Ðe wò kple srɔ̃wò miele agbagba dzem be yewoadzi vi ɣeyiɣi didi aɖea? Gake emetsonu aɖeke meli kokoko oa? Zi geɖe la, le nɔnɔme mawo me la, míaƒe hadomegbenɔnɔ tsɔa asibidɛ ɖea nyɔnua ŋu. Gake ele be míase egɔme be kuxia ate ŋu anɔ ŋutsuwo hã gome. Vidzidzi nye nusi ate ŋu akpɔ ŋusẽ ɖe srɔ̃tɔ evea siaa dzi. Egbea míele nu ƒom tso nyati aɖe si ŋu ame geɖe medina be yewoaƒo nu tsoe o, gake enye nyati vevi aɖe ŋutɔ: Ŋutsuwo ƒe Vidzidzimakpɔmakpɔ.
Kpuie ko la, nukae nye ŋutsuwo ƒe vidzidzi?
Kpuie ko la, ŋutsu ƒe vidzidzimakpɔmakpɔ nye ŋutsu ƒe ŋutete be wòafɔ fu na eƒe zɔhɛ le kuxi aɖe si le eƒe vidzidzi ŋu ta. Le atikewɔwɔ gome la, ne atsu kple asi aɖe dɔ kple wo nɔewo edziedzi ƒe ɖeka evɔ womezã mɔxexeɖefufɔfɔnu ƒomevi aɖeke o eye womete ŋu fɔ fu kokoko o la, ehiã be míaku nu me.
Esia bɔ ɖe xexeame ale gbegbe be ame siwo ade miliɔn 186 ye kpea fu le xexea me godoo. Zi geɖe la, ne wole nusi gbɔ vidzidzi tso dim la, kuxia nɔa ŋutsu ƒe akpa dzi alo akpa evea siaa le dɔléleawo ƒe afã lɔƒo me . Eya ta mègakpe ŋu alo dzi naɖe le ƒowò o, eye nàbui be wò kuxi koe nye esia.
Vidzĩ fufɔfɔ mele bɔbɔe abe alesi nèsusui ene o!
Le nyateƒe me la, fufɔfɔ nye nusi sesẽ ŋutɔ. Le srɔ̃tɔ siwo le lãmesẽ me, siwo nye sɔhɛwo gɔ̃ hã gome la, mɔnukpɔkpɔ si li be woafɔ fu le agbagbadzedze ɣleti ɖeka megbe la le sue abe 20-25% ene . Eyata bu alesi gbegbe wòle be nu geɖe nayi edzi nyuie hafi ema nadzɔ ŋu kpɔ.
Ele be nusiawo nadzɔ hafi fu nakpɔ dzidzedze:
- Tsinyenye si le lãmesẽ me wɔwɔ le ŋutsu ƒe ŋutilã me.
- Azi si le lãmesẽ me ƒe wɔwɔ le nyɔnua ƒe ŋutilã me.
- Ele be nyɔnua ƒe vidzidɔ ƒe ʋukawo nagaxe mɔ o , si ana tsinyenye nate ŋu azɔ ayi azi la gbɔ.
- Tsinyenye te ŋu wɔa ɖeka kple azi la hedoa vi nɛ .
- Ele be azi (fugboe) si wodzi la nade vidzidɔa me nyuie.
Ne nu siawo dometɔ ɖeka gɔ̃ hã gbɔdzɔ la, fufɔfɔ ate ŋu ahe ɖe megbe alo mate ŋu adzɔ o.
Nukawoe nye vidzidzi ƒe dzesiwo?
Ŋutsuwo ƒe vidzidzi ƒe dzesi vevitɔ si dze ƒã wue nye ŋutete si mele wo si be woadzi vi o. Gake tsɔ kpe ɖe esia ŋu la, ŋusẽ si nɔnɔme sia kpɔna ɖe susu dzi la lolo ŋutɔ. Ate ŋu anye ŋutilãmedɔléle abe alesi wònye susumedɔe ene.
| Nɔnɔme ƒe ƒomevi | Nɔnɔme siwo ate ŋu adzɔ |
|---|---|
| Ŋutilã ƒe nɔnɔmewo | Zi geɖe la, gotagome dzesi gã aɖeke menɔa anyi o, gake ɣeaɖewoɣi la, lãmetsiŋusẽ ƒe kuxiwo ate ŋu ahe nuwo abe ɖeɖiteameŋu si gbɔ eme, gbɔdɔdɔ ƒe dɔmawɔmawɔ nyuie, kple lolo ene vɛ. |
| Susu kple seselelãme ƒe nɔnɔmewo |
|
Ne wò alo wò zɔhɛ miele nuteɖeamedzi sia ƒomevi me tom la, ele vevie ŋutɔ be nàƒo nu tso eŋu na ɖɔkta, tagbɔdɔdala, alo aɖaŋuɖola.
Nukatae esia dzɔna ɖo? Nusiwo hea vidzidzi vɛ
Nu geɖewo li siwo ate ŋu ana ŋutsuwo nagate ŋu adzi vi o. Woate ŋu anye domenyiŋusẽfianu, ŋutilã, kple nutoa me tɔ.
| Susu | Numeɖeɖe bɔbɔe aɖe |
|---|---|
| Tsinyenye ƒe kuxiwo | Tsinyenye ƒe xexlẽme si bɔbɔ (Oligospermia), tsinyenye ƒe anyimanɔmanɔ (Azoospermia), tsinyenye ƒe nɔnɔme alo eƒe ʋuʋu ƒe gbegblẽ. |
| Domenyiŋusẽfianu ƒe dɔlélewo | Domenyiŋusẽfianu ƒe nɔnɔme siwo nɔa anyi le vidzidzi me, abe Klinefelter ƒe dɔléle ene. |
| Dɔléle bubuwo | Suklidɔ, dɔléle aɖewo siwo dɔlélenutsiŋutete hena vɛ, cystic fibrosis. |
| Dɔlékuiwo | Vidzidɔ me dɔlékuiwo (epididymitis, orchitis) kple gbɔdɔdɔ ƒe dɔlélewo (STIs) abe gonorrhea alo HIV ene. |
| Varicoceles (ʋumenugbagbeviɣidɔ) . | Ʋuka siwo ƒo xlã vidzidɔa ƒe vuvu nana dzoxɔxɔ dzina ɖe edzi eye wògblẽa nu le tsinyenye ƒe wɔwɔme ŋu. |
| Kansa dada | Atikewɔwɔ, keklẽŋusẽdɔdamɔnu, alo amekoko be woaɖe vidzidɔa ɖa (orchiectomy). |
| Lãmetsiŋusẽ ƒe kuxiwo | Lãmetsiŋusẽ ƒe masɔmasɔ le kuxi siwo le ahɔhɔ̃meka siwo le ahɔhɔ̃a me alo hypothalamus ƒe dɔwɔwɔ me ta. |
Nu bubu siwo nana afɔkua dzina ɖe edzi
Tsɔ kpe ɖe susu siwo le etame ŋu la, agbenɔnɔ ƒe nɔnɔme kple numame aɖewo hã ate ŋu ana ŋutsuwo ƒe vidzidzi ƒe afɔkua nadzi ɖe edzi.
- Kpekpeme ƒe dzidziɖedzi: Ne wò ŋutilã ƒe lolome ƒe dzesi (BMI) wu 25 (lolo akpa).
- Ƒe 40 kple edzivɔ xɔxɔ.
- Sigaretnono, ahanono kple atike vɔ̃ɖi bubuwo zazã.
- Atike siwo me aɖi le abe nudzodzoeviwutikewo kple ga kpekpewo (lead, mercury) ƒe amedzidzedze.
- Nusiwo nana vidzidɔa ƒe dzoxɔxɔ dzina ɖe edzi: sauna alo tsi dzodzoe zazã enuenu, kple bunɔkeke zazã ɣeyiɣi didi.
- Atike aɖewo zazã.
- Anabolic steroids zazã hena lãmekawo ƒe tsitsi.
Aleke tututu ɖɔkta awɔ anya esia?
Ne èdze agbagba ƒe ɖekae nye sia eye màte ŋu adzi vi o la, nu nyuitɔ si nàwɔe nye be mia kple srɔ̃wò miakpɔ ɖɔkta ɖekae. Ðɔkta awɔ afɔɖeɖe geɖe atsɔ anya dɔléle sia.
1. Nyabiase tso mia kple srɔ̃wò ŋu: Ðɔkta la abia nya geɖe wò tso wò lãmesẽ ŋutinya, gbɔdɔdɔ ƒe nɔnɔmewo, dɔwɔɖui, agbenɔnɔ, kple bubuawo ŋu Ele vevie ŋutɔ be nàna nyatakaka anukwaretɔe evɔ màkpe ŋu o.
2. Lãmesẽdodokpɔ:Ðɔktaa akpɔe ɖa be kuxi aɖewo le wò ŋutilã me siwo ate ŋu agblẽ nu le wò vidzidzi ŋu hã.
3. Dodokpɔ tɔxɛwo: Le ema megbe la, wowɔa dodokpɔ geɖe be woakpɔ nusi tututu gbɔ wòtso.
| Dodokpɔ | Nukae nèkpɔ le ema me? |
|---|---|
| Tsinyenye Ŋuti Numekuku | Esiae nye dodokpɔ vevitɔ kple vevitɔ kekeake . Woɖea wò tsinyenye ƒe kpɔɖeŋu eye woléa ŋku ɖe tsinyenye ƒe xexlẽme, eƒe ʋuʋu, eƒe nɔnɔme, kple eƒe nɔnɔme bubuwo ŋu. |
| Ʋudodokpɔwo | Kpɔ wò ŋutilã me lãmetsiŋusẽ ƒe agbɔsɔsɔ (vevietɔ testosterone) kple domenyiŋusẽfianu ƒe kuxiwo ɖa. |
| Nɔnɔmetatawo Ƒe Dodokpɔwo | Woate ŋu awɔ ultrasound scan atsɔ akpɔe ɖa be mɔxenu aɖeke le vidzidɔ alo tsinyenye ƒe mɔ̃wo abe varicocele ene me hã. |
| Vidzidɔ ƒe lãmenugbagbeviwo ɖeɖeɖa | Le go aɖewo siwo mebɔ o me la, woɖea lãkusi sue aɖe ŋutɔ le vidzidɔa me hedonɛ kpɔna be tsinyenye le edzi yim nyuie hã. |
Mega tsi dzi o! Atike aɖe li na esia.
Ẽ, keŋkeŋ! Atikewɔmɔnu nyui geɖewo li egbea na ŋutsuwo ƒe vidzidzi, eɖanye nuka kee gbɔ wòtso o. Susu aɖeke meli si ta míaɖe asi le mɔkpɔkpɔ ŋu o.
1. Agbenɔnɔ ƒe tɔtrɔ
Zi geɖe la, tɔtrɔ tsɛwo wɔwɔ le agbenɔnɔ me ate ŋu ana tɔtrɔ gã aɖe nava.
- Lé lolo nyuie me ɖe asi: Ne èlolo akpa la, de kame eye nàɖu edzi.
- Nuɖuɖu nyui: Ƒo atikutsetse, amagbe, kple amagbewo geɖe wu.
- Asiɖeɖe le atamanono kple ahanono ŋu: Esiawo gblẽa nu le tsinyenye ŋu tẽ.
- Nuteɖeamedzi dzi ɖeɖe kpɔtɔ:Nuwo abe yoga kple ŋugbledede ene akpe ɖe ŋuwò.
- Vidzidɔa takpɔkpɔ tso dzoxɔxɔ si gbɔ eme me.
2. Atikewo
Ne kuxi aɖe li abe lãmetsiŋusẽ ƒe agbɔsɔsɔ si bɔbɔ alo esi sɔ gbɔ ene la, woate ŋu ada asɔ kple atikewo. Azɔ hã, woate ŋu ana dɔlékuiwutikewo na dɔlékuiwo. Ne atike bubu siwo zãm nèle le ŋusẽ kpɔm ɖe vidzidzi dzi la, wò ɖɔkta ate ŋu atrɔ wo.
3. Amekoko
Le go aɖewo me la, ate ŋu ahiã be woawɔ dɔ na ame.
- Varicocelectomy: Woate ŋu aɖɔ ʋuka si me ʋu sina tona, si nye ʋuka si tro, ƒe nɔnɔmea ɖo to amekoko me.
- Vasectomy Reversal: Ne woɖe vasectomy na wò va yi be màgadzi vi o la, woate ŋu atrɔe ne wogawɔ dɔ nɛ ake.
- Tsinyenye Xɔxɔ: Ne tsinyenye ƒe mɔ̃a xe la, woate ŋu axɔ tsinyenye tso vidzidɔa me tẽ eye woazãe atsɔ adae.
4. Mɔ̃ɖaŋununya si Kpena Ðe Vidzidzi Ŋu (ART) .
Esiawoe nye atikewɔmɔnu deŋgɔtɔ kekeake siwo li egbea.
- In Vitro Fertilization (IVF): Kpuie ko la, woƒoa nyɔnu ƒe aziwo kple ŋutsu ƒe tsinyenye nu ƒu le ŋutilã godo, le nudokpɔƒe, tsɔ wɔa fugboe, si wogbugbɔ dea vidadaa ƒe vidzidɔ me.
- Intracytoplasmic Sperm Injection (ICSI): Esia nye IVF ƒe mɔnu deŋgɔ bubu. Ne tsinyenye ƒe xexlẽme le sue ŋutɔ alo womete ŋu ʋãna nyuie o la, wotiaa tsinyenye ɖeka si le lãmesẽ me hedoa azi la me tẽ.
Wò ɖɔkta adzro eme kpli wò eye wòatso nya me le atikewɔwɔmɔnu si nyo na wò ŋu.
Gbedasi si Wotsɔ Yi Aƒeme
- Ŋutsuwo ƒe vidzidzi nye nɔnɔme si bɔ. Menye wò kuxia koe o. Eya ta mègakpe ŋu alo dzi naɖe le ƒowò o.
- Vidzidzimakpɔmakpɔ nye srɔ̃tɔwo ƒe kuxi, ke menye ame aɖeke ƒe vodada o. Ele be mia kple srɔ̃wò miakpɔ esia gbɔ ɖekae.
- Agbenɔnɔ si me lãmesẽ le (nuɖuɖu nyuie, kamedede, atamanono kple ahanono) ate ŋu ana wò vidzidzi nanyo ɖe edzi ŋutɔ.
- Ne ète kpɔ ƒe ɖeka eye mèkpɔ naneke si do tso eme o la, yi ɖɔkta gbɔ kaba. Zi alesi nèke ɖe nusi gbɔ wòtso ŋu pɛpɛpɛ eye nèdae la, zi nenemae mɔnukpɔkpɔ si li be nàkpɔ dzidzedzee.
- Wò susu ƒe lãmesẽ hã le vevie ŋutɔ le mɔzɔzɔ sia me. Ne ehiã la, di aɖaŋuɖoɖo. Mègana mɔkpɔkpɔ naɖe asi le ŋuwò o!
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Womeɖo nya aɖeke ɖe amewo haɖe o. Tsɔ wò nyaŋuɖoɖo kpe ɖe afisia zi gbãtɔ.
Tsɔ wò nyaŋuɖoɖo kpee