Anorchia

Anorchia waa maqnaanshaha labada tijaabo dhalashada.

Embriyuhu wuxuu hormarsadaa xubnaha galmada ee ugu horreeya dhowrka toddobaad ee uurka. Xaaladaha qaarkood, tijaabooyinka hore kuma soo baxaan ragga ka hor 8 toddobaad uurka. Caruurtan waxay ku dhalan doonaan xubnaha galmada dumarka.

Xaaladaha qaarkood, xiniinyaha ayaa baaba'a inta u dhexeysa 8 iyo 10 toddobaad. Caruurtan waxay ku dhalan doonaan xubinta taranka ee madmadowga leh. Tan macnaheedu waxa weeye in ilmuhu yeelan doono qaybo ka mid ah xubnaha galmada lab iyo dhaddig.

Xaaladaha qaarkood, xiniinyaha ayaa baaba'aya inta u dhexeysa 12 iyo 14 toddobaad. Carruurtan waxay yeelan doonaan guska caadiga ah iyo xinjirowga. Hase yeeshe, ma lahaan doonaan wax tijaabo ah. Tan waxaa loo yaqaan 'anorchia congenital'. Waxaa sidoo kale loo yaqaan "cilladda baaritaanka xiniinyaha."

Sababta lama oga. Sababaha hidaha ayaa laga yaabaa inay ku lug yeeshaan xaaladaha qaarkood.

Xaaladdan waa inaan lagu qaldin tijaabooyinka laba-geesoodka ah ee aan la rabin, taas oo xiniinyaha ay ku yaalliin caloosha ama gumaarka halkii laga heli lahaa xinjiraha

Calaamadaha waxaa ka mid noqon kara:

• Caadi ahaan xubnaha taranka ka baxsan qaangaadhnimada
• Ku guuldaraysiga bilaabida qaangaadhnimada waqtiga saxda ah

Calaamadaha waxaa ka mid ah:

• Xinjir faaruq ah
• La'aanta astaamaha labka (guska iyo koritaanka timaha xubinta taranka, codka oo qoto dheer, iyo kordhinta murqaha)

Tijaabooyinka waxaa ka mid ah:

• Heerarka hoormoonka anti-Müllerian
• Cufnaanta lafaha
• Hormoodka kiciya follicle (FSH) iyo heerarka luteinizing hormone (LH)
• Qalliin lagu raadinayo unugyada taranka ragga
• Heerarka testosterone (hooseeyo)
• Ultrasound ama MRI si loo baaro baaritaanka caloosha
• XY karyotype

Daaweynta waxaa ka mid ah:

• Qalabka xiniinyaha ee loo yaqaan 'prosthetic'
• Hormoonka ragga (androgens)
• Taageero nafsi ah

Aragtida ayaa kufiican daaweynta.

Dhibaatooyinka waxaa ka mid ah:

• Cilladaha wajiga, qoorta, ama dhabarka xaaladaha qaarkood
• Madhalaysnimo
• Arrimaha cilmu-nafsiga ah oo ay ugu wacan tahay aqoonsiga jinsiga

Wac bixiyaha xanaanada caafimaadkaaga haddii cunug lab ah:

• Waxay u muuqataa inay leedahay xiniinyaha aad u yar ama maqnaanshaha
• Uma muuqato inuu bilaabayo qaan-gaadhnimadiisa inta uu ku jiro dhallintiisa hore

Tijaabooyinka baaba'aya - anorchia; Xinjir faaruq ah - anorchia; Xinjir - madhan (anorchia)

• Jirka anatomy taranka
• Nidaamka taranka ragga

Ali O, Donohoue PA. Hawlgabnimada xiniinyaha. Gudaha: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Buugga Buugga Caafimaadka Caruurta. 21aad ed. Philadelphia, PA: Elsevier; 2020: baab 601.

Chan YM, Hannema SE, Achermann JC, Hughes IA. Cilladaha horumarinta galmada. Gudaha: Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, eds. Williams Buugga Buugga Endocrinology. 14aad. Philadelphia, PA: Elsevier; 2020: cutubka 24.

Yu RN, Dheeman DA. Cilladaha horumarinta galmada: etiology, qiimeyn, iyo maamulka caafimaadka. Gudaha: Partin AW, Dmochowski RR, Kavoussi LR, Peters CA, eds. Campbell-Walsh-Wein Cudurka Cudurka. 12aad ed. Philadelphia, PA: Elsevier; 2021: cutubka 48.