Anorchia

I-Anorchia ukungabikho kwama-testes womabili lapho kuzalwa.

Umbungu uba nezitho zobulili zakuqala emasontweni ambalwa okuqala ekhulelwe. Kwezinye izimo, izivivinyo zakuqala azikhuli kwabesilisa ngaphambi kwamasonto ayisishiyagalombili ekukhulelweni. Lezi zingane zizozalwa zinezitho zobulili zabesifazane.

Kwezinye izimo, ama-testes ayanyamalala phakathi kwamasonto ayisishiyagalombili kuya kwayishumi. Lezi zingane zizozalwa zinezitho zangasese eziyindida. Lokhu kusho ukuthi ingane izoba nezitho zombili izitho zocansi zowesilisa nowesifazane.

Kwezinye izimo, ama-testes anganyamalala phakathi kwamasonto ayi-12 kuya kwayi-14. Lezi zingane zizoba nepipi elijwayelekile nesikhwama samasende. Kodwa-ke, ngeke babe nokuhlolwa. Lokhu kwaziwa njenge-congenital anorchia. Ibizwa nangokuthi "ukunyamalala kwamasende syndrome."

Imbangela ayaziwa. Izici zofuzo zingabandakanyeka kwezinye izimo.

Lesi simo akufanele sididaniswe namasende angahlanjululwanga angamazwe amabili, lapho ama-testes atholakala khona esiswini noma emgodini kunasesikhotheni.

Izimpawu zingafaka:

• Izitho zangasese ezijwayelekile zangaphandle ngaphambi kokuthomba
• Ukwehluleka ukuqala ukuthomba ngesikhathi esifanele

Izimpawu zifaka:

• Isilonda esingenalutho
• Ukuntuleka kwezici zobulili besilisa (ukukhula kwepenisi nokukhula kwezinwele, ukujula kwezwi, nokwanda kwesisindo semisipha)

Izivivinyo zifaka:

• Amazinga ama-anti-Müllerian hormone
• Ubuningi bamathambo
• I-follicle evuselela i-hormone (FSH) kanye ne-luteinizing hormone (LH)
• Ukuhlinzwa ukubheka izicubu zokuzala zabesilisa
• Amazinga e-testosterone (aphansi)
• I-Ultrasound noma i-MRI yokufuna amasende esiswini
• XY karyotype

Ukwelashwa kufaka:

• Ukufakelwa kwamasende okufakelwa (okufakelwayo)
• Amahomoni wesilisa (androgens)
• Ukwesekwa ngokwengqondo

Umbono muhle ngokwelashwa.

Izinkinga zifaka:

• Ubuso, intamo, noma okungajwayelekile emuva kwezinye izimo
• Ukungabi nenzalo
• Izinkinga zengqondo ngenxa yokuhlonza ubulili

Shayela umhlinzeki wakho wezokunakekelwa kwezempilo uma ingane yowesilisa:

• Kubonakala kunamasende amancane kakhulu noma engekho
• Kubonakala sengathi iqala ukuthomba ngesikhathi isencane

Ama-testes anyamalayo - i-anorchia; I-scrotum engenalutho - i-anorchia; Iscrotum - asinalutho (i-anorchia)

• I-anatomy yokuzala yowesilisa
• Uhlelo lokuzala lwabesilisa

U-Ali O, uDonohoue PA. Ukuzenzisa kwama-testes. 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 601.

UChan YM, uHannema SE, u-Achermann JC, uHughes IA. Ukuphazamiseka kokukhula kocansi. Ku: Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, abahleli. Incwadi kaWilliams ye-Endocrinology. Umhlaka 14. IPhiladelphia, PA: Elsevier; 2020: isahluko 24.

Yu RN, iDayimane DA. Ukuphazamiseka kokuthuthuka kwezocansi: i-etiology, ukuhlolwa, kanye nokuphathwa kwezokwelapha. Ku: Partin AW, Dmochowski RR, Kavoussi LR, Peters CA, ama-eds. ICampbell-Walsh-Wein Urology. Umhla ka-12. IPhiladelphia, PA: Elsevier; 2021: isahluko 48.