Testicular torsion - urgently i ke kauka

Torsion o na testes a hoʻi - he hana haliu ae la ia i ka hua ma luna o ka spermaticʻula. Kēia anomaly ana ia lŘlŘ i keiki i kā lākouʻeleu puberty, a i ka iwakalua-kumamalima makahiki. Akā, mai hoʻonānea, no ka mea, hiki ke hana i loko o nā kānaka ma kekahi mau makahiki.

Testicular torsion ke'ākoʻakoʻa like me ka ole ka nohoaliʻi kumu. Akā, e hiki hoʻonāukiuki a me ka paakiki physical hana, a me keʻano o scrotal trauma, a me ka 'ē aʻe e i kaʻoi contraction o na nāʻiʻo. Nolaila, he mea he reflex e hookiekie ana ia hua, a me ka mea, ua hoʻoluli 180, a me kekahi manawa hou - a puni kona iho (axis), no ka mea, o ka i koko holo ua wāwahi hua paha, kūpono i ka hou necrosis. Testicular Torsion kānāwai ma muli o ia i ke alo o nā abnormalities, ma o na la ino hua pili i ka lalo o ka scrotum.

Testicular torsion ua maheleia i loko o ka kēia mau 'ano:

- vnevlagalischny e kupu ana me ka leho testis malama i opiopio na keiki ma lalo o ka makahiki o kekahi makahiki;

- vaginal aaieieno? I ia lŘlŘ loko o ka tunica vaginalis testis.

Symptoms.

I ka papa kuhikuhiE symptoms o ka mea i loaʻa i kekahi testicular torsion, o ke alo o ka huʻiʻeha i loko o ka loli ana o hapa o ka scrotum, i ua hāʻawiʻia i loko o ka groin wahi. Ka mea, i kekahi 'ike ka luaʻi, a nausea.

Inā testicular torsion ia lŘlŘ i loko o ke keiki, ka mea hiki ke ike ia e ka mea ulu o ka scrotum, like hoʻi me blanching a redness. Inā i ke keiki i olelo mai mua ia, e hoohewa aku e pili ana i keʻano o ka eha i loko o ka abdomen a me ka groin.

ʻike.

I ka probing scrotum hua manu, e ia i ka luna, no ka mea, he hua'ōleloʻo o ka spermatic kaula. Eia hou, i ka i paiiaʻi hiki e Front hua. Ma keia hihia, oiai probing ka scrotum hiki e maloboleznennoy. Spermaticʻula ma muli o ka torsion mea nui ka pūhaka. Hiki ia hoomokuahana redness a me ka haanou ana o ka scrotum.

I ka ultrasound hookolokolo ana hooiaioia i ke alo a me ka wa e kaawale aku o ke koko holo i loko o ka testis. I mea e ho oholo kahi o ka hua leho ke lawe PalekanaEND_LINK puncture a me ka transillumination.

Lapaau.

Kekahi nā mea maʻi me ka testicular torsion hiki ke hana i loko o ka hora mua ma hope o ka loaʻa o ka maʻi. E hana i kēia, hana i ka manuale unwinding. Ke hoomanawanui i kau ia ma luna o kona kua, a akahele lawe mai i ka unwinding o bloat i loko o ke ku pono ana i ka ao ao. Ma keia hihia, ka hua manu iki huki ia. Inā hana pono, i ka eha ua me ka nui loa hoemi paha eliminated loa. Inā keia ina hana, aole ia e hana, alaila, i ka hoʻomanawanui hana. Lawelawe 'ia ka autopsy o ka scrotum, laila, ke lilo aku unwinding hua, a Loiloi i kona viability. Inā kōkua Ua hoomakaukau Hawaiʻi moku, a me ka hua o ua unsustainable, laila paka kona wehe 'ana.

A hiki i ka lōʻihi, a ololi wāwae, alaila gidatidy testicular torsion hiki ana, ai ka maʻi ua hoike loa emi pinepine ia. Holo nōhie aia mea he haunaele ma ka holo gidatidy a me kona li nui. Kēia mea ma muli o ke inflection gidatidy wāwae, ka haunaele o venous outflow o ke koko i hoʻokō 'ole me nā nā palapū, e like me ka wā o torsion me ka noho'na makaainana i ulu unwinding.

Keiki nana i pepehi gidatida i ka mahina nausea, ka mea, e luaʻi aku, ke huli i ka wela. A mahope iho o keia ia lŘlŘ hyperemia a me edema o ka scrotum, a ua mau e ulu ana.

Perekurt gidatid ua wehewehe aku ma na kēia mau hiʻona:

- i ka helehelena o ka ulia eha i loko o ka hoʻi,;

- scrotal edema (symmetrically) me ka hanana o ke flare;

- i ka helehelena o ke anuanu infiltrate.

Complications o torsion gidatid:

- hydrocele, i lilo ia maʻi, a a laila hele aku ai i ka hoʻohuikau 'ana o ke koko a me ka lymph holo, e alakai i ka atrophy;

- epididymo, no ka mea, o ka a he excretory infertility;

- testicular dysfunction, a mahope atrophy.

Ka apuepue oe huli testicular torsion lakou e ike koke nīnau i ka hoʻomalu.