Varicoceleʻoki kino - ina paha e hiki relapses?

A kekahi helu ana o na kanaka e ae , mai varicose aa koko i loko o ka hoʻi. Kēia pathology ua kapaia he varicocele, a ua hiki ke loli i ka pono o ka 'īnea i ke ola, i ka hiki o ka sperm e fertilize. Ae, a me ka helehelena o ke kane, wahine maopopo e loaa ana, no ke aha la kekahi mau kanaka wale loaʻa 'īnea i akamai me ka maikai hapalua. , Ponoʻoki kino i ka mea hope e pohaku uinihepa, o ka mea maʻi. Ka hoomanawanui maoli ai ke hoala mai i ka ninau - ole inā varicoceleʻoki kino, makemake ole maʻi recurrence, a me ka nele no ka hou-uao i Konakele.?

No laila, mua e ki ina hana like o ka hana maikaʻiʻole o ka varicocele mākou noʻonoʻo. Ke wale ala no varicose aa koko i loko o ka hoʻi -ʻoki lāʻau lapaʻau. Oiaio no, haawi mai ka mea i ka maʻi, aole ia e haawi eha symptoms, a, ma ka rula, o ka mawaho hoailona o ka varicocele ke hoomanawanui i ka wa e ola ana, kekahi kanaka mai i manaʻo mea pono, e lawe maiʻoki kino i loko o ka wahine wahi. Naʻe, ina ka varicocele o ke kumu o ka infertility, ma laila i wahi e hele, a e i e undergoʻoki kino. I kēia lā, he mea mauʻaoʻaoʻehā, e lawelawe i ka maʻi - hamama ka hookipaia, he uuku incision, endoscopy a me ka microsurgery e transplant i ke aa koko.

Loa pinepine, varicocele hana i wahi ma Ivanissevich - through hamama ke kula. No keia incision i loko o ka iliac'āina, ua nākiʻiʻia aa koko ma ka akau wahi, i ka pōʻino, ua make papa i sutured a ua sutured ka ili mauka, ahu iho.

Kekahi ala - i ka hana o Marmar. Ua Ua wehewehe aku ma ka mea uuku incision, like me ka hana ma Ivanissevich. Incision 'ana ma luna o ka OAAIeOO kahua o ka spermatic kaula. Ma hope o ka 'ae', a me ka mea, ua nākiʻiʻia ka mea, i kona mau aa koko. A laila ke koko mai o ka hua e e kaʻi aku ma nā superficial aa koko. Ma hope o varicocele hoʻohana ma keia ano mea me ka nui loa uuku me ka makaʻu no kina a me ka mea kokoke i kekahi '.

Lapaʻau Ua Hopu o nā makahiki o ka endoscopy. Oiaio no, ka mea, i hoʻolauna 'ana i kūpono i ka urology. Varicocele lapaʻau ma hope oʻoki kino i loko o ia i ke ala hou ana, mai ka lāʻau kū-operative complications (edema, hematoma) ka mea, i halawai. Ke hana ua hana akahai hana. Ma ka hoʻomanawanui i ka kino i ekolu liʻiliʻi incisions ma a ka endoscope wahahee,'ūpā a me clamps. Na mea a pau i ka hana i loko, ke kauka ike ma luna o ke kanaka hoʻoponopono hoʻouka kekahi ma ka pae'ōnaehana lumi. Ia mea ka mea a pau kaʻina mea ma lalo o ka mana hoʻomalu ma. Ua haawiia i ka mea i ka endoscope mea nui pono a hōʻea i ka operative ke kahua, a me ia mea hiki, e hoomahuahua i ke kiʻi, i ka hana i wahi ma waena o nā kulanui. Ke hoomanawanui ligated aa koko a titanium superimposed brackets a i ole oukou i hoopailua mai ma ke kino, a me nā mea a pau - ua pau ka hana. Endoscopy lawe wale ana i ka hapalua o ka hora, i ka hoʻopulapula au mea nui pōkole ma mua o ma hope o ke kula hamama.

Microsurgery e transplant i kekahi aa koko ua hoʻohana 'ia e hoʻihoʻi aku i ke koko pele. No keia hopena, ka testicular aa koko transplanted i loko o ka epigastric. Na hana i hana emi pinepine dressings.

ʻoki lāʻau lapaʻau 'uao, o ka papa, eliminates ka maʻi. Naʻe, i ka hoʻomanawanui e ike - varicoceleʻoki kino i reappear. Relapses hiki umi pakeneka. Loa pinepine ka mea, e alaʻe mai ka mea i ole a pau aa koko i ligated. Ma keia hihia, a ma hope o ka paʻa postoperative nani, na aa koko i e ka ana ma ka maʻamau moku'āina, a i hu nui ae la koke.

I mea e pale aku i ka recurrence o varicocele ma hope oʻoki kino i ka hooponopono, a ina he pono - e e venography. Hala na malama ekolu, nā mea maʻi e e sperm ke kāohi (oi loa ina o ka maʻi i ke kumu o ka infertility), a laila, e haawi ma ka Ikepili hookahi no ka makahiki.