Anorchia, PA

Anorchia ndiko kupezeka kwa mayeso awiri onse atabadwa.

Mwana wosabadwayo amapanga ziwalo zogonana zoyambirira m'masabata angapo oyamba atakhala ndi pakati. Nthawi zina, mayeso oyambilira samakula mwa amuna asanakwane milungu isanu ndi itatu atakhala ndi pakati. Ana awa amabadwa ndi ziwalo zogonana zachikazi.

Nthawi zina, mayesowa amatha pakati pa masabata 8 mpaka 10. Ana awa amabadwa ndi maliseche osamveka bwino. Izi zikutanthauza kuti mwanayo amakhala ndi ziwalo zogonana amuna ndi akazi.

Nthawi zina, mayesowa amatha kutha pakati pa masabata 12 mpaka 14. Ana awa amakhala ndi mbolo komanso khungu. Komabe, sadzakhala ndi mayeso. Izi zimadziwika kuti congenital anorchia. Amatchedwanso "kutha kwa ma testes syndrome."

Choyambitsa sichikudziwika. Zinthu zina zimatha kukhalapo nthawi zina.

Vutoli siliyenera kusokonezedwa ndi ma testes osavomerezeka amitundu iwiri, momwe ma testes amapezeka pamimba kapena kubuula osati mikwingwirima.

Zizindikiro zimaphatikizapo:

• Ziwalo zoberekera zakunja musanathe msinkhu
• Kulephera kuyamba kutha msinkhu panthawi yoyenera

Zizindikiro zimaphatikizapo:

• Malo opanda kanthu
• Kusowa kwa ziwalo zogonana amuna (mbolo ndi kukula kwa tsitsi m'mimba, kukulitsa mawu, ndikuchulukitsa minofu)

Mayeso ndi awa:

• Magulu a anti-Müllerian mahomoni
• Kuchuluka kwa mafupa
• Follicle yolimbikitsa mahomoni (FSH) ndi ma luteinizing hormone (LH)
• Opaleshoni kuti ayang'ane minofu yobala yamwamuna
• Maselo a testosterone (otsika)
• Ultrasound kapena MRI kuyang'ana ma testes m'mimba
• XY karyotype

Chithandizo chimaphatikizapo:

• Zodzala zopangira (zopangira)
• Mahomoni amuna (androgens)
• Thandizo pamaganizidwe

Maganizo ake ndi abwino ndi chithandizo chamankhwala.

Zovuta zimaphatikizapo:

• Nkhope, khosi, kapena zovuta zina nthawi zina
• Kusabereka
• Mavuto amisala chifukwa chodziwika kuti ndi amuna kapena akazi

Itanani yemwe akukuthandizani ngati mwana wamwamuna:

• Amawoneka kuti ali ndi machende ochepa kwambiri kapena osakhalapo
• Zikuwoneka kuti zikuyamba kutha msinkhu akadali wachinyamata

Mayeso otha - anorchia; Zopanda kanthu - anorchia; Scrotum - yopanda kanthu (anorchia)

• Kutengera kwamwamuna kubereka
• Njira yoberekera yamwamuna

Ali O, Donohoue PA. Kutengera kwa ma testes. 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 601.

Chan YM, Hannema SE, Achermann JC, Hughes IA. Zovuta zakukula kwakugonana. Mu: Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, olemba. Buku la Williams la Endocrinology. Wolemba 14th. Philadelphia, PA: Elsevier; 2020: chap 24.

Yu RN, Daimondi DA. Zovuta zakukula kwakugonana: etiology, kuwunika, ndi kasamalidwe ka zamankhwala. Mu: Partin AW, Dmochowski RR, Kavoussi LR, Peters CA, olemba. Campbell-Walsh-Wein Urology. Wolemba 12. Philadelphia, PA: Elsevier; 2021: mutu 48.