Isende elingehlisiwe

Isende elingahlanjululwa livela lapho isende elilodwa noma womabili ehluleka ukungena emgodleni ngaphambi kokuzalwa.

Isikhathi esiningi, amasende omfana ehla lapho esenezinyanga eziyi-9 ubudala. Amasende angehlisiwe avamile ezinganeni ezizalwa kusenesikhathi. Inkinga ivela kancane ezinganeni zesikhathi esigcwele.

Ezinye izingane zinenkinga ebizwa ngokuthi i-retractile testes kanti umhlinzeki wezokunakekelwa kwempilo kungenzeka angakwazi ukuthola amasende. Kulokhu, amasende ajwayelekile, kepha akhishwa esikhwameni yi-reflex yemisipha. Lokhu kwenzeka ngoba amasende asemancane ngaphambi kokuthomba. Amasende azokwehla ngokujwayelekile ngesikhathi sokuthomba futhi ukuhlinzwa akudingeki.

Amasende angaveli ngokwemvelo esikhwameni abhekwa njengokungajwayelekile. Isende elingalindelwanga maningi amathuba okuba nomdlavuza, noma ngabe lilethwa emgodleni wokuhlinzwa. Umdlavuza nawo kungenzeka kakhulu kwesinye isende.

Ukuletha i-testicle esikhwameni kungathuthukisa ukukhiqizwa kwesidoda futhi kwandise amathuba okuzala okuhle. Iphinde ivumele umhlinzeki ukuthi enze isivivinyo sokuthola umdlavuza kusenesikhathi.

Kwezinye izimo, alikho i-testicle, ngisho nangesikhathi sokuhlinzwa. Lokhu kungenzeka kungenxa yenkinga eyenzeka ngenkathi ingane isakhula ngaphambi kokuzalwa.

Isikhathi esiningi azikho ezinye izimpawu ngaphandle kokungabikho kwesende ku-scrotum. (Lokhu kubizwa ngokuthi i-scrotum engenalutho.)

Ukuhlolwa okwenziwa ngumhlinzeki kuqinisekisa ukuthi elilodwa noma womabili amasende awekho esikhwameni.

Umhlinzeki angahle noma angakwazi ukuzwa isende elingalindelwanga odongeni lwesisu ngaphezu kwesikhotha.

Ukuhlola izithombe, njenge-ultrasound noma i-CT scan, kungenziwa.

Ezimweni eziningi, isende lizokwehla ngaphandle kokwelashwa phakathi nonyaka wokuqala wengane. Uma lokhu kungenzeki, ukwelashwa kungafaka:

• Imijovo yeHormone (B-HCG noma i-testosterone) ukuzama ukuletha isende esikhunjeni.
• Ukuhlinzwa (i-orchiopexy) ukuletha isende esikhunjeni. Lokhu ukwelashwa okuyinhloko.

Ukuhlinzwa kusenesikhathi kungavimbela ukulimala kwamasende futhi kugweme ukungabi nenzalo. Isende elingahlonziwe elitholakala kamuva empilweni lingadinga ukususwa. Lokhu kungenxa yokuthi isende kungenzeka lingasebenzi kahle futhi lingabeka engcupheni yomdlavuza.

Isikhathi esiningi, inkinga idlula ngaphandle kokwelashwa. Imithi noma ukuhlinzwa ukulungisa isimo kuyaphumelela ezimweni eziningi. Uma isimo sesilungisiwe, kufanele ube nezivivinyo ezijwayelekile zesende ngudokotela wakho.

Cishe kuma-50% wabesilisa abanamasende angafuneki, amasende awatholakali ngesikhathi sokuhlinzwa. Lokhu kubizwa ngokuthi i-testis elahlekile noma engekho. Njengoba kushiwo ngaphambili, kungahle kube ngenxa yento ethile ngenkathi ingane isakhula ngesikhathi sokukhulelwa.

Izinkinga zingafaka:

• Ukulimala kwesende ekuhlinzweni
• Ukungabi nenzalo kamuva empilweni
• Umdlavuza wamasende kwelinye noma kuwo womabili amasende

Shayela umhlinzeki wengane yakho uma ibonakala inesende elingalindelwanga.

I-Cryptorchidism; I-scrotum engenalutho - izivivinyo ezingathandeki; Iscrotum - asinalutho (izivivinyo ezingathandiswanga); Monorchism; Ama-testes aphelile - awafuneki; Ukuhlolwa okuhoxisayo

• I-anatomy yokuzala yowesilisa
• Uhlelo lokuzala lwabesilisa

UBarthold JS, uHagerty JA. I-Etiology, ukuxilongwa, kanye nokuphathwa kwama-testis angafunwanga. Ku: Wein AJ, Kavoussi LR, Partin AW, Peters CA, ama-eds. ICampbell-Walsh Urology. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2016: isahluko 148.

UChung DH. Ukuhlinzwa kwezingane. Ku: Townsend CM, Beauchamp RD, Evers BM, Mattox KL, eds. ISabiston Incwadi Yokuhlinzwa. Umhla ka-20. IPhiladelphia, PA: Elsevier; I-2017: isahluko 66.

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.

IMeyts ER-D, Main KM, Toppari J, Skakkebaek NE. I-testicular dysgenesis syndrome, i-cryptorchidism, i-hypospadias, nezicubu zamasende. Ku: Jameson JL, De Groot LJ, de Kretser DM, et al, abahleli. I-Endocrinology: Eyabantu Abadala Neyengane. Umhla wesi-7. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 137.