Naupang chu chhungkaw tin duhthusam a ni. Mahse a chang chuan hriselna lam thil chi hrang hrang avang hian chu mumang chu tihlawhtling tur chuan hun rei tak a ngai thin. A bik takin mipa nau pai theih lohna hi a chhan a ni thei. Hetiang hun lai hian kan lungngaihna leh lungngaihna hi kan hrethiam vek a ni. Mahse a tha ber chu tunlai damdawi lam thiamna changkang tak hian hetiang harsatna hi chinfelna hlawhtling tak tak a nei a ni. Vawiin hian mipa naupai theih lohna enkawlna atana hman thin surgery kalphung hmasawn tak tak kan sawi dawn a ni. Chu chu microTESE a ni.
A awlsam zawngin microTESE chu eng nge ni?
microTESE (Microsurgical Testicular Sperm Extraction) hi mipa nau pai theih lohna enkawlna atana hmanraw bik a ni. A awlsam zawngin sawi ila, azoospermia vei mipa testicles atanga direct-a sperm lakchhuahna a ni.
Hetiang hian han ngaihtuah teh. A châng chuan mi chi (testicles) chhungah sperm a lo chhuak a, mahse semen nen a chhuak lo. MicroTESE hi microscope chak tak hmanga testicles chhunga channel te tak tea thup sperm hrisel tak tak zawng chhuak leh lakchhuah ang a ni.
He surgery hian thil tum lian tak pathum a nei a, chungte chu:
- Sperm quality tha ber neih theihna.
- Egg hrisel tak fertilize turin sperm tam tawk neih.
- I reproductive organs chhiatna tihtlem .
He surgery hi tute tan nge tih a rawt?
Doctor te chuan Azoospermia tih hming pu mipa tan he damdawi hi an rawt tlangpui thin . Chumi awmzia chu semen test an tih hian semen-ah hian sperm hmuh tur a awm lo tihna a ni. Nau neih pawh i duh a, mahse natural taka sperm hrisel i siam thei lo a nih chuan i doctor chuan microTESE procedure chu a hrilhfiah ang che.
A pawimawh ber chu i semen-ah sperm a awm loh vang mai mai hian i taksain sperm a siam chhuak lo tihna a ni lo. Testicles chhungah hian sperm hi a tlem hle a ni thei. Chu tlemte chu MicroTESE hmangin an zawng chhuak a, an khawlkhawm thin.
Operation hmain engtin nge i inbuatsaih thin?
He surgery i neih hma hian specialist (Urologist) i hmuh hmasak phawt a ngai ang. Sawtah,
- I hriselna chanchin kimchang sawi rawh.
- I hriselna tlangpui enfiah nan taksa enfiahna neih a ni ang.
- Thisen sang leh pulse ang chi thil te chu enfiah thin a ni.
Hetih lai hian allergy i neih apiang leh i damdawi ei zawng zawng (doctor-in a pek, damdawi dawr atanga lei, herbal products pawh) i doctor hnenah i hrilh a pawimawh hle.A chhan chu damdawi thenkhat hian thisen chhuah theihna a tipung thei a ni.
Surgery hma zan zanlai hnuah engmah ei leh in lo turin hriattir i ni ang. Damdawi pawimawh eng emaw i ei a ngai a nih chuan tui in rualin ei thin ang che. I doctor chuan heng zawng zawng hi chiang takin a hrilhfiah ang che.
Engtin nge surgery hi tih a nih a, a hnuah eng nge thleng?
Hetiang kalphung hi engtin nge a thawh tih leh a hnua fimkhur tur thilte han thlir ila.
| microTESE kalphung leh dam leh hun chhung | |
|---|---|
| Surgery neih lai hian | |
| Step 1: Anesthesia tih hi a ni | Natna engmah i hriat loh nan general anesthesia pek i ni ang. Chuvangin i muhil ang. |
| Step 2: Surgery tih tur a ni | Doctor chuan scrotum lai takah incision te tak te tak a siam a. Tichuan, microscope chak tak hmangin, testicle chhunga sperm awm thei tube te tak te chu an hmuchhuak ta a ni. |
| Step 3: Sample lak chhuah | Duct hriatchhuah atang hian tissue sample te tak te (testicular biopsy) engemawzat lak a ni. Hengte hi laboratory-ah thawn a ni. |
| Step 4: Sperm zawng chhuah | Laboratory-ah chuan he tissue sample hi specialist pakhatin microscope hmangin a enfiah a, sperm hrisel tak a awm em tih a enfiah thin. |
| Operation hnuah | |
| Results leh hman dan | Sperm hmuh a nih chuan i kawppui egg pakhat nen fertilization (IVF) atan hman nghal theih a ni a, a hnua hman tur freezer-ah (cryopreservation) dah theih a ni bawk. |
| Recovery hun chhung | A dam kim theih nan kar engemaw zat a ngai thei. Ni hnih emaw ni thum emaw chhung chu hnathawhna hmunah i kal thei lo mai thei. Taksa lam hawi hna i neih chuan rei vak lo chawlh hahdam a ngai mai thei. |
| Natna control | Ni hnih hmasa berah chuan natna leh hliam engemaw zat a awm thei. Ice pack hnawih hian hahdamna a pe ang. Doctor-in a sawi angin natna tidamtu damdawi hmang rawh. |
Engtikah nge sex i hman theih ang?
Doctor-te chuan operation hnu ni engemaw zat chhung chu mipat hmeichhiatna hman loh tur leh masturbation hmang lo turin an fuih tlangpui che a ni. I doctor chuan i dinhmun a zirin engtikah nge a remchan ang tih chiang takin a hrilh ang che.
Hei hian eng hlawkna leh hlauhawmna nge a neih?
A thatna ber chu pa nih i duhthusam tihhlawhtlin theihna chance i nei sang zawk a ni. Azoospermia condition awm chhan a zirin microTESE surgery hmangin sperm hrisel tak tak lakchhuah theih a ni a, hlawhtlinna rate chu 60% thleng a ni .
Tin, surgery zawng zawng ang bawkin, hlauhawmna engemaw zat a awm bawk .
- A pawimawh ber chu operation hnuah pawh sperm hmuh loh theihna chance a awm .
- Anesthesia nena inzawm hlauhawmna.
- Thisen chhuak.
- Kaichhawng.
- Natna leh hrehawmna.
- Testicles hi a tichhia reng thei a, mahse hei hi a tlem hle .
Nau pai theih lohna hi thupui sensitive tak a ni a, mi tam takin an sawi duh lo. Mahse mimal chak lohna emaw, fa nei thei lo i nihzia tilangtu emaw a ni lo. Damdawi lam natna enkawl theih a ni. MicroTESE ang chi enkawlna hian nang leh i kawppui nen fa biological neih theihna hun remchang a pe thei a ni.
Doctor ko vat a ngaih hunah
Operation hnua a hnuaia symptoms te hi i neih chuan doctor i biak nghal tur a ni.
- Natna nasa tak a awm chuan .
- Incision chhehvelah a tam lutukThisen chhuak a awm chuan.
- Zun chhunga thisen (hematuria) a awm.
- Infection chhinchhiahna (khawsik, khawsik, incision vel a hring, sen/purple/brown/black discoloration, emaw pus) i hmuh chuan.
- Sepsis chhinchhiahna i lantir a nih chuan.
TESE leh microTESE hi eng nge an danglamna?
TESE hi testicles atanga sperm lakchhuah dan dang a ni. Mahse, TESE hian microscope a hmang lo. TESE hi sperm kalna kawng (obstructive azoospermia) a inkharkhip (obstructive azoospermia) a awm chuan hman a ni tlangpui. Mahse, testicles-a sperm siam chhuah tlem lutuk (non-obstructive azoospermia)-ah chuan microTESE, microscope hmanga tih hi a hlawhtling ber leh him ber a ni.
Take-Home Thuchah a ni
- MicroTESE hi mipa nau pai theih lohna (a bik takin Azoospermia-ah chuan) enkawlna hlawhtling tak a ni.
- Hei hian high-powered microscope hmanga testicles atanga direct-a sperm hrisel tak lakchhuah a huam a ni.
- Hetiang hmanga sperm i hmuh hian IVF technology hmanga pa nih i tum chu a tihlawhtling thei a ni.
- Surgery zawng zawng ang bawkin, hlauhawmna tenau tak tak a awm a, chuvangin enkawl hmain hengte hi i doctor nen zalen takin sawiho rawh.
- Nau pai theih lohna hi zah tur a ni lo. Damdawi lam thurawn leh enkawlna dik tak nen chuan he natna hi hneh theih a ni.
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