvisingabatsiri zvinogona kubatsira kudzikamisa kusagadzikana. Iwe ungangoda kumwe kurapwa kana kurwadziwa kusingapere kana iwe kukudziridza zvimwe zviratidzo.

Kuvhiya kugadzirisa varicocele inonzi varicocelectomy. Yemaitiro aya:

• Iwe uchagamuchira imwe fomu yeanesthesia.
• Iyo urologist ichaita kucheka, kazhinji kazhinji mudumbu rezasi, uye kusunga zvisizvo zvisina kujairika tsinga. Izvi zvinotungamira kuyerera kweropa munzvimbo iyi kune tsinga dzakajairika. Iko kuvhiyiwa kunogona kuitwawo seyakaroscopic maitiro (kuburikidza nezvidiki zvidiki zvine kamera).
• Iwe uchakwanisa kubva muchipatara pazuva rimwe chete sekuvhiyiwa kwako.
• Iwe unozofanirwa kuchengeta echando kurongedza panzvimbo yacho kwemaawa makumi maviri nemana ekutanga mushure mekuvhiyiwa kuti uderedze kuzvimba.

Imwe nzira yekuvhiya ndeye varicocele embolization. Yemaitiro aya:

• Chubhu diki ine mhango inonzi catheter (chubhu) inoiswa mutsinga munzvimbo yako yekugomera kana yemutsipa.
• Iye mupi anotamisa chubhu kupinda muvaricocele uchishandisa x-ray senge gwara.
• Koyiri diki inopfuura nepakati pebhubhu kupinda muvaricocele. Iyo coil inovhara kuyerera kweropa kune yakashata tsinga uye inotumira iyo kune zvakajairika tsinga.
• Iwe unozofanirwa kuchengetedza chando kurongedza panzvimbo kuti udzikise kuzvimba uye upfeke rutsigiro rwakakura kwechinguva chidiki.

Iyi nzira inoitwawo pasina husiku hwekugara muchipatara. Iyo inoshandisa kucheka kudiki pane kuvhiya, saka iwe unozopora nekukurumidza.

Iyo varicocele kazhinji haina kukuvadza uye kazhinji haidi kurapwa, kunze kwekunge paine shanduko muhukuru hwesende rako kana dambudziko rekubereka.

Kana iwe ukavhiyiwa, yako sperm kuverenga ingangowedzera uye inogona kuvandudza kubereka kwako. Muzviitiko zvakawanda, testicular wasting (atrophy) haigadzirise kunze kwekunge kuvhiya kwaitwa pakutanga kwekuyaruka.

Kushaya mbereko kusangana kwevaricocele.

Zvinetso kubva pakurapwa zvinogona kusanganisira:

• Atrophic testis
• Ropa kugadzirwa
• Utachiona
• Kukuvadza kune chikosoro kana pedyo neropa tsinga

Fonera waunopa kana iwe ukawana bundu repamuviri kana uchida kurapa chirwere chinonzi varicocele.

Varicose mutsinga - scrotum

• Varicocele
• Chekubereka murume

Bharaki S, Gordon Baker HW. Clinical manejimendi yehurume kushaya mbereko. Muna: Jameson JL, De Groot LJ, de Kretser DM, et al, eds. Endocrinology: Vakuru uye Chiremba. 7th ed. Philadelphia, PA: Elsevier Saunders; 2016: chits. 141.

Goldstein M. Kuvhiya manejimendi kwehurume kushaya mbereko. Mune: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th ed. Philadelphia, PA: Elsevier; 2016: chits. 25.

Palmer LS, Palmer JS. Management yekusagadzikana kweiyo yekunze genitalia muvakomana. Mune: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th ed. Philadelphia, PA: Elsevier; 2016: chitsiko 146.

Silay MS, Hoen L, Quadackaers J, uye al. Kurapa kwevaricocele muvana nevechiri kuyaruka: Kuongorora kwakarongeka uye meta-ongororo kubva kuEuropean Association yeUrology / European Society yePediatric Urology Guidelines Panel. Eur Urol. 2019; 75 (3): 448-461. PMID: 30316583 www.ncbi.nlm.nih.gov/pubmed/30316583.