У вашего сына гидроцеле (водянка яичка)? Разбираемся что с этим делать

Водянка яичка у мальчикаКогда в семье появляется долгожданный мальчик, все ликуют: родился защитник, наследник, отрада. Первые радости сопряжены с первыми трудностями, в число которых входит водянка оболочек яичка. Среди новорожденных малышей она в среднем наблюдается у 9 мальчиков из 100.

Это заболевание необходимо лечить, ведь оно напрямую влияет на репродуктивную функцию, в некоторых случаях вызывая в будущем бесплодие, а ведь вы хотите еще понянчиться с внуками?

Итак, что такое водянка яичек у мальчиков

Водянка яичек (гидроцеле) — заболевание, которое появляется по причине скопления серозной жидкости в полостях яичек (обеих или одного).

Она подразделяется на изолированную и сообщающуюся водянку. Второй вариант отличается тем, что скопившаяся жидкость из полости яичка может перетекать в полость брюшную по особому вагинальному отростку брюшины.

Заболевание очень часто встречается именно у новорожденных мальчиков, очень редко у мужчин (примерно у 1%).

Основные признаки и симптомы заболевания

Как обнаружить водянку у сынаОбратите внимание на следующие моменты:

  1. отек (увеличение размеров, большие яички) мошонки. Он может быть временным (проходить на протяжении ночи) или постоянным. Например, у детей в ночной период размеры мошонки уменьшаются, что связано в перемещением жидкости в брюшную полость;
  2. покраснение кожи (в случае, если воспаление яичек является причиной гидроцеле), которая становится горячей на ощупь.
  3. боль в районе мошонки;

Жидкость может иметь различную природу:

  • Следствие рецидива после оперативных вмешательств по поводу грыжесечения (пахово-мошоночной и паховой) грыж и варикоцеле.
  • Кровь
  • Транссудат — выпот лимфы в полости яичек (жидкость имеет не воспалительный характер)
  • Экссудат (гной)

Примечательно, что заболевание не доставляет ребенку практически никакого дискомфорта. Обычная причина похода к врачу — обнаружение родителями увеличенного размера яичка. Очень часто водянка яичка обнаруживается врачом при плановом осмотре малыша в поликлинике.

При травматической водянке появляются болезненные ощущения, а при инфекционной — повышается температура тела, возникает тяжесть в паховой области.

Причины гидроцеле и способы его диагностики

При лечении любого заболевания очень важно понимать причины его возникновения. Ведь в основном лечение направляется на их устранение. При водянке это:

  • Осложнение после других заболеваний (уреаплазмоза, микоплазмоза, хламидиоза и других);
  • Нарушение баланса между выработкой и всасыванием серозной жидкости;
  • Орхоэпидидимит (воспаление яичка и его придатков);
  • Тяжелая сердечная недостаточность;
  • Осложнение после операций;
  • Травмы мошонки

Крипторхизм у ребенкаВы знаете что такое крипторхизм у детей? Возможно вы не обнаружили у своего сына одного яичка в мошонке и подняли тревогу. Узнайте все о том, когда в нормальных условиях должны опускаться яички у мальчиков.

У вашего малыша часто случается насморк? Здесь мы опубликовали советы по выбору лучших капель для носа.

Диагностика гидроцеле в себя включает:

Схема гидроцеле

  1. прощупывание и осмотр внешних половых органов;
  2. ультразвуковое исследование мошонки;
  3. диафаноскопия (просвечивание органов мошонки особым источником света);
  4. дополнительные методы (в отдельных случаях)

Основываясь на данных такой диагностики, квалифицированным специалистом ставится диагноз и при необходимости назначается адекватное лечение.

Терапия в действии

Лечение болезни у детей зависит от формы водянки. У новорожденных, при сообщающейся форме заболевания лечение не требуется. Необходимо лишь постоянное наблюдение у врача (уролога).

Чаще всего происходит самоизлечение этого недуга. Если к двум годам водянка не проходит самотеком, то потребуется операция. В случаях, если гидроцеле совмещается с грыжей (паховой или пахово-мошоночной), операцию проводят в возрасте от одного до двух лет.

При травматической водянке для устранения боли и отека применяются нестероидные противовоспалительные средства: Диклофенак, Доларен, Долар, Фаниган, Ибупром Макс, Нурофен, Кетопрофен, Апонил, Диклак, Наклофен, Олфен, Мовалис и прочие. В случае, если после трех месяцев лечения гидроцеле не проходит, то делается операция.

При инфекционной водянке яичка назначается медикаментозное лечение. Для удаления боли и отека применяются нестероидные противовоспалительные средства (ранее о них упоминалось), для борьбы с инфекцией — противовирусные лекарства или антибиотики.
Антибиотики: Абактал, Ципрофлоксацин, Доксибене, Флемоксин, Аугментин, Роксид, Полимик, Ципринол.

Важно ни в коем случае не заниматься самолечением, а следовать исключительно советам и показаниям вашего лечащего врача!

Операция водянки яичек

Фото операции гидроцелеНаиболее эффективным методом лечения этого заболевания является операция (происходит иссечение оболочек яичка).

Послеоперационный период обычно не доставляет особенных хлопот при соблюдении некоторых рекомендаций. К примеру, стоит избегать давления в брюшной полости. Рекомендуется применять слабительные средства до 5 дней. Иначе могут возникнуть гематомы в области паха и мошонки.

Советы по уходу за малышом после операции:

  • Строго запрещено купать ребенка на протяжении семи дней после оперативного вмешательства.
  • После смены подгузника шов необходимо обрабатывать антисептиком (Хлоргекседином, Бетадином и другими).
  • При наличии болезненных ощущений в области мошонки рекомендуется применять обезболивающие средства (Парацетамол, Ибупрофен и прочие).
  • Нет необходимости ограничивать подвижность (при отсутствии дополнительных рекомендаций врача) ребенка, однако школьники освобождаются от занятий физкультуры на 30 дней
  • Через месяц нужно посетить врача для осмотра.

Осложнения, последствия и профилактика болезни

Профилактика водянкиОсложнения встречаются очень редко. Наиболее частые последствия после операции:

  1. Рецидив гидроцеле (повторное развитие водянки)
  2. Деформация (изменение внешнего вида) мошонки
  3. Бесплодие, которое развивается в случаях повреждения семявыносящих каналов.

Профилактика гидроцеле возможна. Всем известно, что болезнь лучше предупредить, чем лечить, поэтому чтобы избежать образования водянки яичек необходимо избегать инфекционных заболеваний и беречь мошонку от любых травм.

Итоги

Нет ничего хуже, когда болеет ребенок, но строгое соблюдение рекомендаций врача всегда способствует скорейшему выздоровлению вашего чада. Растите большими и здоровенькими!

Видео

Короткий ролик, рассказывающий о симптомах, причинах и лечении гидроцеле:


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