Varikotsele hagu gwaiwa: image, Yanã shigar da aiki, magani jama'a magunguna ba tare da tiyata

Varicocele - kẽɓantacce ne ga namiji da cutar, amma da yawa daga cikin karfi jima'i taba ko ji daga gare shi. A halin yanzu, wannan Pathology aka dauke fairly na kowa, kuma shi ne kamu a 15% na namiji jama'ar na duniya. Cutar da aka gano yawanci a lokacin wani search for haddasawa na namiji rashin haihuwa, tun a 40% na lokuta shi ya hana juna biyu a farko yaro da kuma 80% - na biyu. M akwai aka bar testicular varicocele ci gaba (hoto da cutar ne ba a handbooks a kan Andrology).

Mene ne wani varicocele?

Wannan cuta ne testicular varicose veins da spermatic igiyar, sakamakon lalace jini ya kwarara a cikin wadannan gabobi. Venous jini, maimakon su shiga na baya vena cava ko na koda fara sallami cikin receptacles testes, kuma akwai faruwa ta stagnation. Bayan wani lokaci, a wani wuri na fadada fara tara jini, venous bawuloli da ganuwar ba zai iya rike shi. Akwai matsaloli. Mafi sau da yawa akwai wani varicocele bar gwaiwa, saboda akwai wani connection koda da kuma spermatic jannayẽnsa.

Me varicocele sa rashin haihuwa?

Kamar yadda aka sani, da ruwa da aka kusan ba matsa, sai da jini kafa ta baya halin yanzu yana farawa da za a daukar kwayar cutar a duk inda. Bayan wani lokaci, a sakamakon babban matsin jijiyoyinmu su shimfiɗa kuma fara girma a size. A ƙarfi daga cikin bango iya zama daban-daban, da kuma dangane da venous matsa lamba, tensile karfi, daban-daban digiri. A cibiyar sadarwa na jijiyoyinmu kewaye da gwaiwa fara ƙara, saboda abin da shi da jũna da za a nitsewa cikin soso daga jini. Kwalatai (Scrotum) ne kullum overheated, kuma sanyaya qwai tsaya a nan ba. Don maniyyi kullum aiki fita, da bukatar su runtse da zazzabi, wanda ba wanzu. Saboda haka, varicocele an dauki wata babbar factor a rasa haihuwa a cikin maza.

A Sanadin varicocele

Idan ka mayar da hankali a kan statistics, a 92% na lokuta akwai wani varicocele bar gwaiwa. A dalilan da wannan ne saboda ilimin Halittar Jiki tsarin da cibiyar sadarwa na jini a cikin Kwalatai (Scrotum). dama gwaiwa Vienna da dama a cikin na baya vena da hagu - a koda jijiya, wanda sau da yawa pinched tsakanin m mesenteric jijiya da kuma lakã. Wannan take kaiwa zuwa wahala venous outflow a cikin wannan shugabanci. An kuma gano cewa, da bawul bar testicular jannayẽnsa akai-akai lalace jirgin ruwa dama bawuloli.

A Sanadin testicular varicocele bar su ne:

• rauni jirgin ruwa ganuwar, nakasar rashi na bawuloli, varices a cikin tarihi da cutar.
• wuce kima matsa lamba da ke faruwa a ƙashin ƙugu saboda ci gaban ciwon daji Pathology, da zawo, maƙarƙashiya, da sauransu.

Kamar yadda varicocele kamu?

Gane asali da wannan Pathology andrologist. Da farko likita sikanin da mãsu haƙuri a gano duk co-morbidities, bayan da haƙuri kai duk da ake bukata gwaje-gwaje. Idan akwai tuhuma da varicocele, a cikin wannan yanayin nada wani na ciki duban dan tayi da kuma Doppler. Wadannan hanyoyin suna da za'ayi a lokacin da haƙuri yana tsaye, ko kwance. Idan likita ya samu goguwa, sa'an nan shi ne, ba wuya a ƙayyade varicocele via probing igiyar maniyyi.

Kamar yadda cutar da ake bincikar lafiya ta amfani da wani Valsalva rawar daji. A haƙuri dole exert latsa, da kuma likita kayyade lokacin da yake bincike kara girman jijiyoyinmu a shafa sashin jiki.

Varicocele da kuma mafitsara na hagu gwaiwa

Wannan cutar da ake quite sau da yawa tare da rikitarwa kamar testicular mafitsara. Yana hana gabatarwa maniyyi, exerts matsa lamba a kan appendage rabe, game da shi haddasa neyroretseptornogo jima'i tabarbarewa. An cire by tiyata.

varicocele magani

Yadda za mu bi da wani varicocele a kan hagu gwaiwa? The kawai tasiri magani ne a gudanar da wani aiki. Tun da wannan cuta ba a alaka da inherently m, da kai tsaye shaidar da aiwatar da tiyata ba ya wanzu. Wannan wajibi ne kawai a cikin wadannan lokuta:

• m zafi a cikin golaye.
• to gyara wani aibi a cikin Kwalatai (Scrotum), ba shi da ado roko.
• lura da namiji rashin haihuwa.

Duk da haka, kwararru da yawa suna karkata zuwa wani na kowa ra'ayi, da cewa idan sami varicocele a yara da kuma matasa, shi ne cikakken zama dole a yi tiyata don cire wani m rasa haihuwa.

A ranar, da aiki Hanyar domin lura da wannan cuta da aka gabatar a hanyoyi guda huxu:

• bude aiki (a Ivanissevich).
• Endoscopic tiyata.
• aiki na mini-hanya.
• microsurgical testicular revascularization.

bude tiyata

Wannan tiyata da aka yi sau da yawa isa ba, idan suka kamu da varicocele bar gwaiwa. Operation of Ivanissevich ne kamar haka: a cikin iliac incision. Da zarar fata da kuma subcutaneous nama suna dissected, yanke Layer tsokoki da kuma tendons ne m jannayẽnsa ligated da qwai. Jigon da aiki memba a cikin rufi jannayẽnsa ligation na hagu gwaiwa dan kadan sama da ciki zobe na inguinal canal.

The aiki na mini-hanya

A waje inguinal zobe aiki a kananan incision, haka departing daga tushe na daya santimita azzakari. Da zarar fata da kuma subcutaneous nama suna dissected find spermatic igiyar da kuma gudanar da wani miya ya jijiyoyinmu. Daga bisani, da jini daga cikin kwai fara gudãna daga bãya via da na waje jijiyoyinmu.

endoscopic tiyata

Wannan fasahar varicocele magani daga hagu gwaiwa ne mai nasara a cikin tiyata. Maimakon yin yanke punctures biyar millimeters. Origin huda da aka yi a cikin umbilicus, an gabatar ta dada talabijin kamara wanda aka haɗa zuwa wani video duba. A ranar da allo, wani likitan tiyata iya ganin duk dole ayyukan a yankin.

Make biyu huda da allura ta hanyar wadannan dada almakashi da clamps. Tare da wadannan kayan aikin da asirce testicular jijiya jannayẽnsa fita daga karkashin peritoneum. Next, a testicular jannayẽnsa likita ya dora titanium staples da su bandages m thread. Operation yana game da mintina talatin.

Microsurgical testicular revascularization

Operation taimaka wajen maido da jinin samar da gwaiwa. A wannan yanayin, shi ne transplanted a cikin wata jijiya epigastric jannayẽnsa cewa ba ka damar maido da jini ya kwarara da gwaiwa.

Me zafi na iya faruwa bayan tiyata?

Bayan da aiki da aka yi, da mãsu haƙuri ya zama wani lokaci a asibiti. Wannan wajibi ne don kauce wa matsalolin da, ko da yake da shi ya faru da wuya saboda hanyoyin zamani na lura da varicocele. A 90% na lokuta, zafi da cewa zai iya ta da postoperative izinin fairly da sauri.

A 10% na lokuta da postoperative zafi varicocele bar gwaiwa a cikin shakka daga cikin spermatic igiyar. Wannan na iya zama saboda farkon postoperative rikitarwa - lymphostasis hagu da rabi na Kwalatai (Scrotum). Yana taso saboda da ligation na lymphatic tasoshin. A wannan yanayin, kana so ka sake ziyarci wani likita.

Shin, akwai wani mai magani varicocele ba tare da tiyata?

Maza sau da yawa tambayi tambaya: idan sami varicocele bar gwaiwa, magani ba tare da tiyata - shi ne mafarki ko gaskiya? Mai likitoci suna ganin cewa kawai tiyata taimaka kawar da wannan cuta, kuma babu magani ba zai iya warkar da shi. Duk da haka, da aiki kawai ta kawar da sakamakon cewa ya faru. Saboda haka, mutane da yawa sun gaskata cewa hagu gwaiwa varicocele magani daga mutãne magunguna da kuma yin musamman bada kawo kyakkyawan sakamako ba. Duk da haka, ra'ayin mazan jiya da hanyoyin magani ne kawai zai yiwu a lokacin da mataki na farko varicocele. A cuta ne na biyu da na uku mataki na bukatar tiyata kadai.

Saboda haka, a lokacin da ya bar gwaiwa varicocele tasiri motsa jiki wadannan:

• M tausa na golaye. Dole ne ka kwanta a kan gado mai matasai ko kadan ya jawo ƙashin ƙugu, wannan damar domin na farko outflow na venous jini. A lokacin tausa, da karfi na latsa ya zama irin wannan kauce wa duk wani zafi.
• A kadan dauke a kan ta yatsun kafa a kasa da kuma sauri fada zuwa bene. Irin wannan darasi an yi wani sau 30 sau biyu a rana. Idan ka fuskanci zafi darussan da ya kamata a katse.
• Dole ne ka tsaya tare da ƙafãfunku tare don rage. Hands sannu a hankali saukar da saukar, taba kasa tare da yatsunsu. Sa'an nan, ya sannu a hankali dauke a kan ta yatsun kafa. Shan mai zurfi numfashi, mayar da hankali duk da hankali a kan cibiya. Tsokoki na ciki a kasa da bel kamata budewa. Sa'an nan ya tashi sharply a kan dugadugansa, exhale kuma shakata.

Babu kasa tasiri ne a varicocele bar gwaiwa magani daga mutãne magunguna:

• Fresh ganye da kuma shugaban silvery abinci mai ɗaci murƙushe kuma kara da cewa shi a tablespoon na kirim mai tsami ko madara. All Mix da kyau, yada a kan gauze da kuma amfani ga matsalar yankunan. Wannan ya kamata a yi kwanaki 5, sa'an nan hutu na 3 kwanaki, bayan da duk maimaita.
• Mix daidai sassa chamomile furanni chestnut, Willow haushi, tushen da kuma rasberi Rue miyagun ƙwayoyi. Wadannan sinadaran suna zuba 0.5 lita na ruwa da kuma Boiled na mintina 15. Sinadaran kamata nace dare, da kuma yi shi a cikin safe da maraice, har 150 g
• Dauki uku manyan apple, tafasa da kuma nace sa'o'i uku. Capacity a cikin wannan hali ya kamata kunsa. Bayan da cewa apples knead cikin Mush, da kuma tace ta strainer. A sakamakon cakuda kamata sha sau uku a rana ta 50 g har kyautata.

Rigakafin varicocele

Domin ya hana wannan cuta ne da za'ayi m matakan, wanda ake nufin da kiyaye sauki dokoki, domin taimakawa kauce wa cunkoso a cikin makwancin gwaiwa yankin. Ya kamata ka kai a kai gudanar da dumi-up, idan aiki ne masu zama a gida ko su tsaya har tsawon wani lokaci a wuri guda. An shawarar yi darussan kullum darussan ga kafafu. Very amfani dauke jogging da safe, kullum dogon tafiya da ƙafa. Idan zai yiwu, ya kamata ka iyo kamar yadda zai yiwu a pool ko bude ruwa.

kamar yadda shi ne mafi alhẽri ba sha, kuma ba hayaki, ci dama, ƙara zuwa ga rage cin abinci na raw kayan lambu da 'ya'yan itatuwa, da kuma ba samun nauyi. A lokacin motsa jiki a ke so guje wa zafi fiye da kima da golaye saboda m tufafi.

Duk da haka, da wannan cuta ne a yarda da wadannan jagororin na iya har yanzu faruwa idan akwai wani kayyade predisposition. Saboda haka, yin rigakafi da matakan ma sun hada da na yau da kullum checkups andrologist.

Rigakafin na varicocele a matashi yaron ya magance tare da iyayensa, kula zuwa farkon ganewa na wannan cuta. Sai suyi bayyana shi da bukatar wani likita jarrabawa da kuma dace magani don kauce wa yiwu nan gaba rasa haihuwa.

Za a iya daukar ciki faruwa bayan tiyata ga varicocele?

Wannan cuta aka dauke su quite musamman, da kuma da yawa maza ne ba cikin sauri zuwa neman taimako, Jinkirtãwa da ziyarar da likita da karshe. Amma su ne sosai damuwa game da ko za su iya zuwa da yara bayan tiyata. Tare dace magani da kuma lura da chances na cewa ne manya-manyan.

ƙarshe

Saboda haka, varicocele hagu gwaiwa, wanda hotuna don taimaka maka mafi alhẽri fahimtar wannan matsala, shi ba a dauke jumla ga mutãne waɗanda suke mafarki to da yara. Idan muka duba a lokacin da ganin likita da kuma rabu da wannan m cutar, wanda idan da hangen nesa ne sosai m.