Igama lesi sifo liphuma emagameni esiGreki elithi "criptos" nelithi "orchis", futhi ngokuhunyushwa lihunyushwe ngokuthi "amaconsi afihlekile". Emasendeni ama-testicles amantombazane awasikho esikhaleni, kepha emgodini ongasetshenziswa, ngaphansi kwesikhumba noma emgodini wesisu. Ngezinye izikhathi i-anomaly ihlotshaniswa ne-testicle eyodwa - lokhu kubizwa ngokuthi unilateral cryptorchidism ezinja. Futhi kwezinye izimo, azikho izigcawu zombili. Ngeshwa, lesi senzakalo akusobala ukuthi sinjalo futhi ngokuvamile singabonwa ezinja noma kumakati asekhaya.
Cryptorchidism ezinja
Amathuba ukuthi inja izobonisa i-cryptorchidism iphakathi kuka-1.2% no-10% futhi incike ekuzalweni kwesilwane. Izinja ezinkulu azihlupheki ngalesi sifo kaningi njengezilwane ezifuywayo. Ngokuvamile, i-anomaly enjalo ingatholakala phakathi kwe- Pomeranian Spitz , i-Poodles, i-Pekingese, i-Toy Terriers, i-Maltese Bolonok nezinye izingane. Ngezinye izikhathi i-testicle iyinkulu kakhulu, futhi ayikwazi ukudlula umsele ongasungulwa noma indandatho yangaphandle. Kwezinye izimo, ukuhamba komsele wamancane kakhulu noma indophi encane, i-scrotum engakhiwe kahle, iphazamisa le ndima. Izimbangela zingase zisebukhosini obubi, ukwephula ngesikhathi sokuthuthukiswa kombungu. Imithelela kuyo ingaba nezinqubo ezihlukahlukene zokuvuvukala, izifo ezibangelwa amagciwane, izifo ezimbi, ukuhlukumezeka, ukungabi nalutho lwe-vitamin A. Uzibona ukuthi izimbangela ze-cryptorchidism ezinja zingase zibe kakhulu.
Ukwelashwa ezinja ze cryptorchidism
Okokuqala udinga ukufaka ukuxilongwa okulungile. Ukwenza lokhu, ukuhlolwa okubukwayo, ukuxilongwa kwe-ultrasound, i-palpation ne-laparoscopy. Izindlela ezimbili zokugcina ziyiqiniso kakhulu futhi zibalulekile. Uma i-palpation isungula ukuthi i-testis ayisekho endaweni, bese uzama ukuyithola lapho ingatholakala khona. Phakamisa le nqubo kusuka emgodini we-inguinal futhi uqondise i-scrotum. Kwezinye izimo, i-cryptorchidism ingamanga futhi kungenzeka ukunciphisa i-testis ku-scrotum.
Imiphumela ye-cryptorchidism ezinja ingase ihluke futhi kaningi ihlale ibonakala kamuva. Sichaza okujwayelekile kubo:
- ukufudumala kwe-testis, okungabangela ukuthuthukiswa kwe-tumor (ngokuvamile kaningi eneminyaka engaba ngu-5);
- kunciphise i-libido, lesi sifo sithinta izinga lembewu kanye nenani lalo;
- lesi sifo yisisusa sokwenqatshwa kwamantombazane, njengoba kubonisa ukungahleleki kwezakhi zofuzo zesilisa nabazali bakhe.
Ukwelashwa kungaba usizo olungavamile noma oluhlinzayo olungadingeka:
- Esikhathini sokuqala izijovo ze-griadotropin yezidakamizwa ze-chorionic zisetshenziswa. Kodwa kungenzeka uma kwenzeka kuhlolwa ama-testes. Ukwelashwa kwama-hormones ngokuvamile kusetshenziselwa izigaba zakudala zesifo futhi, ngeshwa, akusizi ngaso sonke isikhathi imiphumela emihle.
- Lapho izindlela zokuhlinzwa zokwelapha, i-castration noma i-orchipexy isetshenziswa. Indlela yokuqala ikhadali futhi ezimweni eziningi yiyona eqinisiwe kakhulu. Akafaki ukusakazeka kwesifo kuleyo nzalo. Indlela yesibili ukuzama ukubeka ama-testes bese uwafaka ezinhlobonhlobo ezizungezile ngosizo lwe-sutures. Ngokuphathelene nokulimala kwabo, izingozi nokunakekelwa ngesikhathi sokuvuselelwa, zombili izindlela zifana ncamashi. Ezimweni eziningi, ukuhlinzwa kuthatha imizuzu engamashumi amabili futhi ukuphulukiswa kwenzeka kalula.
Ngezinye izikhathi, ngisho nokuthuthukiswa kokukhulelwa kubesilisa kungenzeka. Kodwa kunesinye isizathu esenza abaningi ababelethi bakhethe ukukhethwa kwe-orchidosis - beneminyaka engu-7-8 ubudala, i-cryptorchids inengozi eyengeziwe yokwehla kwesisu kwezingqimba.
I-cryptorchids yamazwe aphindaphindiwe iyinyumba, kodwa inhlangothi eyodwa ingase inikeze inzalo ephelele, yize noma ukuphutha kungenzeka. Ukuzibopha kulokhu kuhlotshaniswa nengozi, futhi kufanele uyiphathe ngokuqapha okukhulu. Abesilisa abanjalo abathandekayo ukuvumela umsebenzi oqhubekayo wokuzalanisa ukuze ugweme ukungabi nabulungisa emantwaneni. Kunconywa ukusola kokuqala ukuthi ubonile enja yakho cryptorchidism, thintana nodokotela wezilwane ngokushesha.