i-hydrocele

I-hydrocele ithinta amadoda amaningi emhlabeni jikelele. Lesi simo, esivame ukubhekwa njengesiphiwo, singenzeka kunoma yiliphi iqembu lobudala, kusukela ezinsaneni kuya kubantu abadala, futhi ngokuvamile siphakamisa ukukhathazeka kulabo abathintekayo. Ukuqonda i-hydrocele kusiza iziguli zenze izinqumo ezinolwazi mayelana nempilo yazo kanye nezinketho zokwelashwa. Lesi sihloko sihlola izici ezibalulekile ze-hydrocele, okuhlanganisa izimbangela zayo, izimpawu, izindlela zokwelapha ezitholakalayo, kanye nesikhathi sokufuna usizo lwezokwelapha.

Iyini iHydrocele?

I-hydrocele yisimo sezokwelapha lapho uketshezi lunqwabelana esakeni elincanyana elibambe isende, ikakhulukazi phakathi kwezingqimba ze-tunica vaginalis. Le sac ngokwemvelo ikhiqiza uketshezi oluncane olugcobayo olusiza isende lihambe ngokukhululeka, kodwa lapho ibhalansi phakathi kokukhiqizwa koketshezi nokumuncwa kuphazamiseka, kwakheka i-hydrocele.

Odokotela bangahlukanisa ama-hydrocele abe yizigaba ezimbili eziyinhloko:

• IHydrocele Eyisisekelo
  • I-Congenital: Itholakala ekuzalweni ngokuxhumana ne-peritoneal cavity
  • Ingane: Kuvela lapho uketshezi lunqwabelana ngaphansi kweringi ye-inguinal
  • Isitho sangasese sowesifazane: Yakha ngqo ezungeze isende
  • I-Encysted: Ikhula eduze kwentambo yesidoda
• I-Hydrocele yesibili 
  • Ngokuvamile, i-hydrocele yesibili ikhula ngenxa yezimo ezingaphansi noma ingabangelwa ukutheleleka noma ukulimala. Ngezinye izikhathi, kungase kubonise ukuba khona kwezinye izinkinga zezokwelapha.

Izimbangela Nezingozi Zezinto ze-Hydrocele

Ukuthuthukiswa kwe-hydrocele kwenzeka ngezindlela eziningana ezihlukene ezithinta ibhalansi yoketshezi esifundeni se-testicular. Odokotela bahlonze izindlela ezine eziyinhloko lesi simo esikhula ngazo: 

• Ngokuxhumana ne-peritoneal cavity
• Ukukhiqizwa koketshezi ngokweqile
• Ukumuncwa koketshezi okungalungile
• Ukuphazamiseka kwe-lymphatic drainage

Ezinganeni ezisanda kuzalwa, ukwakheka kwe-hydrocele kuhlobene eduze nokuthuthukiswa kwe-testicular. Ngesikhathi sokukhula kombungu, amasende ehla esuka esiswini aye ku-scrotum, ephelezelwa ukugoqa kwezicubu ezibizwa ngokuthi i-processus vaginalis. Ngokuvamile, lesi siqeshana sivala ngaphambi kokuzalwa, kodwa singaholela ekuqongeleleni uketshezi lapho luhlala luvulekile.

Abantu abadala bangase bathuthukise i-hydrocele ngenxa yezizathu ezahlukene, ikakhulukazi:

• Ukulimala noma ukuhlukumezeka endaweni ye-scrotal
• Izimo ezivuthayo noma izifo
• Ukuhlukunyezwa kwamasende
• Izinkinga zokuhlinzwa kwe-varicocele
• Izimila zamasende
• I-Epididymitis

Izinto ezimbalwa eziyingozi zandisa amathuba okuthuthukisa i-hydrocele:

• Ukuzalwa ngaphambi kwesikhathi
• Isisindo sokuzalwa esiphansi
• Iminyaka engaphansi kwezinyanga eziyisithupha
• Ukwehla kwesende sekwephuzile
• Ukuchayeka komama kumakhemikhali athile
• Izinkinga zezicubu ezixhumanayo

Izimpawu zeHydrocele

Iziguli ezithola i-hydrocele ngokuvamile ziqaphela ukukhula kancane kancane kwe-scrotum yazo. Isici esiyinhloko ukuvuvukala okuhlukile okuvame ukuvela ohlangothini olulodwa lwe-scrotum, nakuba ngezinye izikhathi kungase kuthinte izinhlangothi zombili.

Indawo ethintekile izwa bushelelezi lapho uthintwa futhi ngokuvamile itholakala ngaphambi kwesende. Isici esiphawulekayo salesi simo ukuthi ubukhulu bokuvuvukala bungase buguquguquke usuku lonke.

Iziguli zingase zibe nezimpawu ezimbalwa ze-hydrocele:

• Ukuzwa ubunzima endaweni ethintekile
• Ukungaphatheki kahle ngezikhathi ezithile, ikakhulukazi ngokuvuvukala okukhulu
• Usayizi uyashintsha ngezikhathi ezahlukene zosuku
• Imisebenzi engokomzimba efana nokuhamba ingase ingakhululeki, futhi kwezinye izimo, imisebenzi eseduze ingase ithinteke. 

Izinkinga

Ngenkathi ama-hydroceles amaningi ehlala engenangozi, amacala angelashiwe angaholela ezinkingeni ezinkulu zezokwelapha ezidinga ukunakwa ngokushesha. Izinkinga ezibaluleke kakhulu ze-hydrocele engelashwa zihlanganisa:

• Ukutheleleka Nezimo Ezihlobene:
  • Ukuthuthukiswa kwe-pyocele (ukuqoqwa kobomvu)
  • Ukwakheka kwe-haematocele ngenxa yokopha
  • Ingozi yokubola kwe-Fournier, isimo esibi esicekela phansi izicubu
• Izinkinga Zomzimba:
  • Ukucindezela okungeziwe ku-scrotum kusuka ekuhlanganiseni koketshezi
  • Ukuphuka okungenzeka kwesaka le-hydrocele
  • Ingozi ye-testicular torsion ezimeni zokulimala
  • Ukuthuthukiswa okungenzeka kwe hernia inguinal
• Umthelela Wezempilo Ekuzalweni:
  • Yehlisiwe ikhwalithi yesidoda ngenxa yokwenyuka kwezinga lokushisa le-scrotal
  • I-testicular atrophy engaba khona kusukela ekugelezeni kwegazi okukhawulelwe
  • Ingozi ye izinkinga zokuzala ezimweni ezinzima

Sifo

Izindlela zokuxilonga eziyinhloko zihlanganisa:

• Ukuhlolwa Komzimba: Ngesikhathi sokuhlolwa, iziguli zingase zidinge ukuthi zimiswe zombili zimile futhi zilale phansi, njengoba uketshezi lungashintsha ngokuma okuhlukile. Odokotela bangenza:
  • I-palpation ye-scrotum mathupha
  • Ukuhlolwa kwezici zokuvuvukala
  • Ukuhlolwa kwe-Transillumination kusetshenziswa ukukhanya
• Izifundo ze-Imaging:
  • I-Scrotal Ultrasound nge-Doppler: I-Ultrasound isalokhu iyithuluzi lokuxilonga elithembeke kakhulu nelisetshenziswa kakhulu, elihlinzeka ngezithombe ezinemininingwane yokuqukethwe kwe-scrotal. 
  • Ukuskena kwe-CT: Inikeza izithombe ezinemininingwane ehlukene yamacala ayinkimbinkimbi
  • I-MRI: Inikeza ukubonwa okubanzi kwendawo escrotal, okuwusizo ikakhulukazi lapho kusolwa izinkinga noma ukuxilongwa kuhlala kungacacile.
• Ukuhlolwa Kwaselabhorethri:
  • Ukuhlolwa kwegazi kwezimpawu zokutheleleka
  • Ukuchama lapho kudingeka

Ukwelashwa kweHydrocele

Odokotela ngokuvamile batusa ukubhekwa kwama-hydrocele amancane, angenayo izimpawu, ikakhulukazi ezinsaneni lapho isimo sivame ukuzixazulula ngokwemvelo.
Kubantu abadala abadinga ukwelashwa, izinketho eziningana ziyatholakala:

• I-Hydrocelectomy: Ukwelashwa okuyisisekelo okubandakanya ukususwa kwesaka le-hydrocele
• I-Aspiration kanye ne-Sclerotherapy: Inketho encane yokuhlasela usebenzisa i-drainage yenaliti
• Ukusebenza kwewindi: Ukwakhiwa kwembobo encane yokukhipha uketshezi
• Izicelo zeNkosi: Isu elibandakanya ukugoqa udonga lwesaka

Ukululama ekwelashweni kwe-hydrocele kulandela lezi zigaba:

• Isikhathi sokuphumula sokuqala samahora angama-24-48
• Ukugqoka izingubo zangaphansi ezisekela amaviki angu-1-2
• Ukubuyela kancane kancane emisebenzini evamile ngemva kwezinsuku ezingu-4-7
• Ukubuyisela okuphelele phakathi kwamaviki angu-4-6

Uzoyibona Nini Udokotela

Izimo eziphuthumayo ezidinga ukunakwa ngokushesha zihlanganisa:

• Kungazelelwe, ubuhlungu obukhulu ku-scrotum
• Ukuvuvukala okusheshayo okulandela ukulimala
• Ukuqina kokuvuvukala okuthambile kwangaphambilini
• Ukuthuthukiswa komkhuhlane nokuvuvukala kwe-scrotal
• Ubomvu noma ukufudumala endaweni ethintekile

Ngisho nasezimeni ezingezona eziphuthumayo, iziguli kufanele zihlele ukubonisana nodokotela lapho zibona noma yikuphi ukuvuvukala okungapheli kwe-scrotal. Lokhu kubaluleke kakhulu njengoba cishe isigameko esisodwa kweziyishumi zomdlavuza wamasende sine-hydrocele ehambisanayo, okwenza ukuhlolwa kochwepheshe kubaluleke kakhulu ukuze kugwenywe izimo ezibucayi ezingaphansi.

Isiphetho

Iziguli akufanele zikuzibe ukuvuvukala kwe-scrotal noma ukubambezeleka kokufuna usizo lwezokwelapha. Ukuqapha njalo kanye nokwelashwa okusheshayo kuvimbela izinkinga futhi kuholele emiphumeleni engcono. Odokotela basebenza neziguli ukuze bakhethe indlela yokwelashwa efaneleke kakhulu, becabangela izici ezinjengobunzima, izimpawu, nesimo sezempilo sisonke. Isiqondiso sezokwelapha nokunakekelwa okufanele kusiza iziguli zibuyele emisebenzini evamile ngokuphazamiseka okuncane ezimpilweni zazo zansuku zonke.

Imibuzo Evame Ukubuzwa

1. Indlela yokukhipha amanzi ku-hydrocele?

Ukususwa koketshezi ku-hydrocele kudinga ukungenelela kwezokwelapha. Nakuba ukulangazelela kungase kukhiphe uketshezi okwesikhashana kusetshenziswa inaliti, le ndlela ngokuvamile iholela ekunqwabelaneni kabusha koketshezi ngokushesha. I-Hydrocelectomy ihlala iyisixazululo esisebenza isikhathi eside, lapho odokotela abahlinzayo khipha isaka futhi uvimbele ukunqwabelana koketshezi ngokusebenzisa amasu okuhlinza ngokucophelela.

2. Kwenzekani uma i-hydrocele ingelashwa?

I-hydrocele engalashwa ingaholela ezinkingeni ezimbalwa ezithinta impilo yokuzala. Lesi simo singabangela izinga lokushisa elikhulayo le-scrotal, okungenzeka linciphise ikhwalithi yesidoda kufika ku-40% ekukhuphukeni kwedigri ngayinye kwezinga lokushisa. Ama-hydroceles amakhulu angaholela kulokhu:

• I-Atrophy yamasende
• Ukuvinjwa kokugeleza kwegazi
• Ingozi yokutheleleka
• Izinkinga ezingaba khona zokuzala

3. Ingabe i-hydrocele ingelapheka ngokwemvelo?

Nakuba amanye ama-hydroceles amancane angase axazulule ngokwemvelo, ikakhulukazi ezinsaneni, izimo eziningi zabantu abadala zidinga ukungenelela kwezokwelapha. Izindlela zemvelo zingasiza ekulawuleni izimpawu kodwa ngokuvamile azinikezi ikhambi. Izinyathelo ezisekelayo zihlanganisa ukugqoka ukwesekwa okufanele kwe-scrotal nokugcina inhlanzeko enhle.

4. Yikuphi ukudla okulungele i-hydrocele?

A Ukudla okunazo zonke isekela impilo yonke ngesikhathi sokwelashwa kwe-hydrocele. Odokotela batusa:

• Ukudla okucebile kuma-antioxidants, njengamajikijolo nemifino enamaqabunga
• Ukudla okunothe nge-Omega-3, kuhlanganise nezinhlanzi nama-walnuts
• Izithelo nemifino emisha
• I-hydration eyanele ngamanzi namajusi emvelo

5. Ingabe i-hydrocele ibuhlungu?

I-Hydroceles ibangela ubuhlungu obuncane, eveza ngokuyinhloko njengokuvuvukala okungenabuhlungu. Kodwa-ke, ama-hydrocele amakhulu angadala ukungakhululeki ngokusebenzisa:

• Ukuzwa ubunzima
• Ukucindezela phakathi nemisebenzi yomzimba
• Ukuphazamiseka kokunyakaza kwansuku zonke
• Ukuzwela ngezikhathi ezithile

6. Ingabe i-hydrocele iwukuhlinzwa okukhulu?

I-Hydrocelectomy ibhekwa njengendlela yokuhlinzwa encane, ngokuvamile eyenziwa njengokuhlinzwa kwe-hydrocele ngosuku. Ukuhlinzwa ngokuvamile kuthatha imizuzu engaba ngu-30 ngaphansi kwe-anesthesia yendawo noma evamile. Iziguli eziningi zibuyela ekhaya ngalolo suku futhi zingaqala kabusha isimiso phakathi nesonto, nakuba ukululama okuphelele kungase kuthathe amaviki angu-4-6.

7. Indlela ukususa hydrocele ngaphandle kokuhlinzwa?

Izindlela ezingahlinzeki zihlanganisa ukulangazelela kanye ne-sclerotherapy, nakuba lezi zindlela ngokuvamile zinikeza ukukhululeka kwesikhashana. Ezinye iziguli zithola impumuzo ngalokhu:

• Amabhati kasawoti e-Epsom
• Ukusekelwa kwe-scrotal okufanele
• Ukucindezela okubandayo
• Ukuguqulwa komsebenzi
• Egqoke izingubo zangaphansi ezisekelayo

CARE Medical Team

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