Nā pilikia me ka sperm? E aʻo kākou e pili ana i ka Ejaculatory Duct Obstruction!

Ke manaʻo nei ʻoe i kekahi manawa ua haʻahaʻa ka nui o kāu sperm i ka wā moe? A i ʻole ke pilikia nei ʻoe i ka hāpai ʻana? Malia paha ke kumu o kēia mea āu e noʻonoʻo ʻole ai. I kēia lā, e kamaʻilio kākou e pili ana i kahi pilikia e pili ana i nā kāne, akā ʻaʻole i kamaʻilio nui ʻia - ka ejaculatory duct obstruction, a i ʻole EDO.

He aha ka mea e pale ai i ka ejaculatory duct?

I ka ʻōlelo maʻalahi, ʻo ka Ejaculatory Duct Obstruction (EDO) he paʻa ʻana i loko o ke kahawai sperm o ke kāne. Ua like ia me kahi paipu wai i paʻa. Hiki i kēia ke lilo i kumu o ka hānau ʻole ʻana , akā i ka hapa nui o nā hihia, hiki i nā kauka ke mālama iā ia.

He aha ka vas deferens? Pehea e hana ai?

ʻAe, i kēia manawa e nānā kākou i ke ʻano o kahi duct ejaculatory. Loaʻa iā ʻoe ʻelua mau ʻōmole (nā vas deferens) e lawe ana i ka sperm mai kāu mau testicles. Hoʻohui kēia mau ʻōmole ʻelua me nā ducts vesicle seminal (nā ducts mai ʻelua mau kelepa ʻē aʻe e hana ana i ka semen) e hana i nā ejaculatory ducts (EDs). Ke hele nei kēia mau ʻōmole ma o ka prostate gland, hoʻohui ʻia ka wai i hana ʻia e ka prostate gland i ka semen. ʻO ka hope loa, hoʻokuʻu ʻia ka semen piha mai ke kino ma o ka urethra i ka wā o ka hoʻoulu ʻana i ka moekolohe. Maopopo iā ʻoe? Lawe kēia wai i ka sperm i waho.

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Pehea ka maʻamau o kēia ʻano?

I mea e hāʻawi ai iā ʻoe i kahi manaʻo no ke ʻano maʻamau o kēia ālai ʻana, ua manaʻo ʻia aia ma kahi o 5% o nā kāne me ka azoospermia, kahi kūlana i loaʻa ʻole ai ka sperm i loko o ka semen, i kēia ālai ʻana. Hoʻopilikia ka Azoospermia ponoʻī i kahi o 1% o nā kāne.

Aia kekahi mau ʻano o ke ālai ʻana o ka vas deferens?

ʻAe, aia kekahi mau ʻano nui o ka vas deferens obstruction (EDO). E nānā kākou i ko lākou ʻano:

• EDO piha a maʻamau paha: ʻO kēia ka manawa e paʻa loa ai nā paipu ʻelua. E noʻonoʻo ua paʻa loa nā paipu wai ʻelua.
• ʻEDO piha ʻole a hapa paha: Ma kēia, hiki ke ālai loa ʻia kekahi duct, a i ʻole hiki ke ālai hapa ʻia nā duct ʻelua. Ua like ia me kahi paipu e paʻa ana i ka hapalua.
• EDO Hana: Ua like kēia me ka EDO piha, akā ʻaʻohe mea i ālai ʻia i loko o ke kahawai. ʻO ke ʻano kēia, ʻaʻohe mea i ālai ʻia i loko o ke kahawai, akā aia kahi pilikia me ka hana o ke kahawai.

Loaʻa iā ʻoe kēia mau hōʻailona?

Inā loaʻa iā ʻoe ka vas deferens obstruction (EDO), hiki iā ʻoe ke ʻike i kekahi o kēia mau hōʻailona:

• Ua emi ka nui o ka sperm i hoʻokuʻu ʻia (emi ma mua o 1.5 ml).
• Hoʻemi ʻia ka ejaculation a/a i ʻole ka helu sperm haʻahaʻa.
• Ke ʻeha nei i ka wā a ma hope paha o ka moekolohe.
• ʻEha e pili ana i ka ʻōpū prostate.
• ʻO ke alo o ke koko i loko o ka semen (i ka lāʻau lapaʻau ua kapa mākou i kēia (hematospermia)).
• Ke koko i loko o ka mimi (ua kapa ʻia kēia ʻo 'hematuria').
• Ka hānau ʻole ʻana.

ʻOi aku ka maʻamau o kekahi mau hōʻailona i kekahi ʻano ma mua o kekahi, no laila ʻoi aku ka maikaʻi o ke ʻike ʻana i ke kauka inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona.

He aha ke kumu o kēia?

ʻAe, i kēia manawa e nānā kākou i ke kumu o kēia vas deferens obstruction (EDO). Hiki ke loaʻa kekahi mau kumu:

• Nā kumu hoʻoilina: I kekahi manawa, hiki i nā kūlana hoʻoilina e like me ka cystic fibrosis ke hana i nā loli kūkulu i loaʻa i ka wā hānau. No ka laʻana, ʻaʻole paha nā vas deferens (atresia) a i ʻole ua emi paha (atrophic).
• ʻO ka ʻiʻo ʻeha mai ke ʻoki kino pelvic ma mua a i ʻole ka hōʻino ʻana i ka urethra. Hiki i kēia ʻeha ke ālai i nā ʻōmole.
• Nā pōhaku (calculi): E like me nā pōhaku puʻupaʻa, hiki i nā mea liʻiliʻi e like me ka pōhaku ke hana a paʻa i loko o kēia mau ala seminal.
• Nā Cysts: Hiki i nā cysts ke hana i loko a puni paha o nā paipu, e hoʻopaʻa ai iā lākou.
• Nā maʻi ʻōpū mimi pinepine (UTI).
• ʻO ka prostatitis mau loa.
• ʻO ka Epididymitis kahi mumū o ka epididymis, ka ʻōmole e lawe ai i ka sperm ma hope o nā testicles.

Eia kekahi, ʻo nā pilikia me nā vesicles seminal hiki ke hana i nā hōʻailona like me ka vas deferens i ālai ʻia.

He aha nā hoʻokolohua e hana ʻia nei e ʻike pono ai i kēia?

Hiki i ke kauka ke hana i hoʻokahi a ʻoi aku paha o nā hoʻokolohua ma lalo nei e hōʻoia i ka hōʻoia o ka vas deferens obstruction (EDO):

• Ka nānā ʻana i ka sperm: ʻO kēia ka hoʻāʻo maʻalahi loa. Nānā ia i nā mea he nui e like me ka helu o ka sperm, ko lākou neʻe ʻana, a me ko lākou ʻano.
• Ka loiloi fructose sperm: ʻO ka Fructose kahi ʻano kō i loaʻa i loko o ka semen. Hoʻopuka ʻia ia e nā vesicles seminal. Inā haʻahaʻa, he pilikia paha ia me kēlā mau ducts.
• ʻO ke ultrasound Transrectal (TRUS): Hiki iā ʻoe ke ʻike maopopo i nā mea e like me ka prostate, nā vesicles seminal, a me nā vas deferens. Hiki i kēia ke kōkua i ka ʻike ʻana i nā mea i ālai ʻia.
• ʻO ka hoʻokolokolo ʻana o ka vas deferens ma ke ʻano he X-ray.
• He hoʻāʻo e pili ana i ka hoʻokomo ʻana i kahi kala i loko o nā vas deferens. Ua kapa ʻia kēia he vasogram. Hiki i kēia ke nānā i nā mea e ālai ana i loko o nā ʻōmole.

He aha kāu e hana nei ma ke ʻano he lāʻau lapaʻau?

ʻElua mau ʻano lapaʻau nui i hoʻohana ʻia e mālama ai i kēia maʻi (EDO). ʻO ke ʻoki ʻana kēia mau mea maʻamau:

• ʻO ka ʻoki ʻana o ka ʻōpū o nā ala ejaculatory (TURED): Pili kēia i ka hoʻouna ʻana i kahi mea liʻiliʻi ma o ka urethra a me ka ʻoki ʻana i nā ʻiʻo (e like me ka cyst a i ʻole ka ʻeha) e ālai ana i nā ala ejaculatory.
• ʻO ka vesiculoscopy seminal: He kaʻina hana kēia e hoʻokomo ʻia ai kahi kāmela liʻiliʻi loa (he endoscope a telescope paha) ma o ka urethra i loko o ka prostate, i loko o nā vesicles seminal, a ua loaʻa a wehe ʻia ke kumu o ka paʻa ʻana. He kaʻina hana ʻoi aku ka palupalu o kēia ma mua o TURED.

I kekahi manawa hoʻohana pū nā kauka ʻoki i nā ʻano ʻelua. Eia nō naʻe, pono ʻoe e lawe i nā lāʻau antibiotic e pale aku i ka maʻi ma hope o ke ʻoki ʻana.

Hoʻomaopopo pinepine nā kauka i ka hoʻopaʻa ʻana i kāu semen (a i ʻole ka waihona sperm) ma mua o ka hana ʻana i kēia mau kaʻina hana. ʻOiai ʻaʻole i holomua mau kēia mau lāʻau lapaʻau he 100%, he manaʻo maikaʻi ia e hana pēlā me ka noʻonoʻo ʻana i ka wā e hiki mai ana.

ʻEhia ka lōʻihi e hoʻōla ai ma hope o ka lāʻau lapaʻau?

Hana pinepine ʻia kēia mau ʻoki ʻana me ka ʻole o ka noho ʻana ma ka haukapila a hiki iā ʻoe ke hoʻi i ka home i ka lā hoʻokahi ('nā kaʻina hana ma waho').

• E hoʻokomo ʻia kahi catheter Foley ma loko o kāu penis e kōkua iā ʻoe e mimi no ʻelua a ʻekolu mau lā ma hope o ke ʻoki ʻana. He mea ʻoluʻolu ʻole paha ia a hiki i ka wehe ʻia ʻana.
• Loaʻa paha ke koko i loko o kou mimi a me ka sperm no kekahi manawa ma hope o ke ʻoki ʻana. He mea maʻamau kēia, akā inā nui ke kahe ʻana o ke koko, pono ʻoe e haʻi i kāu kauka.
• Pono ʻoe e pale i ka moekolohe a hiki i kou ʻike ʻana i kāu kauka a wehe ʻia ke catheter, a a hiki i ka wā e aʻo aku ai kāu kauka iā ʻoe i kahi ʻē aʻe.
• Mai hāpai i nā mea he nui ma mua o 10 paona (ma kahi o 4.5 kilokani) no ʻelua pule. E noho mamao mai nā hana hoʻoikaika.
• E lawe i nā mea hoʻomaha ʻeha a me nā antibiotics e like me ke kauoha a kāu kauka.
• Ke ʻae ʻia ʻoe e ke kauka, hiki iā ʻoe ke hoʻi i kāu mau hana maʻamau.

Aia kekahi mau hopena ʻaoʻao o ke ʻoki kino TURED?

Eia kekahi o nā hopena ʻaoʻao a i ʻole nā ​​pilikia e hiki ke loaʻa i kekahi manawa ma hope o ke ʻoki kino TURED. ʻAʻole hiki i nā kānaka a pau, akā he mea maikaʻi ke ʻike:

• Ke noho ʻoe i loko o ke kūlana hauʻoli nui , e puka mai paha kahi wai e like me ka wai.
• Hiki ke loaʻa ka epididymitis (ka mumū o ka ʻōmole e lawe ana i ka sperm ma hope o ka testicle).
• Hiki ke hana hou ʻia ke ālai ʻana.
• He mea kākaʻikahi loa, aia paha kekahi hōʻino i ka rectum.
• Hiki ke loaʻa ka hoʻōki ʻana o ka mimi (he mea kākaʻikahi loa kēia).

He aha ka mea e hana ai inā loaʻa iā ʻoe kahi Seminal Vesiculoscopy?

He mea kākaʻikahi loa nā hopena ʻaoʻao mai kēia ʻoki ʻana "Seminal vesiculoscopy". He pōkole ka hapa nui o lākou, e like me ka ʻeha. Eia nō naʻe, ua hōʻike kekahi poʻe i loaʻa i kēia ʻoki ʻana i nā mea e like me:

• Manaʻo e like me ka haʻahaʻa o ka nui o ka sperm e puka mai ana.
• Manaʻo e like me ka loli ʻana o ka hana moekolohe a i ʻole ka hana.

ʻOiai ke ʻano o ke ʻoki kino āu e hana ai, he mea nui e kūkākūkā pono i nā mea āpau me kāu kauka ma mua o ka hana ʻana.

Aia kekahi ala e pale aku ai i kēia mai ka hana ʻana?

ʻO kaʻoiaʻiʻo, ʻaʻohe ala maopopo e pale aku ai i kēia mau vas deferens i ālai ʻia. No ka mea, he hānau ʻia kekahi mau kumu. Eia nō naʻe, inā loaʻa pinepine iā ʻoe nā maʻi urinary tract (UTIs), hiki iā ʻoe ke hōʻemi i kou pilikia i kekahi ʻano ma ka loaʻa ʻana o ka lāʻau kūpono no lākou a me ka pale ʻana iā ʻoe iho mai nā maʻi i laha ma ke ʻano moekolohe.

Inā he mau hopohopo kāu e pili ana i nā pilikia genetic, hiki iā ʻoe ke hālāwai me kahi kākā'ōlelo genetic e kamaʻilio e pili ana.

Aia kekahi mau lāʻau lapaʻau e hiki ke hoʻopilikia i ka ejaculation, akā ʻaʻole lākou e hoʻopilikia pololei i ka erectile dysfunction. ʻO ka pale ʻana i kēia mau lāʻau lapaʻau e kōkua paha i ka hoʻomaikaʻi ʻana i ka ejaculation i kekahi ʻano (ma lalo o ke aʻo lapaʻau wale nō):

• Nā lāʻau lapaʻau i kapa ʻia ʻo (Alpha blockers) (no ka laʻana, nā lāʻau lapaʻau no ka prostate i hoʻonui ʻia e like me (tamsulosin)).
• ʻO kekahi mau lāʻau lapaʻau koko kiʻekiʻe, e like me thiazides, prazosin, a me phentolamine.
• Nā lāʻau lapaʻau no kekahi mau maʻi noʻonoʻo, e like me (thioridazine - Mellaril®), (haloperidol - Haldol®) a me (chlordiazepoxide - Librium®).
• ʻO kekahi mau antidepressants, e like me imipramine a me amitriptyline.

ʻO ka mea nui loa, mai ho'ōki i ka lawe ʻana i kekahi o kēia mau lāʻau lapaʻau a hoʻololi paha i ka nui me ka ʻole o ke kamaʻilio ʻana me kāu kauka.

He aha ka mea e hana ai inā loaʻa iaʻu kēia maʻi?

ʻO ka hapa nui o ka manawa, ʻike ʻoe he EDO kou ke pilikia ʻoe i ka hāpai ʻana. A i ʻole ma muli paha o ka ʻeha mau. ʻOiai hiki i ka EDO ke hōʻoluʻolu ʻole, ʻaʻole ia he mea hoʻoweliweli i ke ola a i ʻole ka laha. He mea hōʻoluʻolu kēlā, ʻeā? I ka hapa nui o nā hihia, hiki i nā kauka ke mālama pono i kēia kūlana a hoʻihoʻi i ka momona.

Āhea wau e ʻike ai i ke kauka?

Inā loaʻa iā ʻoe kekahi o kēia mau hopohopo, e ʻike koke a kamaʻilio paha me ke kauka:

• Inā he kahe koko hou a nui paha (i loko o ka semen a i ʻole ka mimi).
• Inā loaʻa iā ʻoe ka ʻeha hou a i ʻole ka ʻeha nui (ma ka ʻōpū haʻahaʻa, a puni nā testicles, i ka wā o ka moekolohe).
• Inā he kuni kou ma luna o 102 degere Fahrenheit (ma kahi o 38.9 Celsius).
• Inā ʻoe e anu a me ka haʻalulu.
• Inā ua hana ʻia ke ʻoki ʻana ma kou mau wāwae a aia ka pehu a ʻeha paha a puni ka ʻeha.
• Inā loaʻa iā ʻoe kahi hopena alerika i kahi lāʻau lapaʻau āu e lawe nei (e like me ka ʻulaʻula o ka ʻili, ka paʻakikī o ka hanu ʻana).

Inā ʻoe e hoʻāʻo nei e loaʻa kahi pēpē akā pilikia ʻoe, e noi i kāu kauka e kōkua iā ʻoe e ʻike i ke kumu o ka pilikia. Inā he ʻōpū fallopian i paʻa kou, hiki i kāu kauka ke ʻōlelo aku i ke ʻoki kino e hoʻoponopono i ke paʻa ʻana. Hiki i kēia mau ʻoki kino ke holomua loa. ʻO ke kamaʻilio pololei ʻana me kāu kauka ke ala maikaʻi loa e hana ai i nā hoʻoholo maikaʻi loa e pili ana i kou olakino.

ʻO kekahi o nā leka koʻikoʻi e lawe i ka home

He maʻi hiki ke mālama ʻia ka Ejaculatory Duct Obstruction e hoʻopilikia nei i nā kāne. He mea nui e makaʻala i kēia.

• E makaʻala i nā hōʻailona: Inā he haʻahaʻa ka nui o ka sperm, ʻeha, a i ʻole ke koko i loko o kāu semen a i ʻole ka mimi, e ʻimi pono i ke kōkua lapaʻau. Mai hilahila.
• He kumu paha kēia no ka loaʻa ʻole o nā keiki: Inā ʻoe a me kāu hoa e kali ana i kahi pēpē akā ke hoʻopaneʻe nei, he mea naʻauao ke nānā i kēia.
• He mea nui ka ʻike pololei: E pale i ka ʻike ponoʻī ʻana ma muli o kāu mea i heluhelu ai ma ka pūnaewele. E hoʻāʻo ʻia e ke kauka kūpono e ʻike i ke kumu pololei.
• Aia nā lāʻau lapaʻau: Hiki i nā ʻoki kino e like me (TURED) a me (Seminal vesiculoscopy) ke mālama pono i kēia maʻi. Mai hopohopo.
• E kamaʻilio ākea me kāu kauka: He mea nui loa e kamaʻilio ākea me kāu kauka e pili ana i kou mau pilikia, makaʻu, a me nā mea i manaʻo ʻia. A laila hiki iā ʻoe ke koho i ka lāʻau lapaʻau kūpono loa iā ʻoe.

E hoʻomanaʻo, ʻaʻohe pono e hilahila a makaʻu paha e kamaʻilio e pili ana i kēia mau pilikia. ʻO kou olakino a me kou hauʻoli ka mea nui loa!

ʻO ke ālai ʻana o ka ʻauwai ejaculatory, ka hānau ʻole ʻana o ke kāne, ka sperm, ka semen, TURED, ka prostate