I-Hydrocele

I-hydrocele yisikhwama esigcwele uketshezi esikhwameni.

Ama-Hydroceles ajwayelekile ezinganeni ezisanda kuzalwa.

Ngesikhathi sokukhula kwengane esibelethweni, amasende ehla esiswini ngeshubhu angene emgodleni. Ama-Hydroceles ayenzeka lapho le tube ingavali. Uketshezi luphuma esiswini ngeshubhu evulekile futhi lubhajwe emgodleni. Lokhu kubangela ukuthi i-scrotum ivuvuke.

Ama-hydroceles amaningi ahamba ezinyangeni ezimbalwa ngemuva kokuzalwa. Kwesinye isikhathi, i-hydrocele kungenzeka nge-hernia inguinal.

Ama-Hydroceles nawo angabangelwa:

• Ukwanda koketshezi olujwayelekile oluzungeze isende. Lokhu kungenzeka ngoba umzimba wenza uketshezi oluningi kakhulu noma awupheli kahle. (Lolu hlobo lwe-hydrocele luvame kakhulu emadodeni amadala.)
• Ukuvuvukala noma ukulimala kwe-testicle noma i-epididymis

Uphawu oluyinhloko i-scrotum evuvukele engenabuhlungu, eyindilinga emile, ezwakala njengebhaluni lamanzi. I-hydrocele kungenzeka ohlangothini olulodwa noma zombili. Kodwa-ke, uhlangothi lwangakwesokudla lubandakanyeka kakhulu.

Uzohlolwa ngokomzimba.Umhlinzeki wezokunakekelwa kwempilo uzothola ukuthi i-scrotum sivuvukile, kodwa hhayi kabuhlungu ekuthintweni. Imvamisa, isende alikwazi ukuzwakala ngenxa yoketshezi oluzungezile. Usayizi wesikhwama esigcwele uketshezi kwesinye isikhathi ungangezelelwa futhi wehliswe ngokufaka ingcindezi esiswini noma kwesikhotha.

Uma usayizi weqoqo loketshezi ushintsha, kungenzeka kakhulu ukuthi ubangelwe i-hernia enguinal.

Ama-Hydroceles angabonakala kalula ngokukhanyisa ngethoshi engxenyeni evuvukile yesikhotha. Uma i-scrotum igcwele uketshezi olucacile, i-scrotum izokhanya.

Ungadinga i-ultrasound noma i-CT scan ukuqinisekisa ukuxilongwa.

Ama-Hydroceles awalimazi isikhathi esiningi. Zelashwa kuphela uma zidala ukutheleleka noma ukungaphatheki kahle.

Ama-Hydroceles avela ku-hernia inguinal kufanele alungiswe ngokuhlinzwa ngokushesha okukhulu. Ama-Hydroceles angahambi ngokwawo ngemuva kwezinyanga ezimbalwa angadinga ukuhlinzwa. Inqubo yokuhlinza ebizwa nge-hydrocelectomy (ukususwa kwe-sac lining) ivame ukwenziwa ukulungisa inkinga. Ukudonswa kwenaliti kuyindlela kodwa uketshezi luzobuya.

Ama-hydroceles alula ezinganeni avame ukuhamba ngaphandle kokuhlinzwa. Kubantu abadala, ama-hydroceles ngokuvamile awahambi ngokwawo. Uma kudingeka ukuhlinzwa, kuyindlela elula enemiphumela emihle kakhulu. Ngemuva kokuhlinzwa, i-hydrocele kwesinye isikhathi ingaphinde yenzeke.

Izingozi ezivela ekuhlinzekweni kwe-hydrocele zingafaka:

• Amahlule egazi
• Ukutheleleka
• Ukulimala kwesikhwama
• Ukulahleka kwesende
• Ubuhlungu besikhathi eside (obungapheli)
• Ukuvuvukala okuqhubekayo

Shayela umhlinzeki wakho uma unezimpawu ze-hydrocele. Kubalulekile ukukhipha ezinye izimbangela zesigaxa samasende.

Ubuhlungu emgodleni noma emasendeni kuyisimo esiphuthumayo. Uma unezinhlungu futhi isikhumba sakho sikhulisiwe, funa usizo lwezokwelapha khona manjalo ukuvimbela ukulahleka kwesende.

Inqubo ye-vaginalis; Inqubo yelungelo lobunikazi vaginalis

• I-anatomy yokuzala yowesilisa
• I-Hydrocele

Aiken JJ. Ama-hernias angama-Inguinal. Ku: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Incwadi kaNelson Yezingane. Umhlaka 21. IPhiladelphia, PA: Elsevier; 2020: isahluko 373.

Umdala JS. Ukuphazamiseka nokuphazamiseka kokuqukethwe kwe-scrotal. Ku: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Incwadi kaNelson Yezingane. Umhlaka 21. IPhiladelphia, PA: Elsevier; 2020: isahluko 560.

IGermann CA, iHolmes JA. Izinkinga ezikhethiwe ze-urologic. Ku: Walls RM, Hockberger RS, Gausche-Hill M, ama-eds. Imithi Ephuthumayo yaseRosen: Imiqondo kanye Nokuzijwayeza Komtholampilo. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2018: isahluko 89.

UKatz A, Ukuhlinzwa kukaRichardson W. Ku: Zitelli BJ, McIntire SC, Nowalk AJ, ama-eds. UZitelli noDavis ’Atlas of Pediatric Physical Diagnosis. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2018: isahluko 18.

I-Palmer LS, i-Palmer JS. Ukuphathwa kokungajwayelekile kwezitho zobulili zangaphandle kubafana. Ku: Wein AJ, Kavoussi LR, Partin AW, Peters CA, ama-eds. ICampbell-Walsh Urology. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2016: isahluko 146.