Varicocele i roto i taiohi: Take, maimoatanga, hopearaa

uaua tīponapona o te aho tātea crimp - tetahi o nga pathologies tino noa i roto i nga tangata. tihi tātaritanga varicocele i 14-15 tau. I roto i te 15-30 tau whānui - e te te tau, ina puta pīari tino maha. Ko te nuinga o tenei mate kite i roto i te kaitäkaro me te iwi mahi i roto i te mahi ā-tinana. Na reira, ka taea e tatou he pakari whakapuaki e kawenga uaua e whai wāhi nui i roto i te uaua o te aho tātea.

Tenei māuiuitanga he pānga nui i runga i tane mahi uri. A, whakaaro e te varicocele mamae ake ki te 30% o te taupori tane, te ru o te raruraru riro kitea.

He aha te mea he varicocele?

ngā aho tātea i roto i te tahi atu huānga me pampiniform plexus venous. Ko tenei me te miharo i te varicocele. Kei te pathologically ke nga uaua o te aho tātea, hei dilated me te whanoke.

He aha te take e memeha? Puta ana te mate e tika ana ki te ofatiraa o te matamua venous, hua i roto i te toto piki i roto i te plexus venous, totoro me deforming te taiepa oko.

Ko te etiology o varicocele

Oko no ki te pūnaha o te iahoki vena cava iho, e rite rawa ki vaolo motuhake, no te mea rere te toto i te raro ake ki runga ki a ratou. Te kore tenei urutaunga, te nuinga o te toto e kore i tae noa te ngakau; Heoi, ko te aroaro o te pūrere piha rawa tōtika ārai te stagnation o toto, me te retrograde (whakamuri) tona nekehanga.

Ko te take matua o te varicocele i roto i ngā taiohi - mapuni kore testicular rua. Tikanga, tomo toto i plexus pampiniform i roto i rua tākihi ranei tika ki te iahoki vena cava iho ano i runga i uaua testicular. Ko te raruraru ki te taumata whakamutunga o nga mapuni me ko te take matua o te mate.

Ka taea e Valvular iti hoki e he tuatahi (rite ki te hua o abnormalities congenital rua testicular, uaua ngoikore ranei kahu whakamutunga o dysplasia kiko tūhonohono) me tuarua (puta rite ki te hua o te whakanui ake i te pēhanga pūnaha o te iahoki vena cava iho ranei te rua tākihi). Ko te take o te iti hoki piha tuarua he tukanga pathological katoa e kōpeke te aho, testicular, rua tākihi tātea tika ranei ki te iahoki vena cava iho, te uaua reira mo te toto ki runga ki a ratou matamua :. Neoplasm whaturama puku, adhesions, me ētahi atu Heoi, hanga he āhuatanga i reira tīmata toto e nuu i roto i te oko toto o te aho tātea.

whakarōpū o varicocele

WHO taunaki ana te whakarōpūtanga e whai ake nei o te mate:

1. Vienna pampiniform plexus pai kore anake tautuhia e te pa, engari ano hoki ngā kite. mingimingi Egg.
2. Ka taea te palpated rua, ahakoa e kitea.
3. Mauritau nekeneke Valsalva. mea kite palpate te rua ranei ko te tauira e taea.

Heoi, i roto i to tatou whenua i te tino whakamahia nuitia whakarōpū Yu. F. Isakova. Ia, me te te tetahi o mua, titore toru ngā wāhanga, ahakoa tohua te pakeke o te mate i roto i te raupapa whakamuri. titiro reira e whai ake:

1. Vienna e kitea, e kore e whakaritea e te pa. Ko taea varicocele whakapae anake e Valsalva nekeneke.
2. Ko te pai nga korero, engari e kitea Vienna.
3. Uaua me te kitea me te nga korero. Whakarerekē hua manu.

E te ara! Valsalva nekeneke whakamana te e whai ake. E ui manawanui i roto i te tūranga e tu ana ki te mare. Ka rite ki te hua, te pēhanga i roto i te kōhao puku e whakatika, a pupuhi te pampiniform rua plexus. E mea pinepine, no te whakatairite tauira mea ka kawea i roto i roto i te tūranga te maungārongo. I roto i tenei take, ka waiho tōraro te whakamātautau.

pikitia haumanu

Ko te tikanga varicocele i roto i ngā taiohi puta kahore tetahi sensations tuakiri. Varavara, amuamu te tahi mau tūroro o te mana'o o te pouri mamae ranei i roto i te Tunaroa i muri i mahi. Heoi, kia tukinotia enei tohu ki tūpato, no te mea maha ko nga tohu tuatahi o te mumura o te i romia, me o ratou anga (orchitis me orchiepididymitis) ratou.

Ko te varicocele kino?

Komurumurua i roto i te tangata - he wahi i reira te hanganga o ngā pūtau parāoa, ngā pūtau iroriki, fertilizing te hua manu. He tino nui i roto i ngā o ratou whai wāhitanga i roto i te mahi whakaputa uri enei tinana.

Varicocele tika ki popoke i roto i te plexus venous o nui o toto e tika ana ki te pāmahana ara rohe, e kua he pānga te waipiro i runga i spermatogenesis. I tua atu, i roto i te varicocele ino roa supply o te kopa ki te hāora, me ngā pūtau testicular puta hypoxia; fakahohaasi toto-raho arai, e kia meinga te whakatupuranga o paturopi, spermicides (no te mea kei te mohio a ratou i te pūnaha ārai mate rite āpiha kino). Kei te maha Varicocele tahi e taupatupatu hormonal e rite te mana kino i runga i te tukanga o te spermatogenesis.

E tino rauangi ki enei tukanga katoa i romia, i roto i nga tangata, na tetahi o ratou e taea e ngāwari whakapōrearea i te hanganga o te parāoa me te parāoa.

Me kï hoki, Heoi, e kei te ako tonu te tūranga o te varicocele i te hanganga o te pākoko. whakapono kore katoa e nga tikanga i runga ake tūāpapa te pathogenesis o varicocele i roto i ngā taiohi. Na reira te tūranga o uaua tīponapona o te aho tātea i roto i te te pākoko toa tonu ahua tautohetia.

He aha ki te mahi?

Ko te varicocele tino nuitia pāngia i roto i taiohi. Treatment, aua, kua whakamana i roto i te taiohi. Ko reira, e matau koe, he o e rua nga tu: momo, me te hāparapara. Ki te kōrero tatou e pā ana ki varicoceles i roto i ngā taiohi, tonu e taea te kingi te wāhi tuatahi i roto i. e kore e maimoatanga momo o tenei mate te tīariari. Ko te maha o ngā mahi e whakamahia ana ki te whakakahoretia tūroro o tenei mate he nui.

Ngā momo o te wawaotanga hāparapara i roto i varicocele

Ka taea te wehea ngā mahi katoa i runga i te i romia, ki te maha ngā rōpū:

1. wawaotanga Surgical, e hāngai ana i runga i te excision o nga uaua tātea. I tēnei wā, kore whakamahia, no te mea i muri i kitea to ratou tono i roto i te 90% o ngā take o te atrophy testicular.

2. Mahi whakatika hua ki te āhuatanga o te inguinal awa uaua ranei aponeurosis. Na e kore e te whakamahia, rite tahi e te atrophy testicular (20-70% o te wā).

3. resection Tunaroa wahi ki nga hua raka waho. Varicocele matahoki puta i roto i te 100% o te wā, Heoi, ko te hauarea tenei mahi, me te kore e whakamahia tēnei wā.

4. Ligation rua testicular runga ake te faarahi inguinal. Tenei momo o te mahi arata'i ki te mutunga o te rere toto retrograde me homai te matahoki ōrau iti. Heoi, kua whakaaturia ngā e kore he varicocele tonu whaiaro māuiuitanga-. Ka taea e anake tenei mate kia he tohu o korero o te raruraru, hua i roto i takawhita venous. I roto i tenei take, kia exacerbate te mahi te āhuatanga.

5. Mahi ki te waihanga anastomoses iaia. takoto ratou ngako i roto i te meka i tonu Reflux venous te, engari na te hanga i tētahi anastomosis te tautuhi anō i te nui i te taikaha o te toto, me te uaua heke.

I reira, te maimoatanga o te varicocele i roto i ngā taiohi mahi - e kore te mea tonu whānui pokanoa ki te whakatuwheratanga o te kōhao puku. He maimoatanga minimally urutomo.

Pokanga o te paku-uru

Ko te mahi tino noa ki te hamani varicocele - Marmara. i mahi ia i raro i rehunga rohe. Te tapatapa, i te taha ki te wahi i te tukanga pathological whakawhanakehia whakamana kokoti 2-3 cm. Mai i dissected tenei uru huānga aho tātea, tohaina Vienna, motu overtighten me e pūtahi ana. sutured te patunga i roto i papa.

E whai ake i te whakaahuatanga o te mahi e kore e te tu arapaki mau, a tae noa e taea te whakamana i runga i te kaupapa tūroro. E nekehia atu Sutures i te ra 8.

Postoperatively, i roto i te wiki tuatahi warea nui Tunaroa (tutuki e mau kahiwi). I roto i 1 te marama kia karo mahi fakasekisualé.

tapahanga i Laparoscopic

Ko tētahi atu tikanga ki pānga Paku pai. Na roto i te poka i roto i te taiepa puku i te tikanga o taputapu motuhake taratahi testicular rua, klipiruyut me te whakawhiti ratou.

Ina whakaritea ki tuwhera pokanga, he maha ngā painga tenei tikanga:

1. wā postoperative poto e tika ana ki te ngaro tata oti o patunga i muri i te pokanga whakamana e te poka, me te kore tapahia.
2. No mōrea o te whaturama postoperative.
3. He pānga Paku pai.
4. tupono iti o pōauautanga postoperative.

flebosklerozirovanie endovascular

Tenei tikanga ko te rerekē ki te pokanga. takoto Ko tōna ngako i roto i te meka e i roto i te rua testicular whakaurua kaihoko sclerosing te, e whakatairanga hanganga katinga me whakamutunga o te rere toto i roto i te rua. Kei te whakamana te reira anake, ki te kahore he take ki te amo i te iti hoki piha tuarua, me te takawhita venous.

Ko te mea matua ki te matau tūroro ki varicocele, - wā o ngā mahi e faufaa. Kei te whakamatauria te reira e te maimoatanga wawe tino whakaiti te mōrea o disorders o spermatogenesis me hanganga o te pākoko.