ʻO ka maʻi ʻeha ma hope o ka vasectomy (PVPS): E kamaʻilio kākou e pili ana i ia mea

He ʻano hoʻolālā ʻohana kūleʻa ka Vasectomy a nā kānaka he nui e koho ai. Eia nō naʻe, he kakaikahi loa, hiki i kahi poʻe liʻiliʻi loa ke ʻike i ka ʻeha mau i loko o nā testicles ma hope o kēia ʻoki kino. I kēia lā e kamaʻilio mākou e pili ana i kēia ʻeha lōʻihi, i ʻike ʻia hoʻi ʻo "Post-Vasectomy Pain Syndrome" a i ʻole "(PVPS)" . Mai hopohopo, ʻaʻole kēia he mea maʻamau loa, akā he mea maikaʻi no nā mea a pau e makaʻala.

ʻO ka mea mua, he aha ka vasectomy?

I ka ʻōlelo maʻalahi, he ʻoki liʻiliʻi ka vasectomy i hana ʻia ma luna o ke kāne e hoʻōki mau iā ia mai ka loaʻa ʻana o nā keiki . Kāhea pū mākou iā ia he "male sterilization." Hana pinepine ʻia kēia ʻoki e ke kauka loea i nā ʻōnaehana mimi a me ka hānau keiki, i kapa ʻia he Urologist.

ʻO kēia ʻoki kino e pili ana i ka ʻoki ʻana a i ʻole ke ālai ʻana i nā ʻōmole ʻelua e lawe ana i ka sperm mai kāu mau testicles, ʻo ia hoʻi nā ʻōmole vas deferens. Ma mua o ka vasectomy, hoʻokuʻu ʻia ka sperm ma ke ʻano he sperm ma ka hui ʻana me nā wai ʻē aʻe. Eia nō naʻe, ma hope o ke ʻoki kino, ʻaʻole hiki i ka sperm ke hele ma o nā ʻōmole i ʻoki ʻia a i ālai ʻia paha. A laila hoʻihoʻi hou ʻia ka sperm i loko o ke kino i loko o nā testicles.

ʻO ka mea nui , ma hope o ka vasectomy, hiki iā ʻoe ke ejaculate a loaʻa kahi orgasm e like me ka mea maʻamau . Eia nō naʻe, ʻaʻole e loaʻa i kēlā ejaculate ka sperm e pono ai e hana i kahi pēpē. No laila, ʻaʻole e hoʻomomona ʻia ka hua o ka wahine a ʻaʻole e hāpai.

E noʻonoʻo wale, inā makemake ʻoe e loaʻa kahi keiki ʻē aʻe, i kekahi manawa hiki iā ʻoe ke hoʻohuli ʻia kēia vasectomy (kahi `vasectomy reversal` a i ʻole `vasovasostomy`). Akā manaʻo nā kauka he ʻano hana hoʻomalu hānau mau loa kēia.

Pehea ka maʻamau o kēia kūlana i kapa ʻia ʻo ``(PVPS)''?

ʻO kaʻoiaʻiʻo, he mea kakaikahi loa nā pilikia ma hope o ka vasectomy. Wahi a nā hōʻike lapaʻau, hoʻokahi a ʻelua paha o kēlā me kēia haneli (100) mau ʻoki vasectomy e hopena i kēia kūlana i kapa ʻia ʻo "PVPS" . Ua ʻōlelo ʻia he ʻelima haneli tausani mau ʻoki vasectomy e hana ʻia ana ma ka honua holoʻokoʻa i kēlā me kēia makahiki. Ke nānā ʻoe iā ia ma ia ʻano, he mea kakaikahi loa ka "PVPS". No laila, ʻaʻohe kumu e hopohopo pono ʻole ai.

No ke aha e kū mai ai ka "Post-Vasectomy Pain Syndrome - PVPS"?

Eia kahi e lilo ai i mea huikau iki. ʻAʻole maopopo i nā loea lapaʻau ke kumu e loaʻa ai i kekahi mau kāne kēia ʻeha mau loa . Eia nō naʻe, aia kekahi mau mea a lākou e manaʻo nei he kumu ia:

• ʻO ka epididymitis congestive: ʻO ka epididymis kahi ʻōmole liʻiliʻi, ʻōwili ʻia aia ma hope o nā testicles e mālama ana i ka sperm. I kekahi manawa hiki i ka sperm ke paʻa a pehu ma aneʻi. Ua kapa ʻia hoʻi kēia he edema.
• Ka hōʻino ʻana i nā vas deferens: Hana ʻia kekahi hōʻino ʻana i nā vas deferens i ka wā o ke ʻoki ʻana.
• Ka mumū: Ka hiki ʻana mai o kekahi ʻano mumū, i.e., ka lapalapa ʻana, ma ka wahi ʻoki.
• ʻO ke kaomi ʻana o ke aʻalolo a i ʻole neuropathy: ʻO ke kaomi ʻana a i ʻole ka hōʻino ʻana i kahi aʻalolo ma kahi i hoʻopilikia ʻia. Ua kapa ʻia hoʻi kēia he neuropathy.
• ʻIʻo palapū: Ke kūkulu ʻia ʻana o nā ʻiʻo palapū ma ka ʻāpana ma hope o ke ʻoki ʻana a me ka ʻeha e hiki mai ana.
• ʻO ka granuloma sperm: ʻO kēia ka wā e kahe ai kahi liʻiliʻi o ka sperm mai ka ʻaoʻao ʻoki o ka vas deferens a hana i kahi puʻupuʻu liʻiliʻi a puni ia ma ke ʻano he hopena. Hiki i kēia ke ʻeha i kekahi manawa.

No laila, ke manaʻoʻiʻo nei au hiki ke kū mai kēia kūlana "(PVPS)" ma muli o hoʻokahi kumu a i ʻole ka hui pū ʻana o kekahi mau kumu.

He aha nā hōʻailona o kēia `(PVPS)`?

ʻO ka hōʻailona nui a hoʻokahi wale nō o PVPS ka ʻeha lōʻihi i loko o nā testicles e mau ana no ʻekolu (3) mahina a ʻoi aku paha . No kekahi poʻe, hiki ke hoʻomaka koke kēia ʻeha ma hope o ke ʻoki ʻana. No kekahi poʻe, hiki ke loaʻa kēia ʻeha i nā mahina a i ʻole nā ​​​​makahiki ma hope.

Hiki ke ʻokoʻa ke ʻano o ka ʻeha mai kēlā kanaka a kēia kanaka:

• Hiki i kekahi poʻe ke ʻike i kahi manaʻo palupalu a ʻeha mau i loko o ko lākou mau testicles .
• No kekahi poʻe, hiki i ka ʻeha ke hele pinepine a hele aku .
• Hiki i kekahi mau kāne ke ʻeha nui aʻe i ka wā o ka hoʻoikaika kino, ka moekolohe, ke kūkulu ʻana i ka sperm, a i ʻole ka ejaculation .

ʻO ka mea nui loa, inā loaʻa iā ʻoe kēia ʻano ʻeha, mai hoʻowahāwahā iā ia a e ʻimi i ke kōkua lapaʻau.

He aha nā kūlana ʻē aʻe e hoʻoulu ai i nā hōʻailona like me PVPS?

ʻAʻole ʻo PVPS wale nō ke kumu o ka ʻeha testicular. No laila, e kāpae mua ke kauka i nā kumu ʻē aʻe o ka ʻeha. Eia kekahi mau kūlana ʻē aʻe e hiki ai ke hana i kēia:

• Hydrocele: He hōʻiliʻili e like me ka wai a puni nā testicles.
• Nā maʻi: No ka laʻana, nā maʻi ʻōpū mimi (UTI).
• ʻO ka hernia inguinal: Ka puka ʻana o kahi ʻāpana o ka ʻōpū ma o ka ʻāpana groin.
• Prostatitis: Ka mumū o ka ʻōpū prostate.
• ʻO ke kanesa testicular: He mea kakaikahi loa kēia, akā he mea e pono e kāpae ʻia.
• ʻO ka torsion testicular: He kūlana pilikia kēia kahi e wili ai ka testicle a puni iā ​​​​ia iho, e ʻoki ana i kona lako koko.
• Nā Tumors ʻē aʻe: Nā tumors ʻē aʻe a maikaʻi ʻole paha e hiki ke hana i loko o nā testicles.
• ʻO Varicocele: ʻO kahi kūlana kahi e hoʻonui ʻia ai nā aʻa koko ( nā kīʻaha koko) i loko o nā testicles.He kūlana kahi i ʻike ʻia ai nā aa koko (veins) e pehu ana a nakinaki ʻia.

No laila, inā loaʻa iā ʻoe ka ʻeha o ka testicle, e noʻonoʻo ke kauka i kēia mau mea a pau a hiki i kahi hopena.

Pehea e ʻike pololei ai nā kauka i kēia maʻi "(PVPS)"?

ʻAʻohe hoʻāʻo diagnostic kikoʻī e ʻike ai i ka PVPS. ʻO ke kauka ka mea nui:

1. E hoʻolohe pono i kāu mau hōʻailona . Nā kikoʻī e like me ke ʻano o ka ʻeha, pehea ka lōʻihi o kona noho ʻana, a me ka wā e ʻoi aku ai ka ʻino.

2. Ke hana nei i kahi hoʻokolokolo kino . Nānā ʻia nā testicles a me ka ʻāpana e pili ana.

Eia kekahi, hiki ke hana ʻia kekahi mau hoʻokolohua e "kāpae" i nā kūlana ʻē aʻe e hiki ke hoʻoulu i ka ʻeha testicular a mākou i kūkākūkā ai ma mua:

• Urinalysis, moʻomeheu mimi, a me ka moʻomeheu semen: Hiki i kēia ke ʻike i nā mea e like me nā maʻi.
• Nā hoʻāʻo kiʻi: No ka laʻana, he scan ultrasound. Hiki i kēia ke nānā i loko o nā testicles a nānā i nā puʻupuʻu, e like me nā cysts.
• ʻO ke ālai ʻana o ke kaula spermatic (a i ʻole ke ālai ʻana o ke aʻalolo): Pili kēia i ka hoʻokomo ʻana i kahi anesthetic kūloko i loko o nā aʻalolo i manaʻo ʻia he mea e lawe ana i ka ʻeha. Inā hōʻoluʻolu kēia i ka ʻeha no kekahi manawa, ua manaʻo ʻia ʻo nā aʻalolo ke kumu o ka ʻeha. Hoʻohana ʻia kēia no ka ʻike ʻana a i kekahi manawa he lāʻau lapaʻau.

He aha nā lāʻau lapaʻau no PVPS me ke ʻoki ʻole ʻana?

I ka manawa pinepine, hoʻāʻo mua nā kauka e kāohi i ka ʻeha me nā lāʻau lapaʻau ʻoki ʻole. Kāhea mākou i kēia mau "lāʻau lapaʻau ʻoki ʻole".

• Nā hoʻomaʻamaʻa papahele pelvic: Ua kapa ʻia kēia mau mea ʻo "Kegels no nā kāne." ʻO ka hoʻoikaika ʻana i nā ʻiʻo i loko o kou papahele pelvic (nāna e kākoʻo i kou ʻōpū mimi, nā ʻōpū, a me nā ʻōpū hānau) hiki ke kōkua i kekahi poʻe e hōʻemi i ka ʻeha. Hiki iā ʻoe ke loaʻa ke kōkua mai kahi mea hoʻōla kino i aʻo kūikawā ʻia no kēia.
• Nā lāʻau hoʻopau ʻeha: ʻO nā lāʻau lapaʻau i hoʻohana pinepine ʻia e komo pū me nā lāʻau anti-inflammatory nonsteroidal (NSAID), e like me ibuprofen a me naproxen.
• Nā Antidepressants: ʻO kekahi mau antidepressants, ke hoʻohana ʻia i nā haʻahaʻa haʻahaʻa, hiki ke kōkua i ka kaohi ʻana i ka ʻeha lōʻihi.
• Nā lāʻau hōʻoluʻolu ʻeha neuropathic: Hoʻohana ʻia nā lāʻau lapaʻau e like me Gabapentin a i ʻole Pregabalin e mālama i ka ʻeha o ke aʻalolo.
• Lāʻau lapaʻau hoʻohui:Ua loaʻa i kekahi poʻe ka hōʻoluʻolu ma o nā ʻano hana e like me ka acupuncture a i ʻole biofeedback.

Na ke kauka e hoʻoholo i ka hoʻolālā lapaʻau kūpono loa nāu ma ka hoʻohui ʻana i hoʻokahi a ʻoi aku paha o kēia mau lāʻau lapaʻau.

He aha nā ʻano hana lapaʻau?

Inā ʻaʻole hāʻawi nā lāʻau lapaʻau ʻoki ʻole i ʻōlelo ʻia ma luna nei i ka lawa ʻana o ka hōʻoluʻolu ʻeha, e noʻonoʻo paha kāu kauka i ke ʻoki ʻana. Hiki i kekahi manawa ke paʻakikī ka mālama ʻana i ka ʻeha lōʻihi o PVPS , akā aia nā lāʻau lapaʻau e hāʻawi ana i ka manaʻolana.

Aia kekahi mau koho ʻoki kino, ma muli o ke kumu o ka ʻeha:

• Hoʻohuli ʻana i ka Vasectomy: ʻO ka mea kupanaha, hōʻemi kēia a hoʻopau loa paha i ka ʻeha ma mua o 9 i loko o 10 mau kāne . Akā e hoʻomanaʻo, hiki iā ʻoe ke loaʻa hou nā keiki ma hope o kēia.
• Ke wehe ʻana i kahi granuloma sperm: Inā he granuloma sperm, e like me ka mea i ʻōlelo ʻia ma mua, ua wehe ʻia ke ʻoki ʻana.
• Epididymectomy: Wehe ʻana i kekahi a i ʻole nā ​​​​epididymis ʻelua.
• ʻO ka microdenervation o ke kaula spermatic (a i ʻole ka wehe ʻana i ke kaula): Pili kēia i ka wehe koho ʻana i nā aʻalolo palupalu i loko o ke kaula spermatic i manaʻo ʻia he kuleana no ka ʻeha. He hana paʻakikī loa kēia.
• Orchiectomy: Wehe ʻana i kekahi a i ʻole nā ​​testicles ʻelua. Hana kākaʻikahi ʻia kēia a inā ʻaʻohe lāʻau ʻē aʻe e hōʻoluʻolu i ka ʻeha .

E wehewehe ke kauka i kēia mau ʻoki kino iā ʻoe a kōkua iā ʻoe e koho i ka mea kūpono loa i kou kūlana.

Aia kekahi ala e pale aku ai i kēia `(PVPS)` mai ka hana ʻana?

E like me ka mea i ʻōlelo ʻia ma mua, he maʻi laha ʻole ka PVPS. Eia kekahi, ʻoiai ʻaʻole maopopo ke kumu e loaʻa ai i kekahi poʻe wale nō, ʻaʻohe mea hiki ke hana ʻia e pale aku ai . ʻO ka mea maikaʻi loa e hana ai, ʻo ia ke kamaʻilio me kāu kauka e pili ana i ia mea ma mua o ka hana ʻana i kahi vasectomy a hahai i nā ʻōlelo aʻoaʻo ma hope o ke ʻoki ʻana āna e hāʻawi ai iā ʻoe.

Pehea ka lōʻihi o kēia ʻeha `(PVPS)`?

He mea paʻakikī kēia e ʻōlelo. Loaʻa koke i kekahi poʻe ka hōʻoluʻolu mai ka lāʻau lapaʻau. Hiki i nā lāʻau lapaʻau ʻoki kino ke holomua loa. No ka laʻana, hoʻomaha ka vasectomy reversal i ka ʻeha i loko o ʻeiwa o nā kāne he ʻumi . Hoʻomaha ka Microdenervation i ka ʻeha i loko o ʻekolu o nā kāne ʻehā .

Akā, ʻo ka mea pōʻino, hiki i kekahi mau kāne ke hoʻomau i ka ʻeha ma hope o ke ʻoki ʻana. ʻO ia ka pilikia me kēia maʻi.

I ka manawa hea e pono ai iaʻu ke ʻike i ke kauka?

Inā ua loaʻa iā ʻoe kahi vasectomy a loaʻa iā ʻoe kekahi o nā hōʻailona ma lalo nei, e ʻike pono i ke kauka:

• Nā pilikia hana moekolohe: Nā mea e like me ka ʻeha i ka wā o ka moekolohe, ka paʻakikī i ka loaʻa ʻana o kahi kūkulu (erectile dysfunction).
• Inā pehu nā testicles a i ʻole ke ʻeke a puni nā testicles (scrotum).
• ʻO ka ʻeha ma nā testicles i loaʻa no nā mahina.

Mai hoʻowahāwahā i nā mea e like me kēia. ʻOi aku ka maikaʻi o ka ʻike koke ʻana i ke kauka a loaʻa ka ʻōlelo aʻoaʻo.

He aha nā nīnau āu e nīnau ai i ke kauka?

Ke hele ʻoe e ʻike i ke kauka, he mea maikaʻi e hoʻomanaʻo i kēia mau nīnau:

• "He aha ka mea e hiki ai ke kumu o kēia kūlana `(PVPS)` iaʻu?"
• "He aha ka lāʻau lapaʻau ʻaʻole me ke ʻoki kino i kūpono loa iaʻu?"
• "Pono anei au i ke ʻoki kino? Inā pēlā, he aha ke ʻano o ke ʻoki kino i kūpono loa iaʻu?"
• "Aia kekahi mau pilikia ʻē aʻe e pono iaʻu e hoʻomau i ka makaʻala?"

Ma ka nīnau ʻana i kēia mau nīnau, hiki iā ʻoe ke hoʻomaopopo maikaʻi i kou kūlana a loaʻa ka ʻike e pili ana i ka lāʻau lapaʻau.

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)

No ke kāne ʻaʻole makemake hou i nā keiki, he ala palekana a mau loa ka vasectomy no ka hoʻolālā ʻohana . He haʻahaʻa loa ka pilikia o ka loaʻa ʻana o kahi maʻi i kapa ʻia ʻo "Post-Vasectomy Pain Syndrome (PVPS)". Mai hopohopo nui no ia mea.

Eia nō naʻe, inā loaʻa koke iā ʻoe ka ʻeha lōʻihi i loko o kou mau testicles ma hope o ka vasectomy, aia nā ʻano hana ʻoki a me nā ʻano hana ʻole e hiki ke kōkua . No laila, mai hilahila a hoʻomanawanui paha i ka ʻeha . E haʻi i kāu kauka e pili ana i kēia ʻeha. A laila hiki iā ia ke hana i nā hoʻokolohua e pono ai, hāʻawi iā ʻoe i ka lāʻau kūpono loa, a hāʻawi iā ʻoe i ka hōʻoluʻolu. ʻO ʻoe ka mea e hopohopo nui ai no kou olakino.

ʻO ka maʻi ʻeha ma hope o ka vasectomy, PVPS, vasectomy, sterilization kāne, ʻeha testicular, ʻeha mau, ʻeha testicular