{"id":1364,"date":"2026-04-09T13:49:29","date_gmt":"2026-04-09T13:49:29","guid":{"rendered":"https:\/\/darkcyan-pheasant-754087.hostingersite.com\/?page_id=1364"},"modified":"2026-04-11T13:51:53","modified_gmt":"2026-04-11T13:51:53","slug":"lapsen-laskeutumattoman-kiveksen-korjausleikkaus","status":"publish","type":"page","link":"https:\/\/lastenkirurgia.fi\/sv\/lapsen-laskeutumattoman-kiveksen-korjausleikkaus\/","title":{"rendered":"Kirurgi f\u00f6r att korrigera en icke-nedstigen testikel hos ett barn"},"content":{"rendered":"<div data-elementor-type=\"wp-page\" data-elementor-id=\"1364\" class=\"elementor elementor-1364\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-21515e0 e-flex e-con-boxed e-con e-parent\" data-id=\"21515e0\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-68ab2d7 elementor-widget elementor-widget-text-editor\" data-id=\"68ab2d7\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h2 data-path-to-node=\"2\">Lapsen laskeutumaton kives \u2013 tietoa ja hoitopolku<\/h2><p data-path-to-node=\"3\">Poikalapsen kivekset laskeutuvat yleens\u00e4 kivespussiin siki\u00f6aikana, mutta joskus toinen tai molemmat kivekset j\u00e4\u00e4v\u00e4t matkan varrelle. Kivesten tulisi olla laskeutunut <b data-path-to-node=\"3\" data-index-in-node=\"167\">6 kuukauden ik\u00e4\u00e4n menness\u00e4<\/b>.<\/p><h3 data-path-to-node=\"4\">Hyppiv\u00e4 kives on normaali ilmi\u00f6<\/h3><p data-path-to-node=\"5\">Monilla lapsilla esiintyy niin sanottu <b data-path-to-node=\"5\" data-index-in-node=\"39\">hyppiv\u00e4 kives<\/b> (testis saltan<i data-path-to-node=\"5\" data-index-in-node=\"54\">s<\/i>). T\u00e4m\u00e4 on t\u00e4ysin normaali fysiologinen ilmi\u00f6, joka johtuu vilkkaasta kiveskohottajalihaksesta.<\/p><ul data-path-to-node=\"6\"><li><p data-path-to-node=\"6,0,0\">Jos kives nousee v\u00e4lill\u00e4 yl\u00f6s, mutta se saadaan l\u00e4\u00e4k\u00e4rin tutkimuksessa vedetty\u00e4 helposti kivespussiin, tilanne on normaali. Kotona kiveksi\u00e4 ei kannata alkaa vetelem\u00e4\u00e4n.<\/p><\/li><li><p data-path-to-node=\"6,1,0\">Hyv\u00e4 merkki on my\u00f6s se, jos kives n\u00e4kyy kivespussissa lapsen ollessa rentoutunut, esimerkiksi <b data-path-to-node=\"6,1,0\" data-index-in-node=\"94\">l\u00e4mpim\u00e4ss\u00e4 kylvyss\u00e4 tai saunassa<\/b>. T\u00e4ll\u00f6in leikkaushoitoa ei tarvita.<\/p><\/li><\/ul><h3 data-path-to-node=\"7\">Milloin tarvitaan tutkimuksia?<\/h3><p data-path-to-node=\"8\">Jos kives ei laskeudu l\u00e4mm\u00f6ss\u00e4k\u00e4\u00e4n, tarvitaan l\u00e4\u00e4k\u00e4rin arviota. Hoitopolku riippuu kiveksen sijainnista:<\/p><ol start=\"1\" data-path-to-node=\"9\"><li><p data-path-to-node=\"9,0,0\"><b data-path-to-node=\"9,0,0\" data-index-in-node=\"0\">Kives tuntuu nivusessa:<\/b> L\u00e4\u00e4k\u00e4ri tuntee kiveksen nivuskanavassa tai kivespussin yl\u00e4puolella, mutta se ei ole vedett\u00e4viss\u00e4 pussiin. T\u00e4m\u00e4 hoidetaan rutiininomaisella leikkauksella.<\/p><\/li><li><p data-path-to-node=\"9,1,0\"><b data-path-to-node=\"9,1,0\" data-index-in-node=\"0\">Kivest\u00e4 ei tunnu lainkaan:<\/b> Jos kives ei ole k\u00e4sin tunnusteltavissa, tehd\u00e4\u00e4n useimmiten <b data-path-to-node=\"9,1,0\" data-index-in-node=\"87\">ultra\u00e4\u00e4nitutkimus<\/b>.<\/p><\/li><li><p data-path-to-node=\"9,2,0\"><b data-path-to-node=\"9,2,0\" data-index-in-node=\"0\">Kivest\u00e4 ei l\u00f6ydy ultra\u00e4\u00e4nell\u00e4:<\/b> T\u00e4ll\u00f6in tehd\u00e4\u00e4n <b data-path-to-node=\"9,2,0\" data-index-in-node=\"47\">laparoskopia<\/b> eli vatsaontelon t\u00e4hystys. T\u00e4hystyksess\u00e4 selvitet\u00e4\u00e4n, onko kives vatsaontelossa vai onko se surkastunut pois.<\/p><\/li><\/ol><hr data-path-to-node=\"10\" \/><h3 data-path-to-node=\"11\">Hoito: Kiveksen palauttaminen leikkauksella kivespussiin<\/h3><p data-path-to-node=\"12\">Laskeutumaton kives hoidetaan nukutuksessa teht\u00e4v\u00e4ll\u00e4 leikkauksella, jotta kives saadaan sille optimaaliseen, viile\u00e4mp\u00e4\u00e4n l\u00e4mp\u00f6tilaan.<\/p><h4 data-path-to-node=\"13\">A. P\u00e4iv\u00e4kirurginen leikkaus (kives nivusessa)<\/h4><ul data-path-to-node=\"14\"><li><p data-path-to-node=\"14,0,0\"><b data-path-to-node=\"14,0,0\" data-index-in-node=\"0\">Toimenpide:<\/b> Tehd\u00e4\u00e4n kaksi pient\u00e4 viiltoa \u2013 toinen nivuseen ja toinen kivespussiin. Poistetaan kiveksen verisuonten ja siementiehyen ymp\u00e4rilt\u00e4 kirist\u00e4v\u00e4\u00e4 kudosta, jolloin piuhoille saadaan lis\u00e4\u00e4 pituutta.<\/p><\/li><li><p data-path-to-node=\"14,1,0\"><b data-path-to-node=\"14,1,0\" data-index-in-node=\"0\">Kesto:<\/b> Leikkaus kest\u00e4\u00e4 noin <b data-path-to-node=\"14,1,0\" data-index-in-node=\"28\">30 minuuttia<\/b>.<\/p><\/li><li><p data-path-to-node=\"14,2,0\"><b data-path-to-node=\"14,2,0\" data-index-in-node=\"0\">Kotiinpaluu:<\/b> Lapsi p\u00e4\u00e4see kotiin samana p\u00e4iv\u00e4n\u00e4.<\/p><\/li><\/ul><h4 data-path-to-node=\"15\">B. Vatsaontelossa sijaitseva kives (Kaksivaiheinen hoito)<\/h4><p data-path-to-node=\"16\">Jos kives on vatsaontelossa, hoito vaatii kaksi vaihetta verenkierron turvaamiseksi:<\/p><ol start=\"1\" data-path-to-node=\"17\"><li><p data-path-to-node=\"17,0,0\"><b data-path-to-node=\"17,0,0\" data-index-in-node=\"0\">1. vaihe:<\/b> Katkaistaan kiveksen kirist\u00e4v\u00e4 verisuoni. T\u00e4m\u00e4n j\u00e4lkeen odotetaan <b data-path-to-node=\"17,0,0\" data-index-in-node=\"76\">6 kuukautta<\/b>, jotta ymp\u00e4r\u00f6iv\u00e4 korvaava verenkierto vahvistuu.<\/p><\/li><li><p data-path-to-node=\"17,1,0\"><b data-path-to-node=\"17,1,0\" data-index-in-node=\"0\">2. vaihe:<\/b> Tehd\u00e4\u00e4n toinen leikkaus, jossa kives tuodaan kivespussiin vahvistuneen verenkierron varassa.<\/p><\/li><\/ol><hr data-path-to-node=\"18\" \/><h3 data-path-to-node=\"19\">Toipuminen kotona<\/h3><ul data-path-to-node=\"20\"><li><p data-path-to-node=\"20,0,0\"><b data-path-to-node=\"20,0,0\" data-index-in-node=\"0\">Sm\u00e4rtlindring:<\/b> S\u00e4\u00e4nn\u00f6llinen kipul\u00e4\u00e4kitys (parasetamoli\/ibuprofeeni) ensimm\u00e4isin\u00e4 p\u00e4ivin\u00e4.<\/p><\/li><li><p data-path-to-node=\"20,1,0\"><b data-path-to-node=\"20,1,0\" data-index-in-node=\"0\">Haavat:<\/b> Viillot suljetaan yleens\u00e4 sulavilla ompeleilla, jotka h\u00e4vi\u00e4v\u00e4t itsest\u00e4\u00e4n.<\/p><\/li><li><p data-path-to-node=\"20,2,0\"><b data-path-to-node=\"20,2,0\" data-index-in-node=\"0\">Trammels:<\/b> Liikuntaa, urheilua ja uintia tulee v\u00e4ltt\u00e4\u00e4 yleens\u00e4 <b data-path-to-node=\"20,2,0\" data-index-in-node=\"65\">noin 1-2 viikkoa i\u00e4st\u00e4 riippuen<\/b>.<\/p><\/li><li><p data-path-to-node=\"20,3,0\"><b data-path-to-node=\"20,3,0\" data-index-in-node=\"0\">Paluu arkeen:<\/b> Kouluun tai p\u00e4iv\u00e4kotiin voi palata yleens\u00e4 muutaman p\u00e4iv\u00e4n kuluttua vointinsa mukaan.<\/p><\/li><\/ul><p>Terveyskyl\u00e4n linkki<\/p><p><a href=\"https:\/\/www.terveyskyla.fi\/lastentalo\/tietoa-lasten-sairauksista\/lasten-ja-nuorten-urologia\/laskeutumaton-kives\" target=\"_blank\" rel=\"noopener\">https:\/\/www.terveyskyla.fi\/lastentalo\/tietoa-lasten-sairauksista\/lasten-ja-nuorten-urologia\/laskeutumaton-kives<\/a><\/p><p>\u00a0<\/p><p>\u00a0<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"<p>Lapsen laskeutumaton kives \u2013 tietoa ja hoitopolku Poikalapsen kivekset laskeutuvat yleens\u00e4 kivespussiin siki\u00f6aikana, mutta joskus toinen tai molemmat kivekset j\u00e4\u00e4v\u00e4t matkan varrelle. Kivesten tulisi olla laskeutunut 6 kuukauden ik\u00e4\u00e4n menness\u00e4. Hyppiv\u00e4 kives on normaali ilmi\u00f6 Monilla lapsilla esiintyy niin sanottu hyppiv\u00e4 kives (testis saltans). T\u00e4m\u00e4 on t\u00e4ysin normaali fysiologinen ilmi\u00f6, joka johtuu vilkkaasta kiveskohottajalihaksesta. Jos [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_angie_page":false,"site-sidebar-layout":"no-sidebar","site-content-layout":"page-builder","ast-site-content-layout":"full-width-container","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"disabled","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"class_list":["post-1364","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/lastenkirurgia.fi\/sv\/wp-json\/wp\/v2\/pages\/1364","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/lastenkirurgia.fi\/sv\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/lastenkirurgia.fi\/sv\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/lastenkirurgia.fi\/sv\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/lastenkirurgia.fi\/sv\/wp-json\/wp\/v2\/comments?post=1364"}],"version-history":[{"count":4,"href":"https:\/\/lastenkirurgia.fi\/sv\/wp-json\/wp\/v2\/pages\/1364\/revisions"}],"predecessor-version":[{"id":1577,"href":"https:\/\/lastenkirurgia.fi\/sv\/wp-json\/wp\/v2\/pages\/1364\/revisions\/1577"}],"wp:attachment":[{"href":"https:\/\/lastenkirurgia.fi\/sv\/wp-json\/wp\/v2\/media?parent=1364"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}