Ènya nu tso vas deferens (mɔ̃ si tsɔa tsinyenye) ŋu le ŋutsuwo mea? Mina míaƒo nu tso eŋu bɔbɔe!

Èbu mɔ̃ sue sia si le ŋutsu ƒe ŋutilã me ŋu kpɔa? Ðewohĩ mèse nu geɖe tso eŋu o. Gake, enye ŋutsu ƒe vidzidzi ƒe akpa vevi aɖe ŋutɔ. Egbea míele nu ƒom tso tube sia si tsɔa tsinyenye , alo abe alesi ɖɔktawo yɔnae ene la, ``Vas Deferens`` ŋu. Mègatsi dzi o, maɖe eme na wò le mɔ bɔbɔe aɖe ŋutɔ nu, le mɔ si gɔme nàte ŋu ase nu.

Nukae nye vas deferens sia? Ðe míanya nusi tututu?

Kpuie ko la, mɔ̃ eve siwo le abe esia ene le wò ŋutilã me. Esiawoe nye nusiwo míeyɔna be `(Vasa Deferentia)` (ema nye agbɔsɔsɔme). Woyɔa mɔ̃ ɖeka be `(Vas Deferens)`. Ɣeaɖewoɣi la, wogayɔnɛ be `(Ductus Deferens)`, alo "vas deferens" ko. Bu eŋu abe mɔ̃ didi aɖe si me lãmekawo le si tsɔa tsinyenye.

Tube sia dzea egɔme tso epididymis, si te ɖe wò vidzidɔ ŋu. Tso afima la, eyia wò ƒodo me, toa wò tsinyegoe megbe, toa wò akɔta, eye wòdoa ka kple wò tsinyegoe mlɔeba. Woyɔa teƒe si wòdoa ka le be tsinyenyemɔ̃. Nu aɖe si woyɔna be tsinyenye ƒe ka ƒo xlã tsinyenye ƒe mɔ̃ sia. Eƒe dɔ vevitɔe nye be wòatsɔ tsinyenye tsitsi ayi aɖuɖɔtoea me hafi wòaɖe tsi. Èse egɔmea?

Dɔ kae nye esia ƒe dɔ vevitɔ kekeake?

Enyo, azɔ na míakpɔ nusi adzɔ ɖe tsinyenye ƒe ka sia dzi ɖa.

Ènyaa, wowɔa tsinyenye le vidzidɔ me . Tso afima la, tsinyenye siawo zɔa mɔ yia nu sue aɖe si le vidzidɔa tame si woyɔna be `(Epididymis)` gbɔ. `(Epididymis)` sia le abe teƒe si wodzraa tsinyenye ɖo hena ɣeyiɣi aɖe eye wotsɔa wo vaa nɔnɔme si me woate ŋu atsi nyuie, si fia be woate ŋu awɔ ɖeka kple nyɔnu ƒe azi awɔ vidzĩ ene.

Ne gbɔdɔdɔ nyɔ wò la, wò ŋutilã ƒe lãmekawo ƒoa ƒu, eye tsinyenye tsitsi siwo le lãkusia me la ƒua du toa ʋuka siwo me ʋu sina tona me, afisi wowɔa ɖeka kple tsinyegoea le. Emegbe woɖea tsinyenyea doa goe le wò ŋutilã me. Le mɔzɔzɔ sia me la, tsinyenyea tsakana kple nu bubuwo tsɔ wɔa nusi míeyɔna be tsinyenye.

Afikae esia le? Ɣeyiɣi didi kae wòxɔna?

Vas deferens dzea egɔme tso akɔta, si nye kotoku si me vidzidɔa le . Tso afima la, ʋukaa zɔa mɔ yia dzitodzitoa me yia ŋutilãa me. Ewɔa ɖeka kple tsinyenye ƒe ʋukaa tsɔ wɔa tsinyenyemɔ̃a.

Tsi ƒe tsinyenye ƒe mɔ̃ sia, alo `(Ductus Deferens)`, ate ŋu didi tso sentimeta 30 (anɔ abe sentimeta 12 ene) va ɖo sentimeta 45 (anɔ abe sentimeta 18 ene). Bu ɣeyiɣi didi si wòxɔ ŋu kpɔ! Edzena abe ɖe woxatsae ene le teƒe aɖewo, gake le teƒe bubuwo la, ele dzɔdzɔe. Lãmetsi siwo me ka le kple lãmekawoe nyea mɔ̃ sia. Esia tae wogayɔnɛ be `(Fibromuscular)`.

Nɔnɔme kawoe bɔ siwo ate ŋu agblẽ nu le ʋuka siwo me ʋu sina tona ŋu?

Ɣeaɖewoɣi la, kuxi kple nɔnɔme vovovowo ate ŋu akpɔ ŋusẽ ɖe vas deferens dzi. Na míakpɔ nusiwo wonye ɖa:

• Vas Deferens ƒe Manɔmanɔ le Dzidzime: Wodzia ŋutsu aɖewo kple nɔnɔme sia. Ne vas la mele akpa ɖeka ko o la, woyɔnɛ be Congenital Unilateral Absence of Vas Deferens. Ne vas la mele akpa eveawo o la, woyɔnɛ be Congenital Bilateral Absence of Vas Deferens. Nɔnɔme sia ate ŋu ado ƒome kple dɔléle aɖe si woyɔna be Cystic Fibrosis ɣeaɖewoɣi. Esia ate ŋu anye nu vevi aɖe si hea vidzidzi vɛ.
• Vasitis: Esia nye vas deferens ƒe ʋuʋu. Zi geɖe la, dɔlékuiwo xɔxɔ kple ŋutilã ƒe akpa siwo ƒo xlãe ƒe vuvu (dɔdzẽ) gbɔe wòtsona. Wogayɔnae be Deferentitis alo Funiculitis.
• Vidzidɔa ƒe xexe: Xexe sia ƒomevi ate ŋu adzɔ ne abi aɖe le wò akɔta alo ne dɔlékui sesẽ aɖe dze dziwò.
• Spermatocele : Esia nye kotoku si me tsi yɔ fũu si dzɔna ɖe wò vidzidɔ dzi alo le megbe.
• Gbɔdɔdɔ ƒe Dɔlékuiwo (STI): Dɔlékui siawo ate ŋu akaka to gbɔdɔdɔ ƒe nuwɔna ɖesiaɖe si ku ɖe wò vidzinuwo, nu, alo aɖuɖɔtoe ŋu me.
• Vidzidɔ ƒe Dɔlélewo: Esiawo ƒe kpɔɖeŋuwoe nye Orchitis, Testicular Cancer, Testicular Torsion , kple Undescended Testicles.

Tsɔ kpe ɖe esia ŋu la, ɖewohĩ èse ``vasectomy'' amekoko ŋu nya kpɔ. Esia menye atikewɔwɔ ƒe nɔnɔme ŋutɔŋutɔ o. Amekoko sia bia be woalã tsinyenye ƒe ka siwo le vidzidɔ eveawo me alo atɔ dzo wo. Esia wɔnɛ be tsinyenye megadzona le ŋutilãa me o. Wowɔa esia abe mɔxexeɖefufɔfɔnu ƒe mɔnu si nɔa anyi ɖaa ene.

Aleke nàwɔ anya ne kuxi aɖe le vas deferens ŋu? Nukawoe nye dzesiawo?

Ne kuxi aɖe le wò ʋukawo ŋu la, àte ŋu akpɔ dzesi aɖewo. Kpɔ nuwo abe:

• Vevesese: Vevesese ate ŋu adzɔ le vidzidɔ alo ƒodo ƒe akpa si le anyime .
• Vuvu: Teƒe si dɔlélea le ate ŋu avuvu.
• Kpe : Àte ŋu ase ƒuƒu alo ƒuƒu si ase le ɖokuiwò me abe ɖe wò asi le wo fɔm ene.
• Tsi si dona tso ŋutsu ƒe vidzinu me: Ne tsi si mesɔ o do.
• Azospermia kple vidzidzimakpɔmakpɔ :Esia ate ŋu akpɔ ŋusẽ ɖe amesiwo le mɔ kpɔm na vi.

Ne dzesi siawo dometɔ ɖeka alo esi wu nenema le ŋuwò la, anyo wu be nàyi ɖɔkta gbɔ enumake aɖaɖo aɖaŋu na wò.

Aleke ɖɔkta wɔna léa ŋku ɖe ame sia ƒe lãmesẽ ŋu?

Ne èyi ɖɔkta gbɔ la, abia wò gbã tso wò atikewɔwɔ ŋutinya kple dzesi siwo le ŋuwò fifia ŋu. Emegbe woawɔ ŋutilãmedɔdada. Woalé ŋku ɖe wò ŋutsu ƒe vidzinu, wò vidzidɔ ŋu, eye woaka asi eŋu.

Ðɔktaa atsɔ asi eveawo ase wò vidzidɔ eveawo siaa le ɣeyiɣi ɖeka me. Esi ɖɔktaa nya alesi vidzidɔ kple tsinyenye ƒe ka si le lãmesẽ me sena le eɖokui me ta la, ate ŋu anya ne nane si mebɔ o li.

Ɣeaɖewoɣi la, wò ɖɔkta ate ŋu aklẽ kekeli si klẽna to wò ʋuka me be yeakpɔe ɖa be ƒu sesẽ aɖee wònye alo ʋuka si me tsi yɔ fũu hã. Woyɔa esia be ``kekeli ƒe tɔtrɔ.''

Tsɔ kpe ɖe eŋu la, ɖɔkta ate ŋu aɖe gbe be woawɔ dodokpɔ bubuwo, abe:

• Scan: `(Ultrasound)` alo `(Magnetic Resonance Imaging - MRI)` scan.
• Nudokpɔƒe dodokpɔwo: Nuwo abe aɖuɖɔ kple ʋudodokpɔ ene.
• Tsinyenye me Dzodzro: Esia léa ŋku ɖe tsinyenye ƒe lolome, eƒe ʋuʋu, kple eƒe nɔnɔme ŋu.
• Lãmetsi sue aɖe ɖeɖe kple edodokpɔ (Biopsy).

Nukawoe nye atikewɔwɔ na nɔnɔme siawo?

Kuxi siwo le vas deferens ŋu dada nɔ te ɖe nusi gbɔ wòtso dzi. Dɔdamɔnu siwo bɔ dometɔ aɖewoe nye:

• Atikewo nana: Ne dɔlékui aɖe le ame ŋu la, woate ŋu ana atikewo abe dɔlékuiwutikewo ene.
• Tsi ɖeɖe ɖa le cysts me: Wozãa aŋe (aspiration) ɖea tsi si le cysts me.
• Amekoko: Woate ŋu awɔ amekoko atsɔ aɖɔ nɔnɔmewo abe varicoceles (ʋuka siwo vuvu le vidzidɔ me), aɖe ƒunukpeƒetetedɔ alo dɔdzẽwo ɖa, alo aɖe ʋuka siwo xea mɔ na ʋukawo me ɖa.

Eyata aleke míawɔ ana tsinyenye ƒe mɔ̃ sia nanɔ lãmesẽ me?

Nu siwo nèwɔna be wò ŋutilã bliboa nanɔ lãmesẽ me la ke akpe ɖe ŋuwò nàna wò vidzidziŋusẽ, si nye tsinyenye ƒe ka siawo, nanɔ lãmesẽ me.

• Dze agbagba nàlé kpekpeme si sɔ na wò la me ɖe asi.
• No tsi geɖe eye nàɖu nuɖuɖu vovovo siwo me nunyiame le.
• De kame edziedzi.
• Ƒo asa na atamanono kple atamanuwo zazã. Esiawo ate ŋu agblẽ nu le wò tsinyenye hã ŋu.
• Wɔ gbɔdɔdɔ si me afɔku mele o. Esia ate ŋu akpɔ tawò tso gbɔdɔdɔ ƒe dɔlélewo me.
• Ne èle kamedefefe wɔm la, do awu siwo akpɔ wò vidzinuwo ta.
• Nya alesi wò vidzinuwo dzena kple alesi wosena le wo ɖokui me ne wole lãmesẽ me. Ne ède dzesi tɔtrɔ aɖewo la, yi ɖɔkta gbɔ.

Ðe ʋuka sia ƒomevi le nyɔnuwo hã ŋua?

Ao, vas deferens mele nyɔnuwo si o. Gake mɔ̃ aɖewo le nyɔnuwo ƒe vidzidzi ƒe ɖoɖoa me siwo wɔa dɔ ma tɔgbe. Esiawoe nye Fallopian Tubes. Mɔ̃ siawo tsɔa azi siwo dona le azigolowo me yia vidzidɔa me, afisi woate ŋu atsɔ tsinyenye aɖe adzi wo le.

Ðewohĩ mèbu vas deferens ŋu kpɔ o vaseɖe esime susu aɖe koŋ va su asiwò si ta nàbu eŋu. Ðewohĩ èle agbagba dzem be yeaɖo ƒome anyi eye mawɔ dɔ o, alo èle veve sem alo vuvu le teƒea. Nu vevitɔe nye be ƒomedodo nyui nanɔ mia kple wò ɖɔkta dome eye nàɖo nyabiasewo ŋu anukwaretɔe. Ekema mia kple wò ɖɔkta miate ŋu awɔ dɔ aduadu akpɔ kuxia gbɔ.

Mlɔeba la, nu vevitɔ kekeake si dzi nàɖo ŋkui...

Kpɔ ɖa, tsinyenye ƒe ka sia nye ŋutsu ƒe ŋutilã ƒe akpa si me ɖoɖoezizi le ŋutɔ, gake ele vevie ŋutɔ. Ele vevie ŋutɔ be nànya esia, eye nàdi atikewɔlawo ƒe aɖaŋuɖoɖo ne èsusu be kuxi aɖe li. Mègakpe ŋu alo avɔ̃ gbeɖe o. Nu vevitɔ kekeakee nye be nàlé be na wò lãmesẽ.

Taflatse mide dzesii be nyati sia nye nyatakaka siwo ku ɖe amewo katã ŋu ko. Ne dzesi aɖewo le ŋuwò la, taflatse yi atikewɔla bibi aɖe gbɔ hena atikewɔwɔ ŋuti aɖaŋuɖoɖo nyuitɔ.

` Vas deferens, ŋutsu ƒe lãmesẽ, vidzidzi ƒe ɖoɖo, tsinyenye, vidzidzimakpɔmakpɔ, vasectomy