Varicocele

Varicocele ndikutupa kwa mitsempha mkati mwa minyewa. Mitsempha imeneyi imapezeka motsatira chingwe chomwe chimagwira machende a mwamuna (spermatic cord).

Ma varicocele amapangidwa mavavu omwe ali mkati mwa mitsempha omwe amayenda mozungulira chingwe cha spermatic amaletsa magazi kuyenda bwino. Magazi amabwerera m'mbuyo, zomwe zimatsogolera kukutupa ndikukula kwa mitsempha. (Izi ndizofanana ndi mitsempha ya varicose m'miyendo.)

Nthawi zambiri, ma varicoceles amakula pang'onopang'ono. Amapezeka kwambiri mwa amuna azaka zapakati pa 15 mpaka 25 ndipo nthawi zambiri amawoneka kumanzere kwa chikopa.

Varicocele mwa bambo wachikulire yemwe amawoneka mwadzidzidzi angayambidwe ndi chotupa cha impso, chomwe chimalepheretsa kuthamanga kwa magazi kupita mumtsempha.

Zizindikiro zake ndi izi:

• Kukulitsidwa, mitsempha yokhotakhota m'matumbo
• Kupweteka kapena kusasangalala
  
• Chiphuphu chopanda kanthu, chotupa chachikulu, kapena zotupa m'matumbo
• Mavuto omwe angakhalepo ndi chonde kapena kuchepa kwa umuna

Amuna ena alibe zizindikiro.

Muyesedwa pamalopo, kuphatikizapo minyewa ndi machende. Wopereka chithandizo chamankhwala amatha kumva kukula kopindika pamtundu wa umuna.

Nthawi zina kukula kumatha kuwoneka kapena kumva, makamaka mukamagona.

Machende omwe ali kumbali ya varicocele atha kukhala ocheperako kuposa omwe ali mbali inayo.

Muthanso kukhala ndi ultrasound ya minyewa ndi machende, komanso ultrasound ya impso.

Chovala chomangirira kapena chovala chamkati chingathandize kuchepetsa kusapeza bwino. Mungafunike chithandizo china ngati ululuwo sukutha kapena mukukhala ndi zizindikiro zina.

Kuchita opaleshoni kukonza varicocele kumatchedwa varicocelectomy. Potsatira izi:

• Mudzalandira mtundu wina wa mankhwala oletsa ululu.
• Urologist amadula, nthawi zambiri kumunsi pamimba, ndikumanga mitsempha yachilendo. Izi zimapangitsa magazi kuyenda m'derali kupita ku mitsempha yabwinobwino. Ntchitoyi ikhozanso kuchitidwa ngati njira ya laparoscopic (kudzera pazing'onozing'ono ndi kamera).
• Mutha kutuluka mchipatala tsiku lomwelo ndi opareshoni yanu.
• Muyenera kukhala ndi phukusi la madzi oundana m'deralo kwa maola 24 oyamba mutachitidwa opaleshoni kuti muchepetse kutupa.

Njira ina yochitira opareshoni ndikupanga ma varicocele. Potsatira izi:

• Thubhu yaying'ono yobooka yotchedwa catheter (chubu) imayikidwa mumtsinje m'dera lanu lakhosi kapena m'khosi.
• Woperekayo amasunthira chubu mu varicocele pogwiritsa ntchito ma x-ray ngati chitsogozo.
• Koyilo kakang'ono kamadutsa mu chubu kupita mu varicocele. Chophimbacho chimatseka magazi kupita mumitsempha yoyipa ndikuitumiza kumitsempha yabwinobwino.
• Muyenera kukhala ndi phukusi la madzi oundana m'deralo kuti muchepetse kutupa ndikumavala chithandizo chamtengo wapatali kwakanthawi.

Njirayi imachitidwanso popanda kugona kuchipatala usiku wonse. Zimagwiritsa ntchito zocheperako poyerekeza ndi maopareshoni, chifukwa chake muchira mwachangu.

Varicocele nthawi zambiri imakhala yopanda vuto ndipo nthawi zambiri safunika kuthandizidwa, pokhapokha ngati pali kusintha kwa kukula kwa machende anu kapena vuto la kubereka.

Ngati mwachitidwa opaleshoni, kuchuluka kwanu kwa umuna kumakulirakulira ndipo kumatha kukulitsa chonde. Nthawi zambiri, kuwonongeka kwa testicular (atrophy) sikumayenda bwino pokhapokha opaleshoni itachitidwa koyambirira kwaunyamata.

Kusabereka ndikovuta kwa varicocele.

Zovuta zamankhwala zimatha kuphatikiza:

• Zovuta za atrophic
• Mapangidwe a magazi
• Matenda
• Kuvulala kwa chikopa kapena chotengera chamagazi chapafupi

Itanani omwe akukuthandizani mukazindikira kuti muli ndi chotupa kapena mukufuna kuchiza varicocele.

Mitsempha ya varicose - scrotum

• Varicocele
• Njira yoberekera yamwamuna

Barak S, Gordon Baker HW. Kuwongolera kwachipatala cha kusabereka kwa amuna. 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 141.

Goldstein M. Kuwongolera kwa kusabereka kwa abambo. Mu: Wein AJ, Kavoussi LR, Partin AW, Peters CA, olemba. Urology wa Campbell-Walsh. 11th ed. Philadelphia, PA: Elsevier; 2016: chap 25.

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.

Silay MS, Hoen L, Quadackaers J, et al. (Adasankhidwa) Chithandizo cha varicocele mwa ana ndi achinyamata: Kuwunika mwatsatanetsatane ndikuwunika meta kuchokera ku European Association of Urology / European Society for Pediatric Urology Guidelines Panel. Eur Urol. 2019; 75 (3): 448-461. PMID: 30316583 www.ncbi.nlm.nih.gov/pubmed/30316583.