Kukonza tambala kosasinthidwa

Kukonzanso machende osatsitsika ndiwopaleshoni kuti athetse machende omwe sanagwe pansi molondola.

Machende amakula m'mimba mwa khanda pamene mwana amakula m'mimba. Amagwera m'matumbo m'miyezi yapitayi asanabadwe.

Nthawi zina, machende amodzi kapena onse awiri samagwa molondola. Pafupifupi theka la milanduyi idzatsika mchaka choyamba cha moyo wopanda chithandizo.

Opaleshoni yokonza matumbo osatsitsika imalimbikitsidwa kwa amuna omwe machende awo samatsika okha.

Kuchita opareshoni kumachitika mwana ali mtulo (chikomokere) komanso wopanda ululu pansi pa anesthesia wamba. Dokotalayo amadula. Apa ndipomwe ma testes osavomerezeka amapezeka.

Atapeza chingwe chomwe chimasunga testis pamatumbo, dokotalayo amachimasula ku minofu yozungulira. Izi zimapangitsa kuti chingwe chikule mpaka kutalika kwake konse. Kudula pang'ono kumapangidwa mu mikwingwirima, ndipo thumba limapangidwa. Machendewo amalowetsedwa mndende, ndikukhazikika. Zokopa zimagwiritsidwa ntchito kutseka kudula kwa opaleshoni.

Nthawi zina, njirayi imatha kuchitika laparoscopically. Izi zimaphatikizapo kudula kocheperako.

Machende akakhala okwera kwambiri, kuwongolera kumafunikira magawo awiri. Opaleshoni yapadera imachitika patatha miyezi ingapo.

Kuchita opaleshoniyi kumalimbikitsa ana akhanda opitilira chaka chimodzi omwe machende awo sanatsike mu scrotum (cryptorchidism).

Thumba losavomerezeka ndi losiyana ndi "retractile" testicle. Momwemonso, thupilo limagwera m'matumbo kenako ndikubwerera mmbuyo. Machende obwezeretsa safuna opaleshoni.

Zowopsa za anesthesia iliyonse ndi:

• Zomwe zimachitika ndi mankhwala
• Mavuto kupuma

Zowopsa za opaleshoni iliyonse ndi izi:

• Magazi
• Matenda

Zowopsa za opaleshoniyi ndi izi:

• Kupindika kwa machende kapena kulephera kwa machende kukula kukula.
• Kulephera kubweretsa machende m'matumba, zomwe zimapangitsa kuchotsa machende.

Kukonzekera kosasinthika kwamatumbo kumachita bwino nthawi zambiri. Ochepa peresenti ya amuna amakhala ndi zovuta zakubereka.

Amuna omwe anali ndi machende osayenera ayenera kudziyesa mwezi ndi mwezi kwa moyo wawo wonse kuti ayang'ane zotupa. Amuna omwe ali ndi ma testes osavomerezeka amakhala ndi khansa ya testicular yambiri kuposa omwe amakhala ndi kukula kwa machende, ngakhale atakhala ndi machende otsika mbali inayo. Palinso chiopsezo chachikulu cha khansa ya testicular mu testicle ina yomwe imatsika mwachizolowezi. Kubweretsa machende pansi kudzapangitsa kukhala kosavuta kuwunikira kukula kwa chotupa mtsogolo.

Kuchita opareshoni kumatha kuchitidwa mwachipatala. Kupumula pabedi kumalimbikitsidwa masiku awiri kapena atatu oyamba. Pewani zochitika zovuta, kuphatikizapo njinga, kwa mwezi umodzi.

Orchidopexy; Maluwa a orchidopexy; Orchiopexy; Kukonza thumba losavomerezeka; Kukonzekera kwa Cryptorchidism

• Kutengera kwamwamuna kubereka
• Asanachitike kapena atatha kukonza testicular

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.

Mkulu JS. Zovuta ndi zolakwika zazomwe zili mkatikati. Mu: Kliegman RM, Stanton BF, St. Geme JW, Schor NF, olemba. Nelson Textbook of Pediatrics. Wolemba 20th. Philadelphia, PA: Elsevier; 2016: chap 545.

Srinivasan A, Ghanaat M. Laparoscopic orchiopexy. Mu: Bishoff JT, Kavoussi LR, olemba., Eds. Atlas of Laparoscopic and Robotic Urologic Opaleshoni. Wachitatu ed. Philadelphia, PA: Elsevier; 2017: mutu 42.