Isende lesithathu noma cha: kungani kubonakala sengathi nginamasende ama-3?

Wake wazibuza, "kungani kuzizwa sengathi nginamasende angu-3?" Awuwedwa, futhi nakuba kungase kukukhathaze kancane, empeleni kunesizathu eziningana ezingadala lokhu okungakwenza uzizwe unesende lesithathu. Ngezinye izikhathi akubi kubi njengoba ucabanga. Kungase kube into enobungozi obuncane, kodwa kwezinye izikhathi kungasho ukuthi kudingeka uyohlolwa udokotela. Ake sibheke ukuthi yini engabangela lowo muzwa nokuthi kungasho ukuthini ekuzaleni kwakho nasekugcineni impilo yakho.

Iyini Indaba Yesende Lesithathu?

Okunye ukuchazwa komuzwa wesende lesithathu kungaba into engavamile kakhulu ebizwa nge-polyorchidism. Okuyisisekelo nje, yisimo lapho umfana azalwe nesende elengeziwe, imvamisa kube amathathu. Kuyangajwayelekile kakhulu. Kunamacala aziwayo acishe abe ngu-200 kuphela, ngakho akusona isimo esenzeka kubantu abaningi [1]. Ezikhathini eziningi, lesi sende esengeziwe siba sesikhwameni samasende, kodwa kwesinye isikhathi singase sibe esifubeni noma esiswini. Okuyinto engajwayelekile ukuthi ngokuvamile asibangeli zinkinga, kodwa ukuba ne-polyorchidism kungase kukubeke engozini encane eyengeziwe yomdlavuza wamasende [2].

Pho, Kungani Kuzizwa Sengathi Ngine Amasende angu-3?

Manje, uma uzibuza, "kungani kuzizwa sengathi nginamasende angu-3?", empeleni kukhona ezinye izizathu ezivamile zale mizwa. Ukuqonda ubuntu bomzimba wesilisa kungakusiza ukucacisa le mizwa engaqondakali efana nokuzizwa unesende lesithathu. Esinye isizathu kubizwa nge-spermatocele, okuyi-cyst egcwele uketshezi eyakheka ku-epididymis (ishubhu elisemva kwesende). Imvamisa ayinankinga enkulu, ayibuhlungu, futhi ayibangeli ukuphazamiseka okukhulu, kodwa ingakwenza uzizwe izinto zingahambi kahle kancane phansi lapho [3]. Abanye abafana baze bacabange ukuthi banesende lesithathu ngenxa yalokhu.

Enye imbangela ingaba i-epididymitis, okuwukuvuvukala kwe-epididymis. Lokhu kungenzeka ngenxa yezifo ezifana nokutheleleka komgudu womchamo noma izifo ezithathelwana ngocansi (STIs) [4]. I-epididymitis imvamisa ibangela ubuhlungu nokuvuvukala, okwenza uzizwe sengathi kunenqwaba eyengeziwe esikhwameni sakho samasende.

Ingabe Lokhu Kuphazamisa Ukuzala?

Abafana abaningi abazizwa sengathi banamasende angu-3 baqala ukukhathazeka ngokuzala kwabo. Kodwa ngobuqotho? Ezimweni eziningi, akuphazamisi ikhono lakho lokuba nabantwana. Kungaba isende elengeziwe elibangelwa i-polyorchidism noma okuthile okufana ne-spermatocele, amandla okuzala ngokuvamile ahamba kahle [5].

Kodwa-ke, uma uzama ukukhulelwa, kubalulekile kakhulu ukunakekela impilo yakho yokuzala. Izinto ezifana ne-zinc ne-folic acid zihle kakhulu ekusekeleni impilo yesidoda. I-zinc isiza ekukhiqizeni isidoda, kanti i-folic acid ilungele ukuqinisekisa ukuthi amaseli akhula ngendlela efanele, into ebalulekile kokubili esidodeni nasemazinyaneni [6]. I-magnesium nayo iwusizo kakhulu ekugcineni ama-hormone akho elawulwa kahle, okuyinto ebalulekile uma uzama ukwenza umntwana. Izithasiselo zokuzala eziqukethe le misoco zingaba nomthelela omkhulu ekwandiseni amandla okuzala, ikakhulukazi kwabesilisa [7].

Ingabe Kufanele Ukhathazeke Ngokwelashwa?

Izindaba ezinhle? Iningi lezikhathi, kokubili i-polyorchidism nezinye izimbangela zomuzwa wokuthi unama-testicle amathathu azidingi nhlobo ukwelashwa ngaphandle kokuthi zikubangele ubuhlungu noma ukungakhululeki. Ukuziqapha ngokwakho njalo kanye nokuvakashela udokotela kuvamise ukwanele ukuze izinto zihlolwe. Nokho, uma kukhona okubuhlungu noma okungabonakali kujwayelekile, udokotela wakho angase a-ode ukuhlolwa kokubona ngaphakathi njengokuthi i-ultrasound ukuze aqinisekise ukuthi akuyona into ebucayi, njengomdlavuza we-testicle [8].

Uma kudingeka, ukwelashwa kungase kuhlanganise imithi yokulwa nokutheleleka (uma lokho kuyimbangela), noma ngisho nokuhlinzwa uma kukhona i-cyst noma okuthile okukukhathazayo kakhulu. Kodwa lokho kwehlakala kakhulu [9].

Okubalulekile Ekugcineni

Ngakho-ke, uma kubonakala sengathi unama-testicle amathathu, ungaxegi. Imvamisa kukhona incazelo elula yalelo “testicle lesithathu”, futhi kaningi akusona isimo esizothinta ukuzala kwakho. Kungaba yi-polyorchidism, i-spermatocele, noma okuthile okunjenge-epididymitis, ukuhlala ubheka impilo yakho nokuthi uthola imisoco efanele njenge-zinc, i-folic acid, ne-magnesium kungasiza kakhulu ekusekeleni impilo yakho yokuzala [10].

Uma kukhona okuzwisa okungajwayelekile noma uzama ukukhulelwa kodwa ubhekene nezinkinga, kungcono njalo ukukhuluma nochwepheshe bezempilo. Bangasiza ukuthola ukuthi kwenzekani futhi bakusize ubuyele endleleni efanele.

Imibuzo evame ukubuzwa (FAQs)

Yini i-polyorchidism?

I-Polyorchidism yisimo esiyivelakancane kakhulu lapho abesilisa bezalwa behende elengeziwe, imvamisa amathathu.

Ingabe i-polyorchidism ingenza kube nzima ukuba nezingane?

Iningi lesikhathi, ukuba ne-polyorchidism akuthinti ukuzala. Ihende elengeziwe ngokuvamile lisebenza kahle.

Kungani ngizizwa nginamahende amathathu?

Kungase kube isimo esifana ne-spermatocele (i-cyst) noma i-epididymitis (ukuvuvukala), okuyizona zombili ezingabangela ukuvuvukala esendeni.

Ngabe kufanele ngikhathazeke uma ngizizwa nginamahende amathathu?

Akumele kube njalo, kodwa kuhlale kuyinto enhle ukuthi uhlolelwe udokotela ukuze kususwe amathuba ezinkinga ezinzima.

Yiziphi izakhamzimba ezisiza ekuzaleni kwabesilisa?

I-zinc, i-folic acid, kanye ne-magnesium konke kuhle kakhulu ekuthuthukiseni impilo yesidoda nasekusekeleni ukusebenza kahle kohlelo lokuzala.

Izinkomba

1. Mazketly M, Aleter O, Brimo Alsaman MZ, Bazkke B, Jouda ME, Kayyali A. Icala eliyivelakancane le-polyorchidism kowesilisa oneminyaka engama-40. Umbiko wecala. Ann Med Surg (Lond). Iyatholakala ku: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8144338/
2. Artul S, Habib G. I-Polyorchidism: imibiko yamacala amabili nokubuyekezwa kwemibhalo. J Med Case Rep. Iyatholakala ku: https://pubmed.ncbi.nlm.nih.gov/25539715/
3. Leslie SW, Sajjad H, Villanueva CA. Cryptorchidism. StatPearls. Iyatholakala ku: https://www.ncbi.nlm.nih.gov/books/NBK470270/
4. Redfern TR, English PJ, Baumber CD, McGhie D. Imvelaphi nokuphathwa kwe-acute epididymitis. Br J Surg. Iyatholakala ku: https://pubmed.ncbi.nlm.nih.gov/6383513/
5. Parekattil, Sijo & Esteves, Sandro & Agarwal, Ashok. (2020). Male Infertility Contemporary Clinical Approaches, Andrology, ART and Antioxidants: Contemporary Clinical Approaches, Andrology, ART and Antioxidants. Iyatholakala ku: https://www.researchgate.net/publication/338816727_Male_Infertility_Contemporary_Clinical_Approaches_Andrology_ART_and_Antioxidants_Contemporary_Clinical_Approaches_Andrology_ART_and_Antioxidants
6. Schisterman EF, Sjaarda LA, Clemons T, Carrell DT, Perkins NJ, Johnstone E, Lamb D, Chaney K, Van Voorhis BJ, Ryan G, Summers K, Hotaling J, Robins J, Mills JL, Mendola P, Chen Z, DeVilbiss EA, Peterson CM, Mumford SL. Umphumela we-folic acid kanye ne-zinc supplementation emadodeni kwikhwalithi yesidoda nokuzalwa kwengane ephilayo phakathi kwamabili enza ukwelashwa kokungazali: Ucwaningo lwezempilo oluqokelwe ngenhlanhla. JAMA. 2020 Jan 7;323(1):35-48. doi: 10.1001/jama.2019.18714. I-erratum ku: JAMA. Iyatholakala ku: https://pubmed.ncbi.nlm.nih.gov/31910279/
7. Li X, Zeng YM, Luo YD, He J, Luo BW, Lu XC, Zhu LL. Imiphumela ye-folic acid kanye ne-folic acid ehambisana nezithasiselo ze-zinc ezimweni zesidoda nemiphumela yokukhulelwa kumadoda angazali: ukubuyekezwa okuhlelekile nokuhlaziywa kwe-meta. Heliyon. Iyatholakala ku: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10395467/
8. Kumar K, Kumari M, Kumar V, Suman SK. Ukuhlola izifo zesende kusetshenziswa i-ultrasound ne-Color Doppler. Cureus. Iyatholakala ku: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10133834/
9. Zhao L, Yu Z, Zhang Z. I-Microscopic Cyst Resection yokwelapha iziguli ezitholwe zine-epididymal cyst. J Vis Exp. Iyatholakala ku: https://pubmed.ncbi.nlm.nih.gov/37067264/
10. Hou Y, Zhang Y, Li G, Wang W, Li H. I-Microsurgical Epididymal Cystectomy ayithinti inani lesidoda, ukunyakaza noma ukuma kwaso futhi iyindlela ephephile nephumelelayo yokwelapha izilonda ze-epididymal cystic (ECLs) kumadoda amancane abanemibandela yokuzala. Urology. Iyatholakala ku: https://pubmed.ncbi.nlm.nih.gov/30142407/