Hanyoyin ilimin burbushin na rinjaye ba kawai tasoshin jini na ƙananan ƙafafun ba, amma har da magunguna na igiya. Wannan nau'i na nau'in varicose ne na kowa a lokacin balaga, musamman ma a farkon shekarun haihuwa . Idan ba tare da isasshen isasshen magani ba, cutar zai iya haifar da sakamako mai banƙyama.
Varikotsele - dalilai
Masu binciken masana basu san ainihin abin da ya haifar da matsalar da aka bayyana ba. Babban dalilin da ke haifar da sassan kwayoyin kwayoyin halitta shi ne farfadowa. Idan dangi yana da irin wannan cuta ta jiki, ƙananan ƙafa ko ƙin zuciya, haɗarin ƙaddamar da cutar a cikin yaron ya karu sosai. Sauran abubuwan da ake zargi da yasa abubuwa masu yawa a matasa:
- damuwa na hormonal a hade tare da ƙananan rufin bango;
- m jiki aiki;
- rushewa cikin matakai na musanya;
- nauyi ;
- hawan jini a cikin yankin pelvic.
Matsayi - mataki
4 matakai na cigaba da nazarin binciken bincike an ƙaddara. A cikin siffar ko siffar ɓangaren ƙwayar cuta, sassan jikin sun kasance dan kadan. A wannan lokacin bambance-bambance a cikin yara ba za'a iya samuwa a gwadawa tare da gwani ba, amma ana iya ganin jini a cikin jini lokacin da yake yin lakabi ko duban dan tayi. Irin nau'in cutar ba tare da wani alamar wariyar launin fata ba, don haka yana da wuya a gano shi.
Yawan mataki na farko a matasa
Wani sauƙin yaduwar cutar shine halin da ba a yadawa ba a cikin kwakwalwa. A mataki na farko na gwajin variocele, yaro ba shi da wata alamar canjin canji, amma za'a iya gano matsalar a kan nazarin urologist. Don haka, an fara gwajin gwaji ta musamman, lokacin da ake karuwa da ƙwayar intra-abdominal. Matakan farko na ci gaba na varicocele a matasa yana da kyau a yayin binciken bincike. Ana nuna bambancin sutura ta hanyar hotunan duban dan tayi da sakamakon phlebography.
Hanyar digiri 2
Yawancin yanayin da aka yi da varicose ya fi yawan furtawa, tasoshin da aka lalace suna kwantar da hankali ba tare da tashin hankali na ciki ba kuma sun kara matsa lamba. Wannan nau'i na varicocele a lokacin samartaka ana iya ganowa tare da shawarwari na yau da kullum na gwani. Rashin lumen wuta a kan mataki 2 na cutar bai rigaya an fadada shi sosai ba, amma ganuwar gine-ginen an riga an shimfidawa. Yarinyar zai iya ji alamun bayyanar cututtuka.
Varicocele 3 digiri
Kwayar cututtukan da aka bayyana a hankali shine mai sauƙi don gani da jarrabawa kansu. Magunguna masu lalata suna bayyane bayyane ba tare da kayan aikin likita da gwaje gwaje-gwaje ba. Teenage varicocele a 3 matakai an hade tare da atrophy na kwayoyin. Ana sauya sauyawa a bangarorin biyu na kullun, koda magunguna masu rarrafe sun shafi nau'in jimla guda (mafi yawa a hagu). Mawuyacin hali a matasan yana tare da bayyanuwar cututtuka na asibiti. 'Yan mata suna jin cewa:
- rashin tausayi, jin dadi yayin tafiya ko tsaye;
- ciwo a cikin kullun;
- Tsarin magunguna na ciki a cikin binciken;
- kumburi ko kumburi na yankunan lalacewa;
- ƙara yawan ciwo yayin aikin jiki;
- matsanancin matsala na masu gwaji;
- rage ƙimar girma da yawa daga kwayoyin halitta.
Mene ne haɗari varikotsele?
Akwai shawarwari da kewayar daji a cikin kwayoyin halitta zai iya haifar da nauyin ayyukansu (samar da maniyyi) da atrophy. Har yanzu kawai a cikin balagaggu an tabbatar da haɗin rashin haihuwa da kuma varicocele - sakamakon da cutar ta tsufa ba a bincika sosai ba. Difficulties a cikin binciken su ne saboda wahalar samun samfurori a cikin yara tun kafin karshen shekara. Koda yake a gaban abubuwa na halitta, ba za a iya dogara da shi bisa ka'idodin ka'idoji ba, saboda ƙididdigar ilimin lissafin jiki a cikin zamani sun kasance mai sauƙi.
Yadda za a gane varicocele?
Tabbatar da pathology da aka bayyana a farkon matakai yana da wahala saboda rashin takamaiman bayyanar cututtuka da bayyanuwar cututtuka na cutar. Tare da taimakon hanyoyin fasahar, ma, ba zai yiwu a gane varicocele - ganewar asali na gwajin jini don hormones ba bayani bane. Magunguna da yawa a cikin kwayar halitta ba sa da wata ma'ana ta rashin daidaituwa kuma wannan yana faruwa ne kawai a cikin matakai.
Don ƙayyade hanzari a matasan da ake amfani da wadannan fasahohin:
- Gwajin gwajin Valsalva. An tambayi yaron ya rike numfashinsa kuma yana da karfi. Wannan hanya ta haifar da karuwa a matsa lamba mai ciki da kuma ƙumburi na ƙananan jiragen ruwa.
- Duban dan tayi. Wannan fasaha yana bada kimanin abin dogara akan yanayin jinji kuma yana nuna yanayin karfin jirgin sama a cikin jiragen sama 3.
- Testiculometry. Tare da taimakon na'urar musamman (kochidometer), ainihin girman ƙwararrun ƙwararrun an ƙayyade.
- Dopplerography . Dabarar fasaha na bincike, nuna yanayin jini, ganuwar su.
- Computer tomography. Ana amfani da wannan fasaha da wuya, yana da muhimmanci ga bambancin daji na varicose daga ciwace-ciwacen daji a cikin yankin retroperitoneal da kuma thrombosis na cava.
- Harkokin kallo. Ana amfani da wannan binciken ne ga maza da yawa. An sanya matashi ne kawai idan bayanin bayanan da aka rigaya ya ƙasaita.
Yadda za mu bi da bambancin?
Matsalar magance matsala da aka yi la'akari da shi a lokacin yarinyar maza na matsakaici shine haɗari na sake dawowa. A lokacin balaga, cikewar daji da kuma matsa lamba a ciki na ciki yana ci gaba da sauyawa kuma yana da saurin canzawa, don haka ya fi kyau a dakatar da magani har sai saurayi yana da shekaru 12 (sai dai idan akwai wasu alamun bayyanar cututtuka).
Da yawa iyaye suna sha'awar ko varicocele kanta zai iya wucewa daga yaro. Masu ilimin lissafi sun amsa wannan tambaya ba daidai ba, cutar da aka bayyana a kowane mataki na cigaba ba ya ɓace. Hanyar da za ta iya magance shi ita ce cirewar variocele a matasan - magani ba tare da tiyata ba tukuna. Babu magunguna ko kayan girke-girke na gari sun haifar da sakamako mai kyau. Yin amfani da kansu yana iya haifar da rikice-rikice marar iyaka, ciki har da rashin haihuwa.
Varikotsele a matasan - aiki
Kafin a yi amfani da tsoma baki, za a gudanar da jarrabawa sosai da kuma ɗaukar kayan aikin kayan aiki ko kayan aiki. Wannan yana taimaka wajen ƙayyade ƙimar da ke tattare da mawuyacin hali a matasa - ko dai aikin urologist ne ya yanke shawara ne kawai bisa sakamakon da aka samu, mahimmin bayyanar cututtuka da shekarun ɗan yaro. Idan mai haƙuri ya yi matukar ƙuruci don yin aikin, sauye-sauyen varicose yana cikin sauƙi ko farko na cigaba, za a iya dakatar da aikin likita. A irin waɗannan lokuta, ana iyakance su zuwa kulawa da kulawa na gwaji.
Anyi amfani da magani na zamani na varicocele a cikin matasa a hanyoyi da yawa:
- laparoscopy;
- Hanyar Marmara;
- Ƙasar murya;
- hanya Ivanissevich.
Varicocele - laparoscopic aiki
Irin gabatarwa ta hanyar yin amfani da shi yana da kisa sosai. Anyi aikin ne a karkashin ƙwayar rigakafi, amma baya buƙatar gyarawa na dogon lokaci. Bayan laparoscopic far varicocele a cikin matasa za ku iya koma gida a rana mai zuwa. Cikakken tsari na dawowa har zuwa makonni 4, amma mafi yawan marasa lafiya suna bukatar kawai kwanaki 12-15. Yaya aiki na varicocele a cikin matashi:
- Ƙunjin ciki ya cika da carbon dioxide don sauƙaƙe samun dama ga veins.
- An saka kwalba 10-mm (trocar) a cikin cibiya. An saka kyamarar bidiyon microscopic ta hanyar shi.
- An sanya 'yan kwalliya 5-millimeter a gefuna don yin kayan aikin likita.
- Ana shirya shirye-shiryen bidiyo na musamman a cikin ɓarna.
- Kullin kwakwalwa yana sutured.
- An fitar da caca. Magunguna daga aiwatarwarsu suna sutured.
Varikotsele - aikin Marmara
Wannan hanya ana dauke shi mafi rashin lafiya, tasiri da lafiya. Musamman microscurrence yana da muhimmin amfani a kan sauran hanyoyi na kawar da varicocele - Hanyar Marmara tana da alaka da rikitarwa da sake koma baya (kasa da 4% na lokuta), ƙwayoyin takalma suna da rauni sosai, ba a buƙatar samun asibiti. Hanyar:
- A fita daga cikin magungunan ƙwayar cuta a ƙarƙashin maganin ƙwayar cuta, an sanya karamin haɗari (har zuwa 3 cm).
- Yin amfani da microscope ko binocular loupe, likita ya gano lalacewar lalace kuma ya ɗaure su.
- An shirya shinge.
Magungunan rigakafi - varicocele
Wani suna don hanyar dabarar da aka yi la'akari da ita shine haɓaka jikin jikin. Irin wannan maganin ya bambanta a cikin yara da matasa ba shi da izini saboda nau'o'in ci gaban jiki da kuma nisa da jini. Ga tsarin da ba a kwasance ba, an yi wani babban yarinyan mata. Ta hanyar da shi, an saka wani ƙwallon ƙafa, wanda ke nan ya shiga cikin jiragen ruwa masu zuwa:
- Ƙananan baƙi;
- Gwanin gida;
- sashin kwayoyin.
Duk magudi yana faruwa a karkashin iko na na'urorin X-ray. Lokacin da kayan aikin kiwon lafiya suka kai ga manufa, an katange jinin (ƙusa) ta hanyar shigar da toshe na musamman. Wannan zaɓi na magani ya fi dacewa don magance variocele a cikin manya da matasa a kan shekaru 16-17. A wannan shekarun, nisa daga cikin jini yana daidai da girman ƙwaƙwalwa.
Ayyukan Ivanissevich a varikotsele
Hanyar da aka bayyana ta hanyar hanyar kisa ta kama da ɓarnaccen shafi. Ayyukan Ivanissevich - kayan aiki:
- A cikin yankin iliac, an yi wani gwargwadon kwanciyar hankali kimanin 5 cm cikin tsawon.
- Ta hanyar da shi, likitan likitan ya sami damar shiga yankin retroperitoneal, inda ya sami laka mai lalacewa.
- An kwashe jirgi da aka tara da kuma rassan da ke kusa.
- An shawo kan cutar ta jiki, ana amfani da bandeji na asali daga sama.
Ana yin gyaran kafa a karkashin maganin rigakafi na gida, amma yaron zai ciyar da kwanaki da yawa a cikin asibiti na asibiti. A kan kararrakin ya zama wajibi ne a yi amfani da corset na musamman (3-5 days), wanda zai ba da raguwa a cikin nauyin ƙwayar katako da kuma rage yawan ciwo mai ciwo. Ana cire sassan bayan 8-9 days bayan tiyata.
Saukaka - rikitarwa
Abu mai wuya, an gabatar da bambance-bambancen da ake gabatar da su game da ayyukan haɗin gwiwar tare da sakamako masu ma'ana:
- edema na gwajin (hydrocele);
- hematoma;
- na kwayan cuta;
- lalacewa da maganganu da kuma cin nasara;
- testicular atrophy;
- ciwo na kullum;
- thrombophlebitis;
- zub da jini da sauransu.
Babban haɗari bayan m magani varicocele - sake komawa. Halin yiwuwar abin da ya faru ya dogara ne akan hanyar da aka zaba ta hanyar yin aiki. Mafi kyawun zaɓuka shine:
- Aikin Marmara;
- embolization na vein;
- laparoscopic ligation.