Muaj teeb meem nrog cov phev? Cia peb kawm txog Ejaculatory Duct Obstruction!

Koj puas muaj tej lub sij hawm koj xav tias koj cov phev tsawg thaum koj sib deev? Los yog koj puas muaj teeb meem xeeb tub? Tej zaum qhov laj thawj rau qhov no yog ib yam dab tsi uas koj tsis xav txog. Hnub no, cia peb tham txog ib qho teeb meem uas cuam tshuam rau cov txiv neej, tab sis tsis tau tham txog ntau - ejaculatory duct obstruction, lossis EDO.

Kev thaiv txoj hlab zis yog dab tsi?

Hais yooj yim xwb, Ejaculatory Duct Obstruction (EDO) yog kev thaiv ntawm tus txiv neej cov phev. Nws zoo li cov yeeb nkab dej txhaws. Qhov no tuaj yeem ua rau tsis muaj menyuam , tab sis feem ntau, cov kws kho mob tuaj yeem kho nws.

Lub vas deferens yog dab tsi? Nws ua haujlwm li cas?

Zoo, tam sim no cia peb saib seb lub raj xa dej tawm yog dab tsi. Koj muaj ob lub raj (lub vas deferens) uas nqa cov phev los ntawm koj lub noob qes. Ob lub raj no koom nrog cov raj seminal vesicle (cov raj los ntawm ob lub qog uas ua cov phev) los tsim cov raj xa dej tawm (EDs). Thaum cov raj no hla dhau lub qog prostate, cov kua dej uas tsim los ntawm lub qog prostate raug ntxiv rau cov phev. Thaum kawg, tag nrho cov phev raug tso tawm ntawm lub cev los ntawm txoj hlab zis thaum lub sijhawm kev sib deev. Koj puas nkag siab? Cov kua dej no nqa cov phev tawm.

Tus mob no feem ntau tshwm sim li cas?

Yuav kom koj paub tias qhov kev thaiv no feem ntau tshwm sim li cas, kwv yees li ntawm 5% ntawm cov txiv neej uas muaj azoospermia, uas yog ib qho mob uas tsis muaj phev nyob hauv cov phev, muaj qhov kev thaiv no. Azoospermia nws tus kheej cuam tshuam rau kwv yees li 1% ntawm cov txiv neej.

Puas muaj hom vas deferens thaiv?

Yog, muaj ntau hom vas deferens obstruction (EDO) tseem ceeb. Cia peb saib seb lawv yog dab tsi:

• EDO tiav los yog classic: Qhov no yog thaum ob lub raj dej raug thaiv tag nrho. Xav txog tias ob lub raj dej raug thaiv tag nrho.
• EDO tsis tiav lossis ib nrab: Hauv qhov no, ib lub raj xa dej yuav raug thaiv tag nrho, lossis ob lub raj xa dej yuav raug thaiv ib nrab. Nws zoo li lub raj xa dej daig ib nrab.
• Functional EDO: Qhov no zoo ib yam li full EDO, tab sis tsis muaj qhov thaiv lub cev hauv cov kav dej. Qhov no txhais tau tias tsis muaj dab tsi thaiv hauv cov kav dej, tab sis muaj teeb meem nrog cov kav dej ua haujlwm.

Koj puas muaj cov tsos mob no thiab?

Yog tias koj muaj kev thaiv vas deferens (EDO), koj yuav muaj qee cov tsos mob no:

• Txo cov phev tawm (tsawg dua 1.5 ml).
• Txo qhov ejaculation thiab/lossis cov phev tsawg.
• Hnov mob thaum lossis tom qab sib deev.
• Qhov mob ntsig txog lub qog prostate.
• Qhov muaj ntshav nyob rau hauv cov phev (hauv tshuaj peb hu qhov no '(hematospermia)').
• Ntshav nyob rau hauv cov zis (qhov no hu ua 'hematuria').
• Kev tsis muaj menyuam.

Tej zaum yuav muaj tej yam tsos mob ntau dua rau ib hom dua li lwm hom, yog li ntawd, nws yog qhov zoo tshaj plaws mus ntsib kws kho mob yog tias koj muaj ib qho ntawm cov tsos mob no.

Dab tsi ua rau qhov no?

Zoo, tam sim no cia peb saib seb dab tsi ua rau muaj qhov vas deferens obstruction (EDO). Muaj ntau yam ua rau:

• Cov ua rau los ntawm noob caj noob ces: Qee zaum, cov mob uas los ntawm noob caj noob ces xws li cystic fibrosis tuaj yeem ua rau muaj kev hloov pauv ntawm cov qauv uas muaj thaum yug los. Piv txwv li, cov vas deferens tej zaum yuav tsis muaj ('atresia') lossis tej zaum yuav me dua ('atrophic').
• Cov nqaij caws pliav los ntawm kev phais mob hauv lub duav yav dhau los lossis kev puas tsuaj rau lub qhov zis. Qhov caws pliav no tuaj yeem thaiv cov raj.
• Pob zeb (calculi): Ib yam li pob zeb raum, cov khoom me me zoo li pob zeb tuaj yeem tsim thiab raug thaiv hauv cov raj xa dej no.
• Cov cysts: Cov cysts tuaj yeem tsim nyob rau hauv lossis nyob ib puag ncig cov raj, ua rau lawv nruj.
• Muaj kab mob hauv txoj hlab zis (UTIs) ntau zaus.
• Mob prostatitis ntev.
• Kab mob Epididymitis yog kev o ntawm epididymis, lub raj uas nqa cov phev tom qab cov noob qes.

Tsis tas li ntawd, teeb meem nrog cov seminal vesicles qee zaum tuaj yeem ua rau muaj cov tsos mob zoo ib yam li lub vas deferens raug thaiv.

Yuav ua li cas thiaj nrhiav tau qhov no?

Tus kws kho mob yuav ua ib lossis ntau qhov kev kuaj mob hauv qab no kom paub tseeb tias muaj kev thaiv vas deferens (EDO):

• Kev tshuaj xyuas cov phev: Qhov no yog qhov kev xeem yooj yim tshaj plaws. Nws saib ntau yam xws li tus naj npawb ntawm cov phev, lawv txoj kev txav mus los, thiab lawv cov duab.
• Kev tshuaj xyuas cov phev fructose: Fructose yog ib hom suab thaj uas pom muaj nyob rau hauv cov phev. Nws yog tsim los ntawm cov seminal vesicles. Yog tias nws tsawg, nws yuav yog teeb meem nrog cov ducts ntawd.
• Kev kuaj ultrasound ntawm lub qhov zis (TRUS): Qhov no yuav ua rau koj pom tej yam xws li lub qog prostate, cov noob qes, thiab cov hlab ntsha kom meej. Qhov no yuav pab nrhiav tau tej yam uas thaiv tau.
• Kev kuaj mob X-ray ntawm lub vas deferens.
• Ib qho kev kuaj uas muaj kev txhaj tshuaj zas rau hauv lub vas deferens. Qhov no hu ua vasogram. Qhov no tuaj yeem kuaj xyuas seb puas muaj kev thaiv hauv cov raj.

Koj ua dab tsi li kev kho mob?

Muaj ob txoj kev kho mob tseem ceeb uas siv los kho tus mob no (EDO). Feem ntau cov no yog phais:

• Kev phais tshem cov kav dej ejaculatory los ntawm txoj hlab zis (TURED): Qhov no suav nrog kev siv ib lub cuab yeej me me hla txoj hlab zis thiab txiav cov ntaub so ntswg (xws li lub cyst lossis caws pliav) uas thaiv cov kav dej ejaculatory.
• Kev kuaj lub noob qes: Qhov no kuj yog ib qho txheej txheem uas siv lub koob yees duab me me (lub endoscope lossis telescope) hla lub qhov zis mus rau hauv lub prostate, mus rau hauv cov noob qes, thiab nrhiav pom thiab tshem tawm qhov ua rau muaj kev thaiv. Qhov no yog ib qho txheej txheem me ntsis zoo dua li TURED.

Qee zaum cov kws phais yuav siv ob txoj kev ua ke. Txawm li cas los xij, koj yuav tsum noj tshuaj tua kab mob kom tiv thaiv kev kis kab mob tom qab phais.

Cov kws kho mob feem ntau pom zoo kom koj lub noob qes khov (lossis khaws noob qes) ua ntej ua cov txheej txheem no. Vim tias cov kev kho mob no tsis tas li ua tiav 100%, nws yog ib lub tswv yim zoo kom ua li ntawd nrog rau yav tom ntej.

Yuav siv sijhawm ntev npaum li cas thiaj rov zoo tom qab kho tas?

Cov kev phais no feem ntau ua yam tsis tas yuav nyob hauv tsev kho mob thiab cia koj mus tsev tib hnub ntawd ('cov txheej txheem kho mob sab nraud').

• Yuav muab ib txoj raj Foley tso rau hauv koj lub qhov chaw mos kom pab koj tso zis tau ob mus rau peb hnub tom qab phais. Tej zaum yuav tsis xis nyob me ntsis kom txog thaum muab tshem tawm.
• Tej zaum koj yuav muaj ntshav nyob rau hauv koj cov zis thiab cov phev ib pliag tom qab phais. Qhov no yog ib txwm muaj, tab sis yog tias muaj ntshav ntau, koj yuav tsum qhia rau koj tus kws kho mob.
• Koj yuav tsum tsis txhob muaj kev sib deev kom txog thaum koj mus ntsib koj tus kws kho mob thiab muab lub catheter tshem tawm, thiab kom txog thaum koj tus kws kho mob qhia koj lwm yam.
• Tsis txhob tsa ntau tshaj 10 phaus (kwv yees li 4.5 kilograms) li ob lub lis piam. Tsis txhob ua tej yam uas nyuaj heev.
• Noj tshuaj tua kab mob thiab tshuaj tua kab mob raws li koj tus kws kho mob tau hais.
• Thaum tus kws kho mob tso cai rau koj lawm, koj tuaj yeem rov qab mus ua koj tej dej num li qub.

Puas muaj tej yam tshwm sim ntawm kev phais TURED?

Nov yog qee cov kev mob tshwm sim lossis teeb meem uas qee zaum tuaj yeem tshwm sim tom qab phais mob 'TURED'. Lawv tsis tshwm sim rau txhua tus, tab sis lawv zoo kom paub:

• Thaum koj nyob rau hauv lub xeev ecstasy , ib yam kua zoo li dej yuav tawm los.
• Tej zaum yuav muaj mob Epididymitis (mob o ntawm lub raj uas nqa cov phev tom qab lub noob qes).
• Qhov kev thaiv yuav rov tshwm sim dua.
• Tsis tshua muaj, tej zaum yuav muaj qee qhov kev puas tsuaj rau lub qhov quav.
• Tej zaum yuav muaj teeb meem tso zis tsis tau (qhov no kuj tsis tshua muaj).

Yuav ua li cas yog tias koj muaj Seminal Vesiculoscopy?

Cov kev mob tshwm sim los ntawm kev phais "Seminal vesiculoscopy" no tsis tshua muaj. Feem ntau ntawm lawv tsuas yog mob luv luv xwb. Txawm li cas los xij, qee tus neeg uas tau phais qhov no tau tshaj tawm tias muaj tej yam xws li:

• Xav tias cov phev tawm los tsawg.
• Kev xav tias kev ua haujlwm ntawm kev sib deev lossis kev ua tau zoo tau hloov pauv lawm.

Txawm koj yuav phais dab tsi los xij, nws yog ib qho tseem ceeb uas yuav tsum tham txog txhua yam kom meej nrog koj tus kws kho mob ua ntej ua.

Puas muaj ib txoj kev los tiv thaiv qhov no kom tsis txhob tshwm sim?

Qhov tseeb, tam sim no tsis muaj txoj hauv kev meej meej los tiv thaiv cov vas deferens no. Vim tias qee qhov ua rau yog yug los. Txawm li cas los xij, yog tias koj muaj kab mob hauv txoj hlab zis (UTIs) ntau zaus, koj tuaj yeem txo koj qhov kev pheej hmoo rau qee qhov los ntawm kev kho mob kom zoo rau lawv thiab tiv thaiv koj tus kheej ntawm cov kab mob sib kis los ntawm kev sib deev.

Yog tias koj muaj kev txhawj xeeb txog cov teeb meem caj ces, koj tuaj yeem ntsib nrog tus kws pab tswv yim txog caj ces los tham txog qhov ntawd.

Muaj qee cov tshuaj uas tuaj yeem cuam tshuam rau kev ejaculation, tab sis lawv tsis ncaj qha ua rau erectile dysfunction. Kev zam cov tshuaj no yuav pab txhim kho kev ejaculation rau qee qhov (tsuas yog raws li kev qhia ntawm kws kho mob):

• Cov tshuaj hu ua '(Alpha blockers)' (piv txwv li, cov tshuaj rau prostate loj xws li '(tamsulosin)').
• Qee cov tshuaj kho mob ntshav siab, xws li thiazides, prazosin, thiab phentolamine.
• Cov tshuaj rau qee yam mob hlwb, xws li `(thioridazine - Mellaril®)`, `(haloperidol - Haldol®)` thiab `(chlordiazepoxide - Librium®)`.
• Qee cov tshuaj antidepressants, xws li imipramine thiab amitriptyline.

Qhov tseem ceeb tshaj plaws yog, tsis txhob tsum noj cov tshuaj no lossis hloov qhov ntau npaum li cas yam tsis tau nrog koj tus kws kho mob tham.

Yog tias kuv muaj tus mob no, yuav ua li cas?

Feem ntau, koj pom tias koj muaj EDO thaum koj muaj teeb meem xeeb tub. Los yog nws yuav yog vim qhov mob tas mus li. Txawm hais tias EDO tuaj yeem ua rau tsis xis nyob, nws tsis yog kev hem thawj rau lub neej lossis kis tau. Qhov ntawd yog kev pab, puas yog? Feem ntau, cov kws kho mob tuaj yeem kho qhov mob no thiab rov qab muaj menyuam tau zoo.

Kuv yuav tsum mus ntsib kws kho mob thaum twg?

Yog koj muaj ib qho ntawm cov kev txhawj xeeb no, mus ntsib lossis tham nrog kws kho mob tam sim ntawd:

• Yog tias muaj ntshav tshiab lossis ntshav ntau dhau (hauv cov phev lossis zis).
• Yog koj muaj mob tshiab los yog mob ntxiv (hauv plab qis, nyob ib ncig ntawm lub noob qes, thaum sib deev).
• Yog tias koj kub taub hau tshaj 102 degrees Fahrenheit (kwv yees li 38.9 Celsius).
• Yog tias koj xav tias txias thiab tshee hnyo.
• Yog tias koj tau phais koj ob txhais ceg thiab muaj o lossis mob nyob ib puag ncig qhov txhab.
• Yog koj muaj kev tsis haum tshuaj rau cov tshuaj uas koj noj (piv txwv li, tawv nqaij ua pob, ua pa nyuaj).

Yog tias koj tab tom sim muaj menyuam tab sis muaj teeb meem, nug koj tus kws kho mob kom pab koj nrhiav seb qhov teeb meem yog dab tsi. Yog tias koj muaj lub raj mis fallopian raug thaiv, koj tus kws kho mob yuav pom zoo kom phais kom kho qhov kev thaiv. Cov kev phais no tuaj yeem ua tiav zoo heev. Kev tham ncaj ncees nrog koj tus kws kho mob yog txoj hauv kev zoo tshaj plaws los txiav txim siab zoo tshaj plaws txog koj txoj kev noj qab haus huv.

Qee cov lus tseem ceeb tshaj plaws uas yuav tsum coj mus tsev

Kev thaiv txoj hlab zis yog ib yam mob uas kho tau uas cuam tshuam rau cov txiv neej. Nws yog ib qho tseem ceeb uas yuav tsum paub txog qhov no.

• Ceev faj txog cov tsos mob: Yog tias koj cov phev tsawg, mob, lossis muaj ntshav hauv koj cov phev lossis zis, nco ntsoov nrhiav kev pab kho mob. Tsis txhob txaj muag.
• Qhov no yuav yog ib qho laj thawj rau tsis muaj menyuam: Yog tias koj thiab koj tus khub tab tom yuav muaj menyuam tab sis ncua nws, nws yuav yog qhov zoo los xyuas qhov no thiab.
• Kev kuaj mob kom raug yog qhov tseem ceeb: Tsis txhob kuaj mob rau koj tus kheej raws li koj nyeem hauv online. Mus ntsib kws kho mob uas tsim nyog kom paub qhov ua rau muaj qhov teeb meem no.
• Muaj kev kho mob: Kev phais xws li "(TURED)" thiab "(Seminal vesiculoscopy)" tuaj yeem kho qhov mob no tau zoo. Tsis txhob txhawj.
• Tham nrog koj tus kws kho mob yam qhib siab: Nws yog ib qho tseem ceeb heev uas yuav tsum tham nrog koj tus kws kho mob yam qhib siab txog koj tej teeb meem, kev ntshai, thiab kev cia siab. Tsuas yog thaum ntawd koj thiaj li xaiv tau txoj kev kho mob uas zoo tshaj plaws rau koj.

Nco ntsoov, tsis tas yuav txaj muag lossis ntshai tham txog cov teeb meem no. Koj txoj kev noj qab haus huv thiab kev zoo siab yog qhov tseem ceeb tshaj plaws!

Kev Thaiv Txoj Hlab Ntsws, Txiv Neej Tsis Muaj Me Nyuam, Phev, Phev Ntsws, TURED, Prostate