i-cryptorchidism emakati

Okuqukethwe

Yini i-cryptorchidism
Izinhlobo ze-cryptorchidism emakati
Izinkinga ze-cryptorchidism
Diagnostics
Ukwelashwa kwe-cryptorchidism
- Operation
Ukunakekelwa kwezilwane ezifuywayo
I-Cryptorchidism Emakatini: Okubalulekile
Izimpendulo zemibuzo evame ukubuzwa

Yini i-cryptorchidism

Ikati le-cryptorchid yisilwane esine-pathology yokuthuthukiswa kwezitho zangasese. Unesende elilodwa noma amabili angazange ehlele ku-scrotum, kodwa ahlala emgodini wesisu noma ngaphansi kwesikhumba. Lesi simo senzeka kumakati ngokungavamile - akukho ngaphezu kwe-2-3% yamacala. Amakati awakhombisi ukukhathazeka ngalokhu.

Izilwane azibuzwa ubuhlungu futhi aziqapheli ngisho nokuba khona kwalesi sifo.

Ekuqaleni, i-cryptorchidism ayiphazamisi impilo yekati, futhi nge-cryptorchidism ehlangene, izilwane ziyakwazi ngisho nokuzala. Kodwa-ke, imvelo yayihlose ukuthi amasende abekwe ngaphandle komzimba wesilwane futhi abe ezingeni lokushisa eliphansi, eduze nezinga lokushisa elizungezile. Kuphela ezimweni ezinjalo, ama-testes kanye ne-spermatozoa zikhula ngendlela efanele.

Uma izinga lokushisa le-testis liphakeme kunesidingo, khona-ke i-spermatozoa kuyo ayikwazi ukusinda, futhi izicubu ze-testis zishintsha. Lapho isilwane sesikhulile, cishe esingaphezu kweminyaka engu-8, amasende angaphansi angase aguquke abe yizicubu zesimila, ngokuvamile abe umdlavuza omubi. Lesi sifo singaba nokubikezelwa okubi ngokwedlulele, isimila simetastasize kwezinye izitho futhi ekugcineni siholele ekufeni kwesilwane esifuywayo. Izilwane ezinjalo kufanele zihlolwe futhi zelashwe, futhi zihoxiswe ekuzaleni, ngoba lesi sifo siwufuzo. Ukuthenwa kwekati le-cryptorchid kuthathwa njengenqubo eyimpoqo.

Izinhlobo ze-cryptorchidism emakati

Kunezinhlobo eziningana ze-cryptorchidism ezenzeka kwabesilisa.

Unilateral cryptorchidism

Lesi simo sivame kakhulu emakati. Kulesi simo, i-testicle eyodwa ingatholakala ku-scrotum yekati. Izilwane ezinjalo ziyakwazi ngisho nokuzala.

I-cryptorchidism yamazwe amabili

Lesi simo asivamile kakhulu emakati. Naye womabili amasende azobe engekho ku-scrotum. Ngokunokwenzeka, ikati ngeke likwazi ukuthola inzalo, ngoba izinga lokushisa elikhulayo lemvelo ye-testicles ngeke livumele ukukhula kwe-spermatozoa.

I-Inguinal cryptorchidism

Kulesi simo, i-testicle engezansi ingazwakala kakhulu ngaphansi kwesikhumba endaweni ye-groin. Uma izinyane lekati lingaphansi kwezinyanga eziyisi-6 ubudala, lisekhona ithuba lokuthi i-testicle ekugcineni lehlele ku-scrotum. Ngemuva kweminyaka eyizinyanga eziyisithupha, akusafanele ukulinda, isilwane sibhekwa njenge-cryptorchid.

I-cryptorchidism yesisu

Kulokhu, akunakwenzeka ukuthola i-testicle ngokuhlola, ngoba itholakala ekujuleni kwesisu. Ngokuvamile, amasende ehlela ku-scrotum ngesikhathi ikati lizalwa, futhi ezinyangeni ezi-2 kulula kakhulu ukuzizwa.

Uma kusolwa i-cryptorchidism yesisu, cishe akufaneleki ukulindela ukwehla kwamasende ngaphambi kwezinyanga eziyi-6.

Izinkinga ze-cryptorchidism

Ngesikhathi sokukhula kwe-fetus kuma-kittens, ama-testicles atholakala emgodini wesisu. Njengoba zikhula, zithuthela emseleni we-inguinal. I-testis inomsipha okhethekile obizwa ngokuthi i-gubernaculum.

Lo msipha ukhipha isende ngaphandle kwesisu ngomsele we-inguinal ubheke ku-scrotum. Izici eziyinhloko ezibangela lokhu amandla adonsela phansi kanye nokucindezela kwezitho ezizungezile, kanye nesizinda se-hormonal. Ngaphansi kwethonya lamahomoni ocansi, umsipha wesende uyafinyela futhi udonsele amasende ku-scrotum. Lokhu kusho ukuthi ziningi izinkinga ezingaba khona endleleni yesende eya esikhwelweni. Iringi ye-inguinal kufanele ibe banzi ngokwanele ukuze amasende akwazi ukudlula. I-testicle ngokwayo, ngokuphambene nalokho, ayikwazi ukuba nkulu kakhulu futhi ibambeke. Intambo yesidoda kumele ibe yinde ngokwanele ukuthi isuke esiswini iye ku-scrotum.

Ngemva kokuzalwa, amakati avamise ukuba namasende asevele e-scrotum. Le nqubo iqedwa ngokuphelele ezinyangeni ezine kuya kweziyisithupha, ngaleso sikhathi izindandatho ze-inguinal zivala futhi i-testicle ngeke isakwazi ukudlula kuzo kunoma iyiphi indlela. Kunezimbangela eziningana ezifakazelwe ze-cryptorchidism ekatini. Kodwa-ke, ukuthola ukuthi kwakuyini isizathu sokuvela kwayo esilwaneni sakho, ngokuvamile, ngeke isebenze.

Ngakho-ke, izizathu ezingenzeka zokuthi kungani ikati lingawisanga isende elilodwa:

Ukuthuthukiswa okungajwayelekile kwamasende namaringi angama-inguinal, njengamasende amakhulu kakhulu noma umsele we-inguinal owumngcingo kakhulu.
Intambo yesidoda emfushane kakhulu
Usayizi we-scrotum omncane
Ukuphazamiseka kwe-Hormonal njengokuntuleka kwama-hormone ocansi
Inqubo yokuvuvukala kumasende noma ku-scrotum, isibonelo, ngenxa yokutheleleka kwe-intrauterine ye-bacterial and viral.
Ukulimala kumasende noma i-scrotum.

Diagnostics

Ukuxilongwa okuyinhloko kwe-cryptorchidism ekati akunzima futhi kungenziwa kalula ekhaya ngabanikazi ngokwabo. Kuyadingeka ukuzwa i-scrotum yekati ngeminwe yakho, kuyilapho ukusebenzisa amandla amaningi kungadingeki. Ngokuvamile, amabhola amabili amancane, acacile kakhulu azoshaywa ku-scrotum - lawa ama-testes. Uma kunebhola elilodwa kuphela ku-scrotum, khona-ke ikati liyi-cryptorchid unilateral. Uma engekho, izinhlangothi ezimbili.

Abafuyi abaqaphile ngokuvamile bayazi ukuthi amasende ekati awazange ehle futhi axwayise ngalesi simo ngaphambi kokusinika umndeni omusha. Ngezinye izikhathi abanikazi bangakwazi ukubona ngokuzimela ama-testis alahlekile ngaphansi kwesikhumba, kodwa ngokuvamile udokotela kuphela e-reception uyaphumelela.

Ungazama ukuthola amasende asele emgodini wesisu usebenzisa i-ultrasound. I-Ultrasound ucwaningo oluncike kakhulu ekuhlangenwe nakho kochwepheshe kanye nekhwalithi yemishini. Futhi, ikhwalithi yocwaningo izoncika ekutheni isilwane silele ngokuzola kangakanani. Uma ikati lithuthumela kakhulu, lizama ukunwaya futhi libaleke, khona-ke kuzoba nzima kakhulu ukuthola i-testis usebenzisa i-ultrasound. Uchwepheshe udinga ukutadisha ngokuningiliziwe zonke izindawo emgodini wesisu, lokhu kuzothatha isikhathi. Ngokuvamile amasende atholakala eduze kwesinye, kodwa angase ahlanganiswe nodonga lwesisu. Ngakho-ke, akwenzeki ngaso sonke isikhathi ukuthola i-testis usebenzisa i-ultrasound. Ngezinye izikhathi indawo yokulahlekelwa kwe-testis yembulwa kuphela udokotela ohlinzayo ngesikhathi sokusebenza, kufanele isuswe.

Akukho ukuhlolwa kwegazi okuthembekile ukuze kubonakale ukuthi i-testes ikuphi nendawo. I-x-ray nayo izobe ingenalo ulwazi, i-testis mancane kakhulu futhi izohlangana nezicubu ezizungezile.

Ukwelashwa kwe-cryptorchidism

Ukwelashwa kwe-cryptorchidism ekati kungenzeka kuphela ngokuhlinzwa. Kunezindlela zokuhlinzwa zokwelapha ukwehlisa i-testicle engaphansi kwe-scrotum, khona-ke ikati lizobukeka liphilile.

Kodwa-ke, njengoba sesibonile ngaphambili, i-cryptorchidism ezimweni eziningi iyisifo sokuzalwa futhi esizuzwe njengefa, ngakho-ke ukuzalanisa izilwane ezinjalo akukhuthazwa kakhulu, futhi lokhu kusebenza akuwenzi umqondo.

Operation

Ukuhlinzwa kuwukuphela kokwelashwa okuthembekile kwe-cryptorchidism ekati. Ngaphambi kokuhlinzwa, udokotela uzoncoma ezinye izivivinyo ukuze abone izingozi ezingaba khona ze-anesthesia. Kuzotuswa ukuthatha ukuhlolwa kwegazi okujwayelekile komtholampilo kanye ne-biochemical ukuze kuhlolwe isimo somzimba jikelele. Uma kunesidingo, i-coagulogram (ucwaningo olubanzi lwe-hemostasis) inganikezwa futhi ukuhlola umsebenzi wokuhlangana kwegazi.

Kukhona ezinye izinhlobo zamakati asengozini enkulu yezifo ezihlukahlukene zenhliziyo: iScottish, iBrithani, iMaine Coon, iSphynx. Ukuhlolwa kwe-Ultrasound kwenhliziyo kunconywa kakhulu kulezi zilwane ukuze kutholakale izifo ezimbi kakhulu ezingaba khona. Eminyakeni yamuva, lolu cwaningo lunconywa ngisho namakati angaphandle. Isifo senhliziyo esibi siya ngokuya sivame kakhulu ezifuyweni zazo zonke izinhlobo.

Ukutholwa kokuchezuka kungase kube isizathu sokuhlehlisa ukuhlinzwa futhi kwenziwe ukwelashwa kuqala.

Kunconywa ukuba ukhethe umtholampilo ohlomele kahle ukuze usebenze, umtholampilo kufanele ube negumbi lokuhlinza elihlukile eliyinyumba, udokotela ohlinzayo kanye nodokotela obulala izinzwa.

Ngaphambi kokuhlinzwa, ukubonisana nodokotela obulala izinzwa kuboniswa ukuze kuxoxwe ngezingozi ezingase zibe khona zokubulala izinzwa nezindlela zokunciphisa amathuba azo.

Ukwelashwa kokuhlinzwa kwe-cryptorchidism ukususa amasende ekati. Uma i-testicle engaphansi kwesikhumba, kulula kakhulu ukuyisusa. Kusikwa esikhumbeni, kukhishwe amasende, kuboshwe izitsha, bese kukhishwa amasende. Uma isende lisesiswini, ukuhlinzwa kuba nzima. Kulokhu, ukuhlinzwa kwesisu kuyodingeka, okungukuthi, ngokusikwa odongeni lwesisu kanye nokungena ngaphakathi ezithweni.

Isende lingatholakala cishe kunoma iyiphi indawo, lilale ngokukhululeka noma lixhunywe kunoma yisiphi isitho. Ngokuvamile ukuhlolwa okuningiliziwe kwazo zonke izitho zangaphakathi kuyadingeka, kodwa udokotela ohlinzayo onolwazi uzokwazi ukuthola nokukhipha i-testis ngisho nakulesi simo.

Ukunakekelwa kwezilwane ezifuywayo

Esikhathini sangemva kokuhlinzwa, ukunakekelwa okuthile kwezilwane kuyodingeka. Ngosuku lokuqala ngemva kokuhlinzwa, kungase kube ukukhathala, ukulala kakhulu futhi udle kancane.

Ngosuku olulandelayo, akufanele kube nezikhalazo ezibalulekile, isifiso sokudla sizobuyiselwa.

Kungase kudingeke ukuthi ugqoke ikhola yezilwane ukuze uvikele isilonda sangemva kokuhlinzwa ekungcoleni kanye nolimi lwekati. Uma kwenziwa ukuhlinzwa kwesisu futhi kukhona umthungo esiswini, cishe, ukugqoka ingubo yokuzivikela kuyodingeka futhi.

Ukwelashwa kwe-Suture kufanele kwenziwe ngokuvumelana nezincomo zikadokotela ohlinzayo. Ezimweni eziningi, azikho izindlela ezikhethekile ezinqunyiwe, kuyadingeka kuphela ukususa ama-crusts emthungo uma ebonakala lapho.

Ama-antibiotics kanye nama-painkillers nawo anqunywe ngokubona kukadokotela ohlinzayo, akudingekile ngaso sonke isikhathi.

Ngokuya nge-suture material esetshenzisiwe, izintambo zingase zihlakazeke ngokwazo noma ama-sutures angase adinge ukususwa futhi alandelwe ngemva kwezinsuku ezingu-10-14.