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男性性生理問題 |
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睾丸扭轉
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睾丸扭轉是指睾丸在精索(長軸)上的扭轉。正常時，睾丸附著在陰囊的底部，如果它被撕脫而處於游離狀態，則會發生扭轉。結果是，睾丸可能旋轉，而精索就可能扭轉。繼而，這會阻斷睾丸的血液供給。結果會導致陰囊腫大和劇烈的急性疼痛，疼痛常常會擴散至腹部並可能伴有噁心和嘔吐。除了這些症狀以外，睾丸扭轉也可能導致睾丸鞘膜積液(hydrocele)。睾丸扭轉的病因多種多樣，從遺傳畸形到外傷，從劇烈運動到寒冷天氣，不一而足。兒童和青少年發病率最高，但也可能發生在任何年齡的男子。通常，左側睾丸容易發病。
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治
療
睾丸扭轉是一種需要專家緊急處理的臨床急症。如果未在6小時內得到治療，睾丸極可能受到損傷而難以復原。(在這種病例，睾丸被摘除並種植某種睾丸義體以保持陰囊的正常外貌特徵。)至於睾丸扭轉本身的治療：首先，醫生可能設法用手消除扭轉。但是，如果這樣的處理無效的話，外科手術則不可避免。 |
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Physical Problems in Males |
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Testicular Torsion
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Testicular torsion is the twisting of a testicle on its spermatic cord. This happens if the testicle, which is normally attached to the bottom of the scrotum, is torn loose to float freely. As a result, the testicle can rotate and the spermatic cord can get twisted. This, in turn, cuts off their blood supply. The result is a scrotal swelling and sudden, severe pain, often extending into the abdomen and perhaps accompanied by nausea and vomiting. In addition to these problems, the condition may also produce a
hydrocele (see
there). Testicular torsion can have a variety of causes, from some congenital malformation to injury and strenuous excercise to cold weather. It is found most often in children and teenagers, but it can occur at any age. As a rule, the left testicle is the one affected. |
Treatment
Testicular torsion is a medical emergeny requiring a specialist. If it is not treated within the first 6 hours, the testicle is likely to be damaged beyond repair. (In this case, it is removed and replaced with some cosmetic implant which preserves a normal outward appearance of the scrotum.) As for the treatment itself: The doctor may first attempt to untwist the torsion by hand. However, if this proves unsuccessful, surgery is unavoidable. |
