Ukulungiswa kwe-testicular torsion

Ukulungiswa kwe-testicular torsion ukuhlinzekela ukuxhuma noma ukuvula intambo yesidoda. Intambo yesidoda ineqoqo lemithambo yegazi esikhwameni esiholela emasendeni. I-testicular torsion iqala lapho intambo isonteka. Ukudonsa nokuphotha lokhu kuvimbela ukugeleza kwegazi kuye esendeni.

Esikhathini esiningi, uzothola i-anesthesia ejwayelekile yokuhlinzwa kokulungiswa kwe-testicular torsion. Lokhu kuzokwenza ulale futhi ungabi nezinhlungu.

Ukwenza inqubo:

• Udokotela ohlinzayo uzosika esikhwameni sakho ukuze afike entanjeni esontekile.
• Intambo ngeke ivulwe. Udokotela ohlinzayo uzobe esefaka isende ngaphakathi kwesikhwama sakho samathambo esebenzisa iziqu.
• Elinye isende lizonamathiselwa ngendlela efanayo ukuvimbela izinkinga ezizayo.

I-testicular torsion iyisimo esiphuthumayo. Ezimweni eziningi, ukuhlinzwa kuyadingeka khona lapho ukuze kudambise izinhlungu nokuvuvukala nokuvikela ukulahleka kwesende. Ukuze uthole imiphumela emihle, ukuhlinzwa kufanele kwenziwe kungakapheli amahora amane ngemuva kokuqala kwezimpawu. Emahoreni ayi-12, amasende angalimala kakhulu aze asuswe.

Izingozi zalokhu kuhlinzwa yilezi:

• Ukopha
• Ukutheleleka
• Ubuhlungu
• Ukumoshakala kwesende yize kubuye ukugeleza kwegazi
• Ukungabi nenzalo
  

Isikhathi esiningi, lokhu kuhlinza kwenziwa njengesimo esiphuthumayo, ngakho-ke isikhathi esiningi sincane kakhulu ukuthi ungaba nokuhlolwa kwezokwelapha ngaphambi kwesikhathi. Ungaba nokuhlolwa kwe-imaging (imvamisa i-ultrasound) ukuhlola ukugeleza kwegazi nokufa kwezicubu.

Isikhathi esiningi, uzonikezwa umuthi wezinhlungu bese uthunyelwa kudokotela womchamo ukuthi ayohlinzwa ngokushesha okukhulu.

Ukulandela ukuhlinzwa kwakho:

• Umuthi wezinhlungu, ukuphumula, namaphakethe eqhwa kuzonciphisa ubuhlungu nokuvuvukala ngemuva kokuhlinzwa.
• Musa ukubeka iqhwa ngqo esikhunjeni sakho. Isonge ngethawula noma ngendwangu.
• Phumula ekhaya izinsuku ezimbalwa. Ungase ugqoke ukwesekwa okuyisisekelo isonto lonke ngemuva kokuhlinzwa.
• Gwema umsebenzi okhandlayo isonto elilodwa kuya kwamabili. Kancane kancane qala ukwenza imisebenzi yakho ejwayelekile.
• Ungaqala futhi umsebenzi wezocansi ngemuva kwamasonto angaba ngu-4 kuye kwayi-6.

Uma ukuhlinzwa kwenziwa ngesikhathi, kufanele ube nokululama okuphelele. Uma kwenziwa kungakapheli amahora amane ngemuva kokuqala kwezimpawu, isende lingagcinwa isikhathi esiningi.

Uma kufanele kususwe i-testicle eyodwa, i-testicle esele esele kufanele ihlinzeke ngamahomoni anele okukhula okuvamile kwabesilisa, impilo yezocansi nokuzala.

• Ukunakekelwa kwesilonda sokuhlinzwa - kuvulekile

• I-anatomy yokuzala yowesilisa
• Ukulungiswa kwe-testicular torsion - uchungechunge

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. Umhla ka-20. IPhiladelphia, PA: Elsevier; 2020: isahluko 560.

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.

UMcCollough M, uRose E. Genitourinary kanye nokuphazamiseka kwethrafikhi yezinso. Ku: Walls RM, Hockberger RS, Gausche-Hill M, ama-eds. Imithi Ephuthumayo yaseRosen: Imiqondo kanye Nokuzijwayeza Komtholampilo. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2018: isahluko 173.

USmith TG, uCoburn M. Urologic ukuhlinzwa. Ku: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. ISabiston Incwadi Yokuhlinzwa. Umhla ka-20. IPhiladelphia, PA: Elsevier; 2017: isahluko 72.