Varicocele

ʻO ka varicocele ka pehu o nā uaua i loko o ka scrotum. ʻIke ʻia kēia mau uaua ma ke kaula e paʻa ai ka testicle a ke kāne (spermatic cord).

Hana ʻia kahi varicocele ke kūpale i loko o nā uaua e holo ma ke kaula spermatic e pale i ke kahe o ke koko. Kūleʻa ke koko, e alakaʻi ana i ka pehu ʻana a me ka hoʻonui ʻana o nā uaua. (Like kēia me nā veins varicose i nā wāwae.)

ʻO ka hapa nui o ka manawa, ulu lohi ka hoʻomohala varicoceles. ʻOi aku ka maʻamau i nā kāne mai 15 a 25 mau makahiki a ʻike pinepine ʻia ma ka ʻaoʻao hema o ka scrotum.

ʻO kahi varicocele i kahi ʻelemakule e hōʻike koke ʻia ana e ka tumo hakuʻala, kahi e hiki ai ke hoʻopaʻa i ke kahe o ke koko i kahi aa koko.

ʻO nā hōʻailona me:

• Hoʻonui ʻia, nā uaua i wili ʻia i ka scrotum
• ʻEha puʻuwai a hōʻoluʻolu paha
  
• ʻO ka puʻupuʻu ʻehaʻeha ʻole, ka pehu scrotal, a i ʻole ka ʻōhū i ka scrotum
• Nā pilikia kūpono me ka momona a hoʻemi ʻia paha ka helu sperm

ʻAʻohe o kekahi hōʻailona i kekahi mau kāne.

E loaʻa iā ʻoe kahi hoʻokolohua o kāu wahi ʻupena, e like me ka scrotum a me nā testicle. ʻIke paha ka mea mālama ola i kahi ulu wili ma ke kaula spermatic.

I kekahi manawa ʻaʻole hiki ke ʻike ʻia a ulu paha ka ulu ʻana, keu hoʻi ke moe ʻoe i lalo.

ʻOi aku ka liʻiliʻi o ka testicle ma ka ʻaoʻao o ka varicocele ma mua o ka mea ma kēlā ʻaoʻao.

Loaʻa paha iā ʻoe kahi ultrasound o ka scrotum a me nā testicle, a me kahi ultrasound o nā puʻupaʻa.

Hiki i ke kaula jock a i ʻole nā ​​lole komo lole ke kōkua i ka hōʻoluʻolu ʻole. Pono ʻoe i kahi lāʻau ʻē aʻe inā ʻaʻole hele ka ʻeha a hoʻomōhala paha ʻoe i nā ʻōuli ʻē aʻe.

ʻO ke kaha ʻana e hoʻoponopono i kahi varicocele i kapa ʻia ʻo varicocelectomy. No kēia kaʻina hana:

• E loaʻa iā ʻoe kekahi ʻano anesthesia.
• E ʻokiʻoki ka urologist, pinepine pinepine i ka ʻōpū o lalo, a hoʻopaʻa i nā veins maʻamau. Kuhi kēia i ke kahe o ke koko i kahi i nā veins maʻamau. Hiki ke hana ʻia ka hana ma ke ʻano he laparoscopic kaʻina (ma o nā liʻiliʻi liʻiliʻi me kahi kāmela).
• Hiki iā ʻoe ke haʻalele i ka haukapila i ka lā like me kou ʻoki kino.
• Pono ʻoe e mālama i kahi ʻeke hau ma kahi no nā hola he 24 ma hope o ke kaha ʻana e hōʻemi i ka pehu.

ʻO kahi ʻē aʻe i ke ʻoki kino ʻana ʻo ia ka embolization varicocele. No kēia kaʻina hana:

• Hoʻokomo ʻia kahi pahu hollow liʻiliʻi i kapa ʻia he catheter (Tube) i loko o kahi aa i loko o kou ʻūlū a ʻāʻī paha.
• Hoʻoneʻe ka mea hāʻawi i ka paipu i loko o ka varicocele e hoʻohana ana i nā kukuna x i alakaʻi.
• Hele kahi ʻōwili liʻiliʻi i loko o ka pahu i loko o ka varicocele. Mālama ka ʻōwili i ke kahe o ke koko i nā veins maikaʻi a hoʻouna iā ia i nā veins maʻamau.
• Pono ʻoe e mālama i kahi ʻeke hau ma kahi e hōʻemi ai i ka pehu ʻana a komo i kahi kākoʻo scrotal no kekahi manawa iki.

Hana ʻia kēia hana me ka noho ʻole o ka haukapila i ka pō. Hoʻohana ia i kahi ʻoki liʻiliʻi loa ma mua o ke kaha, no laila e wikiwiki ʻoe e hoʻōla.

ʻO ka varicocele pinepine ʻole ka maikaʻi a ʻaʻole pono e mālama pinepine ʻia, ke ʻole ka loli o ka nui o kāu testicle a i ʻole kahi pilikia me ka momona.

Inā he ʻoki ʻoe, e hoʻonui paha kāu helu sperm a hoʻomaikaʻi ia i kou momona. I ka hapanui o nā hihia, ʻaʻole hoʻomaikaʻi ka ʻōpala testicular (atrophy) ke ʻole e hana ʻia ke kahakaha i ka wā ʻōpio.

ʻO ka infertility kahi pilikia o varicocele.

Komo pū nā pilikia mai ka lāʻau ʻana:

• Hōʻike Atrophic
• Hoʻomaʻamaʻa koko
• Maʻi kīnā
• E hōʻeha i ka scrotum a i ʻole ke koko kokoke

Kāhea i kāu mea hāʻawi inā ʻike ʻoe i kahi lump testicle a i ʻole pono e mālama i kahi varicocele i ʻike ʻia.

Nā veins varicose - scrotum

• Varicocele
• ʻŌnaehana hānau kāne

ʻO Barak S, ʻo Gordon Baker HW. Ka hoʻokele hoʻokolohua o ka male ʻole male kāne. I: Jameson JL, De Groot LJ, de Kretser DM, et al, eds. Endocrinology: Makua a Pediatric. ʻEpekema 7 Piladelapia, PA: Elsevier Saunders; 2016: chap 141.

ʻO Goldstein M. Ka hoʻokele hoʻokalakupua o ka infertility kāne. I: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th hua. Piladelapia, PA: Elsevier; 2016: chap 25.

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.

Silay MS, Hoen L, Quadackaers J, et al. Ka mālama ʻana i ka varicocele i nā keiki a me nā ʻōpio: He loiloi ʻōnaehana a me nā meta-analysis mai ka European Association of Urology / European Society no Pediatric Urology Guidelines Panel. ʻO Eur Urol. 2019; 75 (3): 448-461. PMID: 30316583 www.ncbi.nlm.nih.gov/pubmed/30316583.