Pāpaʻi hōʻike
Hoʻomaʻamaʻa kahi puʻupuʻu testicle a i ʻole kahi ulu (nui) i hoʻokahi a i ʻole nā ʻaoʻao ʻelua.
ʻO kahi puʻupuʻu testicle ʻaʻole e hōʻeha paha he hōʻailona ia o ka maʻi ʻaʻai. ʻO ka nui o nā hihia o ka maʻi ʻaʻai testicular e hana ʻia i nā kāne 15 a 40 mau makahiki. Hiki iā ia ke hana i nā makahiki ʻelemakule a ʻōpio paha.
ʻO nā kumu kūpono o kahi maʻi scrotal ʻeha e komo pū:
- ʻO kahi puʻupuʻu e like me ka cyst i loko o ka scrotum i loaʻa ka wai a me nā cell sperm make (spermatocele). (ʻAʻole kumu kēia ʻeha i kekahi manawa.)
- ʻO Epididymitis.
- ʻO ka maʻi o ka ʻeke scrotal.
- Ka hōʻeha a i ʻole trauma.
- Puʻupuʻu.
- Orchitis (maʻi maʻi testicular).
- Hōʻoiaʻiʻo testicular.
- Maʻi ʻaʻai testicular.
- ʻO varicocele.
ʻO nā kumu kūpono inā ʻaʻole ʻeha ka nui o ka scrotal:
- Loop o ka ʻōpū mai kahi hernia (hiki i kēia a i ʻole ʻeha paha i ka ʻeha)
- ʻO Hydrocele
- Spermatocele
- Ka maʻi ʻaʻai testicular
- Varicocele
- Cyst o epididymis a i ʻole testicle
Ke hoʻomaka nei i ka wā ʻōpio, hiki ke aʻo ʻia nā kāne i ka makaʻu no ka maʻi ʻaʻai testicular e hana i nā hōʻike maʻamau o kā lākou testicle. Hoʻopili kēia i nā kāne me:
- He moʻolelo ʻohana o ka maʻi ʻaʻai testicular
- ʻO kahi tumo i hala o ka testicle
- ʻO kahi hōʻike hōʻike ʻole i iho ʻole ʻia, ʻoiai inā ua iho mai ka testicle ma kekahi ʻaoʻao
Inā loaʻa kahi puʻupuʻu i kāu testicle, e haʻi koke aku i kāu kahu mālama ola. ʻO kahi puʻupuʻu ma ka testicle paha ka hōʻailona mua o ka maʻi ʻaʻai testicular. Ua hāʻawi ʻia nā kāne he nui me ka maʻi ʻaʻai testicular i kahi kuhi hewa. No laila, he mea nui e hoʻi i kāu mea hāʻawi inā loaʻa kahi pūpū ʻaʻole e hele.
Kāhea koke i kāu mea hāʻawi inā ʻike ʻoe i nā puʻupuʻu i hōʻike ʻole ʻia a i ʻole nā hoʻololi ʻē aʻe i kāu mau testicle.
E nānā kāu mea hāʻawi iā ʻoe. Pākuʻi paha kēia i ka nānā ʻana a me ka manaʻo (palpating) i nā testicle a me nā scrotum. E nīnau ʻia ʻoe i nā nīnau e pili ana i kāu mōʻaukala olakino a me nā ʻōuli, e like me:
- I ka manawa hea ʻoe i ʻike ai i ka puʻupuʻu?
- Ua loaʻa paha iā ʻoe nā puʻupuʻu ma mua?
- He ʻeha kou? Hoʻololi ka puʻupuʻu i ka nui?
- Aia ma hea kahi o ka testicle ka puʻupuʻu? Hoʻokahi wale nō testicle i pili?
- Ua loaʻa paha iā ʻoe kekahi mau ʻeha a mau maʻi paha? Ua ʻoki ʻia ʻoe ma kāu testicle a i ʻole ma kahi?
- He aha nā hōʻailona ʻē aʻe āu?
- Aia he ʻōpuʻu scrotal?
- Loaʻa iā ʻoe ka ʻeha o ka ʻōpū a i ʻole nā puʻupuʻu a i ʻole ka pehu ʻana ma kahi ʻē aʻe?
- Hānau ʻia ʻoe me nā testicle ʻelua i ka scrotum?
Pili nā hoʻāʻo a me nā lāʻau i nā hopena o ka hoʻāʻo kino. Hana ʻia paha kahi ultrasound scrotal e ʻike i ke kumu o ka pehu.
Lū i ka lepa; Nuipaʻa Scrotal
- Anatomia hānau kāne
ʻO Elder JS. Nā maʻi a me nā anomalies o ka maʻiʻo scrotal. I: Kliegman RM, Stanton BF, St. Geme JW, Schor NF, eds. ʻO Puka Textbook of Pediatrics ʻo Nelson. 20 ouk. Piladelapia, PA: Elsevier; 2016: chap 545.
Fadich A, Giorgianni SJ, Rovito MJ, et al. ʻO ka moho hoʻokolohua hoʻokolohua hoʻokolohua USPSTF a me nā hoʻokolokolo ma kahi hoʻonohonoho maʻi. ʻO Am J Mens Health. 2018; 12 (5): 1510-1516. PMID: 29717912 www.ncbi.nlm.nih.gov/pubmed/29717912.
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.
ʻO Stephenson AJ, ʻo Gilligan TD. Nā Neoplasms o nā hōʻike. I: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th hua. Piladelapia, PA: Elsevier; 2016: chap 34.