Hoʻohālikelike ʻia nā ʻāpana o ka scrotum e kahi keʻena, i ka lua o ia mea aia kahi testicle, nā ʻōpū wahine, nā kaula spermatic a me nā epididymis. ʻO lākou, e like me nā kino ʻē aʻe o ke kino, prone i nā ʻano ʻeha like ʻole, akā ʻo nā ʻehaʻeha no ka mea i hōʻino ʻia e haʻi nui ʻia ma aneʻi, a hiki i ka haʻalulu ʻeha, a hiki i ka nalowale o ka ʻike. ʻO ka manawa pinepine, ka hana hematoma a me ka edema ma ke kahua o ka ʻeha, hoʻopiha ʻia nā ʻeha koʻikoʻi me ka hiki i ka testicle ke hāʻule i waho o ke keʻena, a hiki i ka scrotum ke haki loa.
Hiki i nā ʻāpana o ka scrotum ke ʻeha mai ka mechanical, thermal, chemicals, uila a me nā ʻano ʻano ʻē aʻe. Ma muli o ka pili kokoke i ka peni, ua hōʻino pinepine ʻia i ka wā ʻeha. Ma muli o ka nui o nā mea maʻi me kēia ʻano hōʻino he ʻōpio, he mea nui ia e hāʻawi i ka mālama kūpono a me ka mālama ʻana e mālama i ka maikaʻi o ka hana hānau.
Nā ʻano ʻeha
Ma ke kekelē o ka hōʻeha i ka pono o ka ʻili:
- hāmama - hōʻino ʻia ke kūpaʻa o nā aʻa, hele pinepine ʻia me ka hōʻino ʻana i nā lālā o ka ʻōnaehana genitourinary;
- pani - ʻaʻole haki ka ʻili, akā hiki i ka hemorrhage o loko, ka haki ʻana i nā testicle a me ke ʻano o ka hematoma.
No nā kumu o ka hanana, kui, lacerated, ʻoki, pū kī, kemika, ʻeha nā ʻeha nahu.
Kaukaʻi ʻia i ke kēkelē o ke komo ʻana o nā mea hou, hiki ke hoʻokaʻawale a hoʻopili ʻia paha.
ʻO ke ʻano ʻeha ʻoi loa o ka ʻokiʻoki traumatic - ka wāwahi ʻia ʻana o ka scrotum, kahi e hoʻopili ai i nā hopena koʻikoʻi a koi koke ʻia ka lāʻau lapaʻau.
© entoh - stock.adobe.com
Nā kumu o ka hōʻeha
ʻO nā hihia āpau o ka ʻeha kino scrotal i hoʻopaʻa ʻia e nā traumatologists helu ma kahi o 80% o nā ʻeha paʻa. ʻO nā hahau ikaika i ka scrotum, i manaʻo ʻia a i ʻole kūhewa ʻia, e alakaʻi i ko lākou helehelena.
I kekahi mau haʻuki, ʻoihana a me nā nohona, hōʻeha pinepine nā hōʻeha, ʻoiai inā ʻaʻole koʻikoʻi. Hiki i kēia ke alakaʻi i kahi hōʻemi o ka hana sperm, a me nā disruptions i kā lākou hana.
I ka manawa pinepine, pono nā kauka e hana me ka pohō wela - hypothermia, puhi ka mahu, wai paila, nā mea wela.
ʻO nā kumu maʻamau o ka hōʻeha he ʻoki a ʻoki ʻia i nā ʻeha, pinepine lākou i nā ʻeha like i nā kino ʻē aʻe, a no laila koi i ka lapaʻau paʻakikī e nā loea ʻokoʻa.
Nā ʻōuli a me nā kikoʻī
ʻO nā ʻeha pani ʻia, ma ke ʻano he rula, ʻaʻole ia e pili i ka hōʻino ʻana i nā lālā o ka scrotum a hiki ke kaupalena ʻia i kahi ʻeha palupalu wale nō. Me nā hōʻeha paʻa paʻa, hiki i nā hopena maikaʻi ʻole: ka haki o ke kaula spermatic, kaomi ʻana i ka testicle a i ʻole nā pākuʻi.
Hiki i nā ʻeha a me nā ʻeha ke loaʻa i nā hōʻike waho ʻuʻuku a alakaʻi i nā hemorrhages o loko, hematomas ākea ma ka ʻeha a ma nā ʻūhā o loko. Ma muli o ka palapū, hoʻololi ke kala o kaʻiʻo scrotal (mai ka poni a i ka poni ʻeleʻele). Hele pū ka trauma me ka ʻehaʻeha loa. I kekahi manawa aia nā hihia ke heʻe ʻia ka testicle, ʻo ia hoʻi, hoʻoneʻe ʻia e pili ana i kona wahi kūlohelohe. Hōʻike ka kaula spermatic i ka hopena liʻiliʻi i nā ʻeha paʻa, ʻoiai e pale ʻia ia e nā ʻalaloko o ka scrotum. Hiki ke hoʻopili ʻia ʻo ia e ka hematoma i ala aʻe.
© designua - stock.adobe.com
ʻO nā ʻeha hāmama, ma ke ʻano he rula, he mau hopena koʻikoʻi hou aʻe, ʻoiai lākou e hōʻike nei i ka hōʻino ʻana i ka ʻili, a, no laila, nui ka likelika e hoʻopili ʻia nā ʻona o loko o ka scrotum. Hele pū kēlā mau ʻeha me ka ʻehaʻeha loa a hiki i ka nalo ʻana o ka noʻonoʻo, a me ka nui o ke kahe o ke koko a me ka pehu. Ua hōʻino nui ʻia ka testicle, hiki ke hele aʻe a hāʻule i waho.
Nā Diagnostics
ʻOiai nā ʻeha liʻiliʻi e pono ai i kahi kauka. Hoʻoponopono i nā hōʻeha koʻikoʻi me ke kōkua o nā urologists, andrologists, surgeons a me traumatologists. ʻAʻole hiki iā ʻoe ke kānalua me ke kōkua, no ka mea ke kamaʻilio nei mākou e pili ana i ke olakino hānau kāne.
No ke kuhi ʻana i nā ʻeha, hoʻohana nā traumatologists i ke ʻano o ka nānā ʻana o ultrasound i nā ʻokena o ka scrotum a me nā kīʻaha koko e ʻike ai i ka haki, ka haki ʻana o ka testicle a i ʻole ke kino haole i ka lua. Inā pono, hana ʻia kahi hana diaphanoscopy scrotal ʻehaʻeha e hoʻopaʻa i ke ʻano o ka hematoma.
Kōkua mua
Inā pani ʻia ka palapū, ʻaʻole koʻikoʻi ke ʻano o ka ʻeha, ʻo kahi laʻana, he haʻalulu i ka wā o kahi haʻuki, a laila hiki ke hoʻopili ʻia kahi mea hoʻoluʻu e pale ai i ka edema o nā mea palupalu. ʻAʻole pono ka lōʻihi o ke kuapo ma mua o 15 mau minuke i kēlā me kēia hola.
Inā pono, hoʻopili ʻia kahi kaula paʻa e mālama i kahi kūlana kiʻekiʻe o ka scrotum.
I hoʻokahi lā ma hope mai, no ka mālama ʻana i ka home no ka ulia pōpilikia, hoʻohana ʻia nā ʻano hoʻomehana - compresses and heat pads.
ʻAʻole pono ʻoe e hoʻowalewale iā ʻoe iho no nā ʻano pōʻino koʻikoʻi, ʻo ka hoʻōla ʻana ma lalo o ka nānā ʻana a ke kauka e hōʻemi ʻia ai ka ʻeha a me ka wikiwiki.
Lapaʻau
Me nā degere maʻalahi o ka hōʻino, kuhikuhi ka traumatologist i nā lāʻau anti-inflammatory a analgesic, a me nā ʻano physiotherapeutic o ka mālama ʻana: paraffin therapy, kahi hana hoʻomālamalama māmā me kahi kukui Sollux, UHF.
I ke kumu o ka hemo ʻana o ka testicular, hana ʻia kona hoʻoliʻliʻi me kahi ʻokiʻoki. Loaʻa ka hematoma nui i ka wai kahe, me ke kōkua o ke koko a me ka wai i hōʻiliʻili ʻia i loko o ka lua scrotal. Inā pono, hana ʻia ka resection testicular, ma ke ʻano he hopena kahi i lawe ʻia ai nā kino nonviable i hōʻino ʻia.
Inā loaʻa nā ʻeha hāmama, lawe ka kaukōkō i ka lapaʻau mua o nā ʻeha poʻokela, inā koi ke ʻano o ka poino, a laila hoʻopili ʻia nā mea palupalu.
Hana ʻia ka hana koʻikoʻi koʻikoʻi loa i kahi hanana waimaka scrotal, kahi i waiho ʻia ai nā testicle i loko o kahi hakahaka i hana ʻia i ka ʻili o ka ʻūhā, a ma hope o kekahi mau pule ua hoʻi lākou i ka scrotum i hana ʻia mai kahi pale o ka ʻili.
Inā hana ʻia ka nahu ma ke kahawai e kekahi holoholona, a laila hāʻawi ʻia nā lāʻau no ka rabies i ka mea maʻi.
Pale hōʻino
Ke pāʻani nei i nā haʻuki, pono e makaʻala loa nā kāne, no ka mea hiki i nā hōʻino ʻana i nā ʻokana o ka scrotum ke hoʻololi i ka maikaʻi o ke ola moekolohe a me ka hiki ke hānau hou. No nā haʻuki, koho i nā lole lewalewa, pale i nā leotard paʻa. Inā pili ka hana i ka neʻe, e like me nā haʻuki kaʻa a holo lio paha, pono ʻoe e mālama i ka pale hou aku o nā genital.
ʻO ka hoʻohana ʻana o nā mea hoʻopihapiha, ka hana e kuhikuhi ʻia i ka hoʻomaikaʻi ʻana i ka lahilahi o nā mea hoʻopili a me nā hana pale o nā hunaola, kōkua i ka pale ʻana i nā hopena koʻikoʻi o nā hōʻeha scrotal a hoʻemi i ka makaʻi o nā pilikia.