Abofra yɛ abusua biara dae. Nanso ɛtɔ mmere bi a, esiane akwahosan ho nneɛma ahorow nti, egye bere kakra ansa na saa dae no abam. Titiriw no, mmarima a wontumi nwo betumi ayɛ nea enti a wɔyɛ eyi. Yɛn nyinaa te awerɛhow ne adwennwen a yɛte nka wɔ bere a ɛte sɛɛ mu no ase. Nanso nea eye sen biara ne sɛ nnɛyi aduruyɛ ho nyansahu a ɛkɔ anim no wɔ ɔhaw ahorow a ɛtete saa ano aduru a edi mu yiye. Ɛnnɛ, yɛreka oprehyɛn a ɛkɔ akyiri yiye a wɔde sa mmarima awo a wontumi nwo ho asɛm. Ɛno ne microTESE.
Sɛ yɛbɛka no tiawa a, dɛn ne microTESE?
microTESE (Microsurgical Testicular Sperm Extraction) yɛ oprehyɛn titiriw bi a wɔde sa mmarima awo a wontumi nwo. Sɛ yɛbɛka no tiawa a, nea ɛka ho ne sɛ wobeyi mmadwoa afi ɔbarima a ɔwɔ azoospermia awotwaa mu tẽẽ.
Susuw ho saa kwan yi so. Ɛtɔ da bi a, mmadwoa ba obi mmadwoa mu, nanso ɛnka mmadwoa no mfi adi. MicroTESE te sɛ nea wɔde afiri a wɔde hwɛ nneɛma nketenkete a ano yɛ den yiye redi dwuma de ahwehwɛ mmadwoa a ɛwɔ apɔwmuden a ahintaw wɔ nsu nketenkete a ɛwɔ awotwaa no mu no mu na wɔayi afi mu.
Botae atitiriw abiɛsa na ɛwɔ oprehyɛn yi mu:
- Nkwaboaa a ɛyɛ papa sen biara a wobenya.
- Nkwaboaa dodow a ɛdɔɔso a wobenya a ɛbɛma ɛwo a ɛte apɔw.
- W’awo akwaa a ɛsɛe no a wobɛtew so .
Henanom na wɔkamfo oprehyɛn yi kyerɛ?
Nnuruyɛfo taa kamfo saa ayaresa yi kyerɛ mmarima a wɔwɔ tebea bi a wɔfrɛ no Azoospermia . Eyi kyerɛ sɛ, sɛ wɔyɛ mmadwoa mu nhwehwɛmu a, wontumi nhu mmadwoa biara wɔ mmadwoa no mu. Sɛ wopɛ nso sɛ wowo ba nanso wuntumi nnya mmadwoa a ɛte apɔw wɔ awosu mu a, wo duruyɛfo bɛkyerɛkyerɛ microTESE kwan no mu akyerɛ wo.
Nea ɛho hia ne sɛ esiane sɛ mmadwoa nni wo mmadwoa mu nti, ɛnkyerɛ sɛ wo nipadua no ntumi nyɛ mmadwoa koraa. Ebetumi aba sɛ wɔreyɛ mmadwoa kakraa bi pɛ wɔ awotwaa no mu. Wɔde MicroTESE di dwuma de hwehwɛ saa dodow ketewaa no na wɔboaboa ano.
Ɔkwan bɛn so na wusiesie wo ho ansa na wɔayɛ wo oprehyɛn?
Ansa na wobɛyɛ saa oprehyɛn yi no, ɛho behia sɛ wokɔ oduruyɛfo titiriw bi nkyɛn (Urologist). Hɔ,
- Ka w’akwahosan ho abakɔsɛm a edi mũ ho asɛm.
- Wɔbɛyɛ nipadua mu nhwehwɛmu de ahwɛ w’akwahosan nyinaa.
- Wɔhwɛ nneɛma te sɛ mogya mmoroso ne koma a ɛbɔ.
Saa bere yi de, ɛho hia sɛ woka akisikuru biara a wowɔ ne nnuru a worenom nyinaa (a oduruyɛfo akyerɛw ama wo, wɔatɔ afi nnurutɔnbea, nhabannuru mpo) ho asɛm kyerɛ wo duruyɛfo.Efisɛ nnuru bi betumi ama mogya a ɛbɛtɔ obi no ayɛ kɛse.
Wɔbɛtu wo fo sɛ ɛnsɛ sɛ wodi anaa nnom biribiara wɔ anadwo fã akyi anadwo a edi oprehyɛn no anim. Sɛ ɛho hia sɛ wonom nnuru biara a ɛho hia a, fa nsu a wonom. Wo duruyɛfo bɛkyerɛkyerɛ eyinom nyinaa mu akyerɛ wo pefee.
Ɔkwan bɛn so na wɔyɛ oprehyɛn no na dɛn na ɛba wɔ ɛno akyi?
Momma yɛnhwɛ sɛnea saa adeyɛ yi yɛ adwuma ne nea ɛsɛ sɛ wohwɛ yiye wɔ ho wɔ ɛno akyi.
| microTESE nhyehyɛe ne bere a wɔde bɛsan anya ahoɔden | |
|---|---|
| Bere a wɔreyɛ oprehyɛn no | |
| Anamɔn 1: Anesthesia | Wɔbɛma wo aduru a wɔde kum nipadua no sɛnea ɛbɛyɛ a worente ɛyaw biara. Enti wobɛda. |
| Anamɔn 2: Oprehyɛn a wɔyɛ | Oduruyɛfo no twa ade ketewaa bi wɔ awotwaa no mfinimfini. Afei wɔde afiri a wɔde hwɛ nneɛma nketenkete a ahoɔden wom kɛse di dwuma de hu ntini fɛfɛ a ɛwɔ awotwaa no mu a ebia mmadwoa wom. |
| Anamɔn 3: Nhwɛsode ahorow a wobenya | Wɔfa ntini nketenkete paa pii (testicular biopsy) fi ntini a wɔahu no mu. Wɔde eyinom kɔ aduruyɛdan mu. |
| Anamɔn 4: Nkwaboaa a wɔhwehwɛ | Wɔ aduruyɛdan mu no, oduruyɛfo bi a ɔyɛ ɔbenfo de afiri a wɔde hwɛ nneɛma nketenkete hwehwɛ saa ntini a wɔde yɛ nhwɛso yi mu hwɛ sɛ ebia mmadwoa a ɛte apɔw wom anaa. |
| Wɔ oprehyɛn akyi | |
| Nea efi mu ba ne sɛnea wɔde di dwuma | Sɛ wohu mmadwoa a, wobetumi de adi dwuma ntɛm ara de awo (IVF) ne wo hokafo no nkesua biako anaasɛ wode asie frigye mu (cryopreservation) de adi dwuma akyiri yi. |
| Bere a wɔde bɛma obi ho atɔ no | Ebia ebegye adapɛn pii ansa na ne ho atɔ no koraa. Ebia worentumi nkɔ adwuma nnansa anaa nnansa. Sɛ wowɔ adwuma a egye honam fam de a, ebia ebehia sɛ wogye w’ahome kakra. |
| Ɛyaw ano aduru | Ebia ɛyaw ne ɔfe bi bɛba nna abien a edi kan no mu. Sɛ wode nsukyenee gu so a, ɛbɛma woanya ahotɔ. Fa nnuru a wɔde kum ɛyaw di dwuma sɛnea wo duruyɛfo akyerɛ wo no. |
Bere bɛn na wubetumi ada?
Nnuruyɛfo taa tu wo fo sɛ kwati nna mu nna ne wo ho a wode bɛhyɛ wo ho nna kakraa bi wɔ oprehyɛn no akyi. Wo duruyɛfo no begyina wo tebea no so akyerɛ wo bere pɔtee a ɛfata.
Mfaso ne asiane bɛn na ɛwɔ eyi so?
Mfaso titiriw a ɛwɔ so ne sɛ wowɔ hokwan kɛse koraa sɛ wobɛma w’adaeso a ɛne sɛ wobɛyɛ agya no abam. Ɛdenam nea ɛde azoospermia tebea no ba so no, microTESE oprehyɛn atumi anya mmadwoa a ɛte apɔw a nkonimdi bɛyɛ 60% .
Afei nso, te sɛ oprehyɛn nyinaa no, asiane ahorow bi wɔ hɔ .
- Ade titiriw ne sɛ hokwan wɔ hɔ sɛ wɔrenhu mmadwoa wɔ oprehyɛn akyi mpo.
- Asiane ahorow a ɛbata aduru a wɔde kum nipadua no ho.
- Mogya a ɛretu.
- Nsaneɛ.
- Ɛyaw ne ahotɔ a ɛnyɛ dɛ.
- Ebetumi aba sɛ mmadwoa no bɛsɛe koraa, nanso eyi ntaa nsi koraa .
Awo a wontumi nwo yɛ asɛm a ɛyɛ nkate a nnipa pii mpɛ sɛ wɔbɛka ho asɛm. Nanso ɛnyɛ w’ankasa mmerɛwyɛ anaa nea ɛkyerɛ sɛ womfata sɛ wowo ba. Ɛyɛ aduruyɛ mu tebea a wotumi sa. Ayaresa te sɛ microTESE betumi ama wo ne wo hokafo anya hokwan awo abofra a wɔawo no.
Bere a ɛho hia sɛ wofrɛ oduruyɛfo no ntɛm ara
Sɛ wuhu sɛnkyerɛnne ahorow a ɛwɔ ase ha no bi wɔ oprehyɛn akyi a, ɛsɛ sɛ wo ne wo duruyɛfo di nkitaho ntɛm ara.
- Sɛ ɛyaw a emu yɛ den wɔ hɔ a .
- Ntraso wɔ baabi a wɔatwa no hoSɛ mogya tu a.
- Mogya a ɛwɔ nsu mu (hematuria).
- Sɛ wuhu sɛnkyerɛnne ahorow a ɛkyerɛ sɛ woanya ɔyare mmoawa (atiridiinini, awɔw, ahurututu a atwa baabi a wɔatwa no ho ahyia, kɔkɔɔ/kɔla kɔkɔɔ/biribiri/tuntum a ɛsakra, anaasɛ akisikuru).
- Sɛ woreda sɛnkyerɛnne ahorow adi sɛ wowɔ sepsis a.
Nsonsonoe bɛn na ɛda TESE ne microTESE ntam?
TESE yɛ ɔkwan foforo a wɔfa so nya mmadwoa fi awotwaa mu. Nanso, TESE mfa afiri a wɔde hwɛ nneɛma nketenkete nni dwuma. Wɔtaa de TESE di dwuma bere a akwanside bi asi mmadwoa kwan no mu (obstructive azoospermia). Nanso, wɔ tebea horow a mmadwoa a ɛba mmadwoa mu no sua koraa (azoospermia a ɛnyɛ nea esiw kwan) mu no, microTESE a wɔyɛ wɔ afiri a wɔde hwɛ nneɛma nketenkete mu no ne ɔkwan a edi mu sen biara na ahobammɔ wom sen biara.
Nkrasɛm a Wɔde Kɔ Fie
- MicroTESE yɛ aduru a edi mu yiye a wɔde sa mmarima awo a wontumi nwo (titiriw wɔ Azoospermia fam).
- Nea ɛka eyi ho ne sɛ wɔde afiri a wɔde hwɛ nneɛma nketenkete a ahoɔden wom kɛse benya mmadwoa a ɛte apɔw afi awotwaa no mu tẽẽ.
- Nkwaboaa a wonya denam saa kwan yi so no betumi aboa wo ma woadi wo dae a ɛne sɛ wobɛyɛ agya denam IVF mfiridwuma so no ho dwuma.
- Sɛnea ɛte wɔ oprehyɛn nyinaa ho no, asiane nketenkete bi wɔ hɔ, enti wo ne wo duruyɛfo nsusuw eyinom ho pefee ansa na woasa yare.
- Awo a wontumi nwo nyɛ biribi a ɛsɛ sɛ ɛyɛ aniwu. Sɛ wonya aduruyɛ mu afotu ne ayaresa a ɛfata a, wobetumi adi tebea yi so.
💬 Comments (0)
Wɔnnya nyɛɛ nsɛm biara. Fa wo nsɛm no ka ho wɔ ha nea edi kan.
Fa wo nsɛm no ka ho