Iingxaki ngesidoda? Masifunde ngokuVimba kweMibhobho yokuKhupha!

Ngaba ngamanye amaxesha uziva ngathi umthamo wakho wesidoda uphantsi ngexesha lokwabelana ngesondo? Okanye ngaba unengxaki yokukhulelwa? Mhlawumbi isizathu sale nto yinto ongayicingiyo. Namhlanje, masithethe ngengxaki echaphazela amadoda, kodwa engathethwa kakhulu ngayo - ukuvaleka kwendlela yokukhupha i-ejaculatory duct, okanye i-EDO.

Yintoni i-Ejaculatory Duct Obstruction?

Ngamafutshane, i-Ejaculatory Duct Obstruction (EDO) kukuvalwa kombhobho wesidoda sendoda. Kufana nombhobho wamanzi ovalekileyo. Oku kunokuba ngunobangela wokungabi nabantwana , kodwa kwiimeko ezininzi, oogqirha banokuyinyanga.

Yintoni i-vas deferens? Isebenza njani?

Kulungile, ngoku makhe sijonge ukuba yintoni na i-ejaculatory duct. Unemibhobho emibini (i-vas deferens) ethwala isidoda esivela kumasende akho. Le mibhobho mibini idibana nemibhobho ye-seminal vesicle (imibhobho evela kwezinye ii-glands ezimbini ezenza isidoda) ukwenza imibhobho ye-ejaculatory (EDs). Njengoko le mibhobho idlula kwi-prostate gland, ulwelo oluveliswa yi-prostate gland longezwa kwi-semen. Ekugqibeleni, isidoda esipheleleyo sikhutshwa emzimbeni nge-urethra ngexesha lokuvuselelwa ngokwesondo. Uyaqonda? Olu lwelo luthwala isidoda ngaphandle.

Ixhaphake kangakanani le meko?

Ukuze sikunike umbono wokuba kuqheleke kangakanani oku kuvinjwa kwesidoda, kuqikelelwa ukuba malunga ne-5% yamadoda ane-azoospermia, imeko apho kungekho sidoda kwi-semen, anale ngxaki. I-Azoospermia ngokwayo ichaphazela malunga ne-1% yamadoda.

Ngaba kukho iintlobo zokuthintelwa kwe-vas deferens?

Ewe, kukho iintlobo ezininzi eziphambili zokuthintelwa kwe-vas deferens (EDO). Makhe sibone ukuba zithini:

• I-EDO epheleleyo okanye yesiqhelo: Kulapho zombini iityhubhu zivalwe ngokupheleleyo. Khawuthelekelele ukuba zombini iipayipi zamanzi zivalwe ngokupheleleyo.
• I-EDO engaphelelanga okanye engaphelelanga: Kule nto, umbhobho omnye unokuthi uvalwe ngokupheleleyo, okanye zombini imibhobho inokuthi ivalwe kancinci. Kufana nombhobho obhajwa phakathi.
• I-EDO esebenzayo: Oku kufana ne-EDO epheleleyo, kodwa akukho kuvinjwa okubonakalayo kwi-duct. Oku kuthetha ukuba akukho nto ivinjiweyo ngaphakathi kwi-duct, kodwa kukho ingxaki ngokusebenza kwe-duct.

Ngaba nawe unazo ezi mpawu?

Ukuba une-vas deferens obstruction (EDO), unokufumana ezinye zezi mpawu:

• Ukuncipha komthamo wesidoda esiphumayo (ngaphantsi kwe-1.5 ml).
• Ukuncipha kokuphuma komchamo kunye/okanye inani eliphantsi lesidoda.
• Ukuva iintlungu ngexesha okanye emva kokwabelana ngesondo.
• Iintlungu ezinxulumene ne-prostate gland.
• Ubukho begazi kwi-semen (kwezonyango sibiza oku ngokuthi `(hematospermia)`).
• Igazi kumchamo (oku kubizwa ngokuba yi-'hematuria').
• Ukungazali.

Ezinye iimpawu zisenokuba zixhaphake kakhulu kolunye uhlobo kunezinye, ngoko ke kungcono ukubona ugqirha ukuba unayo nayiphi na kwezi mpawu.

Yintoni ebangela oku?

Kulungile, ngoku masibone ukuba yintoni ebangela oku kuthintelwa kwe-vas deferens (EDO). Kunokubakho izizathu ezahlukeneyo:

• Izizathu zemfuza: Ngamanye amaxesha, iimeko zemfuza ezifana ne-cystic fibrosis zinokubangela utshintsho kwisakhiwo olukhoyo ekuzalweni. Umzekelo, i-vas deferens isenokuba ayikho (`atresia`) okanye inciphe (`atrophic`).
• Izicwili zezicwili ezivela kutyando lwangaphambili lwe-pelvic okanye umonakalo kwi-urethra. Olu xinzelelo lunokuthintela iityhubhu.
• Amatye (i-calculi): Njengamatye ezintso, izinto ezincinci ezifana nelitye zinokwakheka kwaye zivaleke kule mibhobho yesidoda.
• IiCysts: IiCysts zinokwakheka ngaphakathi okanye zijikeleze iityhubhu, nto leyo ebangela ukuba ziqine.
• Usulelo oluqhelekileyo lwendlela yomchamo (UTIs).
• I-prostatitis engapheliyo.
• I-epididymitis kukudumba kwe-epididymis, umbhobho othwala isidoda ngasemva kwamasende.

Kwakhona, iingxaki ngee-seminal vesicles ngamanye amaxesha zinokubangela iimpawu ezifana ne-vas deferens evalekileyo.

Zeziphi iimvavanyo ezenziwayo ukuze kufunyaniswe oku kanye kanye?

Ugqirha angenza olunye okanye ngaphezulu kwezi vavanyo zilandelayo ukuqinisekisa ukuchongwa kwe-vas deferens obstruction (EDO):

• Uhlalutyo lwamadlozi: Olu lolona vavanyo lulula. Lujonga izinto ezininzi ezifana nenani lamadlozi, intshukumo yawo, kunye nokuma kwawo.
• Uhlalutyo lwe-fructose yesidoda: I-Fructose luhlobo lweswekile efumaneka kwisidoda. Iveliswa yi-seminal vesicles. Ukuba incinci, inokuba yingxaki kuloo mibhobho.
• I-transrectal ultrasound (TRUS): Oku kukuvumela ukuba ubone izinto ezifana ne-prostate, i-seminal vesicles, kunye ne-vas deferens ngokucacileyo. Oku kunokunceda ekufumaneni naziphi na izithintelo.
• Uvavanyo lwe-X-ray lwe-vas deferens.
• Uvavanyo olubandakanya ukufaka idayi kwi-vas deferens. Oku kubizwa ngokuba yi-vasogram. Oku kunokujonga ukuba akukho zithintelo kwimibhobho.

Wenza ntoni njengonyango?

Kukho iindlela ezimbini eziphambili zonyango ezisetyenziswayo ukunyanga le meko (EDO). Ezi zihlala zisetyenziswa ngotyando:

• Ukususwa kwe-transurethral yemibhobho yokuphuma komlomo (TURED): Oku kuquka ukudlulisa isixhobo esincinci kwi-urethra kunye nokusika izicubu (ezifana ne-cyst okanye isilonda) esivala imibhobho yokuphuma komlomo.
• I-Seminal vesiculoscopy: Le yinkqubo apho ikhamera encinci kakhulu (i-endoscope okanye iteleskopu) idluliselwa kwi-urethra iye kwi-prostate, iye kwi-seminal vesicles, kwaye unobangela wokuvaleka ufunyenwe kwaye ususwe. Le yinkqubo ebuthathaka kancinci kune-TURED.

Ngamanye amaxesha oogqirha botyando bangazisebenzisa zombini ezi ndlela kunye. Nangona kunjalo, kuya kufuneka uthathe amayeza okubulala iintsholongwane ukuthintela usulelo emva kotyando.

Oogqirha badla ngokucebisa ukuba ukhenkceze isidoda sakho (okanye i-sperm banking) ngaphambi kokuba wenze ezi nkqubo. Ekubeni olu nyango lungaphumeleli ngokupheleleyo, kungcono ukwenza njalo ucinga ngekamva.

Kuthatha ixesha elingakanani ukuchacha emva konyango?

Olu tyando ludla ngokwenziwa ngaphandle kokuhlala esibhedlele kwaye lukuvumela ukuba uye ekhaya ngaloo mini inye (`iinkqubo ze-outpatient`).

• I-catheter ye-Foley iza kufakwa kwilungu lakho lobudoda ukuze ikuncede uchame iintsuku ezimbini ukuya kwezintathu emva kotyando. Isenokuba yinto engathandekiyo ide isuswe.
• Usenokuba negazi kumchamo wakho nakwisidoda sakho okwethutyana emva kotyando. Oku kuqhelekile, kodwa ukuba kukho ukopha okuninzi, kufuneka uxelele ugqirha wakho.
• Ufanele ukuphephe ukulala ngesondo ude ubone ugqirha wakho kwaye ukhuphe i-catheter, kwaye ude ugqirha wakho akuxelele ngenye indlela.
• Musa ukuphakamisa ubunzima obungaphezulu kweekhilogram ezili-10 (malunga neekhilogram ezi-4.5) kangangeeveki ezimbini. Musa ukwenza imisebenzi enzima.
• Sela amayeza okudambisa iintlungu kunye namayeza okubulala iintsholongwane njengoko ugqirha wakho ekuyalele.
• Nje ukuba ugqirha akunike imvume, ungabuyela kwimisebenzi yakho yesiqhelo.

Ngaba kukho naziphi na iziphumo ebezingalindelekanga zotyando lwe-TURED?

Ezi zezinye zeziphumo ebezingalindelekanga okanye iingxaki ezinokubakho ngamanye amaxesha emva kotyando lwe-'TURED'. Azenzeki kuwo wonke umntu, kodwa kulungile ukuzazi:

• Xa ukwimeko yovuyo olukhulu , kusenokuphuma ulwelo olufana namanzi.
• I-epididymitis (ukudumba kombhobho othwala isidoda ngasemva kwe-testicle) kunokwenzeka.
• Ukuvaleka kungaphinda kwenzeke.
• Kunqabile kakhulu, kusenokubakho umonakalo othile kwi-rectum.
• Ukungakwazi ukuzibamba komchamo kunokwenzeka (oku nako kunqabile kakhulu).

Kuthekani ukuba uneSeminal Vesiculospy?

Iziphumo ebezingalindelekanga ezivela kolu tyando lwe-"Seminal vesiculoscopy" aziqhelekanga. Uninzi lwazo luhlala ixesha elifutshane, njengeentlungu. Nangona kunjalo, abanye abantu abaye benza olu tyando baye baxela izinto ezifana nezi:

• Ukuziva ngathi inani lembewu ephumayo liphantsi.
• Ukuziva ngathi umsebenzi wesondo okanye ukusebenza kwawo kutshintshile.

Kungakhathaliseki ukuba wenze utyando olunjani na, kubalulekile ukuxoxa ngayo yonke into nogqirha wakho ngaphambi kokuba ulwenze.

Ngaba ikho indlela yokuthintela oku ukuba kungenzeki?

Enyanisweni, okwangoku akukho ndlela icacileyo yokuthintela ezi vas deferens zivaliweyo. Kuba ezinye izizathu zizalwa nazo. Nangona kunjalo, ukuba unezifo zomchamo ezixhaphakileyo (ii-UTI), unganciphisa umngcipheko wakho ngokufikelela kunyango olufanelekileyo lwazo nokuzikhusela kwizifo ezidluliselwa ngesondo.

Ukuba unenkxalabo malunga neengxaki zemfuza, ungadibana nomcebisi wemfuza ukuze nithethe ngayo.

Kukho amayeza athile anokuchaphazela ukuchama, kodwa awabangeli ngqo ukungasebenzi kakuhle kokuchama. Ukuphepha la mayeza kunokunceda ukuphucula ukuchama ukuya kwinqanaba elithile (kuphela phantsi kwengcebiso kagqirha):

• Amayeza abizwa ngokuba yi-`(Alpha blockers)` (umzekelo, amayeza e-prostate ekhulisiweyo njenge-`(tamsulosin)`).
• Amanye amayeza oxinzelelo lwegazi oluphezulu, afana ne-thiazides, i-prazosin, kunye ne-phentolamine.
• Amayeza kwezinye izifo zengqondo, afana ne-`(thioridazine - Mellaril®)`, `(haloperidol - Haldol®)` kunye ne-`(chlordiazepoxide - Librium®)`.
• Ezinye izinto ezithintela uxinezeleko, ezifana ne-imipramine kunye ne-amitriptyline.

Eyona nto ibalulekileyo kukuba, ungayeki ukuthatha naliphi na kula mayeza okanye utshintshe umthamo ngaphandle kokuthetha nogqirha wakho.

Kuza kwenzeka ntoni ukuba ndinesi sifo?

Ixesha elininzi, ufumanisa ukuba une-EDO xa unengxaki yokukhulelwa. Okanye kusenokwenzeka ukuba kungenxa yentlungu eqhubekayo. Nangona i-EDO inokuba yingxaki, ayisongeli ubomi okanye iyosulele. Oko kuyanceda, akunjalo? Kwiimeko ezininzi, oogqirha banokunyanga le meko ngempumelelo kwaye babuyisele ukuzala.

Ndifanele ndimbone nini ugqirha?

Ukuba unayo nayiphi na kwezi ngxaki zikubangela inkxalabo, bona okanye uthethe nogqirha ngokukhawuleza:

• Ukuba kukho ukopha okutsha okanye okugqithisileyo (kwisidoda okanye kumchamo).
• Ukuba unentlungu entsha okanye eyandayo (ezantsi kwesisu, ejikeleze amasende, ngexesha lokwabelana ngesondo).
• Ukuba unomkhuhlane ongaphezulu kwama-degrees Fahrenheit ali-102 (malunga nama-38.9 Celsius).
• Ukuba uziva ubanda kwaye uqhaqhazela.
• Ukuba ukhe watyandwa emilenzeni yakho kwaye kukho ukudumba okanye intlungu ejikeleze inxeba.
• Ukuba une-allergy kwiyeza olisebenzisayo (umz. ukurhawuzelela kwesikhumba, ubunzima bokuphefumla).

Ukuba uzama ukuba nomntwana kodwa unengxaki, cela ugqirha wakho akuncede ufumanise ukuba yintoni ingxaki. Ukuba une-fallopian tube evalekileyo, ugqirha wakho unokucebisa utyando lokulungisa ukuvaleka. Olu tyando lunokuba yimpumelelo enkulu. Ukuthetha ngokunyaniseka nogqirha wakho yeyona ndlela ilungileyo yokwenza izigqibo ezilungileyo malunga nempilo yakho.

Eminye yemiyalezo ebalulekileyo omawuyithathe ekhaya

Ukuvaleka kwemibhobho yokukhupha i-ejaculatory sisifo esinokunyangeka esichaphazela amadoda. Kubalulekile ukukwazi oku.

• Lumka ngeempawu: Ukuba unomthamo omncinci wesidoda, iintlungu, okanye igazi kwisidoda sakho okanye kumchamo, qiniseka ukuba ufuna ingcebiso kagqirha. Musa ukuba neentloni.
• Oku kungaba sisizathu sokungabi nabantwana: Ukuba wena neqabane lakho nilindele umntwana kodwa niyamlibazisa, kuya kuba bubulumko ukujonga oku.
• Ukuxilongwa ngokuchanekileyo kubalulekile: Kuphephe ukuzixilonga ngokusekelwe koko ukufundileyo kwi-intanethi. Yiya kuvavanywa ngugqirha ofanelekileyo ukuze ufumane unobangela ochanekileyo.
• Kukho unyango: Utyando olufana no-`(TURED)` kunye no-`(Seminal vesiculoscopy)` lunokuyinyanga ngempumelelo le meko. Musa ukukhathazeka.
• Thetha ngokukhululekileyo nogqirha wakho: Kubaluleke kakhulu ukuthetha ngokukhululekileyo nogqirha wakho malunga neengxaki zakho, uloyiko lwakho, kunye nolindelo lwakho. Kulapho kuphela apho unokukhetha khona unyango olulungele wena.

Khumbula, akukho mfuneko yokuba neentloni okanye ukoyika ukuthetha ngale miba. Impilo yakho kunye nolonwabo lwakho zezona zinto zibalulekileyo!

Ukuvalelwa kweMibhobho yokuKhuhla, Ukungazali kwamadoda, Isidoda, Isidoda, I-TURED, iProstate