Ntau tus neeg niaj hnub no yuav xav tsis thoob tias cov qog tau pib kis ntau dua. Ib qho ntawm cov laj thawj tseem ceeb rau kev mus ntsib kws kho mob yog ib pob hauv scrotum. Thiab nws tsis muaj teeb meem txawm tias nws nyob ntawm daim tawv nqaij lossis hauv qab ntawm daim tawv nqaij, xim dab tsi, txawm tias muaj cov paug los yog tsis - koj yuav tsum tau khiav mus rau tus kws kho mob tshwj xeeb. Tam sim no, ua tsaug rau niaj hnub hom kev kuaj mob, nws muaj peev xwm txiav txim siab qhov ua rau thiab ncaj qha tus kab mob nws tus kheej yam tsis muaj teeb meem ntau. Kev kho sai dua yog pib, qhov teeb meem tsawg dua yuav tshwm sim thaum lub sijhawm kho dua tshiab.
Yog vim li cas
Nws yog ib qho tseem ceeb kom nkag siab tias yog vim li cas thiaj muaj pob nyob rau hauv lub scrotum. Yog tsis muaj qhov no, nws yog tsis yooj yim sua kom sau cov kev kho mob zoo. Xws li qhov tshwm sim tuaj yeem yog cov tsos mob ntawm cov qog nqaij hlav (lipomas, adenomatoid qog, cysts, hemangiomas, lymphangiomas, thiab lwm yam), spermatocele, hernia. Ntawm chav kawm, ib tug qog ntawm ib tug malignant xwm yuav tsum tsis txhob txiav tawm. Qee zaum, vim qhov torsion ntawm cov qog nqaij hlav, ib qho neoplasm tuaj yeem tshwm sim. Yog hais tias ib tug txiv neej rog, ces nws yuavrog deposits yog pom, vim hais tias lub scrotum ua tuberous. Tus mob no tsis suav tias yog qhov txaus ntshai thiab kuaj tau yooj yim siv ultrasound lossis magnetic resonance imaging.
Lymphangioma
Tus kab mob no tsis tshua muaj. Qhov ua rau ntseeg tau tias yog qhov tsis xws luag hauv lub cev. Qhov teeb meem no yog tus cwj pwm los ntawm kev loj hlob ntawm cov qauv lymphatic. Thawj cov tsos mob tshwm sim nyob rau hauv thaum yau. Los ntawm cov tsos mob, nws yog ib qho tsim nyog yuav tsum tau ua kom pom lub foob ntawm daim tawv nqaij ntawm lub scrotum, lub paj liab-xiav neoplasm. Cov npuas ua rau ntawm daim tawv nqaij, lymph oozes tawm ntawm lawv. Vim li no, tus kab mob no tuaj yeem tshwm sim hauv ib tus neeg.
Tus kab mob no tsuas kho tau los ntawm kev phais xwb. Kev kawm yuav tsum tau muab tshem tawm. Tom qab ua haujlwm, immunomodulatory, tshuaj tiv thaiv kab mob thiab tshuaj tiv thaiv kab mob tau raug sau tseg kom tsis txhob kis tus kabmob thib ob.
Hemangioma
Qhov teeb meem no yog qog nqaij hlav. Nws provokes kev loj hlob ntawm cov hlab ntsha. Feem ntau qhov teeb meem raug kuaj pom hauv cov menyuam yaus. Qhov laj thawj ntawm tus kab mob no tsis paub meej, tab sis ntseeg tau tias lawv cuam tshuam nrog kev hloov pauv ntawm cov noob. Nyob rau hauv lub scrotum, tshwm sim tsis tau tsuas yog nyob rau saum npoo, tab sis kuj nyob rau hauv cov ntaub so ntswg sab hauv.
Cov tsos mob muaj raws li nram no: muaj ib lub foob nyob rau hauv lub scrotum, tus me nyuam daim tawv nqaij ua pob, xim hloov los ntawm lub teeb liab liab mus rau burgundy. Qhov loj ntawm cov qog tuaj yeem ncav cuag li ob peb centimeters.
Ntxiv rau qhov tseeb tias cov noob qes tau ntim, muaj qhov mob ntawm palpation hauv qhov cuam tshuam ntawm scrotum. NtawmKev kuaj mob yog ib qho tseem ceeb kom tshem tawm cov txheej txheem malignant. Tom qab kev pom zoo ntawm qhov xwm txheej zoo, kev ua haujlwm tau ua. Hauv nws cov chav kawm, cov neoplasm raug tshem tawm. Yog hais tias muaj ib lub foob nyob rau hauv lub scrotum nyob rau hauv daim ntawv ntawm ib lub pob, ces muaj kev pheej hmoo ntawm cov teeb meem loj. Ntawm cov no, kev puas tsuaj ntawm lub cev thiab qee qhov yuav tsum tau sau tseg.
Adenomatoid qog
Qhov teeb meem no tshwm sim hauv 30% ntawm tus neeg mob. Qhov txaus ntshai yog cov txiv neej hnub nyoog 30 txog 50 xyoo. Qhov teeb meem yog benign thiab tsis tig mus ua mob qog noj ntshav. Cov qog muaj cov qauv epithelial. Ntawm cov tsos mob ntawm tus yam ntxwv, nws yog ib qhov tsim nyog los muab ib lub foob nyob rau hauv lub scrotum mus txog 2 cm nyob rau hauv lub cheeb, me ntsis mob ntawm palpation, elastic sib xws, meej contours, thiab tsis muaj cov tsos mob tiag tiag. Kev kho mob tsuas yog ua los ntawm kev phais xwb.
Cyst
Qhov teeb meem no kuj suav hais tias muaj ntau heev. Cov tsos mob yog dab tsi? Ntau cov ntsaws ruaj ruaj yuav tsim nyob rau hauv daim tawv nqaij ntawm lub scrotum. Lawv cov duab yog spherical. Lub cyst yog ruaj rau kov. Qhov loj tuaj yeem yog los ntawm ob peb millimeters mus rau 5-6 cm, qhov tsim tsis mob, tsis ua rau muaj kev tsis xis nyob, tab sis tsuas yog qhov teeb meem tsis khiav. Qee zaum yuav muaj suppuration. Hauv cov menyuam yaus, cysts yuav tshwm sim li pob dawb ntawm lub scrotum. Qhov saum npoo ntawm daim tawv nqaij yuav zoo li qub, lossis nws tuaj yeem hloov xim liab.
Kev kuaj mob yog ua tiav siv ultrasound. MRI tsis yog ib txwm siv, vim nws yuav siv tau tsuas yog thaum muaj cov ntsiab lus siab ntawm calcifications hauv kev tsim. Qee lub sij hawm txiav txim rau biopsy. Qhov ua rau cysts tseem tsis tau kawm. Muaj ib tug version uascov uas tau raug kev txom nyem mas yuav tsim tau lawv.
Atheroma
Atheroma yog hom cyst. Nws cuam tshuam rau cov qog sebaceous ntawm daim tawv nqaij. Tej zaum yuav tshwm sim vim blockage ntawm cov hlab ntsha ntawm cov plaub hau follicle. Cov teeb meem tshwm sim muaj xws li kev raug mob lossis kev siv tshuaj hormonal. Rau cov tsos mob sab nraud, nws yuav tsum tau sau tseg cov xim dawb ntawm daim tawv nqaij, qee zaum nws tuaj yeem ua daj lossis liab. Ntawm cov tsos mob, muaj ib lub foob nyob rau hauv lub scrotum nyob rau hauv cov txiv neej, tsis cohesion ntawm tsim nrog noj qab nyob zoo cov ntaub so ntswg.
Yog tias kis tau tshwm sim, cov qog pib rot. Muaj o, mob, kub taub hau, lub capsule so, thiab kua paug tawm.
Fibroma thiab chondrofibroma yog suav tias yog ntau yam ntawm atheroma. Thawj yog tsim los ntawm cov nqaij fibers thiab cov leeg nqaij, thiab qhov thib ob yog los ntawm kev sib txuas. Cov qog tsis txaus ntshai rau lwm yam kabmob, vim nws tsis loj hlob. Cov piav hom formations yog suav hais tias tsawg. Kev kho mob yog ua phais. Txhawm rau tiv thaiv kev txhim kho ntawm cov teeb meem, koj yuav tsum ua raws li kev noj haus thiab saib xyuas tus kheej kom huv si.
Lipoma
hom qog no suav hais tias yog ib qho ntawm feem ntau. Feem ntau tshwm sim hauv cov neeg mob hnub nyoog 40 txog 60 xyoo.
Muaj ib lub foob, nws nyob ze ntawm txoj hlua phev. Cov node feem ntau tshwm sim ib leeg. Ntau qhov txhab tshwm sim nrog cov teeb meem ntawm caj ces nrog cov kab mob endocrine. Lipoma tuaj yeem loj hlob mus txog 4 cm. Hauv cov xwm txheej siab, nws qhov hnyavyog 3kg. Cov qog loj hlob mus ntev. Yog tias koj xav tias nws, koj tuaj yeem pom qhov muag muag muag muag. Cov neeg mob feem ntau hais tias tsis muaj qhov mob. Qhov tsim yog txawb thiab tsis txuas rau cov ntaub so ntswg uas nyob ib sab. Cov tawv nqaij yuav tsis hloov nws cov xim. Tsis muaj cov kab mob pathological.
Muaj ob hom lipoma. Lawv muaj feem xyuam rau nws keeb kwm. Muaj qhov tseeb uas suav tias yog kev yug me nyuam. Tsis tshua muaj (tsawg dua 1% ntawm cov neeg mob paub). Cov neeg tsis raug tsim los ntawm qhov inguinal hernia. Raws li qhov sib txawv sab nraud ntawm ob hom qog no, lawv tsis tuaj.
Kev kho mob li cas yog nyob ntawm qhov loj thiab cov tsos mob. Yog tias qhov tsim me me, ces qhov kev ua haujlwm tsis ua. Tus kws kho mob tsuas saib cov qog. Lipoma tsis loj hlob mus rau hauv cov kab mob malignant. Kev ua haujlwm yog qhov tsim nyog yog tias muaj qhov mob lossis tsis xis nyob hauv lub scrotum, qhov tsis zoo ntawm lub ntsej muag nws tus kheej coj qhov tsis xis nyob rau tus neeg mob. Qee zaum lipoma tuaj yeem txhim kho nrog qee yam ntawm cov txheej txheem malignant. Hauv qhov no, kev ua haujlwm kuj tseem ua tau.
YHydatid torsion
Tus kab mob no cuam tshuam rau cov noob qes thiab cov appendages. Ntawm cov tsos mob, mob nyob rau hauv lub scrotum, translucence ntawm xiav xim ntawm tsim, mob, o thiab liab yuav tsum tau muab sau tseg. Kev tshem tawm tshwm sim los ntawm kev ua haujlwm.
Inguinal-scrotal hernia
Yog tus txiv neej muaj pob me me nrog cov qauv mos, ces nws yuav muaj hernia. Nws tuaj yeem yog ob qho tib si congenital thiab tau txais. Feem ntau tshwm sim hauv cov neeg laus. Lub pathology yogcov ntsiab lus ntawm peritoneum poob tawm los ntawm lub plab phab ntsa. Kev rog rog, nqa khoom hnyav, cem quav tsis tu ncua, hnoos los yog txham, tsis muaj zog ntawm lub plab ua rau muaj teeb meem zoo sib xws.
Ntawm cov tsos mob, nws yuav tsum tau muab sau tseg tias prolapse tuaj yeem tshwm sim hauv scrotum nws tus kheej, yog li ua kom nws loj. Qee zaum cov ntsiab lus ntawm peritoneum tseem nyob hauv lub plab, nyob hauv nws qhov qis. Qhov swb feem ntau yog unilateral. Tsis muaj mob thaum kov.
Thaum hnoos, lub hnab hernial tuaj yeem nce ntxiv. Qhov no ua rau mob uas kis mus rau tus ncej puab lossis testicle. Qhov txaus ntshai ntawm tus kab mob no nyob rau hauv qhov tseeb tias kev ua haujlwm ntawm cov kabmob uas tau poob rau hauv lub hnab yog cuam tshuam. Thaum cov hlab ntsha pib compress, lub noob qes yuav o.
Kev kho mob tsuas yog ua los ntawm kev phais xwb. Nrog kev pab ntawm daim ntaub qhwv, nws tsis tuaj yeem teeb tsa.
Spermatocele
Seminal cyst (lub npe thib ob ntawm tus kab mob) yog tsim los ntawm cov noob qes thiab cov epididymis. Tej zaum yuav muaj kev tsim ntxiv uas tsis ua rau mob. Yog tias cov pob txha loj hlob, ces thaum sib deev muaj mob, thaum taug kev thiab. Qhov kev ntxhib los mos yog mos thiab elastic. Thaum so, tsis muaj qhov tsis xis nyob. Lub foob no nyob rau hauv lub scrotum tsis txhim kho mus rau hauv ib tug purulent.
Kev kho mob tsuas yog ua los ntawm kev phais xwb. Kev ua haujlwm tau teem sijhawm thaum lub cyst yog 1 cm lossis ntau dua qhov loj.
Kev kuaj tus kheej
Nws yuav tsum nco ntsoov tias thaum kuaj tus kheej, txog li 80% ntawm cov neeg qhia pom cov tsos mob ntawm lawv tus kheej. Lub scrotum zoo li cas?txiv neej? Nws daim tawv nqaij yog du, tsis muaj teeb meem. Cov noob qes teb tsis mob rau palpation thiab muaj qhov sib xws. Lawv tuaj yeem yog qhov sib txawv. Sab laug me ntsis qis dua sab xis.
Cov kws kho mob pom zoo kom kuaj tus kheej tsawg kawg ib zaug txhua ob lub hlis. Qhov no yuav tsum tau ua tom qab da dej, thaum lub cev ntawm lub scrotum so. Koj yuav tsum visually soj ntsuam daim tawv nqaij, thiab ces hnov lub noob qes thiab appendages. Inguinal lymph nodes yuav tsis pom txawm tias muaj zog palpation, yog tias lawv tsis mob. Yog li, yog tias ib lub foob tshwm nyob rau hauv lub scrotum, tus txiv neej yuav tuaj yeem pom nws sai li sai tau thiab pib kho raws sijhawm. Cov tsos mob zoo sib xws yuav qhia tau tias yog mob los yog qog nqaij hlav. Yog peb tham txog tuberculosis ces cov qog ntshav yuav o.
Yuav kuaj seb puas muaj lub foob?
Koj yuav tsum sawv ntawm daim iav. Saib ntawm daim tawv nqaij ntawm cov noob qes kom pom tias muaj qhov o. Tom ntej no, koj yuav tsum ua tib zoo txav txhua lub noob qes ntawm koj cov ntiv tes. Yog li nws yuav ua tau kom nkag siab seb puas muaj lub foob. Cov txheej txheem no tsis muaj teeb meem. Yog li ntawd, txhua tus txiv neej yuav tsum ua tsis tu ncua kom paub meej txog nws txoj kev noj qab haus huv.
Thaum twg kuv yuav tsum mus ntsib kws kho mob?
Yog tias muaj qhov tsis txaus ntseeg ntawm qhov tshwm sim ntawm cov ntsaws ruaj ruaj hauv lub scrotum, koj yuav tsum hu rau tus kws kho mob tam sim ntawd. Nyob hauv tsev, nws tsis tuaj yeem nkag siab tias kev kawm tsis muaj teeb meem, yog li nws tseem ceeb heev uas yuav tsum tau ua qhov kev ntsuam xyuas sai li sai tau. Yog tias muaj cov tsos mob ntxiv, tus kws kho mob yuav tsum tau ceeb toom. Yog ua ntej qhov tsos ntawm lub foobYog tias muaj mob qog nqaij hlav lossis kis kab mob, koj yuav tsum hais txog nws.
Results
Nws yog ib qho tseem ceeb kom pom qhov teeb meem hauv lub sijhawm thiab tshem tawm nws. Qhov no tshwm sim sai dua, qhov teeb meem tsawg dua yuav tshwm sim. Kev kho mob feem ntau yog passive (saib xyuas) lossis phais. Cov tshuaj tsuas tuaj yeem nres qhov tshwm sim.
