Cryptorchidism - Pamene machende sanatsike
Zamkati
Cryptorchidism ndi vuto lodziwika bwino pakati pa makanda ndipo zimachitika pamene machende samatsikira kumatumbo, thumba lomwe limazungulira machende. Nthawi zambiri, machende amalowa m'matumbo m'miyezi yapitayi yamimba ndipo, ngati izi sizingachitike, mwanayo amabadwa wopanda machende m'malo abwinobwino, omwe amawoneka mosavuta ndi dokotala wa ana pobadwa kapena pakufunsira koyamba kwa mwanayo.
Dotolo anena kuti machende a mwana sakhala m kholowamo pomenyetsa minyewa atangobadwa. Ngati machende kulibe, amathanso kutsika payekha mchaka choyamba cha mwana, osafunikira chithandizo chapadera, koma ngati satero, pangafunike kuchitidwa opareshoni kuti malowo akhale m'malo mwake. Kuchita opaleshoni ndikosavuta komanso mwachangu, ndipo kuyenera kuchitidwa asanakwanitse zaka 2.
Mitundu ya cryptorchidism
Cryptorchidism itha kugawidwa mu:
- Mgwirizano wa cryptorchidism: pamene machende onse awiri kulibe, komwe, ngati atapanda kuchiritsidwa, kumatha kupangitsa munthu kukhala wosabala;
- Cryptorchism yammbali imodzi: pamene testicle ikusowa mbali imodzi ya chikoko, zomwe zingayambitse chonde.
Cryptorchidism ilibe zisonyezo, koma matenda a orchitis, matenda a testis, amatha. Zotsatira zina za cryptorchidism ndi kusabereka, hernias machende ndi mawonekedwe a khansa machende ndikuchepetsa zoopsa izi ndikofunikira kuyika tambala pamalo oyenera ngakhale ali mwana, mzaka zoyambirira za moyo wa mwana.
Chithandizo chokhazikitsanso machende
Chithandizo cha cryptorchidism chitha kuchitidwa ndimankhwala am'magazi, kudzera mu jakisoni wa testosterone kapena mahomoni a chorionic gonadotropin, omwe amathandiza thupilo kuti likule mwa kulipangitsa kuti ligwere, lomwe limatha mpaka theka la milanduyo.
Nthawi yomwe kugwiritsa ntchito mahomoni sikungathetse vutoli, ndikofunikira kuchita opaleshoni kuti mutulutse machende m'mimba. Njirayi imagwiritsidwa ntchito makamaka mu unilateral cryptorchidism.
Pakapezeka kuti machende akuchedwa, kuchotsedwa kwa machende kumafunikira kuti mupewe zovuta zomwe zingachitike mtsogolo, zomwe zimapangitsa kuti munthuyo akhale wosabala.
Chifukwa machende a mwana sanatsike
Zomwe zimayambitsa cryptorchidism zitha kukhala:
- Hernias pamalo pomwe machende amatsika kuchokera pamimba mpaka pamatumbo;
- Mavuto a mahomoni;
- Kulemera pang'ono kwa mwana;
- Kubadwa msanga;
- Matenda a Down;
- Lumikizanani ndi mankhwala owopsa monga mankhwala ophera tizilombo.
Zina mwaziwopsezo za amayi monga kunenepa kwambiri, matenda ashuga obereka, matenda ashuga amtundu wa 1, kusuta fodya komanso mowa mukakhala ndi pakati zimatha kubweretsa mawonekedwe a cryptorchidism mwa mwana.