In which cases, the yachka (hydrocel) requires treatment, and in which it is better not to touch? On the mechanism and features of the development of this ailment, as well as on the methods of his treatment, you will learn by reading this article.
Content
Irishka Yachka, Yachka Ilock or Hydrothele Washer - This is a disease in which the fluid accumulation occurs between the leaflets of the egg shells.
Locking egg shells can be:
- congenital (more often in children);
- acquired (in adults).
The reasons for congenital waterfall are the following. The egg in the intrauterine period descends to the scrotum in the inguinal canal, together with the egg, the part of the peritoneas, which is called the vaginal abnurbation process. Then the lumen of the vaginal abnormal process is overgrown. If this clearance does not overgrow, from the abdominal cavity in it is going to liquid.
In addition, the cells of the inner shell of the peritoneum, which is covered with the abnurbation process from the inside, capable of producing liquid. Vaginal process can communicate with peritoneum or be blind. If it is communicated with the peritoneum, the fluid can sometimes circulate from the hydrotole in the abdominal cavity. If the hydrocel is found in a newborn baby, treatment does not start. Such a yachka water can disappear when infecting peritoneum and resorption of fluid from the cavity of the hydrocel.
Acquired Yachka Watercolor occurs with inflammatory diseases of the scrotum organs, injuries of scrotum and crotch, impaired lymphatic outflow from the scrotum. Sometimes a yachka shells can be reactive with inflammatory processes in the testicles or in the gods of the testicles or when the egg is twisted. Such a yachka watering disappears when the main disease disappears.
For flow, there is a sharp and chronic pothole of eggs. Usually watering shells of eggs are not accompanied by pain. Liquid in egg shells can accumulate very slowly, in some cases the accumulation of fluid can go jumps. When watering the shells of eggs in the scrotum, you can personify the formation of the pear-shaped form, the base of which is at the bottom, and the narrowed tip is directed to the inguinal canal.
Sometimes liquid can fall into the groin canal. Then molding eggs can have a view of an hourglass with a hawk in the exterior inguinal rings. The dimensions of the hydrocel can be different: from small zoom of the size of the scrotum to spherical formation of a soccer ball. Pain when tackling most often does not happen. The skin on the scrotum remains unchanged, easily shifts. Locking eggs forgiveness as a dense elastic education. With a large size of the hydrotole, it can be an obstacle to the commission of intercourse, sometimes it is difficult for urination.
The diagnosis of the eggs of the Eggs is set using ultrasonic studies of testicles and diaphanoscopy. In ultrasound examination, the accumulation of fluid between the shells of the testicles and unchanged eggs. Diaphanoscopy - a method based on translucent. At the hydrotole, all education is shouted evenly. Sometimes, when hemorrhages in the cavity of the hydrocele due to injury or unsuccessful puncture in it accumulates blood. This condition is called hematocele. In the penetration of infection and the formation of suppuration, the pyochela occurs. Purulent yarbus eggs occurs more often with orchitis and epididimitis as a result of infection penetration in an episcess of eggs or an appendage of eggs.
Treatment of watering of eggs with inflammatory diseases of the egg and its appendage is to treat the underlying disease: the purpose of antibacterial therapy, peace and wearing suspension. To remove fluid from the cavity of the hydrocel. Liquid is removed, and sclerosing preparations are injected into the cavity. This treatment method may have complications.
With an unsuccessful puncture of the membrane, the eggs may be damaged, hemorrhage occurs and blood is accumulated in the cavity of the hydrotole. Sometimes infection can be entered into the cavity of the hydrotole and the inflammatory process occurs. The radical method of treatment is the operation. With the water membranes of the egg, two types of operational interventions are performed.
Operation Winelmann. At the same time, the operational intervention is one of the leaflets of the eagle shell dissect on the front surface, they are inside out and stitched behind the egg. In this case, the accumulation of fluid no longer occurs.
Operation Bergman. Part of the inner leaf of the eagle shell remove the remaining part stitch. In the postoperative period are prescribed antibacterial drugs and for some time wearing suspension.
