Varicocele

Cutar varicocele shine kumburin jijiyoyin da ke cikin mahaifa. Ana samun wadannan jijiyoyin tare da igiyar da ke rike da kwayar halittar namiji (igiyar maniyyi).

Hanyar varicocele takan kasance lokacin da bawuloli a cikin jijiyoyin da suke tafiya tare da igiyar maniyyi suna hana jini guduna da kyau. Jini yana gogewa, yana haifar da kumburi da fadada jijiyoyin. (Wannan yana kama da jijiyoyin varicose a kafafu.)

Mafi yawan lokuta, nau'ikan varicoceles suna haɓaka a hankali. Sun fi yawa a cikin maza masu shekaru 15 zuwa 25 kuma galibi ana ganin su a gefen hagu na maƙarƙashiya.

Cutar varicocele a cikin dattijo wanda ya bayyana ba zato ba tsammani na iya haifar da ciwon koda, wanda zai iya toshe jini zuwa jijiya.

Kwayar cutar sun hada da:

• Ya kara girma, jijiyoyin jijiyoyi a cikin mahaifa
• Jin zafi ko rashin jin daɗi
  
• Ciwan mara mara zafi mara zafi, kumburin fuska, ko kumburi a cikin mahaifa
• Matsaloli da ka iya faruwa da haihuwa ko raguwar maniyyi

Wasu maza ba su da alamun bayyanar.

Za a gwada ku a yankin gwaiwa, gami da mazakuta da golaye. Mai ba da sabis na kiwon lafiya na iya jin wani karkataccen girma tare da igiyar maniyyi.

Wani lokaci girman bazai iya gani ko jin shi ba, musamman lokacin da kake kwance.

Wararriyar ƙafa a gefen varicocele na iya zama ƙasa da ɗaya a wancan gefen.

Hakanan zaka iya samun duban dan tayi na mahaifa da kwayar halitta, da kuma duban dan tayi na kodan.

Joyallen jock ko rigar ɗamara na iya taimakawa sauƙaƙa rashin jin daɗi. Kuna iya buƙatar wani magani idan ciwo bai tafi ba ko kuma kun ci gaba da wasu alamun.

Tiyata don gyara varicocele ana kiranta varicocelectomy. Don wannan hanya:

• Za ku sami wani nau'i na maganin sa barci.
• Likitan urologist zai yi yanka, galibi a cikin ƙananan ciki, kuma ya ɗaure jijiyoyin mara kyau. Wannan yana jagorantar gudan jini a yankin zuwa jijiyoyin al'ada. Hakanan ana iya yin aikin azaman aikin laparoscopic (ta hanyar ƙananan ɓoye tare da kyamara).
• Za ku iya barin asibitin a ranar da za a yi muku tiyata.
• Kuna buƙatar ajiye fakitin kankara a yankin na awanni 24 na farko bayan tiyata don rage kumburi.

Madadin tiyata shi ne haɓaka varicocele. Don wannan hanya:

• Ana sanya wani ƙaramin bututu mai laushi da ake kira catheter (bututu) a cikin jijiya a cikin makwancin ku ko yankin wuyan ku.
• Mai ba da sabis ɗin yana motsa bututun cikin varicocele ta amfani da x-rays a matsayin jagora.
• Tinaramin murfi yana ratsa bututun cikin varicocele. Keken yana toshe magudanar jini zuwa mummunan jijiya kuma ya aika shi zuwa jijiyoyin al'ada.
• Kuna buƙatar ajiye fakitin kankara a kan yankin don rage kumburi da kuma sanya goyan baya na ɗan lokaci kaɗan.

Hakanan ana yin wannan hanyar ba tare da kwana a asibiti ba. Yana amfani da ƙarami mafi ƙanƙanci fiye da tiyata, don haka za ku warke da sauri.

Cutar varicocele galibi ba ta da illa kuma galibi baya buƙatar magani, sai dai idan akwai canjin girman ƙwanjinku ko matsala ta haihuwa.

Idan kana da tiyata, adadin maniyyinka zai iya karuwa kuma yana iya inganta haihuwa. A mafi yawan lokuta, lalata kwayar cutar (atrophy) baya inganta sai dai idan anyi aikin tiyata tun lokacin samartaka.

Rashin haihuwa wata matsala ce ta cutar 'varicocele'.

Matsaloli daga magani na iya haɗawa da:

• Gwajin atrophic
• Tsarin jini
• Kamuwa da cuta
• Rauni ga maƙarƙashiya ko magudanar jini kusa

Kirawo mai ba ku sabis idan kun gano kumburin kwaya ko kuna buƙatar warkar da cutar sankarar mahaifa.

Varicose veins - maƙarƙashiya

• Varicocele
• Tsarin haihuwa na namiji

Barak S, Gordon Baker HW. Gudanar da asibiti na rashin haihuwa na maza. A cikin: Jameson JL, De Groot LJ, de Kretser DM, et al, eds. Endocrinology: Manya da Yara. 7th ed. Philadelphia, PA: Elsevier Saunders; 2016: babi na 141.

Goldstein M. Gudanarwar tiyata na rashin haihuwa na maza. A cikin: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th ed. Philadelphia, PA: Elsevier; 2016: babi na 25.

Palmer LS, Palmer JS. Gudanar da rashin daidaituwa na al'aurar waje a cikin samari. A cikin: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th ed. Philadelphia, PA: Elsevier; 2016: babi na 146.

Silay MS, Hoen L, Quadackaers J, et al. Jiyya na varicocele a cikin yara da matasa: Bincike na yau da kullun da ƙididdiga daga Europeanungiyar Turai ta Urology / Europeanungiyar Turai don Sharuɗɗan Jagoran Urology na Yara. Eur Urol. 2019; 75 (3): 448-461. PMID: 30316583 www.ncbi.nlm.nih.gov/pubmed/30316583.