Varicocele: haddasawa, bayyanar cututtuka da tasirinsa akan haihuwa na namiji

A varicocele Yana da wani yanayi na kowa a cikin maza wanda ya ƙunshi m dilation na jijiyoyin da ke cikin igiyar maniyyin da ke goyan bayan al'aura, matsalar da ke shafar lafiyar namiji da haihuwa. Ko da yake yana iya zama asymptomatic ko kuma ba a lura da shi ba a lokuta da yawa, tasirinsa akan aikin gwajin jini da ingancin seminal ya sa ya zama lamari mai mahimmanci.

Menene varicocele kuma me yasa yake faruwa?

Varicocele ne sakamakon gazawar a cikin bawuloli na veins na maniyyi igiyar, wanda ya hana al'ada kwararar jini daga tesicles zuwa zuciya. Wannan yana haifar da tarin jini a cikin jijiyoyin da aka shafa, yana haifar da su dilation na ci gaba. A cikin sharuddan gani, ana iya gani a matsayin a girma ko kumbura a cikin maƙogwaro.

An kiyasta cewa varicocele yana shafar kusan tsakanin 15% da kuma 20% na maza a duniya, kasancewar ya zama ruwan dare a gefen hagu na maƙarƙashiya saboda keɓancewar jijiya na wannan yanki. A lokuta da ba kasafai ba, yana iya zama dama ta gefe ko biyu.

Abubuwa masu tayar da hankali da nau'ikan varicocele

Vassicocele an rarrabe shi cikin manyan nau'ikan biyu dangane da dalilinsa:

• Na farko ko idiopathic: Shi ne ya fi kowa kuma ba shi da alaƙa da mummunan yanayi. Yana tasowa ne saboda gazawar venous valves, yawanci a cikin jijiya maniyyi na hagu.
• Na biyu ko aka samu: Yana bayyana a sakamakon wani yanayin likita, kamar a tumo wanda ke hana kwararar jini a cikin jijiyoyin maniyyi. Wannan nau'in yana buƙatar a m asibiti kimantawa.

Varicocele maki

Hakanan ana rarraba Varicocele bisa ga tsananinsa, wanda aka ƙaddara ta a bincike na zahiri da/ko gwaje-gwajen hoto kamar Doppler duban dan tayi. Makin sune kamar haka:

• Darasi na 1: Ana iya gano shi kawai lokacin yin aikin Valsalva (ƙara matsa lamba na ciki).
• Darasi na 2: Ana iya shafa shi ba tare da buƙatar takamaiman motsi ba, amma ba a iya gani da ido tsirara.
• Darasi na 3: Ana iya gani a ido tsirara kamar a kunshin a cikin maƙarƙashiya, ko da ba tare da nazarin jiki ba.

Alamun varicocele

Varicocele yana da asymptomatic a mafi yawan lokuta, amma a wasu yana iya bayyana tare da alamu daban-daban, kamar:

• Ciwo ko jin nauyi a cikin maƙarƙashiya, musamman bayan tsayawa na dogon lokaci ko yin motsa jiki mai ƙarfi.
• atrophy na jini, wanda ke nufin raguwar girman kwayar cutar.
• Jin jijiya dilated wanda za a iya palpated a cikin maƙarƙashiya.
• Rashin haihuwa, wanda zai iya zama kawai alamar bayyanar a wasu lokuta.

Ciwon yana da sauƙi kuma an kwatanta shi azaman rashin jin daɗi na tsaka-tsaki wanda zai iya tsananta a cikin yini.

Tasirin varicocele akan haihuwa

Ɗaya daga cikin abubuwan da ke damun varicocele shine dangantaka ta kai tsaye da rashin haihuwa na namiji. A cewar bayanai daga Hukumar Lafiya ta Duniya (WHO), har zuwa 40% na maza marasa haihuwa ba su da varicocele. Wannan yanayin yana shafar ingancin maniyyi, yana rage adadin maniyyi, motsinsu da canza yanayin halittarsu.

Ainihin hanyar da varicocele ke shafar spermatogenesis ba a bayyana gaba ɗaya ba, amma ƙara yawan zafin jiki a cikin ƙwanƙwasa, saboda haɗuwar jini a cikin veins mai zurfi, ana tsammanin zai taka muhimmiyar rawa. Wannan karuwar zafin jiki na iya lalata maniyyi DNA da kuma canza samar da testosterone.

Bincike na varicocele

Sakamakon ganewar varicocele yawanci yana farawa da a bincike na zahiri wanda likita ya yi, wanda zai iya gano manyan jijiyoyi a cikin maƙarƙashiya. Bugu da ƙari, ana iya amfani da gwajin hoto kamar:

• Scrotal Doppler duban dan tayi: Ita ce mafi madaidaicin dabara don tabbatar da kasancewar varicocele da kimanta ƙimar dilation venous.
• spermogram: Ana amfani dashi don nazarin ingancin maniyyi da kuma ƙayyade tasirin varicocele akan haihuwa.

zaɓuɓɓukan magani

Jiyya na varicocele ya dogara da tsananin alamun bayyanar cututtuka da tasirin su akan haifuwar mai haƙuri. Manyan zaɓuɓɓuka sun haɗa da:

• Taimakon Scrotal: An nuna shi a cikin ƙananan yanayi don rage rashin jin daɗi da rage matsa lamba a cikin maƙarƙashiya.
• Varicocelectomy: Hanya ce ta fiɗa da ta haɗa da haɗa jijiyoyi da abin ya shafa don karkatar da kwararar jini. Ana yin ta ta amfani da hanyoyi daban-daban (buɗe, laparoscopic ko microsurgical).
• Ƙarfafawa: Dabarar da ba ta da ƙarfi ce wacce ke amfani da catheters don toshe faɗuwar veins.

Kusan a 60-70% na marasa lafiya tare da varicocele sun sami ci gaba a cikin ingancin maniyyi bayan jiyya, kuma yawan ciki yana ƙaruwa har zuwa 50% a cikin ma'aurata masu fama da rashin haihuwa.

Rigakafin da kula da varicocele

Duk da yake ba za a iya hana duk lokuta na varicocele ba, wasu halaye na iya taimakawa wajen rage haɗarin rikitarwa:

• Yi gwaje-gwajen kai na gwaji na yau da kullun don gano canje-canje a cikin maƙarƙashiya.
• Tuntuɓi likita idan kun lura da wani kullu ko rashin jin daɗi a cikin ƙwayayen.
• karba a lafiya rayuwa, rage haɗarin haɗari kamar damuwa.

A cikin samari da aka gano tare da varicocele, kulawar likita na yau da kullum yana da mahimmanci don kauce wa matsalolin haihuwa na gaba.

Gudanar da Varicocele ya kamata a keɓance shi bisa ga buƙatun mai haƙuri da tasirin yanayin akan ingancin rayuwarsu. Ga maza da yawa, jiyya na iya yin tasiri mai mahimmanci ga lafiyar haifuwa da jin daɗin rayuwarsu gaba ɗaya, yana maido da bege na iyaye ga waɗanda ke fuskantar matsalolin ɗaukar ciki.