Nkwaboaa yɛ akwaa a ɛho hia paa na ɛyɛ mmerɛw yiye wɔ ɔbarima nipadua mu. Nanso, nnipa pii a wɔwɔ yɛn man yi mu twentwɛn wɔn nan ase kakra na ɛyɛ wɔn aniwu sɛ wɔbɛka eyi ho asɛm pefee. Nanso nokwarem no, wo nipadua no fã a ɛho hia yi ho nimdeɛ a wubehu no ho hia na ama woanya asetra a ahoɔden wom na anigye wom. Enti ɛnnɛ, a yɛmfa biribiara nsie, momma yɛnka eyi ho asɛm tiawa koraa, wɔ ɔkwan a wubetumi ate ase so, te sɛ nea wo ne w’adamfo bi bɛka ho asɛm.
Sɛ yɛbɛka no tiawa a, dɛn ne saa mmadwoa yi?
Nkwaboaa, anaa `(Testicles)`, ne ɔbarima awo nhyehyɛe no fã titiriw. Mpɛn pii no, ɔbarima bi wɔ mmadwoa abien. Nnipa binom de din te sɛ ``nnompe'' anaa ``bɔl'' di dwuma ma eyinom. Wɔ aduruyɛ mu no, yɛsan frɛ eyinom ``(Testes)``. Wɔfrɛ awotwaa biako ``(Testis)``.
Eyinom wɔ wo barima no ase, wɔ honam ani kotoku bi a wɔfrɛ no scrotum mu. Mpɛn pii no, biako wɔ nifa na biako nso wɔ benkum.
Afei ebia woresusuw nea enti a eyinom wɔ kotoku bi a ɛwɔ nipadua no akyi mu no ho. Ntease titiriw bi wɔ hɔ a enti ɛte saa. Yɛbɛka saa asɛm no ho asɛm kakra.
Dɛn ne dwumadi atitiriw abien a awotwaa no yɛ?
Nkwaboaa no wɔ nnwuma abien a ɛho hia yiye.
1. Nkwaboaa a wɔyɛ: Wɔyɛ mmarima awo nkwammoaa a ehia na wɔde ayɛ abofra, a wɔfrɛ no mmadwoa, wɔ saa mmadwoa yi mu.
2. Nkwammoaa a wɔyɛ: Ɛha na wɔyɛ testosterone, hormone titiriw a ɛhwɛ ɔbarima su so, ne hormone afoforo pii.
Afei momma yɛnhwɛ saa dwumadie mmienu yi mu nkɔ akyiri kakra.
1. Adeyɛ a ɛyɛ nwonwa a ɛma mmadwoa yɛ
Yɛfrɛ saa adeyɛ a ɛma mmadwoa yɛ no `(Spermatogenesis)`. Eyi yɛ ade a ɛyɛ nwonwa yiye.
Fa no sɛ, sɛ yebetumi ayɛ mmadwoa a, ɛsɛ sɛ awotwaa mu hyew ba fam bɛyɛ digrii Celsius abien sen yɛn nipadua mu hyew a ɛfata. Ɛno nti na mmadwoa no wɔ nipadua no akyi, wɔ awotwaa no mu no. Saa kotoku yi tumi twetwe na ɛtrɛw a egyina ɔhyew so. Sɛ ɛyɛ nwini a, ɛbɛn nipadua no na enya ɔhyew, na sɛ ɛyɛ hyew a, ɛne nipadua no ntam kwan kɔ akyiri na ɛyɛ nwini.
Wɔ awotwaa biara mu no, nsukorade a ɛyɛ fɛ yiye atenten pii wɔ hɔ. Wɔfrɛ eyinom ``seminiferous tubules.`` Ɛyɛ den sɛ wobɛsusuw ho, saa ntini yi bɛyɛ 700 na ɛwɔ awotwaa biako mu. Ɛyɛ saa ntini ahorow no mu na mmadwoa ba.
Egye bɛyɛ nnafua 74 ansa na mmadwoa mu nkwammoaa a ennyinii anyin abɛyɛ mmadwoa a ɛho akokwaw koraa. Wɔ saa bere yi nyinaa mu no, ɛnam saa nsukorade yi so nya aduannuru ne mogya a ehia.
Afei, wɔpia saa mmadwoa a wɔayɛ yi kɔ ntini foforo a ɛwɔ awotwaa no akyi no mu. Wɔfrɛ no `(epididymis)`. Ɛhɔ no, mmadwoa no nyin bio. Awiei koraa no, sɛ bere du sɛ efi nipadua no mu a mmadwoa wom a, ɛnam afiri a wɔfrɛ no `(vas deferens)` no mu na ɛfa ɔbarima akyi berɛmo no mu fi adi.
2. Nnuru a ɛho hia a mmadwoa no yɛ
Testosterone ne ade titiriw a ɛwɔ ha. Saa hormone yi ho hia na ama ɔbarima nne mu dɔ, ntini ahorow ayɛ den, na nipadua ne n’anim nhwi anyin. Ɛka nna ho akɔnnɔ ne adwumayɛ nso tẽẽ.
Nanso ɛnyɛ testosterone nko na wɔyɛ, na mmom hormone afoforo pii na wɔyɛ wɔ ha.
- Inhibin B: Eyi yɛ protein a ɛne mmadwoa dodow ne mmadwoa dodow wɔ abusuabɔ.
- Anti- Mullerian hormone: Eyi ho hia ma ɔbarima awo nhyehyɛe no mu akwaa ahorow no nyin yiye wɔ awotwaa mu.
- Ade 3 a ɛte sɛ insulin: Saa hormone yi boa ma awotwaa no sian fi yafunu no mu kɔ awotwaa no mu bere a akokoaa wɔ awotwaa mu no.
- Estradiol: Ɛwom sɛ wonim eyi sɛ ɔbea hormone de, nanso saa hormone yi nso ho hia kakraa bi ma mmadwoa a wɔyɛ no.
Dɛn ne sɛnea mmadwoa no te na ne kɛse te dɛn?
Nkwaboaa no wɔ awotwaa no mu, enti yentumi nhu no tẽẽ. Nanso yetumi hu wɔn nsusuwii fi abɔnten na yɛte wɔn nka. Wɔtaa ka wɔn ho asɛm sɛ wɔn nsusuwii te sɛ ngodua akɛse, nkesua nketewa, anaa walnut.
Sɛ ɛba kɛseɛ so a, biribiara nni hɔ a wɔfrɛ no "eyi ne kɛseɛ a ɛyɛ pɛpɛɛpɛ." Ebetumi ayɛ soronko wɔ onipa biara ho. Ade a ɛho hia ne sɛ ɛyɛ ade a ɛfata sɛ wo mmadwoa no kɛse ne ne gyinabea yɛ soronko.
- Ebia awotwaa biako bɛyɛ kɛse kakra asen foforo no.
- Ebia biako wɔ baabi a ɛba fam kakra sen ɔfoforo no.
Eyinom yɛ tebea horow a ɛfata. Ɛho nhia sɛ yɛhaw yɛn ho wɔ wɔn ho. Ɔpanyin awotwaa kɛse a ɛfata no betumi afi anomaa nkesua kɛse so akosi akokɔ nkesua ketewaa kɛse.
Dɛn ne tebea horow a ɛtaa ba a ɛka mmadwoa no?
Te sɛ akwaa foforo biara no, awotwaa no tumi nya nyarewa ne ɔhaw ahorow. Bere a wobetumi ahu eyinom bi wɔ wɔn mmofraase no, tebea horow bi nso wɔ hɔ a ebetumi aba wɔ mfe biara mu. Ɛho hia sɛ wohu eyi.
| Tebea | Nkyerɛkyerɛmu a ɛnyɛ den |
|---|---|
| Hypogonadism a ɛma obi ho yɛ hyew | Sɛ mmadwoa no ntumi nyɛ hormone dodow a wɔhwehwɛ (titiriw testosterone). |
| Klinefelter ɔyare a ɛma obi nya ɔyare no | Ɛwom sɛ mpɛn pii no ɔbarima nya X nkwaboaa biako ne Y nkwaboaa biako (XY) de, nanso saa mmarima yi wɔ awosu mu tebea bi a ɛma wonya X nkwaboaa foforo (XXY). Eyi betumi aka sɛnea mmadwoa no nyin. |
| Awo a wontumi nwo | Ɔhokafo a ontumi nyinsɛn. Ebia eyi fi sɛ mmadwoa ntumi mma koraa, wɔnyɛ nea ɛdɔɔso, anaasɛ wontumi nyi mfi mu. |
| Cryptorchidism a ɛma obi nya adwenemhaw | Nkwaboaa biako anaa abien no nyinaa nsian nkɔ awotwaa no mu wɔ awo mu. Wɔsan frɛ eyi sɛ "nkwaboaa a ɛnsiane." |
| Epididymitis a ɛwɔ nipadua no mu | Epididymis, afiri a ɛkora mmadwoa a ɛbata mmadwoa ho no mu ɔyare mmoawa anaasɛ ɛhoa. |
| Nkwammoaa a wɔfrɛ no Spermatocele | Ntini a ɛnyɛ asiane biara a nsu ahyɛ mu ma a ɛba awotwaa no atifi anaa akyi. |
| Testicular Torsion a Ɛyɛ Fɛ | Eyi yɛ aduruyɛ mu asɛm a egye ntɛmpɛ! Nkwaboaa no kyinkyin mogya ntini a ɛma no no ho, na ɛtwa ne mogya mu. Sɛ wɔansa no ntɛm ara a, awotwaa no betumi ayɛ nea wontumi nyɛ no oprehyɛn. |
| Awotwaa mu Kokoram | Ɛyɛ kokoram a ɛtaa ba mmarima a wɔadi fi mfe 20 kosi 35. Nanso, sɛ wohu ntɛm a, wobetumi asa no yiye paa. |
Nea ɛka ho no, nipadua mu ahodwiriw a efi nneɛma te sɛ kar akwanhyia, asehwe, ne ntɔkwaw mu nso betumi asɛe mmadwoa no.
Kɔkɔbɔ nsɛnkyerɛnne a ɛkyerɛ sɛ ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn ntɛm ara!
Wo nipadua ma wo nsɛnkyerɛnne bere a biribi anyɛ yiye no. Sɛ wowɔ sɛnkyerɛnne ahorow a edidi so yi mu biara a, mmu w’ani ngu so da. Mma w’ani nnwu. Hwɛ wo duruyɛfo ntɛm ara sɛnea wubetumi.
| Nsɛnkyerɛnne a ɛkyerɛ | Nea ɛsɛ sɛ wode w’adwene si so titiriw |
|---|---|
| Yeaw | Ɛyaw a emu yɛ den a ɛba mpofirim wɔ awotwaa anaa awotwaa mu. Eyi yɛ nea wohu titiriw wɔ `Testicular Torsion` mu. |
| Akuru anaa akisikuru | Akuru a wotumi te nka wɔ awotwaa no ani anaa mu. Eyi betumi ayɛ kokoram ho sɛnkyerɛnne, sɛ́ ɛyɛ yaw anaasɛ ɛnte saa. |
| Honam ani kɔla a ɛsakra | Wora a ɛwɔ awotwaa no mu a ɛyɛ kɔkɔɔ anaasɛ ɛyɛ kɔkɔɔ. |
| Ɔhyew a ɛyɛ soronko | Ɔhyew a ɛyɛ soronko wɔ mpɔtam hɔ. Eyi betumi ayɛ ɔyare mmoawa ho sɛnkyerɛnne. |
| Mogya a ɛwɔ mmadwoa mu | Mogya a ɛba ne mmadwoa mu. |
| Yafunu ase yaw | Wɔ awotwaa mu haw ahorow bi mu no, wobetumi ate nka sɛ yafunu ase yaw. |
Kae sɛ, ɛyaw a emu yɛ den a efi `Testicular Torsion` mu ba no yɛ aduruyɛ mu ntɛmpɛ. Wɔ tebea a ɛte saa mu no, ntra fie na kɔ ayaresabea a ɛbɛn wo no Dwumadibea a Ɛhwɛ Ntɛmntɛm (ETU) ntɛm ara.
Nhwehwɛmu bɛn na oduruyɛfo no bɛyɛ?
Sɛ wokɔ oduruyɛfo nkyɛn a, obedi kan abisa wo wo yare no ho sɛnkyerɛnne ne w’ayaresa ho abakɔsɛm. Afei, sɛnea w’ahiade te no, wobetumi ayɛ sɔhwɛ ahorow a edidi so yi mu biako anaa nea ɛboro saa:
- Nipadua mu nhwehwɛmu: Oduruyɛfo no bɛhwɛ wo mmadwoa mu na wahwɛ sɛ ebia akuru, ɛho ahonhon, anaasɛ ɛyɛ mmerɛw biara.
- Mogya mu nhwehwɛmu: Hwɛ sɛnea hormone dodow te anaa hwɛ sɛ ebia akisikuru agyiraehyɛde bi wɔ hɔ anaa.
- Nsu mu nhwehwɛmu: Hwɛ sɛ ɔyare mmoawa bi wɔ hɔ anaa.
- Ultrasound Scan: Eyi yɛ sɔhwɛ a ɛho hia yiye. Ɛma wutumi hu nea ɛwɔ awotwaa no mu pefee. Sɛ akuru bi wɔ hɔ a, wubetumi ahu pɛpɛɛpɛ sɛ ɛyɛ nsu a wɔahyɛ no ma (`cyst`) anaasɛ ɛyɛ den (`tumor`). Ɛboa nso ma wosi tebea a ɛwɔ `Testicular Torsion` mu no so dua.
Ɔkwan bɛn so na wobɛma awotwaa no anya apɔwmuden?
Nneɛma nketenkete kakraa bi wɔ hɔ a w’ankasa wubetumi ayɛ de abɔ wo mmadwoa akwahosan ho ban.
- Bɔ wo ho ban: Sɛ woredi agumadi, titiriw agumadi te sɛ kriket, bɔɔlbɔ, anaa nneɛma afoforo a emu yɛ den a, hwɛ hu sɛ wobɛhyɛ agumadi a ɔboa (jockstrap) . Eyi betumi aboa ma asiane a ɛwɔ hɔ sɛ obi bepira no so atew.
- Ma wo ho tew: Hohoro wo ho na siesie wo ho yiye da biara. Hyɛ ntade ase ne ntade a ɛho tew.
- Fa nna a ahobammɔ wom di dwuma: Fa akwan a ahobammɔ wom te sɛ kɔndɔm di dwuma de bɔ wo ho ban fi nyarewa a wonya fi nna mu ho.
- Nhwehwɛmu a Wɔyɛ Daa: Eyi ne ade a ɛho hia sen biara. Anyɛ yiye koraa no , pɛnkoro ɔsram biara, w’ankasa hwehwɛ wo mmadwoa mu. Eyi yɛ mmerɛw sen biara sɛ wobɛyɛ bere a woreguare ɔhyew mu no, efisɛ awotwaa no ho dwo saa bere no.
- Fa awotwaa biako kura wo nsateaa kɛse ne wo nsateaa a wode kyerɛ ade ntam na fa nkakrankakra bobɔ so.
- Hwɛ ɔfoforo no nso wɔ ɔkwan koro no ara so.
- Nya ntease pa wɔ sɛnea wɔte nka wɔ ɔkwan a ɛkɔ akyiri so, sɛnea ɛte, ne ne kɛse ho.
- Hwɛ yiye wɔ akuru foforo biara, ɔfe, anaa nsakrae afoforo a ɛyɛ soronko biara ho.
Sɛ wuhu nsakrae biara, sɛ ɛyɛ nketenkete mpo a, nsusuw kɛkɛ sɛ, "Eyi ankasa bɛyɛ yiye," na mmom kɔ oduruyɛfo nkyɛn ntɛm ara. Dodow a wuhu ntɛm no, dodow no ara na ɛyɛ mmerɛw sɛ wobɛsa.
So obi a ɔwɔ mmadwoa biako betumi awo mma?
Yiw, ebetumi aba. Nkwaboaa biako a ɛte apɔw betumi ama mmadwoa a ɛdɔɔso a ɛbɛma wanyinsɛn abofra. Sɛ ɛsɛ sɛ woyi awotwaa abien no nyinaa fi kokoram anaa akwanhyia a emu yɛ den nti a, ebia wobetumi de mmadwoa asie ansa na wɔayɛ oprehyɛn (sperm banking). Afei, hokwan wɔ hɔ sɛ wobenya mma de saa mmadwoa no adi dwuma.
Nkrasɛm a Wɔde Kɔ Fie
- Wo mmadwoa yɛ akwaa a ɛho hia yiye, a ɛho hia ma mmarima akwahosan ne awo.
- Wɔn dwumadi atitiriw abien ne sɛ wɔbɛyɛ mmadwoa ne hormone ahorow a testosterone ka ho.
- Hu sɛnea wo mmadwoa no te (ne kɛse, ne nsɛso, sɛnea ɛte nka) yiye. Yɛ wo ho nhwehwɛmu ɔsram biara.
- Sɛ wuhu nsakrae bi a ɛyɛ soronko, te sɛ akisikuru, ɛyaw, anaa ɔfe , mfa fɛre anaa ntwentwɛn wo nan ase, na mmom kɔ oduruyɛfo nkyɛn ntɛm ara.
- Ɛyaw a emu yɛ den mpofirim betumi ayɛ `Testicular Torsion` ho sɛnkyerɛnne. Esiane sɛ ɛyɛ ntɛmpɛ nti, kɔ ayaresabea a ɛbɛn wo no Emergency Department (ETU) ntɛm ara.
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