The ngozi varicocele nevanhu?

Varicocele rinonzwika zvakasiyana kujairika, asi zvokurwara rakanyatsojeka muvanhu uye ari deformation kuti varicose mutsinga riri spermatic tambo uye manhu. A yakafanana chirwere ane mugove hazvifadzi chaizvo zviratidzo, izvo zvingateverwa kutyora nedanho spermatogenesis, uye matambudziko embeu utano ichapfachukira ichipinda mangwanani kushaya mbereko. Munyaya ino, tichadzidza pane varicocele iri ngozi sezvo zvokurwara ichi hworatidza pacharo uye chii maonero nyanzvi pamusoro kurapwa.

Zvinoitwa chirwere

Pakati dzakasiyana-siyana zvirwere akaratidza Urological hunhu varicocele imwe varume gumi kupinda kuna chiremba pamwe zvichemo zviri kuzvimba, unyoro uye kuzvimba ari inguinal nharaunda.

Zita chirwere - ". Kuzvimba mutsinga, edema" muchiLatin, rinoreva

A zvishomanana nezvendima varicocele:

1. Chinonzi zvokurwara, somugumisiro iyo Kuchinja mutsinga ari spermatic tambo uye jende.
2. The kupfuura kakawanda maronda ari womukati spermatic tsinga uye rworuboshwe testicular tsinga.
3. 67% kuti kuratidzwa ose venous varices anowanikwa kurutivi muviri rworuboshwe.
4. Vasodilation zvinosuruvarisa kuramba uye kusingarapiki chaiyo.
5. Somugumisiro, rive dete ari mudziyo rusvingo kunoitika mutsinga deformation anooneka nodularity.
6. Ropa inoyerera kubva akaremara midziyo duku uye nomumugwagwa kwaitora nguva.
7. Somugumisiro - iri midziyo testis uye spermatic tambo ropa stasis aumba.
8. Pane chinhu kuzvimba akapoteredza nyama uye kwavakazoita kuzvimba.
9. With chichiwedzera edema ngapaonekwe marwadzo, manzwiro waziya uye kusagadzikana kuti pane mumwe kufamba murume hanya.
10. The varicocele ngozi? Kana chirwere mberi, pangava nokuvhiringidzirwa spermatogenesis kwacho, izvo zvinozoita chinokonzera mukono kushaya mbereko mangwanani.

zvinokonzera

Panguva iyoyo, vanachiremba zvitatu zvikonzero zvikuru pane varicocele nevanhu:

1. The yakawedzera kuomesa iri renal mutsinga.
2. Kuremara testicular tsinga. Pamwe Valve kana anatomical.
3. The zvose zviri zviviri pathologies.

Dzimwe nguva zvokurwara zvingaguma kubva chenguva chaiko mupfungwa uye kuneta, izvo mhaka yakawedzera kuomesa intra-abdominal kana compression pamusoro renal nhumbi.

The varicocele ngozi? mubvunzo uyu inofarirwa nevakawanda. Tichanzwisisa.

Muitiro wacho zvokurwara

1. Anatomically mhete inguinal kwakabatana kuti jende spermatic tambo.
2. Zvakakosha kuti mukati inguinal mhete hakusi bedzi vas deferens, asiwo midziyo: venous, nhengo dzinobudisa, arterial.
3. In ino chaiyo tsinga mavharuvhu, hwaishandiswa murau ropa kuyerera kunoitika.
4. Varicose njodzi acinar plexus riri spermatic tambo.
5. Pane kuwedzera spermatic tsinga, rive dete masvingo aro, pane nodularity.
6. Zviri kutyora water drainage ropa kubva manhu nhumbi.
7. Kana kuine anatomical kuremara kurutivi rworuboshwe, ari water drainage ropa kwakaoma kubva kuruboshwe.
8. Somugumisiro zvaipesana node uye ropa zvingakonzera kuzvimba kana atsamwira ari mutsinga rakakwana, zvichiteverwa ropa mukati scrotum.
9. Mberi varicocele anogona kukonzera kushaya mbereko muvarume.

Zvinokonzera krovoottoka

• It vaiona kuipa, kana kumira ropa riyerere kuburikidza mutsinga ane mirayiridzo kubva renal mutsinga kusvika acinar plexus.
• Munguva supine nzvimbo ropa riyerere kuburikidza mutsinga vanofanira kuva zvivabatsire kubva mutsinga ari manhu kuti renal mutsinga.
• Kana rokuwedzera uye deformation zviri mutsinga anotanga kunoita varicocele.
• Kana ichiwedzerwa nevamwe chisingaperi renal mumidziyo, ropa kubuda kunoitika collaterals. Rimwe midziyo iyi - testieular Vienna.
• Zvinokonzera renal neBP angava thrombosis ngarava uye anatomical rakatanga kuremara.
• Hemodynamic vachivavhiringidza zvingaitika kana akaratidza ropa zvinoerera kubva zvemamiriro testicular munzvimbo renal tsinga.
• The Kugara Kuchinja ropa riyerere kuburikidza mutsinga kunogona kuitika somugumisiro munhu vachiberekwa kuremara kana chakaremara kunobva yokukuvara.

Somugumisiro, pane kuramba kurega kunotanga ropa iri midziyo scrotum. Zvinoguma kuwedzera venous nevezera ari spermatic midziyo kusvikira 3-4 nguva. Muchiitiko chino, varicocele kuvhiya pamusoro jende kunotodiwa.

varicocele Danho

zvinhu zvizhinji sei chirwere zviratidzo. Modern nyanzvi dzokurapa vanosarudza kushandisa mana-kupatsanura, pasi iro vanachiremba vanogona kuva zvinobudirira mishonga kuronga uye kufembera kupora. Saka, zvikamu zvina varicocele:

• Danho rokutanga. Panguva iyi, hapana varicose mutsinga uye spermatic mutsinga ari spermatic tambo. Zvisinei, kutsunga kwake zvinogoneka chete tichibatsirwa Doppler.
• Danho rechipiri. Varicose deformation hunhu zvinogona anofananidzira palpation ari kumira mamiriro. kana oparesheni iri ngozi varicocele? On ichi akazotevera.
• Danho rechitatu. Kuziva varicose kuchinja varege yakamira chete, asiwo supine chinzvimbo.
• Danho wechina. Nodularity uye mutsinga deformation anogona tsunga kubudikidza pakuongorora sikarudzi.

zvokurwara kwakadaro kunogona kuwanikwa zvachose chero zera. In kuyaruka uye nevakomana varicocele kunoitika kakawanda munguva yokuyaruka. Varume vakuru zera uye chirwere vakwegura zvinogona kukonzerwa huripo renal neBP mu kwokutanga matanho kana vachiberekwa vascular urema, kukuvara, akatamisira kwokutanga. Saka zvinokosha kufunga nhoroondo uye kuitwa ezvinhu ari kuongororwa kuti varicocele (mapikicha zvinogona kuonekwa munyaya).

kupatsanura pakati varicocele

Nhasi anoshandisa zvinopfuura chimwe kupatsanura. Mumwe nomumwe wavo inorangarira chairo nei chirwere kwamuka, uyewo munhu zvechadenga nechimwe siyana kuburikidza inoyerera chirwere. Nyanzvi mune urology uye nephrology kwavo tsika kusiyanisa pamakwande anopfuura mashanu.

The kupatsanura pakati njodzi divi. Chimwe chimiro iri kuruboshwe-mativi varicocele. Panyaya iyi, kukundwa chakasara akafumura testieular Vienna. RHD varicocele kunoitika munenge 50% nyaya, apo akarova zvakanaka testieular Vienna. Very isingawanzowanikwi chimiro bilateral varicocele. It rinowanikwa muna 5-6 chete% wevarwere.

Kupatsanura nokuda shunt mhando. Wokutanga mhando inoti varicocele, sezvamakaropafadzwa ropa riri Reset kubva renal mutsinga dziri testicular tsinga. Chechipiri mhando anorondedzera zvokurwara, umo shunt kunoitika kubva iliac tsinga. Wechitatu mhando zvinoreva kubuda varicocele yaisanganisa ropa kubva renal tsinga uye iliac tsinga dzose.

Kupatsanura kubudikidza Mabviro ezwi kuwanikwa. Urologists kusiyanisa nesekondari varicocele nevanhu. Muchiitiko chokutanga, chirwere ane tinozvarwa hunhu mavambo angava pamusana kuvabereki uye anatomic abnormalities mumidziyo renal mune mavharuvhu avo tsinga yacho spermatic tambo. Kana yechipiri - iri migumisiro thrombosis, kukuvara, namamota ari chiuno diki uye dumbu, compressing nhumbi spermatic tambo kubva kunze.

Zviratidzo zvingava vanyoro kuti zvikuru. Zvose zvinoenderana chii Danho chirwere.

Symptomatology rokutanga Danho

• Rare marwadzo yomuka ari muhudyu pashure dzine mupfungwa kana mumuviri okuneta.
• Kunze chirwere ichi chinogona rokuongorora chiremba kana chiremba wezvedundira panguva zvairayirwa chaiko.

The ngozi testicular varicocele Danho rechipiri?

Symptomatology danho rechipiri

• Periodic kusanzwa ari muhudyu, yomuka mushure kamwe kufamba.
• Dzamira nezvekufadza zvinoitika pashure rinorema vachisimudza, basketball kana zvikuru uye kwenguva refu kufamba.
• Kusagadzikana akaratidza sezvo hachifadzi achidhonza uye vachirwadziwa marwadzo sezvo tingling. Varwere vanoti marwadzo havasi iziviswe Zvisinei, muri refu.
• Varwere munhu anogona kuona zvishoma sagging manhu, dzepabonde dysfunction.
• With kuchiita varicocele nevanhu (zvikuru ngozi, kunokurukurwa pazasi) kungaita kuti iziviswe asymmetry pamusoro scrotum.

Symptomatology kwechikuva rechitatu:

• Ataurwa nedoro kuti panowanikwa marwadzo spermatic tambo kubva mumuviri nesimba.
• The kuratidzwa marwadzo runonyanya kubva rumwe rutivi.
• The chidzoke uye anobuda pulsating kurwadziwa scrotum pashure nokuchinja muviri chinzvimbo.
• The panowanikwa marwadzo panguva zororo, usiku.
• Sexual dysfunction - rokuongorora unokubvumira nemaziso kuona kuchikosha asymmetry pamusoro scrotum.
• The pakuonekwa gnarled mutsinga pasi ganda, marwadzo pamusoro palpation.

Zviine ngozi varicocele?

Zvokurwara sezvo kwakadaro hakusi ngozi, asi nemamwe matambudziko kuitika, kukuisa chinokosha kutyisidzira utano noupenyu hwevanhu, uye chero zera. Late kurapwa nyanzvi kana kubviswa rubatsiro rwenyanzvi kungada kusabereka rinowanikwa pamberi zvinhu zvinotevera:

1. Long-rokuti testicular ischemia somugumisiro kukwana kweropa.
2. Kuwedzera tembiricha iri testes, iro rinobatanidza nokuvhiringidzirwa spermatogenesis kwacho.
3. To aibva dzisingaoneki utano kunodiwa pa 33 madhigirii tembiricha.
4. Somugumisiro kuzvimba tembiricha inokwira kuna muviri tembiricha pamwero. Somugumisiro, urume kuva basa, kuchinja saizi dzavo uye chimiro.
5. Somugumisiro, vanokara shunt vanoshingaira yeimwe tunodzivisa spermatogenesis rikurumidze.
6. Somugumisiro yematambudziko - postoperative lymphostasis kana hydrocele.

Therapies varicocele

Mumwe, asi kwete chete nzira kurapwa ndiyo varicocelectomy. kana oparesheni iri ngozi?

Varicocele anogona kuonekwa munzvimbo yokutanga danho, ipapo chete chinhu kuti kunodiwa - ndiko kuti kuchinja mararamiro avo uye kukutadzisa kurovedza muviri.

Kuti normalize ari intra-abdominal kufurirwa kunofanira nguva kudzivisa kupatira. Doctors mukanyatsochengeta rambidza kusimudza zvinhu, unopinza kufamba, kumhanya.

Kubata varicocele oparesheni rinoitwa chete pazuva rechipiri uye rechitatu nzendo chirwere. Zvinotevera maoparesheni anogona kuitwa:

• Embolization of tsinga, izvozvo kleppirovanie kana ligation.
• Plastic uye waigona sagging manhu.
• Nokubviswa varicocele surgically.

Vienna, dzinorwara, inogona excised kana embolized. Three zvichibvira kuwana:

1. Subingvinalny kuwana.
2. Invaginalny kuwana.
3. Retroperinealny.

Modern urology anoshandisa laparoscopic kuvhiyiwa. Havazivi kungandipa incision guru, uye nehosha chidimbu anogona kubviswa kubudikidza duku ukuru Yatanga Kuongorora. kwema izvi zvinesungano kumunda microsurgery. Mushure Kupindira ugare mavanga tuduku kuti kuporesa mukati vhiki pashure kuvhiyiwa. Varwere pashure laparoscopy anogona kudzokera aimbova mararamiro mumazuva gumi. Doctors vanoda kukamurwa kurovedza muviri. Izvi kunosimbiswazve nemashoko chirwere varicocele wongororo.

Kudzivirira varicocele

Matanho kudzivirira varicoceles zvose nyore. Zvakakosha kutevedzera mitemo shoma, uye kuderedza chirwere:

1. Unofanira nokungwaririra aswedere kurovedza uye usakanganwa pamusoro zororo.
2. Unofanira kurarama nguva upenyu pabonde.
3. Musava chakaipa tikadzivisa doro.
4. Unofanira kudya yepamusoro uye akadzikama. Chokutanga ndeyokudzivisa panowanikwa kupatira.
5. Zvakakodzera zvizere kuzorora uye hope.
6. Zvakakosha kutora mavhitaminzi ari offseason.
7. The nenguva Kufamba kuongororwa navanachiremba, kunyanya kana pane achinyevera zviratidzo.

Reviews

Surgery kurapa chirwere kunokonzera chaizvo nyaya dzinovaka. Kunyanya inoshanda laparoscopy. Zvinenge hapana mavanga, matambudziko zvakare.

boka nengozi

Varicocele chinonyanya nevakawanda varume vari vatambi vari nyanzvi mubasa Weightlifting, tsiva, kumhanya panyama kwemaawa anopfuura mana rimwe zuva, ndakawana kana vachiberekwa abnormality vanotambura thromboembolism kana thrombosis kuti renal mutsinga.

We akatarisa ngozi pane varicocele.