Izitho ze-scrotum zimelwe yigumbi, lapho kukhona khona isende, izindlala zocansi, intambo yesidoda ne-epididymis. Bona, njengazo zonke ezinye izitho zomzimba, bathinteka ezinhlotsheni ezahlukahlukene zokulimala, kepha imizwa ebuhlungu yesisulu ivezwa kakhulu lapha, kuze kube ukwethuka okubuhlungu, okungaholela ekulahlekelweni ukwazi. Imvamisa, ifomu le-hematoma ne-edema endaweni yomonakalo, ukulimala okungathi sína kugcwele iqiniso lokuthi amasende angawa ngaphandle kwegumbi, futhi i-scrotum inganqamuka ngokuphelele.
Izitho ze-scrotum zingahlushwa umthelela womshini, oshisayo, wamakhemikhali, kagesi nezinye izinhlobo. Ngenxa yokusondela kwayo endodeni, nayo ivame ukulimala ngesikhathi sokulimala. Ngenxa yokuthi iningi leziguli ezinalezi zinhlobo zomonakalo zisencane ngokwanele, kubaluleke kakhulu ukuhlinzeka ukunakekelwa kwekhwalithi kanye nokwelashwa ukugcina ikhwalithi yomsebenzi wokuzala.
Izinhlobo zokulimala
Ngezinga lokwephula ubuqotho besikhumba:
- evulekile - ubuqotho bezicubu buphulwa, okuvame ukuhambisana nokulimala kwezitho zohlelo lwe-genitourinary;
- kuvaliwe - isikhumba asiphukile, kepha ukopha ngaphakathi, ukuchobozwa kwamasende nokubonakala kwe-hematoma kungenzeka.
Ngezizathu zokwenzeka, ukugwazwa, ukusikeka, ukusikwa, ukuqhuma kwesibhamu, amakhemikhali, amanxeba okuluma ahlukanisiwe.
Ngokuya ngezinga lokubandakanyeka kwezitho ezingeziwe, zingahlukaniswa noma zixhumeke.
Uhlobo olubi kakhulu lokulimala ukunqunywa okuhlukumezayo - ukudwengulwa kwesikhumba, okubandakanya imiphumela emibi futhi kudinga ukungenelela ngokushesha kwezokwelapha.
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Izimbangela zokulimala
Wonke amacala okuhlukumezeka kwezitho zomzimba aqoshwe ngabasebenzi be-traumatologists enza cishe i-80% yokulimala okuvaliwe. Ukushaywa okunamandla kwesikhwama, okwenziwe ngamabomu noma ngengozi, kuholela ekubonakaleni kwabo.
Kweminye imidlalo, ubuchwepheshe nezindlela zokuphila, ukulimala kwenzeka kaningi, noma kungabalulekile. Lokhu kungaholela ekwehleni kokusebenza kwesidoda, kanye nokwephulwa komkhiqizo wabo.
Imvamisa, odokotela kufanele babhekane nomonakalo oshisayo - i-hypothermia, ukusha nge-steam, amanzi abilayo, izinto ezishisayo.
Izimbangela ezincane zokulimala ukugwazwa nokusikwa amanxeba, imvamisa iba nokulimala okuningi okuhlangene nezinye izitho, ngakho-ke kudinga ukwelashwa okuyinkimbinkimbi ngochwepheshe abehlukene.
Izimpawu nokucaciswa
Ukulimala okuvaliwe, njengomthetho, akubandakanyi ukulinyazwa kwezitho ze-scrotum futhi kungakhawulelwa kuphela ekulimaleni kwezicubu ezithambile. Ngokulimala okuvaliwe okukhulu, imiphumela emibi ingahle yenzeke: ukuqhekeka kwentambo yesidoda, ukucinana kwe-testicle noma ama-appendages.
Imivimbo nemivimbo ingaba nakho kokubili ukubonakaliswa kwangaphandle okuncane futhi iholele ekuguleni kwangaphakathi, ama-hematomas abanzi endaweni yokubamba nasemathangeni angaphakathi. Ngenxa yokulimala, umbala wezinguquko zezicubu ezishintshayo (kusuka onsomi kuya kokunsomi okumnyama) kwenzeka i-edema. Ukuhlukumezeka kuhambisana nobuhlungu obukhulu. Kwesinye isikhathi kunamacala lapho isende likhishwa khona, okungukuthi, ukufuduswa okuhlobene nendawo yalo engokwemvelo. Intambo ye-spermatic ivezwe kumthelela omncane ekulimaleni okuvaliwe, njengoba ivikeleke ngokwethembeka yizitho zangaphakathi zesirhosha. Angacindezelwa kuphela yi-hematoma esevele.
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Ukulimala okuvulekile, njengomthetho, kunemiphumela emibi kakhulu, ngoba basikisela ukulimala esikhunjeni, ngakho-ke, kunamathuba amakhulu okuthi nezitho zangaphakathi zesirobhothi nazo zithinteke. Ukulimala okunjalo kuhambisana nobuhlungu obukhulu bokushaqeka kuze kube ukulahleka komqondo, kanye nokulahleka kwegazi okukhulu nokuvuvukala. Isende lilimele kakhulu, elingaze liphume liwe.
Ukuxilongwa
Ngisho nokulimala okuncane kudinga ukuhlolwa kukadokotela. Ukulimala kanzima kulungiswa ngokungenelela kochwepheshe be-urologists, i-andrologists, abahlinzayo kanye ne-traumatologists. Awukwazi ukungabaza ngosizo, ngoba sikhuluma ngempilo yokuzala yowesilisa.
Ukuthola ukulimala, odokotela abahlukumeza ingqondo basebenzisa indlela yokuhlolwa kwe-ultrasound yezitho ze-scrotum nemithambo yegazi ukuthola ukudabuka, ukuhlukaniswa kwesende noma ubukhona bomzimba wangaphandle emgodini. Uma kunesidingo, inqubo ye-diaphanoscopy engenabuhlungu yenzelwa ukutadisha imvelo ye-hematoma.
Insiza yezimo eziphuthumayo
Uma ukulimaza kuvaliwe, futhi uhlobo lokulimala alunzima, ngokwesibonelo, ukwethuka ngesikhathi somsebenzi wezemidlalo, khona-ke ingcindezi yokupholisa ingasetshenziswa ukuvimbela i-edema yezicubu ezithambile. Isikhathi sokuvezwa akufanele sidlule imizuzu eyi-15 ngehora.
Uma kunesidingo, kusetshenziswa ibhandishi eliqinile ukugcina isikhundla se-scrotum siphezulu.
Ngemuva kosuku, ekwelapheni ukuhlukumezeka ekhaya, kusetshenziswa izindlela zokufudumeza - izingcindezi namaphakethe wokushisa.
Akufanele uzenzele imithi yokwelashwa ngezindlela ezimbi zokulimala, ukwelashwa ngaphansi kokuqondisa kukadokotela kuzoba buhlungu kancane futhi kusheshe kakhulu.
Ukwelashwa
Ngomonakalo omncane, i-traumatologist ibeka imishanguzo yokulwa nokuvuvukala kanye ne-analgesic, kanye nezindlela zokwelapha ze-physiotherapeutic: ukwelashwa kwephalafini, inqubo yokwelashwa elula enesibani seSollux, i-UHF.
Uma kwenzeka ukususwa kwamasende, ukunciphisa kwawo kwenziwa ngokuhlinzwa. I-hematoma eningi ibhekana nokugeleza, ngosizo lokuthi igazi noketshezi oluqoqwe ngaphakathi komgogodla osuswayo kususwe. Uma kunesidingo, ukwenziwa kwamasende kuyenziwa, ngenxa yalokho izicubu ezilimele ezingasuswanga ziyasuswa.
Uma kwenzeka ukulimala okuvulekile, udokotela ohlinzayo wenza ukwelashwa okuyinhloko kwamanxeba angaphezulu, uma uhlobo lomonakalo ludinga, izicubu ezithambile ziyahlanganiswa.
Ukungenelela okubucayi kakhulu kwenziwa lapho kudabuka khona izinyembezi, lapho amasende afakwa khona emgodini owenziwe ngokuqamba esikhunjeni sethanga, kuthi ngemuva kwamasonto ambalwa abuyele esikhaleni esakhiwe ngocingo lwesikhumba.
Uma ngabe isilwane senziwe endaweni ebusayo nganoma yisiphi isilwane, khona-ke izidakamizwa zamarabi zinikezwa isiguli.
Ukuvimbela ukulimala
Lapho kudlalwa imidlalo, amadoda kufanele aqaphele ngokweqile, ngoba noma yikuphi ukulimala ezithweni zesirobhothi kungathinta ikhwalithi yempilo yezocansi kanye namandla okuzala kabusha. Kwezemidlalo, kufanele ukhethe izingubo ezixegayo, ugweme ama-leotard aqinile. Uma umsebenzi uhlobene nokunyakaza, okufana nemidlalo yezimoto noma ukugibela amahhashi, kufanele unakekele ukuvikelwa okungeziwe kwezitho zangasese.
Isengezo esisebenza ukuthuthukisa ukuqina kwezicubu ezixhunyiwe nomsebenzi wokuvikela wamaseli kusiza ukuvikela imiphumela emibi ekulimaleni kakhulu futhi kunciphise ubungozi bezinkinga.
