Kev Kho Mob Orchiopexy ntawm Apollo Tsev Kho Mob, Lucknow

Kev Saib Xyuas Kev Noj Qab Haus Huv ntawm Koj Tus Menyuam

• Ib feem ntawm pawg Apollo Hospitals, tau tsim tsa xyoo 1983 Lub tsev kho mob thawj zaug hauv Is Nrias teb, tam sim no ua haujlwm ntau dua 70 lub tsev kho mob nrog keeb kwm ntau tshaj plaub xyoo caum hauv kev saib xyuas theem siab.
• Tsev Kho Mob Apollomedics Super Specialty, Lucknow yog ib lub chaw kho mob tshwj xeeb ntau yam nyob rau ntawm Kanpur?Lucknow Road, pabcuam Uttar Pradesh thiab cov xeev nyob ib puag ncig nrog kev phais mob menyuam yaus, kev kho mob urology menyuam yaus, kev siv tshuaj loog menyuam yaus thiab kev saib xyuas menyuam yaus hauv ib lub ru tsev.
• Ib pab neeg ua haujlwm ntau yam rau txhua tus menyuam: cov kws phais menyuam yaus thiab cov kws kho mob urologists, cov kws kho mob anesthetist menyuam yaus uas tau kawm txog kev siv tshuaj loog rau menyuam mos thiab menyuam mos, cov kws kho mob endocrinologists rau kev soj ntsuam cov tshuaj hormones qhov twg tau qhia, cov kws kho mob radiologists uas muaj kev paub txog kev siv ultrasound rau menyuam yaus, thiab cov neeg ua haujlwm saib xyuas menyuam yaus. Tus naj npawb tseeb ntawm cov kws pab tswv yim thiab lawv cov xyoo ntawm kev paub dhau los tau teev nyob rau hauv daim ntawv teev npe kws kho mob ntawm tsev kho mob thiab tuaj yeem lees paub nrog lub rooj teem sijhawm.
• Ob qho tib si qhib thiab laparoscopic txoj kev muaj ? Kev phais inguinal orchiopexy rau cov noob qes uas kov tau, thiab kev kuaj mob laparoscopy nrog laparoscopic lossis staged (Fowler?Stephens) orchiopexy rau cov noob qes uas tsis kov tau, hauv plab, yog li tus menyuam tsis raug xa mus rau lwm qhov thaum lub sijhawm kho mob.
• Kev muaj peev xwm phais mob thaum nruab hnub rau cov menyuam yaus uas tsim nyog, thiab muaj kev noj qab haus huv zoo, nrog rau kev saib xyuas menyuam yaus uas vam khom ntau thiab kev saib xyuas hnyav yog tias tus menyuam tseem hluas heev, yug ua ntej lub sijhawm, lossis muaj lwm yam mob.
• Cov kev pab cuam saib xyuas uas haum rau hnub nyoog Txoj kev rau cov menyuam mos thiab cov menyuam yaus nrog rau kev noj tshuaj thiab kev sov raws li qhov hnyav, txoj kev rau cov menyuam kawm ntawv nrog kev npaj ua ntej kev phais mob, thiab txoj kev rau cov hluas nrog kev ceev ntiag tug, kev qhia txog kev xeeb tub thiab kev qhia txog kev kuaj mob noob qes.
• Ntev mus ntev es tsis yog phais ib zaug xwb: kev kuaj xyuas qhov chaw ntawm lub noob qes raws sijhawm, kev saib xyuas kev loj hlob ntawm cov noob qes, thiab kev sab laj txog kev pheej hmoo ntawm kev muaj menyuam yav tom ntej thiab kev saib xyuas mob qog noj ntshav.
• Lub rooj sib tham txog kev pov hwm thiab TPA nyob rau ntawm qhov chaw rau kev ua cov txheej txheem tsis siv nyiaj ntsuab thiab kev txhawb nqa ua ntej kev tso cai, ntxiv rau kev pab rau cov tsev neeg uas taug kev los ntawm lwm lub koog tsev kawm ntawv.

Txheej txheem cej luam

Orchiopexy yog ib txoj kev phais uas tsim los kho cov noob qes uas tsis tau nqis los, ib qho mob uas tuaj yeem cuam tshuam rau cov menyuam mos thiab cov menyuam yaus. Ntawm Apollo Tsev Kho Mob Lucknow, peb txaus siab rau peb lub koob npe nrov rau kev ua tau zoo hauv kev kho mob menyuam yaus, siv cov txheej txheem phais uas tau tsim thiab cov tshuaj loog niaj hnub rau menyuam yaus los ua haujlwm rau qhov tshwm sim zoo tshaj plaws rau txhua tus neeg mob hluas. Peb pab neeg lub hom phiaj yog muab kev saib xyuas tus kheej kom cov menyuam yaus thiab lawv tsev neeg xav tias tau txais kev qhia thiab kev txhawb nqa los ntawm cov txheej txheem kho mob. Nrog rau kev tsom mus rau kev ntseeg siab, kev sib txuas lus meej thiab kev nyab xeeb, Apollo Tsev Kho Mob Lucknow yog ib qho ntawm cov chaw hauv cheeb tsam uas tau nruab nrog los tswj hwm tag nrho cov kev nthuav qhia noob qes uas tsis tau nqis los.

Hauv kev phais orchiopexy, tus kws phais yuav tso cov noob qes thiab nws cov hlab ntsha thiab cov qauv hlua tawm ntawm lawv qhov chaw tsis zoo, coj nws los yam tsis muaj kev nruj, thiab kho nws rau hauv ib lub hnab me me uas tsim nyob rau hauv lub scrotum. Txhua lub hernia sac lossis patent processus vaginalis uas cuam tshuam raug kho tib lub sijhawm. Nws yog ib qho ntawm cov kev phais mob feem ntau ua hauv kev phais menyuam yaus thoob ntiaj teb.

Vim li cas Orchiopexy thiaj li tsim nyog

Qhov mob noob qes tsis tau nqis los, lossis cryptorchidism, tshwm sim thaum ib lossis ob lub noob qes tsis txav mus rau hauv lub scrotum ua ntej yug los. Tus mob no yog ib qho mob uas tshwm sim ntau - nws cuam tshuam rau kwv yees li 1.4% ntawm cov menyuam mos uas yug tag nrho lub sijhawm thiab feem pua ​​​​​​ntawm cov menyuam mos uas yug tsis tau sijhawm - thiab nws tuaj yeem ua rau muaj teeb meem kev noj qab haus huv loj yog tias tsis kho. Orchiopexy raug pom zoo rau ntau yam laj thawj:

• Kev tiv thaiv kev xeeb tub: Lub noob qes xav tau qhov kub qis dua qhov kub ntawm lub cev me ntsis kom loj hlob zoo li qub. Cov noob qes uas tsis nqis qis qhia tias cov qe menyuam poob zuj zus, thiab cov txiv neej uas muaj keeb kwm ntawm ob sab noob qes tsis nqis qis muaj feem ntau ntawm kev tsis muaj menyuam. Kev coj noob qes mus rau hauv lub noob qes thaum ntxov yog los txwv qhov kev puas tsuaj no, txawm hais tias nws tsis tuaj yeem lav qhov kev muaj menyuam zoo li qub yav tom ntej.
• Txo qhov kev pheej hmoo ntawm mob qog nqaij hlav testicular: Keeb kwm ntawm cov noob qes tsis nqis los muaj kev pheej hmoo ntawm kev mob qog nqaij hlav hauv lub neej. Cov pov thawj qhia tias orchiopexy ua thaum yau dua cuam tshuam nrog kev pheej hmoo qis dua li kev phais lig, thiab, qhov tseem ceeb, noob qes hauv lub scrotum tuaj yeem kuaj xyuas thiab kuaj xyuas tus kheej - noob qes hauv plab tsis tuaj yeem ua tau.
• Kev tiv thaiv kab mob inguinal hernia: Feem ntau cov noob qes uas tsis nqes los yuav muaj qhov qhib ntawm lub qhov zis, uas tom qab ntawd tuaj yeem tshwm sim ua qhov inguinal hernia lossis hydrocele. Qhov no raug kaw thaum lub sijhawm phais tib yam.
• Kev tiv thaiv kev raug mob thiab kev raug mob: Ib tug noob qes uas nyob hauv qhov chaw mos lossis lub plab yuav yooj yim dua rau kev ntswj thiab yooj yim dua rau kev raug mob ntawm cov pob txha pubic.
• Cov txiaj ntsig ntawm kev puas siab puas ntsws: Kev daws qhov teeb meem thaum ntxov tuaj yeem pab zam kev ntxhov siab txog lub cev duab thaum yau thiab thaum hluas.

Ntawm Apollo Tsev Kho Mob Lucknow, peb muab qhov tseem ceeb rau kev ntsuam xyuas raws sijhawm thiab piav qhia txog kev xav ntev tom qab kev phais mob, tsis yog kev phais mob nws tus kheej xwb.

Kev pheej hmoo ntawm kev ncua

Kev ncua sijhawm orchiopexy tuaj yeem ua rau muaj teeb meem uas yuav cuam tshuam rau koj tus menyuam txoj kev noj qab haus huv thiab kev nyob zoo. Cov kev pheej hmoo cuam tshuam nrog kev ncua sijhawm ua qhov txheej txheem suav nrog:

• Kev pheej hmoo ntawm kev tsis muaj menyuam ntxiv: Kev poob cov qe menyuam hauv ib tug menyuam uas tsis tau nqis los pib thaum nws tseem yog menyuam yaus thiab zuj zus mus. Yog tias lub noob qes nyob sab nraum lub scrotum ntev npaum li cas, ces yuav muaj feem ntau dua uas cov nqaij ntawm lub noob qes yuav raug puas tsuaj mus tas li.
• Kev pheej hmoo mob qog noj ntshav ntau dua thiab kev kuaj pom qeeb: Kev phais tom qab ntawd muaj feem cuam tshuam nrog kev pheej hmoo siab dua ntawm kev mob qog nqaij hlav, thiab qhov tsis tau nqis los ntawm noob qes nyuaj rau kev kuaj xyuas, yog li ntawd qhov mob qog nqaij hlav yuav pom nyob rau theem siab dua.
• Kev loj hlob ntawm hernias thiab hydroceles: Tus mob processus vaginalis uas tsis kho yuav tshwm sim ua ib qho inguinal hernia, qee zaum ua xwm txheej ceev nrog kev thaiv lossis kev zawm, uas yuav tsum tau phais mob sai.
• Kev puas tsuaj lossis poob ntawm cov noob qes: Qhov chaw tsis zoo ntev, kev ntswj lossis kev raug mob ntau zaus tuaj yeem ua rau lub noob qes me me, ua haujlwm tsis zoo lossis tsis muaj zog uas yuav xav tau kev tshem tawm es tsis txhob kho.
• Kev phais mob uas nyuaj dua li qub: Nyob rau tib lub sijhawm, cov qauv ntawm cov hlab ntsha yuav xav tau kev txav mus los ntau dua, qee zaum xav tau ob txoj hauv kev.
• Psychological cuam tshuam: Cov menyuam yaus yuav muaj kev ntxhov siab lossis txaj muag thaum lawv loj hlob, tshwj xeeb tshaj yog thaum lawv tseem hluas, ua kis las hauv tsev kawm ntawv thiab chav hloov khaub ncaws.

Peb pab neeg ntawm Apollo Tsev Kho Mob Lucknow yuav piav qhia txog qhov cuam tshuam tshwj xeeb rau koj tus menyuam lub hnub nyoog thiab lub cev kom qhov kev txiav txim siab yog ib qho sib koom.

Cov txiaj ntsig ntawm Orchiopexy

• Cov kev cia siab zoo dua rau kev muaj menyuam: Kev kho thaum ntxov yog lub hom phiaj los khaws cia ntau li ntau tau kev ua haujlwm ntawm noob qes, txawm hais tias cov txiaj ntsig sib txawv - tshwj xeeb tshaj yog qhov twg ob lub noob qes raug cuam tshuam.
• Kev pheej hmoo mob qog noj ntshav tsawg dua thiab pom tseeb dua: Qhov kev pheej hmoo sib piv tau txo qis nrog kev phais ua ntej, thiab lub noob qes scrotal tuaj yeem saib xyuas los ntawm kev kuaj mob thoob plaws lub neej.
• Kev noj qab haus huv ntawm lub cev zoo dua: Kev kho hernia tib lub sijhawm txo qhov muaj feem yuav muaj xwm txheej ceev ntawm hernia yav tom ntej, thiab lub noob qes scrotal uas ruaj khov tsis tshua muaj kev torsion thiab raug mob.
• Kev ntseeg siab ntxiv: Lub noob qes uas zoo li qub pab cov menyuam yaus xis nyob hauv lawv lub cev thaum lawv loj hlob.
• Cov txheej txheem luv luv thiab zoo: Feem ntau cov kev phais mob yog ua tiav raws li kev phais mob thaum nruab hnub los ntawm kev txiav me me ntawm qhov chaw mos thiab qhov chaw mos, lossis laparoscopically los ntawm cov qhov rooj qhib, nrog rau cov qhov txhab me me thiab rov qab mus rau qhov qub sai sai.

Kev xaiv orchiopexy ntawm Apollo Tsev Kho Mob Lucknow txhais tau tias yog txoj hauv kev uas muaj kev cob qhia ua ntej kev phais, kev siv tshuaj loog rau menyuam yaus thiab kev npaj ua raws li kev npaj. Tsis muaj ib txoj kev kho mob twg tuaj yeem cog lus tias yuav muaj menyuam lossis muaj mob qog noj ntshav, thiab peb yuav ib txwm tham txog qhov tseeb hauv koj tus menyuam cov ntaub ntawv.

Kev npaj thiab rov qab

Npaj Cov Lus Qhia

• Kev sab laj: Teem sijhawm mus ntsib peb pab neeg phais menyuam yaus thiab pab pawg kho mob zis. Koj tus menyuam yuav raug kuaj xyuas, zoo dua yog tias nws nyob hauv chav sov so thiab so tes, kom paub seb lub noob qes puas kov tau, rub tau, ectopic lossis tsis kov tau? Qhov kev kuaj no yuav txiav txim siab seb yuav ua li cas.
• Cov lus qhia ua ntej kev phais: Ua raws li cov lus qhia ntawm pab pawg neeg txog kev yoo mov, kev noj zaub mov zoo, thiab kev siv tshuaj. Cov lus qhia ib txwm rau cov menyuam yaus txog kev yoo mov pub lawv haus dej kom txog li ob teev ua ntej siv tshuaj loog, haus mis niam li plaub teev ua ntej, thiab haus cov khoom khov lossis mis mos li rau teev ua ntej, tab sis ib txwm ua raws li lub sijhawm uas lawv tau muab rau koj.
• Kev tshawb nrhiav: Tej zaum yuav muaj kev kuaj ntshav yooj yim, thiab qee zaum yuav muaj kev kuaj ultrasound lossis kev kuaj hormonal. Rau ob lub noob qes uas tsis kov tau, feem ntau yuav tsum tau kuaj xyuas endocrine thiab genetic ntxiv ua ntej phais.
• Kev txhawb siab: Npaj koj tus menyuam siv cov lus yooj yim thiab ncaj ncees? "tus kws kho mob yuav pab txav lub pob mus rau hauv nws lub hnab thaum koj pw tsaug zog." Nqa ib qho khoom ua si lossis daim pam uas koj paub zoo.
• Logistics: Npaj kev thauj mus los rau ob sab, vim tias koj tus menyuam yuav tsaug zog tom qab siv tshuaj loog. Tsuas yog ncua kev phais tom qab tham nrog pab neeg yog tias koj tus menyuam kub taub hau, hnoos lossis mob khaub thuas.

Cov lus qhia rov qab

• Kev saib xyuas tom qab ua haujlwm: Khaws qhov txhab kom huv thiab qhuav raws li cov lus qhia, thiab ua raws li cov lus qhia txog kev da dej, hnav khaub ncaws thiab siv tshuaj tua kab mob lossis tshuaj loog.
• So thiab ua ub ua no: Txhawb kom ua si ntsiag to thiab tsis txhob zaum ntawm cov khoom ua si uas zaum ntawm txoj kev, caij tsheb kauj vab, ua si tsis zoo thiab ua si hnyav rau lub sijhawm uas tau hais tseg, feem ntau yog ob peb lub lis piam.
• Kev teem caij tom qab: Tuaj koom txhua qhov kev tshuaj xyuas kom paub tseeb tias qhov chaw ntawm lub noob qes thiab qhov loj ntawm lub noob qes raug kuaj xyuas raws sijhawm.
• Kev tswj mob: Siv cov tshuaj paracetamol lossis lwm yam tshuaj loog raws li tau qhia; feem ntau cov menyuam yaus tsuas xav tau nws rau thawj ob mus rau peb hnub xwb.

Cov Lus Qhia Tam Sim No thiab Dab Tsi Tau Hloov Pauv

Cov lus qhia los ntawm cov kws phais menyuam yaus thiab cov koom haum urological tau sib sau ua ke hauv kaum xyoo dhau los, thiab kev xyaum hauv Is Nrias teb ua raws li lawv ze:

• Lub sijhawm tau hloov mus ua ntej. Cov noob qes uas poob los ntawm nws tus kheej tsis tshua muaj tshwm sim tom qab muaj hnub nyoog li rau lub hlis (kho kom raug rau qhov ua ntej hnub nyoog). Cov lus qhia ntawm American Urological Association txog cryptorchidism (2014, hloov kho thiab rov lees paub txij li thaum ntawd los) qhia kom xa mus rau tus menyuam yaus ua ntej rau lub hlis yog tias noob qes tsis tau poob los, thiab phais mob zoo tshaj plaws hauv thawj xyoo txog 18 lub hlis ntawm lub neej. Lub Koom Haum European Association of Urology / European Society for Pediatric Urology Cov Lus Qhia Txog Kev Kho Mob Urology Rau Menyuam Yaus (tsab ntawv xyoo 2024) zoo ib yam li ntawd pom zoo kom ua tiav kev phais mob ua ntej 12-18 lub hlis, lossis tsis pub dhau 18 lub hlis.
• Tus qauv kev xyaum ntawm Is Nrias teb: Lub Koom Haum Indian Association of Pediatric Surgeons (IAPS) thiab Indian Academy of Pediatrics (IAP) txhawb nqa kev kuaj mob ntawm cov menyuam mos thiab cov menyuam yaus ntawm lub scrotum, xa mus rau thaum rau lub hlis thiab kev phais mob thaum yau. Hauv kev xyaum, ntau tus menyuam yaus Indian tseem tuaj lig - tom qab muaj ob xyoos, lossis thaum kawm ntawv - feem ntau vim tias tus mob tsis tau pom thaum yug los, yog li kev tuaj lig raug tswj hwm raws li nws qhov zoo dua li tsis kam lees.
• Kev thaij duab tsis yog ib txwm muaj lawm. Ib qho kev hloov pauv tseem ceeb yog tias ultrasound, CT lossis MRI yog tsis pom zoo kom nrhiav tau ib lub noob qes uas tsis kov tau hauv ib tug tub hluas uas zoo li qub, vim tias lawv tsis hloov pauv kev tswj hwm. Kev kuaj mob laparoscopy, lossis kev kuaj mob hauv qab tshuaj loog, yog txoj hauv kev uas lees txais los nrhiav lub noob qes.
• Kev kho mob Hormonal tsis pom zoo ua kev kho mob thawj zaug rau kev nqis los, vim tias cov feem pua ​​​​​​ntawm kev vam meej tsawg thiab muaj kev txhawj xeeb txog cov teebmeem ntawm cov noob caj noob ces.
• Cov noob qes ob sab uas tsis kov tau yuav tsum tau kuaj xyuas endocrine thiab genetic ua ntej phais, kom tsis txhob muaj teeb meem ntawm kev loj hlob ntawm kev sib deev lossis anorchia.
• Cov noob qes rub rov qab tsis tas yuav phais tab sis xav tau kev saib xyuas txhua xyoo, vim tias feem ntau tom qab ntawd nce siab thiab xav tau kev phais.
• Cov tub hluas ntxhais hluas thiab cov neeg laus uas muaj noob qes tsis nqes los: rau ib tug noob qes uas tsis tau nqes los tom qab lub hnub nyoog puberty, kev tshem tawm (orchiectomy) feem ntau yog tham txog lwm txoj hauv kev rau kev kho, vim tias kev pab txhawb rau kev xeeb tub tsis tseem ceeb thiab kev pheej hmoo ntawm mob qog noj ntshav yog qhov tseem ceeb. Qhov no yog kev txiav txim siab ntawm tus kheej.

Muaj ntau nplooj ntawv muaj nyob hauv online hauv Is Nrias teb tsuas yog hais txog cov lus txhais yooj yim thiab cov lus piav qhia txog kev phais mob dav dav xwb. Lawv feem ntau tsis suav nrog lub sijhawm xa mus rau rau lub hlis, cov lus pom zoo "tsis tas yuav thaij duab tas li", qhov sib txawv ntawm cov noob qes rub rov qab thiab cov noob qes tsis tau nqis los tiag tiag, kev xaiv Fowler?Stephens, kev saib xyuas thaum nruab hnub piv rau kev saib xyuas nkag mus, lub sijhawm tos kev pov hwm rau tus mob uas yug los, thiab cov ntsiab lus kho mob hauv tsev Is Nrias teb. Cov qhov sib txawv no tau hais hauv qab no.

Lub Hnub Nyoog Zoo, Lub Sijhawm thiab Theem Ua Ntej Kev Kho Mob

Cov theem ua ntej txheej txheem, kauj ruam zuj zus

1. Kev kuaj mob los ntawm kws phais menyuam yaus, hauv chav sov, pw thiab zaum lossis khoov ceg uas tus menyuam loj txaus - qhov no pab qhia qhov txawv ntawm lub noob qes rub rov qab thiab lub noob qes tsis tau nqes los tiag tiag.
2. Kev txiav txim siab ntawm sab, palpability thiab yuav ua li cas (qhib inguinal piv rau laparoscopic).
3. Kev kuaj xyuas ua ntej siv tshuaj loog: qhov hnyav, txoj hlab pa, xwm txheej txhaj tshuaj tiv thaiv kab mob, mob tsis ntev los no, thiab kev kuaj ntshav yooj yim.
4. Tsuas yog cov kev tshawb nrhiav xaiv xwb? piv txwv li kev tshawb nrhiav hormonal thiab karyotype rau ob sab noob qes uas tsis kov tau, lossis ultrasound yog tias muaj lwm yam kev txhawj xeeb tshwj xeeb xws li xav tias muaj hernia lossis kev nug txog intersex.
5. Kev sib tham pom zoo txog qhov ua tau nrhiav pom lub noob qes uas tsis muaj lossis atrophic, qhov ua tau ntawm kev kho mob ob theem, thiab qhov muaj feem me me uas noob qes yuav rub rov qab tom qab.
6. Kev tso cai ua ntej rau kev pov hwm, yog tias siv tau, thiab teem sijhawm ua chaw zov menyuam thaum nruab hnub lossis chaw pw thaum hmo ntuj.

Cov Kev Xaiv Txuj Ci Sib Piv

Cov Txheej Txheem Qee Zaum Ua Tib Lub Sijhawm

• Kev kho mob inguinal hernia lossis hydrocele kev khi cov hlab ntaws ntawm lub patent processus vaginalis, ua rau feem ntau ntawm cov orchiopexies.
• Contralateral orchiopexy Thaum ob lub noob qes tsis nqes los, ob qho tib si yuav raug kho hauv tib lub rooj zaum yog tias txiav txim siab tias muaj kev nyab xeeb.
• Kev txiav tawm ntawm cov noob qes lossis hydatid ntawm Morgagni, yog tias pom.
• Kab mob qee zaum ua ke yog tias qhia cais, kom tus menyuam tsis tas siv tshuaj loog thib ob; tham txog ib qho zuj zus.
• Kev kuaj mob gonadal nyob rau hauv kev xav tias muaj teeb meem ntawm kev loj hlob ntawm kev sib deev lossis rau cov cim qhia txog karyotype.
• Caudal los yog hlab ntsha thaiv ib lub thaiv cheeb tsam muab tso rau hauv tib lub tshuaj loog kom txo qhov mob tom qab phais thiab qhov xav tau opioid.
• Kev kho mob prosthesis ntawm noob qes feem ntau ncua mus rau lub hnub nyoog hluas yog tias yuav tsum tau tshem tawm lub noob qes.

Kev Rov Qab Zoo Ib Theem Ib Theem

Cov no yog cov qauv ib txwm muaj. Cov menyuam yaus uas tau phais laparoscopic lossis phais theem, cov uas tseem hluas heev, lossis cov uas muaj teeb meem yuav ua raws li lub sijhawm sib txawv.

Cov Qauv Rau Kev Rov Qab Mus Kawm Ntawv, Kev Ua Si thiab Kev Ua Si

Kev rov qab los yog kev nplij siab thiab kev kho mob coj, tsis yog los ntawm daim ntawv qhia hnub xwb. Feem ntau peb nrhiav:

• Tsis tas yuav siv tshuaj loog mob li niaj zaus.
• Qhov txhab qhuav, kaw, tsis muaj liab, muaj kua tawm los yog o ntxiv.
• Menyuam yaus taug kev, nce ntaiv thiab zaum li qub yam tsis tau tiv thaiv qhov chaw mos.
• Tso zis thiab quav tau yooj yim, tsis muaj kev nyuaj.
• Kev lees paub thaum ua raws li qhov kev kuaj mob tias lub noob qes nyob hauv qhov chaw.

Cov lus qhia tshwj xeeb rau kev ua ub ua no rau lub neej txhua hnub ntawm Is Nrias teb

• Chav dej zaum thiab chav dej Indian: Kev zaum tob tob ua rau lub qhov quav ncab thiab tuaj yeem ua rau tsis xis nyob hauv ob lub lis piam thawj zaug. Yog tias ua tau, cia tus menyuam siv lub rooj zaum Western lossis lub rooj zaum commode, lossis tso lub rooj zaum qis rau kev txhawb nqa. Kev cem quav ua rau kev ncab hnyav dua - muab dej ntau, mis nyuj, txiv hmab txiv ntoo thiab fiber, thiab nug txog cov tshuaj ua kom quav mos yog tias xav tau.
• Zaum hla ceg feem ntau tus me nyuam zaum hauv pem teb thaum noj mov, thov Vajtswv lossis ua ub ua no hauv chav kawm yuav xis nyob dua hauv ib mus rau ob lub lis piam; cia tus me nyuam xaiv qhov chaw.
• Pw hauv pem teb: zoo, tab sis kev sawv hauv pem teb yuav xav tau kev pab thaum xub thawj. Lub txaj pw ruaj khov lossis lub txaj pw nyias nyias hauv pem teb yooj yim dua li qhov chaw tawv.
• Kev caij tsheb kauj vab, cov khoom ua si caij straddling, scooters, caij nees thiab gymnastics nias ncaj qha rau thaj chaw phais? Tsis txhob siv li plaub lub lis piam, lossis raws li tau qhia.
• Kev sib cuag thiab kev ua si hauv thaj chaw (cricket, football, kabaddi, kho-kho, wrestling, martial arts) ? feem ntau tom qab plaub txog rau lub lis piam thiab tom qab tshem tawm ntawm kev saib xyuas tom qab. Lub groin guard yog qhov tsim nyog rau cricket thiab kev ua si sib ntaus sib tua tom qab ntawd.
• Ua luam dej thiab da dej hauv pas dej lossis dej ntws tsuas yog tom qab qhov txhab kho tag thiab pab neeg tau tshem nws tawm, kom txo qhov kev pheej hmoo ntawm kev kis kab mob.
• Tsev kawm ntawv: feem ntau cov menyuam rov qab los hauv ib lub lim tiam; thov kom zam kev ua si PE thiab kev ua si kom txog thaum muaj kev tshuaj xyuas.

Txo Qhov Muaj Feem Rov Qab Los Yog Rov Nce Mus Rau Saum Ntuj

Cryptorchidism yog ib yam mob uas muaj txij thaum yug los, yog li ntawd nws tsis tuaj yeem tiv thaiv tau, tab sis kev rov nce mus tom qab phais tuaj yeem txo qis thiab kuaj pom thaum ntxov:

• Mus koom txhua qhov kev mus ntsib kws kho mob tom qab? Lub noob qes uas tau poob qis yog qhov yooj yim kho thaum pom ntxov.
• Ua raws li cov kev txwv kev ua ub no hauv thawj lub hlis kom tsis txhob cuam tshuam qhov kev kho mob.
• Tiv thaiv kom tsis txhob cem quav thiab hnoos ntev yog tias ua tau, vim tias kev siv zog ntau zaus ua rau muaj kev nyuaj siab hauv plab.
• Coj mus kuaj lub noob qes txhua zaus mus ntsib kws kho mob menyuam yaus, thiab thaum mus kuaj kev noj qab haus huv hauv tsev kawm ntawv.
• Yog tias lub noob qes raug hu ua "retractile" es tsis yog undescended, khaws qhov kev tshuaj xyuas txhua xyoo - ib feem tom qab nce mus thiab xav tau kev phais.
• Qhia kom lawv kuaj lub noob qes tus kheej txij thaum lawv tseem hluas thiab txuas ntxiv mus tas lawv lub neej txog tej pob lossis qhov loj me uas hloov pauv, vim tias qhov kev pheej hmoo ntawm mob qog noj ntshav raug txo qis tab sis tsis raug tshem tawm.

Tej Yam Tshwj Xeeb Yuav Tsum Xav Txog: Cov Me Nyuam Mos, Cov Menyuam Loj, Cov Hluas thiab Cov Neeg Laus

Cov menyuam mos thiab cov menyuam mos uas yug ua ntej lub sijhawm

Tej zaum yuav tseem muaj kev poob qis txog li rau lub hlis ntawm hnub nyoog kho, yog li lub sijhawm yog xam los ntawm hnub yug, tsis yog hnub yug. Cov menyuam mos lossis cov menyuam yug tsis tau raws sijhawm yuav xav tau kev saib xyuas ib hmos tom qab siv tshuaj loog es tsis yog tawm hauv tsev kho mob tib hnub, vim muaj kev pheej hmoo ntawm kev ua tsis taus pa. Qhov hnyav, kev tswj qhov kub thiab txias thiab kev pub mis tau npaj ua ntej.

Cov menyuam yaus thiab cov menyuam kawm ntawv ua ntej hnub kawm ntawv

Nov yog pawg neeg uas feem ntau ua haujlwm hauv Is Nrias teb. Kev tu cev ntawm daim ntaub so ntswg, kev tswj qhov mob raws li kev cuam tshuam thiab kev tiv thaiv tus menyuam kom tsis txhob rub cov ntaub qhwv yog cov teeb meem tseem ceeb.

Cov me nyuam muaj hnub nyoog kawm ntawv

Piav qhia qhov kev ua haujlwm ncaj ncees nrog cov lus uas haum rau hnub nyoog, npaj rau kev xeem, thiab thov kom muaj kev zam txim rau kev ua si PE rau tsev kawm ntawv. Kev ceev ntiag tug thaum lub sijhawm xeem yog qhov tseem ceeb rau pawg hnub nyoog no.

Cov me nyuam hluas

Kev sab laj yuav tsum suav nrog kev muaj menyuam, kev xaiv tshem tawm yog tias lub noob qes me lossis tsis ua haujlwm, qhov ua tau ntawm kev siv prosthesis, thiab kev qhia txog kev kuaj tus kheej. Kev tshuaj xyuas cov phev yuav raug tham thaum muaj hnub nyoog tsim nyog hauv cov rooj plaub ob sab.

Cov neeg laus

Yog tias lwm lub noob qes tsis nqes los, feem ntau yuav raug tshem tawm es tsis kho yog tias lwm lub noob qes zoo li qub, vim tias nws tsis pab txhawb kev muaj menyuam thiab muaj kev pheej hmoo mob qog noj ntshav uas tsis tuaj yeem saib xyuas thaum nws zais cia. Yuav tsum tau tham txog cov kev xaiv tiv thaiv kev muaj menyuam ua ntej phais mob hauv cov rooj plaub ob sab.

Cov menyuam yaus uas muaj lwm yam mob

Qhov teeb meem Cryptorchidism feem ntau tshwm sim nrog cov menyuam yug tsis tau raws sijhawm, qhov hnyav thaum yug los tsawg, hypospadias, qhov tsis zoo ntawm phab ntsa plab thiab qee yam mob. Ob sab noob qes uas tsis kov tau yeej ib txwm yuav tsum tau kuaj xyuas endocrine thiab genetic ua ntej phais.

Yog Koj Xaiv Tsis Ua Qhov Kev Kho Mob

Kev tsis kam phais lossis ncua kev phais yog ib qho kev txiav txim siab uas tsev neeg muaj cai ua, thiab nws yuav tsum yog ib qho kev txiav txim siab uas tau txais kev qhia paub. Yog tsis muaj orchiopexy:

• Cov noob qes yuav tsis nqis los ntawm nws tus kheej tom qab muaj rau lub hlis.
• Kev poob ntawm cov qe menyuam tseem txuas ntxiv mus, nrog rau kev cuam tshuam ntau dua rau kev muaj menyuam yog tias ob sab raug cuam tshuam.
• Kev pheej hmoo ntawm mob qog nqaij hlav hauv lub cev tseem siab heev, thiab mob qog hauv lub plab lossis lub qhov ncauj tsev menyuam yuav raug kuaj pom lig.
• Ib qho mob hernia uas cuam tshuam nrog nws yuav tshwm sim tom qab, qee zaum ua qhov xwm txheej ceev uas yuav tsum tau phais mob sai.
• Qhov kev pheej hmoo ntawm kev ntswj thiab kev raug mob rau lub noob qes uas pw hauv qhov chaw mos tseem muaj.
• Kev txhawj xeeb txog duab lub cev feem ntau tshwm sim thaum hluas.
• Yog tias kev phais raug xaiv tom qab ntau dua, nws yuav nyuaj dua, tej zaum yuav xav tau txoj hauv kev theem, thiab cov noob qes yuav pom atrophic thiab xav tau kev tshem tawm.

Yog koj txiav txim siab tos, peb tseem xav kom koj mus tshuaj xyuas koj tus mob tsis tu ncua, ntsuam xyuas tam sim ntawd seb puas muaj mob lossis o ntawm qhov chaw mos lossis qhov chaw mos, thiab qhia koj tus kheej thaum koj tus menyuam loj txaus lawm.

Dab Tsi Cuam Tshuam Rau Tus Nqi

Peb tsis tshaj tawm ib tus nqi rau orchiopexy, vim tias tag nrho nyob ntawm cov yam hauv qab no. Yog xav tau kev kwv yees tshwj xeeb rau koj tus menyuam, thov nrog tus neeg txais tos, tus kws pab tswv yim nkag mus kawm lossis lub rooj pov hwm ntawm Apollo Hospitals Lucknow tham, uas tuaj yeem npaj ib daim ntawv kwv yees pob khoom tom qab kev sab laj phais.

Kev Pov Hwm, Kev Kho Mob Tsis Siv Nyiaj Ntsuab thiab Cov Txheej Txheem TPA hauv Is Nrias teb

• Kev npaj ua ntej piv rau kev kub ntxhov: orchiopexy feem ntau yog ib qho npaj cov txheej txheem, yog li kev tso cai ua ntej yuav tsum tau thov ua ntej? feem ntau peb txog xya hnub ua haujlwm ua ntej nkag mus. Tsuas yog qhov teeb meem xws li hernia raug thaiv lossis xav tias muaj kev sib hloov yuav raug kho ua kev nkag mus thaum muaj xwm txheej ceev nrog kev ceeb toom tom qab, feem ntau hauv 24 teev.
• Cov kab lus hais txog tus mob uas yug los muaj teeb meem. Cryptorchidism yog ib yam mob uas muaj los ntawm sab hauv. Muaj ntau txoj cai tswjfwm kev noj qab haus huv hauv Is Nrias teb uas them rau cov kab mob uas muaj los ntawm sab hauv tab sis tsis suav nrog cov kab mob sab nraud uas muaj los ntawm sab nraud, thiab qee qhov siv sijhawm tos tshwj xeeb. Nyeem koj cov lus hauv daim ntawv pov hwm lossis thov kom lub chaw pov hwm saib xyuas ua ntej nkag mus.
• Lub sijhawm tos: feem ntau cov cai them nqi kho mob muaj lub sijhawm tos thawj zaug li ntawm 30 hnub rau kev mob, thiab lub sijhawm tos 24- txog 48 lub hlis rau qee yam mob uas tau teev tseg thiab rau cov kab mob uas twb muaj lawm. Hernia yog ib qho mob uas feem ntau teev nrog lub sijhawm tos ob xyoos hauv ntau yam khoom, uas yog qhov tseem ceeb vim tias kev kho hernia feem ntau yog ib feem ntawm tib qho kev phais.
• Kev them nqi rau cov menyuam mos thiab menyuam yaus: Feem ntau tus menyuam yaus raug ntxiv rau hauv tsev neeg lub nkoj tom qab lub sijhawm teev tseg (feem ntau yog 90 hnub) thiab ntawm qhov kev hloov kho tshiab tom ntej; xyuas seb thaum twg koj tus menyuam txoj kev pov hwm pib ua haujlwm.
• Kev pab them nqi zov menyuam thaum nruab hnub: Tej zaum yuav ua tiav orchiopexy yam tsis tas yuav nyob 24 teev. Xyuas kom tseeb tias koj daim ntawv pov hwm them rau cov txheej txheem zov menyuam, vim tias cov ntawv pov hwm qub qee zaum yuav hais kom pw hauv tsev kho mob 24 teev.
• Cov txheej txheem tsis siv nyiaj ntsuab: nthuav qhia daim ntawv pov hwm lossis e-card thiab daim npav ID muaj duab ntawm lub rooj pov hwm; lub tsev kho mob xa daim ntawv thov kev tso cai ua ntej nrog cov ntawv sau thiab kev kwv yees ntawm tus kws phais mob rau lub tuam txhab pov hwm lossis TPA; kev pom zoo raug muab rau tus nqi tshwj xeeb thiab pawg chav; qhov nyiaj tshuav - cov khoom siv tsis yog khoom siv kho mob, qhov sib txawv ntawm kev txhim kho chav, kev them ua ke thiab kev rho tawm - raug daws los ntawm koj thaum tawm hauv tsev kho mob.
• Kev Them Nyiaj: Yog tias tsis muaj nyiaj ntsuab, them thiab thov tom qab nrog cov ntaub ntawv qhia txog kev tso tawm, daim ntawv them nqi, cov ntawv txais nyiaj, cov ntawv tshawb nrhiav thiab daim ntawv thov. Khaws tag nrho cov ntawv qub.
• Cov kev txwv ntawm cov nqi xauj chav thiab cov nyiaj txiav tawm sib piv: xaiv ib chav tsev saum koj pawg tsim nyog tuaj yeem txo qhov feem ntawm tag nrho cov nqi them hauv qee cov cai.
• Cov txheej txheem: Ayushman Bharat PM-JAY, cov phiaj xwm hauv xeev, CGHS, ECHS thiab cov pawg neeg ua haujlwm hauv tuam txhab muaj lawv tus kheej cov cai tswjfwm, kev xa mus thiab kev tso cai ua ntej. Thov paub meej tias cov phiaj xwm siv tau ntawm TPA thiab lub rooj them nqi ntawm tsev kho mob ua ntej nkag mus, vim tias qhov xwm txheej ntawm cov phiaj xwm tuaj yeem hloov pauv.

Npaj Kev Nkag Mus Kawm thiab Yuav Nqa Dab Tsi

Ua ntej hnub ntawd

• Paub meej tias lub sijhawm qhia, cov lus qhia yoo mov thiab niam txiv lossis tus saib xyuas twg yuav nyob.
• Ua tiav kev ntsuam xyuas ua ntej siv tshuaj loog thiab kev tso cai ua ntej rau kev pov hwm.
• Qhia rau pab neeg paub txog tej yam mob kub taub hau, hnoos, mob khaub thuas, tsis txav lossis muaj kab mob ntawm daim tawv nqaij? Tej zaum yuav xav tau kev phais mob dua.
• Txiav cov rau tes, da dej rau tus me nyuam hmo ua ntej, thiab tsis txhob zaws roj rau ntawm qhov chaw mos.

nqa dab tsi

• Tag nrho cov ntawv sau tshuaj, cov ntawv qhia ua ntej, cov yeeb yaj kiab ultrasound thiab daim npav txhaj tshuaj tiv thaiv kab mob.
• Daim ntawv pov hwm lossis daim npav ID rau tus menyuam thiab tus neeg laus nrog; daim npav pov hwm lossis daim ntawv theej ntawm daim ntawv pov hwm thiab, yog tias siv tau, tus tswv ntiav haujlwm lossis tsab ntawv ntawm txoj haujlwm.
• Khaub ncaws xoob, qhib pem hauv ntej; ntxiv cov ntaub so ntswg lossis ris tsho hauv qab