Anorchia

Anorchia ke ho ba sieo ha li-testes ka bobeli ha a hlaha.

Mokhachane o hlahisa litho tsa pele tsa thobalano libekeng tse 'maloa tsa pele tsa bokhachane. Maemong a mang, liteko tsa pele ha li hlahe ho banna pele ho libeke tse 8 ho ea moimana. Bana bana ba tla tsoaloa ka litho tsa botšehali.

Maemong a mang, li-testes lia nyamela lipakeng tsa libeke tse 8 ho isa ho tse 10. Bana bana ba tla tsoaloa ba e-na le liphatsa tsa lefutso tse sa hlakang. Sena se bolela hore ngoana o tla ba le likarolo tsa litho tsa botona le botšehali.

Maemong a mang, li-testes li ka nyamela lipakeng tsa libeke tse 12 ho isa ho tse 14. Bana bana ba tla ba le botona le botona bo tloaelehileng. Leha ho le joalo, ba ke ke ba ba le litlhahlobo. Sena se tsejoa e le congenital anorchia. E boetse e bitsoa "lefu la testes le nyamelang."

Lebaka ha le tsejoe. Lintho tsa lefutso li ka ameha maemong a mang.

Boemo bona ha boa lokela ho ferekanngoa le li-testes tse sa amoheloang tse kopaneng, moo li-testes li fumanehang ka mpeng kapa boteneng ho fapana le scrotum.

Matšoao a ka kenyelletsa:

• Litho tsa botona le botšehali tse tloaelehileng kantle ho bohlankana
• Ho hloleha ho qala ho kena bohlankaneng kapa boroetsaneng ka nako e nepahetseng

Lipontšo li kenyelletsa:

• Sepheo sa letho
• Ho hloka litšobotsi tsa bong ba botona le botšehali (kholo ea botona le ea pepeneng, ho teba ha lentsoe, le ho eketseha ha mesifa)

Liteko li kenyelletsa:

• Mefuta ea li-hormone tsa anti-Müllerian
• Boikarabello ba masapo
• Follicle e hlasimollang li-hormone (FSH) le luteinizing hormone (LH)
• Ho buoa ho batla lisele tsa banna tsa ho ikatisa
• Maemo a testosterone (tlase)
• Ultrasound kapa MRI ho sheba li-testes ka mpeng
• XY karyotype

Kalafo e kenyelletsa:

• Lisebelisoa tsa maiketsetso tsa maiketsetso
• Li-hormone tsa banna (androgens)
• Ts'ehetso ea kelello

Pono e ntle ka kalafo.

Mathata a kenyelletsa:

• Sefahleho, molala kapa mokokotlo maemong a mang maemong a mang
• Ho hloka thari
• Litaba tsa kelello ka lebaka la boits'oaro ba bong

Bitsa mofani oa tlhokomelo ea bophelo haeba ngoana e motona:

• E bonahala e e-na le li-testicles tse nyane haholo kapa tse sieo haholo
• Ha ho bonahale eka o qala ho kena bohlankaneng kapa boroetsaneng a le lilemong tsa bocha

Liteko tse senyehang - anorchia; Sekheo se se nang letho - anorchia; Scrotum - ha e na letho (anorchia)

• Anatomy ea banna ea ho ikatisa
• Mokhoa oa ho ikatisa oa banna

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Chan YM, Hannema SE, Achermann JC, Hughes IA. Mathata a kholo ea kholo ea thobalano. Ka: Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, bahlophisi. Buka ea Williams ea Endocrinology. La bo14 la ed. Philadelphia, PA: Elsevier; 2020: khaolo ea 24.

Yu RN, DA DA. Mathata a kholo ea kholo ea thobalano: etiology, tekolo le tsamaiso ea bongaka. Ka: Partin AW, Dmochowski RR, Kavoussi LR, Peters CA, bahlophisi. Campbell-Walsh-Wein Urology. 12th ed. Philadelphia, PA: Elsevier; 2021: khaolo ea 48.