Prɔblɛm dɛn we de wit di wata we de na di bɛlɛ? Lɛ wi lan bɔt Ejaculatory Duct Obstruction!

Sɔntɛnde yu kin fil lɛk se yu sɛmen volyum smɔl we yu de du mami ɛn dadi biznɛs? Ɔ yu gɛt prɔblɛm fɔ gɛt bɛlɛ? Sɔntɛm di rizin fɔ dis na sɔntin we yu nɔ de tink bɔt. Tide, lɛ wi tɔk bɔt wan prɔblɛm we kin afɛkt man dɛn, bɔt dɛn nɔ kin tɔk bɔt am bɔku - ejaculatory duct obstruction, ɔ EDO.

Wetin na di Ejaculatory Dact Obstruction?

Fɔ tɔk am simpul wan, Ejaculatory Duct Obstruction (EDO) na we di man in swɛlin dakt we de blok. I tan lɛk wata paip we dɔn lɔk. Dis kin bi wan tin we kin mek pɔsin nɔ ebul fɔ bɔn pikin , bɔt bɔku tɛm, dɔktɔ dɛn kin trit am.

Wetin na vas deferens? Aw i kin wok?

Okay, naw mek wi luk wetin na ejaculatory duct. yu gεt tu tכb dεm (di vas diferens) we de kכri sεl dεm frכm yu tεstikul dεm. dis tu tכb dεm de jכyn wit di sεminal vεsikul dakt dεm (di dakt dεm frכm tu כda gland dεm we de mek sεmεn) fכ mek di ejakulatory dakt dεm (ED dεm). as dεn tכb dεm ya de pas tru di prכstat gland, di wata we di prכstat gland de mek de ad to di sεmεn. fכ finish, di komplit sεmεn de kכmכt frכm di bכdi tru di urethra we dεn de stimulate sεks. Yu ɔndastand? dis wata de kכri di sεl dεm kכmכt.

Aw dis sik kin kɔmɔn?

fכ gi yu aydia fכ aw dis blכk de kכmכn, dεn εstimat se lεk 5% pan di man dεm we gεt azoospermia, we na wan kכndyushכn we nכ sεl dεm nכ de na di sεmεn, gεt dis blכk. Azospermia insεf de afekt bכt 1% pan di man dεm.

Yu tink se kayn vas deferens obstruction de?

yes, difrεn men tכp dεm de fכ vas diferens obstruction (EDO). Lɛ wi tek wan luk pan wetin dɛn bi:

• Kɔmplit ɔ klashik EDO: Dis na we ɔl tu di tiub dɛn dɔn blok ɔltogɛda. Imajin se ɔl tu di wata paip dɛn dɔn blok kpatakpata.
• EDO we nɔ kɔmplit ɔ sɔm pat: Insay dis, wan dakt kin blok ɔl, ɔ ɔl tu di dakt dɛn kin blok sɔm pat. I tan lɛk se paip de stɔp af-af.
• Fכnshכnal EDO: Dis lεk ful EDO, bכt nכ fכshal blכk de na di dakt. Dis min se natin nɔ de we dɔn blok insay di dakt, bɔt prɔblɛm de wit di we aw di dakt de wok.

Yu gɛt dɛn sik ya bak?

If yu gɛt vas diferens obstruction (EDO), yu kin gɛt sɔm pan dɛn sayn ya:

• di dכn di כmכnt fכ di sεmεn we dεn ejakul (lεs dan 1.5 ml).
• di ridyus we di ejakulεshכn de dכn εn /כ di sεl dεm we di sεl dεm de dכn.
• Fɔ fil pen we yu de du mami ɛn dadi biznɛs ɔ afta yu dɔn du mami ɛn dadi biznɛs.
• Pen we gɛt fɔ du wit di prɔstat gland.
• di prεsεns fכ bכdi na di sεmεn (insay mεdikal wi kכl dis `(hematospermia)`).
• Blɔd na di urine (dɛn kɔl dis `hematuria`).
• Di we aw pɔsin nɔ ebul fɔ bɔn pikin.

Sɔm sayn kin de pan wan kayn sik pas ɔda kayn sik, so i bɛtɛ fɔ go to dɔktɔ if yu gɛt ɛni wan pan dɛn sayn ya.

Wetin kin mek dis apin?

Okay, naw mek wi si wetin de mek dis vas diferens obstruction (EDO). Bɔku rizin dɛn kin de:

• di jεnεtik kכz dεm: sכmtεm, jεnεtik kכndishכn dεm lεk sistik faybrosis kin mek strכkchכral chenj dεm we de de we dεn bכn am. fכ egzampl, di vas diferens kin nכ de (`atresia`) כ i kin shrunk (`atrophic`).
• Ska tisu frכm di prεviכs pεlvik כpεrayshכn כ damej to di urethra. Dis skata kin blok di tiub dɛn.
• Ston (calculi): Jεs lεk di kidni ston, sכm sכm tin dεm we lεk ston kin fכm εn blok insay dεn sεminal dakt dεm ya.
• Sist: Sis kin fכm insay כ rawnd di tכb dεm, we kin mek dεn tayt.
• Urinary tract infection (UTI) we kin kam bɔku tɛm.
• Prɔstataytis we nɔ de mɛn.
• Epididymitis na inflameshn na di epididymis, di tכb we de kכri sεl dεm bihayn di tεstikul dεm.

כlso, prכblεm wit di sεminal vεsikul dεm kin mek sכmtεm simptom dεm we lεk we di vas difεrεns blכk.

Us tɛst dɛn de du fɔ no dis rili?

Dɔktɔ kin du wan ɔ mɔ pan dɛn tɛst ya fɔ no if i gɛt vas diferens obstruction (EDO):

• di sεmεn analisis: Dis na di mכst bεsik tεst. i de luk pan bכku tin dεm lεk di nכmba fכ di sεl dεm, di muvmεnt we dεn de muv, εn di shep we dεn shep.
• di sεmεn fruktכs analisis: Fruktכs na wan kayn shuga we de insay di sεmεn. na di seminal vεsikul dεm de mek am. If i smɔl, i kin bi prɔblɛm wit dɛn dakt dɛn de.
• Transrectal ultrasound (TRUS): dis de mek yu si tin dεm lεk di prכstat, di seminal vεsikul dεm, εn di vas diferens klia wan. Dis kin ɛp fɔ fɛn ɛnitin we de blok.
• Wan X-ray egzamin fɔ di vas diferens.
• Wan tɛst we dɛn kin put day insay di vas diferens. Dɛn kɔl dis vasogram. Dis kin chɛk fɔ si if di tiub dɛn dɔn blok.

Wetin yu de du as tritmɛnt?

Tu men mεdikal mεtכd dεm de wae dεn kin yuse fכ trit dis kכndyushכn (EDO). Bɔku tɛm, dɛn tin ya na ɔpreshɔn:

• transurethral resection of the ejaculatory ducts (TURED): dis involv fכ pas wan sכmכl instrכmεnt tru di urethra εn kכt di tisu (lεk sist כ ska) we de blכk di ejaculatory ducts.
• Seminal vesiculoscopy: dis na prosidur bak we dεn de pas wan rili sכmכl kεmεra (endoskop כ tεliskop) tru di urethra insay di prכstat, insay di seminal vεsikul dεm, εn dεn de fכnshכn di kכz fכ di blכk εn pul am. Dis na smɔl mɔ dilikɛt prɔsidyu pas TURED.

Sɔntɛnde, dɔktɔ dɛn we de du ɔpreshɔn kin yuz dɛn tu we ya togɛda. Bɔt yu go nid fɔ tek antibayɔtik fɔ mek yu nɔ gɛt di sik afta di ɔpreshɔn.

Bɔku tɛm, dɔktɔ dɛn kin se yu fɔ friz yu swɛlin (ɔ fɔ bank yu swɛlin) bifo yu du dɛn tin ya. Bikɔs dɛn tritmɛnt ya nɔ kin wok fayn ɔltɛm 100%, i fayn fɔ du am wit di tumara bambay na yu maynd.

Aw lɔng e kin tek fɔ wɛl afta dɛn dɔn trit am?

Dɛn kin du dɛn ɔpreshɔn ya we yu nɔ de na ɔspitul ɛn dɛn kin alaw yu fɔ go na os di sem de (`outpatient procedures`).

• Dɛn go put Foley kateta tru yu penis fɔ ɛp yu fɔ pis fɔ tu to tri dez afta dɛn dɔn du di ɔpreshɔn. I kin mek yu nɔ fil fayn smɔl te dɛn pul am.
• Yu kin gɛt blɔd na yu urine ɛn semen fɔ sɔm tɛm afta dɛn dɔn du di ɔpreshɔn. Dis na nɔmal tin, bɔt if bɔku blɔd de kɔmɔt, yu fɔ tɛl yu dɔktɔ.
• Yu fɔ avɔyd fɔ du mami ɛn dadi biznɛs te yu si yu dɔktɔ ɛn pul di kateshɔn, ɛn te yu dɔktɔ advays yu ɔda we.
• Nɔ es pas 10 paund (lɛk 4.5 kilogram) fɔ lɛk tu wiks. Stay away frɔm tin dɛn we de mek yu strɛs.
• Tek pen kil ɛn antibayɔtik jɔs lɛk aw yu dɔktɔ tɛl yu.
• Wae di dɔktɔ gi yu permishɔn, yu kin go bak to yu nɔrmal tin dɛm.

Ɛni sayd ɛfɛkt de we TURED ɔpreshɔn kin gɛt?

Dis na sɔm pan di sayd ɛfɛkt ɔ kɔmplikeshɔn dɛm we kin apin sɔm tɛm afta dɛn dɔn du `TURED` ɔpreshɔn. Dɛn nɔ kin apin to ɔlman, bɔt dɛn fayn fɔ no:

• We yu de na di stet we yu de gladi , wata lɛk wata kin kɔmɔt.
• di epididymitis (inflamεshכn na di tכb we de kכri sεl bihayn di tεstikul) kin apin.
• Di blɔk kin kam bak.
• Na smɔl tɛm nɔmɔ, sɔm damej kin de na di rɛktum.
• Urinary incontinence kin apin (dis tu kin rili rare).

Wetin kin apin if yu gɛt Seminal Vesiculoscopy?

di sayd ifekt dεm we de kכmכt frכm dis ``Seminal vesiculoscopy`` כpεrayshכn kin rili rεs. Bɔrku pan dɛn kin de fɔ shɔt tɛm, lɛk fɔ fil pen. Bɔt sɔm pipul dɛn we dɛn dɔn du dis ɔpreshɔn dɔn ripɔt tin dɛn lɛk:

• Fɔ fil lɛk se di amɔnt fɔ di swɛlin we de kɔmɔt na do smɔl.
• Fɔ fil lɛk se yu de du mami ɛn dadi biznɛs ɔ aw yu de du yu wok dɔn chenj.

I nɔ mata us ɔpreshɔn yu dɔn du, i impɔtant fɔ tɔk bɔt ɔltin gud gud wan wit yu dɔktɔ bifo yu du am.

Yu tink se we de fɔ mek dis nɔ apin?

Infakt, naw no klia we nɔ de fɔ mek dɛn nɔ gɛt dɛn vas diferens ya we dɔn blok. Na bikɔs sɔm tin dɛn we kin mek pɔsin gɛt dis sik na tin dɛn we dɛn kin bɔn wit. Bɔt if yu gɛt urinary tract infection (UTI) bɔku tɛm, yu kin ridyus yu risk to sɔm mak bay we yu gɛt di rayt tritmɛnt fɔ dɛn ɛn protɛkt yusɛf frɔm sik dɛn we pɔsin kin gɛt we i de du mami ɛn dadi biznɛs.

If yu gɛt ɛnitin we de mɔna yu bɔt yu jɛnɛtik prɔblɛm, yu kin mit wit pɔsin we de advays yu bɔt yu jɛnɛtiks fɔ tɔk bɔt am.

Sɔm mɛrɛsin dɛn de we kin afɛkt di we aw pɔsin de bɔn, bɔt dɛn nɔ kin mek pɔsin nɔ ebul fɔ si di uman in bɛlɛ dairekt wan. If yu avɔyd dɛn mɛrɛsin ya, dat kin ɛp fɔ mek yu bɔn fayn fayn wan to sɔm mak (na ɔnda dɔktɔ advays nɔmɔ):

• mεdisin dεm we dεn kכl `(Alpha blockers)` (fכ egzampl, mεdisin dεm fכ di prכstat we big lεk `(tamsulosin)`).
• Sɔm mɛrɛsin dɛn we gɛt ay blɔd prɛshɔn, lɛk thiazides, prazosin, ɛn phentolamine.
• Mεdikeshכn fכ sכm mental sik dεm, lεk `(thioridazine - Mellaril®)`, `(haloperidol - Haldol®)` εn `(chlordiazepoxide - Librium®)`.
• Sɔm mɛrɛsin wae de mek pɔrsin fil bad, lɛk imipramine ɛn amitriptyline.

Di tin we impɔtant pas ɔl na, nɔ stɔp fɔ tek ɛni wan pan dɛn mɛrɛsin ya ɔ chenj di doz we yu nɔ tɔk to yu dɔktɔ.

Wetin kin apin if a gɛt dis sik?

Mɔs tɛm, yu kin fɛnɔt se yu gɛt EDO we yu gɛt prɔblɛm fɔ gɛt bɛlɛ. Ɔ i kin bi bikɔs i de kɔntinyu fɔ fil pen. Pan ɔl we EDO nɔ kin fil fayn, i nɔ kin mek pɔsin in layf de pan denja ɔ i nɔ kin pas am. Dat na rilif, nɔto so? Bɔku tɛm, dɔktɔ dɛn kin ebul fɔ trit dis sik fayn fayn wan ɛn mek i ebul fɔ bɔn pikin bak.

Ustɛm a fɔ go to dɔktɔ?

If yu gɛt ɛni wan pan dɛn tin ya we de mɔna yu, go to dɔktɔ wantɛm wantɛm:

• If nyu ɔ pasmak blɔd de (insay blɔd ɔ urine).
• If yu gɛt nyu pen ɔ i dɔn bɔku (na di bɛlɛ we de dɔŋ, rawnd di tɛstikul, we yu de du mami ɛn dadi biznɛs).
• If yu gɛt fiva we pas 102 digri F (lɛk 38.9 sɛlshiɔs).
• If yu fil kol ɛn yu de shek shek.
• If dɛn dɔn du ɔpreshɔn pan yu leg ɛn swel ɔ pen de rawnd di wund.
• If yu gɛt alɛji fɔ wan mɛrɛsin we yu de tek (e.g. skin rash, prɔblɛm fɔ blo).

If yu de tray fɔ bɔn pikin bɔt yu gɛt prɔblɛm, aks yu dɔktɔ fɔ ɛp yu fɔ no wetin na di prɔblɛm. If yu gɛt fallopian tube we dɔn blok, yu dɔktɔ kin tɛl yu fɔ du ɔpreshɔn fɔ kɔrɛkt di blɔk. Dɛn ɔpreshɔn ya kin rili wok fayn. Fɔ tɔk ɔnɛs wit yu dɔktɔ na di bɛst we fɔ disayd fɔ du di bɛst tin bɔt yu wɛlbɔdi biznɛs.

Sɔm pan di impɔtant mɛsej dɛn fɔ kɛr go na os

Ejaculatory Duct Obstruction na wan sik we dɛn kin trit ɛn we kin afɛkt man dɛn. I impɔtant fɔ no bɔt dis.

• Yu fɔ no di sayn dɛm: If yu gɛt smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl. Nɔ shem.
• Dis kin bi rizin fɔ mek yu nɔ bɔn pikin: If yu ɛn yu patna de op fɔ bɔn pikin bɔt yu de delay fɔ bɔn pikin, i go fayn fɔ chɛk dis bak.
• I impɔtant fɔ no di sik kɔrɛkt wan: Nɔ fɔ no yusɛf bay wetin yu rid na di Intanɛt. Gɛt wan dɔktɔ we sabi du di tɛst fɔ no di rayt tin we mek yu du dis.
• Tritmεnt dεm de: כpεrayshכn lεk `(TURED)` εn `(Seminal vesiculoscopy)` kin trit dis kכndyushכn fayn fayn wan. Nɔ wɔri.
• Tɔk wit yu dɔktɔ opin wan: I rili impɔtant fɔ tɔk opin wan wit yu dɔktɔ bɔt yu prɔblɛm dɛn, wetin yu de fred, ɛn wetin yu de op fɔ. Na da tɛm de nɔmɔ yu go ebul fɔ pik di tritmɛnt we go fayn fɔ yu.

Mɛmba se, nid nɔ de fɔ shem ɔ fred fɔ tɔk bɔt dɛn tin ya. Yu wɛlbɔdi ɛn gladi at na di tin we impɔtant pas ɔl!

` Ejaculatory Dact Obstruction, Man Infεrtiliti, Sεm, Sεmεn, TURED, Prכstat