Symptoms,ʻike, a me ka symptoms o testicular Ka maʻi 'aʻai i loko o nā kānaka. He aha e na symptoms o testicular Ka maʻi 'aʻai ana i na kanaka, a pehea e hoakaka ia?

He nui nā kānaka i hiki konu elemakule, hiki kaena mea i ike e ole e ike i kana a pau ke ola o ka kauka. Mawaena o ka nani ke keka i na hihia nui emi. Keia mea no ka mea, o ka 'īnea i nā loko i loko o nā wāhine i loko o pono o mau noonoo, venereal maʻi aloha ia ia he nui loa aku pinepine. Ma hope o kekahi mau makahiki o ka pilikia-noa ke ola ana o ke kanaka mea nō hesitant ma rectal ninaninau, a ua pinepine hoohalikeia me ka hope o ka wa opiopio. No hoi, he kahua ikaika IeAUPIIe, IAa IO 'aʻole i paʻa i ka mea nui, e kipa i ka hoʻomalu. Eia naʻe, ia mea he belated makaikai pinepine welau a me ka mea e e diagnosed kanaka illnesses he nui e pono e he akamai lapaau. One ua maʻi nei he pilikia testicular Ka maʻi 'aʻai. Photos o keia pathology hiki ke loaʻa ma ka hana kūikawā 'inikua pili puke. No ka hou lāliʻi e pili ana ia, a mākou e uhi i loko o kēia 'atikala.

Description o ka maʻi

Testicular Ka maʻi 'aʻai - he kŘpa a ke nānā maʻi. I ka papa kuhikuhiE kumu o keia maʻi i loko o kanaka makua kānaka nā cryptorchidism, haunaele ma ka pae o ka endocrine'ōnaehana, i ka hopena o ka pāhawewe, me mechanical poino i ka scrotum.

I ka 'ikepili helu, i na hoailona o ka testicular Ka maʻi' aʻai Ka maʻi 'aʻai diagnosed i loko o na kanaka mea i oi aku 2% o ka hihia. He nui e hoailona oukou i ka maʻi ua wehewehe aku ma ka aggressiveness. Mawaena o ka poeikohoia o ka ikaika keka ma lalo o ka makahiki o ka 35 makahiki, i kēia maʻi He pinepine ke kumu o ka wanaʻao make.

Ma ke kolu o ka hihia, e diagnosed ka iniiaiie symptoms i loko o nā keiki. I ka 90% o ia, o ka mea moe ma ka malignant hou 'o benign hikoko - teratoma. Ua, ma ka huli, akaka like me ka hopena o developmental kāna hana i loko o utero.

Testicular Ka maʻi 'aʻai: mea, lalau mai

I keia la, i ka kiko'ī kumu o kēia 'ano o ka pathology, e like me ka maʻi' aʻai, Uaʻike. Eia naʻe, poe akamai iʻae ma luna o ka manaʻo ma e pili ana i ka papa kuhikuhiE aʻe ma o na la i ka hooulu ana o ka maʻi - cryptorchidism. Kēia mau ano ma i iloko o fetal kūpono 'ole i loko o ka mua mau mahina o ke ola ka mea hoʻi,' aʻole e iho i loko o ka scrotum. wale ka mea i koe i loko o ka ai-kapaia inguinal Canal , a hiki ma ka abdomen. Ka hapanui pinepine diagnosed i loko o ka oncology e hoomanawanui i ka poe i IIeEeAIEUIeXAIIUE i ka hua 'ana i loko o ka abdominal lua.

ʻO wai ka mea ma kamepiula?

E like me ka poe akamai, a hiki ina i lawelawe 'ia ke keiki i ke keiki correctiveʻoki kino, testicular Ka maʻi' aʻai i loko o nā kānaka me nā mākua hiki nō ke diagnosed. Mawaena o ka papa kuhikuhiE aʻe o ka precursor, a hoomahuahua i ka pilikia o ka ulu i kēia maʻi, haawiia keia e like me ka hahai ana:

• Hereditary predisposition.
• Infertility.
• Klinefelter maʻi pale (i ke keka chromosome poino ma ka aaiaoe kiʻekiʻe).
• Underdevelopment o ka wahine.
• Hoʻi o me ka makaʻu no'aʻaʻa i loko o ka testes i ka innate kiʻekiʻe.
• Ana me mechanical hana.

lapaʻau na hoailona

I ka papa kuhikuhiE symptoms o testicular Ka maʻi 'aʻai i loko o nā kānaka i nā kēia:

• he uuku hōʻailona i loko o ka hoʻohuli ai i nā 'āpana;
• hoʻomāhuahua o ka loli ma ka scrotum;
• ikaika aku discomfort, soreness;
• he mea ulu ma ka nui o na mau hua.

I ka hoʻomaka o ka maʻi symptoms o Ka maʻi 'aʻai o na hoʻi i loko o nā kānaka Ua kokoke loa kahi e. Ke hoomanawanui laila loaʻa ai kekahi o ia mau mea he uuku sila. Kino hoʻomaka e hoʻomaka koke mahuahua ma ka nui, he mea discomfort a hiki eha. He nui e hoailona oukou i ka loa malignantʻeho mea kākaʻikahi ke kumu eha. Ua lŘlŘ wale ia kaʻeho loa hoʻopio i ka spermatic kaula.

Ma ka pili kahua o? Acaeoey o ka pathology malama testicular deformation a me ka mahuahua o ko lakou mau pa apŘ. Aie i ka mea a eia i hoʻomāhuahua o ka loli maoli o ka pōʻino hapa o ka scrotum hoʻomaka e mahuahua ma ka nui. Inā ka hua manu ua i haule, kaʻeho hiki ke hoopuniʻimi 'ana i loko o ka inguinal Canal. I ole ia, ma kona IIeEeAIEUAA i loko o ka abdominal wahi o ka neoplasm ke ulu i ka nui nui. Aia nā hihia ia ka mea i pili ana i ka hapalua o ka lua.

E möakäka hou testicular Ka maʻi 'aʻai symptoms i loko o nā kānaka i pili i ke kahua o ka metastases. Keia, ma luna o nā mea a pau, pokole o ka hanu, loa kaʻeha ma ka hope a me ka groin, discomfort ma ka uha edema. A pau kēia mau lapaʻau hoailona, ua nui wale explainable.

No ka laʻana, hoʻiʻeha ua pili me ka ikaika mīkini'opihia o ke aʻalolo aa retroperitoneal lymph aka wahi, i mea hoi e māhuahua ma ka nui. Wawae edema e ala aʻeʻoe ma muli o ke 'ano o nā metastases emi iki mahope o vena cava. Symptoms o testicular Ka maʻi 'aʻai ana i na kanaka e like me symptoms i hakuʻala ole. He mea pono i ka mīkini'opihia o ka ureter neoplasm.

Kekahi ano o ka maʻi Komo loli ma ka hōmona pae. I kanaka makua nā mea maʻi, ikea ka mea like impotence, a ua hoʻemi libido. Nā keikikāne i loko o kā lākou mau loira e ulu gynecomastia, hirsutism (excessive kino lauoho uhi), leo mutation.

Mea Maluna

Testicular hikoko hiki ia i mau hoailona ia mea:

• Germ aeea (kumu mai o ka epithelium) - seminoma, teratoblastoma, horionepitelioma.
• Negerminogennye (ulu nui nā'aʻaʻa) - leydigoma, sarcoma, sertolioma.

Germ aeeaʻeho Lolina (seminoma) ia lŘlŘ loa pinepine. Seminoma diagnosed i loko o 50% o ke kanaka e loaa ana mai ka maʻi 'aʻai. Ua nani ua hanaʻia i loko o ka'opihia wahi. IeAUPIIe, IAa IO, ka mea ulu he lohi a me ka ua ole pu e kahe ana ke koko complications. Seminoma metastasis ka hapanui pili i nā maʻiʻaʻai, lymph aka wahi a me nā iwi.

kahua o ka hoʻonaʻauao o ka maʻi 'aʻai

Currently maheleia i loko o kekahi mau kuʻina o ka maʻi. Manawa a hiki i kēia mahele o na kauka ia mea hiki i ka hapanui pololei classify testicular Ka maʻi 'aʻai i loko o nā kānaka, a ma hope o - ka iapaau ana kūpono.

• Ka mua ke kahua. Neoplasm ke aupuni 'o ka hoʻi,' aʻole e hele ma kela aoao o ka mea, aohe mea nana e metastasis.
• Ka lua o ke kahua. Metastasized hikoko i IIeEeAIEUIeXAIIUE i loko o ka retroperitoneal aka wahi.
• Ke kolu a me ka ha kahua o ka hoʻonaʻauao. Metastases komo i loko o ke kaawale ana o nā loko a me lymph aka wahi.

A me ka 'ē aʻe ike kūwaho hoʻi Mea Maluna o ka maʻi - TNM, e like me a ma ka walaʻauʻana kiko'î o kekahi maʻi' aʻai i denoted ma ka palapala (T - ano o kaʻeho ia iho, N - hōʻikeʻano o ka moku'āina aka wahi, M0 - wa e kaawale aku o metastases, M1 - imua o ka mamao metastases).

lapaʻau '

No ka holomua lapaʻau o keia maʻi ia ka mea nui, e diagnose ia. Pehea e hōʻike testicular Ka maʻi 'aʻai?

1. Helu ninaninau o ka hoomanawanui, me palpation o ka scrotum wale.
2. Keʻena hoʻokolohua ho'āʻo ma (LDH, BHG, AFP). Ma muli o ka lehulehu kiʻekiʻe o ka ai-kapaʻeho hōʻailona kauka loiloi i ka laulā o kēia hana i pono i Time] no ka mea maʻi.
3. Hoʻopaʻa haʻawina scrotum ma transillumination. Kēia papa hana hoʻohuʻu he candling loli wahi me ka puali laau nui o ka malamalama. Ke kauka assesses paha ka mea, ua hoomalamalamaia mai la uniformly. Inā ka'aʻaʻa o ka scrotum aneane aaeaao malamalama ke hōʻike i ke alo o ke malignancy.
4. Radiography e huai ae i ke alo o metastases.
5. Ultrasound hookolokolo ana o ka scrotum, a me ka pelvic nā loko.
6. HI thorax a me ka abdomen.
7. Iwi scan NineManga.com iwi.

I kaʻike, hope ua i ka nānā 'ana ma luna o ka hopena o ka testicular'aʻaʻa biopsy. Ka Ikepili o biopsy ma lalo o ka microscope apono 'onoho ana i ka mauʻano o kaʻeho, a me ke kilokilo i ka propagation māmā holo o ke pathology.

Kū kaʻawale ike i ka maʻi?

Ma ka wahi mua ka mea, ua waiho i ka ike i ka nana aku o testicular Ka maʻi 'aʻai i loko o nā kānaka. Photos o ka loli ana i nā loko i loaʻa i loko o ka hana kūikawā nā palapala kuhikuhi. Penei, ina he mea kekahi haiahū kūmau ka hoʻomanawanui e imi koke 'inikua'ōlelo aʻo.

He nui ka e hoailona oukou ia ola hoʻi e ia e pili ana i ka mea nui, akā, i kekahi manawa kēkahi haʻahaʻa ma mua o ka mea 'ē aʻe. I ole ia ke kanaka hiki ole i ko oukou mau wawae i kahi hookahi.

Kauka i ka manao, e ninaninau ana ia lakou iho i kela malama, a ma ka mehana lumi. Ka mea o ia ka anu scrotum emi aku ana lakou ikaika nui iho la ia. Ka mea maikaʻi AOAIAaOO Ua manaoia i ka nana i ka ua. Hoʻi haha aku e hoohalike ai moʻa ikaika hoolapalapaia hua, a i ka nui o ka hola 4 knm ma anawaena. Aupuni aole e hana ino. Kekahi discomfort i ka nana hiki ke 'ano ua like me ka haiahū kūmau, mai ke kūmau.

He aha ka testicular Ka maʻi 'aʻai? No ka hope luna aʻe o ka kino hiki ke hoopuni ia akulla kona appendage - he lahilahi kaula. Kekahi ke kaupaona pili ia mea, e ke manaʻo like me kaʻeho (IeAUPIIe, IAa IO benign). Ma kekahi ano, i ka wa e huai ae i kekahi haiahū kūmau mai ke kūmau lakou e ike koke nīnau aku i ke kauka. He e hoʻonoho i nā PalekanaEND_LINK ikea ai, a laila, inā he pono - lapaau.

lapaʻau

Ia mea i loko o keia mai ka eiiieaena a hoʻohuʻu i ka pio ana o kaʻeho pulakaumaka, curative resection o lymph aka wahi, a systemic chemotherapeutic hopena ma luna o nā mea a pau atypical keena.

ʻoki lāʻau lapaʻau lapaau o ka piha ana o ka hoʻohuli ai i nā wahi me ka appendage. Inā i ka hana metastases i loko o ka peritoneum makahiki me ka mākaʻi retroperitoneal lymphadenectomy.

Ma hope oʻoki kino, ua hoouna mai ka hoʻomanawanui i ka chemotherapy. Ua hoʻohuʻu he intravenous hooponopono, a me ka hoʻohana 'ana o kūikawā hoomakaukau ( "Iofosfamid", "Cisplatin", "Vinblastine") e loli ai i ke kino holoʻokoʻa. Lālau aʻela ia i loko o no o ka mea i maʻi 'aʻai aeee i ke kiʻekiʻe metabolic ana, kuhikuhi koke luku iho la lakou ia lakou iho.

Ma kekahi mau hihia, ka mea, ua paipai hou ia pāhawewe waiū. No ka nui nui o kaʻeho, i kēia hana o ka lapaau ia ma ka preoperative ke kahua.

Outlook

Ka mua i ka maʻi ua diagnosed, ke oi pono ka Inc, a me ka nui loa, e hoʻonui i ka likelihood o ka maikaʻi hope o ka maʻi. E like me ka poe akamai, i kakahiaka nui lapaʻau e leie aku nā mea maʻi ola elima makahiki a oi (90%). I ka wa e hoemi i ka 72% metastasis ola.