Aloha! Pehea ʻoe? I kēia lā, ke kamaʻilio nei mākou e pili ana i kahi kumuhana koʻikoʻi no nā mea he nui, ʻoiai inā paha he mea hilahila iki ke kūkākūkā ʻia i kekahi manawa. He kumuhana ia e pono ai ʻoe e hoʻomaopopo e pili ana i: kou mau testicle (a i ʻole nā testicle), he ʻāpana koʻikoʻi ia o ka ʻōnaehana hānau kāne. Ua lohe paha ʻoe iā lākou i kapa ʻia e nā inoa maʻamau like ʻole. E luʻu kākou i loko o ke ʻano o lākou, kā lākou hana, a me ke ʻano o nā hopohopo āu e makaʻala ai.
He aha nā testicles a he aha kā lākou hana?
I ka ʻōlelo maʻalahi, ʻelua mau kelepa ʻano oval nā testicles i loko o ke kino kāne. ʻElua mau testicles o kēlā me kēia kāne. Ua kapa ʻia kahi testicle hoʻokahi he "testis," ʻoiai ua kapa ʻia nā mea ʻelua he "testes."
E nānā kākou i kā lākou mau hana nui ʻelua:
1. Ka Hana ʻana o ka Sperm: Hoʻopuka ʻia nā hunaola hānau kāne, a i ʻole sperm, i loko o nā testicles. Ua kapa ʻia kēia kaʻina hana paʻakikī ʻo spermatogenesis .
2. Ka Hana ʻana o ka Hormone : ʻO nā testicles kekahi kuleana no ka hana ʻana i ka testosterone , ka hormone mua e hoʻoponopono i nā ʻano kino kāne.
Pehea i hana ʻia ai ka sperm?
He hana kupaianaha maoli nō ia. Ua ʻike anei ʻoe e pono ana kou mau testicles e noho anuanu iki ma mua o ke koena o kou kino? Hana maikaʻi lākou i ka mahana ma kahi o ʻelua kekelē Celsius ma lalo o ka mahana o kou kino. He mea nui kēia wahi anuanu no ka sperm e oʻo pono ai.
I loko o kēlā me kēia testicle, aia nā ʻōmole liʻiliʻi he nui i kapa ʻia ʻo seminiferous tubules . E noʻonoʻo i kēia: aia i loko o hoʻokahi testicle ma kahi o 700 o kēia mau ʻōmole i ʻōwili ʻia! I loko o kēia mau ʻano, loaʻa i nā cell sperm ʻōpiopio nā meaʻai a me ke koko e oʻo mālie ai. He 74 mau lā no ka ulu piha ʻana o kahi cell sperm.
Ma hope o ka oʻo ʻana, neʻe kēia mau sperm i loko o kahi ʻōnaehana o nā ducts i kapa ʻia ʻo epididymis , aia ma ke kua o ka testicle. Mai laila mai, hele lākou ma o nā vas deferens e puka i waho o ke kino ma o ka penis ma ke ʻano he ʻāpana o ka semen.
He aha nā hormones i hana ʻia e nā testicles?
E like me ka mea i ʻōlelo ʻia, hana nā testicles i ka testosterone . ʻO kēia hormone ke kuleana no ka leo hohonu, ka hoʻonui ʻia o ka nui o nā ʻiʻo, a me ka ulu ʻana o ka lauoho o ke kino. Hana ʻia kēia mau mea e nā pūnaewele kūikawā i loko o nā testicles i kapa ʻia ʻo nā pūnaewele Leydig .
Ma waho aʻe o ka testosterone , hana nā testicles i nā hormones koʻikoʻi ʻē aʻe:
- Inhibin B: Ua pili kēia pae protein i ka nui o ka testicular a me ka helu sperm i nā pākeke.
- ʻO ka hormone Anti-Mullerian (AMH): Koʻikoʻi no ka ulu ʻana o ka ʻōnaehana hānau kāne o loko.
- ʻO ka mea like me ka insulin 3 (INSL3): Kōkua kēia hormone i nā testicles e iho i loko o ka scrotum i ka wā o ka ulu ʻana a kākoʻo i ke olakino mau.
- ʻO Estradiol : He ʻano estrogen he mea nui hoʻi no ke kaʻina hana sperm.
Aia i hea nā testicles?
Aia nā testicles i loko o kahi ʻeke ʻili e kau ana ma lalo o ka penis i kapa ʻia ʻo ka scrotum . ʻO ka maʻamau, noho kekahi ma ka ʻākau o ka penis a ʻo kekahi ma ka hema.
Hoʻopili ʻia nā testicles i ke kino o loko e kahi ʻano i kapa ʻia ʻo ke kaula spermatic , nona nā aʻalolo, nā kīʻaha koko, a me nā vas deferens , ke ala e lawe ai ka sperm.
Pehea ko lākou helehelena a me ko lākou manaʻo?
No ka mea aia lākou i loko o ka scrotum, ʻaʻole hiki iā ʻoe ke ʻike pololei iā lākou, akā hiki iā ʻoe ke hoʻopā iā lākou ma o ka ʻili. Hoʻākāka pinepine ʻia lākou he nui a me ke ʻano o ka ʻoliva a i ʻole ka walnut liʻiliʻi.
E pili ana i ka nui,ʻaʻohe ana "kūpono". He mea maʻamau loa ka nui iki ʻana o kekahi testicle a i ʻole ke kau haʻahaʻa ma mua o kekahi. I nā pākeke, ʻo ka nui o kahi testicle maʻamau mai 15 ml a 35 ml. E noʻonoʻo iā lākou e like me ka nui o ka hua manu liʻiliʻi a i ka hua moa liʻiliʻi.
He aha nā kūlana a me nā maʻi maʻamau e hoʻopilikia ana i nā testicles?
ʻOiai kekahi mau kūlana i ʻoi aku ka maʻamau i nā keiki, pili kekahi i nā pākeke. ʻO nā hopohopo maʻamau:
- Hypogonadism: Ke hana ʻole nā testicles i nā hormones lawa.
- ʻO ka maʻi Klinefelter: He ʻano genetic kahi i hānau ʻia ai ke kāne me kahi chromosome X keu.
- ʻAʻole hānau keiki: ʻO ka hiki ʻole ke hāpai keiki, hiki ke kumu ʻia e ka hana sperm haʻahaʻa a i ʻole nā mea ālai ʻia.
- Cryptorchidism : ʻIke ʻia hoʻi ʻo "undescended testicle," kahi i neʻe ʻole ai ka testicle i loko o ka scrotum ma mua o ka hānau ʻana.
- Epididymitis : Ka mumū o ka epididymis , i hana pinepine ʻia e ka maʻi.
- Spermatocele: He cyst piha i ka wai e ulu ana ma luna a ma hope paha o ka testicle.
- ʻO ka torsion testicular: He pilikia olakino kēia! Hana ʻia ia i ka wā e wili ai kahi testicle, e ʻoki ana i kona kahe koko . Inā loaʻa iā ʻoe ka ʻeha koke a koʻikoʻi, e ʻimi koke i ka mālama olakino pilikia.
- ʻO ke kanesa testicular: He ʻano kanesa i loaʻa pinepine i nā kāne ma waena o 20 a me 35 mau makahiki.
Eia kekahi, ʻo ka trauma kino mai nā ulia pōpilikia, hāʻule, a i ʻole nā ʻeha haʻuki hiki ke hōʻino i nā testicles.
He aha nā hōʻailona maʻamau o nā pilikia testicular?
Inā loaʻa iā ʻoe kekahi o kēia mau mea, e ʻoluʻolu e nīnau i ke kauka:
- ʻEha a ʻoluʻolu ʻole paha ma ka scrotum a i ʻole nā testicles.
- He puʻu a pehu paha i loko a ma luna paha o ka testicle.
- Nā loli i ke kala a i ʻole ka ʻili o ka scrotum.
- He manaʻo o ka mehana kūikawā ma ia wahi.
- Koko i loko o kou sperm .
- ʻEha o ka ʻōpū haʻahaʻa.
Mea nui: Mai hoʻowahāwahā i kēia mau hōʻailona. ʻO ke kūkākūkā mua ʻana me ke kauka ka hana maikaʻi loa.
Pehea e ʻike ʻia ai nā pilikia olakino o ka testicular?
Ma hope o ka nānā ʻana i kāu mōʻaukala olakino a me nā hōʻailona, hiki i kāu kauka ke ʻōlelo i kēia mau mea:
- He hoʻokolokolo kino o ka scrotum.
- Nā hoʻāʻo koko e nānā i nā pae hormone a i ʻole nā māka no ka maʻi.
- Nā hoʻāʻo mimi e nānā i nā maʻi.
- He hoʻāʻo transillumination e hoʻoholo ai inā he paʻa a piha paha kahi puʻupuʻu i ka wai.
- ʻO kahi scan ultrasound , ʻo ia ke kūlana gula no ka nānā ʻana i ke ʻano o nā testicles a me ka ʻike ʻana i nā mea ʻino.
He aha nā lāʻau lapaʻau maʻamau no nā kūlana testicular?
Hoʻokumu ʻia ka lāʻau lapaʻau ma muli o ka hōʻailona kikoʻī akā hiki ke komo pū me:
- Mālama ponoʻī: Ke hoʻohana nei i nā lāʻau hoʻopau ʻeha ma luna o ke kauka, e hoʻopili ana i nā ʻeke hau e hōʻemi i ka pehu, a i ʻole ke kau ʻana i ke kaula haʻuki kākoʻo.
- Nā lāʻau lapaʻau: Nā lāʻau antibiotic no nā maʻi a i ʻole ka lāʻau hoʻololi testosterone.
- ʻOki kino: Nā kaʻina hana e like me ka orchiopexy no nā testicles i iho ʻole, ʻoki kino e hoʻoponopono i ka torsion, a i ʻole ka wehe ʻana i nā cysts a i ʻole nā tumors.
- Hoʻōla radiation.
- Kemoterapi.
Pehea e hiki ai iaʻu ke mālama i ke olakino o koʻu mau testicles?
E hahai i kēia mau hana e mālama i ke olakino o kou testicular:
- Ka Palekana ʻAʻahu: E hoʻohana mau i kahi mea kākoʻo haʻuki a i ʻole jockstrap i ka wā o nā haʻuki a i ʻole nā hana hopena kiʻekiʻe e pale ai i ka ʻeha.
- E Noho Maʻemaʻe: E mālama i ke olakino maikaʻi ma ka holoi pinepine ʻana a me ke komo ʻana i nā lole komo maʻemaʻe a hanu.
- E Hoʻomaʻamaʻa i ka Moe Pilikino: Kōkua kēia i ka pale ʻana iā ʻoe mai nā maʻi i laha ma ke moekolohe (STIs).
- E Hana i nā Hoʻokolohua Pilikino Maʻamau: E ʻike i ka mea "maʻamau" iā ʻoe. Inā ʻike ʻoe i kekahi loli i ke ʻano, ke ʻano, a i ʻole ka helehelena—a inā ʻike ʻoe i kahi puʻupuʻu a pehu paha —e ʻimi koke i ke kōkua lapaʻau.
Hiki iaʻu ke loaʻa keiki inā nalowale kekahi oʻu testicle?
ʻAe, ʻoiaʻiʻo nō. Hoʻokahi testicle olakino ka mea maʻamau e lawa ai ka sperm e hana i kahi keiki. Inā ʻoe e kū nei i kahi kūlana kahi e pono ai ke wehe ʻia nā testicles ʻelua ma muli o nā kumu lapaʻau e like me ke kanesa a i ʻole ka ʻeha nui, e kūkākūkā i ka sperm banking (cryopreservation) me kāu kauka. Hiki iā ʻoe ke mālama i ka sperm no ka hoʻohana ʻana i ka wā e hiki mai ana.
Leka Hoʻihoʻi Hope Loa
He mea nui kou mau testicles i kou olakino, ka hānau keiki, a me ke ʻano kāne. E hoʻokaʻawale i ka manawa e hoʻomaopopo ai i kou kino ponoʻī, a mai hoʻowahāwahā i ka ʻeha mau, ka pehu ʻana, a i ʻole nā loli.
Inā ʻike ʻoe i kekahi mea ʻē, mai hilahila a makaʻu paha. E kamaʻilio me kāu kauka i ka wā hikiwawe loa—ʻo ka ʻike mua ʻana ke kī i ka lāʻau lapaʻau kūpono.
Lana ko mākou manaʻo ua kōkua kēia ʻike. E noho olakino me Nirogi Lanka!
