I-Varicocele

I-varicocele ukuvuvukala kwemithambo ngaphakathi kwesikhwama. Le mithambo itholakala eceleni kwentambo ephakamisa amasende endoda (spermatic cord).

Amafomu e-varicocele lapho ama-valve ngaphakathi kwemithambo ahamba ngentambo yesidoda avimbela igazi ukuba lingagijimi kahle. Igazi lihlehla, okuholela ekuvuvukeni nasekukhuliseni imithambo. (Lokhu kufana nemithambo ye-varicose emilenzeni.)

Isikhathi esiningi, ama-varicoceles akhula kancane. Zivame kakhulu emadodeni aneminyaka eyi-15 kuye kwengama-25 futhi zivame ukubonakala ohlangothini lwesobunxele lwe-scrotum.

I-varicocele endodeni endala ebonakala ngokuzumayo ingabangelwa isimila sezinso, esingavimba ukugeleza kwegazi kuye emthanjeni.

Izimpawu zifaka:

• Imithambo ekhulisiwe, esontekile esikhwameni
• Ubuhlungu obunzima noma ukungakhululeki
  
• Isigaxa samasende esingenabuhlungu, ukuvuvukala okwedlulele, noma isibungu esikhaleni samasende
• Izinkinga ezingenzeka ngokuzala noma ukwehla kwesibalo sesidoda

Abanye besilisa abanazo izimpawu.

Uzohlolwa indawo yakho yezinhlungu, kufaka phakathi i-scrotum namasende. Umhlinzeki wezokunakekelwa kwezempilo angazizwa ukukhula okusontekile ngentambo yesidoda.

Kwesinye isikhathi ukukhula kungahle kungabonakali noma kuzwakale, ikakhulukazi lapho ulele phansi.

I-testicle eseceleni kwe-varicocele ingahle ibe ncane kunaleyo engakolunye uhlangothi.

Ungase futhi ube ne-ultrasound ye-scrotum kanye namasende, kanye ne-ultrasound yezinso.

I-jock strap noma okokugqoka kwangaphansi okusile kungasiza ekunciphiseni ukungakhululeki. Ungadinga olunye ukwelashwa uma ubuhlungu bungapheli noma uba nezinye izimpawu.

Ukuhlinzwa ukulungisa i-varicocele kubizwa nge-varicocelectomy. Ngale nqubo:

• Uzothola uhlobo oluthile lwe-anesthesia.
• Udokotela we-urologist uzosika, imvamisa kakhulu esiswini esingezansi, bese ebopha imithambo engajwayelekile. Lokhu kuqondisa ukugeleza kwegazi endaweni kuya emithanjeni ejwayelekile. Lo msebenzi ungenziwa futhi njengenqubo ye-laparoscopic (ngokusebenzisa ukusikeka okuncane ngekhamera).
• Uzokwazi ukuphuma esibhedlela ngosuku olufanayo nokuhlinzwa kwakho.
• Uzodinga ukugcina iphakethe leqhwa kule ndawo amahora angama-24 okuqala ngemuva kokuhlinzwa ukunciphisa ukuvuvukala.

Enye indlela yokuhlinzwa ukuhlanganiswa kwe-varicocele. Ngale nqubo:

• Ishubhu elincane elingenalutho elibizwa ngokuthi i-catheter (ithubhu) lifakwa emthanjeni endaweni yakho yokububula noma yentamo.
• Umhlinzeki uhambisa ishubhu ku-varicocele esebenzisa ama-x-ray njengomhlahlandlela.
• Ikhoyili encane idlula kule tube ukuya ku-varicocele. Ikhoyili ivimba ukugeleza kwegazi liye emthanjeni omubi bese liyithumela emithanjeni ejwayelekile.
• Uzodinga ukugcina i-ice pack endaweni ukuze unciphise ukuvuvukala futhi ugqoke i-scrotal support isikhashana.

Le ndlela yenziwa futhi ngaphandle kokuhlala esibhedlela ubusuku bonke. Isebenzisa ukusika okuncane kakhulu kunokuhlinzwa, ngakho-ke uzolulama ngokushesha.

I-varicocele ivame ukungabi nabungozi futhi imvamisa ayidingi ukwelashwa, ngaphandle kwalapho kukhona ushintsho kusayizi wesende lakho noma kunenkinga yokuzala.

Uma uhlinzwa, inani lakho lesidoda cishe lizokhula futhi lingathuthukisa ukuzala kwakho. Ezimweni eziningi, ukumoshakala kwamasende (i-atrophy) akuthuthuki ngaphandle kokuthi kwenziwe ukuhlinzwa ekuqaleni kwentsha.

Ukungabi nenzalo kuyinkinga ye-varicocele.

Izinkinga ezivela ekwelashweni zingabandakanya:

• Amathambo we-atrophic
• Ukwakheka kwegazi
• Ukutheleleka
• Ukulimala kwe-scrotum noma isitsha segazi esiseduze

Shayela umhlinzeki wakho uma uthola isigaxa samasende noma udinga ukwelapha i-varicocele etholakele.

Imithambo ye-Varicose - isikhumba

• I-Varicocele
• Uhlelo lokuzala lwabesilisa

UBarak S, uGordon Baker HW. Ukuphathwa kwemitholampilo kokuzala kwabesilisa. 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 141.

Ukuphathwa kokuhlinzwa kokuzala kwabesilisa. Ku: Wein AJ, Kavoussi LR, Partin AW, Peters CA, ama-eds. ICampbell-Walsh Urology. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2016: isahluko 25.

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.

USilay MS, uHoen L, amaQuadackaers J, et al. Ukwelashwa kwe-varicocele ezinganeni nasebusheni: Ukubuyekezwa okuhlelekile nokuhlaziywa kwemeta okuvela ku-European Association of Urology / European Society for Pediatric Urology Guidelines Panel. I-Eur Urol. 2019; 75 (3): 448-461. I-PMID: 30316583 www.ncbi.nlm.nih.gov/pubmed/30316583.