Kiwon lafiya, Men ta kiwon lafiya
Varicocele a matasa: Sanadin, magani, sakamakon
Varicose veins na spermatic igiyar crimp - daya daga cikin na kowa pathologies a cikin maza. varicocele bincike ganiya a 14-15 shekaru. A general 15-30 shekaru - shi ke da shekaru a lokacin da abnormality auku mafi sau da yawa. Mafi yawan wannan cuta gani a 'yan wasa da kuma mutane tsunduma a jiki aiki. Saboda haka, za mu iya amincewa tabbatar da cewa murdede kaya taka muhimmiyar rawa a cikin jijiyoyinmu daga cikin spermatic igiyar.
Wannan Pathology yana da wani gagarumin sakamako a kan namiji haihuwa aiki. Kuma idan akai la'akari da cewa varicocele sha up to 30% na namiji yawan jama'a, da gaggawa na matsalar ya zama na fili.
Mene ne wani varicocele?
Spermatic igiyar hada tsakanin sauran abubuwa da pampiniform venous plexus. Yana da wannan kuma an yi mamakin a varicocele. A jijiyoyinmu daga cikin spermatic igiyar da aka pathologically canza, zama dilated da tortuous.
Me ya sa wannan magana? Haka kuma cutar na faruwa saboda take hakkin da venous outflow, sakamakon jini accumulates a cikin venous plexus, mikewa da deforming da jirgin ruwa bango.
A etiology na varicocele
Tasoshin na ga tsarin na da baya vena cava, suna sanye take da musamman bawuloli, saboda jini gudana daga kasa zuwa sama a kan su. Ba tare da wannan karbuwa, mafi yawan jini kawai ba zai kai ga zuciya. Duk da haka, da gaban da bawul na'urar sosai yadda ya kamata hana stagnation na jini da kuma retrograde (na baya) ta motsi.
Babban dalilin da varicocele a matasa - gazawar bawuloli testicular jannayẽnsa. Yadda aka saba, jini shiga daga pampiniform plexus a koda jijiya ko kai tsaye a cikin na baya vena cava kanta a kan testicular jijiyoyinmu. Wannan ne matsalar da na karshe matakin na bawuloli da kuma ne babban dalilin da cutar.
rarrabuwa na varicocele
WHO ta bada shawarar da wadannan rarrabuwa da cutar:
- Vienna pampiniform plexus ba kawai da kyau a tsare ta touch amma kuma gani m. Kwai wrinkled.
- Jannayẽnsa za a iya palpated, ko da yake ba ya ganuwa.
- M Valsalva rawar daji. Dubi ko tausa a jijiya da aka ce samfurin ne ba zai yiwu ba.
Duk da haka, a cikin kasar da aka fi amfani rarrabuwa Yu. F. Isakova. Ta, kazalika da baya daya, bambanta matakai uku, ko da yake mai tsanani daga cutar da ake nuna a baya domin. Ga alama kamar haka:
- Vienna ganuwa, ba su ƙaddara da touch. Mayakan varicocele mai yiwuwa ne kawai ta hanyar Valsalva rawar daji.
- Vienna ne da palpable, amma ganuwa.
- Jijiyoyinmu da bayyane, kuma palpable. Modified kwai.
asibiti hoto
Yawancin lokaci varicocele a matasa na faruwa ba tare da wani kayadadden majiyai. Da wuya, wasu marasa lafiya koka a ji na nauyi, ko zafi a cikin Kwalatai (Scrotum) bayan motsa jiki. Duk da haka, wadannan cututtuka ya kamata a bi tare da taka tsantsan, domin sau da yawa suna da farko alamun kumburi daga cikin golaye da su bawo (orchitis da orchiepididymitis).
A hatsari varicocele?
Golaye a maza - wani wuri inda samuwar maniyyi Kwayoyin, jam sel, barbarar da kwai. Wadannan jikin su ne musamman muhimmanci cikin sharuddan su sa hannu a haihuwa aiki.
Varicocele saboda cunkoso a venous plexus mai yawa jini saboda gida zazzabi Yunƙurin, wanda yana da detrimental sakamako a kan spermatogenesis. Bugu da ƙari kuma, a varicocele tabarbarewa.Idan da wadata na kyallen takarda tare da oxygen da kuma testicular Kwayoyin auku hypoxia. disrupted jini-testis shãmaki, wanda na iya haifar da ƙarni na antibodies, spermicides (saboda ana riskarsa da rigakafi da tsarin kamar yadda maƙiya jamiái). Varicocele ne sau da yawa tare da hormonal katsalandan da cewa kamar yadda wani mummunan tasiri a kan aiwatar da spermatogenesis.
Golaye a maza ne musamman m ga duk wadannan matakai, don haka kowane daga cikinsu za a iya rushe da samuwar maniyyi da maniyyi.
Abin da ya yi?
Da aka fi bincikar lafiya varicocele a matasa. Jiyya, bi da bi, da aka yi a cikin samartaka. Shi ne, kamar yadda ka sani, shi ne na iri biyu: ra'ayin mazan jiya da kuma m. Idan muka magana game da varicoceles a matasa, batu na farko iya nan da nan za a fitar da mulki. Conservative lura da wannan cuta ba ya wanzu. Amma da yawan ayyukan yi amfani da su kawar da marasa lafiya da wannan cuta ne manyan.
Nau'in daga m shisshigi a varicocele
Duk yadda ake gudanar a cikin golaye za a iya raba da dama kungiyoyin:
1. M baki, dangane da excision na spermatic jijiyoyinmu. A halin yanzu, ba amfani, domin bayan da aikace-aikace a 90% na lokuta da testicular atrophy aka kiyaye.
2. Ayyuka kayyade kwai ga abubuwa na inguinal canal ko tsoka aponeurosis. Yanzu ba a amfani da shi, kamar yadda tare da testicular atrophy (20-70% na lokuta).
3. resection rabo Kwalatai (Scrotum) tare da matsanancin latching qwai. Varicocele cutar zai sake komowa a cikin 100% na lokuta, duk da haka, wannan aiki shi ne wanda ya kasa aiki da aka ba a halin yanzu amfani.
4. Ligation testicular jannayẽnsa sama da inguinal crease. Wannan irin aiki take kaiwa zuwa lõkacin fatara daga cikin retrograde jini ya kwarara da kuma ba da karami yawan cutar ta koma dawowa. Duk da haka, karatu sun nuna cewa varicocele ba ko da yaushe kai-Pathology. Wannan cuta na iya zama wani alama na magana da wani matsala, sakamakon venous hauhawar jini. A wannan yanayin, da aiki iya exacerbate halin da ake ciki.
5. Ayyuka don ƙirƙirar jijiyoyin bugun gini anastomoses. Su jigon ya ta'allaka ne da cewa venous reflux ne kiyaye, amma ta samar da wani anastomosis resets da suka wuce haddi adadin jini da kuma jijiyoyinmu tayi.
A halin yanzu, magani daga varicocele a matasa aiki - shi ne ba ko da yaushe m tsangwama tare da bude daga cikin kogon ciki. Akwai minimally cin zali jiyya.
Surgery na mini-hanya
Mafi na kowa aiki da su bi varicocele - Marmara. Ta yi a karkashin maganin sa barci. A makwancin gwaiwa, daga gefen inda ɓullo da pathological aiwatar yi incision 2-3 cm. Daga wannan damar dissected abubuwa spermatic igiyar, kasaftawa Vienna, overtighten ligature da intersects. The rauni ne sutured a yadudduka.
Postoperatively, a lokacin makon farko muhimmanci kam Kwalatai (Scrotum) (cimma ta saka kututturan). A cikin 1st watan kamata kauce wa jima'i aiki.
Laparoscopic clipping
Wani Hanyar da kyau kwaskwarima sakamako. Ta hanyar huda a ciki bango ta wajen musamman kayan aikin ware testicular jijiya, klipiruyut da kuma rarraba su.
Idan aka kwatanta da bude tiyata, wannan hanya yana da abũbuwan amfãni:
- Short postoperative lokaci saboda da kusan cikakkiyar babu raunuka bayan tiyata yi da huda da kuma ba a yanka.
- Babu hadarin postoperative hernia.
- A da kyau kwaskwarima sakamako.
- Kadan dama na postoperative rikitarwa.
endovascular flebosklerozirovanie
Wannan hanya ita ce madadin zuwa tiyata. Its ainihi ta'allaka ne da cewa a cikin testicular jannayẽnsa sclerosing wakili ne ya gabatar, wanda ya inganta gudan jini samuwar kuma ƙarshe na jini ya kwarara ta hanyar jijiya. An yi kawai idan akwai wani dalilin zaton da sakandare bawul insufficiency da venous hauhawar jini.
Babban abu to fahimta marasa lafiya da varicocele, - lokaci na aiki ne da muhimmanci. An tabbatar da cewa jiyya da wuri muhimmanci rage hadarin cuta da spermatogenesis da kuma samuwar rasa haihuwa.
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