Pamene mkaka watulukira mu testis ndipo umatsimikiziridwa pogwiritsa ntchito ultrasound, sitepe yotsatira ndikutha kuchotsedwa kwa testis ndi opaleshoni. Izi ndi zosiyana ndi mitundu ina yambiri ya khansa yomwe imakhala yofunikira kwambiri kuti yatsimikizire khansa isanayambe kuchitidwa opaleshoni. Monga zitsanzo, minofu ya m'mawere imatchulidwa pogwiritsa ntchito singano ndi khansa yamtunduwu imayikidwa panthawi ya opaleshoni asanachitidwe opaleshoni.
Khansara yamatsenga ndi yodabwitsa kwambiri chifukwa chakuti matenda opatsiranawo amapezeka nthawi zonse pochotsa opaleshoni. Izi zimachitidwa pa zifukwa zingapo: # 1 Pali umboni umene umalowa mkati mwa nthano kapena chipangizo china chochita opaleshoni, chingabweretse zotsatira zoipitsitsa monga momwe zingakhudzire mitsempha yotchedwa lymphatic drainage ndipo motero zimakhudza mmene khansara imafalikira. Mwa kuyankhula kwina, izi zingapangitse kuchuluka kwa kubwereza ndi kufala kwa khansa. # 2 Kuchotsedwa kwa mankhwalawa kumakhala nthawi zonse ngati mankhwala akupezeka. Ngakhale khansara ikafalikira kumalo ena, monga mapapo ndi node, tinthuli zimayenera kuchotsedwa chifukwa mankhwala a chemotherapy amatha kupeza zovuta za testicular m'magazi.
Asanachitike Opaleshoni
Asanachitike opaleshoniyi, zinthu zingapo ziyenera kuchitika. Choyamba, mayesero apadera a magazi otchedwa tumor markers amachokera ndikuyesedwa.
Ndikofunika kukhala ndi CT scan ya m'mimba / mimba kuti muone ngati mliri wina uli ndi khansa. Komabe, izi zikhoza kuchitika pambuyo pa opaleshoni ngati nyamayi ya khansa iyenera kuchotsedwa mosasamala kanthu kuti node ikuphatikizidwa kapena ayi. Nthaŵi zambiri kafukufuku wa CT wa chifuwa kapena chifuwa x-ray amachitidwa kuti aone ngati kuli kotheka kufalikira m'mapapu.
Asanachite opaleshoni, iyeneranso kuwonetsetsa ngati mankhwala opatsirana amatha kugwiritsidwa ntchito m'malo mwa khungu la khansa. Izi ndizodzikongoletsera komanso sizikutanthauza cholinga china.
Nkhumba zabambo ndi njira ina yomwe iyenera kuganiziridwa pogwiritsa ntchito chikhumbo chokhala ndi chonde chamtsogolo. Chiberekero chingakhale chosakhudzidwa ndi orchiectomy. Kawirikawiri zinyama zotsalazo zimatha kulipira opaleshoni yotsatira, koma izi ziyenera kukambidwa ndi dokotalayo asanayambe opaleshoni.
Opaleshoni Yokha: Inguinal Radical Orchiectomy
Kuti mumvetse momwe opaleshoniyo ikugwirira ntchito, zimathandizira kumvetsa momwe thupili likuyendera. Chinthucho chimayimitsidwa ndi chidziwitso chodziwika ngati chingwe cha spermatic. Chingwe cha spermatic chimakhala ndi mitsempha ya magazi, mitsempha komanso vas deferens, omwe amatchedwanso ductus deferens, omwe amanyamula umuna kuchokera ku nyamayi. Pakati pa chitukuko chachibadwa cha fetus, timadzi timene timapanga m'mimba ndikukwera pansi mu ngalande. Chotsitsa chimapangidwa m'mimba mwathu ndipo nyamayi imabweretsedwanso kudzera mu chingwe cha umuna. Chingwecho chimamveka ndipo chimatambasulidwa pamwamba pa nyenyezi ndipo zomwe zimachitika zimatsekedwa.
Kubwezeretsa Kwadongosolo Kwachidule ndi Malangizo
Kupuma kwagona kungakhale kolimbikitsidwa kwa maola 24 oyambirira pambuyo pa opaleshoni. Thandizo lamatsenga limakwaniritsidwa pogwiritsira ntchito malaya akunja othandizira, monga nsalu yothandizira, kwa masiku angapo atatha opaleshoni. Kubwereranso kuntchito yowonongeka kawirikawiri kumachitika mkati mwa masabata awiri kapena atatu pambuyo pa opaleshoni.
Zovuta kuchokera ku opaleshoni ndizosawerengeka ndipo nthawi zambiri zimakhala zochepa kuti zizikha magazi, ponseponse komanso m'deralo, komanso matenda.
Njira Zina Zomwe Zimayendera Orchiectomy
Pali njira zochepetsera ku orchiectomy yaikulu monga momwe tafotokozera pamwambapa.
Njira ina, yomwe imangotchulidwa pokhapokha poyerekeza, imadziwika kuti orchiectomy. Izi zimaphatikizapo kuchotsa gawo la khansa chabe. Izi zimachitika mndandanda wosankha kwambiri kuti asungire chonde. Izi zingakhale zosankha ngati pali khungu limodzi lokha, kapena ngati matenda onsewa akhudzidwa ndi khansa.
Zotsatira Zotani?
Chithandizo china chidzakhazikitsidwa pa mtundu weniweni ndi siteji ya khansa.