Munyori: Monica Porter
Zuva Rekusika: 14 Kurume 2021
Gadziridza Zuva: 1 Chikunguru 2024
Anonim
Testicular torsion: causes, symptoms, diagnosis and treatment - Clinical Anatomy | Kenhub
Vhidhiyo: Testicular torsion: causes, symptoms, diagnosis and treatment - Clinical Anatomy | Kenhub

Zvemukati

Isu tinosanganisira zvigadzirwa zvatinofunga zvinobatsira kuvaverengi vedu. Kana iwe ukatenga kuburikidza nehukama pane ino peji, isu tinogona kuwana diki komisheni. Heano maitiro edu.

Chii chinonzi testicular torsion?

Chikonzero chinowanzoitika chechimbichimbi chine chekuita nemurume genitourinary turakiti inorwadza zvikuru inonzi testicular torsion.

Varume vane machende maviri anozorora mukati meganda. Tambo inozivikanwa sespermatic tambo inotakura ropa kuenda kumachende. Munguva yekutambudzika kwema testes, tambo iyi inokanganisa. Nekuda kweizvozvo, kuyerera kweropa kunokanganiswa uye zvinyama zvemu testicle zvinogona kutanga kufa.

Sekureva kweAmerican Urological Association, chirwere ichi hachiwanzoitika uye chinongobata mumwe chete muvanhu zviuru zvina pasi pemakore makumi maviri nemashanu.

Torsion inowanzoitika kune vechidiki vari kuyaruka. Vaya vari pakati pemakore gumi nemaviri negumi nemasere vanoverengera 65 muzana yevanhu vane chirwere ichi, sekureva kweCleveland Clinic. Zvisinei, vacheche nevakuru vakura vanogonawo kukanganiswa.

Chii chinokonzera testicular torsion?

Vazhinji veavo vane testicular torsion vanozvarwa vaine njodzi yakanyanya yemamiriro acho, kunyange vangangodaro vasingazvizive.


Congenital zvinhu

Kazhinji, machende haakwanise kufamba zvakasununguka mukati meganda. Iyo nyama yakapoteredzwa yakasimba uye inotsigira. Avo vanoona kushungurudzwa dzimwe nguva vane zvisimba zvisina kusimba zvinobatika mupurotum.

Mune zvimwe zviitiko, izvi zvinogona kukonzerwa nehunhu hwekuzvarwa hunozivikanwa se "bhero clapper" hurema. Kana iwe uine bhero clapper deformity, machende ako anogona kufamba zvakasununguka muchikwama. Iko kufamba kunowedzera mukana wekuti tambo yespermatic ikamonyoroka. Uku kuremara kunosvika makumi mapfumbamwe kubva muzana ezve testicular torsion kesi.

Testicular torsion inogona kumhanya mumhuri, ichikanganisa akawanda mazera pamwe nehama. Izvo zvinhu zvinopa njodzi yakakwira hazvizivikanwe, asi bhero clapper deformity inogona kubatsira. Kuziva kuti vamwe mumhuri yako vakaona testicular torsion kunogona kukubatsira kukumbira kurapwa nechimbichimbi kana zviratidzo zvacho zvichikukanganisa kana mumwe munhu mumhuri yako.

Haasi munhu wese anosangana nemamiriro aya ane maitiro ekuzvarwa nawo, zvakadaro. Vanenge gumi muzana yeavo vane testicular torsion vane nhoroondo yemhuri yemamiriro acho, sekureva kwechimwe chidiki kudzidza.


Zvimwe zvikonzero

Mamiriro acho anogona kuitika chero nguva, kunyangwe asati aberekwa. Testicular torsion inogona kuitika kana iwe uchinge wakarara kana uchiita chiitiko chemuviri.

Izvo zvinogona zvakare kuitika mushure mekukuvara kune iyo groin, sekukuvara kwemitambo. Se nhanho yekudzivirira, unogona kupfeka [AFFILIATE LINK:] mukombe wemitambo yekubatana.

Kukurumidza kukura kwemachende panguva yekuyaruka kunogona kukonzera mamiriro acho.

Ndezvipi zviratidzo zve testicular torsion?

Marwadzo uye kuzvimba kweiyo scrotal sac ndiyo inonyanya kuratidza testicular torsion.

Kutanga kwekurwadziwa kunogona kunge kwakangoerekana kwaitika, uye kurwadziwa kwacho kunogona kuve kwakanyanya. Kuzvimba kunogona kugumira kune rimwe divi, kana kunogona kuitika mune yese scrotum. Unogona kuona kuti imwe testicle iri pamusoro pane imwe.

Iwe unogona zvakare kusangana:

  • dzungu
  • kusvotwa
  • kurutsa
  • mapundu ari muhomwe
  • ropa muhurume

Kune zvimwe zvinogona kukonzeresa marwadzo e testicular, akadai seanopisa mamiriro epididymitis. Iwe unofanirwa kutora zviratidzo izvi zvakanyanya uye kutsvaga kurapwa kwekukurumidzira.


Testicular torsion inowanzoitika mune imwe chete testicle. Bilateral torsion, kana iwo ma testes akawiriraniswa panguva imwe chete, isingawanzoitika.

Ko testicular torsion inoonekwa sei?

Miedzo inogona kushandiswa kuongorora torsion inosanganisira:

  • weti bvunzo, dzinotarisa hutachiona
  • bvunzo dzepanyama
  • kufungidzira kwechikanda

Munguva yekuongorora kwepanyama, chiremba wako anozotarisa scotum yako yekuzvimba. Vanogona zvakare kupinza mukati mechidya chako. Kazhinji izvi zvinoita kuti machende abate. Nekudaro, ichi chirevo chinogona kunyangarika kana iwe uine torsion.

Iwe unogona zvakare kugamuchira iyo ultrasound yeako scrotum. Izvi zvinoratidza kuyerera kweropa kumachende. Kana kuyerera kweropa kwakadzikira pane zvakajairwa, iwe unogona kunge uri kusangana nekutambudzika.

Ndeapi marapirwo anowanikwa kune testicular torsion?

Torsion yemayestes ndeyekurapwa kwekukurumidza, asi vazhinji vachiri kuyaruka vanozeza kutaura kuti vari kukuvara kana kutsvaga kurapwa ipapo ipapo. Iwe haufanire kufuratira unopinza testicular kurwadziwa.

Zvinokwanisika kuti vamwe vasangane nezvinozivikanwa sekutsemuka kwepakati. Izvi zvinokonzera testicle kumonyoroka nekusazununguka. Nekuti mamiriro acho anogona kunge achidzokazve, zvakakosha kutsvaga kurapwa, kunyangwe kana kurwadziwa kwacho kuchinge kwakapinza ndokuzodzikira.

Kugadziriswa kwekuvhiya

Kugadziriswa kwekuvhiya, kana orchiopexy, inowanzo fanirwa kurapa testicular torsion. Muzviitiko zvisingawanzoitika, chiremba wako anogona kukwanisa kusunungura tambo yespermatic neruoko. Iyi nzira inonzi "manual detorsion."

Kuvhiya kunoitwa nekukurumidza sezvinobvira kudzorera kuyerera kweropa kumachende. Kana kuyerera kweropa kukachekwa kweanopfuura maawa matanhatu, testicular tishu inogona kufa. Iyo testicle yakakanganiswa yaizoda kubviswa.

Kuvhiya kwekuvhiya kunoitwa pasi peanesthesia. Iwe unenge wakarara uye usingazive maitiro acho.

Chiremba wako achaita incision diki muchikwama chako uye osunungura tambo. Tutu suture ichashandiswa kuchengetedza testicle munzvimbo yacho mupirotum. Izvi zvinodzivirira kutenderera kuti zviitike zvakare. Chiremba anobva avhara iyo incision nemastitch.

Chii chakabatanidzwa mukupora kubva ku testicular torsion kuvhiyiwa?

Orchiopexy haigare ichida kugara kwehusiku muchipatara. Iwe uchagara mukamuri rekudzorera kwemaawa akati wandei usati wabuda.

Sezvo nechero nzira yekuvhiya, unogona kusagadzikana mushure mekuvhiyiwa. Chiremba wako anokurudzira kana kupa mushonga unonyatsokodzera wemarwadzo. Kana testicle yako ichida kubviswa, ungangogara muchipatara husiku.

Kusunungurwa kwemarwadzo

Chiremba wako angangoshandisa zvinyoro zvinosungika zvemaitiro ako, saka haufanire kuti zvibviswe. Mushure mekuvhiyiwa, unogona kutarisira kuti scrotum yako ichazvimba kwevhiki mbiri kana ina.

Iwe unogona kushandisa ice pack kanoverengeka pazuva kwemaminetsi gumi kusvika makumi maviri. Izvi zvinobatsira kudzikisa kuzvimba.

Hutsanana

Iyo incision yakaitwa panguva yekuvhiya inogona zvakare kubuda fluid kwemazuva kana maviri ezuva. Ita shuwa yekuchengetedza nzvimbo yakachena nekugeza zvinyoro nyoro nemvura inodziya, ine sipo.

Zororo uye kupora

Chiremba wako anokurudzira kurega kubva kune mamwe marudzi ezviitiko kwevhiki dzinoverengeka zvichitevera kuvhiyiwa. Izvi zvinosanganisira kuita bonde uye kukurudzira, sekuita bonhora uye kusangana.

Iwe unozokurudzirwa zvakare kuti udzivise mitambo kana mitambo yakaoma. Munguva ino, zvakakoshawo kuti musimudze kusimudza kana kumomesa panguva yekufamba ura.

Ita shuwa yekuwana zororo rakawanda kubvumira muviri wako kuti uwanezve zvizere. Usaramba wakagara zvachose, zvakadaro. Kufamba zvishoma zuva rega rega kunobatsira kuwedzera kuyerera kweropa kunharaunda, kutsigira kupora.

Ndeapi matambudziko anosangana ne testicular torsion?

Testicular torsion yechimbichimbi inoda kutarisirwa nekukasira. Kana isingarapwe nekukurumidza, kana zvachose, mamiriro aya anogona kukonzera matambudziko makukutu.

Utachiona

Kana nyama yakafa kana yakakuvara zvakanyanya isina kubviswa, gomarara rinogona kuitika. Gangrene chirwere chinogona kutyisidzira hupenyu. Inogona kupararira nekukurumidza mumuviri wako wese, zvichitungamira mukuvhunduka.

Kushaya mbereko

Kana kukuvara kukaitika kumachende maviri, kusabereka kunozoguma. Kana iwe uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge

Kuremara kwekukuvara

Kurasikirwa kweimwe testicle kunogona kuumba hurema hwekushongedza hunogona kukonzera kushungurudzika mupfungwa. Izvi zvinogona, zvakadaro, kugadziriswa nekuiswa kweye testicular prosthesis.

Atrophy

Kusabatwa testicular torsion kunogona kukonzera testicular atrophy, zvichikonzera kuti testicle iderere zvakanyanya muhukuru. Testicle ine atrophied inogona kutadza kuburitsa urume.

Testicular kufa

Kana ikasiiwa isina kurapwa kwenguva inopfuura maawa akati wandei, testicle inogona kukuvara zvakanyanya, ichida kubviswa. Iko testicle inogona kazhinji kuchengetedzwa kana ikarapwa mukati mehwindo remaawa mana kusvika matanhatu.

Mushure menguva yemaawa gumi nemaviri, pane mukana we50 muzana wekuchengetedza testicle. Mushure memaawa makumi maviri nemana, mikana yekuchengetedza testicle inodonha kusvika gumi muzana.

Ndeapi mamiriro angaite senge testicular torsion?

Mimwe mamiriro ezvinhu anokanganisa machende anogona kukonzera zviratidzo zvakafanana neizvo zve testicular torsion.

Hazvina mhosva kuti ndeapi eaya mamiriro iwe aunofunga kuti ungave uine, zvakakosha kuti uone chiremba wako nekukasira. Vanogona kutonga testicular testi kana kukubatsira iwe kuwana chero kurapwa kwakakodzera.

Epididymitis

Iyi mamiriro inowanzo kukonzerwa nehutachiona hutachiona, kusanganisira hutachiona hwehutachiona hwakafanana nechlamydia uye gonorrhea.

Zviratidzo zveepididymitis zvinowanzouya zvishoma nezvishoma uye zvinogona kusanganisira:

  • testicular kurwadziwa
  • kunorwadza weti
  • kutsvuka
  • kuzvimba

Orchitis

Orchitis inokonzera kuzvimba uye kurwadziwa mune rimwe kana maviri machende pamwe nekugomera.

Inogona kukonzerwa nehutachiona kana hutachiona hutachiona. Inowanzobatanidzwa nemamota.

Torsion yeapendikisi testis

Apendikisi testis chidimbu chidiki cheyakajairika tishu iri kumusoro kwetestis. Iyo haishande hapana basa. Kana tishu iri rikamonyoroka, rinogona kukonzeresa zviratidzo zvakafanana ne testicular torsion, senge kurwadziwa, kutsvuka, uye kuzvimba.

Mamiriro aya haadi kuvhiyiwa. Pane kudaro, chiremba anoongorora mamiriro ako. Vanozokurudzirawo zororo uye mishonga yekurwadziwa.

Ndeupi mutoo wenguva refu wevanhu vane testicular torsion?

Sekureva kwe TeensHealth, makumi mapfumbamwe kubva muzana yevanhu vanorapwa testicular torsion mukati memaawa mana kusvika matanhatu ekutanga kwekutambudzika hazviite zvinoda kuti testicle ibviswe.

Zvisinei, kana kurapwa kukaendeswa maawa makumi maviri nemana kana kupfuura mushure mekunge marwadzo atanga, inofungidzirwa kuti makumi mapfumbamwe muzana inoda kubviswa kwekuvhiya kwetende.

Kubviswa kwetende, kunonzi orchiectomy, kunogona kukanganisa kugadzirwa kwehomoni muvacheche. Izvo zvinogona zvakare kukanganisa ramangwana rekubereka nekuderedza mbeu yemurume.

Kana muviri wako ukatanga kugadzira anti-sperm antibodies nekuda kwekutambudzika, izvi zvinogona zvakare kudzikisira kugona kwemurume kuenda.

Kuti udzivise izvi zvinogona kunetsa, iwe unofanirwa kutsvaga kurapwa kwekukurumidzira ipapo kana iwe uchifungidzira kuti iwe kana mwana wako ari kusangana ne testicular torsion. Testicular torsion kuvhiya inoshanda zvakanyanya kana mamiriro acho akabatwa nekukurumidza.

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