Xa isalathisi sitholiwe kwi-testis kwaye siqinisekisile ukusebenzisa i-ultrasound, isinyathelo esilandelayo ngokuqhelekileyo sisuswa kwe-testis ngokuhlinzwa. Oku kwahluke kwimiba eminye yeminye yomhlaza efuna i-biopsy ukuqinisekisa umhlaza ngaphambi kokuba uhlolisise ukuhlinzwa. Njengemizekelo, izibilini zesifuba zixilongwa ngokusetyenziswa kwezilingo kunye neengqungquthela zeekononi zenziwa ngee-colonoscopies ngaphambi kokuhlinzwa.
Umhlaza wesantya uyingqayizivele kwimeko yokuba ukuxilongwa kwangoku kudla ukufunyanwa ngokuchithwa ngokugqithisileyo kwetekisi. Oku kwenziwa ngezizathu eziliqela: # 1 Kukho ubungqina bokungena kwi-scrotum, kunye nenaliti okanye nayiphi enye into yokupasa, kunokubangela iziphumo ezimbi kangangoko kunokuchaphazela umjelo wamanzi kunye nokuchaphazela indlela umhlaza unokusasazeka ngayo. Ngamanye amagama, kungabangela amazinga aphezulu okuphindaphinda nokusabalalisa umhlaza. # 2 Ukutshatyalaliswa kokutshatyalaliswa kwetekisi kuhlale kuseyinxalenye yonyango ukuba kufikelelwe unyango. Nangona umhlaza usasazeke kwezinye iindawo, njengemiphunga kunye neendawo, itektile isadingeka isuswe ngenxa yokuba i-chemotherapy inzima ukufikelela kwizicubu zeetestular ezivela kwigazi.
Ngaphambi koPhengululo
Ngaphambi kokuhlinzwa, izinto ezininzi kufuneka zenzeke. Okokuqala, iimvavanyo ezizodwa zegazi ezibizwa ngokuba ngabamakishi be-tumor zithathwa kwaye zivavanywe.
Kubalulekile ukuba uhlaziyiweyo lwe-CT yesigcawu esiswini / i-pelvic ukuvavanya ukuba nayiphi i-lymph nodes ibandakanyeka nomhlaza. Nangona kunjalo, oku kuya kwenzeka emva kokuhlinzwa njengoko isicatshulwa somhlaza kufuneka sisuswe kungakhathaliseki ukuba iindidi zibandakanyeka okanye cha. Ngokuqhelekileyo i-CT scan yesifuba okanye i-x-ray isifuba senziwa ukuvavanya nayiphi na isasazeka kwimiphunga.
Ngaphambi kokuhlinzwa, kufuneka ukuba inqunywe ukuba iprothesis (ie itektetic fake) kufuneka isetyenziswe endaweni yesifo somhlaza. Oku kungenxa yeenjongo zokonkcenkceshela kwaye akukho nkonzo eyenziwa ngenye indlela.
I-bermon yasebhankini yinto enye enokuthi ithathelwe ingqalelo ngokusekelwe kumnqweno wokulondoloza ixesha elizayo. Ukhula lunakho okanye aluchaphazeleka yi-orchiectomy. Ngokuqhelekileyo isicatshulwa esisele sinakho ukuhlawula ukuhlinzwa okulandelayo, kodwa oku kufuneka kuxoxwe kunye nodokotela ohlinzayo ngaphambi kokuhlinzwa.
Ugqirha ngokwawo: Inguinal Radical Orchiectomy
Ukuze uqonde indlela utyando olusebenza ngayo, luncedo ukuqonda ukuma kwendawo. I-testicle inqunyanyiswe isakhiwo esaziwa njenge-spermatic cord. Intambo ye-spermatic iqulethwe yimithambo yegazi, iimbilini kunye ne-vas deferens, ezibizwa ngokuba yi-ductus deferens, ezithwala isidoda kwisicatshulwa. Ngethuba lokukhula kobomi oluqhelekileyo, iifomthala zenza isisu kwaye zihla phantsi kwe-canal engqiniweyo kwi-scrotum. Isicatshulwa senziwe kwisisu esisezantsi kwaye isicatshulwa sitshatyalaliswa ngedonal inguinal nge-spermatic cord. Intambo iphofice kwaye ikhutshwe phezulu phezulu kwetekisi kwaye izigqibo zivaliwe.
I-Post-Surgery Yokubuyiswa kunye neNcomelo
Ukuphumla kwesibhedlele kunokucetyiswa kwiiyure ezingama-24 zokuqala emva kokuhlinzwa. Inkxaso yesicatshulwa iqhutyelwa ngokusebenzisa iingubo zangaphantsi ezixhasayo, ezifana ne-jock strap, iintsuku eziliqela emva kokuhlinzwa. Ukubuyela kwimisebenzi eqhelekileyo inokuthi ivele kwiiveki ezi-2 ukuya kwezi-3 emva kokuhlinzwa.
Iingxaki ezivela kutyando ziyaqhathaniswa kwaye zihlala zingancinci ekuphumeni kwegazi, zombini kwi-scrotum kunye nommandla ongasentla, kunye nezifo.
Eminye i-Orchiectomy yendabuko
Kukho iindlela ezimbalwa kwi-orchiectomy ephezulu njengoko kuchazwe ngasentla.
Enye indlela, eyenziwa kuphela kwiimeko ezikhethiweyo, iyaziwa njenge-orchiectomy ekhethekileyo. Oku kubandakanya ukususa nje inxalenye yomhlaza yechungechunge. Oku kwenziwa kwiimeko ezikhethiweyo zokugcina ukuzala. Le nto inokukhetha ukuba kukho itekisi enye kuphela, okanye ukuba zombini amathambo achaphazeleka ngumhlaza.
Yintoni elandelayo?
Unyango olongezelelweyo luya kusekelwe kulona hlobo kunye nesigaba somhlaza.