Ke kōkua nei iā ʻoe e hoʻokō i kāu moeʻuhane o ka lilo ʻana i makuakāne: E aʻo e pili ana i ke ʻoki kino microTESE (Microsurgical Testicular Sperm Extraction)

He moeʻuhane kahi keiki no kēlā me kēia ʻohana. Akā i kekahi manawa, ma muli o nā kumu olakino like ʻole, lōʻihi ka manawa e hoʻokō ai i kēlā moeʻuhane. ʻOi aku ka nui, hiki i ka hānau ʻole ʻana o ke kāne ke kumu o kēia. Hoʻomaopopo mākou a pau i ke kaumaha a me ke kaumaha a mākou e manaʻo nei i ka manawa e like me kēia. Akā ʻo ka mea maikaʻi loa, ʻo ka ʻepekema lapaʻau holomua o kēia lā he mau hopena holomua loa ia no ia mau pilikia. I kēia lā, ke kamaʻilio nei mākou e pili ana i kahi hana ʻokiʻoki holomua loa i hoʻohana ʻia ma ke ʻano he lāʻau lapaʻau no ka hānau ʻole ʻana o ke kāne. ʻO ia ka microTESE.

I ka ʻōlelo maʻalahi, he aha ka microTESE?

He hana ʻoki kūikawā ka microTESE (Microsurgical Testicular Sperm Extraction) e mālama ai i ka hānau ʻole ʻana o nā kāne. I nā huaʻōlelo maʻalahi, pili ia i ka unuhi ʻana i ka sperm pololei mai nā testicles o ke kāne me ka azoospermia.

E noʻonoʻo i kēia ʻano. I kekahi manawa hana ʻia nā sperm i loko o nā testicles o ke kanaka, akā ʻaʻole lākou e puka pū me ka sperm. Ua like ʻo MicroTESE me ka hoʻohana ʻana i kahi microscope ikaika loa e ʻimi a unuhi i ka sperm olakino i hūnā ʻia i loko o nā kahawai liʻiliʻi i loko o nā testicles.

ʻEkolu mau pahuhopu nui o kēia ʻoki kino:

• E loaʻa i ka sperm maikaʻi loa .
• Ka loaʻa ʻana o ka nui o ka sperm e hoʻoulu ai i kahi hua manu olakino.
• Ka hōʻemi ʻana i ka hōʻino ʻana i kāu mau kino hānau.

No wai kēia ʻoki kino i ʻōlelo ʻia?

ʻO ka maʻamau, ʻōlelo pinepine nā kauka i kēia lāʻau lapaʻau no nā kāne me ke ʻano i kapa ʻia ʻo Azoospermia . ʻO ia hoʻi, i ka wā e hana ʻia ai kahi hoʻāʻo sperm, ʻaʻole hiki ke loaʻa ka sperm i loko o ka semen. Inā makemake ʻoe e loaʻa kahi keiki akā ʻaʻole hiki ke hana i ka sperm olakino ma ke ʻano maoli, e wehewehe kāu kauka i ke kaʻina hana microTESE iā ʻoe.

ʻO ka mea nui, ʻoiai ʻaʻohe sperm i loko o kāu semen, ʻaʻole ia he manaʻo ʻaʻole hana iki kou kino i ka sperm. He hiki ke hana ʻia ka sperm ma nā ʻāpana liʻiliʻi loa i loko o nā testicles. Hoʻohana ʻia ʻo MicroTESE e ʻimi a hōʻiliʻili i kēlā nui liʻiliʻi.

Pehea ʻoe e hoʻomākaukau ai ma mua o ke ʻoki kino?

Ma mua o ka hana ʻana i kēia ʻoki kino, pono ʻoe e ʻike i kahi loea (Urologist). Ma laila,

• E kamaʻilio e pili ana i kou mōʻaukala olakino piha.
• E hana ʻia kahi hoʻokolohua kino e nānā i kou olakino laulā.
• Nānā ʻia nā mea e like me ke koko a me ka pulse.

I kēia manawa, he mea nui e haʻi aku i kāu kauka e pili ana i nā maʻi allergies āu e loaʻa nei a me nā lāʻau lapaʻau āpau āu e lawe nei (i kauoha ʻia e ke kauka, i kūʻai ʻia mai kahi hale kūʻai lāʻau, ʻoiai nā huahana lāʻau).No ka mea hiki i kekahi mau lāʻau lapaʻau ke hoʻonui i ka pilikia o ke kahe ʻana o ke koko.

E aʻo ʻia ʻoe ʻaʻole e ʻai a inu paha i kekahi mea ma hope o ke aumoe o ka pō ma mua o ke ʻoki kino. Inā pono ʻoe e lawe i kekahi lāʻau lapaʻau koʻikoʻi, e lawe me kahi wai liʻiliʻi. E wehewehe pono kāu kauka i kēia mau mea āpau iā ʻoe.

Pehea e hana ʻia ai ke ʻoki kino a he aha ka mea e hana ma hope?

E nānā kākou i ke ʻano o ka hana ʻana o kēia kaʻina hana a me nā mea e pono ai ʻoe e makaʻala ma hope.

Āhea ʻoe e hiki ai ke moe kolohe?

ʻO ka maʻamau, ʻōlelo aʻo aku nā kauka iā ʻoe e pale i ka moekolohe a me ka masturbation no kekahi mau lā ma hope o ke ʻoki ʻana. E haʻi pololei kāu kauka iā ʻoe i ka manawa kūpono e pili ana i kou kūlana.

He aha nā pōmaikaʻi a me nā pilikia o kēia?

ʻO ka pōmaikaʻi nui , ʻoi aku ka nui o kou manawa e hoʻokō ai i kāu moeʻuhane o ka lilo ʻana i makuakāne. Ma muli o ke kumu o ke kūlana azoospermia, ua hiki i ke ʻoki microTESE ke kiʻi i ka sperm olakino me ka nui o ka holomua a hiki i ka 60% .

Eia kekahi, e like me nā ʻoki kino āpau, aia kekahi mau pilikia .

• ʻO ka mea nui , aia kahi manawa e loaʻa ʻole ai ka sperm ma hope o ke ʻoki ʻana.
• Nā pilikia e pili ana i ka anesthesia.
• Ke kahe ʻana o ke koko.
• Ka maʻi ʻana.
• ʻEha a me ka ʻoluʻolu ʻole.
• Aia kahi hiki ke hōʻeha mau loa i nā testicles, akā he mea kakaikahi loa kēia .

I ka wā e pono ai ʻoe e kāhea koke i ke kauka

Inā ʻike ʻoe i kekahi o nā hōʻailona ma lalo nei ma hope o ke ʻoki ʻana, pono ʻoe e hoʻokaʻaʻike koke aku i kāu kauka.

• Inā he ʻeha nui .
• Nui loa a puni ka ʻoki ʻiaInā he kahe koko.
• Ke koko i loko o ka mimi (hematuria).
• Inā ʻike ʻoe i nā hōʻailona o ka maʻi (ke kuni, ke anu, ka pehu a puni ka ʻoki, ka ʻulaʻula/poni/ʻeleʻele/ʻeleʻele ke kala, a i ʻole ka pus).
• Inā ʻoe e hōʻike ana i nā hōʻailona o ka sepsis.

He aha ka ʻokoʻa ma waena o TESE a me microTESE?

ʻO TESE kekahi ʻano hana ʻē aʻe no ka loaʻa ʻana o ka sperm mai nā testicles. Eia nō naʻe, ʻaʻole hoʻohana ʻo TESE i kahi microscope. Hoʻohana pinepine ʻia ʻo TESE i ka wā e ālai ʻia ai ke ala o ka sperm (obstructive azoospermia). Eia nō naʻe, i nā hihia kahi e haʻahaʻa loa ai ka hana ʻana o ka sperm i loko o nā testicles (non-obstructive azoospermia), ʻo microTESE, i hana ʻia ma lalo o kahi microscope, ke ʻano holomua a palekana loa.