Thumba losasunthika

Tambala losatsitsidwa limachitika pamene machende amodzi kapena onse awiri amalephera kusunthira mndanda asanabadwe.

Nthawi zambiri, machende a mnyamata amakhala atakwanitsa miyezi 9. Machende osatulutsidwa amapezeka mwa makanda omwe amabadwa msanga. Vutoli limakhala locheperako m'makanda a nthawi zonse.

Ana ena ali ndi vuto lotchedwa retractile testes ndipo wothandizira zaumoyo sangathe kupeza machende. Pankhaniyi, machendewo ndi abwinobwino, koma amatulutsidwa kunja kwa minyewa ndi kusinkhasinkha kwa minofu. Izi zimachitika chifukwa machende adakali aang'ono asanakule msinkhu. Machende amatha kutsika msinkhu ndipo opaleshoni siyofunikira.

Machende omwe samangobwera m'matumbo amawerengedwa kuti ndi achilendo. Thumba losavomerezeka limatha kukhala ndi khansa, ngakhale itabweretsedwamo ndi opaleshoni. Khansa imakhalanso pachiwopsezo china.

Kubweretsa testicle m'matumbo kumatha kupititsa patsogolo umuna ndikuwonjezera mwayi wobereka bwino. Zimathandizanso kuti wothandizirayo azichita mayeso kuti adziwe ngati ali ndi khansa.

Nthawi zina, palibe testicle yomwe ingapezeke, ngakhale panthawi yochita opareshoni. Izi zikhoza kukhala chifukwa cha vuto lomwe limachitika mwanayo akadali kukula asanabadwe.

Nthawi zambiri palibe zisonyezo zina kupatula kusapezeka kwa machendewo pamatumbo. (Izi zimatchedwa scrotum yopanda kanthu.)

Kuyezetsa kwa woperekayo kumatsimikizira kuti machende amodzi kapena onse awiri sali mndende.

Wothandizirayo atha kumvekera kapena sangathe kumva thupilo losavomerezeka m'makoma am'mimba pamwamba pa chikopa.

Kuyerekeza mayeso, monga ultrasound kapena CT scan, atha kuchitidwa.

Nthawi zambiri, machende amatsika popanda chithandizo mchaka choyamba cha mwanayo. Ngati izi sizikuchitika, chithandizo chitha kukhala:

• Majakisoni a Hormone (B-HCG kapena testosterone) kuti ayesere kubweretsa testicle m'matumbo.
• Opaleshoni (orchiopexy) kuti abweretse machende m'matumbo. Ichi ndiye chithandizo chachikulu.

Kuchita opaleshoni koyambirira kumatha kupewa kuwonongeka kwa machende komanso kupewa kusabereka. Thumba losavomerezeka lomwe limapezeka pambuyo pake m'moyo lingafunike kuchotsedwa. Izi ndichifukwa choti machendewo sangagwire bwino ntchito ndipo atha kukhala pachiwopsezo cha khansa.

Nthawi zambiri, vutoli limatha popanda chithandizo. Mankhwala kapena opaleshoni kuti athetse vutoli zimayenda bwino nthawi zambiri. Vutoli likakonzedwa, muyenera kukhala ndi mayeso anu nthawi zonse ndi dokotala.

Mwa amuna 50% omwe ali ndi machende osavomerezeka, machendewo sangapezeke panthawi yochita opaleshoni. Izi zimatchedwa testis yomwe yasowa kapena kulibe. Monga tanenera poyamba, mwina chifukwa cha china chake pamene mwanayo adakali kukula panthawi yapakati.

Zovuta zingaphatikizepo:

• Kuwonongeka kwa machende kuchokera ku opareshoni
• Kusabereka pambuyo pake m'moyo
• Khansa ya testicular m'mayeso amodzi kapena onse awiri

Itanani yemwe amakupatsani mwana wanu ngati akuwoneka kuti ali ndi thumba losavomerezeka.

Kubwereza; Chopanda kanthu - mayesero osavomerezeka; Scrotum - yopanda kanthu (mayesero osavomerezeka); Monorchism; Mayeso otayika - osakondedwa; Mayeso obwezeretsa

• Kutengera kwamwamuna kubereka
• Njira yoberekera yamwamuna

Barthold JS, Hagerty JA. Etiology, matenda, ndi kasamalidwe ka ma testis osavomerezeka. Mu: Wein AJ, Kavoussi LR, Partin AW, Peters CA, olemba. Urology wa Campbell-Walsh. 11th ed. Philadelphia, PA: Elsevier; 2016: chap 148.

Chung DH. Kuchita opaleshoni ya ana. Mu: Townsend CM, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Buku Lopanga Opaleshoni. Wolemba 20th. Philadelphia, PA: Elsevier; 2017: mutu 66.

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.

Meyts ER-D, Main KM, Toppari J, Skakkebaek NE. Testicular dysgenesis syndrome, cryptorchidism, hypospadias, ndi testicular zotupa. Mu: Jameson JL, De Groot LJ, de Kretser DM, et al, olemba. Endocrinology: Akuluakulu ndi Ana. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier Saunders; 2016: chap 137.