Varicocele ma adolescents: 'ehaʻeha ka, lapaʻau, ka hopena

Varicose aa koko o ka spermaticʻaha crimp - kekahi o ka loa, he pono ole pathologies i loko o nā kānaka. varicocele PalekanaEND_LINK piko ma 14-15 makahiki. Ma kekahi mau 15-30 makahiki - i ka ka makahiki, i ka wa abnormality ia lŘlŘ loa pinepine. Ka hapanui o keia maʻi ike i ka 'âlapa a me ka poʻe pū i loko o physical ka hana. Nolaila, ua hiki, he hoʻike i muscular haawe Radio nui i kūlana i loko o na aa koko o ka spermatic kaula.

Kēia pathology ka mea he nui ia ma luna o kane reproductive kuleana pili i. Kona hoomaopopo ana i ka varicocele ae aku i ka 30% o ka kāne heluna kanaka, i ka urgency o ka pilikia i ka nohoaliʻi.

He aha mea he varicocele?

Spermaticʻaha nā waena o nā kumu a me nā pampiniform venous plexus. He keia, a ua mahalo i ka varicocele. O na aa koko o ka spermaticʻaha ua pathologically hoʻololi, lilo dilated a me ka tortuous.

No ke aha la i keia ahaʻia nei? Ka maʻi ia lŘlŘ ma muli o ka 'aʻe ana i ka venous outflow, kūpono ai i loko o ke koko accumulates i loko o ka venous plexus, moe a me ka ino o ka moku paia.

Ke etiology o varicocele

Moku pili ana i ka'ōnaehana o ka emi vena cava, i lako pono me ka kūikawā kiwikā, no ka mea, i ke koko kahe mai ka lalo mai ma luna o lākou. Me keia ka hoʻololiʻana, ka hapanui o ke koko wale makemake ole i hiki aku i ka naau; nae, i ke alo o ka nohona kiwikā lima kūlana kiʻekiʻe loa ka pono ole o ka stagnation o ke koko a me ka retrograde (hope) kona noi.

I ka papa kuhikuhiE kumu o ka varicocele ma adolescents - hoʻokō 'ole' kiwikā testicular aa koko. Maʻamau, koko komo mai pampiniform plexus iʻaʻa puʻuwai aa koko ole 'ana i loko o ka emi vena cava ia iho ma luna o testicular aa koko. I ka mea o ka pilikia a me ka hope kiʻekiʻe o ka nohona kiwikā, aʻo ke kumu nui kumu o ka maʻi.

Valvular insufficiency hiki e ke iniiaiie (like me ka hopena o congenital abnormalities testicular aa koko, Muscle nawaliwali a hope, ahu iho o connective'aʻaʻa dysplasia) a me ka haumāna (i kupu mai ma ka hopena o ka hoʻoulu i ka'ōnaehana puʻe o ka emi vena cava a me kaʻaʻa puʻuwai aa koko). hana nā kumu o ka haumāna kiwikā insufficiency nō nā mea a pau pathological keʻano o ka hanaʻana i oOeEIAOO ka spermaticʻula, testicular,ʻaʻa puʻuwai aa koko ole 'ana i ka emi vena cava, e ka mea paʻakikī no ke koko ma luna o ia outflow :. Neoplasm abdominal hernia, adhesions, etc. Hehe, he kahua kahi koko Ka hoʻomaka' ana stagnate i loko o nā ipu koko o ka spermatic kaula.

Mea Maluna o ka varicocele

I ia kekahi o ka kēia Mea Maluna o ka maʻi.

1. Vienna pampiniform plexus ole wale pono ho'ākāka 'ia e hoʻopā aku akā, i visually kekahi'. Kepakailiula wrinkled.
2. Aa koko hiki ke palpated, eia naeʻike makaʻole.
3. Noke Valsalvaʻoihana kaʻa. E nānā 'ole palpate kekahi aa koko ua olelo mai hāpana mea hiki ole.

Eia naʻe, i loko o ko mākou aupuni o ka loa mau hoʻohana Mea Maluna Yu. F. Isakova. Ua, like hoʻi me ka mea mua kekahi, distinguishes ekolu kahua o ka hoʻonaʻauao, eia nae o ka oolea o ka maʻi ua hōʻike i loko aʻe mea. Ua nana like penei:

1. Viennaʻike makaʻole, e i paa ma ka nano. Kēia varicocele mea hiki wale ma Valsalvaʻoihana kaʻa.
2. Vienna Ua pono palpable, akā,ʻike makaʻole.
3. Aa koko, a hiki a me ka palpable. Hoʻololi 'Kepakailiula.

Ma ke ala! Valsalvaʻoihana kaʻa Ua hana like penei. Hoomanawanui i loko o ke kū kulana e noi e cough. E like me ka hopena, i ka puʻe i loko o ka abdominal lua aei mai, a me ka aa koko plexus pampiniform hu nui ae la. Pinepine, no ka mea, ke kapakai a olelo mai hāpana, a ua lawe mai i loko o ka supine kulana. Ma keia hihia, no ka hoao ana e e io.

lapaʻau kiʻi

IeAUPIIe, IAa IO varicocele ma adolescents ia lŘlŘ me kekahi pilikino ka waiʻona ma ke. Kākaʻikahi ka, kekahi e hoomanawanui i ohumu o ka manao o ka naau a me kaʻeha ma ka scrotum ma hope hoʻokō '. Eia naʻe, E e hana i kēia mau symptoms me ka mālama nui, no ka mea, pinepine ka mea, i ka mua hoailona o ka li nui o ka hoʻi a me kā lākou mau leho (orchitis a me ka orchiepididymitis).

Ke noho pilikia varicocele?

Hoʻi i loko o nā kānaka - he wahi kahi i ke kahua o ka sperm keena, germ keena, fertilizing i ka hua. Mau kino i mākaukau nui ma ka hua'ōlelo o ko lākou komo i loko o reproductive kuleana pili i.

Varicocele ma muli o ka congestion i loko o ka venous plexus o ka nui dala o ke koko ma muli o ke ana wela kaiakū ala, a i ka detrimental hopena ma spermatogenesis. Eia kekahi, ma ka varicocele deteriorates lako hou o nā'aʻaʻa me ka o oxygen, a testicular aeee ia lŘlŘ hypoxia; o Nyos koko-testis ke'ākeʻakeʻa mai, a hiki i ka hanauna o nā mea'aʻaʻa, spermicides (no ka mea, ka mea i ike ia e ka'ōnaehana paleʻea'ōnaehana likeʻenemi konohiki). Varicocele ua pinepine pu ma hormonal ka hoʻohuikau 'ia me ke ino ole ma ke kaʻina hana o ka spermatogenesis.

Hoʻi i loko o nā kānaka e loa ikepili koʻikoʻi ia i mau keʻano o ka hanaʻana, no laila, i kekahi o ia mau mea hiki wale loko i ke kahua o ka sperm a me ka sperm.

Ia e ke kaulana, nae, i ke kūlana o ka varicocele i loko o ke kahua o ka infertility ua nō e? Anoee. I kela mea manaoio i ka mea ma luna o maomeka hp'pnphp ka pathogenesis o varicocele ma adolescents. No ia mea, i ke kūlana o ka varicose aa koko o ka spermatic kaula i loko o ke kane infertility koe kekahi controversial.

He aha e hana ai?

Ka loa mau diagnosed varicocele ma adolescents. Lapaʻau, niioaaonoaaiii, ua hana ma ka adolescence. Ua mea, e like me ko oukou ike ana, mea a mau ano: makeʻe kulana, aʻoki lāʻau lapaʻau. Inā mākou e kamailio e pili ana i varicoceles ma adolescents, o ka mua wahi hiki koke ke aliʻi iholaʻo ia mai. Makeʻe kulana lapaʻau o keia mai, aole ia i nei. Akā, me ka helu o nā hana i hoʻohana, e hoomaemae aku hoʻomanawanui iki mai o keia maʻi mea nui.

Kind oʻoki lāʻau lapaʻau uao ai 'ma ka varicocele

A pau ana ma ka hoʻi hiki ke maheleia i loko o kekahi mau pūʻulu.

1.ʻoki lāʻau lapaʻau 'uao, ma muli o ka excision o ka spermatic aa koko. Currently, hou i hoʻohana mua, no ka mea, ma hope o kā lākou palapala noi i loko o 90% o ka hihia o testicular atrophy i malama.

2. hana hoʻopunipuni hua i na kumu o ka inguinal Canal a Muscle aponeurosis. Ano, ua ole ia, e like me ka pu e testicular atrophy (20-70% o ka hihia).

3. resection hapa scrotum me ka mea ma waho latching hua. Varicocele Relapse ia lŘlŘ i loko o 100% o ka 'ë aʻe, i kēia hana mea inefficient, a ua ole a ianoiyuaa a hoʻohana' ia.

4. Ligation testicular aa koko ma luna o ka inguinal crease. Kēiaʻano o ka hana hiki aku ai a hiki i ka cessation o ka retrograde koko, a haawi i ka huna uuku pakeneka relapse. Eia naʻe, ua hōʻike haʻawina i varicocele mea,ʻaʻole e mau ana ka hoʻoponopono-pathology. Kēia maʻi hiki wale nō ia i ka symptom no ka olelo ana mai o ka pilikia, kūpono ma venous hypertension. Ma keia hihia, no ka hana i exacerbate i ke kulana.

5. hana e ho okumu ana i vascular anastomoses. Lākou o Mānoa, ke moe ia ma ka mea i venous reflux ua malamaia, akā, ma ka pili ana i ka anastomosis Ho'ā hou i ka oi nui o ke koko a me ka aa koko emi iho.

I kēia manawa, i ka iapaau ana o ka varicocele ma adolescents hana - ia mea nui 'ākeʻakeʻa a me ka puka o ka abdominal lua mau ole. Aia i minimally invasive kūlana kanaka.

ʻoki kino o ka ieie-ke kōkua o

Ka loa, he pono ole ana i hana varicocele - Marmara. Ua hana ma lalo o kūloko anesthesia. Ke groin, mai kaʻaoʻao kahi i ka ulu pathological kaʻina hana 'incision 2-3 knm. Mai keia ke kōkua o dissected hehee wale spermaticʻaha, anao? Aou Vienna, overtighten ligature a me intersects. Kaʻeha Ua sutured ma ka papa.

Like penei, mai ka hōʻike o ka hana ua i recessed, a hiki hoi ke hana ma ka outpatient manawa. Sutures i wehe 'ia ma luna o ka 8th lā.

Postoperatively, oiai o ka mua pule nui fixation scrotum (kō e komo nui ilpko o). I ka 1st malama e pale moe haʻawina.

Laparoscopic Eʻokiʻoki

Kekahi hana me ka maikaʻi mea hoʻonani hopena. Ma ka puncture i loko o ka abdominal pā ma ka mea o kūikawā hana kaʻawale testicular aa koko, klipiruyut a intersect ia.

Ke hoʻohālikelike me ka hamamaʻoki kino, keia iaoia i kekahi mau pono.

1. Pōkole postoperative manawa no a hiki i ka aneane piha kaawale o ka eha ma hope oʻoki kino hana 'ia e ka puncture a me ka ole kua.
2. No pilikia o postoperative hernia.
3. A maikaʻi mea hoʻonani hopena.
4. Hōʻemi iki wale no postoperative complications.

endovascular flebosklerozirovanie

Kēia iaoia mea i kekahi koho eʻoki kino. Kona o Mānoa, ke moe i loko o ka mea ana i loko o testicular aa koko sclerosing konohiki ua wahahee, a paipai 'ia ka clot ho okumu a me ka hoopau ana o ke koko pele ma ke aa koko. Ua Ua hana wale ina ka mea, aohe kumu e lawe i ka haumāna kiwikā insufficiency a me venous hypertension.

I ka papa kuhikuhiE mea e maopopo nā mea maʻi me ka varicocele, - manawa o ka hana, ua nui. Ua Ua hoao ia kakahiaka lapaau me ka nui loa ho'ēmi i kā ka pilikia o kāna hana o ka spermatogenesis a me ka ho okumu ana o infertility.