Zhang Tianyang was a little helpless.

The patient's family does not seem to have any knowledge of the boy's illness.

The 48-bed boy was admitted to the hospital last weekend.

According to the last description of the child's parents, Zhang Tianyang knew that the little boy's hydrocele had been discovered shortly after birth, and the doctor's advice at that time was to continue observation.

And now, the child is one and a half years old.

It stands to reason that for more than a year, the child's parents should have checked the basic information of this disease.

But now, they still look at themselves blankly, their eyes full of curiosity.

Sighing softly in his heart, Zhang Tianyang chose to explain the term "light transmission test" first.

"The light transmission test is the operation I just did. ”

Zhang Tianyang shook the mobile phone in his hand at the child's parents.

"The light transmission test refers to using the light of a flashlight to shine under the mass in a relatively dark environment, and then see if there is any light above the mass.

If the mass is filled with fluid, it will leak out, and it is most likely a hydrocele.

If it's something else solid, such as a tumor or something, it won't transmit light, so it's more troublesome. ”

"Oh~"

The child's father seemed to understand, nodded a little abruptly, and then rubbed his hands a little embarrassed.

"Doctor, is that synovium or a membrane effusion......

Get!

Zhang Tianyang held his forehead with his hand in his heart.

This family member can't even remember what kind of illness their child is!

"The synovium is synovium, the membrane vaginalis is the membrane vaginalis, and your child's this is called hydrocele ......"

Zhang Tianyang took out a small notebook, wrote down the words "hydrocele" stroke by stroke, and then tore off this page and handed it to the child's father.

"Don't finish the surgery at the end, I can't remember what the child's disease is......"

"Hehe, sorry, I misremembered. ”

The child's father grabbed his hair and began to laugh again, and then carefully stared at the four words written by Zhang Tianyang, whispering words in his mouth, as if he wanted to memorize them.

The child's mother also leaned over to look.

Zhang Tianyang felt helpless again.

He believed that a year ago, the doctor who treated the couple must have briefly told them about the disease.

He also believes that before this hospitalization, the outpatient doctor must have mentioned the name of the disease to them.

However, medicine is a highly specialized field, and what doctors say does not mean that patients can understand it.

A lot of times, it's because you know it, but you don't know why.

Or worse, I don't know what to do......

After all, the "synovium" is the thing in the joint, and the "membrane vaginalis" is the thing around the ball, so can it be the same!

It looks very different to doctors, and what would seem funny when mixed up may seem similar to what seems to patients.

After all, the synovium and the membrane vaginalis look alike!

Perhaps, this is the current situation of most patients, right?

Zhang Tianyang felt helpless at the same time, and there was nothing to do.

The popularization of medical knowledge is not something he can control, all he can do is try his best to popularize the patients in his hands.

"Well, I'll explain it to you. ”

He took out his notebook again and wrote down a few nouns.

"First of all, the problem of your child, hydrocele, refers to a cystic lesion caused by excessive fluid accumulation in the hydrocele. ”

It is estimated that the family members of this "** hydrocele cavity" may not know what it is, Zhang Tianyang paused, and took it out alone to explain.

"In the process of fetal development, ** will gradually descend from the abdominal cavity, and finally enter **, in this process, the descending ** will descend with two layers of peritoneum, and the gap between these two layers of membranes is the hydrocele cavity.

To put it simply, there are two layers of membranes around the human eggs, and there is a liquid bubble in the middle of the two membranes. ”

"The liquid between these two layers of membranes, in general, is produced and absorbed in balance, you can understand it as a swimming pool, one side of the water is in the water, and the water in the pool is always so much. ”

"Oh~ Understood!"

The child's father's face was full of the words "suddenly realized".

Zhang Tianyang's explanation is very easy to understand, which makes the father and mother of the child who have been troubled for a long time have a feeling of being sudden.

Subconsciously, the two of them sat down and listened carefully.

Zhang Tianyang nodded and continued to speak.

"But when this balance is disrupted, fluid absorption is impaired, and too much fluid accumulates, resulting in hydrocele.

Hydrocele in adults may be caused by various inflammations, trauma, or secondary diseases such as filariasis, schistosomiasis, syphilis, tuberculosis, and tumors. ”

"Long-term hydrocele may lead to compression of adjacent organs and even affect fertility, so it is necessary to come to the hospital for treatment. ”

"Ahh

The child's mother couldn't hold back and screamed, with fear and panic on her face.

"It can affect fertility!"

Children are the mother's heart, and when she heard that her son might have a problem, she immediately panicked.

Zhang Tianyang raised his hand slightly, signaling to be a little restless.

"Yes, that's a possibility, that's why I need surgery. Moreover, hydrocele is actually relatively common in children. ”

After appeasing the two parents, Zhang Tianyang continued to state.

"In clinical practice, it is common to encounter parents like you, and the chief complaint is that the child has three **. ”

"Unlike hydroceles in adults, hydroceles in children are more likely to be caused by unclosed or incomplete processes of the vaginal process during development.

When you first came to see the child, did the doctor ask the child to stand up and lie down again, and then observe the change in the size of the mass?

And then I found that there was no noticeable change, so I asked you to go home and observe?"

Faced with the question thrown by Zhang Tianyang, the two parents were stunned for a moment, but quickly extracted the information from their memory.

"Like, yes, doctor, how do you know?"

How do I know because it's a routine check-up......

Hydrocele is divided into communicative and non-communicative, and if the mass is not the same size as lying down, it is communicative.

Communicating hydrocele must be treated surgically, whereas noncommunicating hydrocele may heal spontaneously and is usually referred to home for observation.

But these things are pulled out, and it involves the classification of hydrocele, what ** hydrocele, spermatic cele, mixed hydrocele and the like.

Zhang Tianyang simply skipped it.

"Most children will slowly heal after the process of vaginalis closes, so when you first come to see it, the doctor's advice is to continue to observe. ”

"But some children have hydroceles that don't resolve on their own, which may be related to the child's lymphatic system retardation.

If the hydrocele does not improve significantly at about one year of age, surgery should be performed. ”

"I won't explain the specific procedure to you, it's complicated, but generally speaking, there is no problem after the operation, so don't worry too much. ”

Something like vaginal membrane reversal said that the other party probably didn't understand it very well, and Zhang Tianyang chose to skip it again.

After writing down a bunch of proper nouns in a small notebook, tear them off again and hand them to the child's father.

"You can look up these words on the Internet, and you can basically find out the illness of your child. ”

"Thank you, doctor!"

Looking at the neat handwriting on the paper, the child's mother looked very happy.

But the smile on the child's father's face is a little subtle and far-fetched.

Taking advantage of the child's mother coaxing the little boy to put on his pants again, the child's father mysteriously pulled Zhang Tianyang to the side.

"Doctor, the ......"

He rubbed his hands together with a smirk on his face.

"There's a question I want to ask......"

"Is he inherited this thing?"