Kaha hōʻikeʻike ʻole

Hana ʻia kahi testicle ʻole ke ʻole e neʻe kekahi a i ʻole ʻelua testicle i ka scrotum ma mua o ka hānau ʻana.

ʻO ka hapanui o nā manawa, iho nā testicle o kahi keikikāne i kona manawa he 9 mau makahiki. ʻO nā testicle undescended ka mea maʻamau i nā pēpē i hānau mua ʻia. Ua emi mai ka pilikia ma nā pēpē wā piha.

Loaʻa i kekahi mau pēpē kahi kūlana i kapa ʻia he retractile testes a ʻaʻole hiki i ka mea mālama ola ke loaʻa nā testicle. I kēia hihia, maʻamau ka testicle, akā huki ʻia i waho o ka scrotum e kahi reflex muscle. Hana ʻia kēia no ka mea liʻiliʻi ka testicle ma mua o ka ʻōpio. E iho maʻamau nā testicle i ka wā ʻōpio a ʻaʻole pono ke ʻoki.

ʻO nā hōʻike e iho maoli ʻole i loko o ka scrotum e manaʻo ʻia he ʻokoʻa. ʻO kahi testicle undescended ka mea e hoʻomohala i ka maʻi ʻaʻai, ʻoiai inā lawe ʻia i loko o ka scrotum me ke kahakaha. ʻOi aku paha ka maʻi ʻaʻai i loko o ka testicle ʻē aʻe.

ʻO ka lawe ʻana i ka testicle i loko o ka scrotum hiki ke hoʻomaikaʻi i ka hana sperm a hoʻonui i nā manawa o ka momona maikaʻi. Hāʻawi ia i ka mea hāʻawi e hana i kahi hoʻokolokolo no ka ʻike mua ʻana i ka maʻi ʻaʻai.

I nā hihia ʻē aʻe, ʻaʻole hiki ke loaʻa kahi testicle, ʻoiai i ke kaʻina. Ma muli paha o kahi pilikia i loaʻa i ka wā e ulu ana ka pēpē ma mua o ka hānau ʻana.

ʻO ka hapanui o ka manawa ʻaʻohe mau hōʻailona ʻē aʻe ma mua o ka ʻole o ka testicle i ka scrotum. (Kapa ʻia kēia he scrotum hakahaka.)

Hōʻoia kahi hoʻokolohua e ka mea hoʻolako ʻaʻole hoʻokahi a ʻelua paha o nā hōʻike i loko o ka scrotum.

ʻAʻole paha e hiki i ka mea hāʻawi ke ʻike i ka testicle i hoʻoliʻiliʻi ʻole ʻia i ka paia o ka ʻōpū ma luna o ka scrotum.

Hiki ke hana ʻia nā hoʻokolohua kiʻi, e like me ka ultrasound a i ʻole ka CT scan.

I ka hapanui o nā hihia, e iho ka testicle me ka ʻole o ka lapaʻau i ka makahiki mua o ke keiki. Inā ʻaʻole kū kēia, hiki i ka mālama ke hoʻopili ʻia:

• ʻO nā injection Hormone (B-HCG a i ʻole testosterone) e hoʻāʻo e lawe i ka testicle i loko o ka scrotum.
• ʻO ke kaha (orchiopexy) e lawe i ka testicle i loko o ka scrotum. ʻO kēia ka lapaʻau nui.

ʻO ke ʻoki ʻana i ke kakahiaka hiki ke pale i ka hōʻino ʻana i nā testicle a hōʻalo i ka hānau ʻole. Pono e hemo kahi hōʻike hōʻike ʻole i ʻike ʻia ma hope o ke ola. ʻO kēia no ka mea ʻaʻole e holo maikaʻi ka testicle a hiki ke hoʻoweliweli i ka maʻi ʻaʻai.

ʻO ka hapa nui o ka manawa, hele ka pilikia me ka ʻole o ka lapaʻau. Lapaʻau a ʻoki kino paha e hoʻoponopono i ke ʻano kūleʻa i ka hapanui o nā hihia. Ke hoʻoponopono ʻia ke ʻano, pono iā ʻoe e loaʻa i nā kauka testicle maʻamau e kāu kauka.

Ma kahi o 50% o nā kāne me nā testicle undescended, ʻaʻole hiki ke loaʻa nā testicle i ka manawa o ke ʻoki. Kāhea ʻia kēia he testis vanished or absent. E like me ka mea i ʻōlelo ʻia ma mua, no kekahi mea paha ia e ulu ana ka pēpē i ka wā hāpai.

Komo pū nā pilikia:

• Ka poino i ka testicle mai ke ʻoki
• Ka hānau ʻole ma hope o ke ola
• Ka maʻi ʻaʻai testicular i hoʻokahi a i ʻole nā ​​hōʻike ʻelua

Kāhea i ka mea hāʻawi i kāu keiki inā ʻike ʻia kahi testicle i hoʻoliʻiliʻi ʻole ʻia.

Cryptorchidism; Emoty scrotum - hōʻike hoʻohaʻahaʻa ʻole ʻia; Scrotum - hakahaka (nā hōʻike hōʻike ʻole ʻia ʻole); Monorchism; Nā mea hoʻāʻo i pau i ka nalo - undescended; Nā hoʻāʻo hoʻihoʻi

• Anatomia hānau kāne
• ʻŌnaehana hānau kāne

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ʻO Chung DH. ʻOki kino Pediatric. I: Townsend CM, Beauchamp RD, Evers BM, Mattox KL, eds. ʻO Sabiston Textbook of Surgery. 20 ouk. Piladelapia, PA: Elsevier; 2017: chap 66.

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.

Meyts ER-D, Main KM, Toppari J, Skakkebaek NE. ʻO Testicular dysgenesis syndrome, cryptorchidism, hypospadias, a me nā tumors testicular. I: Jameson JL, De Groot LJ, de Kretser DM, et al, eds. Endocrinology: Makua a Pediatric. ʻEpekema 7 Piladelapia, PA: Elsevier Saunders; 2016: chap 137.