varikocele

viTardeba menjis Rrus an muclis Rrus simsivneebis dros. pacienti Tu aris 40 wlis zeviT Tu Segvxvda marjvenamxrivi varikocele TiTqmis gansazRvrulad SegviZlia visaubroT muclis Rrus (an menjis) romelime simsivneze. roca simsivnis gareSe viTardeba marcxenamxrivi varikocele meoradad, yvelaze xSirad saqme gvaqvs nutcracker syndrome -Tan , romelic viTardeba muclis aortasa da zeda mezenterul arterias Soris Tirkmlis (marcxena) venis kompresia, rac TavisTavad SegubebiT procesebs iwvevs saTeslis venebSic. simsivneebidan yvelaze xSiri mizezia Tirkmlis ujredebis karcinoma (hipernefroma), Semdgom xSiria retroperitonuli fibrozi da adheziebi.

saTesleebis venebi , romlebic saTesle bagirakSi gaivlian daaxloebiT 0,5-1,5 mm-diametris arian rodesac dilatacia 2 mm s an mets aRwevs es ukve varikocelea.

varikoceles diagnostireba xdeba: saTeslis palpaciis dros, Tu aris aragamagrebuli gasqelebuli daklaknili sisxlZarRvebi saTesle bagirakis gaswvriv. palpaciiT varikocele hgavs e.w. Wiebis CanTis“ msgavs SegrZnebas. Tu pacienti mwoliare mdgomareobaSia, SeiZleba hidrostatuli wneviT moxdes saTeslis venebis drenireba da ar SeigrZnobodes varikocele. calmxrivi varikoceles dros erTi saTesle SeiZleba didi iyos meoreze an arc iyos didi anu misi mixedviT msjeloba yvela SemTxvevaSi gamarTlebuli ar aris.

saboloo diagnozi ismeva ultrabgeriT, Tu saTeslis venebis diametri metia vidre 2 mm maSin varikoceles diagonozi ismeva. – gasinjvisas pacienti unda idghes fexze, zogjer iyeneben Valsalva’s maneuver – provokaciul manevrs, pacients eubnebian gaiWinTos ise, rogorc defekaciis dros, raTa moxdes daZabva menjis kunTebis da sisxlmomarageba gaZlierdes saTesleebis da Sesabamisad mis venebSic moimatos wnevam.

dopleriT SesaZlebelia dafiqsirdes sisxlis reversuli midineba saTeslis venebSi.

varikocele iwvevs Tu ara unayofobas kiTxvis niSnis qveS dgas. savaraudoa, rom mcire procentiT SeiZleba iwvevdes unayofobas.

mkurnaloba - xdeba qirurgiuli gziT varikoceles mkurnaloba, qirurgiuli