Txiv neej lub noob qes yog ib feem ntawm lawv lub cev. Lawv tsuas yog tiv thaiv los ntawm ib txheej nyias ntawm lub scrotum thiab muaj kev nkag siab zoo rau txhua yam kev cuam tshuam. Cov noob qes, los yog noob qes, noob qes (lat. testis), yog ib khub txiv neej ua me nyuam ua ke (gonad) uas tsim cov spermatozoa thiab tso tawm cov txiv neej tseem ceeb testosterone rau hauv cov ntshav.
Nquag, cov noob qes nyob hauv scrotum. Lawv muaj cov duab oval, ntom ntom ntom. Khoom noj khoom haus tau txais los ntawm cov hlab ntsha inguinal. Nruab nrab ntawm lawv tus kheej, cov noob qes raug cais los ntawm ib qho septum. Nyob rau hauv lub scrotum, lawv raug tshem tawm ntawm spermatic qaum. Lub sab sauv ncej yog nruj dua thiab me ntsis inclined rau pem hauv ntej. Cov noob qes yog ib txwm asymmetrical - sab laug yog qis dua. Qee cov kws tshawb fawb xav tias qhov no yog qhov tshwj xeeb ntawm embryogenesis. Thaum taug kev vim li no, cov noob qes tsis raug mob.
Tesicles normal
Lawv ntev 4-6 cm thiab dav 25-35 mm. Qhov hnyav ntawm 17 mus rau 32 grams. Muaj kev xav tias qhov loj ntawm cov noob qes, qhov loj dua qhov fertility, tab sis qhov no tsis yog ib txwm muaj tseeb.
Kev tsim kho
Cov noob qes tau npog nrog peritoneum, hauv qab nws muaj 2 lub plhaub ntxiv - cov protein thiab qhov chaw mos. Nyob rau hauv lub albugineous (fibrous) daim nyias nyias, los ntawm sab hauv, ib tug outgrowth ntawm connective ntaub so ntswg (mediastinum) protrudes mus rau hauv lub parenchyma ntawm lub testis. Kev sib txuas cov ntaub so ntswg radially nyob partitions ntxuam tawm ntawm nws kiv cua-puab. Lawv faib cov testicular parenchyma rau hauv lobules, muaj 250-300 ntawm lawv. Lawv muaj lub khob zoo li lub khob, lawv muaj cov hlab ntsha (seniferous tubules). Lub sab saum toj ntawm lub cones yog coj mus rau lub mediastinum, thiab lub hauv paus - mus rau lub fibrous membrane. Txhua lobule muaj 2-3 convoluted seminiferous tubules lined nrog spermatogenic epithelium.
Nyob rau hauv thaj tsam ntawm sab saum toj ntawm lub cones, lub convoluted tubules sib koom ua ke thiab tsim ncaj seminiferous tubules uas ntws mus rau hauv lub network ntawm testis nyob rau hauv lub parenchyma. Cov tubules efferent pib los ntawm lawv, mus rau lub appendage thiab ntws mus rau hauv nws duct.
Spermatozoa paub tab hauv tubules. Nyob rau hauv lub epididymis (epididymis) muaj ib tug duct rau tshem tawm cov noob, uas qhib rau hauv lub urethra. Yog li cov qauv tsis yooj yim.
Lub scrotum yog ib txwm txias rau qhov kov, vim qhov kub ntawm no yog ib qho qis dua lub cev. Qhov no yog muab los ntawm qhov xwm txheej kom cov haujlwm tseem ceeb ntawm spermatozoa tsis cuam tshuam. Cov noob qes kub yog cov cim qhia ntawm pathology.
Yuav ua li cas thaum testicles mob
Mob tsis yog kev kuaj mob, nws tsuas yog lub teeb liab ntawm teeb meem, nws tuaj yeem muaj ntau hom, nrog rau cyanosis, o. Yog tias cov noob qes raug rub los yog sab laug, raug mob, ua raws li hematoma. Ua tau npub, arching mob nrogrecoil nyob rau hauv ob txhais ceg, scrotum, pubis, txawm nyob rau hauv txoj cai hypochondrium. Hauv qhov no, peb tuaj yeem xav tias muaj cov txheej txheem inflammatory, nws zoo li yuav tsum muaj kev cuam tshuam kev phais.
Mob tau nchuav tag nrho cov scrotum cim ntawm qhov nruab nrab siv? Tej zaum, muaj cov txheej txheem o hauv lub raum. Kev mob hnyav heev nyob rau hauv daim ntawv ntawm kev tawm tsam nrog rov qab mus rau thaj tsam lumbar feem ntau dhau los ua qhov tshwm sim ntawm urolithiasis.
Hlawv hauv lub scrotum, mob tom qab tso zis muab orchitis thiab cystitis. Testicular mob (unilateral los yog ob sab), o ntawm lub scrotum yuav qhia tau hais tias ib tug inguinal hernia.
Cov tsos mob mob hauv cov qe ntshav feem ntau nrog kev tsis zoo ntawm tus neeg mob:
- kub thiab txias;
- nce qhov kub txog 38 thiab siab dua;
- ntuav thiab xeev siab;
- qaug zog thiab tsis qab los;
- pw tsaug zog thiab mob taub hau.
Cov tsos mob sib xws
Mob tuaj yeem nrog cov tsos mob hauv qab no:
- Yog koj kov lub scrotum, koj pheej tsis xis nyob.
- Testicle enlarged, edematous.
- Cov qauv ntawm cov noob qes hloov pauv, nws tuaj yeem ua pob, sib sau ua ke, ntau dhau convex.
- mob scrotum tsis yog mob xwb, nws tuaj yeem ua tau ntse thiab paroxysmal.
Yog hais tias lub sijhawm ntawm qhov mob ntawm lub qog ntshav siab tshaj 30-60 feeb, tus kws kho mob kev sab laj yog qhov yuav tsum tau.
Kev mob
Nws yuav tsum tau hais tam sim ntawd qhov mob tuaj yeem cuam tshuam rau ntau yam ua rau. Cov no suav nrog kev raug mob, kev sib deev overexcitation. Tab sis muaj ntau yam pathologiestus yam ntxwv ntawm ib leeg noob qes.
Rau cov noob qes sab laug yog qhov ntau dua:
- twist;
- epididymitis;
- orchitis;
- varicocele;
- kev loj hlob tshiab.
Qhov no tsis txhais tau tias tsis muaj cov kab mob zoo li no hauv cov noob qes, tab sis lawv tsawg dua.
Right testicle
Yog hais tias nws mob thiab rub lub qe qe nyob rau hauv cov txiv neej, yog vim li cas tej zaum yuav nyob rau hauv cov nram qab no pathologies:
- urolithiasis;
- cystitis;
- mob khaub thuas, cov noob qes lawv tus kheej tsis cuam tshuam.
Cov kab mob no feem ntau tshwm sim rau cov noob qes txoj cai. Lwm qhov ua rau tuaj yeem yog exogenous lossis endogenous, physiological lossis pathological. Kev mob tuaj yeem sib txawv ntawm lub sijhawm thiab kev siv.
Yuav ua rau mob ntawm sab xis
Yog tias cov noob qes raug mob rau cov txiv neej, nws tsis tuaj yeem hais tawm qhov laj thawj, vim tias muaj ntau ntau. Physiological muaj xws li nce qib ntawm libido, thaum erection nquag, thiab kev sib deev tsis xav tau. Thaum zoo siab, cov capillaries pib ua hauj lwm 2 lub sij hawm muaj zog, lub cev yog nchuav. Thaum tsis muaj ejaculation, cov txiv neej yuav xav tias lawv rub rau ntawm txoj cai qev. Nws yog ib qho nyuaj heev. Tsis muaj teeb meem rau lub cev, tsuas yog tsis xis nyob.
Lwm yam kab mob yog qhov mob ntawm cov qe ntshav. Nws tuaj yeem tshwm sim tom qab kis kab mob: kab mob qhua pias, qhua pias, mumps. Mob ntshav qab zib mellitus, kab mob siab B, kab mob HIV tuaj yeem ua lub luag haujlwm.
Cov txheej txheem tsis txwv rau qhov ua rau mob thiab rub hauv cov qe ntshav kom raug. Hauv cov txiv neej, qhov kev mob dav dav yog cuam tshuam. Cov noob qes yuav o, o thiab liab.
Tumors
Qhov tshwm sim siab tshaj tshwm sim tom qab 30 xyoo. 99% ntawm cov qog nqaij hlav qog nqaij hlav malignant. Feem ntau cov lesion yog unilateral. Qhov ua rau ntseeg tau tias yog cryptorchidism, kev raug mob, lossis kev ua rau muaj kev pheej hmoo.
Cov tsos mob yog mob nyob rau hauv lub scrotum, tawg mus rau hauv pliaj thiab perineum, thiab tsis xis nyob thaum taug kev. Metastasis ua rau cov tsos mob ntawm lwm lub cev.
Inguinal hernia
Kuj muaj ntau dua nyob rau hauv txoj cai testicle. Hauv 85% ntawm cov neeg mob nws tau txais. Nws provoke yam yuav ua tau: urinary ntshawv siab, cem quav, nqa hnyav, dhia los ntawm qhov siab, ntev sawv, nce rog.
Tseem mob los ntawm ua rau
Kev kos qhov mob yog ib qho cim feem ntau ntawm kev kis kab mob ntawm thaj chaw urogenital, prostatitis, orchitis. Yog ua npaws ntxiv, mus ntsib kws kho mob sai.
rub lub noob qes txoj cai thaum lub qe qes torsion lossis inguinal hernia. Tsis tas li ntawd, qhov mob no yog yam ntxwv ntawm qhov tsis muaj kev sib raug zoo ntev. Kev kos duab kuj tuaj yeem ua rau muaj kev raug mob me me uas tshwm sim thaum ua si kis las, caij tsheb kauj vab. Txhawm rau txiav txim siab qhov ua rau muaj qhov tsis muaj zog rub qhov mob nyob rau hauv cov noob qes txoj cai hauv tus txiv neej, xav tau kev kuaj mob dav dav.
Qhov ua rau mob ib yam nkaus, tab sis cov kua dej ntawm cov qe ntshav thiab cov kab mob epididymitis ntxiv.
Mob hnyav yuav qhia tau tias lub qe menyuam torsion, lossis theej, nws cov spermatic qaum. Ntxiv rau qhov mob, kub taub hau thiab ntuav kuj tshwm sim.
Cov tsos mob hnyav kuj tuaj yeem yog ib qho cim ntawm epididymitis. Xws li qhov mob yuav tawg mus rau pob tw, perineum thiab sab nraub qaum, nrogqhov no rub lub noob qes txoj cai thiab muab rau hauv puab tais.
mob hnyav yog tshwm sim los ntawm kev raug mob rau lub qe qe, nws cov epididymis. Nws tuaj yeem ua rau mob hnyav, yog li mus ntsib kws kho mob sai.
Orchitis thiab epididymitis (mob ntawm lub qog thiab appendages)
Cov txheej txheem inflammatory tuaj yeem yog ib sab lossis ob sab. Feem ntau ua rau mob yog ib qho kab mob uas tshwm sim los ntawm kev sib deev los yog o ntawm lub cev nyob sib ze.
Hauv cov menyuam yaus thiab cov tub ntxhais hluas, orchitis tshwm sim tom qab kis kab mob ua pa thiab kab mob ntawm qhua pias, mumps, herpes. Feem ntau, epididymitis ua thawj.
Nyob rau hauv daim ntawv mob ntawm cov kab mob, lub cev kub nce, cov qe ntshav o, thiab cov txheej txheem inflammatory yog nrog los ntawm qhov mob hnyav. Nyob rau tib lub sijhawm, qhov mob nyob rau hauv txoj cai testicle rub thiab muab rau ob txhais ceg, sab nraub qaum thiab puab tais. Thaum nws mob ntev, qhov mob hauv lub scrotum yuav mob tas li.
Hydrocele
Ntawm no yog da dej ntawm cov noob qes. Cov kab mob zoo li no yuav tsum muaj kev phais mob. Feem ntau, qhov chaw mos daim nyias nyias ntawm lub testis ib txwm muaj cov kua dej me me. Nrog nws cov tsub zuj zuj ntawm ntau ntau rau ntau yam, hydrocele tsim.
Kab mob ib txwm tshwm sim ntawm ib sab. Cov noob qes ua denser, nws loj zuj zus thiab cov duab ua pear-puab.
Yog vim li cas tej zaum yuav kis tau tus kab mob (ureaplasma, chlamydia lossis mycoplasma), kev raug mob, kab mob hauv lub cev ntawm cov noob qes. Nyob rau hauv rooj plaub tom kawg, ib txwm muaj qhov loj ntawm cov noob qes thaum yav tsaus ntuj, thiab thaum sawv ntxov nws yog qhov qub. Mob hnyavdaim ntawv dropsy kuj muaj cov tsos mob ua npaws thiab mob hnyav. Cov theem ntev yog cim los ntawm qhov mob ntawm lub qe qes txoj cai - rub thiab tas li.
Kev puas tsuaj rau lub scrotum
Kev sib txawv ntawm kev raug mob:
- Bruise - ib me ntsis o thiab mob qog nqaij hlav. Kev kho mob feem ntau tsis xav tau, yog tias qhov mob tau hais dhau lawm, novocaine blockade tau ua tiav.
- Kev ua txhaum cai yog kab mob ntawm cov menyuam yaus hnub nyoog qis dua 3 xyoos. Nws tshwm sim raws li ib qho teeb meem ntawm undescended testis rau hauv lub scrotum (cryptorchidism). Nws yog tus cwj pwm los ntawm qhov mob hnyav, hyperemia thiab cov ntaub so ntswg o.
- Dislocation - lub noob qes siv qhov txawv txav. Nws tuaj yeem nkag mus rau hauv lub plab kab noj hniav, thaj tsam inguinal, nruab nrab ntawm cov leeg ntawm tus ncej puab. Muaj qhov o thiab mob hnyav.
- Rupture - peb tab tom tham txog kev tawg ntawm lub plhaub, kev ua haujlwm yuav tsum tau kho lawv. Mob txog qhov poob siab thiab tuag.
- Kev raug mob ntawm cov noob qes - kev puas tsuaj rau cov noob qes nrog kev tho lossis cov cuab yeej txiav. Qhov mob hnyav heev uas ua rau poob siab thiab tsis nco qab.
Lwm yam kab mob
Torsion ntawm lub noob qes tsis muaj dab tsi ntau tshaj li qhov torsion ntawm cov phev qaum. Qhov mob yog ntse thiab tam sim ntawd, lub noob qes swells, tig liab, xeev siab thiab ntuav ntxiv. kev tawg tsis raug txiav tawm. Pathology yog ib qho tseem ceeb rau cov tub ntxhais hluas hauv kev puberty. Kev raug mob kuj yog qhov ua rau. Cov ntshav muab rau lub noob qes yog thaiv los yog tsis muaj kiag li. Thaum lub qaum yog twisted 180 degrees thiab rau ib lub sij hawm ntawm ntau tshaj 6 teev, lub noob qes tuag, necrosis tsim nyob rau hauv nws. Cov tsos mob ntawm torsion yog vivid heev: mob heev nyob rau hauv lub scrotum mus txogmob poob siab, ntuav, raws plab. Cov noob qes loj tuaj, thickens, thiab ntawm palpation, tuberosity yog hnov. Kev ntsuas yuav tsum ceev. Lub noob qes yog twisted nyob rau hauv qhov opposite direction, manually los yog phais.
Varicocele yog qhov tshwm sim ntawm qhov nthuav dav ntawm cov leeg mus rau gonads. Qhov mob hnyav heev, tus kab mob no feem ntau kho tau sai.
Spermatocele yog ib qho cyst. Qhov no yog ib tug cavitary benign testicular tsim nyob rau hauv daim ntawv ntawm ib tug cysted cyst. Nws loj hlob sai thiab compresses cov ntaub so ntswg uas nyob ib sab, ua rau mob.
Inguinal hernia - lub qe qes txoj cai rub thiab mob nrog rau sab xis sab xis. Lub mechanism ntawm qhov mob yog hais tias tus loj hlob hernia pib compress lub ducts thiab spermatic qaum. Lub noob qes nws tus kheej tsis puas, qhov mob radiates.
Qhov ua rau rub cov noob qes txoj cai yuav yog hypothermia. Nyob rau hauv txias heev, cov hlab ntsha spasm thiab ib tug rub mob nrog rau lawv. Tib txheej txheem tshwm sim hauv vascular pathologies.
Lub raum colic yog ib qho thaiv ntawm lub ureter uas compresses lub paj hlwb pudendal. Qhov mob syndrome no yog unilateral.
Txoj Cai Kev Kho Mob
Kev kho mob nyob ntawm qhov laj thawj. Thaum rub cov noob qes txoj cai hauv cov txiv neej, kev kho mob yuav suav nrog kev kho tshuaj, phais, kho lub cev, tshuaj ntsuab.
Yog tias qhov nqaij tawv thiab mob hnyav, qhov novocaine thaiv yog qhov tsim nyog, nws yuav tsum tau nqa tawm hauv tsev kho mob sab nraud. Hauv tsev, daim ntawv thov txias yog qhia kom txo qhov mob thiab o.
Thaum orchitis kev kho mob nrog rau cov haujlwm hauv qab no. Yog ibCov kab mob etiology yog kis tau, cov tshuaj tua kab mob uas muaj ntau qhov kev ua tau raug sau tseg: fluoroquinolones, cephalosporins, macrolides. Txhawm rau txo qhov mob, koj tuaj yeem noj cov tshuaj analgesics xws li Analgin, Tempalgin, Ketorolac, thiab lwm yam. Cov tshuaj tiv thaiv kab mob uas tsis yog-steroidal kuj tau qhia: Diclofenac, Ibuprofen, Indomethacin thiab lwm yam.
Ntxiv ntxiv:
- kho lub cev;
- laser thiab electrotherapy;
- UFO;
- da dej thiab av nkos kho.
- kev tawm dag zog.
Yog tias tsis muaj txiaj ntsig, kev kho phais raug qhia.
Yog hais tias muaj varicocele, txhais tau hais tias tau muab tshuaj los ntxiv dag zog rau cov hlab ntsha venous: Actovegin, Detralex, Troxerutin, Venodiol, thiab lwm yam.
Rau kev kho mob hauv zos kom txo tau qhov mob, o thiab mob, cov tshuaj tiv thaiv kab mob thiab cov gels siv: Fastum-gel, Finalgon, Fenistil, thiab lwm yam. Cov kev kho mob zoo li no tau txais thaum tsis muaj qhov txhab qhib. Tshuaj pleev ib ce kho mob ib hnub.
Thaum kev kho mob epidermitis yuav tsum ua kom tiav. Tus neeg mob tau muab cov tshuaj hauv qab no:
- tshuaj tua kab mob;
- absorbable;
- Ymultivitamin;
- Yanti-inflammatory.
Rau qhov pib tsis kis kab mob, kev kho lub cev yog qhia.
Yuav ua li cas yog tias rub lub qe qe kom zoo nrog ntshav? Tus kws kho mob yuav tsum tau coj los ntawm etiology. Kev kis kab mob yuav tsum tau teem caij tshuaj tua kab mob thiab cov tshuaj uas tsis yog-steroidal anti-inflammatory tshuaj (NSAIDs) los txo qhov o thiab mob, diuretics. "Veroshpiron" pab tshwj xeeb yog zoo. Hauv cov xwm txheej siab, kev kho phais raug qhia.
Torsion yuav tsum tau phais. Yog tias muaj necrosis, lub noob qes raug txiav. Hauv lwm qhov xwm txheej, cov hlua tsis raug kaw.
Nyob rau hauv qhov inguinal hernia, thawj kev kho mob yog kev saib xyuas:
- Nyob zoo ib tsoom phooj ywg;
- acetic acid compresses;
- kho mob gymnastics;
- noj NSAIDs thiab analgesics.
Nyob rau theem siab, txo qis ntawm hernia tsuas yog ua tau los ntawm kev phais.
ntsuas kev tiv thaiv
Cov kis las kis las yuav tsum siv cov cuab yeej tiv thaiv rau qhov noov. Nws yog ib qho tsim nyog kom tshem tawm kev sib deev tsis muaj kev tiv thaiv thaum lub sij hawm promiscuity. Nws yog ib qho tseem ceeb kom tswj tau qhov tsis tu ncua ntawm intimacy. Koj tsis tuaj yeem tsis quav ntsej cov kev kuaj xyuas kev tiv thaiv ntawm urologist. Koj tuaj yeem txhaj tshuaj tiv thaiv kab mob qog, uas ua rau orchitis.
