Bere a wɔwoo wo babarima ketewa no, so oduruyɛfo no hwehwɛɛ no mu na ɔka kyerɛɛ wo sɛ ne mmadwoa biako anaa abien no nyinaa nsii fam? Ɛyɛ ade a ɛfata koraa sɛ ɛna anaa agya bɛte ehu ne dadwen kakra nka bere a ɔte biribi a ɛte saa no. Nanso mma ɛnhaw wo. Eyi yɛ tebea a ɛtaa ba. Momma yɛnka eyi ho asɛm pefee na ɛnyɛ den nnɛ.
Sɛ yɛbɛka no tiawa a, dɛn ne mmadwoa a ensi fam?
Okay, momma yɛnhyɛ aseɛ wɔ mfitiaseɛ no. Sɛ akokoaa akokoaa wɔ awotwaa mu a, ne mmadwoa (akwaa a nnipa dodow no ara frɛ no ‘bɔl’) nyin wɔ ne yafunu mu. Saa awotwaa yi na ɛma mmarima mu nkwaadɔm ne mmadwoa . Aka kakra ma wɔawo akokoaa no, saa mmadwoa abien yi sian fi yafunu no mu kɔ honam ani kotoku bi a ɛwɔ akyi berɛmo no akyi. Yɛfrɛ eyi sɛ awotwaa .
Enti, mmadwoa a ensi fam kyerɛ sɛ mmadwoa biako anaa abien no nyinaa nsian mfii yafunu no mu, kyerɛ sɛ, nkɔ awotwaa no mu, wɔ awo mu anaasɛ wɔ awo akyi asram kakraa a edi kan no mu. Wɔ aduruyɛ mu no, yɛfrɛ saa tebea yi nso Cryptorchidism .
So tebea yi yɛ aniberesɛm? Ɛtaa ba dɛn?
Ebia eyi bɛyɛ te sɛ nea ɛyɛ hu, nanso sɛ wɔansa a, ebetumi de ɔhaw ahorow aba. Sɛ wɔansa abarimaa no yare a, ebia testosterone dodow a ɛwɔ ne mu no so bɛtew, na ebetumi aka ne mmadwoa akwahosan daakye. Afei nso, sɛ́ wɔasa no yare anaasɛ wɔansa no, ebia asiane a ɛwɔ hɔ sɛ obenya awotwaa mu kokoram no dɔɔso kakra sen mmarimaa afoforo. Nanso, ayaresa a wɔde ma ntɛm no betumi atew asiane yi so kɛse.
Ɛtaa ba araa ma ɛka nkokoaa mmarima a wɔawo wɔn bere nyinaa bɛyɛ 100 biara mu 3 (3%) . Nanso, abu so kɛse mpo wɔ nkokoaa a wɔawo wɔn ntɛm mu. Ebetumi aka nkokoaa mmarima a wɔawo wɔn bere nyinaa 100 biara mu 30 (30%) .
Asɛmpa no ne sɛ, wɔ saa mmadwoa a ensii fam yi mu bɛyɛ fã mu no, mmadwoa no ankasa besian wɔ awo akyi asram kakraa bi , a wɔrennya ayaresa biara.
Dɛn ne eyi ho sɛnkyerɛnne? Dɛn nti na eyi ba?
Nsɛnkyerɛnne titiriw ne nea ɛkyerɛ ara ne sɛ awotwaa no fã biako anaa abien no nyinaa da mpan. Eyi kyerɛ sɛ wontumi nte awotwaa biako anaa abien no nyinaa nka wɔ awotwaa no mu bere a wɔde wɔn nsa aka no. Sɛ ɛnyɛ ɛno a, mpɛn pii no, sɛnkyerɛnne foforo biara nni hɔ. Eyi mma akokoaa no nte ɛyaw biara, na ɛnyɛ den sɛ ɔbɛtow nsu .
Nnuruyɛfo da so ara nnim nea enti a eyi ba. Wogye di sɛ ɛtɔ mmere bi a, testosterone hormone a enni hɔ bere a akokoaa no renyin wɔ awotwaa no mu no betumi asiw mmadwoa no kwan na annyin na ansiane.
Nea ɛho hia sen biara ne sɛ adanse biara nni hɔ a ɛkyerɛ sɛ biribiara a woyɛe anaasɛ woannyɛ bere a wonyinsɛn no na ɛmaa wo ba no nyaa saa tebea yi. Enti mma ɛnhaw wo anaa mfa asodi no nto wo ho so.
Sɛ wɔansa a, nsɛnnennen bɛn na ebetumi aba?
Sɛ wɔansian mmadwoa no a, wɔde hyɛ ɔhyew a ɛkorɔn sen nipadua no hyew a ɛfata mu. Eyi betumi aka wɔn dwumadi. Enti, sɛ wɔannya ayaresa bere tenten a, asiane ahorow bi betumi asɔre. Momma yɛnhwɛ pon a ɛwɔ ase ha no.
| Nsɛnnennen a ɛba | Sɛ yɛbɛka no tiawa a... |
|---|---|
| Awotwaa mu Kokoram | Ɛyɛ kokoram a abu so sen biara wɔ mmerante a wɔadi fi mfe 15 kosi 35. Asiane ketewaa bi a ɛwɔ hɔ sɛ mmofra a wɔwɔ saa yare yi benya bi daakye. Nanso, ayaresa ntɛm betumi atew asiane no so. |
| Testicular Torsion a Ɛyɛ Fɛ | Mogya ntini bi a ɛde mogya kɔ awotwaa mu no kyinkyim na esiw. Eyi yɛ ntɛmpɛ a ɛyɛ yaw yiye na sɛ wɔansa no ntɛm ara a, ebetumi ama awotwaa no ayɛ nea wontumi nyɛ no oprehyɛn. |
| Inguinal Hernia a Ɛyɛ Akisikuru | Akwaa bi te sɛ dwensɔtwaa no fã bi a ɛbɛpue afa ntini a ɛwɔ akyi berɛmo no mu. Eyi betumi aba esiane mmerɛwyɛ bi a ɛwɔ ɔkwan a mmadwoa no fa so no so nti. |
| Ntini a ɛma nipadua no nya ahoɔden (Hypogonadism) . | Nkwammoaa no ntumi mma testosterone a ɛdɔɔso, na ebetumi aka tumi a obi betumi awo mma daakye (awo). |
Ɔkwan bɛn so na wohu tebea yi na wɔsa?
Wobetumi ahu eyi bere a oduruyɛfo no reyɛ nipadua mu nhwehwɛmu wɔ ayaresabea hɔ bere a wɔawo akokoaa no akyi pɛɛ no. Oduruyɛfo no bɛte awotwaa no nka ahwɛ sɛ awotwaa abien no nyinaa wɔ hɔ anaa. Sɛ wonni hɔ a, wosusuw sɛ tebea yi wɔ hɔ.
Mpɛn pii no, nnuruyɛfo twɛn kosi sɛ akokoaa no bedi bɛyɛ asram 6 hwɛ sɛ ebia mmadwoa no ankasa sian anaa. Sɛ wɔanyɛ saa a, wɔde wo bɛkɔ mmofra urologist /surgeon nkyɛn. Ɛtɔ mmere bi a wobetumi ayɛ pelvic ultrasound scan de ahu baabi pɔtee a mmadwoa no wɔ.
Ɔkwan a wɔfa so sa yare: Orchiopexy oprehyɛn
Sɛ bere a akokoaa adi asram 6 no, awotwaa no nnyaa fam a, wɔkamfo oprehyɛn a wɔfrɛ no Orchiopexy kyerɛ. Nnuruyɛfo taa kamfo saa adeyɛ yi kyerɛ bere a akokoaa no adi fi asram 12 kosi 24 (wadi mfe abien) .
Nea ɛkɔ so wɔ oprehyɛn yi mu no yɛ mmerɛw yiye:
1. Oduruyɛfo a ɔyɛ oprehyɛn no twa ketewaa bi wɔ asen no mu na ohu awotwaa no wɔ yafunu no mu.
2. Afei, wɔtwa ketewaa foforo wɔ awotwaa no mu, na ɛma baabi ketewaa bi kura awotwaa no mu.
3. Awiei koraa no, wɔde ahwɛyiye de awotwaa no ba fam, de si awotwaa no mu, na wɔpam.
Saa oprehyɛn yi di yiye kɛse . Nkonimdie dodoɔ no dɔɔso te sɛ 98%. Wɔ oprehyɛn akyi no, mmarimaa dodow no ara mmadwoa nyin sɛnea ɛsɛ na ɛma mmadwoa a ɛte apɔw daakye.
Nneɛma foforo bi a ɛho hia a ɛsɛ sɛ mo sɛ awofo hu ni:
Sɛ awotwaa biako nsian a, ebetumi aba sɛ wobɛwo mma?
Yiw, akyinnye biara nni ho sɛ ebetumi aba. Ɔbarima a ɔwɔ awotwaa biako pɛ a ensii fam no tumi wo mma (awo) te sɛ ɔbarima a ɔte ase, sɛnea awotwaa foforo a ɛte apɔw no ma mmadwoa a ɛdɔɔso no. Sɛ mmadwoa abien no nyinaa nsi fam a, ebia awo so bɛtew kakra.
So wuntumi npia awotwaa no nkɔ fam?
Ɛnyɛ saa koraa.Mmɔ mmɔden sɛ wobɛyɛ saa. Ebetumi apira akokoaa no. Eyi hwehwɛ sɛ wɔde ayaresa a ɛfata ma.
Nsonsonoe bɛn na ɛda Retractile Testicles ne Undescended Testicles ntam?
Eyi nso ho hia. Ɛtɔ da bi a, wɔ biribi te sɛ ehu, awɔw, anaa nsa a wɔde ka obi ho mmuaema mu no, mmadwoa no bɛtwe akɔ soro na afei asan aba fam. Wɔfrɛ eyi sɛ Retractile Testicles . Eyi yɛ ade a ɛfata a ɛba esiane ntini bi dwumadi nti. Saa tebea yi fi ne ho bere a abarimaa no du ne mpanyin afe so no. Nanso, Undescended Testicles yɛ tebea a mmadwoa no ntumi nkɔ awotwaa no mu da. Oduruyɛfo betumi ahu nsonsonoe a ɛda abien yi ntam denam nhwehwɛmu a ɔbɛhwehwɛ so.
Bere bɛn na ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn?
- Sɛ wo ba no mmadwoa nnyaa fam bere a wadi asram 6 a , hwɛ hu sɛ wo ne wo duruyɛfo bɛkasa afa ho.
- Sɛ wɔyɛ wo oprehyɛn wie a, sɛ wowɔ sɛnkyerɛnne a edidi so yi a, kɔ oduruyɛfo nkyɛn ntɛm ara anaa kɔ ayaresabea no Dwumadibea a Ɛhwɛ Ntɛmntɛm (ETU) :
- Mogya a ɛtɔ dodo fi baabi a wɔyɛɛ oprehyɛn no.
- Nsɛnkyerɛnne a ɛkyerɛ sɛ obi anya ɔyare no te sɛ atiridiinini, atiridiinini, ne honam ani kɔla a ɛsakra.
- Ɛyaw a emu yɛ den a wontumi nnyina ano wɔ asen no fã.
Nkrasɛm a Wɔde Kɔ Fie
- Cryptorchidism yɛ tebea a wɔtaa hu wɔ nkokoaa mmarima mu. Mma ɛnhaw wo wɔ ho a ɛho nhia.
- Wɔ mmarimaa dodow no ara mu no, mmadwoa no sian fi ne ho wɔ asram 6 a edi kan wɔ awo akyi a wonnya ayaresa biara.
- Sɛ ɛnsiane wɔ asram 6 akyi a, kɔ oduruyɛfo nkyɛn kɔhwehwɛ afotu. Mpɛn pii no, wobetumi asa eyi koraa denam oprehyɛn ketewaa bi (Orchiopexy) a wɔyɛ wɔ afe biako kosi abien ntam so.
- Saa oprehyɛn yi di nkonim 98%. Sɛ wɔsa abofra no yare wie a, obetumi abɔ bra pa.
- Bere a wo ba no du ne mmerantebere ne mmabaabere mu no, sɛ wohyɛ no nkuran ma ɔnyɛ ne ho nhwehwɛmu ɔsram biara mfa nhwɛ sɛ nsakrae bi aba ne mmadwoa mu a, ɛho hia yiye ma n’akwahosan daakye.
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