Kulo nyaka, amadoda angaphezu kuka-8 800 azoshaqeka ngokuxilongwa komdlavuza we-testicular. Iningi lala madoda lizoba lincane-15 kuya ku-35-ubudala lapho izinkinga zempilo ezingathí sina zingalindelekile. Izindaba ezinhle ukuthi abaningi bayokwelashwa.
Ukuvama
Isimo somdlavuza we-testicular sikhula ngenxa yezizathu ezingakaziwa.
Lesi sifo sivame kakhulu kumadoda angewona amaSpanishi amhlophe kunamadoda wezinye izinhlanga noma ubuhlanga futhi evame kakhulu emadodeni azalwe ngama-testes angenalutho.
Kukhona ubudlelwane obuphakathi komdlavuza we-testicular nokuhlukunyezwa kwamadoda, futhi amanye amadoda atholakala enomdlavuza ngesikhathi sokukhulelwa kwesisu.
Amaphesenti angu-1 kuphela kumaphesenti amabili weziguli ezinomdlavuza we-testicular anomlando womndeni wesifo. Akekho oqinisekisayo ukuthi ukutholakala kwezakhi zofuzo kuphethwe yilo mcimbi.
Izimpawu
Uphawu oluvame kakhulu lomdlavuza we-testicular ubukhulu obungenabuhlungu ku-scrotum. Ubuningi bungaba buhlungu uma bukhula ngokushesha, kuphazamiseka, noma kubalwe ukuhlukunyezwa okusobala.
Umdlavuza we-testicular oye wasakazwa ngegazi noma lymph system kungabangela izimpawu kwezinye izindawo, ngokuvamile kubonakala njengokubuhlungu emuva, ubuhlungu besisu, ukukhwehlela noma ukuphefumula. Lesi sifo singase sikhiqize ama-hormone amaningi ngokweqile, okwenza ukuvuvukala emabeleni noma izinsipho zethenda.
Ukuzihlola
Ngenxa yokuthi umdlavuza we-testicular awuvamile, ukuhlolwa kwenyanga njalo akudingekile.
Noma kunjalo, kungase kudingeke ukuzihlolisisa ngezikhathi ezithile .
Kungokwemvelo ukuba ube nama-testes awafani nesayizi ofanayo. Ufuna ukuzizwa ngezinguquko ezenzekayo. Lokhu kusho ukuguqulwa usayizi, ukuma, noma ukuqina.
Ufuna ukuzwa ama-nodules (ama-bumps), izixuku (izimpumputhe), nesisa. Uma kukhona kulaba bantu abakhona, noma unezinkinga ezibalwe ngenhla, bheka udokotela wakho noma urologist ngokushesha.
Ukuxilongwa
Ukuxilongwa komdlavuza we-testicular kwenziwa ngokuhlolwa ngokomzimba futhi kuqinisekiswe nge-ultrasound.
Uma lesi sivivinyo esingenabuhlungu sikhombisa ubukhona besisindo, udokotela wakho uzothatha isampula yegazi ukuze ihlolwe ngamakhwala we- tumor .
Ukwelapha
Kunconywa ukuthi amadoda anesisindo esiqinile abe nesicathulo esusiwe, ngisho noma lezi zimpawu zivamile, ngoba amathuba okuba nomdlavuza we-testicular aphezulu kakhulu.
Namuhla, i- testicle isuswe ngesikhuthazo esincane ku-groin eshiya i-scrotum intact. Uma ufisa, udokotela ohlinzayo angathatha isikhundla se-testicle nge-prosthesis ekusebenzeni okufanayo.
Yini Okumele Yilindele Ngemva Kokuhlinzwa
I-testicle ithunyelwa kwi-pathology yokuhlolwa emva kokukhishwa. Isifo somzimba siyothola ukuthi yiluphi uhlobo lomdlavuza onayo, nokuthi ngabe kukhona yini umdlavuza ongase usakaze ngokusebenzisa imithwalo yegazi noma uhlelo lymph.
Kunezinhlobo ezinhlanu ezihlukene zomdlavuza we-testicular, kuye ngokuthi yiziphi amangqamuzana ezihilelekile.
Ukuhlukaniswa okubalulekile esikubhekayo kungakhathaliseki ukuthi umdlavuza yi-seminoma noma awunayo-seminoma, njengoba ukubikezela kanye nokwelashwa kuhluke kakhulu.
I-Seminoma ivame kakhulu. I-non-seminoma ingaqukatha ukuxuba kwezinhlobo eziyisihlanu ze-tumor noma ibe nomunye uhlobo lweseli, kodwa ayiyona i-seminoma.
Njengoba i-pathology iphumela esandleni, i-urologist izophinda ihlolwe igazi ngenxa yezibalo ze-tumor ukuqinisekisa ukuthi amazinga awela ebangeni elivamile.
Udokotela wakho uzophinde ahlele ukukhishwa kwe-tomography yesibalo sesisu nesifuba nesifo se-X-ray ukuze sibone ukuthi umdlavuza usakaze yini.
Ukwelashwa Ngemva Kokuhlinzwa
Isidingo sokwelashwa ngemuva kokuhlinzwa sixhomeke ukuthi ngabe umdlavuza yi-seminoma noma awunayo-seminoma, nokuthi ngabe usakaze yini.
Ukwelashwa okukhethwayo kwe-seminoma okungakaze kusakaze kubonakala. Ezinye iziguli zinganikwa umjikelezo owodwa we-chemotherapy noma i-short course of radiation.
Uma i-seminoma isakaze esiswini, ingaqala ukuphathwa nge-chemotherapy noma ukwelapha imisebe, kuye ngobukhulu besisindo.
Izimbangi ezinkulu ziphathwa nge-chemotherapy, ngokuvamile zilandelwa ukususwa kokukhulu kwesisindo, ngoba amangqamuzana omdlavuza angase ahlale. Ama-lymph nodes amancane esiswini angase abe namaseli omdlavuza angaphathwa nge-radiation.
A non-seminoma engakaze isakaze ingase ingadingi ukwelashwa okuqhubekayo, kodwa izobe ibukwe eduze.
Izimfanelo ezicacile ze-tumor zingakhuphula ingozi isakazeke, ngisho noma i-CT scan ne-X-ray esifubeni ingavamile. Kulezi ziguli, kunconywa ukukhishwa kwe-lymph nodes noma imijikelezo emibili ye-chemotherapy.
I-Chemotherapy ivame ukuphakanyiswa amadoda anebufakazi bokuthi umdlavuza wabo usakazeke, nakuba iziguli ezithile ezinezitho zomzimba ezikhulisiwe zesisu kanye nesifo esijwayelekile somzimba zingaphathwa ngempumelelo ngokuhlinzwa.
Ukususwa kokuhlinzwa kwe-lymph nodes ekhulisiwe emva kokhemotherapy kuvame ukudingeka, ngoba amangqamuzana omdlavuza we-residual angase avele ku-isigamu seziguli.
Impact on Fertility kanye Potency
I-Chemotherapy kanye nemisebe yomswakama ingabangela ubuhlungu, kepha isimo ngokuvamile siyisikhathi futhi sishintsha eminyakeni emibili kuya kweyithathu.
Ukuhlinzwa okubandakanya ama-lymph nodes kungathinta ikhono lokuzikhandla. Kodwa-ke, amasu amasha okuhlinza asebenze isisindo, ukushiya i-ejaculation ayithintekile ngamaphesenti angu-95 wamadoda.
Ukubhekana
Ukudambisa ekuhloleni umdlavuza we-testicular kuvamile, ngoba izinsizwa zivame ukungabaza ukuthola izinsiza zempilo.
Ngisho nalapho befuna usizo kumhlinzeki wokunakekela oyinhloko, ukutholakala komdlavuza we-testicular kungabangela ukungaqondakali kahle kwe-epididymitis, lapho izifundo zezinsuku ezine zama-antibiotic zivame ukubekwa ngokungafanele.
Njenganoma yiluphi uhlobo lomdlavuza, ngaphambili kuphathwa, kuphakama amathuba okuphiliswa.
Yiba ngummeli wakho. Yenza ukuzihlola ngezikhathi ezithile. Uma ubona noma yiluphi uphawu olubonakalayo lomdlavuza we-testicular, bheka udokotela wakho ngokushesha bese ucela i-ultrasound, uma ingakhishwa.
Izindaba ezinhle ukuthi amaphesenti angama-90 kuya kwangu-95 wamadoda anomdlavuza we-testicular aphiliswa.
UDkt. Stephenson unguMqondisi weSikhungo se-Urologic Oncology e-Cleveland Clinic sikaGlickman Urological and Kidney Institute, uhlelo lukazwelonke lwe-Urology lwesizwe olubekwe yi-US News & World Report.
> Imithombo:
> Inhlangano Yokuqwashisa Ngomdlavuza We-Testicular. Izibalo.