Moferefere oa testicular

Testicular torsion ke ho sotha mohala oa spermatic, o ts'ehetsang li-testes ka har'a mothapo. Ha sena se etsahala, phepelo ea mali e khaoloa ho li-testicles le lisele tse haufi tsa scrotum.

Banna ba bang ba tloaetse ho ba boemong bona ka lebaka la liphoso tsa lisele tse hokahaneng ka har'a mokotla. Bothata bo kanna ba hlaha kamora ho lemala ha mothapo o bakang ho ruruha ho hoholo, kapa ho latela boikoetliso bo boima. Maemong a mang, ha ho na lebaka le hlakileng.

Boemo bona bo atile haholo selemong sa pele sa bophelo le qalong ea bohlankana kapa boroetsaneng. Leha ho le joalo, ho ka etsahala ho banna ba baholo.

Matšoao a kenyelletsa:

• Bohloko bo bohloko ka tšohanyetso ho testicle e le 'ngoe. Bohloko bo ka hlaha ntle le lebaka le hlakileng.
• Ho ruruha ka lehlakoreng le leng la scrotum (scrotal swelling).
• Ho nyekeloa kapa ho hlatsa.

Matšoao a mang a ka amanang le lefu lena:

• Sekoaelo sa testicle
• Mali ka semeneng
• Testicle e huleletsoe sebakeng se phahameng ho feta se tloaelehileng (ho palama holimo)

Mofani oa tlhokomelo ea bophelo o tla u hlahloba. Tlhahlobo e ka bonts'a:

• Bonolo bo feteletseng le ho ruruha sebakeng sa testicle.
• Lekoko le ka lehlakoreng le amehileng le phahame.

U kanna oa ba le Doppler ultrasound ea testicle ho hlahloba phallo ea mali. Ho ke ke ha ba le mali a phallang sebakeng seo haeba u na le torsion e felletseng. Phallo ea mali e ka fokotsoa haeba thapo e sothehile.

Boholo ba nako, ho hlokahala opereishene ho lokisa bothata. Mokhoa ona o kenyelletsa ho khoasolla thapo le ho roka testicle leboteng le kahare la mokotla. Ho buuoa ho lokela ho etsoa kapele kamoo ho ka khonehang kamora hore matšoao a qale. Haeba e etsoa nakong ea lihora tse 6, boholo ba testicle bo ka bolokoa.

Nakong ea ts'ebetso, testicle ka lehlakoreng le leng hangata e sirelletsoa hape. Lebaka ke hore testicle e sa ameheng e kotsing ea ho hlaseloa ke testicular nakong e tlang.

Letlalo le ka 'na la tsoela pele ho sebetsa hantle haeba boemo bo fumanoa kapele' me bo phekoloa hang-hang. Menyetla ea hore testicle e tla hloka ho tlosoa ea eketseha haeba phallo ea mali e fokotsehile ho feta lihora tse 6. Leha ho le joalo, ka linako tse ling e ka lahleheloa ke matla a eona a ho sebetsa leha torsion e nkile lihora tse ka tlase ho tse 6.

Lekoko le ka fokotseha haeba phepelo ea mali e khaoloa nako e telele. E kanna ea hloka ho tlosoa ka bongaka. Shrinkage ea testicle e ka hlaha matsatsi ho isa ho likhoeli kamora hore torsion e lokisoe. Tšoaetso e matla ea testicle le scrotum e ka khonahala haeba phallo ea mali e lekantsoe nako e telele.

Fumana tlhokomelo ea bongaka ea tšohanyetso haeba u na le matšoao a testicular torsion kapele kamoo ho ka khonehang. Ho molemo ho ea kamoreng ea maemo a tšohanyetso ho fapana le ho fumana tlhokomelo e potlakileng haeba ho hlokahala hore u etse opereishene hanghang.

Nka mehato ea ho qoba ho lemala ha mantle. Maemong a mangata a ke ke a thibeloa.

Tšoaro ea testis; Testicular ischemia; Ho sotha testicular

• Anatomy ea banna ea ho ikatisa
• Mokhoa oa ho ikatisa oa banna
• Ho lokisoa ha testicular - letoto la lihlooho

Moholo JS. Mathata le ho se lumellane ha litaba tse ka hare. Ka: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, bahlophisi. Buka ea Nelson ea Pediatrics. La 21 Ed. Philadelphia, PA: Elsevier; 2020: khaolo ea 560.

Germann CA, Holmes JA. Mathata a khethiloeng a urologic. Ka: Marako RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Likhopolo le Tloaelo ea Kliniki. La 9th. Philadelphia, PA: Elsevier; 2018: khaolo ea 89.

Kryger JV. Ho ruruha ho matla le ho sa foleng. Ka: Kleigman RM, Lye PS, Bordini BJ, Toth H, Basel D, bahlophisi. Tlhatlhobo e thehiloeng ho matšoao a Nelson Pediatric. Philadelphia, PA: Elsevier; 2018: khaolo ea 21.

Palmer LS, Palmer JS. Tsamaiso ea maemo a sa tloaelehang a liphatsa tsa lefutso tsa kantle ho bashanyana. Ka: Wein AJ, Kavoussi LR, Partin AW, Peters CA, bahlophisi. Urology ea Campbell-Walsh. 11th ed. Philadelphia, PA: Elsevier; 2016: khaolo ea 146.