Anorchia

ʻO Anorchia ka ʻole o nā hōʻike ʻelua i ka wā hānau.

Hoʻokumu ka embryo i nā mea moekolohe i nā pule mua o ka hāpai ʻana. I kekahi mau hihia, ʻaʻole ulu nā hōʻike mua i nā kāne ma mua o 8 mau pule i ka hāpai ʻana. E hānau ʻia kēia mau pēpē me nā kino wahine.

I kekahi mau hihia, nalo nā hōʻike ma waena o 8 a 10 mau pule. E hānau ʻia kēia mau pēpē me ka genigu wahine kānalua. ʻO kēia ka mea e loaʻa i ke keiki nā ʻāpana o ke kāne a me ka wahine.

I kekahi mau hihia, nalowale paha nā hōʻike ma waena o 12 a 14 mau pule. E loaʻa i kēia mau pēpē ka penis a me ka scrotum maʻamau. Eia naʻe, ʻaʻohe o lākou hōʻike ho'āʻo. ʻIke ʻia kēia ma ke ʻano he anorchia congenital. Ua kapa ʻia ʻo ia ka "vanesses testes syndrome."

ʻAʻole ʻike ʻia ke kumu. Pili paha nā kumu genetic i kekahi mau hihia.

ʻAʻole e huikau kēia ʻano me nā testes undundered bilateral, kahi e waiho ai nā mea hōʻike ma loko o ka ʻōpū a i ʻole ke ʻūlū ma mua o ka scrotum.

Pākuʻi ʻia paha nā ʻōuli:

• ʻO nā maʻamau ma waho o nā genital ma mua o ka wā ʻōpio
• ʻAʻole e hoʻomaka i ka ʻōpio i ka manawa kūpono

Aia nā hōʻailona me:

• Scrotum Empty
• Ka nele o ke ʻano moekolohe kāne (penis a me ka ulu ʻana o ka lauoho pubic, hoʻonui i ka leo, a hoʻonui i ka nui o nā mākala)

Loaʻa i nā hoʻāʻo:

• Nā pae hormone Anti-Müllerian
• ʻIno iwi
• ʻO ka Follicle stimulate hormone (FSH) a me nā pae hormone luteinizing (LH)
• Ke ʻoki kino e nānā no nā mākua hānau kāne
• Nā pae testosterone (haʻahaʻa)
• Ultrasound a MRI paha e nānā i nā hōʻike ma ka ʻōpū
• Xy karyotype

Hoʻolālā pū kekahi:

• ʻO nā mea hoʻoulu testicle ʻimi hoʻopunipuni
• Nā homone kāne (androgens)
• Kākoʻo Psychological

Maikaʻi ka kuanaʻike me ka lāʻau.

Komo pū nā pilikia:

• ʻO ka helehelena, ka ʻāʻī, a i ʻole nā ​​kua i hope ʻole i kekahi mau hihia
• Hoʻoipo
• Nā pilikia Psychological ma muli o ka ʻike kāne

Kāhea i kāu kahu mālama ola inā he keiki kāne:

• ʻIke ʻia e loaʻa kahi testicle liʻiliʻi liʻiliʻi a i ʻole ʻole
• ʻAʻole ia e hoʻomaka i ka wā ʻōpio i kona wā ʻōpio

Nā hoʻāʻo e pau ana - anorchia; Emoty scrotum - anorchia; Scrotum - hakahaka (anorchia)

• Anatomia hānau kāne
• ʻŌnaehana hānau kāne

Ali O, Donohoue PA. Hypofunction o nā hōʻike. 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 601.

Chan Y-M, Hannema SE, Achermann JC, Hughes IA. Nā maʻi o ka hoʻomohala moekolohe. I: Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, eds. ʻO Williams Textbook of Endocrinology. 14th ed. Piladelapia, PA: Elsevier; 2020: chap 24.

Yu RN, Daimana DA. Nā maʻi o ka hoʻomohala moekolohe: etiology, loiloi, a me ka hoʻokele olakino. I: Partin AW, Dmochowski RR, Kavoussi LR, Peters CA, eds. Campbell-Walsh-Wein Urology. 12th ed. Piladelapia, PA: Elsevier; 2021: chap 48.