Chotupa cha chingwe spermatic mu mnyamatayo: zimayambitsa, chithunzi, chithandizo opaleshoni, zotsatira weniweni

Chotupa cha chingwe spermatic, mnyamata (zifukwa akhale chitukuko cholakwika m'mimba) ndi hydrocele lakutali. matenda imeneyi imaphatikizapo kudzikundikira madzimadzi. Miyeso ya chotupa angakhale osiyana - kuyambira wamng'ono kwambiri, sadzachitanso kuonekera kwa anthu amene amaphwanya ntchito zonse dongosolo kugonana mnyamata.

ndi chingwe spermatic Kodi

Spermatic chingwe - ndi chimodzi cha ziwalo za ziwalo zoberekera, amene wophatikizidwa. Amakhala ndi mitsempha, ndi lymph ndi magazi zotengera, vas deferens, zatsalira outgrowth peritoneum.

Funikulotsele - ndi mtima wabwino neoplasm m'dzenjemo mu chingwe spermatic, zimenezi kobadwa nako kapena kugula. Kudziwa kudwala ichi mosavuta pa kumupima Buku la mwanayo, koma ndi bwino kupatsa kwa dokotala, amene anapezeka pa maziko a kafukufuku mwatsatanetsatane.

mitundu ya mawu

Chotupa cha chingwe spermatic, mnyamata (zimayambitsa, chithunzi m'nkhani ino) kungakhale:

• Kobadwa nako. Pankhaniyi, mafotokozedwe chimodzi - kulephera mu chitukuko yoopsa. Owonetseredwa kobadwa nako chotupa cha chingwe spermatic, mnyamata ndi chosakwanira imperforate m'mimba ndondomeko ukazi, chifukwa chimene zotupa anapanga mu dzenje spermatic chingwe. Nthawi zambiri, mawonekedwe a matenda spermatogenic ndipo imakhala yokha ya madzi mandala popanda spermatozoa.
• Nagula. fomu iyi ndi zambiri akufotokozera chifukwa cha kutupa kwa scrotum kapena kuvulala ake. The ducts omwe kotero kuonongeka kapena Kusiya ntchito, chifukwa muli ndi alipo, motero, umuna outflow ikutha. Komanso, pali blockage, ndi chinsinsi kwambiri, chomwe chimakakamiza mbali zina za ducts seminal. Ndendende chifukwa cha ichi, ndipo popangidwa ndi zophuka dzenje, cysts. Mosiyana pathologies kobadwa nako, mu nkhani iyi, ndi madzi odzazidwa matupi ndi umuna, ndipo iwo akhoza kukhala kuonongedwa kapena nawobe atsopano.

Tikumbukenso kuti kobadwa nako chotupa cha chingwe spermatic, mnyamata amene zimayambitsa kugona mu maonekedwe a chitukuko embryonic si kuopseza moyo, koma pamene zizindikiro woyamba tikulimbikitsidwa kuti mwamsanga kwa urologist lapansi. Ichi ndi chifukwa chakuti yekha funikulotsele kungakhale chizindikiro cha matenda ena aakulu. Mwachitsanzo, ndi zizindikiro zofanana akhoza kudwala khansa. N'chifukwa chake mapangidwe latsopano ayenera kufufuza zonse.

The chikuchititsa mavuto a matenda

Kuwonjezera pa pathologies chitukuko embryonic, ndi chotupa cha chingwe spermatic, mnyamata, zimayambitsa, chithandizo, ndipo matenda ali m'nkhani ino kumachitika chifukwa:

• alipo spermatic ritsa kapena interstitial madzimadzi zolephera kufalitsidwa (posungira chotupa) ;
• Mawotchi kuwonongeka, kutupa kapena zina kudwala spermatic chingwe (remolyatsionnaya chotupa).

Nthawi zambiri, matenda ndi kobadwa nako mu chikhalidwe ndipo anapanga motere: m'mimba dzira bwinobwino adatchithisira mu scrotum, ndi kuyendera ndi ngalande inguinal, nthawi yomweyo adatchithisira ndi outgrowth wa peritoneum, amene kenako imagwiritsidwa mkati mazira chipolopolo. Ndi outgrowth uyu wotchedwa processus vaginalis.

Mwachibadwa, ndondomeko izi kwa miyezi choyamba cha moyo chikamakula, chifukwa mu chingwe zoonda, ndi dera la kukhudzana ndi mazira peritoneum kusiyiratu. Zimenezi zimathandiza Ndime ya madzimadzi mu peritoneal danga dzira malo. M'munsi lokwera gawo ndipamene mtundu wa M'mimbamo padziko testicle, amene akutumikira monga cholandirira zakumwa ndi chotupa spermatic chingwe. Chinthu chachikulu chomwe chikhalidwe ichi ndi dera kukhudzana ndi peritoneum testicular Kodi kutha. Ndi kupyolera mu izi kutsegula madzimadzi peritoneal ndi likulowerera kwa dzira.

Kodi chotupa?

Kunja, matenda ali ndi zizindikiro zake. Makamaka, spermatic chingwe chotupa mnyamata amene ntchito mosalephera, anaonetsa kutupa kapena anamaliza formations mu groin lapansi. digiri Izi amamuchititsa zosiyanasiyana kukula. Izi zikusonyeza kuti pali uthenga zonse m'mimba.

Chotupa akufotokozera kwa nthawi yaitali, kotero zindikirani malfunctions aliyense mu thupi la ntchito kovuta. The neoplasm akhoza anakumana pamene akufufuza mpata, koma kawirikawiri Musiyeni. Ngati mnyamata anali kupita, pangakhale kusapeza pa gulu, koma chizindikiro ichi m'malo osowa. Komanso, pangakhale ululu.

Kupeza neoplasm zambiri tinasonkhanitsa pa anayendera chizolowezi kapena chotupa akafike kukula ena (kawirikawiri ali mu osiyanasiyana 1-3 cm).

M'pofunikanso kukumbukira kuti chotupa cha chingwe spermatic, mnyamata, zimayambitsa omwe tafotokozazi, kaya kukula kwake kumasintha kuthamanga pa zinthu yapafupi, chifukwa kufa mphamvu testicle. N'chifukwa chake, pa mlandu chofunika opaleshoni iliyonse, amene anachita pa zaka 1.5-2.

diagnostics Features

Matendawa "chotupa cha chingwe spermatic," dokotala mnyamata zitha andrologist zochokera zotsatira za phunzirolo. Njira zotsatirazi kungakhale kofunika:

• Ultrasound wa scrotum lapansi. Njira imeneyi ndi nkhani kwambiri ndi zolondola phunzirolo. Ndi kuti matenda chotupa spermatic chingwe. njira kufufuza zimathandiza kudziwa kukula enieni a zotupa, komanso malo ake. Pa US kudwala uyu ali ndi maonekedwe a mapangidwe homogeneous kuti ali ndi khoma woonda. Komanso, chophimba ndi kuoneka bwino yosalala mkati ndi kunja contours. Komabe, ultrasound silinena pamaso pa umuna mu madzimadzi.

• Transillumination. Njira imeneyi imaphatikizapo candling scrotum mu kutalika ena kunyezimira kuwala. Pa chotupa ichi (zambiri miyeso musalumphe 2.5 cm) akhoza kuoneka ngati kuwala chikasu zili m'kati. The chotupa ali ndi chuma cha kupatsira kuunika kwathunthu motsutsana ndi minofu chisindikizo.
• Yopangidwa tomography ndi Kujambula imachitika pokhapokha ngati dotolo ali ndi kukayikirana cha kukhalapo kwa khansara.

Yofunika kwambiri matenda a anayendera Buku la malo okayikitsa. Ndi pa maziko a zotsatira za akufufuza mpata akhoza kukhazikitsa pamaso pa matenda.

Njira amachitira cysts

kudwala Izi si kuopseza chivundi kwa thupi. Mbali yapadera ndi kuti chotupa cha chingwe spermatic mosavuta mankhwala. Komabe, pamaso pa ululu kwambiri, komanso miyeso mofulumira zofunika chotupa kukula kugunda ayenera kumwedwa posachedwapa, chifukwa akuchedwa zingachititse mavuto aakulu monga hernias. Komanso chotupa ichi mukhoza kupitiriza minofu ozungulira, nchifukwa chake iwo ali opunduka ndi kusokonezedwa magwiridwe awo.

Ngati matenda "chotupa cha chingwe spermatic," mnyamatayo, ntchito (ayankhe madokotala, izo akutsimikiza yekha) ndi Zimatheka njira mankhwala. Kuti muzikachita ntchito mankhwala ochititsa m'deralo. Pambuyo pa opaleshoni, wodwalayo amathera kuchipatala tsiku lina, ndipo pafupifupi kukaniza onse kuchotsedwa kale pa tsiku lakhumi.

masiteji opaleshoni

opaleshoni ikuchitika mu magawo angapo:

• Kunyamula ang'ambe thupilo yaing'ono.
• A kung'ambika mwatsatanetsatane minofu pa njira chotupa cha. Ulamuliro zoyambirira za msinkhu umenewu opaleshoni kuti: zokhudzana khungu ayenera anavulala zochepa ngati n'kotheka. Ngati lamulo limeneli kunyalanyaza, zingakhale zovuta ndi ntchito ya ubereki wabwino wa wodwalayo m'tsogolo.
• Chotupa kuchotsa.
• Stitching minofu ya epididymis lapansi. Ngati inu kuphonya stepi ino, patapita kanthawi zipsera opaleshoni angaoneke ngati kungasokoneze ndondomeko kupanga ndi mayendedwe ya umuna.

Kuchepetsa mavuto obwera chifukwa cha opaleshoni ano, madokotala amagwiritsa ntchito zipangizo zapadera microsurgical, komanso mawonekedwe kuwala. Zimenezi zimathandiza kuti kwambiri za msoko zazing'ono. The chilonda ndi pafupifupi wosaoneka, choncho sikusokoneza. Pambuyo njira zonse opaleshoni pa zinkakhala m'dera ntchito ozizira kupewa hematoma mapangidwe.

Chotupa cha chingwe spermatic mu mnyamatayo: opaleshoni, zotsatira za zenizeni

Pambuyo likufa opaleshoni zimakhala zenizeni ndi nonspecific zosokonezeka. Gulu loyamba zikuphatikizapo:

• kukha magazi mu malo opaleshoni ikuchitika mwachindunji;
• zamafinya zinangoti mabala;
• divergence wa matabwa.

Monga ulamuliro, zotsatira zikhoza kupewedwa ngati opaleshoni zinachitikadi motsatira malamulo.

Zotsatira Non-zenizeni

Poganizira mavuto amene si yeniyeni, ndiye ankawachitira anasonyeza ndondomeko cicatricial, chifukwa mu kusokonezedwa outflow umuna (Vuto izi zingachititse osabereka). Pofuna kupewa chotero opaleshoni wakuswa bwino kokha pa umboni wa khalidwe, ndizo

• Zizindikiro anasonyeza kudwala monga ululu kapena maganizo zonse za kulemera mu groin ndi;
• kukula kukula kwa burashi ndi;
• waukulu kwambiri kukula kwa zotupa, chifukwa mu mapindikidwe wa zimakhala ozungulira.

Pakuti cysts yaing'ono kusankha otchedwa maso wodikira.

Popeza ambiri ndemanga amayi amene ana awo ali opareshoni, Ndizachidziwikire kuti mavuto alionse pambuyo opaleshoni n'zochepa ndipo amadalira kwambiri pa munthu. Komabe, akatswiri odziwa kuganizira kwambiri asanachite opareshoni, pamene anayendera zonse. Odwala amasonyeza kuti kugwiritsa ntchito mankhwala oletsa ululu pamalopo, kwambiri Iyamba nthawi konzanso, ndipo mkati mwa tsiku, inu mukhoza kubwerera ku moyo wakale. Ndipo ichi ndi mkangano zofunika, anapatsidwa liwiro la moyo wamakono.

Kodi n'zotheka chithandizo ndiwofatsa?

Pakuti ambiri funso n'lakuti: "Ngati anapezeka ndi chotupa cha chingwe spermatic mu mnyamatayo," Helevskie "mankhwala zingathandize kupewa opaleshoni kapena ayi?" Yankho ndi wopezeka: ayi, simungathe. No mapiritsi kapena mafuta sangathe kuchotsa kobadwa nako kapena kugula chotupa cha chingwe spermatic, monga maphunziro anatomical, amene sakhoza kutha paokha. N'chifukwa chake njira opaleshoni ankangomva kuti vutoli.

Samenya odzikonda ndipo chifukwa nthawi zina akuchedwa ankatha kuopseza zotsatira zowawa. Panthawi yake matenda funikulotsele kungathandize kuchepetsa mavuto. N'chifukwa chake analimbikitsa makolo a mwanayo kuchita kuyendera nthawi zonse groin m'dera la mwana.