Ɛtɔ da bi a, sɛ yehu nsakrae wɔ yɛn nipadua mu a, ehu ka yɛn kakra, titiriw bere a ɛfa awo akwahosan ho no. So woahyɛ no nsow pɛn sɛ wo mmadwoa kɔla asesa na ayɛ kɔkɔɔ? Anaasɛ woahyia ɔhaw ahorow pɛn bere a worebɔ mmɔden sɛ wubenyinsɛn no? Ade biako nti a ɛte saa ne tebea bi a wɔfrɛ no Pyospermia. Ɛwom sɛ edin no bɛyɛ te sɛ nea ɛyɛ nwonwa de, nanso eyi yɛ asɛmti a ɛho hia a ɛsɛ sɛ yɛka ho asɛm. Enti mma ɛnhaw wo, momma yɛnka ho asɛm nkɔ akyiri, tiawa koraa.
Dɛn ne Pyospermia?
Sɛ yɛbɛka no tiawa a, Pyospermia yɛ mogya mu nkwammoaa fitaa dodow a ɛdɔɔso wɔ wo mmadwoa mu wɔ ɔkwan a ɛnteɛ so.
Afei ma yɛnkyerɛkyerɛ eyi mu kakra. Nsu a efi wo barima no mu ba bere a woanya nna mu ɔbrasɛe no, wɔfrɛ no mmadwoa. Ɛha na wohu mmarima awo nkwammoaa, anaa mmadwoa. Ɛnyɛ ɛno nko, na mmom protein, vitamin, ne mineral a ɛma mmadwoa no nya ahoɔden a ehia nso wɔ mu.
Mogya mu nkwammoaa fitaa (Leukocytes) te sɛ nipadua no mu awɛmfo. Wɔn adwuma titiriw ne sɛ wɔbɛko atia mmoawa a wɔhyɛn nipadua no mu na wɔabɔ yɛn ho ban afi nyarewa ho. Wɔ ɔko yi mu no, mogya mu nkwammoaa fitaa no yi nnuru bi a ano yɛ den a wɔfrɛ no Reactive Oxygen Species (ROS) fi adi. Saa ROS yi sɛe mmoawa. Nanso ɔhaw no ne sɛ, ɛtɔ mmere bi a ɛnyɛ mmoawa nko na saa ROS yi betumi asɛe, na mmom yɛn nkwammoaa a ɛte apɔw nso, titiriw mmadwoa.
Ɔsɛe a ROS betumi de aba mmadwoa so ne:
- Ɛsɛe mmadwoa ntini no.
- Ɛma mmadwoa a ɛkɔ nipadua no mu no yɛ mmerɛw.
- Ɛsɛe DNA a ɛwɔ mmadwoa mu no.
Edin foforo a nnuruyɛfo de frɛ saa tebea yi a wɔfrɛ no Pyospermia ne Leukocytospermia.
So pyospermia yɛ tebea a emu yɛ den?
Sɛ worehwɛ akokoaa kwan a, ebia tebea bi a wɔfrɛ no pyospermia bɛyɛ biribi a ɛsɛ sɛ wohaw wo ho wɔ ho. Nanso, sɛnea emu yɛ den no gyina sɛnea tebea no mu yɛ den so. Sɛ mogya mu nkwammoaa fitaa dodow dɔɔso dodo a, ebetumi aka w’awo, kyerɛ sɛ, sɛnea wubetumi awo mma.
Nanso, ebia nnipa binom benya pyospermia a enni sɛnkyerɛnne biara, a ɛkyerɛ sɛ ɛwom sɛ mogya mu nkwammoaa fitaa pii wɔ wɔn mmadwoa mu de, nanso ɛmfa sɛnkyerɛnne biara mma anaasɛ ɛnka awo.
Nea ɛho hia sen biara no, ɛyɛ ade a ɛfata sɛ wubenya mogya mu nkwammoaa fitaa bi wɔ wo mmadwoa mu. Wɔkyerɛ pyospermia ase sɛ mogya mu nkwammoaa fitaa bɛboro ɔpepem biako wɔ mmadwoa mililita (mL) biara mu (ɔpepem 1/mL).
Dɛn ne pyospermia ho sɛnkyerɛnne ahorow?
Mpɛn pii no, nnipa a wɔwɔ PyospermiaNsɛnkyerɛnne biara nni hɔ. Nanso, sɛ nea ɛde tebea yi ba titiriw ne ɔyare mmoawa a, wubetumi anya sɛnkyerɛnne ahorow a ɛfa saa ɔyare no ho. Nsɛnkyerɛnne a ɛtaa ba a ebetumi aba wɔ bere a ɛte saa mu no bi kyerɛ pon a ɛwɔ ase ha no.
| Nsɛnkyerɛnne a ɛkyerɛ | Nkyerɛmu |
|---|---|
| Huraeɛ | Nsɛnkyerɛnne a ɛtaa ba a ɛkyerɛ sɛ ɔyare mmoawa bi wɔ nipadua no mu. |
| Rehono | Ebia ɛho ahonhon, titiriw wɔ mmadwoa anaa mmeae a atwa ho ahyia no. |
| Ɛyaw a ɛba bere a wɔreto nsu (Dysuria) . | Ɔhyew anaa ɛyaw bere a ɔretoto nsu esiane nsu mu yare nti. |
| Nkwaboaa a ɛyɛ kɔkɔɔ | Mpɛn pii no, mmadwoa fitaa anaa fitaa a ɛyɛ hare betumi adan kɔkɔɔ esiane mogya mu nkwammoaa fitaa a ɛkɔ soro nti. |
Dɛn nti na me mmadwoa yɛ kɔkɔɔ na ɛte sɛ jelly?
Eyi yɛ ɔhaw a nnipa pii hyia. Mpɛn pii no, mmadwoa yɛ fitaa anaasɛ ɛyɛ fitaa a ɛyɛ hare. Sɛ mogya mu nkwammoaa fitaa ko tia ananafo nkwammoaa a ɛwɔ nipadua no mu, te sɛ bere a ɔyare bi rekɔ so a, mmadwoa tumi dan kɔkɔɔ. Nneɛma afoforo nso wɔ hɔ a enti mmadwoa tumi dan kɔkɔɔ.
- Nyarewa: Mmoawa anaa mmoawa afoforo a wɔde nyarewa ba.
- Bere a etwa to a wobɛtɔ: Sɛ woannya nna kakraa bi a, ebia wo mmadwoa kɔla bɛsakra kakra.
- Nsu a wɔde frafra: Sɛ mmadwoa fi adi a, nsu kakraa bi a aka wɔ nsu a wɔde fa nsu mu no betumi afra mu.
Ade a ɛho hia sen biara ne sɛ, sɛ wuhu nsakrae bi wɔ wo mmadwoa kɔla, ne hua, anaa nea ɛkɔ so daa a na enni hɔ kan no mu a , mma ɛnhaw wo.Kɔ wo duruyɛfo nkyɛn ntɛm ara na woanya afotu.
Dɛn ne nneɛma a ɛde pyospermia ba?
Biribiara nni hɔ a ɛde pyospermia ba. Nneɛma pii betumi de aba. Momma yɛnhwɛ nneɛma atitiriw a ɛde ba no bi wɔ pon a ɛwɔ ase ha no so.
| Sɛnti | Nkyerɛkyerɛmu a ɛnyɛ den |
|---|---|
| Nyarewa a wɔde nyarewa ba | Mmoawa a wɔde nyarewa ba awo nhyehyɛe anaa nsu mu (e.g. E.coli). Eyi ne ade a ɛtaa de ba. |
| Ahonhono | Nsuo mu ntini a ɛho ahonhon anaasɛ ɛyɛ hyew a ɛnyɛ ɔyare mmoawa (Urethritis) anaa prostate gland (Prostatitis). |
| Nyarewa a wonya fi nna mu (STIs) . | Asetra mu nyarewa te sɛ Herpes, Gonorrhea, ne Chlamydia. |
| Ntini a ɛma mogya tu (varicoceles) . | Ntini a atwa awotwaa no ho ahyia no hohoro na ɛyɛ nhama, na ɛma ɔhyew ne ɔfe kɔ soro. |
| Nyarewa a nipadua no tumi ko tia nyarewa | Yare tebea horow a nipadua no mu tumi a ɛko tia nyarewa no di mfomso tow hyɛ n’ankasa nkwammoaa so. |
| Nsu a wɔde gu nsu mu a ɛyɛ den | Nsuo kwan a ɛyɛ teateaa esiane akwanhyia anaa ɔyare mmoawa nti. |
| Asetra kwan | Tawa a wɔnom, wii a wɔnom, ne nsa a wɔnom boro so. |
| Ɔbarima ne ɔbea nna a wɔtwe wɔn ho fi ho bere tenten | Sɛ obi ntaa nkɔ mma no ma nkwammoaa dedaw boaboa ano wɔ mmadwoa no mu. |
So pyospermia yɛ ɔyare mmoawa?
Dabi, wɔmfa pyospermia mfi onipa biako mu nkɔ foforo mu tẽẽ.
Nanso ade a ɛho hia wɔ ha ne sɛ ɔyare mmoawa (titiriw STI) a ɛde pyospermia ba no bi betumi akɔ. Sɛ nhwɛso no, sɛ wowɔ pyospermia esiane ɔyare bi a efi nna mu te sɛ chlamydia nti a, wubetumi de saa ɔyare no akɔ wo hokafo no nkyɛn.
Enti, sɛ nea ɛde ba no yɛ STI a, ɛnnɔɔso sɛ wo nkutoo wobɛnya ayaresa, ɛsɛ sɛ wo hokafoɔ nso yɛ aduruyɛ mu nhwehwɛmu na ɔnya ayaresa a ɛhia. Sɛ ɛnte saa a, ɔyare mmoawa no betumi akɔ so atrɛw wɔ mo ntam.
Ɔkwan bɛn so na wobetumi ahu tebea yi?
Sɛ wowɔ saa sɛnkyerɛnne ahorow yi anaasɛ ɛyɛ den ma wo sɛ wubenyinsɛn a, ɛsɛ sɛ wokɔ oduruyɛfo a ne ho akokwaw wɔ nsu a ɛkɔ nsu mu ne awo mu (urologist) anaa oduruyɛfo a ne ho akokwaw wɔ mmarima awo nhyehyɛe mu (andrologist) nkyɛn. Eyi ne ɔkwan a oduruyɛfo no bɛfa so ahwehwɛ wo mu na wahu sɛ wowɔ wo yare no.
- Bisa w’ayaresa ho abakɔsɛm ne wo yare no ho sɛnkyerɛnne.
- Nsɛm a wubebisa fa wo nna mu akwahosan ho.
- Nipadua mu nhwehwɛmu a wɔyɛ.
- Afei, wɔhyɛ sɛ wɔnyɛ nhwehwɛmu pii de si yare no so dua.
Sɔhwɛ ahorow bɛn na wɔyɛ?
Sɔhwɛ a ɛho hia na ɛho hia sen biara ne mmadwoa mu nhwehwɛmu . Nea ɛka eyi ho ne sɛ wode afiri a wɔde hwɛ nneɛma nketenkete bɛhwehwɛ wo mmadwoa bi mu de ahu mogya mu nkwammoaa fitaa dodow a ɛwɔ mu. Wɔde sɔhwɛ titiriw bi a wɔfrɛ no Myeloperoxidase (MPO) stain di dwuma de si so dua sɛ pyospermia wɔ hɔ.
Nea ɛka ho no, wobetumi ayɛ nhwehwɛmu ahorow yi de ahu nea ɛde Pyospermia ba:
- Nsuo mu nhwehwɛmu: Sɛ wɔde bɛhwɛ sɛ obi wɔ nsuo mu yareɛ anaa.
- Nsu a ɛsen ho nhwehwɛmu: Hwɛ sɛ nsu a ɛkɔ nsu mu no asiw anaa.
- Mfoniniyɛ mu nhwehwɛmu: X-ray, CT scan, anaa MRI scan betumi aboa wo ma woahu w’awo nhyehyɛe no mu yiye.
Dɛn ne ayaresa ahorow a wɔde sa pyospermia?
Ayaresa no gyina nea ɛde pyospermia ba no so. Ɛtɔ da bi a, tebea no betumi asiesie ne ho a wonnya ayaresa biara.
Sɛ woyi mogya mu nkwammoaa fitaa fi mmadwoa mu a, ebetumi ama mmadwoa no ayɛ adwuma yiye na ama awo akɔ soro.
- Nnuru a ekum ɔyare mmoawa: Sɛ wo lab aba no nkyerɛ mmoawa biara mpo a, ebia wo duruyɛfo bɛkyerɛw wo nnuru a ekum ɔyare mmoawa efisɛ ebia ɔyare mmoawa bi wɔ hɔ. Ade a ɛho hia sen biara ne sɛ wobɛnom aduru no nna dodow a wo duruyɛfo bɛkyerɛw ama wo no nyinaa. Sɛ wugyae nom fã a, ebia ɔyare mmoawa no bɛsan aba na ayɛ den sɛ wobɛsa.
- Nnuru a ɛnyɛ steroid a ɛko tia ɔyare mmoawa (NSAIDs): Nnuru te sɛ nnuru a ɛnyɛ steroid a ɛko tia ɔyare mmoawa (NSAIDs), a ɛtew ɛyaw ne ɔfe so no betumi aboa ma mmadwoa dodow atu mpɔn.
Ɔkwan bɛn so na wobetumi atew asiane a ɛwɔ hɔ sɛ obi benya pyospermia no so?
Nneɛma pii wɔ hɔ a wubetumi ayɛ de atew asiane a ɛwɔ tebea yi mu no so.
- Ahobammɔ a wɔde ma wɔ nyarewa a wonya fi nna mu ho:
- Fa kɔndɔm di dwuma bere nyinaa bere a worekɔ nna biara mu.
- Sɛ wususuw sɛ wo hokafo no wɔ STD a, kwati sɛ wobɛda.
- Yɛ STDs ho nhwehwɛmu daa. Ɛho hia yiye sɛ wɔsɔ ahokafo baanu no nyinaa hwɛ ansa na wɔafi abusuabɔ foforo ase.
- Nsakrae a ɛba asetra mu:
- Kwati tawa nneɛma ne wii a wɔde di dwuma koraa.
- Di nsa a wonom no so (tew so anaasɛ gyae sɛnea wubetumi biara).
Sɛ mewɔ Pyospermia a, merentumi nwo mma?
Sɛ obi nya pyospermia a, ebetumi ama ayɛ den kakra sɛ wobɛwo, nanso ɛnyɛ nea entumi nyɛ yiye.
Sɛ wo ne wo hokafo no abɔ mmɔden bɛboro afe na wunnyinsɛn a, ebia ntease afoforo wɔ hɔ a ɛka pyospermia ho. Wɔ tebea horow a ɛtete saa mu no, ebia wo duruyɛfo de wo bɛkɔ awo ho ayaresa a ɛfata wo nkyɛn. Ebia eyinom bi ne In Vitro Fertilization (IVF) anaa Intrauterine Insemination (IUI).
Ebia ɛbɛyɛ wo aniwu anaasɛ wo ho nyɛ wo dɛ sɛ wo ne oduruyɛfo bɛkasa afa awo akwahosan ho nsɛm ahorow yi ho. Nanso kae sɛ, ɛnyɛ wo nkutoo, nnipa pii wɔ hɔ a wɔwɔ nsɛm a ɛte saa ara. Nnuruyɛfo wɔ hɔ sɛ wɔbɛboa wo. Enti, sɛ wunsiw wo nkate ano a, nyansa wom sɛ wobɛkɔ oduruyɛfo nkyɛn na woakasa pefee.
Nkrasɛm a Wɔde Kɔ Fie
- Pyospermia nyɛ yare, na mmom ɛyɛ ɔhaw foforo a ɛda adi (mpɛn pii no ɛyɛ ɔyare mmoawa) ho sɛnkyerɛnne. Ɛyɛ mogya mu nkwammoaa fitaa dodow a ɛkɔ soro wɔ mmadwoa mu.
- Ebia mmadwoa a ɛyɛ kɔkɔɔ no yɛ sɛnkyerɛnne biako, nanso nnipa pii nhu sɛnkyerɛnne biara.
- Saa tebea yi betumi aka mmarima awo, nanso sɛ wɔsa no yiye a, mpɛn pii no wobetumi asa.
- Nea ɛtaa de ba ne nyarewa (a nna mu nyarewa ka ho) ne awo nhyehyɛe mu ɔfe.
- Sɛ wuhu nsakrae bi wɔ wo mmadwoa mu anaasɛ worehyia ɔhaw wɔ nyinsɛn mu a, nfɛre na kɔ oduruyɛfo nkyɛn. Ayaresa a wɔde ma ntɛm no betumi asiw nsɛnnennen ano.
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