ការរមួលក្រពើសត្វព្រៃ៖ ការសង្គ្រោះបន្ទាន់ខាងផ្លូវទឹកនោមគួរឱ្យខ្លាច

បានធ្វើបច្ចុប្បន្នភាពចុងក្រោយ៖ ខែ​ឧសភា 18, 2026

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Several cases of patients who faced the testicular torsion-suspected were referred to my office. The presentation of the symptom will commonly show the pain of the testicular. This topic we will discuss about the truth of the emergency urologic condition — រមួលពងស្វាស.

Not too much data on the testicular torsion incidence! It is considering that 1 among 4000 men who more likely younger than 25 years old experienced the testicular torsion annually. And it is rapidly to decreasing among aging. The mechanism of the torsion begins from the hyperactive of cremasteric reflex, the natural phenomenon when men experienced a cold environment and its scrotum become elevated up into the groin region. Normally this reflex releasing itself, but unfortunately it is happening when the reflex doesn’t disappear and become twisted, as sudden results it is prolonging and losing blood supply to the testicle. Remains the patients with this incident too long and the risk of testicular lost were reported.

ច្រើនណាស់ អក្សរសិល្ប៍ ព្យាយាមរកកត្តាកំណត់នៃការរមួលពងស្វាសហើយវាត្រូវបានបង្ហាញដូចខាងក្រោម៖

1. មនុស្សវ័យជំទង់
   • ភស្តុតាងទាំងអស់បានបញ្ជាក់ថាអាយុមុនពេលពេញវ័យមានរបាយការណ៍ច្រើនបំផុត
   • ការផលិតអរម៉ូនតេស្តូស្តេរ៉ូនយ៉ាងរហ័សក្នុងវ័យនេះអាចនឹងជម្រុញខ្លាំងទៅនឹងការឆ្លុះបញ្ច្រាស់របស់អ្នកបង្កើត។

2. ការខូចទ្រង់ទ្រាយរបស់កណ្ដឹង
   • ស្ថានភាពពីកំណើតដែលធ្វើឱ្យពងស្វាសរមួលបានស្រួល
   • ប្រជាជនចំនួន ១២១៩០១T ត្រូវបានរាយការណ៍ថាមានស្ថានភាពខូចទ្រង់ទ្រាយនេះ
3. អាកាសធាតុ​ត្រជាក់
   • របាយការណ៍ដ៏មហិមាមួយពីប្រទេសប្រេស៊ីលដែលបង្ហាញពីការរមួលពងស្វាសទំនងជាកើតឡើងនៅរដូវរងារហើយក៏មានការថយចុះនូវសំណើមផងដែរ
   • អាកាសធាតុកាន់តែត្រជាក់ការឆ្លុះបញ្ចាំងបែបច្នៃប្រឌិតកាន់តែច្រើនកើតឡើង

4. ប្រវត្តិគ្រួសារនៃការរមួលពងស្វាស
   • ទិន្នន័យដែលត្រូវបានបញ្ជាក់ទាក់ទងនឹងគ្រួសារត្រូវបានរាយការណ៍
   • ភាគច្រើននៅលើរមួលពងស្វាសទាំងពីរក្នុងពេលតែមួយ

The most common presentation of the symptom for testicular torsion is always single-side all sudden severe testicular pain without improving by any posture or any pain killer. The pain is so hard to describe and it makes patients couldn’t do anything and asked for someone to bringing them to the emergency unit. Once they meet urologist, a full medical history along with physical examination and proper imaging to confirm “No blood supply” on the affected testis will be taken.

The emergency surgical exploration of the scrotal sac must be done within 8 hours to releasing the twists testicle part before they are losing them. More than releasing of the blood supply, urologist must fix the testes and the scrotal walls to prevent the re-twist in the coming future. If you have any questions, please discuss with your trusted urologist or would be honor if you text ខ្ញុំ.

If you or someone you know has sudden, severe testicular pain, seek emergency care immediately. For non-emergency urological consultations, Dr. Soarawee Weerasopone is available at Bangkok Hospital Headquarters. កក់ការពិគ្រោះយោបល់.

Frequently Asked Questions about Testicular Torsion

What is testicular torsion?

Testicular torsion is a urologic emergency in which the spermatic cord twists and cuts off blood supply to the testicle. It most commonly affects males under 25 years old and requires urgent surgical treatment to save the affected testicle.

What are the symptoms of testicular torsion?

The hallmark symptom is a sudden onset of severe, one-sided scrotal pain that does not improve with rest or pain medication. Nausea, vomiting, and scrotal swelling may also occur. The pain is often so severe that the patient cannot walk normally and requires emergency care.

Who is at highest risk of testicular torsion?

Adolescent males are at the highest risk due to rapid hormonal changes that may over-stimulate the cremasteric reflex. Other risk factors include bell clapper deformity (a congenital anatomical variant), cold weather exposure, and a family history of testicular torsion.

How is testicular torsion treated?

Emergency surgical exploration of the scrotum is the only definitive treatment. The surgeon untwists the spermatic cord and, if the testicle is viable, fixes both testicles to the scrotal wall to prevent future torsion. Surgery must be performed within 6–8 hours of symptom onset to maximize the chance of saving the testicle.

What happens if testicular torsion is not treated quickly?

If blood supply is not restored within 6–8 hours, the testicle will suffer irreversible ischemic damage and may need to be surgically removed (orchiectomy). Early presentation and prompt surgical intervention are critical for preserving testicular function and fertility.

ការបដិសេធ៖ ខ្លឹមសារនេះត្រូវបានសរសេរ និងពិនិត្យដោយលោកវេជ្ជបណ្ឌិត Soarawee Weerasopone ដែលជាគ្រូពេទ្យឯកទេសខាងប្រព័ន្ធទឹកនោមដែលមានវិញ្ញាបនបត្រនៅទីស្នាក់ការកណ្តាលមន្ទីរពេទ្យបាងកក។ វាត្រូវបានបម្រុងទុកសម្រាប់គោលបំណងអប់រំតែប៉ុណ្ណោះ ហើយមិនមែនជាដំបូន្មានផ្នែកវេជ្ជសាស្ត្រទេ។ តែងតែពិគ្រោះជាមួយអ្នកជំនាញថែទាំសុខភាពដែលមានសមត្ថភាពមុនពេលចាប់ផ្តើមការព្យាបាលណាមួយឡើយ។.