Testicular torsion - nokukurumidza kuti chiremba

Torsion of testes kana manhu - zviri akashandura mazai ari spermatic tambo. anomaly ichi kazhinji zvinoitika mune vakomana munguva dzavo rinoita kuyaruka uye kusvika makore makumi maviri nemashanu. Asi regai dzikama nokuti munogona varume chero zera.

Testicular torsion anogona kuitika sezvo pasina chikonzero pachena. Asi kungakonzera uye basa rakaoma, uye zvakasiyana-siyana scrotal mupfungwa, uye zvimwe zvinhu zvinokonzera unopinza marwadzo tsandanyama. Somugumisiro, pane dzepanguva vachisimudza mazai, uye vakamonyanisa 180 madhigirii, uye dzimwe nguva zvakawanda - kumativi ayo akabatana, nekuti icho kweropa kuputswa mazai, zvichiguma mamwe necrosis. Testicular Torsion anogona kuitika nokuda pamberi abnormalities siyana, zvichiita zai zvakaipa vasiyana pasi scrotum.

Testicular torsion rakakamurwa marudzi anotevera:

- vnevlagalischny kuti unomuka anoshongwa testis kuchengetwa vana vaduku pasi pemakore gore rimwe;

- kusangana nekutsi kwemukadzi Kutarisirwa kunoitika mukati tunica vaginalis testis.

Zviratidzo.

The chikuru Zviratidzo nezvokuti paiva testicular torsion, ndiyo kuvapo kurwadziwa mu njodzi chikamu scrotum, unopirwa ari muhudyu nzvimbo. Vanganzwa kurutsa uye svoto.

Kana testicular torsion kunoitika nenzira achangoberekwa, unogona kuonekwa zvibereko zveminda scrotum, uyewo blanching kana akatsvuka. Kana mwana yakatotanga vakati zvichaita vanotsutsumwa pamusoro nechitarisiko marwadzo mudumbu uye muhudyu.

Kuongorora chirwere.

Apo inoda kufunga scrotum zai chichava pamusoro, sezvo pane kupfupikisa pakati spermatic tambo. Uyezve, mashoko okuwedzera zvinogona mazai Front. Muchiitiko chino, apo achirova-rova scrotum kunogona maloboleznennoy. Spermatic tambo nokuda torsion mukobvu zvikuru. Nokudaro zvichiita akatsvuka uye kuzvimba scrotum.

Kana Ultrasound kuongororwa akapupurirawo kuvapo kana kusavapo kweropa iri testis. Kuti tizive zviri zai anoshongwa anogona kutakura chirwere ponji uye transillumination.

Treatment.

Vamwe varwere testicular torsion anogona kubatwa rokutanga maawa pashure kuwanikwa chirwere. Kuti aite izvi, kuita bhuku unwinding. Murwere akarara pamusoro musana wake uye kunyatsoongorora kuita unwinding pakati bloat negwara risiri. Panyaya iyi, zai vakatama zvishoma pasi. Kana waita zvakarurama, marwadzo ari yekudyidzana kushoma kana kuti kwakapera zvachose. Kana nzira iri zvikasashanda, ipapo murwere ushande. Inoitwa chinhu kuvhuya chitunha pamusoro scrotum, ipapo kupedza unwinding mazai uye kuongorora chinhanho kwayo. Kana rubatsiro akanga akapa kunonoka uye zai kwava unsustainable, ipapo zvibereko zvayo rokubvisa.

Kana refu uye yakatetepa gumbo, ipapo gidatidy testicular torsion kunogona kuitika, sezvamakaropafadzwa chirwere kunoratidzwa ndoda kakawanda. Kumboda pane nyonganyonga riparadzirwe gidatidy kana ayo kuzvimba. Izvi imhaka inzwi makumbo gidatidy, nenyonganiso pamusoro venous water drainage ropa panguva yechiitwa kana kukuvara siyana, uyewo panguva torsion pamwe vaingoerekana unwinding.

Vana akarova gidatida tinganetseka kuda kurutsa, vanogona achairutsazve, ungadzivisa kumusoro kupisa. Shure kwaizvozvo kunoitika hyperemia uye edema pamusoro scrotum, iyo kuramba kukura.

Perekurt gidatid kunoratidzwa anotevera zvinhu:

- kuonekwa pakarepo kurwadziwa jende;

- scrotal edema (symmetrically) pamwe panowanikwa kugabhuka;

- nezve batana nda.

Matambudziko torsion gidatid:

- hydrocele, iyo inova chisingaperi uye zvadaro inotungamirira nokuvhiringidzirwa ropa uye node kufamba kweropa, zvichitungamirira atrophy;

- epididymo, nekuti ayo excretory kushaya mbereko;

- testicular dysfunction kwaizotevera atrophy.

Kashoma ukaona testicular torsion hwobva kubvunza nyanzvi.