Dimi min bɛ sɔrɔ vasectomie kɔfɛ (PVPS): An ka kuma o kan

Vasectomy ye denbaya labɛnni fɛɛrɛ ye min bɛ ɲɛ sɔrɔ, mɔgɔ caman bɛ min sugandi. Nka, a man teli kosɛbɛ, mɔgɔ damadɔ dɔrɔn de bɛ se ka dimi basigilen sɔrɔ cɛya la nin opereli in kɔfɛ. Bi an bɛna kuma nin dimi kuntaalajan in kan, min bɛ wele fana ko ``Post-Vasectomy Pain Syndrome'' walima ``(PVPS)'' . Aw kana aw hakili ɲagami, o tɛ kɛ kosɛbɛ, nka a ka ɲi bɛɛ ka a dɔn.

Fɔlɔ, vasectomy ye mun ye?

N’an y’a fɔ cogo nɔgɔman na, vasectomy ye opereli fitinin ye min bɛ kɛ cɛ la walasa k’a bali ka den sɔrɔ pewu . An b’a wele fana ko “cɛw ka sterilize.” A ka ca a la, nin opereli in bɛ kɛ dɔgɔtɔrɔ dɔ fɛ min ka baara ɲɛsinnen bɛ sugunɛ ni bangekɔlɔsi fɛɛrɛw ma, n’o bɛ wele ko sugunɛbaralabana.

Nin opereli in bɛ kɛ ni tubabufura fila tigɛ walima ka u datugu minnu bɛ cɛya ta ka bɔ aw ka cɛya la, n’o ye vas deferens tubes ye. Sani musoya ka bɔ, cɛya bɛ bɔ i n’a fɔ cɛya ni a ɲagaminen don ji wɛrɛw la. Nka opereli kɔfɛ, cɛya tɛ se ka tɛmɛ tubabukan tigɛlenw walima tubabu datugulenw fɛ. O kɔ, cɛya bɛ segin ka don farikolo la cɛya kɔnɔ.

Min nafa ka bon, o ye ko musoya bɔlen kɔfɛ, aw bɛ se ka cɛya bɔ ka cɛya sɔrɔ i n’a fɔ a bɛ kɛ cogo min na . Nka, cɛya min ka kan ka kɛ walasa ka den dilan, o tɛna kɛ o cɛya la. O la, muso kɔnɔbara tɛna den sɔrɔ ani kɔnɔmaya tɛna kɛ.

Aw bɛ miiri dɔrɔn, ni aw b’a fɛ ka den wɛrɛ sɔrɔ don dɔ, tuma dɔw la aw bɛ se ka nin vasectomy in kɔsegin (`vasectomy reversal` walima `vasovasostomy`). Nka dɔgɔtɔrɔw b' o jate bangekɔlɔsi fɛɛrɛ banbali ye .

Nin bana in bɛ wele cogo di ko ``(PVPS)''?

Tiɲɛ na, gɛlɛya minnu bɛ sɔrɔ vasectomy kɔfɛ, olu man ca kosɛbɛ. Dɔgɔtɔrɔso ka kunnafoniw b’a jira ko musoya opereli kɛmɛ (100) o kɛmɛ (100) kelen walima fila bɛ na ni nin bana in ye min bɛ wele ko ``PVPS'' . A fɔra ko musoya opereli ba kɛmɛ duuru ɲɔgɔn bɛ kɛ diɲɛ kɔnɔ san o san. N'i y'a Lajɛ o cogo la, ``PVPS'' ye ko ye min ka dɔgɔ kosɛbɛ. O la sa, kun t’a la ka hami kunntan.

Mun na ``Dimi kɔfɛ vasectomie – PVPS'' bɛ kɛ?

A bɛ Kɛ yɔrɔ ye min bɛ 'kɔnɔnafili dɔɔnin. furakɛli dɔnbagaw t' a dɔn hali bi tigitigi mun na cɛ dɔw dɔrɔn de bɛ nin dimi basigilen in sɔrɔ . Nka, u hakili la ko fɛn damadɔw bɛ yen minnu bɛ se ka kɛ a sababu ye:

• Epididymite congestive : Epididymis ye tubabufura fitini ye min bɛ kurukuru, a bɛ sɔrɔ cɛya kɔfɛ, a bɛ cɛya mara. Tuma dɔw la, cɛya bɛ se ka gɛlɛya ani ka funu yan. O fana bɛ wele ko ŋɛɲɛ.
• Tiɲɛni bɛ kɛ ɲɛgɛnɛsira la: Tiɲɛni dɔw bɛ kɛ ɲɛgɛnɛsira la opereli waati.
• Funu : Funu sugu dɔ bɛ kɛ opereli yɔrɔ la, i n’a fɔ a bɛ wuli.
• Nɛrɛmuguma walima hakiliɲagami: Nɛrɛmugu dɔ degun walima a tiɲɛni yɔrɔ la min bananen don. O fana bɛ wele ko neuropathie.
• Scar tissue (Scar tissue): Sɔgɔsɔgɔninjɛ bɛ kɛ yɔrɔ la opereli kɔfɛ ani dimi min bɛ sɔrɔ o la.
• Sɔgɔsɔgɔninjɛ granuloma : O ye ni cɛya hakɛ dɔɔni bɛ bɔ ɲɛgɛnɛsira tigɛlen na ka kuru fitini dɔ kɛ a lamini na i n’a fɔ a kɛcogo. O bɛ se ka kɛ dimi ye tuma dɔw la.

O la, n dalen b’a la ko nin ``(PVPS)`` ko in bɛ se ka kɛ sababu kelen de kosɔn walima kun caman faralen ɲɔgɔn kan.

Nin `(PVPS)` taamasiɲɛw ye mun ye?

PVPS taamasiɲɛba ni a taamasiɲɛ kelenpe ye dimi mɛnta ye cɛya la min bɛ mɛn kalo saba (3) kɔnɔ walima ka tɛmɛ o kan . Mɔgɔ dɔw fɛ, o dimi bɛ se ka daminɛ o yɔrɔnin bɛɛ opereli kɔfɛ. Dɔ wɛrɛw la, o dimi bɛ se ka kɛ kalo caman walima san caman o kɔfɛ.

Dimi cogoya fana bɛ se ka ɲɔgɔn ta mɔgɔ ni mɔgɔ cɛ:

• mɔgɔ dɔw bɛ se ka dimi kɛ u ka cɛya la , u bɛ dimi tuma bɛɛ .
• Dɔ wɛrɛw fɛ, dimi bɛ se ka kɛ tuma ni tuma ani ka na ka taa .
• Cɛ dɔw bɛ se ka dimi caman sɔrɔ farikoloɲɛnajɛ, cɛnimusoya, cɛya walima cɛya bɔli senfɛ .

Min nafa ka bon kosɛbɛ, o ye ko ni nin dimi sugu bɛ aw la, aw kana aw ɲɛmajɔ a la ka dɔgɔtɔrɔ dɔ ka ladilikan ɲini.

Bana wɛrɛ jumɛnw bɛ kɛ sababu ye ka PVPS taamasiɲɛw bɔ ɲɔgɔn na?

PVPS dɔrɔn tɛ cɛya dimi sababu ye. O la, dɔgɔtɔrɔ bɛna fɔlɔ ka dimi sababu wɛrɛw bɔ kɛnɛ kan. Nin ye bana wɛrɛw ye minnu bɛ se ka kɛ sababu ye ka nin ko in kɛ:

• Hydrocele : A bɛ kɛ i n’a fɔ ji min bɛ cɛya lamini na.
• Banakisɛw : Misali la, sugunɛbilenni (UTI).
• Inguinal hernia (Inguinal hernia): Banakɔtaa yɔrɔ dɔ bɛ bɔ kɔkolo yɔrɔ la.
• Ɲɛgɛnɛsiraw: Ɲɛgɛnɛsiraw funu.
• Kansɛri min bɛ kɛ cɛya la: Nin man teli ka kɛ, nka fɛn min ka kan ka ban.
• Tɔgɔtɔgɔnin : O ye kɔrɔtɔko ye, cɛya bɛ a yɛrɛ firifiri, ka a joli tigɛ.
• Tumu wɛrɛw : Tumu jugu wɛrɛw walima tumu juguman minnu bɛ se ka sɔrɔ cɛya la.
• Varicocele : O ye bana ye min bɛ kɛ ni cɛya joli siraw ( joli siraw ) bɛ bonya.Bana min na jolisiraw (jolisiraw) bɛ i n’a fɔ u fununen don ani u kurulen don.

O la, ni cɛya dimi bɛ aw la, dɔgɔtɔrɔ bɛna nin bɛɛ jateminɛ ka na ni dantigɛli ye.

Dɔgɔtɔrɔw bɛ nin ``(PVPS)`` bana in sɛgɛsɛgɛ cogo di ka ɲɛ?

Tiɲɛ na, sɛgɛsɛgɛli kɛrɛnkɛrɛnnen tɛ yen min bɛ se ka PVPS sɛgɛsɛgɛ. Dɔgɔtɔrɔ bɛna kɛrɛnkɛrɛnnenya la:

1. Aw bɛ aw ka bana taamasiɲɛw lamɛn ka ɲɛ . Fɛn fitininw i n’a fɔ dimi bɛ cogo min na, a bɛ yen kabini waati jan, ani a bɛ juguya tuma min na.

2. Farikolo sɛgɛsɛgɛli kɛli . Aw bɛ cɛya ni a laminiw sɛgɛsɛgɛ.

Ka fara o kan, sɛgɛsɛgɛli dɔw bɛ se ka kɛ walasa ka `bɔ` cogoya wɛrɛw la minnu bɛ se ka kɛ sababu ye ka cɛya dimi bila an ye kuma min kan ka tɛmɛ:

• Sugunɛ-sɛgɛsɛgɛli, sugunɛ-sɛgɛsɛgɛli, ani cɛya-sɔgɔsɔgɔninjɛ : Olu bɛ se ka fɛnw dɔn i n’a fɔ banakisɛw.
• Jaa sɛgɛsɛgɛliw: Misali la, ultrasound scan. O bɛ se ka cɛya kɔnɔna lajɛ ka a lajɛ ni kurukuruw tɛ yen, i n’a fɔ kurukuruw.
• Spermatic cord block (walima nerve block): O ye ka sigida lafiyalan pikiri kɛ nɛrɛw la minnu bɛ miiri ko dimi bɛ u la. Ni o bɛ dimi lajɔ dɔɔni dɔɔni, a bɛ miiri ko nɛrɛmuguma de ye dimi sababu ye. O bɛ kɛ bana sɛgɛsɛgɛli la ani tuma dɔw la furakɛli la.

PVPS furakɛcogo jumɛnw bɛ kɛ ni opereli ma kɛ?

Tuma caman na, dɔgɔtɔrɔw b’a ɲini fɔlɔ ka dimi kunbɛn ni furaw ye minnu tɛ opereli ye. An bɛ ninnu wele ko ``furakɛli minnu tɛ opereli ye''.

• Denso kɔnɔna degeliw: Olu bɛ wele fana ko “Kegels for men.” Ni aw ye aw ka basibɔn fasaw barika bonya (minnu bɛ aw ka sugunɛ, banakɔtaa ani bangekɔlɔsi fɛɛrɛw dɛmɛ) o bɛ se ka mɔgɔ dɔw dɛmɛ ka dimi dɔgɔya. Aw bɛ se ka dɛmɛ sɔrɔ farikoloɲɛnajɛla kɛrɛnkɛrɛnnen dɔ fɛ o kama.
• Dimimadafura : Fura minnu bɛ kɛ ka caya, olu dɔw ye banakisɛfagalanw ye minnu tɛ stɛroyi ye (AINE), i n’a fɔ ibuporofɛni ni naporozɛni.
• Degun furaw : Degun fura dɔw, ni u hakɛ ka dɔgɔn, olu bɛ se ka dimi kuntaalajan kunbɛn.
• Dimimadafura minnu bɛ sɔrɔ farikolo la: Fura minnu bɛ kɛ i n’a fɔ Gabapentin walima Pregabalin, olu bɛ kɛ ka farikolodimi furakɛ.
• Fura dafalenw: 1 .Mɔgɔ dɔw fana ye lafiya sɔrɔ fɛɛrɛw fɛ i n’a fɔ akupunkɔrɔ walima biyofeedback.

Dɔgɔtɔrɔ bɛna furakɛli fɛɛrɛ min bɛnnen don aw ma, o dɔn ni aw ye o furakɛli kelen walima caman fara ɲɔgɔn kan.

Opereli furakɛcogo ye mun ye?

Ni furakɛli minnu tɛ opereli ye, ni an kofɔlen don sanfɛ, olu tɛ dimi mada ka ɲɛ, aw ka dɔgɔtɔrɔ bɛ se ka opereli jateminɛ. PVPS dimi kuntaalajan furakɛli bɛ se ka kɛ gɛlɛya ye tuma dɔw la , nka furakɛli dɔw bɛ yen minnu bɛ jigiya di.

Opereli suguya caman bɛ yen, ka kɛɲɛ ni dimi sababu jɔnjɔn ye:

• Vasectomy reversal: Kabako don, o bɛ dɔ bɔ dimi na walima ka a ban pewu cɛ 10 o 10 ni kɔ la . Nka aw hakili to a la ko aw bɛna se ka den sɔrɔ tuguni o kɔfɛ.
• Sɔgɔsɔgɔninjɛ dɔ bɔli : Ni cɛya sɔgɔsɔgɔninjɛ bɛ yen, i n’a fɔ a fɔra cogo min ka tɛmɛ, o bɛ bɔ opereli fɛ.
• Epididymectomy (Epididymectomy): Epididymectomy kelen walima a fila bɛɛ bɔli.
• Mikɔrɔdenervation de la corde de la spermatique (walima cord stripping): O ye ka ɲɛgɛnɛsira nɔgɔlenw bɔ ka sugandi, minnu bɛ miiri ko olu de bɛ dimi bila mɔgɔ la. Nin ye taabolo ye min ka gɛlɛn kosɛbɛ.
• Orchiectomy (Orchiectomy): Ka cɛya kelen walima a fila bɛɛ bɔ. o bɛ kɛ a man teli kosɛbɛ wa ni furakɛli wɛrɛ tɛ dimi lajɔ dɔrɔn .

Dɔgɔtɔrɔ bɛna o opereli ninnu ɲɛfɔ aw ye ani ka aw dɛmɛ ka opereli sugandi min bɛ bɛn aw ka ko ma kosɛbɛ.

Yala fɛɛrɛ bɛ yen walasa ka nin `(PVPS)` in bali ka kɛ wa?

I n’a fɔ a fɔra cogo min na ka tɛmɛ, PVPS ye bana ye min man ca kosɛbɛ. Ani fana, ikomi a ma dɔn tigitigi mun na mɔgɔ dɔw dɔrɔn de bɛ a sɔrɔ, sisan foyi tɛ se ka kɛ walasa k’a bali kɛrɛnkɛrɛnnenya la . Fɛn min ka fisa, o ye ka kuma dɔgɔtɔrɔ fɛ o ko la sani aw ka musoya tigɛ ani ka opereli kɔfɛ laadilikanw bɛɛ labato a bɛ se ka minnu di aw ma.

Nin `(PVPS)` dimi in bɛna mɛn fo waati jumɛn?

O fɔli ka gɛlɛn. Mɔgɔ dɔw bɛ lafiya sɔrɔ joona furakɛli fɛ. Kɛrɛnkɛrɛnnenya la, opereli furakɛli bɛ se ka ɲɛ kosɛbɛ. Misali la, vasectomy kɔsegin bɛ dimi mada cɛ tan o tan, kɔnɔntɔn na . mikrodenervation bɛ dimi mada cɛ naani o naani la .

Nka, a ka c’a la, dimi bɛ se ka to cɛ dɔw la hali opereli kɔfɛ. O de ye gɛlɛya ye ni nin cogoya in ye.

Ne ka kan ka taa dɔgɔtɔrɔso la waati jumɛn?

Ni aw ye vasectomy kɛ ani ni nin taamasiɲɛ ninnu dɔ bɛ aw la, aw ye aw jija ka taa dɔgɔtɔrɔso la:

• Cɛnimusoko baara gɛlɛyaw : Fɛn minnu bɛ i n’a fɔ dimi kafoɲɔgɔnya waati, cɛya gɛlɛya (cɛya gɛlɛya).
• Ni cɛya walima cɛya lamini foroko (scrotum) fununen don.
• Dimi bɛ kɛ cɛya la min bɛ kɛ kalo caman kɔnɔ.

Kana i janto nin ɲɔgɔnna kow la. A ka fisa ka taa dɔgɔtɔrɔso la joona ani ka laadilikanw sɔrɔ.

Aw ka kan ka ɲininkali jumɛnw kɛ dɔgɔtɔrɔ la?

Ni aw bɛ taa dɔgɔtɔrɔso la, a ka ɲi aw ka nin ɲininkali ninnu to aw hakili la:

• "Mun bɛ se ka kɛ sababu ye ka nin `(PVPS)` cogoya in lase ne ma?"
• "Furakɛcogo jumɛn tɛ opereli ye, o ka fisa ne ma?"
• “Yala ne mago bɛna kɛ opereli la wa? Ni o don, opereli sugu jumɛn de ka fisa ne ma?”
• “Yala gɛlɛya wɛrɛw bɛ yen ne ka kan ka taa a fɛ ka n janto minnu na wa?”

Ni aw ye nin ɲininkali ninnu kɛ, aw bɛ se ka aw ka bana faamuya ka ɲɛ ani ka kunnafoni sɔrɔ furakɛli kan.

A laban na, fɛn minnu ka kan ka to an hakili la (Take-Home Message) .

Cɛ min t’a fɛ den ka sɔrɔ tuguni, denso bɔli ye denbaya ka labɛnni fɛɛrɛ ye min farati ka bon kosɛbɛ ani min bɛ to senna . Farati min bɛ bana dɔ sɔrɔli la min bɛ wele ko ``Post-Vasectomy Pain Syndrome (PVPS)'', tiɲɛ na, o ka dɔgɔn kosɛbɛ. Aw kana hami o ko la kun tɛ.

Nka ni aw barila ka dimi kuntaalajan sɔrɔ aw ka cɛya la musoya bɔlen kɔfɛ, opereli ni opereli tɛ furakɛli minnu na, olu bɛ se ka aw dɛmɛ . O la sa, aw kana maloya walima ka dimi muɲu . Aw bɛ o dimi in fɔ aw ka dɔgɔtɔrɔ ye. O kɔfɛ, a bɛ se ka sɛgɛsɛgɛli wajibiyalenw kɛ, ka furakɛli bɛnnen di aw ma, ka lafiya di aw ma. I de ka kan ka hami kosɛbɛ i ka kɛnɛyako la.

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