Torsion wamasende

-Delile

• Yini i-testicular torsion?
• Yini ebangela ukuqubuka kwamasende?
• Izici zokuzalwa
• Ezinye izimbangela
• Ziyini izimpawu zokushaywa kwamasende?
• Ihlolwe kanjani i-testicular torsion?
• Yiziphi izindlela zokwelapha ezenzelwe i-testicular torsion?
• Ukulungiswa kokuhlinzwa
• Yini ehilelekile ekululameni kusuka ekuhlinzweni kwe-testicular torsion?
• Ukudambisa izinhlungu
• Inhlanzeko
• Ukuphumula nokululama
• Yiziphi izingqinamba ezihambisana ne-testicular torsion?
• Ukutheleleka
• Ukungabi nenzalo
• Ukukhubazeka kwezimonyo
• I-Atrophy
• Ukufa kwamasende
• Yiziphi izimo ezingafana nokuqothuka kwamasende?
• I-Epididymitis
• I-Orchitis
• I-Torsion yesithasiselo testis
• Uyini umbono wesikhathi eside wabantu abane-testicular torsion?

Sifaka imikhiqizo esicabanga ukuthi ilusizo kubafundi bethu. Uma uthenga ngezixhumanisi ezikuleli khasi, singathola ikhomishini encane. Nansi inqubo yethu.

Yini i-testicular torsion?

Isizathu esivame kakhulu sesimo esiphuthumayo esihlobene nomgudu wesilisa wobulili besilisa yisifo esibuhlungu kakhulu esibizwa ngokuthi i-testicular torsion.

Abesilisa banamasende amabili aphumule ngaphakathi kwesikhotha. Intambo eyaziwa njenge-spermatic cord ihambisa igazi emasendeni. Ngesikhathi sokuxinwa kwamasende, le ntambo iyajika. Ngenxa yalokhu, ukugeleza kwegazi kuyathinteka futhi izicubu ezisetendeni zingaqala ukufa.

Ngokwe-American Urological Association, lesi simo asijwayelekile futhi sithinta umuntu oyedwa kwabangu-4 000 abangaphansi kweminyaka engama-25.

I-Torsion ivame kakhulu kwabesilisa abasebasha. Labo abaneminyaka ephakathi kwengu-12 nengu-18 ubudala bangamaphesenti angama-65 abantu abanalesi sifo, ngokusho kweCleveland Clinic. Kodwa-ke, izinsana nabantu abadala asebekhulile nabo bangathinteka.

Yini ebangela ukuqubuka kwamasende?

Abaningi balabo abane-testicular torsion bazalwa benengozi enkulu yalesi simo, noma kungenzeka ukuthi abazi.

Izici zokuzalwa

Ngokuvamile, amasende awakwazi ukuhamba ngokukhululeka ngaphakathi kwesikhwama. Izicubu ezizungezile zinamandla futhi ziyasekela. Labo abahlangabezana nokuhlukumezeka kwesinye isikhathi banezicubu ezibuthaka ezibuthakathaka esikhwameni.

Kwezinye izimo, lokhu kungadalwa yisici sokuzalwa esaziwa ngokuthi yi- "bell clapper" deformity. Uma unenkinga yokukhubazeka kwensimbi, amasende akho angahamba ngokukhululeka esikhunjeni. Lokhu kuhamba kunyusa ubungozi bokuthi intambo yesidoda isonteke. Lokhu kukhubazeka kubangela amaphesenti angama-90 wamacala we-testicular torsion.

I-testicular torsion ingasebenza emindenini, ithinte izizukulwane eziningi kanye nezelamani. Izici ezifaka engcupheni ephezulu azaziwa, noma ngabe ukukhubazeka kwensimbi kungafaka isandla. Ukwazi ukuthi abanye emndenini wakho babhekane nokuhlushwa kwamasende kungakusiza ukuthi ucele ukwelashwa okuphuthumayo ngokushesha uma izimpawu zayo zikuthinta noma othile emndenini wakho.

Akuwona wonke umuntu ohlangabezana nalesi simo onesimo sofuzo kuso, noma kunjalo. Cishe amaphesenti ayi-10 alabo abane-testicular torsion banomlando womndeni waleso simo, ngokusho kocwaningo olulodwa oluncane.

Ezinye izimbangela

Lesi simo singenzeka nganoma yisiphi isikhathi, ngisho nangaphambi kokuzalwa. I-testicular torsion ingenzeka uma ulele noma wenza umsebenzi womzimba.

Kungenzeka futhi ngemuva kokulimala emgodini, njengokulimala kwezemidlalo. Njengesinyathelo sokuvimbela, ungagqoka indebe ye- [AFFILIATE LINK:] yezemidlalo yokuxhumana.

Ukukhula okusheshayo kwamasende ngesikhathi sokuthomba nakho kungadala isimo.

Ziyini izimpawu zokushaywa kwamasende?

Ubuhlungu nokuvuvukala kwesikhwama se-scrotal yizona zimpawu eziyinhloko ze-testicular torsion.

Ukuqala kobuhlungu kungaba ngokuzumayo impela, futhi ubuhlungu bungaba bukhulu. Ukuvuvukala kungakhawulwa ohlangothini olulodwa nje, noma kungenzeka kwiscrotum sonke. Ungaqaphela ukuthi isende elilodwa liphakeme kunelinye.

Ungahle uzwe:

• isiyezi
• isicanucanu
• ukuhlanza
• izigaxa esikhwameni esikhwabanisa
• igazi esidunjini

Kunezinye izimbangela ezingaba khona zobuhlungu obukhulu besende, njengesimo sokuvuvukala i-epididymitis. Kusafanele uthathe lezi zimpawu ngokungathi sína futhi ufune ukwelashwa okuphuthumayo.

Ukudonswa kwamasende kuvame ukuvela esendeni elilodwa kuphela. I-bilateral torsion, lapho womabili ama-testes ethinteka ngasikhathi sinye, ayivelakancane kakhulu.

Ihlolwe kanjani i-testicular torsion?

Ukuhlolwa okungasetshenziselwa ukuxilonga i-torsion kufaka:

• ukuhlolwa komchamo, okubheka ukutheleleka
• izivivinyo zomzimba
• ukucabanga kwesikhwama

Ngesikhathi sokuhlolwa komzimba, udokotela wakho uzohlola i-scrotum yakho ukuvuvukala. Bangaphinda banciphise ngaphakathi kwethanga lakho. Imvamisa lokhu kudala ukuthi amasende angene enkingeni. Kodwa-ke, le reflex inganyamalala uma une-torsion.

Ungase futhi uthole i-ultrasound yesikhalazo sakho. Lokhu kukhombisa ukugeleza kwegazi emasendeni.Uma ukugeleza kwegazi kungaphansi kunokujwayelekile, ungahle ubhekane nokuhlukumezeka.

Yiziphi izindlela zokwelapha ezenzelwe i-testicular torsion?

I-Torsion yama-testes iyisimo esiphuthumayo sezokwelapha, kepha intsha eningi iyanqikaza ukusho ukuthi bayalimala noma bafuna ukwelashwa khona manjalo. Akufanele neze ungabunaki ubuhlungu obubukhali bamasende.

Kungenzeka ukuthi abanye babhekane nalokho okwaziwa ngokuthi yi-torsion ngezikhathi ezithile. Lokhu kudala ukuthi isende liphenduke futhi lingazibambi. Ngenxa yokuthi isimo kungenzeka siphinde sibuye, kubalulekile ukufuna ukwelashwa, noma ngabe izinhlungu ziba bukhali bese ziyancipha.

Ukulungiswa kokuhlinzwa

Ukulungiswa kokuhlinzwa, noma i-orchiopexy, kuyadingeka ukwelapha i-testicular torsion. Ezimweni ezingavamile, udokotela wakho angakwazi ukuvula intambo yesidoda ngesandla. Le nqubo ibizwa nge- "detorsion manual."

Ukuhlinzwa kwenziwa ngokushesha okukhulu ukubuyisela ukugeleza kwegazi emasendeni. Uma ukugeleza kwegazi kunqamuka isikhathi esingaphezu kwamahora ayisithupha, izicubu zamasende zingafa. Isende elithintekile kuzodingeka ukuthi lisuswe.

Ukuhlanzwa kokuhlinzwa kwenziwa ngaphansi kwe-anesthesia ejwayelekile. Uzobe ulele futhi ungazi ngenqubo.

Udokotela wakho uzokwenza imbobo encane esikhwameni sakho bese evula intambo. Imisipha emincane izosetshenziselwa ukugcina isende lisesimeni sokuqina. Lokhu kuvimbela ukujikeleza ukuthi kungenzeki futhi. Udokotela ohlinzayo ube esevala imbobo ngemithungo.

Yini ehilelekile ekululameni kusuka ekuhlinzweni kwe-testicular torsion?

I-Orchiopexy ayidingi ukuhlala esibhedlela ubusuku bonke. Uzohlala egumbini lokutakula amahora amaningi ngaphambi kokukhishwa.

Njenganoma iyiphi inqubo yokuhlinzwa, ungahle ungaphatheki kahle ngemuva kokuhlinzwa. Udokotela wakho uzoncoma noma anikeze umuthi wezinhlungu ofanele kakhulu. Uma i-testicle yakho idinga ukususwa, cishe uzohlala esibhedlela ubusuku bonke.

Ukudambisa izinhlungu

Udokotela wakho kungenzeka asebenzise iziqu ezingaqhekeka zenqubo yakho, ngakho-ke ngeke udinge ukuthi zisuswe. Ngemuva kokuhlinzwa, ungalindela ukuthi i-scrotum yakho ivuvukele amasonto amabili kuya kwamane.

Ungasebenzisa i-ice pack izikhathi eziningana ngosuku imizuzu eyi-10 kuye kwengu-20. Lokhu kuzosiza ukunciphisa ukuvuvukala.

Inhlanzeko

Ukusikeka okwenziwe ngesikhathi sokuhlinzwa nakho kungakhipha uketshezi usuku olulodwa noma ezimbili. Qinisekisa ukugcina indawo ihlanzekile ngokugeza ngobumnene ngamanzi afudumele, anensipho.

Ukuphumula nokululama

Udokotela wakho uzoncoma ukuthi uyeke izinhlobo ezithile zemisebenzi amasonto ambalwa ngemuva kokuhlinzwa. Lokhu kufaka phakathi umsebenzi wezocansi nokugqugquzela, njengokushaya indlwabu nokuya ocansini.

Uzokwaziswa futhi ukuthi ugweme imisebenzi yezemidlalo noma ekhandlayo. Ngalesi sikhathi, kubalulekile futhi ukugwema ukuphakamisa okunzima noma ukuhlunga ngesikhathi sokuhamba kwamathumbu.

Qiniseka ukuthi uthola ukuphumula okuningi ukuvumela umzimba wakho ukuba ululame ngokuphelele. Ungahlali ngokuphelele, kepha. Ukuhamba kancane usuku ngalunye kuzosiza ukukhuphula ukugeleza kwegazi ukuya endaweni, kusekela ukululama.

Yiziphi izingqinamba ezihambisana ne-testicular torsion?

I-testicular torsion yisimo esiphuthumayo esidinga ukunakekelwa ngokushesha. Uma ungelashwa ngokushesha, noma nhlobo, lesi simo singaholela ezinkingeni ezinzima.

Ukutheleleka

Uma kungasuswa izicubu zesende ezifile noma ezilimale kakhulu, i-gangrene ingavela. I-Gangrene iyisifo esongela impilo. Ingasakazeka ngokushesha emzimbeni wakho wonke, okuholele ekushaqekeni.

Ukungabi nenzalo

Uma kwenzeka umonakalo kuwo womabili amasende, umphumela wokungabi nenzalo uzovela. Uma uhlangabezana nokulahleka kwesende elilodwa, noma kunjalo, ukuzala kwakho akufanele kuthinteke.

Ukukhubazeka kwezimonyo

Ukulahleka kwesende elilodwa kungadala ukukhubazeka kwezimonyo okungadala ukucasuka emoyeni. Lokhu kungabhekiswa ngokufakwa kwe-testicular prosthesis.

I-Atrophy

Ukunganakwa kwe-testicular torsion kungaholela ekuqothulweni kwamasende, okwenza isende linciphe kakhulu ngosayizi. Isende eline-atrophied lingakwazi ukukhiqiza isidoda.

Ukufa kwamasende

Uma ishiywe ingalashwa isikhathi esingaphezu kwamahora ambalwa, isende lingalimala kakhulu, kudingeke ukuthi lisuswe. I-testicle ngokuvamile ingagcinwa uma yelashwa kungakapheli iwindi lamahora amane kuya kwayisithupha.

Ngemuva kwesikhathi samahora ayi-12, kunethuba elingamaphesenti angama-50 lokonga isende. Ngemuva kwamahora angama-24, amathuba okonga isende ahla aya kumaphesenti ayi-10.

Yiziphi izimo ezingafana nokuqothuka kwamasende?

Ezinye izimo ezithinta amasende zingadala izimpawu ezifana nalezo ze-testicular torsion.

Akunandaba ukuthi yiziphi kulezi zimo ocabanga ukuthi ungaba nazo, kubalulekile ukubona udokotela wakho ngokushesha. Bangakhipha ukukhishwa kwamasende noma bakusize uthole ukwelashwa okudingekayo.

I-Epididymitis

Lesi simo ngokuvamile sibangelwa ukutheleleka kwamagciwane, kufaka phakathi izifo ezithathelwana ngocansi ezifana ne-chlamydia ne-gonorrhea.

Izimpawu ze-epididymitis zivame ukuvela kancane kancane futhi zingafaka:

• ubuhlungu besende
• ukuchama kabuhlungu
• ububomvu
• ukuvuvukala

I-Orchitis

I-Orchitis ibangela ukuvuvukala nobuhlungu esendeni elilodwa noma kuwo womabili kanye nasemgodini.

Kungabangelwa yi-bacterial noma i-virus. Kuvame ukuhlotshaniswa nezimpungushe.

I-Torsion yesithasiselo testis

Isithasiselo testis ucezu oluncane lwezicubu ezijwayelekile ezisendaweni ephezulu yamasende. Akusebenzi. Uma lesi sicubu sijika, kungadala izimpawu ezifana ne-testicular torsion, njengobuhlungu, ububomvu nokuvuvukala.

Lesi simo asidingi ukuhlinzwa. Esikhundleni salokho, udokotela uzobona isimo sakho. Bazophinde bancome imithi yokuphumula neyezinhlungu.

Uyini umbono wesikhathi eside wabantu abane-testicular torsion?

Ngokusho kwe-TeensHealth, amaphesenti angama-90 abantu abelashelwe ukuhlinzwa kwamasende ngaphakathi kwamahora amane kuya kwayisithupha okuqala kobuhlungu akudingi ekugcineni ukususwa kwesende.

Kodwa-ke, uma ukwelashwa kulethwa amahora angama-24 noma ngaphezulu ngemuva kokuqala kobuhlungu, cishe amaphesenti angama-90 adinga ukususwa kokuhlinzwa kwesende.

Ukususwa kwesende, okubizwa ngokuthi i-orchiectomy, kungathinta ukukhiqizwa kwamahomoni ezinganeni. Kungathinta nokuzala kwesikhathi esizayo ngokwehlisa ukubalwa kwesidoda.

Uma umzimba wakho uqala ukwenza ama-anti-sperm antibodies ngenxa ye-torsion, lokhu kunganciphisa namandla okuhamba kwesidoda.

Ukugwema lezi zingqinamba ezingaba khona, kufanele ufune usizo lwezimo eziphuthumayo ngokushesha uma usola ukuthi wena noma ingane yakho nibhekene ne-testicular torsion. Ukuhlinzwa kwe-testicular torsion kusebenza kahle kakhulu uma isimo sibanjwa kusenesikhathi.