Ngengozi varicocele ngabantu?

Varicocele izandi kakhulu ezingaqhelekanga, kodwa ngezifo kakhulu phakathi kwabantu kwaye deformation of ngemithambo varicose ibekwe intambo spermatic kunye namasende. Isifo ofanayo ezininzi iimpawu mnandi kakhulu, nto leyo ilandelwe ukunyhashwa inkqubo spermatogenesis, kunye neengxaki zempilo ephathelele ekuzaleni ifikelele ukungachumi ekuqaleni. Kweli nqaku, siza kufunda ukuba yintoni varicocele kuyingozi le ngezifo kubonakala yintoni na uluvo leengcaphephe kunyango.

Iimpawu zesi sifo

Phakathi iintlobo zezifo ebonakalisa badalwe varicocele yomchamo kwi amadoda alishumi nokuya kwi igqirha izikhalazo ukudumba, isisa ukudumba kwingingqi inguinal.

Igama kwesifo - ". Iindumbisa emithanjeni, nokudumba" yesiLatini, igama elithetha

A iinkcukacha ezimbalwa malunga varicocele:

1. Ngaba ngezifo, ngenxa apho utshintsho ngemithambo ze intambo spermatic kunye kwetyhalarha.
2. Ezitshangubeni kakhulu rhoqo le ndlela lwangaphakathi spermatic kunye ndlela wamatyhalarha ekhohlo.
3. 67% yazo zonke kubonakaliswa varices lwemithambo zifumaneka kwicala lasekhohlo lwe umzimba.
4. Vasodilation ngelishwa zokunyanzelisa isenzeko vuhlayiseki.
5. Ngenxa yoko, ukuxozwa kodonga nqanawa kwenzeka imithambo deformation kubonakala nodularity.
6. Igazi aqukuqela ephuma iimpahla likhubazeke ezincinane yaye bazekelele.
7. Ngenxa yoko - nasezimpahleni wetyhalarha kunye nomtya spermatic stasis igazi kwakhiwa.
8. Kukho kukukrala ancedisana ezingqongileyo kunye ukudumba zabo ezilandelayo.
9. Ngenxa nokudumba ukwanda ukuvela intlungu, imvakalelo ubunzima kuhlolwe ukuba intshukumo ngamnye umntu ochaphazelekayo.
10. Le varicocele eyingozi? Ukuba sifo, ukuphazamiseka kwenkqubo spermatogenesis, mvisiswano leyo, kwelinye icala, kukho unobangela ukungachumi oyindoda ekuqaleni kunokwenzeka.

oonobangela

Okwangoku, oogqirha izizathu ezithathu ezisisiseko kutheni kukho varicocele ngabantu:

1. Uxinzelelo kwanda ngemithambo sezintso.
2. ndlela siphene wamatyhalarha. Mhlawumbi ivalve okanye yokwakheka.
3. Indibaniso zombini ezimbi.

Ngamanye amaxesha ngezifo kungase uxinezeleko bomzimba kunye ukudinwa, ezo unobangela ukwanda koxinzelelo intra-esiswini okanye ucinezelo iimpahla sezintso.

Le varicocele eyingozi? Lo mbuzo umdla abaninzi. Siza baya kuqonda.

Inkqubo ye ngezifo

1. Anatomically ring inguinal liqhagamshelene kwetyhalarha intambo spermatic.
2. Kubalulekile ukuba ngaphakathi khonkcweni inguinal nje kuphela Umbobho Vas, kodwa iimpahla: lwemithambo, emithanjeni, umfutho.
3. In kwemithambo Kwangale langoku ezithile, ngendlela apho ulawulo lokuhamba kwegazi kwenzeka.
4. Varicose acinar ochaphazelekayo plexus ibekwe intambo spermatic.
5. Kukho ukwanda iphuma spermatic, olindelwe of neendonga zaso, kukho nodularity.
6. It kukwaphula nencindi igazi iimpahla amasende.
7. Ukuba kukho isiphako yokwakheka kwicala lasekhohlo, yayikukuphuphuma igazi kunzima ukusuka ekhohlo.
8. Ngenxa olwaphula nkovu kunye negazi kunokubangela yokukrala okanye komsipha epheleleyo imithambo, kulandele legazi kwi kwisingxobo samatyhalarha.
9. Inkqubela varicocele nezinokubangela ubudlolo emadodeni.

Izinto ezibangela krovoottoka

• It ingqalelo eqhelekileyo, xa ukuma ukuhamba kwegazi ngenxa yegazi uye ulwalathiso oluvela yegazi sezintso phantsi plexus acinar.
• Kwindawo lisalele ukuhamba kwegazi ngenxa yegazi kufuneka babe yokuthunyelwa evela imithambo ye amasende ukuya yegazi sezintso.
• Kwimeko yokwanda kunye deformation le mithambo iqala varicocele ukuqhubela phambili.
• Ukuba kukho ukwanda koxinzelelo kwiinqanawa ezingapheliyo kwezintso, kwaba ligazi ukumpompoza kwegazi kwenzeka collaterals. Enye yezi mpahla - testieular eVienna.
• Izinto ezibangela lwegazi sezintso inokuba thrombosis benqanawa kunye nemvelaphi yokwakheka engasebenzi.
• ukuphazamiseka Hemodynamic kungenzeka xa igazi obhobhozayo ovela wamatyhalarha etenxileyo Kusenjalo kwezintso.
• Oku kutshintsha njalo flow igazi ngenxa yegazi kunokwenzeka ngenxa yomonakalo naso okanye isiphene evela yokwenzakala.

Ngenxa yoko, kukho kokoma rhoqo igazi iimpahla kwisingxobo samatyhalarha. Isiphumo ukwanda koxinzelelo lwemithambo nasezimpahleni spermatic ukuya ku amaxesha 3-4. Kulo mzekelo, utyando varicocele kwi wamatyhalarha a kuyimfuneko.

isigaba varicocele

mininzi imibandela echaphazela iimpawu sifo. iingcali zonyango Modern ukhetha ukusebenzisa i-kudidi amane, phantsi apho oogqirha ukuphuhlisa isicwangciso unyango olusebenzayo aqikelele achache. Ngenxa yoko, izigaba ezine varicocele:

• Isigaba sokuqala. Kweli nqanaba, kukho imithambo varicose ngemithambo spermatic ye intambo spermatic. Noko ke, ukuzimisela kwakhe kunokwenzeka kuphela ngoncedo Doppler.
• Isigaba sesibini. Varicose deformation ubuntu na kumiselwa Ngokucofa kwi ukuma ukuma. ingaba msebenzi eyingozi varicocele? Kule kamva.
• Isigaba sesithathu. Ukukhangelwa utshintsho varicose akuvumelekanga emi kuphela, kodwa kwakhona kwindawo lisalele.
• Isigaba sesine. Nodularity ngemithambo deformation inokumiselwa yi zoviwo zangasese.

ngezifo ezifana inokufumaneka ngokupheleleyo nayiphi na ubudala. Xa abafikisayo kunye namakhwenkwe abatsha varicocele kwenzeka amaninzi xa ufikisa. Amadoda ngobudala amakhulu kunye nesifo abakhulileyo ezinokubangelwa lwegazi ekhoyo sezintso sikwinqanaba lokuqala okanye isiphene azalwa semithambo, ukwenzakala, kwiCEMIS ngaphambili. Kubalulekile ke ngoko ukuba uthathele kwimbali akhawunti kunye neemeko zonyango ngoku lokufunyaniswa varicocele (iifoto inokubonwa kwinqaku).

ngezigaba varicocele

Namhlanje usebenzisa yokuhlela ngaphezu kwesinye. Ngamnye kubo sithabathela ingqalelo izizathu ngqo kutheni esi sifo kuye kwavela, kwakunye iimpawu ngamnye ngamnye iifom aqukuqela ngalo sifo. Iingcali entsimini nomchamo kunye kwi- emsebenzini wakhe ukwahlula ezikalini ngaphezu ezintlanu.

Ulwahlulo lwe icala achaphazelekayo. Enye indlela i ekhohlo-kabini varicocele. Kulo mzekelo, lokoyiswa obala testieular eVienna. RHD varicocele kwenzeka malunga nowama-50% amatyala, ngelixa wambetha ekunene testieular eVienna. uhlobo inqabile kakhulu a varicocele abambiseneyo. Senzeka% 5-6 kuphela kwizigulane.

Classification ngohlobo shunt. Uhlobo lokuqala ubalisa varicocele, apho igazi ngocwangcisa ukusuka yegazi sezintso kule ndlela wamatyhalarha. Uhlobo lwesibini ubalisa ngezifo, apho shunt yokuqiqa ukusuka Kwangale iliac. Uhlobo lwesithathu libhekisa khulula varicocele odityanisiweyo we igazi ukusuka apho iphuma kwezintso kunye iliac umthambo ka.

Classification ngokuthi etymology le zisenzeka. Urologists ukwahlula varicocele eziziprayimari nezizisekondari ngo-abantu. Kwimeko yokuqala, esi sifo uhlobo wendalo imvelaphi inokuba sisiphumo ukungaqheleki yemfuza zomzimba kwimikhumbi sezintso kwi semigudu zawo umthambo ka intambo spermatic. Kwimeko yesibini - yinto ngenxa thrombosis, ukwenzakala, nangezilonda kwi isinqe ezincinane kunye nesisu, ngokuveza iimpahla intambo spermatic ezivela ngaphandle.

Iimpawu zisenokungabi qatha esiqatha. Konke kuxhomekeke sigaba sini sifo.

Symptomatology Isigaba sokuqala

• ubuhlungu Onge evela kwi nasemiphakathweni emva bexhamla uxinzelelo okanye ngokomzimba.
• Ngaphandle kwesi sifo ithole ugqirha okanye womchamo ngexesha ngokomzimba ezinyanzelekileyo.

Le yingozi wamatyhalarha Isigaba varicocele yesibini?

Symptomatology Inyathelo lesibini

• kabi ngamaxesha athile xa nasemiphakathweni, evela emva iintshukumo ngequbuliso.
• njengokungathi ntofontofo ezenzeka emva onzima, njengomtyibilizi, okanye ukuhamba eqatha kuyoluka.
• Kuyaphela wabonisa njengokuba zingambi okuwisa nokuqaqamba intlungu njengoko esibuhlungu. Izigulane bathi ke, ukuba intlungu hayi kugqame, bude.
• izigulane kuvumelekileyo uqaphele amasende kancinane unokukhawuleza, kwekhono ngokwesondo.
• Kunye ukuqhubela phambili varicocele emadodeni (yingozi ngakumbi, kuxoxwa ngezantsi) kunokubangela i asymmetry abuthethileyo ye kwisingxobo samatyhalarha.

Symptomatology kweqonga lesithathu:

• Elibonakaliswe uxhomekeko ingenzeka yeentlungu ze intambo spermatic ukusuka amandla omzimba.
• Ngokubonakala intlungu becala ukusuka kwelinye icala.
• Ukuvela ingxa- ziintlungu eliguquguqukayo kwi samatyhalarha emva utshintsho omzimba.
• Livela iintlungu nokuphumla, ebusuku.
• kwekhono ngokwesini - uhlolo ikuvumela ukuba ukuchonga abangaboniyo a asymmetry elibalulekileyo kwisingxobo samatyhalarha.
• Imbonakalo imithambo esinamaqhuqhutye phantsi kwesikhumba, iintlungu Ngokucofa.

Kuyingozi varicocele?

Pathology njengoko loo nto iyingozi, kodwa iingxaki ezinokwenzeka, yingozi elibonakalayo impilo kunye nobomi babantu, yaye nanini na ubudala. specialist unyango ezifike emva kwexesha okanye ukuphelisa uncedo lobungcali okungathetha inzalo kwenzeka phambi kwezi zinto zilandelayo:

1. ischemia wamatyhalarha Long-term ngenxa nokuhamba kwegazi ayonelanga.
2. Ukwandisa amaqondo obushushu amatyhalarha, obuquka ukuphazamiseka kwenkqubo spermatogenesis.
3. Ukuze zavuthwa isidoda esempilweni kufuneka kwiqondo lobushushu degrees 33.
4. Ngenxa lobushushu ukudumba liphuma kwinqanaba iqondo lobushushu emzimbeni. Ngenxa yoko, isidoda aphole, ukutshintsha ubungakanani nemilo.
5. Ngenxa yoko, i-shunt engaqhelekanga iikhompawundi esebenzayo anqanda inkqubo spermatogenesis.
6. Ngenxa yeengxaki - lymphostasis postoperative okanye hydrocele.

ayini varicocele

Omnye, kodwa hayi indlela kuphela unyango yi varicocelectomy. ingaba umsebenzi kuyingozi?

Varicocele kungabonwa kwinqanaba lokuqala, ngoko into kuphela efunekayo - kukuba ukutshintsha indlela yabo yokuphila ukunciphisa umsebenzi ngokwasemzimbeni.

Bunjani uxinzelelo intra-esiswini kufuneka ibe ngamathuba ekuthinteleni ukuqhina. Oogqirha vala ngokungqongqo uphakamisa into enzima, susa ezibukhali, baleka.

Ukuze yokuphatha ukusebenza varicocele lwenziwa kuphela kwi zigaba yesibini neyesithathu esi sifo. Le nkqubo zotyando zilandelayo ukuze kwenziwe:

• Embolization ye Kwangale, oko kleppirovanie okanye tubal.
• Zeplastiki kunye nokuphakamisa unokukhawuleza isende.
• Ukususwa varicocele intsumpa.

Vienna, ababesifa, ukuba excised okanye embolized. Ezintathu inxaxheba kangangoko:

1. ukufikelela Subingvinalny.
2. ukufikelela Invaginalny.
3. Retroperinealny.

nomchamo Modern isebenzisa uqhaqho laparoscopy. Bona asilubandakanyi liqatywe elikhulu, kwaye kwicandelo zizifo angasuswa ubungakanani encinane kuphando. Ezi iintengiselwano zinxulumene entsimini microsurgery. Emva kokuba ungenelelo ukuze zihlale amanxeba ezincinane aphilisayo ingaphelanga iveki emva kotyando. Izigulane emva laparoscopy ukuze babuye kwindlela obuphila ngayo ngaphambili iintsuku ezilishumi. Oogqirha ifuna mda umzimba. Oku kuqinisekiswa yi-ncomo varicocele sifo.

Prevention of varicocele

Amanyathelo okuthintela varicoceles zonke ezilula. Kuyimfuneko ukuba balandele imigaqo ezimbalwa, yaye oko kuya kunciphisa amathuba okuba nezifo:

1. Kufuneka uyaqaphela asondele umthambo kwaye sukulibala ngalo lonke.
2. Kufuneka ukuba uphile ubomi babantu bokwabelana ngesondo rhoqo.
3. Musa ukuba kuhambe ukuba ngcathu utywala.
4. Kufuneka ukuba badle ophezulu ezikumgangatho elungeleleneyo. Olokuqala ukuze kuphetshwe of kwesisu.
5. Kuyimfuneko ukuba bakhululeke ngokupheleleyo kunye nokulala.
6. Kubalulekile ukuthatha iivithamini kwi offseason.
7. Indlela ngexesha novavanyo lonyango, ingakumbi xa kukho iimpawu ezilumkisayo.

reviews

Surgery ukunyanga isifo ebangela eninzi ingxelo entle. laparoscopy ingakumbi ngempumelelo. Phantse akukho amanxeba, ezinobuzaza kakhulu.

iqela ubungozi

Varicocele yeyona ixhaphakileyo amadoda midlalo ukwenza weightlifting, amanqindi, isebenza ngokoqobo ngaphezu kweeyure ezine ngosuku, ndizuze okanye ukungaqheleki naso ngenxa thromboembolism okanye thrombosis le mithambo sezintso.

Sakhangela eliyingozi varicocele.