Torsion wamatyhalarha - ngokukhawuleza kugqirha

Torsion-cofa amatyhalarha okanye etyumke - loo nto athe amaqanda kwi intambo spermatic. Le anomaly ngokuqhelekileyo kwenzeka emakhwenkweni xa ufikisa ngenkuthalo yaye ukuya kwiminyaka engamashumi amabini anesihlanu. Kodwa musa uphumle, kuba oko kunokuthi kwenzeke kuyo amadoda na ubudala.

torsion wamatyhalarha inokwenzeka njenge ngaphandle kwesizathu. Kodwa kungabangela kwaye umsebenzi onzima, kunye neentlobo ngeentlobo trauma scrotal, kunye nezinye izinto ezibangela yindibanisela kabukhali izihlunu. Ngenxa yoko, kukho reflex uphakamisa amaqanda, kwaye ijijekileyo degrees 180, yaye ngamanye amaxesha ngakumbi - ngeenxa axis yayo, ngenxa apho kwegazi yaphulwe amaqanda, leyo necrosis ngakumbi. Wamatyhalarha Torsion esinokubakho ngenxa yobukho ezingaqhelekanga ezahlukeneyo, ibangela iqanda embi eqhotyoshelwe ezantsi kwisingxobo samatyhalarha.

torsion wamatyhalarha wohlulwe ezi ndidi zilandelayo:

- vnevlagalischny oqhubeka kunye amaqokobhe iba lityhalarha wazibona kubantwana abaselula abangaphantsi kweminyaka konyaka omnye;

- ulawulo kusisi olwenzeka ngaphakathi wetyhalarha tunica vaginalis.

Iimpawu.

Iimpawu eziphambili into yokuba kwakukho torsion wamatyhalarha, kuba phambi ahlekise kwi inxalenye uchaphazelekayo womGaqo isingxobo samatyhalarha, nto leyo enikwe kule ndawo ubudoda. Basenokuba ikwafumana ukugabha kunye isicaphucaphu.

Ukuba torsion wamatyhalarha lwenzeka kwi kuzalwa, kunokuthi kubonwe yi nongeniselo isingxobo samatyhalarha, kwakunye blanching okanye bomvu. Ukuba umntwana sele ithe Ndikhalaze malunga imbonakalo iintlungu esisu kunye ubudoda.

Diagnosis.

Xa zokuhlola isingxobo samatyhalarha iqanda liya kuba phezulu, ekubeni kukho kokunciphisa intambo spermatic. Ukongeza, isihlomelo kunokuba amaqanda Front. Kulo mzekelo, lo gama elitsolo ekujongeni samatyhalarha kunokuba maloboleznennoy. intambo Spermatic ngenxa torsion kuba mkhulu kakhulu. Ngaloo nto ibangela ububomvu kunye iindumbisa kwisingxobo samatyhalarha.

Xa iimviwo ultrasound iqinisekisiwe ubukho okanye ukungabikho kwegazi igazi wetyhalarha. Ukuze kumiselwe imixholo kweqokobhe iqanda zinako ukukhongozela okuhlatywa diagnostic kunye transillumination.

Unyango.

Ezinye izigulane torsion wamatyhalarha inganyangwa kwiiyure yokuqala emva kokufunyanwa sifo. Ukuze wenze oku, enze imicu manual. Isigulana walala ngomqolo bakhe ngocoselelo kwanokuphumeza imicu ye ezidala kwicala elahlukileyo. Kulo mzekelo, iqanda kancinci wazidiliza. Ukuba yenziwe ngokuchanekileyo, loo ntlungu yehla kakhulu okanye wasiphula konke. Ukuba le nkqubo ayikasebenzi, isigulane ke ngoko zisebenze. Kwenziwa kwesidumbu ye isingxobo samatyhalarha, emva koko bachithe imicu amaqanda nokuvavanya ukusebenza kwayo. Ukuba uncedo yanikezelwa emva kwexesha kwaye iqanda sele yobutyebi ebengalondolozwa, ngoko ukuvelisa ukususwa yayo.

Xa umlenze elide emxinwa, ngoko torsion gidatidy wamatyhalarha kunokwenzeka, apho esi sifo babonakaliswa kakhulu alufane. Isiqalelo kukho isiphazamiso gidatidy kwegazi okanye ukudumba yayo. Oku kubangelwa inflection imilenze gidatidy, ukuphazamiseka kwendlela lokuphuma lwemithambo yegazi ngexesha imithambo okanye elimele ezahlukeneyo, kwakunye nangexesha torsion kunye imicu kulogo.

Abantwana wabethwa ngubani gidatida bangafumana isicaphucaphu, ukuze linganihlanzi, zingaphendula ubushushu. Emva oku kwenzeka hyperemia kunye nokudumba ye isingxobo samatyhalarha, nto leyo likhula rhoqo.

gidatid Perekurt luphawulwa mpawu zilandelayo:

- ukubonakala intlungu ngesiquphe betyhalarha;

- scrotal nokudumba (symmetrically) luye lubandakanywe nezenzo ukuvuleka;

- inkangeleko infiltrate ashinyeneyo.

Iingxaki torsion gidatid:

- hydrocele, nto leyo iba ezingapheliyo kwaye ekugqibeleni kukhokelela ekuphazanyisweni kwenkqubo igazi nkovu lokuhamba, ezikhokelela yoma;

- epididymo, ngenxa apho kukho ukungachumi excretory;

- wamatyhalarha kwekhono kunye yoma elandelayo.

Kunzima ukufumana torsion wamatyhalarha kufuneka kwaoko andibhekisanga yincutshe.