Ana o Marmara ma varicocele: hōʻike manaʻo

Microsurgical hana Marmara - mea he ano o keʻoki kino, e hana i ka maʻi, i kapaia varicocele. Hoonoho iho la ia urologist ka loaʻaʻana aa koko uviform plexus hoʻi, (varicocele), ohumu ka wā i ke ahonui o ka discomfort i loko o ka scrotum a me ka wā me ka nui loa hoemi i ka nui o nā hua paha, kona kuleana pili i hoemi.

Pomaikai i Marmara ana ma luna o nā ano o ka paio me ka varicocele

Hana Marmara kela makahiki he nui helu ana o na kahuna lapaau ike like me ka loa a me ka pono ike loea iaoia o ka iapaau ana no ka varicocele. O ka papa kuhikuhi pono i:

- ma ka liʻiliʻi loa helu o relapses, i ua i hiki ai i ke aloha i ka microsurgical makaaniani a me microscopes, a leie aku oe i ke kō i ka mea uuku aa koko;

- He mau mea o ka traumatization o'aʻaʻa;

- i ka poe uuku a me ka inconspicuous rumen nui o ka i oi mamua o 2 knm;

- ma ka aneane piha kaawale o ka eha ma hope oʻoki kino;

- e hoʻoikaika i ka pono a me ka nui o ka sperm;

- ka hiki e koke hoʻi i ka hoʻomanawanui i ka maʻamau ola.

Pono kekahi mau hana ana nä mea ma waena o nā kiʻina hana a Ivanissevich a laporaskopii, i ke ano o Marmar. Hana o Ivanissevich komo ai dissection aponeurosis, a hiki alakai i traumatic nāʻiʻo o ka anterior abdominal paia, mahuahua i ka wā o ka hoʻopulapulaʻana a me ka hooikaika ana postoperative eha. Hana o Marmara e leie aku oe e Makuakane me nā lima-lima varicocele hema-lima, a me ka. A ua hiki ke lawe mai i ka holomua o ka spermatogenesis a me ka fertility loiloi 'loko o 6-9 mahina. Ka hapanui o nā kānaka ma hope oʻoki kino no Marmara ua i ka hiki e lilo i poʻe kūpuna i loko o ka kekahi mau makahiki.

He aha nō na nāʻikepili no kaʻoki kino Marmara

Ke kumu nui, a, me ka mau, o ka PAaIEN wale wā ia Marmara ana, ka mea, ua manaoio aku no lakou varicocele - he maʻi a hiki i hoʻomaka ai ole ia i lapaʻau hoikeanaʻaneʻane asymptomatic.

Akā, pinepine, 'āinana apau i ka poe akamai i, e hoomanawanui i ohumu o ka naau i loko o ka scrotum, eha i loko o ka hoʻi,. Ma keia hookolokolo ana hoikeia mai abnormalities ma na semen Ka Ikepili, i kūpono ai ka 'aʻe' ana o sperm? Iecaianoaaiiuo ma na testes. Ole-ʻoki lāʻau lapaʻau lapaau o ka maʻi mea,ʻaʻole e hiki, o ka oi aku ka wā e hele mai ai i complications i hiki i infertility. Ana o Marmara ma varicocele, e like me ka honua 'ikepili helu, e leie aku ka hui, kēia kuleana pili i wahine oo e hoihoi.

Varicocele: ia mea, ma mua o ka mea i fraught

Ka maʻi komo ai testicular aa koko o ka spermaticʻaha, a ua pili i ka 'aʻe' ana o ka ole-hoʻi kiwikā, i i aia i loko o na aa koko. Ia mea ke ola i ke kiwikā e leie aku holo o ke koko ma na aa koko i loko o kekahi ala e wale, pōʻino ma ka nohona kiwikā mai e hāʻawi aku iā lākou i ka manawa e hoʻonalowale i ka hoʻi kahe o ke koko. Kekahi mea ulu i loko o ka puʻuwai ke kumu i ke koko, kūnihi i ka hope.

Nā kumu o ka maʻi

Varicocele i e ka hōʻike:

- congenital venous kiwikā;

- he congenital nawaliwali o ka vascular paia;

- mahuahua puʻe i loko o nā pelvis a scrotum, i hiki aku ai i ke kink, a me ka hoʻololi shape i nā'opihia aa koko.

E hooponopono i kēia pathology, he nui na kekahi ano, e laʻa me, ma keʻoki kino a laparoscopic Ivanissevich hana. No ke aha la lilo i kaulana iaoia o Marmar? Hanaʻaneʻane eliminates ka manawa kūpono o ka poho i ka abdominal paia nāʻiʻo, arteries testicular pōʻino, hanana o ka li nui.

Contraindications eʻoki kino Marmara

E like me kekahiʻoki lāʻau lapaʻau kaʻina hana, a hiki i ka loa a me ka pono maluhia hana hiki e contra-nāʻikepili:

- exacerbation kahua o ka maʻi pathologies o ka na nā loko;

- i ka eono mahina mua ma hope o ka hahauʻana, naau pepehi 'ole' ē aʻe ischemic naʻau maʻi;

- li nui o ka urogenital oihana;

- maʻi palū, SARS a me nā infectious maʻi.

Pehea e hoomakaukau no ka 'uao

Hana Marmara a me ka makaukau no ka mea, 'o ia hoʻi ka hooko ana mai i ka maʻamau nui o ka noiʻi: mau, lapaʻau, a biochemical koko ho'āʻo ma, coagulation, ECG Ka Ikepili ma RW, syphilis, HIV, hepatitis, nana anesthesiologist muaʻoki kino.

Preoperative hiki ke hoʻokāʻoi paha, conversely, hoemiia ke kaumaha ma muli o ka nui o ka n ieaie? 'Ākeʻakeʻa, na makahiki a me ka nui ana o ka hoʻomanawanui.

Ua hahai koke ma mua o ka hana:

- kahi i ka lauoho, ina kekahi, i loko o ka mai ana mai kahi o ka hana. Kēia E e hana mālie, me ka incision o kaʻili, a me ka nānā aku o hou loa.

- kekahi kauka kuhikuhi hana o Anati-hoʻoʻino a antibiotic Inc, a ho'ēmi i kā ka pilikia o ka li nui i loko o ka invasive wahi. Supplementation hoʻomaka i kekahi mau lā ma mua o ka hana.

- General anesthesia a spinal anesthesia komo ai ka hopeʻai i mua o 10 pm hope. I ka lā ma mua o ka hana, 'aʻole' ae 'ia ai, inu, uwahi. I ka po muaʻoki kino a me ke kakahiaka o kaʻoki kino hana enema.

- Local anesthesia 'aʻole i koi ka hooke ai ana a me ka hoomaemae enema.

-? Eaia o anticoagulants E e nōʻoe, 5 mau lā ma mua o ka forthcoming hana. Akā, prescribers haʻahaʻa hakakino kaumaha heparins, a ho'ēmi i kā ka pilikia o ka hana ana a kia-operative kahe ana ke koko.

Ana o Marmara ma varicocele, hōʻike manaʻo o ka i hoike mai ai i ka ka hoʻokōʻana kiʻekiʻe o ka iaoiaeiiʻo ia ka mea e hiki ai e hoihoi venous pono a me ka pale aku i ka outflow o ke koko kaʻapu kōheoheo hoʻi. Postoperative recurrence ia lŘlŘ ma wale 5-7% o nā mea maʻi.

Ano o ka anesthesia: mea hiki ia ia prepochtitelnee

Hana Marmara hana hiki ia ma lalo mau anesthesia, a, e like me ka 'ē aʻe laha', ka anesthesiologist hana ana i ka hoʻomanawanui mea hiamoe ana, a kāhea aku i ma hope o ka hana.

Spinal anesthesia höʻike aku i kou holoʻokoʻa haahaa hapalua o ke kino. Mea oioi ka mea, ua hana i loko o ka wahi o ka spinal kolamu.

Local anesthesia e numb wale ka invasive hapa, ke hoʻomanawanui, e e ala akā,ʻaʻole e haha mai ka eha. Vposlednee makahiki hou, a nui na kumu e makemake i ka i nā anesthesia mea.

E like me ka mea i ka hana

Ana hoʻomaka me ka mea i ka surgeon dissects ka ili subpahovoy māhele 'āina, e ka incision nui o 1.5 - 2 knm ke aupuni' spermatic kaula, a no ka pono o ia auoiaea i kaʻeha.. Ma ka microscope ka surgeon e hōʻike ana testicular aa koko a me kā lākou mau bandages. Kauka makemake e hoʻohana kūloko anesthesia, e like me ka hoʻomanawanui i ke noi e hanu i loko, a tighten mea e leie aku ke kauka i ka maikaʻi ike na mea a pau, o ka mea liilii loa, varicose aa koko a me venous lālā. Ke microscope apono 'oe e hana i ua kahikoia a nani kaʻina like i pololei ia, me ka mea ulu kokoke nā aʻalolo, ipu lymph a me arteries. Ma hope iho o ka panina o nā mea a pau o na aa koko i loko o kaʻeha nōkahea mea he puka o ka laholio. Ma hope o ia, ke incision ua superimposed aseptic lole wili.

ʻoki lāʻau lapaʻau 'uao mau no 30-40 minuke. Ke hoomanawanui Ua laila kaʻi aku i ka loaa lumi, kahi āna i noho ai no kekahi mau hola ma lalo o 'inikua hooponopono. , Elua no hora hope, ke kālailaiʻana i ke ahonui o ka ana, i ke kauka hiki ke wehe ae ia ia i ka hale.

Ka postoperative manawa

Manawa hoʻopulapula ma hope oʻoki kino palena iki Marmara. ka mea, e pono ai wale nō he mau manawa, e hele mai i ka ua kahikoia a nani, ina e hiki ole lawe mai i ka ina hana ma ka hale. Kela manawa, ma hope o kekahi mau lā o ka hoʻomanawanui hiki loa hoʻi i kona mauʻaoʻao o ke ola. Naʻe, ka mea, ua? Aeiiaiaoaony e hookaaokoa lakou maiʻia e, mai kaumaha punohu Lawe akula nō, a me nā haʻuki, ma ka mea,ʻaʻole iʻae like hoʻokuʻu ma kahai i ka pono o na nakaka. Keia ua hookupaa iho la ia e hoʻomanawanui e hoike. i wehe 'ia ma hope o 7-8 lā Sutures. A liʻiliʻi me ka makaʻu no e kai piha ma lalo o ka laina e lei ana huihui, i loko o ka wahi, kahi a ka lauoho ulu, no laila, e ka mea nohoʻike makaʻole. Hana Marmara, hōʻike manaʻo o ka mea i loa maikaʻi nā mai nā mea maʻi, a no na kumu, 'aʻole i i testicular atrophy a hydrocephalus, aole hoi i kekahi'ē aʻe complications e hiki ke manao ia mai nā' ano o kaʻoki lāʻau lapaʻau 'uao. Kēia hana e leie aku oe i ka hoihoi a me ka pale hou varicose aa koko, hoʻoikaika i ka mea e like ai o ka sperm.

Ma ka manao o na mea he nui na kanaka, Marmara ana - o ka poe ola, a me ka pono ka hana o ka noho pakele o ka varicocele, i ae ia lakou e pale aku postoperative complications, eha, discomfort a me unsightly scars.