Semen chungchangah harsatna a awm em? Ejaculatory Duct Obstruction chungchang hi i zir dawn teh ang!

Sex hman laiin i semen volume a hniam deuh niin i hria em? A nih loh leh nau pai harsa i ti em? Hei hi a chhan chu i ngaihtuah ngai loh thil a ni mai thei. Vawiin hian mipa nghawng thei, mahse sawi tam loh harsatna pakhat - ejaculatory duct obstruction, emaw EDO chungchang hi han sawi ila.

Ejaculatory Duct Obstruction tih hi eng nge ni?

A awlsam zawngin sawi ila, Ejaculatory Duct Obstruction (EDO) hi mipa sperm duct a block a ni. Tui pipe khar ang mai a ni. Hei hi nau pai theih lohna chhan a ni thei , mahse a tam zawkah chuan doctor-te chuan an enkawl thei a ni.

Vas deferens tih hi eng nge ni? Engtin nge a thawh?

Okay, tunah chuan ejaculatory duct chu eng nge a nih kan en ang. I testicles atanga sperm phur tube pahnih (the vas deferens) i nei a. Heng tube pahnih te hi seminal vesicle ducts (semen siamtu gland dang pahnih atanga ducts) te nen an inzawm a, ejaculatory ducts (EDs) an siam a ni. Heng tube te hian prostate gland an paltlang chuan prostate gland atanga tui lo chhuak chu semen ah hian a tel ve ta a ni. A tawp berah chuan sexual stimulation neih laiin taksa atanga semen kimchang chu urethra kaltlangin a chhuak ta a ni. I hrethiam em? He tui hian sperm chu a phur chhuak chhuak thin.

Hetiang dinhmun hi engtiang chiahin nge a awm?

He blockage hi engtiang chiahin nge a awm tih hriat theih nan, azoospermia, semen-a sperm awm lohna natna vei mipa 5% vel chuan he blockage hi an nei niin an chhut. Azoospermia ngei pawh hian mipa 1% vel a vei a ni.

Vas deferens obstruction chi hrang hrang a awm em?

Ni e, vas deferens obstruction (EDO) hi chi hrang hrang lian tak tak a awm. Eng nge an nih hi han thlir ila:

• Complete or classic EDO: Hei hi tube pahnih a block vek lai a ni. Tui pipe pahnih hi a inkhar vek tawh ang tih han ngaihtuah teh.
• EDO tling lo emaw, a then emaw: Hetah hian duct pakhat chu a block vek thei a, a nih loh leh duct pahnih chu a then a block thei bawk. Pipe a chanve vel a tlakbuak ang mai a ni.
• Functional EDO: Hei hi full EDO nen a inang a, mahse duct chhungah hian physical blockage a awm lo. Chumi awmzia chu duct chhungah hian engmah block a awm lo tihna a ni a, mahse duct hnathawh danah harsatna a awm tihna a ni.

Nang pawhin heng symptoms te hi i nei ve em?

Vas deferens obstruction (EDO) i neih chuan heng symptom thenkhat hi i nei thei ang:

• Semen ejaculated zat tlahniam (1.5 ml aia tlem).
• Ejaculation tlahniam leh/ emaw sperm count tlahniam.
• Sex hman lai emaw, sex hman zawh hnu emawa natna hriat.
• Prostate gland nena inzawm natna.
• Semen-a thisen awm (damdawi lamah chuan hei hi (hematospermia) kan ti a).
• Zun chhunga thisen (hei hi hematuria an ti a).
• Nau pai theih lohna.

Symptom thenkhat chu chi khat aiin chi dang aiin a tam zawk thei a, chuvangin heng symptoms te hi i neih chuan doctor pan a tha ber.

Eng thilin nge hei hi a thlen?

Okay, tunah chuan he vas deferens obstruction (EDO) hi eng thilin nge a thlen tih hi han en ila. A chhan hrang hrang a awm thei:

• Genetic causes: A chang chuan genetic conditions cystic fibrosis te hian nau piang laia awm thin structural changes a thlen thei. Entirnan, vas deferens chu a awm lo (atresia) emaw, a tlahniam (atrophic) emaw a ni thei.
• Pelvic surgery hmasa atanga scar tissue emaw, urethra chhia emaw. He scarring hian tube te chu a block thei a ni.
• Lung (calculi): Kidney lung ang bawkin heng seminal duct-ah hian lung ang chi thil te te a lo piang thei a, a block thei bawk.
• Cysts: Tube chhungah emaw, a chhehvelah emaw cyst a lo awm thei a, chu chuan a ti tight thei a ni.
• Urinary tract infection (UTI) awm fo thin.
• Prostatitis natna rei tak a awm.
• Epididymitis hi epididymis, testicles hnung lama sperm phurtu tube a inflammation a ni.

Tin, seminal vesicles-a harsatna awm hian a chang chuan vas deferens block ang chi symptom a thlen thei bawk.

Hei hi chiang taka hriat theih nan eng test nge tih a nih?

Doctor chuan vas deferens obstruction (EDO) a awm tih finfiah nan a hnuaia test pakhat emaw a aia tam emaw a ti thei ang:

• Semen analysis: Hei hi test bulpui ber a ni. Thil tam tak a en a, chu chu sperm awm zat, an che vel leh an pianzia te hi a ni.
• Semen fructose analysis: Fructose hi semen-a awm sugar chi khat a ni. Seminal vesicles atanga siam a ni. A hniam chuan chutiang duct-ah chuan harsatna a awm thei.
• Transrectal ultrasound (TRUS): Hei hian prostate, seminal vesicles, leh vas deferens ang chi thil te chiang takin a hmu thei a. Hei hian blockage eng pawh zawng turin a pui thei a ni.
• Vas deferens X-ray hmanga enfiah a ni.
• Test pakhat, vas deferens chhunga dye inject a ni. Hei hi vasogram an ti a. Hei hian tube chhunga blockage awm leh awm loh a enfiah thei a ni.

Treatment atan eng nge i tih?

He natna enkawlna atana hmanraw pawimawh pahnih (EDO) a awm a. Hengte hi surgery hmanga tih a ni tlangpui:

• Transurethral resection of the ejaculatory ducts (TURED): Hei hian urethra kaltlangin hmanraw te tak te pass a, ejaculatory ducts tikhawlotu tissue (cyst emaw scar emaw ang chi) chu cut chhuah a ni.
• Seminal vesiculoscopy: Hei hi camera te tak te (endoscope emaw telescope emaw) te chu urethra kaltlangin prostate chhungah, seminal vesicles chhungah an lut a, a block chhan chu an hmuchhuak a, an paih chhuak thin bawk. Hei hi TURED aiin a kalphung nalh zawk deuh a ni.

A châng chuan surgeon-te chuan an pahnih hian an hmang dun thei bawk. Mahse, operation hnua natna kai loh nan antibiotics i ei a ngai dawn a ni.

Doctor-te chuan heng procedure te hi i tih hmain i semen (or sperm banking) chu freeze turin an rawt fo thin. Heng enkawlna te hi 100% a hlawhtling ngai lo a nih avangin hmalam hun ngaihtuaha tih hi a tha hle.

Enkawl hnua dam leh theih nan eng chen nge a duh?

Heng surgery te hi damdawi ina awm lovin tih a ni tlangpui a, chu ni vek chuan in lamah haw theih a ni (outpatient procedures).

• I zang kaltlangin Foley catheter dah a ni ang a, chu chuan operation hnu ni hnih atanga ni thum chhung chu i zun theih nan a pui ang. A lak chhuah hma chuan a nuam lo deuh mai thei.
• I zai hnuah i zun leh semen-ah thisen i awm thei. Hei hi thil pangngai a ni a, mahse thisen chhuah tam a nih chuan doctor hnenah i hrilh tur a ni.
• Doctor i hmuh hma leh catheter i lak chhuah hma leh i doctor-in a thurawn dang a pek hma loh chuan mipat hmeichhiatna hman loh tur a ni.
• Kar hnih vel chhung chu pound 10 (kilogram 4.5 vel) aia tam chawi suh. Thil hahthlak tak tak lakah hlat rawh.
• Doctor-in a tih ang chiah hian natna tidamtu leh antibiotics ei tur a ni.
• Doctor-in phalna a pek che chuan i thil tih dan pangngaiah i kir leh thei tawh ang.

TURED surgery hian side effect a nei em?

Hengte hi TURED surgery hnua a chang chuan side effect emaw complication emaw awm thei thenkhat an ni. Mi zawng zawng chungah a thleng lo a, mahse hriat a tha:

• When you are in a state of ecstasy , tui ang chi tui a chhuak thei.
• Epididymitis (testicle hnung lama sperm phur tube-a inflammation) a awm thei.
• Blockage chu a lo awm leh thei bawk.
• A tlem hle a, rectum-ah hian chhiatna engemaw zat a awm thei.
• Urinary incontinence a awm thei (hei pawh hi a tlem hle).

Seminal Vesiculoscopy i tih chuan eng nge thleng?

He Seminal vesiculoscopy surgery atanga side effects hi a tlem hle. A tam zawk hi hun rei lote chhunga awm, natna ang chi an ni. Mahse, he surgery nei tawh thenkhat chuan hetiang hi an report a:

• Semen chhuak zat chu a tlem hle ang tih hriat.
• Sexual function emaw performance emaw ang maia hriatna chu a danglam ta.

Eng surgery pawh nei ila, i doctor nen uluk taka sawiho hmasak phawt a pawimawh.

Hetiang thil thleng tur ven dan tur a awm em?

Dik tak chuan tunah hian heng blocked vas deferens te hi ven dan tur chiang tak a la awm lo. A chhan chu a chhan thenkhat chu pianpui a nih vang a ni. Mahse, urinary tract infection (UTI) i neih fo chuan, a enkawl dan tur dik tak i laksak a, mipat hmeichhiatna hmanga kai theih natna laka invenna hmangin i hlauhawmna chu eng emaw chen i tihziaawm thei a ni.

Genetic problem chungchangah harsatna i neih chuan genetic counselor nen inhmukhawmin i sawi thei ang.

Damdawi thenkhat chu ejaculation tichhe thei mahse direct-in erectile dysfunction a thlen lo. Heng damdawi ei loh hian eng emaw chen chu ejaculation a ti \ha thei a (damdawi lam thurawn hnuaiah chauh):

• Damdawi (Alpha blockers) an tih (entir nan, prostate lian zawk damdawi (tamsulosin) ang chi).
• Thisen sang damdawi thenkhat, thiazides, prazosin, leh phentolamine te.
• Rilru natna thenkhat damdawi, (thioridazine - Mellaril®), (haloperidol - Haldol®) leh (chlordiazepoxide - Librium®) te.
• Antidepressant thenkhat, imipramine leh amitriptyline te.

A pawimawh ber chu, heng damdawi ei zawng zawng hi chawlhsan suh la, i doctor nen inbiakna nei lovin a dose pawh thlak suh.

Hetiang dinhmun hi ka neih chuan eng nge thleng ang?

A tam zawkah chuan nau pai harsatna i neih hian EDO i nei tih i hrechhuak thin. A nih loh leh, natna chhunzawm zel vang pawh a ni thei. EDO hi a nuam lo thei a, mahse nunna atana hlauhawm leh kai theih a ni lo. Chu chu thlamuanna a ni lawm ni? A tam zawkah chuan doctor-te chuan hlawhtling takin he natna hi an enkawl thei a, nau neih theihna an siam ṭha leh thei bawk.

Engtikah nge Doctor ka hmuh ang?

Heng harsatna i neih zingah hian i ngaihtuahna tibuaitu i neih chuan doctor hmu nghal la, biak nghal rawh:

• Thisen chhuak thar emaw, thisen chhuak tam lutuk emaw a awm chuan (semen emaw urine-ah).
• Natna thar emaw, na zual emaw i neih chuan (i pum hnuai lam, testicles vel, mipat hmeichhiatna hman lai).
• I khawsik 102 degree Fahrenheit (38.9 Celsius vel) aia sang i neih chuan.
• I lum leh khur i hriat chuan.
• I ke operation i neih tawh a, hliam chhehvelah a hring emaw, a na emaw a awm chuan.
• Damdawi i ei mek (e.g. vun rawng, thawk harsa) avanga allergy i neih chuan.

Naute neih i tum a, harsatna i tawk a nih chuan i doctor hnenah eng nge harsatna awm tih hriatchhuah tir turin hrilh rawh. Fallopian tube block i neih chuan i doctor chuan a block siamthat nan operation neih a rawt thei ang. Heng surgery te hi a hlawhtling thei hle. I doctor nena rinawm taka inbiakna neih hi i hriselna chungchanga thutlukna tha ber siamna kawng tha ber a ni.

In lama hruai tur thuchah pawimawh tak tak thenkhat

Ejaculatory Duct Obstruction hi enkawl theih a ni a, mipa a nghawng nasa hle. Hei hi hriat chian a pawimawh hle.

• A lan chhuah dan fimkhur rawh: Semen volume hniam, natna, emaw i semen emaw zun emaw-ah thisen i neih chuan doctor thurawn la ngei ang che. Zak suh.
• Hei hi fa neih loh chhan pawh a ni thei: I kawppui nen naute in beisei a, mahse in tihkhawtlai a nih chuan hei pawh hi enfiah a finthlak ang.
• Diagnosis dik a pawimawh: Online-a i thil chhiarte hmanga mahni inhriat chian loh tur. Doctor thiam tak hnenah test la, a chhan dik tak chu hmu rawh.
• Enkawlna a awm: (TURED) leh (Seminal vesiculoscopy) ang chi surgery te hian he natna hi hlawhtling takin a enkawl thei a ni. Lungngai suh.
• Doctor nen inhawng takin inbia: I harsatna te, i hlauhthawnna te, leh i beisei dan te zalen taka sawipui a pawimawh hle. Chumi hnuah chauh chuan i tana tha ber tur enkawlna i thlang thei ang.

Heng thilte hi sawi chhuah zak leh hlauh a ngai lo tih hre reng ang che. I hriselna leh hlimna hi a pawimawh ber a ni!