Umntwana liphupha lentsapho nganye. Kodwa ngamanye amaxesha, ngenxa yezizathu ezahlukeneyo zempilo, kuthatha ixesha ukuzalisekisa elo phupha. Ngokukodwa, ukungazali kwamadoda kunokuba sisizathu soku. Sonke siyayiqonda intlungu noxinzelelo esiluvayo ngexesha elinje. Kodwa eyona nto ilungileyo kukuba isayensi yezonyango yanamhlanje iphucukileyo inezisombululo eziphumelelayo kwiingxaki ezinjalo. Namhlanje, sithetha ngenkqubo yotyando ephucukileyo kakhulu esetyenziswa njengonyango lokungazali kwamadoda. Loo nto yi-microTESE.
Ngamafutshane, yintoni i-microTESE?
I-microTESE (iMicrosurgical Testicular Sperm Extraction) yinkqubo ekhethekileyo yotyando enyanga ukungazali kwamadoda. Ngamafutshane, ibandakanya ukukhupha isidoda ngqo kumasende endoda ene-azoospermia.
Cinga ngale ndlela. Ngamanye amaxesha isidoda siveliswa ngaphakathi kwamasende omntu, kodwa asiphumi kunye nesidoda. I-MicroTESE ifana nokusebenzisa imakroskopu enamandla kakhulu ukufumana nokukhupha isidoda esiphilileyo esifihliweyo kwiindlela ezincinci ngaphakathi kwamasende.
Kukho iinjongo ezintathu eziphambili zolu tyando:
- Ukufumana isidoda esisemgangathweni ophezulu kangangoko.
- Ukufumana inani elaneleyo lesidoda ukuze kuchumiswe iqanda eliphilileyo.
- Ukunciphisa umonakalo kwizitho zakho zokuzala.
Ngubani ocebisa olu tyando?
Oogqirha badla ngokucebisa olu nyango kumadoda anesimo esibizwa ngokuba yi -Azoospermia . Oku kuthetha ukuba xa kusenziwa uvavanyo lwesidoda, akukho sidoda sinokufunyanwa kwisidoda. Ukuba ufuna nokuba nomntwana kodwa awukwazi ukuvelisa isidoda esisempilweni ngokwendalo, ugqirha wakho uya kukuchazela ngenkqubo ye-microTESE.
Into ebalulekileyo kukuba ukuba akukho sperm kwi-semen yakho akuthethi ukuba umzimba wakho awuvelisi sperm konke konke. Kusenokwenzeka ukuba sperm iveliswa ngamanani amancinci kakhulu ngaphakathi kwamasende. I-MicroTESE isetyenziselwa ukufumana nokuqokelela loo manani mancinci.
Uzilungiselela njani ngaphambi kotyando?
Ngaphambi kokuba wenze olu tyando, kuya kufuneka ubone ingcali (Urologist). Apho,
- Thetha ngembali yakho epheleleyo yempilo.
- Kuza kwenziwa uvavanyo lomzimba ukujonga impilo yakho ngokubanzi.
- Izinto ezifana noxinzelelo lwegazi kunye nokubetha kwentliziyo ziyajongwa.
Ngeli xesha, kubalulekile ukuba uxelele ugqirha wakho ngazo zonke izinto ezibangela ukuba ungabi naso isifo kunye nawo onke amayeza owasebenzisayo (abhalwe ngugqirha, athengwe kwikhemesti, kwanamayeza esintu).Kuba amanye amayeza anokunyusa umngcipheko wokopha.
Uya kucetyiswa ukuba ungatyi okanye ungaseli nto emva kweentsuku ezinzulwini zobusuku ngaphambi kotyando. Ukuba ufuna ukuthatha amayeza abalulekileyo, asele namanzi. Ugqirha wakho uza kukuchazela konke oku ngokucacileyo.
Lwenziwa njani olu tyando kwaye kwenzeka ntoni emva koko?
Makhe sijonge indlela esebenza ngayo le nkqubo kunye noko kufuneka ukuqaphele emva koko.
| Inkqubo ye-microTESE kunye nexesha lokubuyisela | |
|---|---|
| Ngexesha lotyando | |
| Inyathelo 1: I-Anesthesia | Uza kunikwa i-anesthesia ukuze ungeva ntlungu. Ngoko ke uza kube ulele. |
| Inyathelo lesi-2: Utyando | Ugqirha wenza umngxuma omncinci kakhulu phakathi kwe-scrotum. Emva koko, besebenzisa imakroskopu enamandla aphezulu, bachonga imibhobho emincinci ngaphakathi kwi-testicle enokuba ine-sperm. |
| Inyathelo lesi-3: Ukufumana iisampulu | Iisampulu ezimbalwa ezincinci kakhulu zezicubu (i-testicular biopsy) zithathwa kwimibhobho echongiweyo. Ezi zithunyelwa kwilebhu. |
| Inyathelo lesi-4: Ukukhangela isidoda | Kwilabhoratri, ingcali ihlola le sampuli yezicubu phantsi kwemicroscope ukuze ibone ukuba inalo na isidoda esiphilileyo. |
| Emva kotyando | |
| Iziphumo kunye nokusetyenziswa | Ukuba kufunyenwe isidoda, singasetyenziselwa ngoko nangoko ukuchumisa (IVF) kunye neqanda leqabane lakho okanye sigcinwe kwifriji (cryopreservation) ukuze sisetyenziswe kamva. |
| Ixesha lokuchacha | Kungathatha iiveki ezininzi ukuba uphile ngokupheleleyo. Usenokungakwazi ukuya emsebenzini iintsuku ezimbini okanye ezintathu. Ukuba unomsebenzi onzima emzimbeni, unokufuna ukuphumla ixesha elide. |
| Ulawulo lweentlungu | Kunokubakho iintlungu nokudumba kwiintsuku ezimbini zokuqala. Ukufaka i-ice pack kuya kunceda. Sebenzisa amayeza okudambisa iintlungu njengoko ugqirha wakho ekuyalele. |
Ungenza nini isondo?
Oogqirha badla ngokukucebisa ukuba uphephe ukulala ngesondo kunye nokuphulula amalungu esini kangangeentsuku ezimbalwa emva kotyando. Ugqirha wakho uza kukuxelela ngqo ukuba kufanelekile nini ngokwemeko yakho.
Zithini iingenelo kunye neengozi zoku?
Inzuzo ephambili kukuba unethuba eliphezulu kakhulu lokufezekisa iphupha lakho lokuba ngutata. Ngokuxhomekeke kwisizathu semeko ye-azoospermia, utyando lwe-microTESE luye lwakwazi ukufumana isidoda esisempilweni ngesantya sempumelelo esifikelela kwi-60% .
Kwakhona, njengazo zonke iintlobo zotyando, kukho iingozi ezithile.
- Eyona nto iphambili kukuba kukho ithuba lokuba isidoda asiyi kufumaneka nasemva kotyando.
- Iingozi ezinxulumene ne-anesthesia.
- Ukopha.
- Usulelo.
- Intlungu kunye nokungonwabi.
- Kukho ithuba lokuba amasende onzakale ngokusisigxina, kodwa oku kunqabile kakhulu .
Ukungazali yingxaki enzulu abantu abaninzi abangafuni ukuthetha ngayo. Kodwa ayikobuthathaka bomntu okanye uphawu lokuba awufanelekanga ukuba nomntwana. Yimeko yezonyango enokunyangwa. Unyango olufana ne-microTESE lunokunika wena neqabane lakho ithuba lokuba nomntwana wemvelo.
Xa kufuneka ufowunele ugqirha ngoko nangoko
Ukuba ufumana naziphi na iimpawu ezingezantsi emva kotyando, kufuneka uqhagamshelane nogqirha wakho ngoko nangoko.
- Ukuba kukho intlungu enzima .
- Ukugqithisa kakhulu kwindawo ejikeleze isikoUkuba kukho ukopha.
- Igazi kumchamo (i-hematuria).
- Ukuba ubona iimpawu zosulelo (umkhuhlane, ukubanda, ukudumba okujikeleze indawo etyumkileyo, ukuba bomvu/mfusa/mdaka/mnyama, okanye ubomvu).
- Ukuba ubonisa iimpawu ze-sepsis.
Yintoni umahluko phakathi kwe-TESE kunye ne-microTESE?
I-TESE yenye indlela yokufumana isidoda kumasende. Nangona kunjalo, i-TESE ayisebenzisi imakroskopu. I-TESE idla ngokusetyenziswa xa kukho ukuvaleka kwendlela yokudlula kwesidoda (i-obstructive azoospermia). Nangona kunjalo, kwiimeko apho ukuveliswa kwesidoda kumasende kuphantsi kakhulu (i-non-obstructive azoospermia), i-microTESE, eyenziwa phantsi kwemakroskopu, yeyona ndlela iphumeleleyo nekhuselekileyo.
Umyalezo Wokuya Ekhaya
- I-MicroTESE lunyango oluphumelele kakhulu lokungazali kwamadoda (ingakumbi kwimeko ye-Azoospermia).
- Oku kuquka ukufumana isidoda esiphilileyo ngqo kumasende kusetyenziswa imakroskopu enamandla aphezulu.
- Isidoda esifunyenwe ngale nkqubo sinokukunceda ufezekise iphupha lakho lokuba ngutata ngokusebenzisa ubuchwepheshe be-IVF.
- Njengakwezinye iintlobo zotyando, kukho iingozi ezincinci, ngoko ke thetha ngazo ngokukhululekileyo nogqirha wakho ngaphambi kokuba ufumane unyango.
- Ukungazali akukho nto inokubangela iintloni ngayo. Ngeengcebiso zonyango ezifanelekileyo kunye nonyango, le meko inokoyiswa.
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