1/3 of babies are diagnosed as infertile! Touch the child, is it empty here?

time:2022-10-02 05:36:11source:monlittlebaby.com author:Maternal-Child Nursing
1/3 of babies are diagnosed as infertile! Touch the child, is it empty here?

*For medical professionals to read and reference where did the disappearing "Eggs" go? To say this, it will make the mother's head big, especially if there is a baby boy at home, she must be confused about these conditions of the baby: Why is the baby's scrotum suddenly deflated? are you sick? When I was taking a bath, I couldn't touch the baby's balls. Where did it go? When the baby rides the scooter, will it grind the balls? Eggy disappears inexplicably from time to time, where can it go? hidden in the stomach. This is one condition that may occur in the baby - cryptorchidism. Eggy's travel When the baby is not born, the egg is not actually in the testicles, but in the abdominal cavity, and it will slowly "fall" until the middle and late pregnancy. It ends up in a cooler and softer place - the scrotum. The picture comes from the Internet, but due to the complicated journey, "Dandan" may get lost before reaching the destination, or stop halfway along the way. This results in an empty baby's scrotum, which may be unilateral or bilateral. If you squeeze it with your hands, there is nothing. At this time, the child may have cryptorchidism. 3% of full-term babies and 30% of preterm babies are born with eggs that do not descend to the scrotum. Fortunately, many babies can continue to complete the descent process after birth. However, with the growth of the child's age, the ability of the testis to descend on its own will become weaker and weaker. Basically, it will not descend after 4-6 months, and basically it will not descend. It needs to be corrected by surgery. Where did the missing balls go? ①Dandan really disappeared. For various reasons, the testis itself did not develop, or developed late ischemic necrosis. We call this situation "absence of testicles"; ② the egg exists, but we can't touch it, this may be because the egg "walks too slowly" when it descends, and it is still in the stomach when we look for it, Or it originally came down, but it returned to the stomach because of some magical power; the following two situations require further surgical identification: ③ You can touch the balls in the groin area, and you can squeeze them into the scrotum with your hands and let go After the egg can continue to stay in the scrotum (in this case, you can observe it first); ④ But if the egg runs away immediately after letting go, this also requires surgery; ⑤ The egg appears on the perineum and pubic bone Areas, femoral canals, etc. that deviate from the normal descent route, which also require surgical treatment. What happens if the cryptorchidism is not discovered in time? The reason why we need to detect and intervene early is because if left unchecked, there may be a series of complications. ▌ Inguinal Hernia About 90% of babies with cryptorchidism will have an inguinal hernia. ▌ Testicular torsion The current consensus of experts around the world is that if the cryptorchidism does not descend within 6 months, the testicle should be pulled down for a testicular descending fixation between 6-12 months. The picture comes from the Internet. Otherwise, because its position is not in the scrotum, the incidence of testicular torsion is very high. The testis is also a terminal vascular supply organ. Once the blood supply of the blood vessels is insufficient, the testis is prone to necrosis. The incidence of testicular torsion in cryptorchidism is 10 times that of normal testis. Therefore, cryptorchidism must be treated in time. ▌ Affects fertility We all know that the testicles can only get a good and healthy development in the scrotum. The testicles that cannot descend into the scrotum are often located in the inguinal canal or in the abdominal cavity. The temperature inside is relatively high, which affects the ability to produce sperm. Over time, even the seminiferous epithelial cells will degenerate, and when the child grows up, low sperm count and poor sperm quality are inevitable. Naturally affects fertility. ▌ Testicular cancer Cryptorchidism is directly related to testicular cancer. If many children with cryptorchidism are not treated in time, the risk of testicular cancer in adulthood is 40-80 times higher than that of the normal population. At the same time, spermatogonial carcinoma is a tumor with a very high degree of malignancy in testicular tumors, and once metastasized, the survival rate is extremely low. Does it have to be cryptorchidism if the balls are deflated? uncertain. Changes in temperature also "shrunk" sometimes, but they recover quickly. Many attentive mothers will find that when the baby has a cold and fever, or when taking a hot bath, the scrotum containing the balls will suffocate! What the hell is going on here? It's not because, with the task of producing sperm, it has to do this! The scrotum is like a small house, and sperm is particularly sensitive to temperature, preferring a temperature of around 34°C, but not too cold or too hot. Therefore, when the outside temperature or the baby's body temperature changes, Eggy will first perceive it, and some babies' eggs may indent into the body, and from the outside, only a layer of skin is left. This is a normal physiological reaction. After the temperature returns to normal, Eggy will return to normal. In this case, mothers don't need to worry too much~ However, if the baby's scrotum has been deflated, then go to the hospital to see , Is there cryptorchidism or other diseases? Will a fever burn the balls? of course not. Although, compared to other organs, the baby's eggs need a lower temperature living environment, but a fever is something that every child may experience. It is a normal symptom of the body's fight against diseases. It is impossible to injure the testicles with one fever. . And studies have shown that unless a fever above 42 degrees may damage the brain, the fever will not damage the body, including the testicles. And parents may find that when the baby has a fever, the skin of the scrotum will be very loose, and the testicles will appear more sagging, which is also conducive to heat dissipation. How did the doctor get Eggy back? If the parent finds that the child's "egg" has disappeared, it is recommended that we take the child to the hospital as soon as possible, and let a professional doctor help to check to confirm whether the child is cryptorchidism. For babies who have been diagnosed, surgery is recommended, which does not cause much harm to the child, and basically recovers within a week. Moreover, the European guidelines for pediatric urology recommend surgery at the latest at 18 months, preferably before 12 months. In short, for boys over 4 months old, parents can check the child's "Dandan", and if they find that the egg has disappeared, seek medical attention as soon as possible. If your doctor recommends surgery, do it as soon as possible. Source of this article: Pediatrician Bao Xiulan Review of this article: Mia Editor-in-Chief: Xiang Yu All the pediatric clinical knowledge doctor station apps you want to see 👇1. Scan the QR code below 2. 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