Hydatid torsion tuaj yeem kuaj pom hauv cov txiv neej nyob rau txhua lub hnub nyoog: hauv cov menyuam mos uas nyuam qhuav yug los, hauv cov tub laus, nrog rau cov txiv neej laus. Qhov no yog ib qho mob hnyav heev, uas feem ntau daws tau nrog kev phais, thiab tom qab ntawd yuav tsum muaj lub sijhawm rov qab tshwj xeeb.
Tus yam ntxwv ntawm tus kab mob
Torsion ntawm hydatid hauv menyuam yaus yog qhov xwm txheej kub ntxhov uas tshwm sim los ntawm kev hloov pauv ntawm cov noob qes nrog kev ua txhaum ntawm cov ntshav ib txwm muaj. Tus kab mob no tsis tshwm sim heev, raws li kev txheeb cais, nws tshwm sim hauv ib tus neeg ntawm tsib puas. Pathology tau txiav txim siab sai dua thaum hluas dua li cov menyuam yug tshiab.
Lub ntsiab lus ntawm tus kab mob yog nyob rau hauv qhov tseeb tias cov ntaub so ntswg uas nyob nruab nrab ntawm lub testicle thiab epididymis tig mus rau ib sab. Qhov kev sib tw no tuaj yeem ua rau cov ntaub so ntswg tuag lossis tsim cov ntshav txhaws, uas tuaj yeem ua rau hemorrhage tom qab. Txhawm rau tiv thaiv qhov no, nws yog ib qho tseem ceeb heev uas yuav tau kuaj xyuas kom raug raws sij hawm thiab pib kho.
ua rau ntawm pathology
muajMuaj ntau qhov laj thawj uas ua rau cov qog nqaij hlav hydatid torsion hauv cov menyuam yaus. Feem ntau ntawm cov no yog kev raug mob rau lub scrotum. Tab sis muaj lwm yam uas ua rau tus kab mob no. Piv txwv li:
- cov txheej txheem pathological tshwm sim thaum tsim ntawm epididymis thiab testis;
- ntse spasm ntawm cov leeg plab;
- kev tsim cov noob qes tsis raug thaum lub sijhawm nws nqis mus rau hauv lub scrotum.
Tsis tas li ntawd, kev sib tw ntawm lub cev tuaj yeem tshwm sim vim qhov kev loj hlob tsis zoo ntawm cov phev qaum, yog tias cov kwj dej inguinal muaj qhov tsis ncaj ncees lawm lossis ntev, nrog rau cov leeg nqaij. Testicular hydatid torsion nyob rau hauv cov me nyuam yuav ua tau unilateral los yog ob tog. Qhov kev kuaj mob feem ntau qhia txog unilateral torsion. Ob sab pathology yog tsawg heev. Yog hais tias lub torsion tsim nyob rau hauv lub testicular daim nyias nyias, ces nws yog hu ua intravaginal, yog hais tias tus pathology tsim nrog rau daim nyias nyias, ces qhov no yog extravaginal torsion.
Nyob rau hauv cov menyuam mos yug tshiab, tus kab mob tuaj yeem ua rau muaj kev cuam tshuam los ntawm cov kab mob hauv lub cev ntawm kev loj hlob ntawm qhov chaw mos. Hauv cov tub hluas, qhov no tuaj yeem tshwm sim vim raug mob.
Signs of disease
Thawj cov tsos mob ntawm pathology tuaj yeem pom ntawm qhov muag liab qab, vim lawv loj hlob sai heev. Tsuas yog nyob rau hauv rooj plaub thaum qhov ua rau torsion yog raug mob, tsis pub dhau ob peb teev, tsis muaj kev hloov tshwj xeeb nrog tus menyuam. Tus kab mob tuaj yeem txheeb xyuas los ntawm cov tsos mob hauv qab no:
- Cov kab mob ntawm lub scrotum hloov pauv. Ntausib nrab ua ntau tshaj qhov noj qab haus huv.
- Nyob rau lub sijhawm luv luv, cov noob qes dhau los ua xim liab lossis xiav.
- Tus tub lub cev kub nce.
- Yog koj kov lub scrotum, me me liab tshwm ntawm nws daim tawv nqaij.
- Me nyuam yuav mob, qee zaum ntuav.
- Yog tus tub me heev, nws ua tsis taus pa, nquag quaj.
- Thaum hloov cov pawm, cov menyuam mos hnov mob, txawm tias nws kov me ntsis ntawm qhov chaw mos.
- Cov menyuam yaus uas twb tau hais lus yws yws tias lawv mob plab scrotum.
Yog tias koj pom cov cim no hauv koj tus menyuam, uas qhia tias muaj qhov tshwm sim ntawm cov qe ntshav hydatid torsion, koj yuav tsum ceev, tsis txhob ncua, qhia rau tus kws kho mob. Thiab nws, feem ntau yuav, yuav muab xa mus rau tus kws phais.
Kab mob sib kis
Yog hais tias lub noob qes thiab spermatic qaum tau tig 180 degrees lossis ntau dua, ces qhov no nws nyuaj heev kom tsis txhob muaj qhov tshwm sim. Tej zaum nws yuav xaus nrog ntshav txhaws thiab tom qab ntawd hemorrhage.
Qhov tshwm sim ntawm hydatid torsion tej zaum yuav muaj menyuam tsis taus yav tom ntej. Yog li ntawd, tsis muaj teeb meem koj yuav tsum pib tus kab mob. Txawm hais tias qhov no nyuaj heev, vim tias tus menyuam raug mob hnyav.
Kuv yuav ua li cas, kuv yuav tsum tau phais rau testicular hydatid torsion? Cov lus teb rau lo lus nug no tsuas yog muab los ntawm kws kho mob tom qab kuaj.
Kev kuaj kab mob
Tus kws kho mob yuav tshuaj xyuas lub cev puas ntsoog, kos ib qho anamnesis, suav nrog txhua yam uas tuaj yeem ua rau cov tsos mob ntawm pathology. Koj tseem yuav tau ua qhov kev tshawb fawb soj ntsuam cov zis kom tsis suav nrog kev kis kab mob.
Tus menyuam yuav raug kuaj ultrasound, uas yuav qhia tau tias muaj kev ua txhaum ntawm cov ntshav hauv cov kabmob. Qee zaum, nws yuav tsum tau puncture daim nyias nyias ntawm qhov raug mob testicle. Hydatid torsion feem ntau yooj yim rau kev kuaj mob.
Yuav ua li cas
Tsis txhob sim kho tus kab mob koj tus kheej. Yog tias muaj mob scrotum tshwm sim hauv tus me nyuam me, koj yuav tsum hu lub tsheb thauj neeg mob tam sim ntawd lossis coj tus menyuam mus rau qhov chaw kho mob ntawm koj tus kheej. Txoj kev kho thiab qhov muaj feem cuam tshuam yog nyob ntawm seb cov niam txiv tau tig mus rau tus kws kho mob sai npaum li cas.
Yog tias tsis pub dhau rau teev dhau los txij li qhov raug mob, ces 100% ntawm qhov kev kho mob yuav zoo thiab lub cev tuaj yeem cawm tau. Yog li ntawd, nws yog ib qho tseem ceeb heev uas yuav tsum tau ua tib zoo saib xyuas qhov xwm txheej ntawm tus menyuam raws sijhawm. Thaum ntau tshaj li rau teev dhau los txij li qhov raug mob rau lub scrotum, ces nyob rau hauv cov ntaub ntawv no nws yog ib qho nyuaj heev los ua tej yam kev twv. Yog hais tias tus me nyuam tsis raug xa mus rau tus kws kho mob nyob rau hauv ib hnub, ces nws yuav cawm tsis tau lub noob qes - lub sij hawm no nws yuav unviable.
Nyob rau theem pib, cov kab mob tau kho los ntawm kev ua kom lub spermatic qaum. Tus kws kho mob ua qhov no manually, spinning qaum nyob rau hauv lub opposite kev taw qhia. Feem ntau cov txheej txheem yuav siv sij hawm ob peb feeb, yog hais tias txoj kev conservative tsis muab cov kev xav tau, ces lwm txoj kev kho yog siv.
Kev phaiskho mob
Kev ua haujlwm yog ua tiav raws li kev siv tshuaj loog. Siv scalpel, tus kws phais yuav nthuav tawm cov noob qes thiab txiav txim siab seb nws puas siv tau. Tom qab ntawd nws txuas lub cev mus rau lub appendages lossis tshem tawm tag nrho.
Nkag mus rau qhov chaw ua haujlwm muaj ntau txoj kev xaiv. Piv txwv li, yog tias kev phais tau ua rau tus menyuam yaus heev, ces siv txoj hauv kev inguinal, tab sis yog tias nws yog ib tug me nyuam tub hnub nyoog tshaj 10 xyoo los yog ib tug neeg laus, ces tus kws phais, raws li txoj cai, xaiv nkag los ntawm scrotum.
Thaum koj tsis nrhiav kev kho mob ntev (ib hnub lossis ntau dua), ces cov nqaij mos mos tuag tag thiab nws yuav tsum tau muab tshem tawm. Yog hais tias lub cev yog khaws cia, ces nws yog sewn mus rau lub appendages. Tom qab ntawd muab lub raj xa dej tso rau hauv lub qhov txhab, dej nrog tshuaj tua kab mob ua tiav.
Post-op rov kho dua
Lub sijhawm kho mob tseem ceeb heev. Physiotherapy yog ib feem tseem ceeb ntawm nws. Txhawm rau normalize microcirculation hauv lub cev puas tsuaj, tus neeg mob me yuav tsum noj cov tshuaj tshwj xeeb thiab cov tshuaj rhiab heev. Stitches raug tshem tawm kwv yees li 7 hnub tom qab kev phais.
Hauv tsev kho mob, cov txheej txheem ntawm lub cev xws li UHF, kev kho mob magnetotherapy, galvanization thiab lwm yam yog feem ntau siv rau kev kho mob. Lub sijhawm ntawm cov txheej txheem no yuav tsum tsis pub tshaj 20 feeb, txwv tsis pub cov kub kub uas siv rau hauv cov kev kho mob no tuaj yeem cuam tshuam rau spermatogenesis.
Nyob rau lub sijhawm postoperative yuav tsum heevua tib zoo tiv thaiv tus menyuam los ntawm khaub thuas. Vim tias lub sijhawm no txawm tias kis tus kab mob me me yog qhov txaus ntshai rau nws. Tom qab phais tas, tus tub txwv tsis pub qee lub sijhawm ua luam dej hauv dej yog tias txias, tawm mus rau qhov txias, haus dej txias.
kab mob prognosis
Qhov kev cia siab tau zoo tsuas yog thaum cov niam txiv tau mob hnyav thiab nrhiav kev pab los ntawm lub tsev kho mob tam sim ntawd. Tom qab ntawd nws yuav ua tau yam tsis muaj kev phais thiab tus menyuam yuav noj qab nyob zoo.
Yog tias cov niam txiv ncua sijhawm mus ntsib kws kho mob, kev ua haujlwm tsis tiav, lossis muaj qee qhov teeb meem thaum lub sijhawm rov ua haujlwm, ces tus neeg mob, twb tau laus lawm, tuaj yeem kuaj tau tias muaj menyuam tsis muaj menyuam.
Qee zaum testicular torsion tuaj yeem ua rau mob qog noj ntshav hauv tus txiv neej laus. Tab sis tsis txhob txhawj txog qhov no ntau dhau, vim tias cov tshuaj niaj hnub no tuaj yeem txo qhov kev pheej hmoo ntawm cov teeb meem nyuaj. Tsis tas li ntawd, cov niam txiv tau paub ntau ntxiv, lawv sim nrhiav kev pab los ntawm cov kws kho mob sai li sai tau, ua raws li cov lus pom zoo ntawm kev saib xyuas tus menyuam hauv lub sijhawm tom qab phais.
Kev Tiv Thaiv
Cov niam txiv txij thaum yau yuav tsum qhia tus tub tias nws yuav tsum coj li cas ntawm txoj kev thiab hauv tsev kom tsis txhob raug mob. Nws kuj yuav tsum tau piav qhia rau nws tias thaum muaj kev raug mob thiab raug mob, nws yuav tsum qhia qhov no rau nws niam nws txiv.
Thaum tus menyuam yws yws ntawm qhov mob hauv lub scrotum,koj yuav tsum qhia tus kws kho mob tam sim ntawd, tsis tas tos kom nws mus deb ntawm nws tus kheej. Kev ncua sij hawm tuaj yeem ua rau muaj kev phom sij heev rau tus tub txoj kev noj qab haus huv. Kev ua tiav ntawm kev kho mob nyob ntawm seb nws tau pib raws sijhawm li cas. Hydatid torsion code hauv ICD-10 yog No. 44.
