Cryptorchidism - ke ... Izimbangela, ukwelashwa, imiphumela

Cryptorchidism - iyona engekho esisodwa noma zombili amasende ku scrotum. Zingase elise noma esiswini, noma umsele inguinal, kanye ngaphansi kwesikhumba noma imbilapho ukuze kwethanga endaweni pubic, perineum. Okuningi okufana ezivamile Emaceleni egunjini lokuhlolwa kwezifo. Lokhu kungenxa isakhiwo yokwakheka komzimba besilisa. cryptorchidism Kwesobunxele Emaceleni kuyinto ngempela ezingavamile ngisho zokugula yayo, ngokuvamile izingane nesibuko izitho ilungiselelo. Ngokuvamile unina, lapho befunda uphethwe, awela uhlobo isimo ezinde abacabanga ukuthi lokhu kuphila iphelile ngenzalo yabo. Kodwa imithi yesimanje kungabazuzisa kakhulu izingane ezinjalo.

izibalo

Lokhu zokugula ngokuvamile kwenzeka njengoba ezizalwa ngaphambi kwesikhathi kanye eside. Kodwa ezinyangeni zokuqala eziyisithupha zokuphila ngokuvamile kwenzeka ukungenzi esizimele amaqanda, futhi umbuzo nokuhlinzwa isusiwe. Ngaphezu kwalokho, lesi sifo kungenziwa kutholakala abafana eneminyaka engu-unyaka owodwa noma ngaphezulu. Endaweni ethile kule amaphesenti amathathu testis undescended akuyona palpable. Lokhu kusho ukuthi akukhona imiswe phakathi kwengane esiswini. Lesi simo kuthiwa i monorchism noma anorchia, kuncike ekutheni iqanda yesibili ugciniwe.

I ontogeny kwezitho zokuzala yangaphakathi e amadoda

Bookmark nakhululwa ezifundisweni zokucathula ngekusasa lophiko testes kwenzeka kuleli viki kweziyisithupha zokuphila fetus. Ubulili izintambo yakha cortex futhi medulla, kamuva abe Tunica futhi mesenchyme wenduku.

Ngemva kwamasonto amathathu, kukhona kwamangqamuzana Ukwakheka yeselula izintambo zangasese (ukuthi icubungula kusukela ungqimba cortical, okuyinto idlule ketshezi Iqanda) - ezivezwa Sertoli amaseli. A amaseli mesenchyme kwakhiwa Leydig amaseli. Baqala hormone ezisiza ukuqhubeka umbungu.

Ekuqaleni, iqanda itholakala esiswini ezingeni izinso, kodwa ihamba ibe kule ndawo ekuyo unomphela yokwakheka phakathi kwengane esiswini. isendleleni sidlule ekuqaleni kwesonto wamashumi amabini sokukhulelwa futhi kuze kube wamashumi amane. Ukuqhubeka, Iqanda entrains le peritoneum, muscle and fascia, kanjalo zakha umsele inguinal.

Etiology ka cryptorchidism

Cryptorchidism (ICD-10 libhekisela isigaba nemiphumela yayo chromosomal kwezinso) singenzeka for ngenxa yezizathu eziningana. Kusukela side kubonakala sengathi abanalutho abangakubuyisela ukwenza indaba ngofuzo, futhi awuhlangene ngalutho nge kwezitho zobulili, kodwa umzimba womuntu yakhelwe ngendlela ukuthi konke kuba Outlandish esiyimbangela isixhumanisi.

Okokuqala isifo kungadalwa izifo kuchubekele owesifazane ngesikhathi sokukhulelwa. Lokhu kungaba Umkhuhlane, rubella, toxoplasmosis, isifo Venereal.

Okwesibili, cryptorchidism - ingenye izimpawu ukubambezeleka ukukhula intrauterine. It zingahlanganiswa nezinye anomalies, ezifana hypertelorism, "udebe emfantwini", "emfantwini nolwanga" ugobile yomgogodla, ukuma okungavamile Yekhanda.

Okwesithathu, kungase kube isithiyo yokwakheka oluvimbela iconsi amaqanda.

Okwesine, uma umama uthethe ama-NSAID ngesikhathi ukhulelwe, izikhathi sixteen lokuzalwa maningi amathuba komntwana nge egunjini lokuhlolwa kwezifo.

Izinhlobo inqubo sokugembula

Cryptorchidism abesilisa kuyinto ngezinhlobo eziningi, kuye ngokuthi indawo testis undescended futhi ukhona ngokomthetho.

1. Iqiniso. Sici sici ukuthi udokotela ohlinzayo ayikwazi ngesandla susa isende ku the scrotum. Indawo yokugcina ingase ibe khona ehlukile: ku ingaphakathi lesisu, umsele inguinal, engxenyeni engenhla scrotum nokunye.
2. Amanga. Umehluko omkhulu - kuba ithuba namanje yeka iqanda ngesandla, kungakhathaliseki indawo yayo. Isizathu salokhu isimo kungase kube ngokweqile imisipha ithoni, ephakamisa amaqanda, nakuba ngokuvamile kuyehla eminyakeni emibili yokuphila kwengane.
3. Ectopia. Iphathelene ilungiselelo atypical we isende. Indlala kobulili kungaba ngaphansi kwethanga isikhumba, perineum, empandeni wenduku, noma imbilapho (inguinal ngokuthi cryptorchidism). Ubunzima itholakala lokuthi ukuthi aphansi ke ngeke zisebenze.
4. Podtyanuvsheesya amaqanda. Lesi simo esiyingqayizivele sibangelwa kungenzeka kulezo zimo lapho eyehlisiwe ubulili indlala liyaphuma futhi ngenxa kokunciphisa intambo spermatic ampofu.

Kunengqondo ukuphetha ngokuthi testis cryptorchid yabonisa yokuntula isakhi esisodwa noma zombili amasende ku scrotum. Leli qiniso isazi sezifo zezingane ne Urologist inquma esebenzisa wokuhlola ezibukwayo futhi palpation kwendawo inguinal ingane. I scrotum kuleli cala libukeka flat, beya "ezingenalutho".

izimpawu

Ngokuvamile, izimpawu ubuhlungu musa kuphakama, kodwa ngezinye ukuthomba kungenzeka edonsa umuzwa ungakhululekile esiswini noma ohlangothini abafanele iliac nezindawo inguinal. Basuke banezelwa injabulo yobulili, zingaphazamisi, ukuqunjelwa, imithwalo ngokweqile.

ukuhlola

Cryptorchidism kwabesilisa - a zokugula lalivamile, Ngakho-ke, ukuhlola ingane ngoba ukuba khona isifo kuyadingeka ezinsukwini zokuqala ngemva kokuzalwa. Ngokusho imithetho, ingane wagqoka inabukeni ukufudumala egumbini lapho izinga lokushisa awukona ngezansi degrees amabili nambili, futhi ngemva oyinyumba ukucutshungulwa Hand uqale palpation.

Iminwe yesandla sokhohlo ibekwe ngesisekelo the scrotum ukuvimbela displacement ngokwengeziwe testis, nezinye satshanyana indawo yayo. Ukwenza isiqiniseko sokuthi umthondo akuyona esikhundleni, ahlule, siya emseleni inguinal, bese uhlole lapho. Uma kungenzeka futhi bekungamelwe niziyeke iqanda ngesandla ke inkinga kungenziwa babhekwa iqedwe.

ukungabi Instrumental we isende kungaqinisekiswa ngokuthola kokuqhuba sextant ultrasound imbilapho ndawo, kuhlanganise scrotum. Ngaphezu kwalokho, ungasebenzisa izindlela zokuthwebula izithombe zokwelapha ezifana esimweni, i-MRI noma CT ne Ngokuphambene ophansi. Uma kunjalo liyinkimbinkimbi kakhulu, kutuswa ukuba ukuqhuba a laparoscopy zokuxilonga. Ukuze uqinisekise lotawulungisa ukuthi lokhu cala limayelana monorchism noma anorchia.

Ngaphezu kwalokho, ukuhlaziywa laboratory igazi khona hormone kanye nokuhlela zofuzo wokuthi yadalwa a zokugula ezifana ezingavamile njengoba pseudohermaphroditism besilisa. It libhekene khona yangaphandle besilisa Izitho zangasese kanye nokuntuleka yangaphakathi.

yezinkinga

Ngaphambi echaza lokho ungavula cryptorchidism uncured esikhathini esizayo, sigxile esicini esisodwa udaba kubaluleke kakhulu. Ukuze ukusebenza evamile emasendeni kudingeka amaconsi ambalwa lokushisa, okwedlula lokho okunikwa kubhekwa njengento evamile umzimba. Yingakho imvelo okuhloswe ukuze scrotum, kungathi "lakhishwa" ngaphandle - ngakho "okuqukethwe" yayo akusho overheat. Ngakho esikhathini esizayo kuthinte izinga umsebenzi amadoda zokuzala. Ngenxa yalesi sizathu, abafana bese ukuba amadoda is hhayi Kunconywa, isibonelo, ukuthatha okugeza hot kakhulu.

Awu, manje, eqinisweni, mayelana izinkinga ezingase zivele.

1. nomdlavuza wamasende. Njengoba lokhu zokugula kwenzeka lapho iphutha apharathasi chromosome, baze bazilethe phansi isende kuhlinzwa phakathi scrotum akuqinisekisi ukuthi inqubo oncologic ngeke ukuthuthukisa esikhathini eside esizako.
2. Ukuncishiswa umsebenzi hormone. Wabonakaliswa esikhathini sokuthomba imisiwe, ukuthuthukiswa inharmonious ngezici ngokobulili yesibili: umzimba izinwele ngohlobo zesifazane sihamba, akukho amadevu nentshebe, izwi lakhe sisalokhu siphakeme. Esikhathini esizayo, lezi abafana elinde nokuvusa induku.
3. Ungenzenjani. Ngokuvamile nge testes undescended ukuthuthukisa hernia enkabeni noma inguinal. Ngokubukeka, asikwazi kunqunywa, kodwa uma kukhona ukuphula umthetho, nina madoda kudingeka esibhedlela esiphuthumayo kanye nokwelashwa kuhlinzwa
4. iziyaluyalu zokuzala. Ngenxa ubunzima spermatogenesis (lokushisa high in the ingaphakathi lesisu ungakuvumeli ukuba nokuvuthwa kwesidoda), futhi izinga isidoda yezinkinga hormone sinciphile.
5. torsion wamasende - a angahlangani morphological intambo spermatic. Ngenxa yalokhu excretion eziphukile kwesidoda kusukela amasende kuya umthondo.
6. Ukulimala. ukuma okungafanele kwandisa amathuba okuba abe nozwela uhlukunyezwe mechanical sisetshenziswa. Lokhu kungenzeka noma ngabe izenzo abanganaki udokotela.

Lapha emiphumeleni enjalo kungase kubangele cryptorchidism. Imiphumela bebodwa ngovalo yimuphi umuntu Sane, ingasaphathwa umama osemusha nomfana omncane ngezingalo zakhe zonke ngaphezulu.

ukwelashwa kuhlinzwa

Uma inhlukano yizembe isende ngesikhathi sokuhlolwa akunakwenzeka, ngokuvamile odokotela batusa iphendukele indlela yokuhlinzwa yokwelashwa kuze ingane enonyaka owodwa ubudala. Le ndlela iphumelela kakhulu, ungaphatha ukusho Some zokugula ezifana cryptorchidism. Ukusebenza ngokuthi orchiopexy kanye neqiniso lokuthi udokotela ohlinzayo ukhetha ngokucophelela amaqanda nge amagobolondo ihamba ibe scrotum. Kungase kwenziwe amasu evulekile noma laparoscopic. Boy ngempela wahlola preoperatively wokuthi yadalwa nezinye izifo futhi kuvimbele yezinkinga kungenzeka. Uma ngesikhathi ukungenela udokotela ohlinzayo waphawula izicubu necrotic noma ukwakheka i hernia inguinal, uyosusa kuwo kanye, kanye abhujiswe.

Ngemva kokuhlinzwa, kubalulekile ukugcina isiguli ngaphambi nangemva khulula. Udokotela kumele qiniseka ukuthi iqanda simile futhi ezisebenza kahle. Cryptorchidism - akuyona isigwebo sentambo ingane yakho, wena kuphela kudingeka ngokuphumelelayo ukuchaza umama kungenzeka ukuhlinzwa yesimanje.

ukwelashwa kwama-hormone nezinye izindlela

Kuthiwa ama-hormone - izindlela kancane kancane ngempumelelo, kodwa noma kunjalo, futhi unga ngezinye izikhathi ikhambi cryptorchidism. Ukwelashwa siqukethe inkambo imijovo human chorionic gonadotropin. ukuhlaselwa okunjalo okukhulu emzimbeni kuholela shift wamasende kwindawo evamile. Kodwa indlela akukuniki isiqinisekiso ngokuphelele, ngakho akuvamile isicelo.

Lapho monorchism noma anorchia banganikeza ukusungula sokwenziwa wamasende. Ezinganeni, lokhu akudingekile, kodwa eminyakeni yokuthomba, umfana ingaqala izakhiwo ngenxa Otherness yabo. A ukuhlinzelwa ubuhle banganikeza ongakhetha ahlukahlukene ukuhlinzwa isikhumba.

It is ibuye Kunconywa ukuba ubonane nomuntu endocrinology mayelana ukuthomba futhi ukwelashwa i-hormone ngalesi sikhathi. Njengoba ngezinye izikhathi ngaphandle ukwesekwa izidakamizwa umzimba ayikwazi ukukhiqiza ama-hormone eyanele endogenous ukunquma inkathi evundile zokuphila.

Onalesi sifo ngoba impilo yabo

Orchidopexy njengoba ezivamile ukulungiswa indlela aqede ngokuphelele cryptorchidism. Okungavundile kwenzeka angaphansi kwamaphesenti enye yamadoda. Kodwa wenzalo kancane encishisiwe, uma kungekhona lehla amaqanda amabili, hhayi omunye.

Nge Ngokuphathelene nezinkinga, ezifana nomdlavuza noma ukuhlukumezeka, kuba oyingqayizivele Kunzima ukusho ukuthi ukusebenza aqede usongo ekupheleni. Kanti-ke nje bandisa nokuphila futhi kuthuthukisa izinga layo.

izincomo

Ngemva kokuhlinzwa, kubalulekile njalo ukuhlola. Akunjalo ngempela ukukwenza esibhedlela, kuba impela efanelekayo nekhaya ukuhlolwa. Efiswayo oyokufeza e inqubo eyigeza ingane noma ukushintsha inabukeni. Lapho ingane ikhula, kuyodingeka ukuba ubambe ingxoxo naye ngempilo yakhe futhi uchaze kubaluleke kangakanani njalo bayohlolwa futhi sizihlole.

isixazululo yezimonyo

Lo mfana angase abhekane nakho ngenxa yokuthi ukuthi lihlukile abanye. Ngalokhu umama nani hlalani nilungele. Kulokhu, ingxoxo ngeke kwanele. Uzodinga ukuthenga ingane zangaphansi okuxekethile, nezemidlalo, ukubhukuda isudi, isici yakhe akukhona sigqamile. Ungaqala ukuhlola amanzi mayelana sokwenziwa. Kodwa uma ingane engazizwa nesidingo esingaka - ke akudingekile ukuba bagcizelele. Noma kunjalo, kungcono ukusebenza ngempela eqolo futhi kuhlasimulise.

zokuvimbela

zokuvimbela Specific njengoba enjalo ayikho. Cryptorchidism - akusiyo isifo obungalindela bese sithatha izinyathelo ezifanele. Into kuphela ongayenza - kuyinto ngokuphumelelayo futhi sina ukulungiselela ukukhulelwa: ukwenza zonke imigomo, sanitize emlonyeni, ukuqeda yonke emaphaketheni ukutheleleka. Ngo senyanga yokuqala, akusiyo okudingekayo okungakusiza ukuba ubhekane ezinobuthi, ukuze afeze ukulungiswa in the efulethini, ukudonsa gravity. Ngaphambi kokuthatha imithi kufanele nakanjani uthintane wezifo zabesifazane yabo.

Umama nengane kudingeka sikhumbule ukuthi cryptorchidism - akusiyo umusho ukuphila, bonke ezingelapheka. Into esemqoka - ungaphuthelwa isikhashana lapho ukulungiswa kungenzeka, futhi indlela obhekene lolu daba. Ungesabi uye kudokotela uyofuna icebiso ngemibuzo, ukucacisa amacebo yokwelashwa kanye therapy esikhundleni. Uyajabula ukuyiphendula. Ngoba esikhathini esizayo indodana yakho bakutshele ngiyabonga kakhulu.