Ngengozi varicocele ezingabantu?

Varicocele umsindo esingavamile ngempela, kodwa zokugula kuvamile impela phakathi kwabantu kuyinto ukusonteka of varicose emithanjeni ise intambo spermatic futhi amasende. Isifo esifanayo has a lot of izimpawu akumnandi kakhulu, okungase kulandelwe kokunikezwa kwe-inqubo spermatogenesis, futhi izinkinga zezempilo zokuzala iyokapakela nakuzo ukungazali ekuseni. Kulesi sihloko, sizofunda ukuthi varicocele kuyingozi njengoba lokhu zokugula kuzibonakalisa futhi uyini umbono wezazi ekwelapheni.

Izimpawu zesifo

Phakathi ukuhlukahluka izifo wabonakaliswa urological imvelo eyodwa varicocele e amadoda ayishumi ukuya kudokotela izikhalo ukuvuvukala, isisa nokuvuvuka esifundeni inguinal.

Igama isifo - ". Ukuvuvukala emithanjeni, edema" yesiLatin, ngokwezwi nezwi elisho ukuthi

A amaqiniso ambalwa mayelana varicocele:

1. Ingabe zokugula, ngenxa lapho ushintsho ngemithambo intambo spermatic kanye isende.
2. I izilonda njalo iningi yangaphakathi vein spermatic futhi kwesokunxele vein wamasende.
3. 67% of kuwukubonakaliswa varices emithambo yegazi atholakala ohlangothini lwesobunxele umzimba.
4. Vasodilation ngeshwa esiqhubekayo mkhuba engelapheki.
5. Ngenxa yalokho, thinning odongeni isitsha kwenzeka emithanjeni ukusonteka livela nodularity.
6. Igazi ugobhozela izitsha sikhubazekile ezincane futhi kancane.
7. Ngenxa yalokho - e izitsha testis nentambo spermatic igazi stasis kwakhiwa.
8. Kukhona ukuvuvukala kwezicubu ezizungezile nokuvuvukala yabo okwalandela.
9. Nge edema anda avele ubuhlungu, umuzwa wobukhulu nokuphatheka kabi ukuthi ngesikhathi ukunyakaza ngamunye indoda ukhathazekile.
10. I esiyingozi varicocele? Uma isifo siqhubeka, ukuphazamiseka okungenzeka inqubo spermatogenesis, okuyinto yena, ikhona yini imbangela ukungabi nenzalo wesilisa ekuseni.

izimbangela

Okwamanje, odokotela izizathu ezintathu eziyisisekelo ezenza kube kuyinto varicocele ezingabantu:

1. Ingcindezi anda ngemithambo kwezinso.
2. Isici vein wamasende. Mhlawumbe valve noma yokwakheka.
3. Inhlanganisela kokubili pathologies.

Ngezinye izikhathi zokugula angase ukucindezeleka bomzimba kanye ukukhathala, okuyizinto imbangela waqinisa naphakathi-besisu noma kokucindezelwa izitsha kwezinso.

I esiyingozi varicocele? Lo mbuzo iyathakazelisa eziningi. Sizokwenza ukuqonda.

Inqubo ye-pathology

1. Anatomically indandatho inguinal ixhunywe isende intambo spermatic.
2. Kubalulekile ukuthi ngaphakathi esiyingini inguinal akuyona kuphela vas deferens, kodwa futhi izitsha: emithambo yegazi, isimiso se-lymph, ekhipha igazi enhliziyweni.
3. Esikhathini samanje ethize vein valve, ngayo nefunda ngayo ukulawulwa ukugeleza kwegazi kwenzeka.
4. Varicose acinar ethintekile plexus ise intambo spermatic.
5. Kukhona ukunwetshwa umthambo spermatic, ehlambulula kwezingange zawo, kukhona nodularity.
6. It kungukuphula outflow wegazi izitsha amasende.
7. Uma kukhona isici yokwakheka ohlangothini lwesobunxele, outflow wegazi kunzima ukusuka kwesokunxele.
8. Ngenxa yalokho ukwephula ka-lymph kanye igazi kungase kubangele yisihlungu noma awe ukudabuka ephelele imithambo kulandele ukopha phakathi scrotum.
9. Ukuthuthukela varicocele kungabangela ukungazali ezingabantu.

Izimbangela krovoottoka

• It kubhekwa njengento evamile, lapho emi ukugeleza kwegazi ngemithambo has a isiqondiso esivela ngemithambo kwezinso phansi plexus acinar.
• Esikhathini isikhundla lisalele ukugeleza kwegazi ngemithambo kumele abe yokudluliselwa kusuka ngemithambo emasendeni ukuze ngemithambo kwezinso.
• Endabeni ukuwathuthukisa ukusonteka of ngemithambo iqala inchubekelembili varicocele.
• Uma kukhona luyanda ingcindezi ezitsheni ezingamahlalakhona kwezinso, ukudedelwa igazi kwenzeka collaterals. Omunye lezizitsha - testieular Vienna.
• Izimbangela nomfutho wegazi ophezulu kwezinso kungaba thrombosis bomkhumbi kanye umsuka yokwakheka yokungafaneleki.
• thuthuva Hemodynamic kungenzeka lapho uzwakalise igazi osenyameni evela wamasende normal ku vein kwezinso.
• Ushintsho njalo ukugeleza kwegazi ngemithambo kungenzeka ngenxa isici azalwa naso noma isici okuholela ekulimaleni.

Ngenxa yalokho, kukhona engalulami njalo igazi izitsha scrotum. Umphumela nokwanda ingcindezi emithambo yegazi izitsha spermatic kuze kufinyelele 3-4 izikhathi. Kulokhu, ukuhlinzwa varicocele phezu isende uyisidingo.

isigaba varicocele

izinto eziningi ezithinta izimpawu isifo. ochwepheshe bezokwelapha Modern bakhetha ukusebenzisa-ngezigaba ezine, odokotela ingaqala ngaphansi okuyinto uhlelo ukwelashwa okuphumelelayo kanye ukubikezela yokutakula. Ngakho, izigaba ezine varicocele:

• Isigaba sokuqala. Kulesi sigaba, kukhona emithanjeni varicose kanye emithanjeni spermatic cord spermatic. Nokho, ukuzimisela kwakhe kungenzeka kuphela ngosizo Doppler.
• Eyesibili esiteji. Varicose ukusonteka uhlamvu kungenziwa kunqunywa palpation e isimo ukuma. ukuthi ukusebenza kuyingozi e varicocele? On lokhu kamuva.
• Isigaba sesithathu. Ukukhomba izinguquko varicose kungenzeka kuphela emi, kodwa futhi basesimweni esikahle lisalele.
• Isigaba sesine. Nodularity kanye emithanjeni ukusonteka linganquma Ukuhlola isibunu.

zokugula okunjalo kungatholakala ngokuphelele ibuphi ubudala. Ngo intsha kanye ngabafana varicocele kwenzeka kaningi kakhulu phakathi nokuthomba. Amadoda yobudala amadala futhi lesi sifo abadala kungadalwa ekhona nomfutho wegazi ophezulu kwezinso emabangeni kokuqala noma isici azalwa naso semithambo, ukulimala, idluliselwe ngaphambili. Ngakho-ke kubalulekile ukuba acabangele umlando we-akhawunti izimo zezokwelapha samanje sitholakele varicocele (izithombe kungabonwa esihlokweni).

Ukwahlukaniswa varicocele

Namuhla isebenzisa ezingaphezu kweyodwa ngezigaba. Ngamunye wabo uyakucabangela izizathu eqondile kungani isifo Kuvezwe, kanye izici ngamunye amafomu ngokusebenzisa yiwo ogelezela sifo. Ochwepheshe kulo mkhakha we Urology futhi Nephrology emsebenzini wakhe ukuhlukanisa izikali engaphezu kwemihlanu.

Ukwahlukaniswa ohlangothini ethintekile. Enye indlela kuyinto varicocele kwesokunxele emaceleni. Kulokhu, ukunqotshwa ishiywa wadalula testieular Vienna. RHD varicocele kwenzeka cishe ngo-50% amacala, ngenkathi washaya kwesokudla testieular Vienna. ifomu kakhulu ezingavamile we varicocele zamazwe amabili. Senzeka% 5-6 kuphela eziguli.

Kusigaba shunt hlobo. Uhlobo lokuqala uyalandisa varicocele, lapho igazi reset kusukela emithanjeni kwezinso e vein wamasende. Uhlobo yesibili zokugula, lapho shunt kwenzeka kusukela vein iliac. Uhlobo lwesithathu libhekisela varicocele osenyameni elihlangene igazi vein kwezinso kanye iliac umthambo ka.

Ukwahlukanisa yi etymology we nesenzakalo. Urologists ukuhlukanisa varicocele zamabanga aphansi naphezulu ezingabantu. Esimweni sokuqala, lesi sifo has uhlobo isegazini Lokudabuka kungenzeka kube umphumela kwezinso zofuzo ezicacile zomzimba ezitsheni kwezinso e valve yabo vein cord spermatic. Esimeni sesibili - is phetho thrombosis, ukulimala, izimila e ukhalo amancane esiswini, ukugxisha izitsha intambo spermatic kusukela ngaphandle.

Izimpawu zingase zibe imnene ezinzima. Konke kuncike ukuthi sigaba sini isifo.

Symptomatology esigabeni sokuqala

• ubuhlungu ezingavamile zingaveli imbilapho ngemva yezemidlalo ukucindezeleka noma ukukhathala ngokomzimba.
• Ngaphandle kwalokhu isifo singalapheki ukuxilonga udokotela ohlinzayo noma Urologist ngesikhathi ngokomzimba ayimpoqo.

I esiyingozi wamasende varicocele esigabeni sesibili?

Symptomatology Isinyathelo sesibili

• ukungakhululeki ngezikhathi imbilapho, okuzovela emva ukunyakaza kungazelelwe.
• emizweni ungakhululekile ezenzeka ngemva uthwala izinto ezisindayo, ukugijima noma ukuhamba okukhulu futhi isikhathi eside.
• Ukungakhululeki obonakala njengenhlangano ezingemnandi edonsa futhi ezidabukile ubuhlungu njengoba ukuluma. Iziguli bathi ubuhlungu kungukuthi sho Nokho, made.
• iziguli ezingazinye uqaphela amasende kancane nokuwohloka kwesikhumba, nezinkinga zobulili.
• Nge ukuqhubeka varicocele ezingabantu (ungaba yingozi enkulu, esikhuluma ngaye ngezansi) kungadala asymmetry liphinyiselwe of the scrotum.

Symptomatology kwesiteji wesithathu:

• Sikuveze ukwencika nesenzakalo izinhlungu cord spermatic kusukela kokuvivinya umzimba.
• Ukubonakaliswa ubuhlungu ogxile esuka kolunye uhlangothi.
• Ukuvela futhi Ekhala nobuhlungu ejabhile ku scrotum emva ushintsho isikhundla umzimba.
• Okuvela ubuhlungu lapho esephumule, ebusuku.
• Ngokocansi ukungasebenzi - Ukuhlolwa ikuvumela ukuba zibukeke ukukhomba asymmetry abalulekile the scrotum.
• Ukubukeka emithanjeni somuthi ngaphansi kwesikhumba, ubuhlungu ku palpation.

Ingabe kuyingozi ukuba varicocele?

Pathology njengoba okunjalo akukhona yingozi, kodwa isikhathi nezinkinga ezingase zibe zenzeka, ziyingozi enkulu empilweni nokuphila kwabantu, futhi ngasiphi yobudala. Late ukwelashwa onguchwepheshe noma ukuqedwa usizo lochwepheshe kuhambisana inzalo kwenzeka khona lezi zinto ezilandelayo:

1. Yesikhathi eside wamasende ischemia ngenxa enganele kwegazi.
2. Ukwandisa izinga lokushisa kwe-testes, okuyinto luhambisana nomthwalo ukuphazamiseka kwenqubo spermatogenesis.
3. Ukuze avuthwa isidoda enempilo kuyadingeka 33 degrees lokushisa.
4. Ngenxa yalokho ukuvuvukala izinga lokushisa likhuphuka ukuba lokushisa lomzimba izinga. Ngenxa yalokho, isidoda aphole, ekushintsheni usayizi yabo shape.
5. Ngenxa yalokho, i-shunt normal eselaphayo zivimbela inqubo spermatogenesis.
6. Ngenxa yalokho yezinkinga - lymphostasis nasezinkingeni ezilandela ngemva kokuhlinzwa noma hydrocele.

Engamakhambi varicocele

Omunye, kodwa hhayi indlela kuphela kwelashwa varicocelectomy. ukuthi ukusebenza kuyingozi?

Varicocele kungatholakala e esigabeni sokuqala-ke into kuphela lokho okudingekayo - ukushintsha indlela yabo yokuphila futhi ibeke umkhawulo womsebenzi womzimba.

Ukuze kulesetayelekile ingcindezi naphakathi-besisu kufanele kube njalo ekuvimbeleni ukuqunjelwa. Odokotela ngokuqinile iyakwenqabela nokuphakamisa izinto ezisindayo, hambisa abukhali, ukusebenzisa.

Ukwelapha operation varicocele wenziwa kuphela izigaba zesifo wesibili nowesithathu. Izinqubo ezilandelayo kuhlinzwa kungase kwenziwe:

• Embolization ka vein, ke kleppirovanie noma Ligation.
• Plastic futhi nokuphakamisa nokuwohloka amasende.
• Ukususwa kwezimiso varicocele surgically.

Vienna, onesifo, kungenziwa excised noma embolized. Three ukufinyelela kungenzeka:

1. ukufinyelela Subingvinalny.
2. ukufinyelela Invaginalny.
3. Retroperinealny.

Urology Modern isebenzisa ukuhlinzwa laparoscopic. Bona azihileli a imbobo enkulu, kanti ingxenye onesifo singasuswa ubukhulu encane iphenya. Lezi ukuthengiselana ezihlobene emkhakheni microsurgery. Emva kokuhlinzwa angahlala izibazi amancane aphilisayo lingakapheli isonto emva kokuhlinzwa. Iziguli ngemva laparoscopy abuyele endleleni yakhe yokuphila yangaphambili nokuphilela ngezinsuku eziyishumi. Odokotela adinga komkhawulo lokuzivivinya. Lokhu kuqinisekiswa ukubuyekezwa isifo varicocele.

Ukuvimbela varicocele

Izinyathelo zokuvimbela ukuba varicoceles konke elula. Kuyadingeka ukuba ulandele imithetho embalwa, futhi kuyonciphisa ingozi yesifo:

1. Kufanele uyaqaphela asondele ukuvivinya umzimba futhi ungakhohlwa mayelana ukuphumula.
2. Udinga ukuba uphile ukuphila ocansini njalo.
3. Ungabi kahle ukuze kukhawulwe utshwala.
4. Udinga ukudla eliphezulu futhi kunokulinganisela yini. Eyokuqala ukugwema okuvela ukuqunjelwa.
5. Kuyadingeka ukuba uphumule ngokugcwele futhi ubuthongo.
6. Kubalulekile ukuthatha amavithamini ku offseason.
7. Amavesi esifike ngihlolwa, ikakhulukazi uma kukhona izimpawu eziyisixwayiso.

Izibuyekezo

Kokuhlinzwa ukwelapha isifo kubangela eziningi okubuyayo. laparoscopy kuphumelela kakhulu. Cishe asikho izibazi, ukuxakeka kakhulu.

iqembu ingozi

Varicocele kuvamile kakhulu madoda abadlali professional wahlanganyela weightlifting, isibhakela, egijima ngokwenyama ngoba amahora angaphezu kwamane ngosuku, ngiye ngazuza noma okungavamile azalwa naso ahlupheke thromboembolism noma thrombosis emithanjeni kwezinso.

Sabheka kuyingozi ukwedlula varicocele.