Hɛlo! Wo ho te sɛn? Ɛnnɛ yɛrebɛka asɛmti bi a ɛho hia nnipa pii, nanso ɛtɔ da bi a ɛyɛ aniwu kakra sɛ yɛbɛka ho asɛm, nanso akyinnye biara nni ho sɛ ɛfata sɛ yehu. Ɛne sɛ,
mmadwoa , a ɛyɛ ɔbarima awo nhyehyɛe no fã a ɛho hia yiye no. Ebia woate sɛ nnipa binom frɛ eyinom "balls" ne "nuts". Enti, ma yɛnhwɛ nea eyinom yɛ, nea wɔyɛ, ne ɔhaw ahorow a ebetumi asɔre.
Dɛn ne saa mmadwoa yi? Dɛn na wɔyɛ?
Sɛ yɛbɛka no tiawa a, awotwaa no yɛ ntini abien a ɛte sɛ nkesua wɔ ɔbarima nipadua no mu. Mpɛn pii no, ɔbarima biara wɔ mmadwoa abien. Wɔsan frɛ eyinom "testicles". Yɛfrɛ awotwaa baako `(Testis)` na yɛfrɛ abien no nyinaa `(Testis)`. Okay, afei momma yɛnhwɛ nea ɛyɛ eyinom dwumadi atitiriw. 1.
Nkwaboaa a wɔyɛ: Wɔyɛ mmarima aba, kyerɛ sɛ, mmadwoa a ehia na ama wɔatumi ayɛ abofra no, wɔ saa mmadwoa yi mu. Yɛfrɛ saa adeyɛ yi `(Spermatogenesis)`. 2.
Hormone a wɔyɛ: Hormone titiriw a ɛhwɛ mmarima nna mu su so, `(
Testosterone ),` nso, saa mmadwoa yi na ɛyɛ.
So wubetumi akyerɛkyerɛ sɛnea wɔyɛ mmadwoa no mu kakra?
Eyi yɛ adeyɛ a ɛyɛ nwonwa yiye. So wunim sɛ ɛsɛ sɛ awotwaa no yɛ
nwini kakra sen yɛn nipadua no fã a aka no? Mpɛn pii no, ɛba fam bɛyɛ digrii Celsius abien sen yɛn nipadua mu hyew. Saa ɔhyew a ɛyɛ nwini yi ho hia na ama mmadwoa anyin yiye. Wɔ awotwaa mu no, ntini a ɛyɛ fɛ yiye pii a wɔfrɛ no
seminiferous tubules . Fa no sɛ, nsukorade a ɛte saa bɛyɛ 700 na ɛwɔ awotwaa biako mu! Wɔ saa nsukorabea yi mu no, mmadwoa nkwammoaa a wɔnnyinii no nya aduannuru ne mogya a ɛho hia na wɔde nkakrankakra nyin. Wɔ saa kwan yi so no, egye bɛyɛ nnafua 74 ansa na mmadwoa anyin koraa. Afei, wɔpia saa mmadwoa a ɛho akokwaw yi kɔ ntini foforo a wɔfrɛ no epididymis a ɛnam awotwaa no akyi no mu. Efi hɔ no, mmadwoa no fi nipadua no mu sɛ mmadwoa fa ɔbarima no akyi, fa afiri bi a wɔfrɛ no vas deferens so.
Nkwammoaa bɛn na mmadwoa no yɛ?
Sɛnea yɛadi kan aka no, hormone titiriw a mmadwoa no yɛ ne testosterone. Saa hormone yi na ɛma mmarima nya nne a emu dɔ, ntini a ɛyɛ den, ne nipadua mu nhwi. Nkwammoaa soronko bi a wɔfrɛ no Leydig nkwammoaa a ɛwɔ awotwaa mu no na ɛyɛ. Wɔ testosterone akyi no, hormone afoforo pii a ɛho hia na awotwaa no yɛ:
- (Inhibin B): Protein yi dodow ne mmadwoa dodow ne mmadwoa dodow a ɛwɔ mpanyimfo mu no wɔ abusuabɔ.
- (Anti-Mullerian hormone - AMH): Saa hormone yi ho hia yiye ma mmarima awo nhyehyɛe no mu akwaa ahorow no nkɔso.
- (Insulin-like factor 3 - INSL3): Saa hormone yi boa ma mmadwoa no sian fi yafunu no mu kɔ awotwaa no mu na ɛkɔ so nyin wɔ hɔ.
- ( Estradiol ): Eyi nso yɛ hormone a ɛho hia ma mmadwoa a wɔyɛ no.
Ɛhe na mmadwoa no wɔ?
Nkwammoaa no wɔ ɔbarima no akyi, wɔ beae bi a ɛte sɛ kotoku a wɔde honam ani ayɛ. Wɔfrɛ eyi sɛ
awotwaa . Mpɛn pii no, awotwaa biako wɔ ɔbarima no akyi nifa na biako nso wɔ benkum so. Wɔde hama bi a wɔfrɛ no spermatic cord na ɛka saa mmadwoa yi bata nipadua no mu. Ntini, mogya ntini, ne vas deferens a ɛde mmadwoa fa ɔbarima no akyi no na ɛwɔ saa hama yi mu.
Nkwammoaa no te dɛn na ne kɛse te dɛn?
Nkwaboaa no wɔ awotwaa no mu, enti wontumi nhu no tẽẽ. Nanso wotumi hu wɔn nsusuwii fi akyi, na yetumi de yɛn nsa te nka. Ebinom ka wɔn ho asɛm sɛ wɔte sɛ ngodua akɛse, nkesua nketewa, anaa walnut. Sɛ ɛba kɛseyɛ so a,
wɔanhyɛ kɛse biara. Nokwarem no, ebia wo mmadwoa biako bɛyɛ kɛse kakra asen foforo no. Ebia biako bɛba fam kakra asen ɔfoforo no. Eyi yɛ ade a ɛfata. Ɔpanyin mmadwoa betumi ayɛ mililita 15 (bɛyɛ nsateakwaa fã) kosi mililita 35 (bɛyɛ nsateakwaa 1.5) anaa nea ɛboro saa. Sɛ yɛde toto ho foforo a, wobetumi afi anomaa nkesua kɛse so akosi akokɔ nkesua ketewaa bi kɛse so.
Dɛn ne nyarewa ne ɔhaw ahorow a ɛtaa ba a ɛka mmadwoa no?
Wɔtaa hu awotwaa mu nyarewa wɔ mmofra nkumaa mu, nanso ɛnyɛ ne nyinaa na ɛte saa. Mpanyimfo nso betumi anya ɔhaw ahorow a ɛfa ho yi. Tebea horow a ɛtete saa no bi ni:
- Hypogonadism: Sɛ mmadwoa no ntumi nyɛ hormone a ɛdɔɔso.
- Klinefelter syndrome: Eyi yɛ awosu mu tebea. Ɛba bere a wɔwo obi a ɔwɔ X chromosome abien ne Y chromosome biako.
- Awo a wontumi nwo: Eyi kyerɛ sɛ wontumi nyinsɛn ɔhokafo. Eyi betumi aba esiane sɛ mmadwoa no ntumi mma mmadwoa koraa, ntumi mma nea ɛdɔɔso, anaasɛ entumi nyi mmadwoa a ɛba no mfi hɔ nti.
- ( Cryptorchidism ): Wɔsan frɛ eyi sɛ “nkwaboaa a ɛnsiane.” Eyi kyerɛ sɛ mmadwoa no nsian nkɔ awotwaa no mu wɔ bere a ɛfata mu.
- ( Epididymitis ): Ɔfe bi a ɛwɔ ntini a wɔfrɛ no `(Epididymis)` a yɛadi kan aka ho asɛm no mu.
- Spermatocele: Nsuo a ɛyɛ kurukuruwa a ɛba awotwaa bi atifi anaa akyi.
- (Testicular torsion): Eyi yɛ aduruyɛ mu asɛm a egye ntɛmpɛ a anibere wom yiye!Eyi ba bere a awotwaa bi twitwiw mpofirim na mogya a ɛkɔ mu no twa mu no. Sɛ eyi ba a, ɛsɛ sɛ wohwehwɛ aduruyɛfo afotu ntɛm ara.
- Testicular cancer: Eyi ne kokoram a ɛtaa ba mmarima a wɔadi fi mfe 20 kosi 35 mu.
Nea ɛka ho no,
nipadua mu opira te sɛ kar akwanhyia, asehwe, anaa ntɔkwaw nso betumi asɛe mmadwoa no.
Dɛn ne sɛnkyerɛnne ahorow a ɛtaa ba wɔ awotwaa mu nyarewa ho?
Sɛ wowɔ saa sɛnkyerɛnne yi bi a, ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn ntɛm ara:
- Ɛyaw a ɛba awotwaa ne/anaasɛ awotwaa mu.
- Akuru anaasɛ ɛho ahonhon wɔ awotwaa mu.
- Nsakrae a ɛba awotwaa no honam ani kɔla mu.
- Ɔhyew a ɛyɛ soronko a wobɛte nka wɔ saa beae no.
- Mogya a ɛwɔ mmadwoa mu.
- Yafunu ase yaw.
Nea ɛho hia: Sɛ wowɔ saa sɛnkyerɛnne ahorow yi mu biako anaa abien mpo a, mmu w’ani ngu so. Ɛyɛ papa sɛ wobɛkɔ oduruyɛfo nkyɛn ntɛm ara akɔhwehwɛ afotu.
Dɛn ne nhwehwɛmu ahorow a wɔtaa yɛ de hwɛ sɛnea mmadwoa no te yiye?
Sɛ wokɔ oduruyɛfo nkyɛn a, obedi kan abisa w’ayaresa ho abakɔsɛm ne mprempren sɛnkyerɛnne ahorow ho asɛm. Afei, obegyina nea osusuw sɛ ɛno na ɛde ba no so bɛhyɛ sɛ wɔnyɛ nhwehwɛmu. Ebia eyinom bi ne:
- Nipadua mu nhwehwɛmu a wɔyɛ wɔ awotwaa mu.
- Mogya mu nhwehwɛmu de hwɛ sɛnea hormone dodow te.
- Nsu mu nhwehwɛmu de hwɛ sɛ ɔyare mmoawa anaa nyarewa afoforo wɔ hɔ anaa.
- Hann sɔhwɛ a wɔde kyerɛ nsonsonoe a ɛda akuru a ɛyɛ den ne akisikuru a nsu ahyɛ mu ma ntam.
- Ultrasound scan a wɔde hwɛ awotwaa ne awotwaa mu de hwɛ sɛ akisikuru bi wɔ hɔ anaa.
Dɛn ne ayaresa a wɔtaa de sa awotwaa mu nyarewa?
Oduruyɛfo no de ayaresa ahorow di dwuma ma awotwaa mu nyarewa. Ayaresa no betumi ayɛ soronko a egyina tebea no so. Nhwɛsoɔ:
- Wɔn ho a wobɛhwɛ: Nnuru a wɔde ma ɛyaw a wɔtɔn a wɔmfa nnuru nhyɛ mu, nsukyenee a wode bɛpetepete so na ama ɔfe no so atew, anaasɛ wobɛhyɛ awotwaa mu ade a ɛboa.
- Nnuru: Nneɛma te sɛ nnuru a ekum ɔyare mmoawa anaa testosterone a wɔde ma.
- Oprehyɛn: Nkwammoaa a ɛnsiane, orchiopexy, oprehyɛn a wɔyɛ de siesie awotwaa a wɔakyinkyim, oprehyɛn a wɔde yi akisikuru a ɛnyɛ hu anaa kokoram fi hɔ.
- Mframa a wɔde sa yare.
- Nnuru a wɔde sa yare.
Mɛyɛ dɛn atumi ama me mmadwoa ayɛ yiye?
Di afotu yi akyi na ama wo mmadwoa ayɛ yiye:
- Ahobammɔ a wɔde hyɛ:Sɛ wobɔ agumadi anaasɛ wode wo ho hyɛ dwumadi afoforo a emu yɛ den mu a, hyɛ agumadi akyigyinafo/jockstrap de bɔ wo awotwaa ho ban. Eyi betumi aboa ma asiane a ɛwɔ hɔ sɛ akwanhyia mu opira no so atew.
- Ma wo ho tew: Hohoro wo nipadua yiye na hyɛ ntade ase ne ntade a ɛho tew.
- Fa nna a ahobammɔ wom di dwuma: Eyi betumi abɔ wo ho ban afi nna mu nyarewa ho.
- Hwɛ wo mmadwoa mu daa: Ɛsɛ sɛ wunya sɛnea ɛte, sɛnea ɛte, ne sɛnea ɛte ho adwene pa. Sɛ wuhu biribi a ɛyɛ soronko, te sɛ akisikuru anaa ɔfe a, ma ɛhaw wo. Sɛ wuhu biribi a ɛyɛ soronko a, kɔ oduruyɛfo nkyɛn ntɛm ara.
Obi a onni awotwaa biako betumi awo ba?
Yiw, wubetumi. Sɛ wowɔ awotwaa biako mpo a, wubetumi ayɛ mmadwoa a ɛdɔɔso a ɛbɛma obi foforo anyinsɛn. Nanso, sɛ ɛsɛ sɛ oduruyɛfo yi wo mmadwoa abien no nyinaa esiane kokoram anaa akwanhyia a emu yɛ den nti a, wubetumi de mmadwoa a ayɛ nwini akɔto sikakorabea. Wubetumi de saa mmadwoa no awo ba akyiri yi.
Nea etwa to no, nneɛma a ɛsɛ sɛ wokae (Take-Home Message) .
Wo mmadwoa yɛ wo nipadua no afã horow a ɛho hia sen biara no mu biako. Wɔne wo nna ne wo awo wɔ abusuabɔ tẽẽ. Enti, ɛsɛ sɛ wunya sɛnea wɔte nka ne sɛnea wɔte bere a wɔwɔ apɔwmuden no ho ntease pa.
Sɛ wuhu nsakrae, akuru, ɛyaw, anaa ɔfe bi a, mmu w’ani ngu so. Mma w’ani nnwu anaa nsuro, kɔ oduruyɛfo nkyɛn ntɛm ara na hwehwɛ afotu.
Mewɔ anidaso sɛ saa nsɛm yi ho bɛba wo mfaso. Kɔ so nya apɔwmuden!
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