ʻO Hydrocele
ʻO kahi hydrocele kahi ʻeke piha piha i ka wai i ka scrotum.
Kūleʻa nā Hydroceles i nā pēpē hānau hou.
I ka ulu ʻana o kahi pēpē i loko o ka ʻōpū, iho mai nā testicle mai ka ʻōpū ma o kahi paipu i loko o ka scrotum. Kū nā Hydroceles ke pani ʻole kēia paipu. Kahe nā wai mai ka ʻōpū ma o ka paipu hāmama a paʻa ʻia i ka scrotum. ʻO kēia ke kumu e pehu ai ka scrotum.
Hele ka hapa nui o nā hydroceles i kekahi mau mahina ma hope o ka hānau ʻana. I kekahi manawa, hiki mai kahi hydrocele me kahi hernia inguinal.
Hoʻokumu ʻia nā Hydroceles e:
- ʻO ke kūkulu ʻana i ka wai maʻamau a puni ka testicle. Kūpono paha kēia no ka hana o ke kino i ka nui o ka wai a i ʻole ʻaʻole kahe maikaʻi. (ʻO kēia ʻano hydrocele ka mea maʻamau i nā kāne ʻelemakule.)
- ʻO ka pehu a ʻeha paha o ka testicle a i ʻole epididymis
ʻO ka hōʻailona nui he scrotum ʻole i wili ʻole, ʻōwili ākea, e like me ka baluna wai. Kū paha kahi hydrocele ma kekahi o nā ʻaoʻao ʻelua paha. Eia nō naʻe, pili pinepine ka ʻaoʻao ʻākau.
E loaʻa iā ʻoe kahi hōʻike kino.E ʻike ka mea mālama ola ua pehu ka scrotum, akā ʻaʻole ʻeha ke hoʻopā. ʻO ka manawa pinepine, ʻaʻole hiki ke ʻike ʻia ka testicle ma muli o ka wai e hoʻopuni iā ia. Hiki ke hoʻonui a hoʻemi ʻia ka nui o ka ʻeke piha piha i ka wai i kekahi manawa e ke kau ʻana i ke kaomi ma luna o ka ʻōpū a i ʻole ka scrotum.
Inā loli ka nui o ka hōʻiliʻili wai, ʻoi aku ka hopena ma muli o kahi hernia inguinal.
Hiki ke ʻike maʻalahi ʻia nā Hydroceles e ka hoʻomālamalama ʻana i kahi ipukukui uila ma o ka ʻāhā o ka scrotum i pehu. Inā piha ka scrotum i ka wai piha, e hoʻomālamalama ka scrotum.
Pono ʻoe i kahi ultrasound a i ʻole CT scan e hōʻoia i ke kuhi.
ʻAʻole hōʻino nā Hydroceles i ka hapa nui o ka manawa. Mālama wale ʻia lākou ke kumu lākou i ka maʻi a i ʻole ka maʻi.
Pono e hoʻopaʻa pono nā Hydroceles mai kahi ingnia hernia me ke kahakaha ke hiki. Hydroceles e hele ʻole ma kā lākou iho ma hope o kekahi mau mahina e pono ke ʻoki. Hana ʻia kahi kaʻina ʻoki lāʻau i kapa ʻia he hydrocelectomy (wehe ʻana i ka pale laka) e hoʻoponopono ai i ka pilikia. ʻO ke kahe ʻana o ka nila ka koho akā hoʻi mai ka wai.
Hele pinepine nā hydroceles maʻalahi i nā keiki me ka hana ʻole. I nā mākua, ʻaʻole hele pinepine nā hydroceles iā lākou iho. Inā pono ke ʻoki, he hana maʻalahi me nā hopena maikaʻi loa. Ma hope o ke kaha ʻana, hiki i kahi hydrocele ke hana hou i kekahi manawa.
Pākuʻi ʻia paha nā pōpilikia mai ke kahakaha hydrocele:
- Huʻi koko
- Maʻi kīnā
- Ka hōʻeha i ka scrotum
- Ka nalowale ʻana o ke kumumanaʻo
- Lōʻihi lōʻihi (mau) ʻeha
- ʻŌhū mau
Kāhea i kāu mea hāʻawi inā loaʻa iā ʻoe nā ʻōuli o hydrocele. He mea nui e kāpae i nā kumu ʻē aʻe o kahi lump testicular.
ʻO ka ʻeha i ka scrotum a i ʻole nā testicle kahi pilikia. Inā loaʻa iā ʻoe ka ʻeha a hoʻonui ʻia kou scrotum, e ʻimi koke i ke kōkua lapaʻau e pale ai i ka nalo ʻana o ka testicle.
Processus vaginalis; Palapala Sila Nui Prosesus vaginalis
- Anatomia hānau kāne
- ʻO Hydrocele
Aiken JJ. Hernia inguinal. I: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. ʻO Puka Textbook of Pediatrics ʻo Nelson. 21st ed. Piladelapia, PA: Elsevier; 2020: chap 373.
ʻO Elder JS. Nā maʻi a me nā anomalies o ka maʻiʻo scrotal. I: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. ʻO Puka Textbook of Pediatrics ʻo Nelson. 21st ed. Piladelapia, PA: Elsevier; 2020: chap 560.
Kelemania CA, Holmes JA. Nā maʻi urologic i wae ʻia. I: Nā paia RM, Hockberger RS, Gausche-Hill M, nā ʻaoʻao. ʻO Rosen's Emergency Medicine: Nā Manaʻo Manaʻo a me ka hana lapaʻau. 9th ed. Piladelapia, PA: Elsevier; 2018: chap 89.
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Palmer LS, Palmer JS. Ka mālama ʻana i nā mea kūpono ʻole o ka genitalia kūwaho i nā keikikāne. I: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th hua. Piladelapia, PA: Elsevier; 2016: chap 146.