Vidzidɔ nye ŋutinu vevi aɖe ŋutɔ eye wòsea veve ŋutɔ le ŋutsu ƒe ŋutilã me. Ke hã, ame geɖe siwo le míaƒe hadomegbenɔnɔ me tsina vie eye ŋu kpea wo be yewoaƒo nu tso nya sia ŋu gaglãa. Gake le nyateƒe me la, wò ŋutilã ƒe akpa vevi sia nyanya nyuie le vevie hafi nànɔ agbe si me lãmesẽ le, si me dzidzɔ le. Eyata egbea, evɔ míaɣla naneke o la, mina míaƒo nu tso esia ŋu bɔbɔe ŋutɔ, le mɔ si gɔme nàte ŋu ase nu, abe kple xɔ̃wò ene.
Kpuie ko la, nukawoe nye vidzidɔ siawo?
Vidzidɔ, alo `(Testicles)`, nye ŋutsu ƒe vidzidzi ƒe akpa vevitɔ. Zi geɖe la, vidzidɔ eve nɔa ŋutsu aɖe si. Ame aɖewo zãa ŋkɔwo abe ``ƒuwo'' alo ``bɔl'' na esiawo. Le atikewɔwɔ me la, míeyɔa esiawo hã be ``(Testes)``. Woyɔa vidzidɔ ɖeka be ``(Testis)``.
Esiawo le wò ŋutsu ƒe vidzinu te, le ŋutigbalẽkotoku aɖe si woyɔna be vidzidɔ me. Zi geɖe la, ɖeka nɔa ɖusime eye evelia nɔa miame.
Fifia ɖewohĩ ànɔ ɖokuiwò biam be nukatae nusiawo le akplo aɖe me le ŋutilã godo hã. Susu tɔxɛ aɖe tae. Míaƒo nu tso ema ŋu le ɣeyiɣi kpui aɖe megbe.
Dɔ vevi eve kawoe vidzidɔa wɔna?
Dɔ vevi eve ŋutɔ le vidzidɔa ŋu.
1. Tsinyenye ƒe wɔwɔ: Ŋutsu ƒe vidzidzi lãmenugbagbevi siwo hiã be woatsɔ awɔ vi, si woyɔna be tsinyenye, la dzɔna le vidzidɔ siawo me.
2. Lãmetsiŋusẽwo wɔwɔ: Afi siae wowɔa testosterone, si nye lãmetsiŋusẽ vevitɔ si kpɔa ŋutsu ƒe ŋutsu ƒe nɔnɔmewo dzi, kple lãmetsiŋusẽ bubu geɖewo le.
Azɔ mina míalé ŋku ɖe dɔwɔwɔ eve siawo ŋu tsitotsito vie.
1. Alesi tsinyenye ƒe wɔwɔme wɔ nukui
Míeyɔa tsinyenye ƒe wɔwɔme ƒe ɖoɖo sia be `(Spermatogenesis)`. Esia nye nu wɔnuku aɖe ŋutɔ.
Bu eŋu kpɔ be hafi woate ŋu awɔ tsinyenye la, ele be vidzidɔa ƒe dzoxɔxɔ naɖiɖi abe Celsius dzidzenu eve ene wu míaƒe ŋutilã ƒe dzoxɔxɔ si sɔ. Esia tae vidzidɔa le ŋutilãa godo, le vidzidɔa me ɖo. Kplu sia ate ŋu aƒo ɖe enu ahakeke ɖe enu le dzoxɔxɔa nu. Ne vuvɔ le wɔwɔm la, etena ɖe ŋutilãa ŋu wu eye wòxɔa dzoxɔxɔ, eye ne exɔ dzo la, enɔa adzɔge ʋĩ tso ŋutilãa gbɔ eye wòfa.
Le vidzidɔ ɖesiaɖe me la, mɔ̃ siwo le sue ŋutɔ, siwo didi ŋutɔ la sɔ gbɔ ŋutɔ. Woyɔa esiawo be ``seminiferous tubules.`` Esesẽ be woasusui, tube siawo abe 700 ene le vidzidɔ ɖeka me. Tube mawo mee wowɔa tsinyenye le.
Exɔa abe ŋkeke 74 ene hafi tsinyenye ƒe lãmenugbagbevi si metsi o la tsina zua tsinyenye si tsi bliboe. Le ɣeyiɣi sia katã me la, exɔa nunyiame kple ʋu si wòhiã to mɔ̃ siawo dzi.
Emegbe, wotutua tsinyenye siawo siwo wowɔ la ɖe mɔ̃ bubu siwo le vidzidɔa ƒe megbe la me. Woyɔa esia be `(epididymis)`. Le afima la, tsinyenyea gatsina ɖe edzi. Mlɔeba la, ne ɣeyiɣia de be woadzo le ŋutilãa me kple tsinyenye la, ezɔa mɔ toa mɔ̃ si woyɔna be `(vas deferens)` me eye wòdoa go to ŋutsu ƒe vidzinu me.
2. Lãmetsi vevi siwo vidzidɔa wɔna
Testosterone ye nye nusi koŋ le afisia. Lãmetsiŋusẽ sia hiã vevie hafi ŋutsu ƒe gbe nade to, lãmekawo nasẽ ɖe edzi, eye ŋutilã kple mo ƒe fu natsi. Ekpɔa ŋusẽ ɖe gbɔdɔdɔ ƒe dzodzro kple dɔwɔwɔ hã dzi tẽ.
Gake menye testosterone koe wowɔna le afisia o, ke boŋ lãmetsiŋusẽ bubu geɖewo hã.
- Inhibin B: Esia nye protein si do ƒome kple tsinyenye ƒe xexlẽme kple vidzidɔ ƒe lolome.
- Anti- Mullerian hormone: Esia le vevie na ŋutsu ƒe vidzidzi ƒe ŋutinu ememetɔwo ƒe tsitsi nyuie le fugboe ƒe ɣeyiɣia me.
- Nu 3 lia si le abe insulin ene: Lãmetsi sia kpena ɖe vidzidɔa ŋu wòɖina tso ƒodo me yia vidzidɔa me ne vidzĩ le vidzidɔa me.
- Estradiol: Togbɔ be wonya esia be nyɔnu ƒe lãmetsiŋusẽ hã la, lãmetsi sia hã hiã le agbɔsɔsɔ sue aɖe me hena tsinyenye ƒe wɔwɔme.
Nukae nye vidzidɔa ƒe dzedzeme kple eƒe lolome si sɔ?
Vidzidɔawo le vidzidɔa me, eyata míete ŋu kpɔa wo tẽ o. Gake míate ŋu akpɔ woƒe nɔnɔme tso gota eye míase wo gɔme. Zi geɖe la, wogblɔna be woƒe nɔnɔme le abe amititsetse gãwo, azi suewo, alo walnut ene.
Ne míeƒo nu tso lolome ŋu la, naneke meli si woyɔna be "esiae nye lolome si sɔ pɛpɛpɛ o." Ate ŋu ato vovo tso ame ɖeka gbɔ yi bubu gbɔ. Nu vevitɔe nye be esɔ be wò vidzidɔwo nato vovo le woƒe lolome kple woƒe nɔƒe.
- Vidzidɔ ɖeka ate ŋu alolo vie wu evelia.
- Ðewohĩ ɖeka anɔ anyi vie wu evelia.
Esiawo nye nɔnɔme siwo sɔ. Mehiã be míatsi dzi ɖe wo ŋu o. Ame tsitsi ƒe vidzidɔ ƒe lolome si sɔ ate ŋu atso xevi ƒe azi ƒe lolome dzi va ɖo koklozi ƒe azi sue ƒe lolome dzi.
Nukawoe nye nɔnɔme siwo bɔ siwo gblẽa nu le vidzidɔ ŋu?
Abe ŋutinu bubu ɖesiaɖe ene la, vidzidɔ ate ŋu axɔ dɔléle kple dɔléle vovovowo. Togbɔ be woate ŋu ade dzesi nusiawo dometɔ aɖewo le woƒe ɖevime hã la, nɔnɔme aɖewo hã li siwo ate ŋu adzɔ le ƒe ɖesiaɖe me. Ele vevie ŋutɔ be nànya esia.
| Nᴐnᴐme | Numeɖeɖe bɔbɔe aɖe |
|---|---|
| Hypogonadism ƒe dɔléle | Vidzidɔa ƒe kpododonu be wòawɔ lãmetsiŋusẽ agbɔsɔsɔme si hiã (vevietɔ testosterone). |
| Klinefelter ƒe dɔlélea | Togbɔ be zi geɖe la, X domenyiŋusẽfianu ɖeka kple Y domenyiŋusẽfianu ɖeka (XY) nɔa ŋutsu siawo si hã la, domenyiŋusẽfianu ƒe nɔnɔme aɖe le ŋutsu siawo si si me X domenyiŋusẽfianu (XXY) bubu nɔa wo ŋu. Esia ate ŋu akpɔ ŋusẽ ɖe vidzidɔa ƒe tsitsi dzi. |
| Vidzidzimakpɔmakpɔ | Ŋutete manɔamesi be woafɔ fu na zɔhɛ. Esia ate ŋu atso esi womewɔa tsinyenye kura o, womewɔa nusi sɔ gbɔ o, alo womete ŋu ɖea asi le wo ŋu o. |
| Cryptorchidism ƒe dɔléle | Vidzidɔ ɖeka alo evea siaa meɖiɖi yi ɖe vidzidɔa me le vidzidzi me o. Wogayɔa esia be "vidzidɔ siwo meɖiɖi o." |
| Epididymitis ƒe dɔléle | Dɔlékui alo vuvu le epididymis, si nye mɔ̃ si me wodzraa tsinyenye ɖo, si do ƒome kple vidzidɔa ŋu. |
| Spermatocele ƒe dɔléle | Aɖuɖɔtoe si me afɔku mele o, si me tsi yɔ fũ, si dzɔna le vidzidɔa tame alo le megbe. |
| Akɔta ƒe Ʋuʋudedi | Esia nye atikewɔwɔ kpata! Vidzidɔa trɔna ƒoa xlã ʋuka si naa ʋua, si wɔnɛ be eƒe ʋu meganɔa eme o. Ne womewɔ atike na vidzidɔa enumake o la, ate ŋu adzɔ be womate ŋu awɔ dɔ na vidzidɔa o. |
| Vidzidɔ me Dɔdzẽ | Enye kansa ƒomevi si bɔ wu le ŋutsu siwo xɔ tso ƒe 20 va ɖo ƒe 35. Gake ne wokpɔe kaba la, woate ŋu adae dzidzedzetɔe ŋutɔ. |
Tsɔ kpe ɖe eŋu la, ŋutilã me nuveviwɔame siwo tso nuwo abe ʋufɔku, anyidzedze, kple dzrewɔwɔ ene hã ate ŋu agblẽ nu le vidzidɔa ŋu.
Nuxlɔ̃amedzesi siwo fia be ele be nàkpɔ ɖɔkta enumake!
Wò ŋutilã naa dzesiwo wò ne nane gblẽ. Ne dzesi siwo gbɔna dometɔ aɖe le ŋuwò la, mègaŋe aɖaba ƒu wo dzi gbeɖe o. Mègana ŋu nakpe wò o. Kpɔ wò ɖɔkta kaba ale si nàte ŋui.
| Dzesi si dzena | Nusiwo ŋu wòle be woalé ŋku ɖo etɔxɛe |
|---|---|
| Vevesese | Vevesese sesẽ kpata le akɔta alo vidzidɔ me. Esia dzena vevietɔ le `Testicular Torsion` me. |
| Kpe alo ʋuʋudedi | Kpe si woate ŋu ase le vidzidɔa ƒe gota alo eme. Esia ate ŋu anye kansa ƒe dzesi, eɖanye vevesese alo vevesese o. |
| Ŋutilã ƒe amadede ƒe tɔtrɔ | Ŋutilã si le aɖuɖɔtoea me ƒe amadede biã alo aŋutiɖiɖi. |
| Dzoxɔxɔ si mebɔ o | Dzoxɔxɔ ƒe seselelãme si mebɔ o le nutoa me. Esia ate ŋu anye dɔlékui aɖe ƒe dzesi. |
| Ʋu le tsinyenye me | Ʋu si dona kple tsinyenye. |
| Ƒodo ƒe vevesese | Le vidzidɔ ƒe kuxi aɖewo me la, woate ŋu ase le wo ɖokui me be enye ƒodo ƒe vevesese. |
Ðo ŋku edzi be vevesese sesẽ si tso `Testicular Torsion` gbɔ nye atikewɔwɔ kpata. Le nɔnɔme sia tɔgbe me la, mèganɔ aƒeme eye nàyi kɔdzi si te ɖe ŋuwò ƒe Dɔwɔƒe si Kpɔa Nudzɔdzɔ Kpatawo Gbɔ (ETU) enumake o.
Dodokpɔ ka ƒomevie ɖɔktaa awɔ?
Ne èyi ɖɔkta gbɔ la, abia wò gbã tso wò dzesiwo kple atikewɔwɔ ŋutinya ŋu. Emegbe le wò hiahiãwo nu la, woate ŋu awɔ dodokpɔ siwo gbɔna la dometɔ ɖeka alo esi wu nenema:
- Lãmedodokpɔ: Ðɔktaa ado wò vidzidɔ kpɔ le ŋutilã me eye wòalé ŋku ɖe eŋu be ƒu, vuvu, alo vuvu aɖeke mele eŋu hã.
- Ʋudodokpɔ: Kpɔ lãmetsiŋusẽ ƒe agbɔsɔsɔ ɖa alo nàlé ŋku ɖe dɔdzẽ ƒe dzesiwo ŋu hã.
- Aɖuɖɔtoe dodokpɔ: Kpɔe ɖa be dɔlékuiwo le ame ŋu hã.
- Ultrasound Scan: Esia nye dodokpɔ vevi aɖe ŋutɔ. Enaa nèkpɔa nusi le vidzidɔa me nyuie. Ne ƒu aɖe li la, àte ŋu anya nyuie nenye be tsi yɔ fũ (`cyst`) alo nu sesẽ (`tumor`). Ekpena ɖe ame ŋu hã be woaɖo kpe nɔnɔme si me `Testicular Torsion` le dzi.
Aleke woawɔ ana vidzidɔa nanɔ lãmesẽ me?
Nu bɔbɔe ʋɛ aɖewo li wò ŋutɔ nàte ŋu awɔ atsɔ akpɔ wò vidzidɔ ƒe lãmesẽ ta.
- Takpɔ ɖokuiwò ta: Ne èle kamedefefewo wɔm, vevietɔ kamedefefewo abe kriket, bɔlƒoƒo, alo nuwɔna sesẽ bubuwo ene la, kpɔ egbɔ be yedo kamedefefe ƒe kpeɖeŋutɔ (jockstrap) . Esia ate ŋu akpe ɖe ame ŋu be nuveviwɔame ƒe afɔkua dzi naɖe akpɔtɔ.
- Nɔ dzadzɛ: Klɔ ɖokuiwò eye nàkɔ ɖokuiwò ŋu nyuie gbesiagbe. Do awu ʋlaya kple awu siwo le dzadzɛ.
- Wɔ gbɔdɔdɔ si me afɔku mele o: Zã mɔnu siwo le dedie abe kɔndɔm ene nàtsɔ akpɔ ɖokuiwò ta tso gbɔdɔdɔ ƒe dɔlélewo me.
- Ðokuidodokpɔ Edziedzi: Esiae nye nu vevitɔ kekeake. Ne mede ɖeke o la , zi ɖeka ya teti le ɣletia me la, wò ŋutɔ do wò vidzidɔwo kpɔ. Esia wɔwɔ le bɔbɔe wu ne èle tsi ƒum dzoe, elabena vidzidɔa ɖea dzi ɖi le ɣeyiɣi ma me.
- Lé vidzidɔ ɖeka ɖe wò asibidɛ gã kple asibidɛ si fiaa nu dome eye nàmlɔe blewuu.
- Kpɔ evelia hã ɖa nenema ke.
- Se alesi amewo sena le wo ɖokui me le afisiafi, woƒe nɔnɔme, kple woƒe lolome gɔme nyuie.
- Lé ŋku ɖe ƒunukpeƒetetedɔ yeye ɖesiaɖe, vuvu, alo tɔtrɔ bubu siwo mebɔ o ŋu.
Ne ède dzesi tɔtrɔ aɖewo, ne wole sue gɔ̃ hã la, mègatsɔe ko be, "Esia anyo le eɖokui si," ke boŋ yi ɖɔkta gbɔ enumake. Zi alesi nède dzesii kaba la, zi nenemae edada nɔa bɔbɔe wu.
Ðe ame aɖe si si vidzidɔ ɖeka le ate ŋu adzi viwoa?
Ẽ, anya wɔ. Vidzidɔ ɖeka si le lãmesẽ me ate ŋu awɔ tsinyenye si sɔ gbɔ be wòafɔ fu. Ne ele be woaɖe vidzidɔ eveawo siaa le kansa alo afɔku gã aɖe ta la, ate ŋu adzɔ be woadzra tsinyenye ɖo hafi woawɔ dɔ nɛ (tsinyenye ƒe gadzraɖoƒe). Emegbe, mɔnukpɔkpɔ li be vidzidzi nazã tsinyenye ma.
Gbedasi si Wotsɔ Yi Aƒeme
- Wò vidzidɔ nye ŋutinu vevi aɖe ŋutɔ, si le vevie na ŋutsu ƒe lãmesẽ kple vidzidzi.
- Woƒe dɔ vevi evee nye be woawɔ tsinyenye kple lãmetsiŋusẽ siwo dome testosterone hã le.
- Nya wò vidzidɔ ƒe dzedzeme si sɔ (lolome, nɔnɔme, seselelãme). Wɔ ɖokuiwò me dzodzro ɣleti sia ɣleti.
- Ne ède dzesi tɔtrɔ aɖewo siwo mebɔ o, abe ƒunukpeƒetetedɔ, vevesese, alo vuvu ene , mègakpe ŋu alo ahe ɖe megbe o, ke boŋ yi ɖɔkta gbɔ enumake.
- Vevesese sesẽ kpata ate ŋu anye `Testicular Torsion` ƒe dzesi. Esi wònye be nudzɔdzɔ kpatae wònye ta la, yi kɔdzi si te ɖe ŋuwò ƒe Dɔwɔƒe si Kpɔa Nudzɔdzɔ Kpatawo Gbɔ (ETU) enumake.
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