Undescended testicle kugadzirisa

Kugadziriswa kwemachende asina kudzikiswa kuvhiyiwa kugadzirisa machende asina kudonhera pasi munzvimbo chaiyo muchikwama.

Iwo machende anokura mudumbu memucheche sezvo mwana anokura mudumbu. Vanodonhedza muchikanda mumwedzi yekupedzisira vasati vaberekwa.

Mune zvimwe zviitiko, rimwe kana maviri machende haadonhedzi munzvimbo chaiyo. Inenge hafu yezviitiko izvi ichadzika mukati megore rekutanga rehupenyu pasina kurapwa.

Kuvhiya kusati kwadzikwa kwekuongorora testicle kunokurudzirwa kuvarume vane machende avo asingaburuke ega.

Kuvhiya kunoitwa mwana akarara (asingazivi) uye asingarwadziwe pasi peanesthesia. Chiremba anovhiya anocheka muguyo. Apa ndipo pane miedzo yakawanda isingadiwe.

Mushure mekuwana tambo inobata testis muchikanda, chiremba anovhiya anoisunungura kubva munyama yakatenderedza. Izvi zvinobvumira tambo kuti iwedzere kusvika pakazara kwayo. Yakacheka kucheka inoitwa muchikanda, uye homwe inogadzirwa. Iyo testicle inodhonzwa pasi muchikanda, uye inosonwa munzvimbo. Kusona kunoshandiswa kuvhara kucheka kwekuvhiya.

Mune zvimwe zviitiko, maitiro anogona kuitwa laparoscopically. Izvi zvinosanganisira kucheka kwekuvhiya kudiki.

Kana testicle yacho yakanyanya kukwirisa, kururamisa kungangoda nhanho mbiri. Kuvhiya kwakasiyana kunoitwa mwedzi yakati wandei wakaparadzana.

Kuvhiya uku kunokurudzirwa kune vacheche vanopfuura gore rimwe vane machende asina kuburukira muchikanda (cryptorchidism).

Chibumbu chisina kukosheswa chakasiyana nechitunha chinonzi "retractile". Mumamiriro ezvinhu aya, testicle rinodonhera muganda rozodzokera kumashure. Machende anodzoreka haadi kuvhiyiwa.

Ngozi dzechero anesthesia ndeidzi:

• Zviitiko kumishonga
• Matambudziko kufema

Ngozi dzekuvhiyiwa chero ndeidzi:

• Kubuda ropa
• Utachiona

Ngozi dzekuvhiya uku dzinosanganisira:

• Shrinkage yemachende kana kukundikana kwetende kuti ikure kusvika pakuenzana.
• Kusakwanisa kuunza testicle muchikanda, zvichikonzera kubviswa kwetende.

Kugadziriswa kwemachende asina kudzikiswa kunobudirira mune dzakawanda zviitiko. Chikamu chidiki chevarume chichava nematambudziko ekubereka.

Varume vakave vasina kufarira machende vanofanira kuzviitira bvunzo dzemwedzi wega kweupenyu hwavo hwese kutsvaga mabundu anogona kuitika. Varume vane ma testes asina kukodzera vane yakakwira mwero wecancer yemachende kupfuura avo vane zvakajairika testicle kukura, kunyangwe kana vaine yakanyatsodzika testicle kune rumwe rutivi Kune zvakare njodzi yakakwira yegomarara repasumbu mune imwe testicle yakadzika zvakadzika. Kuunza machende pasi zvinoita kuti zvive nyore kuongorora kuti bundu rinokura mune ramangwana.

Kuvhiya kwacho kunogona kuitwa pane imwe nguva yekurapa. Kuzorora kwemubhedha kunokurudzirwa kwekutanga mazuva maviri kusvika matatu. Dzivisa kuita kunetsa, kusanganisira kuchovha bhasikoro, kweinenge mwedzi mumwe.

Orchidopexy; Inguinal orchidopexy; Orchiopexy; Kugadziriswa kwetende risina kukodzera; Cryptorchidism kugadzirisa

• Utano hwemurume hwekubereka
• Pamberi uye shure kwekuongorora testicular

Barthold JS, Hagerty JA. Etiology, kuongororwa, uye manejimendi easina kufarirwa testis. Mune: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th ed. Philadelphia, PA: Elsevier; 2016: chitsiko 148.

Mukuru JS. Kukanganisika uye anomalies ezvakawanda zvemukati. Mune: Kliegman RM, Stanton BF, St. Geme JW, Schor NF, eds. Nelson Chinyorwa chePediatrics. 20th ed. Philadelphia, PA: Elsevier; 2016: chitsiko 545.

Srinivasan A, Ghanaat M. Laparoscopic orchiopexy. Mune: Bishoff JT, Kavoussi LR, eds. Atlas yeLaparoscopic uye Robotic Urologic Kuvhiya. 3rd ed. Philadelphia, PA: Elsevier; 2017: chitsuwa 42.