Tus Sau: Monica Porter
Hnub Kev Tsim: 14 Taug Kev 2021
Hloov Hnub: 23 Lub Kawm Ob Hlis Ntuj 2024
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12 yam tsiaj  mus sib tw
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Zoo Siab

Peb suav nrog cov khoom uas peb xav tias tseem ceeb rau peb cov nyeem. Yog tias koj yuav los ntawm cov txuas hauv nplooj ntawv no, peb yuav khwv tau nyiaj me me. Ntawm no yog peb cov txheej txheem.

Lub noob qes torsion yog dab tsi?

Feem ntau ua rau muaj xwm txheej ceev txog tus txiv neej genitourinary tus mob yog ib tug mob heev hu ua testicular torsion.

Tus txiv neej muaj ob lub noob qes uas nyob sab hauv lub noob caj dab. Ib txoj hlab ntaws hu ua cov kab txuas (spermatic cord) nqa ntshav mus rau cov noob qes. Thaum qog cov noob qes, cov xaim hluav taws xob no sib tw. Yog li ntawd, cov ntshav ntws cuam tshuam thiab cov nqaij hauv lub noob qes tuaj yeem pib tuag.

Raws li lub koom haum American Urological Association, tus mob no tsis tshua pom muaj tshwm sim thiab tsuas cuam tshuam txog li 1 tus ntawm 4,000 leej hnub nyoog qis dua 25 xyoos.

Torsion feem ntau tshwm sim hauv cov txiv neej hluas. Cov uas muaj hnub nyoog 12 thiab 18 xyoo suav rau 65 feem pua ​​ntawm cov neeg muaj tus mob, raws li Cleveland Clinic. Txawm li cas los xij, menyuam mos thiab cov neeg laus hnub nyoog tseem tuaj yeem cuam tshuam.

Dab tsi ua rau testors torsion?

Coob leej ntawm cov neeg uas muaj cov noob qes ntawd yuav yug los muaj feem ua rau muaj tus mob no dua, txawm tias lawv yuav tsis paub los xij.


Qhov tseem ceeb yug los ua neeg

Feem ntau, cov noob qes tuaj yeem txav tsis tau hauv qhov chaw phais. Cov ntaub so ntswg ib puag ncig muaj zog thiab txhawb nqa. Qee tus neeg tau hnov ​​mob qeev qee zaum muaj cov tawv nqaij sib txuas uas tsis muaj zog hauv lub qhov quav.

Qee qhov xwm txheej, qhov no tuaj yeem yog los ntawm kev yug me nyuam lub npe hu ua "tswb clapper" deformity. Yog tias koj lub kas fes clapper deformity, koj cov noob qes tuaj yeem txav mus los hauv lub hnab looj qog dawb. Qhov kev txav no nce txoj kev pheej hmoo ntawm lub caj pas phev ua lub cev. Qhov kev puas tsuaj no suav txog 90 feem pua ​​ntawm noob qes.

Cov kab mob trousular tuaj yeem khiav hauv tsev neeg, cuam tshuam rau ntau tiam neeg nrog rau cov nus muag. Cov yam ua rau kom muaj kev pheej hmoo siab dua yog tsis paub, txawm hais tias lub tswb clapper deformity tuaj yeem pab txhawb. Paub txog hais tias lwm tus hauv koj tsev neeg tau muaj lub suab hlwv pob ntseg tuaj yeem pab koj thov kev kho mob sai sai yog tias nws qhov tsos mob cuam tshuam rau koj lossis ib tus neeg hauv koj tsev neeg.

Tsis yog txhua tus neeg uas muaj tus mob no muaj keeb caj ces rau nws, txawm li cas los xij. Kwv yees li 10 feem pua ​​ntawm cov neeg uas mob qog nqaij hlav muaj keeb kwm tsev neeg ntawm tus mob, raws li kev tshawb fawb me me.


Lwm yam ua

Tus mob yuav tshwm sim tau txhua lub sijhawm, txawm tias ua ntej yug. Kev ua kom tawv nqaij tawv nqaij tuaj yeem tshwm sim thaum koj pw lossis koom nrog kev ua haujlwm.

Nws kuj tuaj yeem tshwm sim tom qab raug mob rau puab tais, xws li kev raug mob kis las. Ua ib qho kev tiv thaiv, koj tuaj yeem hnav [khob haus dej kom huv:] lub khob rau kev sib tw kis las.

Kev loj hlob sai ntawm cov noob qes thaum lub sij hawm tiav nkauj kuj tseem yuav ua rau tus mob.

Cov tsos mob ntawm cov noob qes ntawd zoo li cas?

Qhov mob thiab o ntawm lub hnab scrotal yog cov tsos mob tseem ceeb ntawm noob qes.

Qhov pib ntawm qhov mob yuav maj mam tshwm sim, thiab qhov mob yuav loj heev. Kev o tuaj yeem tsuas yog tsuas yog ib sab, lossis nws tuaj yeem tshwm sim hauv tag nrho daim npog qhov quav. Koj tuaj yeem pom tias ib lub noob qes dua dua lwm qhov.

Koj yuav muaj kev:

  • kiv taub hau
  • xeev siab
  • ntuav
  • cov qog hauv lub hnab ntawv
  • ntshav hauv cov phev

Muaj lwm qhov ua kom muaj mob ntawm cov noob qes hnyav, xws li mob o ua paug. Koj kuj tseem yuav tsum ua cov tsos mob no thiab nrhiav kev kho mob sai.


Cov mob ua kom tawv nqaij feem ntau tshwm sim hauv ib qho noob qes xwb. Ob sab torsion, thaum ob lub noob qes ib txhij cuam tshuam, yog qhov tsis tshua muaj tshwm sim.

Yuav kuaj li cas thiaj pom cov nqaij mos?

Kev ntsuam xyuas uas tuaj yeem siv los kuaj mob torsion suav nrog:

  • kuaj zis, uas saib xyuas kom muaj kab mob
  • kev kuaj mob lub cev
  • kev kos duab ntawm vog

Thaum kuaj lub cev, koj tus kws kho mob yuav kuaj koj cov pob txha rau kev o. Lawv kuj tseem tuaj yeem sab hauv koj tus ncej puab. Feem ntau qhov no ua rau cov noob qes. Txawm li cas los xij, qhov tsis zoo ntawm no yuav ploj mus yog tias koj mob torsion.

Tej zaum koj kuj tseem yuav tau txais ib daim ultrasound ntawm koj lub qhov quav. Qhov no qhia tau cov ntshav ntws mus rau lub noob qes. Yog tias cov ntshav ntws qis dua li ib txwm, koj yuav tau hnov ​​mob torsion.

Muaj kev kho mob dab tsi rau hauv cov noob qes?

Taug kev mob tsis zoo yog thaum maj nrawm, tab sis ntau cov neeg hluas tsis kam lees tias lawv tau ua mob lossis nrhiav kev kho mob tam sim ntawd. Koj yuav tsum tsis txhob quav ntsej txog cov kev mob hauv ib qho mob.

Nws yog ib qho ua tau rau qee qhov kom paub txog dab tsi uas yog hu ua torsion sib quas ntus. Qhov no ua rau cov noob qes thiab ntxeev. Vim tias tus mob yuav rov muaj mob dua, nws tseem ceeb uas yuav tsum tau nrhiav kev kho, txawm tias qhov mob nrawm dua thiab tom qab ntawd qis.

Kev phais kho

Kev phais mob, lossis orchiopexy, feem ntau yuav tsum tau kho qog ua ntshav. Muaj qee zaus, koj tus kws kho mob tuaj yeem daws cov kab phev los ntawm tes. Qhov txheej txheem no yog hu ua “phau ntawv muab tshuaj xyuas (manual detorsion).”

Kev phais mob yog ua kom sai li sai tau los kho ntshav khiav mus rau cov noob qes. Yog hais tias cov ntshav ntws tawm ntawm kev txiav tawm ntau dua rau teev, tus kab mob hauv qhov txhab tuaj yeem tuag. Cuam tshuam cov noob qes mam li yuav tsum tau tshem tawm.

Kev phais mob yog ua raws li ib qho tshuaj loog. Koj yuav pw tsaug zog thiab tsis paub txog ntawm cov txheej txheem.

Koj tus kws kho mob yuav ua mob me me rau koj daim tawv nqaij qhwv thiab txhaws rau qaum. Cov me sutures yuav siv los khaws cov noob qes ntawd tso rau hauv qhov chaw cia. Qhov no tiv thaiv kev sib hloov ntawm qhov tshwm sim ntxiv. Tus kws phais mob kaw cov qhov phais nrog pob zeb.

Dab tsi koom rau hauv qhov rov ua tiav los ntawm kev phais mob pob qij txha?

Orchiopexy tsis xav kom pw hauv tsev kho mob ib hmos. Koj yuav tau nyob hauv chav tsev kho mob ob peb teev ua ntej tso tawm mus.

Xws li txhua yam kev phais mob, koj yuav muaj qhov tsis xis nyob tom qab phais tas. Koj tus kws kho mob yuav pom zoo lossis muab tshuaj kho kom haum rau qhov tsim nyog. Yog tias koj cov noob qes yuav tsum tau muab tshem tawm, koj yuav nyob hauv tsev kho mob thaum hmo ntuj.

Kev Nyem Xim Xaus

Koj tus kws kho mob feem ntau yuav siv cov khoom khoob kom yaj rau koj txoj kev ua, yog li koj tsis tas yuav muab nws tshem tawm. Tom qab phais tas, koj tuaj yeem cia siab tias koj qhov txhab ntshav yuav o tuaj ob mus rau plaub asthiv.

Koj tuaj yeem siv ib qho dej khov ntim ob peb zaug hauv ib hnub rau 10 txog 20 feeb. Qhov no yuav pab kom tsis txhob o.

Kev nyiam huv

Qhov phais thaum ua thaum phais yuav tseem hlwv cov kua rau ib mus rau ob hnub. Nco ntsoov ntxuav qhov chaw ntawd kom huv si los ntawm kev maj mam muab ntxuav nrog dej sov thiab xab npus.

So thiab rov qab

Koj tus kws kho mob yuav pom zoo kom zam qee yam kev ua si rau ntau lub lis piam tom qab kev phais mob. Cov no suav nrog kev sib deev thiab kev ua kom muaj zog, xws li kev zoo siab thiab kev sib deev.

Lawv kuj yuav qhia koj kom tsis txhob muaj kev ua kis las los yog ua kom lub zog. Nyob rau lub sijhawm no, nws tseem yog ib qho tseem ceeb kom tsis txhob nqa khoom hnyav los yog lub cij thaum coj mus plob tsis so tswj.

Nco ntsoov tias pw kom txaus kom koj lub cev rov zoo li qub. Tsis txhob nyob twj ywm xwb, txawm li cas los xij. Taug kev me ntsis txhua hnub yuav pab kom ntshav ntws mus rau qhov chaw, pab txhawb kev rov qab los.

Cov teeb meem dab tsi cuam tshuam nrog cov noob qes?

Cov vuam xwm kab mob yog ib qho xwm txheej ceev uas yuav tsum tau saib xyuas sai. Thaum tsis kho sai, lossis txhua lub sijhawm, tus mob no tuaj yeem ua rau muaj kev mob nyhav heev.

Kab mob

Yog tias cov noob qes uas tuag lawm lossis cov raug puas tsuaj tsis raug tshem tawm, tus mob qog vwm yuav tshwm sim. Mob kheesxaws yog tus kabmob uas muaj peev xwm tuag taus. Nws tuaj yeem sib kis tau thoob koj lub cev, ua rau poob siab.

Ntxiv lawm tshob

Yog tias muaj kev puas tsuaj tshwm sim rau ob lub noob qes, kev muaj mob hauv lub cev yuav ua. Yog tias koj muaj ib lub noob qes poob, txawm li cas los xij, koj tsis muaj kev cuam tshuam dab tsi rau koj lub cev.

Kev kho kom zoo nkauj

Qhov poob ntawm ib lub noob qes tuaj yeem tsim cov tshuaj pleev ib ce uas ua rau lub siab ntxhov siab. Qhov no tuaj yeem, txawm li cas los xij, yuav nyob nrog kev ntxig ntawm cov noob qes.

Atrophy

Tsis muaj kev kuaj mob qog ua qog tuaj yeem ua rau pob qij to atrophy, ua rau cov noob qes ua kom lub ntsej muag me me. Lub qog atrophied tuaj yeem ua tsis tuaj yeem tsim cov phev.

Txiv neej siab dev

Yog tias tsis kho ntev tshaj li ob peb teev, lub noob qes yuav loj tuaj, yuav tsum tau tshem tawm. Lub noob qes feem ntau tuaj yeem txuag tau yog tias kho tau hauv 4-rau-rau-teev qhov rai.

Tom qab lub sijhawm ua haujlwm ntev li 12 teev, muaj 50 feem pua ​​ntawm qhov yuav tsum khaws lub noob qes. Tom qab 24 teev, txoj hauv kev yuav cawm cov noob qes ntawd poob mus rau 10 feem pua.

Cov xwm txheej dab tsi yuav zoo li cov noob qes?

Lwm yam mob uas cuam tshuam rau cov noob qes yuav ua rau cov tsos mob zoo li cov noob qes.

Tsis hais cov xwm txheej twg koj xav tias koj muaj, nws tseem ceeb uas koj yuav tsum tau mus ntsib koj tus kws kho mob sai. Lawv tuaj yeem txiav txim tawm tus mob hlaws pob tw lossis pab koj kom tau txais ib qho kev kho mob twg tsim nyog.

Epididymitis

Tus mob no feem ntau yog tshwm sim los ntawm cov kab mob kis, nrog rau sib deev sib kis xws li chlamydia thiab gonorrhea.

Cov tsos mob ntawm tus mob epididymitis tuaj yeem maj mam tshwm sim thiab tej zaum yuav suav nrog:

  • testicular mob
  • mob tso zis heev
  • liab
  • o tuaj

Orchitis

Orchitis ua rau mob thiab mob hauv ib lossis ob lub noob qes tib yam li puab tais.

Nws tuaj yeem tshwm sim los ntawm kab mob los yog kis kis. Nws feem ntau cuam tshuam nrog tus mob qog no.

Torsion ntawm appendix testis

Cov noob qws ua pov thawj yog ib qho me me ntawm cov nqaij mos uas nyob rau sab saum toj ntawm cov noob qes. Nws pabcuam tsis muaj haujlwm. Yog tias cov ntaub so ntswg me me no, nws tuaj yeem ua rau cov tsos mob zoo li mob pob ntseg, xws li mob, liab thiab o.

Tus mob no tsis tas yuav muaj kev phais. Hloov chaw, tus kws kho mob yuav soj ntsuam koj tus mob. Lawv tseem yuav pom zoo kom noj tshuaj so thiab mob mob.

Dab tsi yog qhov ntev lub zeem muag rau cov tib neeg uas muaj cov noob qes?

Raws li TeensHealth tau hais tseg, 90 feem pua ​​ntawm cov neeg kho rau pob ntseg pob ntseg tsis dhau thaj tsam li 4 mus rau 6 teev txij li hnub pib mob kom tsis tas yuav tsum tau tshem cov noob qes.

Txawm li cas los xij, yog tias kev kho mob raug xa tawm 24 teev lossis ntau dua tom qab pib qhov mob, kwv yees li 90 feem pua ​​yuav tsum tau txiav tawm cov noob qes.

Kev tshem tawm cov noob qes, hu ua orchiectomy, tuaj yeem cuam tshuam rau kev loj hlob hormone hauv menyuam mos. Nws kuj tseem tuaj yeem cuam tshuam txog kev muaj menyuam yav tom ntej los ntawm kev txo tus phev suav.

Yog tias koj lub cev pib ua cov tshuaj tiv thaiv phev vim tias torsion, qhov no tseem tuaj yeem txo qis phev muaj peev xwm txav tau.

Txhawm rau zam kom tsis txhob muaj cov teeb meem no, koj yuav tsum nrhiav kev kho mob sai sai yog tias koj xav tias koj lossis koj tus menyuam tab tom muaj kev mob pob ntseg. Kev phais kab mob ua kom tawv nqaij tau txais txiaj ntsig zoo yog tias raug pom thaum ntxov.

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