Hɛlo! Wo ho te sɛn? Ɛnnɛ yɛreka asɛm bi a ɛho hia ma nnipa pii ho asɛm, sɛ ɛtɔ mmere bi mpo a ebetumi ayɛ fɛre kakra sɛ wobɛka ho asɛm a. Ɛyɛ asɛmti a ɛsɛ sɛ wɔbɔ wo amanneɛ koraa: wo mmadwoa (anaasɛ wo mmadwoa), a ɛyɛ mmarima awo nhyehyɛe no fã titiriw. Ebia woate sɛ wɔde kasa mu din ahorow frɛ wɔn. Momma yɛnkɔ nea wɔyɛ, nea wɔyɛ, ne nneɛma a ɛhaw adwene a ɛsɛ sɛ wohwɛ yiye mu.
Dɛn ne mmadwoa na dɛn ne wɔn dwumadi?
Sɛ yɛbɛka no tiawa a, awotwaa yɛ ntini abien a ɛte sɛ kurukuruwa a ɛwɔ ɔbarima nipadua mu. Mpɛn pii no, ɔbarima biara wɔ mmadwoa abien. Wɔfrɛ awotwaa biako "awotwaa," bere a wɔfrɛ abien no nyinaa sɛ "awotwaa."
Momma yɛnhwɛ wɔn dwumadi atitiriw abien:
1. Nkwaboaa a Wɔyɛ: Wɔyɛ mmarima awo nkwammoaa anaa mmadwoa wɔ awotwaa no mu. Wɔfrɛ saa adeyɛ a ɛyɛ den yi sɛ spermatogenesis .
2. Hormone a Wɔyɛ: Nkwammoaa no nso na ɛma testosterone , hormone titiriw a ɛhwɛ mmarima nipadua su so.
Ɔkwan bɛn so na wɔbɔ mmadwoa?
Ɛyɛ adeyɛ a ɛyɛ nwonwa ankasa. So wunim sɛ ɛsɛ sɛ wo mmadwoa no yɛ nwini kakra sen wo nipadua no fã a aka no? Wɔyɛ adwuma yiye wɔ ɔhyew a ɛba fam bɛyɛ digrii Celsius abien sen wo nipadua mu hyew titiriw no mu. Saa tebea a ɛyɛ nwini yi ho hia na ama mmadwoa anyin yiye.
Wɔ awotwaa biara mu no, ntini nketenkete pii wɔ hɔ a wɔfrɛ no seminiferous tubules . Susuw eyi ho hwɛ: nsukorade a wɔabɔ no akuturuku yi bɛyɛ 700 na ɛwɔ awotwaa biako mu! Wɔ saa nhyehyɛe ahorow yi mu no, mmadwoa nkwammoaa a ennyinii no nya aduannuru ne mogya ma enyin nkakrankakra. Egye bɛyɛ nnafua 74 ansa na mmadwoa nkwammoaa anyin koraa.
Sɛ mmadwoa yi nyin wie a, ɛkɔ ntini ahorow bi a wɔfrɛ no epididymis , a ɛwɔ awotwaa no akyi no mu. Wofi hɔ fa vas deferens no mu ma awiei koraa no wofi nipadua no mu fa ɔbarima no akyi sɛ mmadwoa fã.
Nkwammoaa bɛn na mmadwoa no yɛ?
Sɛnea yɛaka no, mmadwoa no ma wonya testosterone . Saa hormone yi na ɛma ɛnne a emu dɔ, ntini a ɛyɛ kɛse, ne nipadua mu nhwi nyin. Nkwammoaa titiriw a ɛwɔ awotwaa no mu a wɔfrɛ no Leydig nkwammoaa na ɛyɛ eyinom .
Wɔ testosterone akyi no, awotwaa no yɛ nkwaadɔm afoforo a ɛho hia:
- Inhibin B: Saa protein dodow yi ne mmadwoa dodow ne mmadwoa dodow a ɛwɔ mpanyimfo mu no wɔ abusuabɔ.
- Anti-Mullerian hormone (AMH): Ɛho hia ma mmarima awo nhyehyɛe a ɛwɔ nipadua no mu no nkɔso.
- Insulin-like factor 3 (INSL3): Saa hormone yi boa ma mmadwoa no sian kɔ awotwaa no mu bere a ɛrenyin no na ɛboa akwahosan a ɛkɔ so.
- Estradiol : Estrogen bi a ɛho hia nso ma mmadwoa a wɔyɛ.
Ɛhe na mmadwoa no wɔ?
Wɔde awotwaa no gu honam ani kotoku bi a ɛsensɛn ɔbarima akyi a wɔfrɛ no awotwaa no ase mu . Mpɛn pii no, biako tra ɔbarima akyi berɛmo no nifa so na ɔfoforo nso tra benkum so.
Wɔnam ade bi a wɔfrɛ no spermatic cord , a ntini, mogya ntini, ne vas deferens , ntini a ɛde mmadwoa kɔ no so na ɛka awotwaa no bata nipadua no mu.
Wɔn ho te dɛn na wɔte nka dɛn?
Esiane sɛ wɔwɔ awotwaa no mu nti, wuntumi nhu wɔn tẽẽ, nanso wubetumi afa honam ani atenka. Wɔtaa ka wɔn ho asɛm sɛ wɔn kɛse ne wɔn nsusuwii te sɛ ngodua anaa walnut ketewaa bi.
Ɛdefa kɛseyɛ ho no, .susudua biara nni hɔ a "ɛyɛ pɛ". Ɛyɛ ade a ɛfata koraa sɛ awotwaa biako bɛyɛ kɛse kakra anaasɛ ɛsensɛn fam sen foforo no. Wɔ mpanyimfo mu no, mpɛn pii no, awotwaa bi kɛse fi 15 ml kosi 35 ml. Fa no sɛ wɔn kɛse fi anomaa nkesua ketewaa bi so kosi akokɔ nkesua ketewaa bi so wɔ baabiara.
Tebea ne ɔhaw ahorow bɛn na ɛtaa ka mmadwoa no?
Bere a tebea horow bi abu so wɔ mmofra mu no, afoforo ka mpanyimfo. Nneɛma a ɛtaa haw no bi ne:
- Hypogonadism: Bere a mmadwoa no ntumi nyɛ hormone a ɛdɔɔso.
- Klinefelter syndrome: Awosu mu tebea a wɔwo ɔbarima a ɔwɔ X chromosome foforo.
- Awo a wontumi nwo: Nyinsɛn a wontumi nyinsɛn, a ebia efi mmadwoa a ɛba fam anaasɛ esiw ano.
- Cryptorchidism : Wɔsan frɛ no "undescended testicle," baabi a awotwaa no ntumi nkɔ awotwaa no mu ansa na wɔawo.
- Epididymitis : Epididymis no mu ɔfe , a mpɛn pii no ɔyare mmoawa na ɛde ba.
- Spermatocele: Nsuo a ɛyɛ kurukuruwa a ɛba awotwaa no atifi anaa akyi.
- Testicular torsion: Eyi yɛ aduruyɛ mu asɛm a egye ntɛmpɛ! Ɛba bere a awotwaa bi kyinkyim, na ɛtwa ne mogya mu no . Sɛ wote ɛyaw a emu yɛ den mpofirim a, hwehwɛ ayaresa a egye ntɛmpɛ ntɛm ara.
- Testicular cancer: Kokoram bi a wɔtaa hu wɔ mmarima a wɔadi fi mfe 20 kosi 35 mu.
Bio nso, nipadua mu ahodwiriw a efi akwanhyia, asehwe, anaa agumadi mu opira mu ba no betumi asɛe awotwaa no.
Dɛn ne sɛnkyerɛnne ahorow a ɛtaa ba wɔ awotwaa mu nsɛm ho?
Sɛ wuhyia nea edidi so yi mu biara a, yɛsrɛ wo kɔ oduruyɛfo nkyɛn:
- Ɛyaw anaasɛ ɛnyɛ dɛ wɔ awotwaa anaa awotwaa mu.
- Akuru anaa ɛho ahonhon a ɛwɔ awotwaa no mu anaasɛ ɛwɔ so.
- Nsakrae a ɛba awotwaa no kɔla anaa honam ani.
- Ɔhyew a ɛyɛ soronko a wɔte nka wɔ mpɔtam hɔ.
- Mogya a ɛwɔ wo mmadwoa mu .
- Yafunu ase yaw.
Nea ɛho hia: Mma w’ani ngu saa sɛnkyerɛnne ahorow yi so. Oduruyɛfo a wobɛkɔ akɔhwɛ ntɛm no yɛ adeyɛ a eye sen biara bere nyinaa.
Ɔkwan bɛn so na wohu awotwaa mu akwahosan ho nsɛm?
Bere a wo duruyɛfo ahwɛ w’ayaresa ho abakɔsɛm ne wo sɛnkyerɛnne ahorow mu awie no, obetumi akamfo nea edidi so yi akyerɛ wo:
- Nipadua mu nhwehwɛmu a wɔyɛ wɔ awotwaa no mu.
- Mogya mu nhwehwɛmu de hwɛ sɛnea hormone dodow anaa agyiraehyɛde ahorow a ɛkyerɛ sɛ obi anya ɔyare mmoawa no.
- Nsu mu nhwehwɛmu de hwɛ sɛ ɔyare mmoawa bi wɔ hɔ anaa.
- Transillumination sɔhwɛ a wɔde hu sɛ ebia akuru bi yɛ den anaasɛ nsu ahyɛ mu ma.
- Ultrasound scan , a ɛyɛ sika kɔkɔɔ gyinapɛn a wɔde hwɛ sɛnea wɔahyehyɛ awotwaa no na wohu biribiara a ɛnteɛ.
Dɛn ne ayaresa a wɔtaa de di dwuma wɔ awotwaa mu tebea horow ho?
Ayaresa no gyina ɔyare pɔtee a wɔahu so nanso ebia nea ɛka ho ne:
- Wɔn ho a wobɛhwɛ: Nnuru a wɔde kum ɛyaw a wɔtɔn a wɔmfa nnuru nhyɛ mu, nsukyenee a wode bɛpetepete so na ama ɔfe no so atew, anaa agumadi ahama a ɛboa a wode bɛhyɛ.
- Nnuru: Nnuru a ekum ɔyare mmoawa a wɔde sa ɔyare mmoawa anaasɛ aduru a wɔde si testosterone ananmu.
- Oprehyɛn: Nneɛma te sɛ orchiopexy a wɔde yɛ awotwaa a ensi fam, oprehyɛn a wɔde siesie torsion, anaasɛ cysts anaa akisikuru a woyi fi hɔ.
- Mframa a wɔde sa yare.
- Nnuru a wɔde sa yare.
Mɛyɛ dɛn atumi ama me mmadwoa ayɛ yiye?
Di anammɔn yi akyi na ama woakɔ so akura wo mmadwoa akwahosan mu:
- Ahobammɔ a Wɔhyɛ: Fa obi a ɔboa agumadi anaa jockstrap di dwuma bere nyinaa bere a woredi agumadi anaa dwumadi ahorow a ɛkanyan kɛse no na amma woanpira.
- Tena Ahotew: Kɔ so tew yiye denam ahohoro a wobɛhohoro daa ne ntade ase a ɛho tew a ɛma ahome a wobɛhyɛ so.
- Fa Ɔbarima ne Ɔbea Nna a Ahobammɔ Di Dwuma: Eyi boa ma wobɔ wo ho ban fi nna mu nyarewa (STIs) ho.
- Yɛ Wo Ho Nhwehwɛmu Daa: Hu nea "ɛyɛ daa" ma wo. Sɛ wuhu nsakrae biara wɔ wo nsusuwii, sɛnea ɛte, anaa wo hwɛbea mu—anaasɛ wote nka sɛ wo ho ayɛ wo kurukuruwa anaa wo ho ahonhon a —kɔ ayaresabea ntɛm ara.
So metumi awo mma sɛ me mmadwoa biako ayera a?
Yiw, koraa. Mpɛn pii no, mmadwoa biako a ɛte apɔw dɔɔso sɛ ɛbɛma mmadwoa a ɛdɔɔso a ɛbɛma watumi awo abofra. Sɛ worehyia tebea bi a ɛsɛ sɛ woyi awotwaa abien no nyinaa fi aduruyɛ mu ntease te sɛ kokoram anaa opira a emu yɛ den nti a, wo ne wo duruyɛfo nsusuw mmadwoa a wɔde sie (cryopreservation) ho. Eyi ma wutumi de mmadwoa sie de di dwuma daakye.
Nkrasɛm a Etwa To a Wɔde Kɔ Fie
Wo mmadwoa ho hia ma w’akwahosan, awo, ne mmarimayɛ. Gye bere fa te w’ankasa wo nipadua ase, na mmu w’ani ngu ɛyaw a ɛkɔ so daa, ɔfe, anaa nsakrae so da.
Sɛ wuhu biribi a ɛyɛ soronko a, nte aniwu anaa ehu nka. Wo ne wo duruyɛfo nkasa ntɛm ara sɛnea wubetumi—sɛ wuhu ntɛm a, ɛno ne ade titiriw a ɛbɛma woanya ayaresa a etu mpɔn.
Yɛwɔ anidaso sɛ saa nsɛm yi aboa. Tena apɔwmuden mu ne Nirogi Lanka!
