Mlembi: Marcus Baldwin
Tsiku La Chilengedwe: 20 Kuni 2021
Sinthani Tsiku: 16 Novembala 2024
Anonim
Torsion yaumboni - Mankhwala
Torsion yaumboni - Mankhwala

Testicular torsion ndikupindika kwa spermatic cord, komwe kumathandizira ma testes mu scrotum. Izi zikachitika, magazi amatulutsidwa kumachende ndi minofu yapafupi pachikopa.

Amuna ena amakonda kutero chifukwa cha zolakwika m'minyewa yolumikizira mkati mwa chikopa. Vutoli limathanso kupezeka pambuyo povulala pamatumbo omwe amayamba kutupa, kapena kutsatira zolimbitsa thupi. Nthawi zina, palibe chifukwa chomveka.

Mavutowa amapezeka kwambiri mchaka choyamba cha moyo komanso kumayambiriro kwa unyamata (kutha msinkhu). Komabe, zimatha kuchitika mwa amuna achikulire.

Zizindikiro zake ndi izi:

  • Kupweteka kwadzidzidzi pachimodzi. Ululu ukhoza kuchitika popanda chifukwa chomveka.
  • Kutupa mkati mwa mbali imodzi ya scrotum (scrotal kutupa).
  • Nseru kapena kusanza.

Zizindikiro zina zomwe zingagwirizane ndi matendawa:

  • Chiphuphu
  • Magazi mu umuna
  • Tinthu tating'onoting'ono tokwera pamtengo wapamwamba kuposa kale (kukwera)

Wothandizira zaumoyo adzakufunsani. Mayeso atha kuwonetsa:


  • Kukoma mtima kwambiri ndi kutupa m'deralo.
  • Thupi pa mbali yomwe yakhudzidwa ndi yayikulu.

Mutha kukhala ndi Doppler ultrasound ya testicle kuti muwone momwe magazi amayendera. Sipakhala magazi akuyenda mderalo ngati mungakhale ndi vuto lalikulu. Kutuluka kwa magazi kumatha kuchepetsedwa ngati chingwecho chimapindika pang'ono.

Nthawi zambiri, opareshoni amafunikira kuti athetse vutoli. Njirayi imaphatikizapo kumasula chingwecho ndikusoka testicle kukhoma lamkati la chikopa. Opaleshoni iyenera kuchitidwa posachedwa pomwe zizindikiro ziyamba. Ngati atachitidwa mkati mwa maola 6, machende ambiri amatha kupulumutsidwa.

Pochita opaleshoni, machende kumbali inayo nthawi zambiri amatetezedwa. Izi ndichifukwa choti machende osakhudzidwa ali pachiwopsezo chazotupa zamatenda mtsogolo.

Machende amatha kupitilirabe kugwira ntchito ngati vutoli lipezeka msanga ndikuthandizidwa nthawi yomweyo. Mwayi woti thupilo lifunika kuchotsedwa kumawonjezeka ngati magazi atha kuchepa kwa maola opitilira 6. Komabe, nthawi zina imatha kutha kugwira ntchito ngakhale torsion yatenga maola ochepera 6.


Machende amatha kuchepa ngati magazi atadulidwa kwakanthawi. Zingafunikire kuchotsedwa opaleshoni. Kupindika kwa machende kumatha kuchitika masiku mpaka miyezi torsion ikakonzedwa. Matenda owopsa a machende ndi scrotum ndiwotheka ngati magazi amayenda kwakanthawi.

Pezani chithandizo chadzidzidzi ngati muli ndi zizindikiro za testicular torsion posachedwa. Ndi bwino kupita kuchipinda chadzidzidzi m'malo mongolandira chithandizo mwachangu ngati mungafune kuchitidwa opaleshoni nthawi yomweyo.

Chitanipo kanthu kuti mupewe kuvulaza minyewa. Milandu yambiri sitingapewe.

Kuzungulira kwa testis; Testicular ischemia; Kupotoza testicular

  • Kutengera kwamwamuna kubereka
  • Njira yoberekera yamwamuna
  • Testicular torsion kukonza - mndandanda

Mkulu JS. Zovuta ndi zolakwika zazomwe zili mkatikati. Mu: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, olemba. Nelson Textbook of Pediatrics. Wolemba 21. Philadelphia, PA: Elsevier; 2020: chap 560.


Germann CA, Holmes JA. Matenda osankhidwa a urologic. Mu: Makoma RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: chap 89.

Kryger JV. Kutupa kovuta komanso kosatha. Mu: Kleigman RM, Lye PS, Bordini BJ, Toth H, Basel D, olemba. Kuzindikira Kwa Matenda a Nelson Pediatric. Philadelphia, PA: Elsevier; 2018: mutu 21.

Palmer LS, Palmer JS. Kuwongolera zovuta zina zakunja kwa anyamata. Mu: Wein AJ, Kavoussi LR, Partin AW, Peters CA, olemba. Urology wa Campbell-Walsh. 11th ed. Philadelphia, PA: Elsevier; 2016: chap 146.

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