Indlala kaCowper

Indlala kaCowper

Izindlala zeCowper, Méry-Cowper, noma ze-bulbo-urethal ziyingxenye yohlelo lokuzala lwabesilisa futhi zibandakanyeka ekwakhekeni kwesidoda.

Ukuma kanye nokwakheka kwendlala kaCowper

Isikhundla. Ngisho nezindlala, izindlala ze-Cowper zimi nhlangothi zombili zomugqa ophakathi nendawo, ngaphansi kwe-prostate nangaphezulu kwe-bulb yomthondo, okwenza impande nengxenye yomthondo evuvukele (2) (3).

Ukwakheka. Njengengxenye yezindlala ezisetshenziswayo zesistimu yokuzala yabesilisa, izindlala ze-Cowper ngayinye inomgudu wokuphuma. Umbhobho ngamunye udlulela kusibani somthondo ukuze uhlangane ne-urethra eyisiponji (2). Usayizi wepea, indlala ngayinye yakhiwe ngama-alveoli enwetshiwe ngama-tubules anamagatsha, ahlangana ndawonye ngama-lobules. Wonke ama-lobules enza kube nokwenzeka ukwakha imisele ye-Cowper.

I-Vascularization ne-innervation. Izindlala zikaCowper zihlinzekwa ngumthambo we-bulbar futhi zivuselelwa yi-bulbo-urethral nerve, igatsha lokugcina le-perineal nerve (1).

umzimba

Iqhaza ekukhiqizeni isidoda. Izindlala zikaCowper ziyabandakanyeka ekukhiqizeni uketshezi lwesisu (1). Lolu ketshezi luyingxenye enkulu yesidoda futhi luqukethe izakhi ezidingekayo ukuze zondle futhi zithuthe isidoda ngesikhathi sokuqhanyelwa (3). Ikakhulu, ivumela ukulethwa okufanele kwesidoda ku-oocyte.

Indima yokuzivikela komzimba. Izindlala zeCowper zinamaseli athile amasosha omzimba. Lokhu kudlala indima ekuvikeleni amasosha omzimba epheshana elingezansi lobulili (1). 

I-Pathologies ehlobene ne-Cowper's gland

I-Syringocèle. I-Congenital noma etholiwe, le pathology ihambisana nokunwetshwa kwemigudu ye-Cowper. Ambalwa amacala akhonjwe (1).

Izimila ze-Cowper's gland. Imvamisa, amangqamuzana e-tumor angakhula kwizindlala zikaCowper. Ezimila eziyingozi, izakhiwo eziseduze, njengemisipha, nazo zingathinteka. Izimpawu zingabandakanya ukubonakala kwesigaxa, ubuhlungu, ubunzima bokuchama, noma ukuqunjelwa (1).

I-Cowperite calculause. ILithiasis noma amatshe angakhula ngaphakathi kwezindlala zikaCowper (1).

Ukwelashwa

Ukwelashwa. Ngokuya ngesifo esitholakele, kungabekwa imishanguzo ethile njengama-antibiotic.

Ukwelapha okuhlinzwa. Ngokuya nge-pathology etholakele kanye nokuvela kwayo, ukuhlinzwa kungenziwa. Endabeni yomdlavuza wezindlala ze-Cowper, kungase kukhishwe. Kungase futhi kuhambisane nokukhishwa kwe-prostate, kanye nezinye izitho ezingomakhelwane.

I-Chemotherapy, i-radiotherapy, i-hormone therapy, ukwelashwa okuqondisiwe. Ngokuya ngohlobo nesigaba sesimila, ukwelashwa ngamakhemikhali, ukwelashwa ngemisebe, ukwelapha ngamahomoni noma ukwelapha okuhlosiwe kungase kusetshenziselwe ukucekela phansi amangqamuzana omdlavuza.

Ukuhlola kanye nezivivinyo

Ukuhlolwa kwe-Proctological. Ukuhlolwa kwe-digital rectal kungenziwa ukuze kuhlolwe izindlala ze-Cowper.

Ukuhlolwa kwe-imaging yezokwelapha. Ukuze kutholwe noma kuqinisekiswe ukuxilongwa, ukuhlolwa okuthile kwezithombe zezokwelapha kungenziwa njenge-MRI yesisu-pelvic, noma i-ultrasound.

i-biopsy. Lokhu kuhlolwa kuqukethe isampula lamaseli avela endlala yesinye futhi kwenza kube nokwenzeka ikakhulukazi ukuthola ukuthi kukhona amangqamuzana esithumba.

Ukuhlolwa okungeziwe. Ukuhlolwa okungeziwe okufana nokuhlaziywa komchamo noma kwesidoda kungenziwa.

Okungokomfanekiso

Izindlala ze-Cowper, ezibuye ziqanjwe ngokuthi i-Mery-Cowper, ziqanjwe amagama azo kuma-anatomists amabili. Isazi somzimba waseFrance, uJean Mery, ngomlomo nangokokuqala ngqa, sichaze lezi zindlala ngonyaka we-1684 ngenkathi isazi somzimba saseNgilandi uWilliam Cowper senza ushicilelo lokuqala ngalezi zindlala ngo-1699 (1).

shiya impendulo