ʻO Varicocele i nā keiki a me nā ʻōpio

Anter

• He aha ke kumu
• Nā hōʻailona kūpono a me nā hōʻailona
• Pehea e hana ai i ka lāʻau

He mea maʻamau ka varicocele Pediatric a hoʻopili e pili ana i 15% o nā keiki kāne a me nā ʻōpio. Kū kēia kumu ma muli o ka dilation o nā veins o nā testicle, kahi e alakaʻi ai i ka hōʻiliʻili ʻana o ke koko i kēlā wahi, ʻoiai ma ka nui o nā hihia asymptomat, akā hiki ke kumu i ka infertility.

ʻOi aku ka pilikia o kēia pilikia i ka poʻe ʻōpio ma mua o nā keiki, no ka mea, i ka wā ʻōpio hoʻonui ia i ke kahe o ke koko i nā testicle, i ʻoi aku paha ma mua o ka hiki i ka venous, e hopena ana i nā veins o nā testicle.

He aha ke kumu

ʻAʻole maopopo ka kumu kikoʻī o ka varicocele no kekahi, akā manaʻo ʻia hiki ʻia i ka wā e pale nā ​​valves i loko o nā veins testicle i ke kahe ʻana o ke koko, e hoʻoulu ana i ka pūnaewele a me ka hopena.

I ka poʻe ʻōpio hiki ke hana maʻalahi ma muli o ka hoʻonui ʻia o ke kahe o ke koko arterial, ke ʻano o ka ʻōpio, i nā testicle, i hiki ke ʻoi aku i ka hiki i ka venous, ke hopena i ka dilation o kēia mau veins.

Hiki i ka varicocele ke pili i ka ʻaoʻao ʻelua akā ʻoi aku ka pinepine o ka testicle hema, kahi e pili ai i nā ʻokoʻa anatomical o nā testicle, ʻoiai komo ka ʻaoʻao testicular hema i ke aʻa puʻuwai, ʻoiai ke komo ka vena testicular ʻākau i ka vena cava haʻahaʻa. kahi ʻokoʻa o ke kaomi hydrostatic a me kahi maʻamau ʻoi aku ka nui no ka varicocele e kū ai kahi i ʻoi aku ke kaomi.

Nā hōʻailona kūpono a me nā hōʻailona

ʻO ka mea maʻamau, ke kū ʻo varicocele i ka wā ʻōpio, ʻo ia ka asymptomat, a ʻaʻole iki i ka ʻeha, ke ʻike ʻia e ka pediatrician i kahi loiloi maʻamau. Eia nō naʻe, hiki i kekahi mau hōʻailona ke kū, e like me ka ʻeha, hōʻoluʻolu a i ʻole ka pehu.

ʻO Spermatogenesis ka hana testicular i hoʻopili nui ʻia e varicocele. I ka poʻe ʻōpio me kēia ʻano, ua ʻike ʻia ka hoʻemi ʻana o ka nui o ka sperm, ka hoʻololi ʻana o ka morphology sperm a me ka hoʻemi ʻana i ka neʻe ʻana, no ka mea ʻo varicocele ke alakaʻi i ka hoʻonui ʻana i nā radical free a me ke kaulike ʻole endocrine a hoʻonāukiuki i nā mea hoʻopili autoimmunity e hoʻopilikia i ka hana testicular maʻamau a me ka momona.

Pehea e hana ai i ka lāʻau

Hōʻike wale ʻia ka mālama ʻana inā kumu ka varicocele i nā ʻōuli e like me ka atricular testicular, ʻeha a inā he ʻokoʻa nā anamanaʻo sperm, hiki ke hōʻemi i ka momona.

Pono paha ia e hana i kahi ʻoki, i hoʻokumu ʻia i ka ligation a i ʻole ke kuhi ʻia ʻana o nā veins spermatic o loko a i ʻole ka mālama ʻana i ka lymphatic microsurgical me ka microscopy a i ʻole laparoscopy, e pili ana me ka hoʻemi o ka helu o ka hoʻi hou a me nā pilikia.

ʻAʻole maopopo ia inā ʻo ka hoʻomaʻamaʻa ʻana o varicocele i ka wā kamaliʻi a me ka ʻōpio e paipai i kahi hopena ʻoi aku o nā ʻano semen, ma mua o ka hana i hana ʻia ma hope. Pono e nānā i nā ʻōpio me nā ana testicular i kēlā me kēia makahiki a ma hope o ka ʻōpio, hiki ke nānā ʻia e ka sperm test.