I-Post-Vasectomy Pain Syndrome (PVPS): Masithethe ngayo

I-Vasectomy yindlela ephumelelayo yokucwangcisa usapho ekhethwa ngabantu abaninzi. Nangona kunjalo, kunqabile kakhulu, inani elincinci labantu linokuba neentlungu ezingapheliyo kumasende emva kolu tyando. Namhlanje siza kuthetha ngale ntlungu yexesha elide, eyaziwa ngokuba yi-"Post-Vasectomy Pain Syndrome" okanye "(PVPS)" . Musa ukukhathazeka, oku akuqhelekanga kakhulu, kodwa kulungile ukuba wonke umntu akuqonde.

Okokuqala, yintoni i-vasectomy?

Ngamafutshane, i-vasectomy lutyando oluncinci olwenziwa kwindoda ukuze ingayifumani abantwana ngokusisigxina . Sikwabiza ngokuba "kukuvalwa kwenzala kwamadoda." Olu tyando ludla ngokwenziwa ngugqirha ogxile kwiinkqubo zomchamo nezokuzala, obizwa ngokuba yi-Urologist.

Olu tyando lubandakanya ukusika okanye ukuvala iityhubhu ezimbini ezithwala isidoda kumasende akho, iityhubhu zevas deferens. Ngaphambi kwe-vasectomy, isidoda sikhutshwa njengesende ngokuxuba nezinye izinto eziphumayo. Nangona kunjalo, emva kotyando, isidoda asinakuhamba kwiityhubhu ezisikiweyo okanye ezivaliweyo. Isidoda emva koko siyabuyiselwa emzimbeni ngaphakathi kumasende.

Into ebalulekileyo kukuba emva kwe-vasectomy, ungakhupha i-ejaculate uze ufikelele kwi-orgasm njengesiqhelo . Nangona kunjalo, loo -ejaculate ayizukuqulatha isidoda esifunekayo ukwenza umntwana. Ke ngoko, iqanda lomfazi aliyi kufakelwa kwaye ukukhulelwa akuyi kubakho.

Khawucinge nje, ukuba ufuna ukuba nomnye umntwana, ngamanye amaxesha ungenza olu vasectomy luguqulwe (i-'vasectomy reversal' okanye i-'vasovasostomy'). Kodwa oogqirha bajonga le ndlela yokulawula inzala esisigxina .

Ixhaphake kangakanani le meko ibizwa ngokuba yi-``(PVPS)''?

Enyanisweni, iingxaki emva kotyando lwe-vasectomy azixhaphakanga. Ngokweengxelo zonyango, utyando olunye okanye ezimbini kwezilikhulu (100) lwe-vasectomy zibangela le meko ibizwa ngokuba yi-"PVPS" . Kuthiwa malunga namakhulu amahlanu amawaka otyando lwe-vasectomy lwenziwa kwihlabathi liphela minyaka le. Xa ujonga ngolo hlobo, i-"PVPS" yinto engaqhelekanga kakhulu. Ke ngoko, akukho sizathu sokukhathazeka ngokungeyomfuneko.

Kutheni le nto i-"Post-Vasectomy Pain Syndrome – PVPS" isenzeka?

Nantsi apho idida khona kancinci. Iingcali zonyango azikayazi ukuba kutheni kuphela amadoda athile ahlangabezana nale ntlungu ingapheliyo . Nangona kunjalo, kukho izinto ezimbalwa abacinga ukuba zinokubangela oku:

• I-Congestive epididymitis: I-epididymis yityhubhu encinci, ejijekileyo efumaneka emva kwamasende agcina isidoda. Ngamanye amaxesha isidoda sinokuxinana size sidumbe apha. Oku kukwabizwa ngokuba yi-edema.
• Ukonakala kwe-vas deferens: Umonakalo othile kwi-vas deferens uyenzeka ngexesha lotyando.
• Ukudumba: Ukuvela kohlobo oluthile lokudumba, oko kukuthi, ukudumba, kwindawo yotyando.
• Ukucinezelwa kwemithambo-luvo okanye i-neuropathy: Ukucinezelwa okanye ukonakala kwemithambo-luvo kwindawo echaphazelekayo. Oku kukwabizwa ngokuba yi-neuropathy.
• Izicubu ezibuhlungu: Ukwakheka kwezicubu ezibuhlungu kwindawo emva kotyando kunye nentlungu ebangelwa yiloo nto.
• I-sperm granuloma: Oku kwenzeka xa inani elincinci le-sperm liphuma kwisiphelo esisikiweyo se-vas deferens kwaye lenze iqhuma elincinci elijikeleze njengempendulo. Oku ngamanye amaxesha kunokuba buhlungu.

Ngoko ke, ndikholelwa ukuba le meko "(PVPS)" inokwenzeka ngenxa yesizathu esinye okanye indibaniselwano yezizathu ezininzi.

Zithini iimpawu zale `(PVPS)`?

Uphawu oluphambili nolukuphela kwalo lwe-PVPS ziintlungu ezinde kumasende ezihlala iinyanga ezintathu (3) nangaphezulu . Kwabanye abantu, ezi ntlungu ziqala kwangoko emva kotyando. Kwabanye, ezi ntlungu zinokwenzeka emva kweenyanga okanye kwiminyaka.

Uhlobo lwentlungu lungahluka ukusuka kumntu ukuya komnye:

• Abanye abantu banokuba nomvandedwa ongapheliyo nobuhlungu obungapheliyo emasendeni abo .
• Kwabanye, iintlungu zinokuba zexeshana kwaye zibuye zidlule .
• Amanye amadoda anokufumana iintlungu ezingakumbi ngexesha lokuzilolonga, ukulala ngesondo, ukuvuka, okanye ukukhupha isidoda .

Eyona nto ibalulekileyo kukuba ukuba unesi sifo, ungayityesheli, funa ingcebiso kugqirha.

Ziziphi ezinye iimeko ezibangela iimpawu ezifana ne-PVPS?

I-PVPS ayisiyonto yodwa ebangela intlungu yamasende. Ngoko ke, ugqirha uya kuqala akhuphe ezinye izizathu zentlungu. Nazi ezinye iimeko ezinokubangela oku:

• I-Hydrocele: Ingqokelela efana nolwelo ejikeleze amasende.
• Iintsholongwane: Umzekelo, izifo zomchamo (UTI).
• I-Inguinal hernia: Ukuphuma kwenxalenye yamathumbu ngokusebenzisa indawo ye-groin.
• I-Prostatitis: Ukudumba kwe-prostate gland.
• Umhlaza wamatyhalarha: Oku kunqabile kakhulu, kodwa yinto ekufuneka ikhutshelwe ecaleni.
• Ukugoba kwamasende: Le yimeko engxamisekileyo apho amasende azijikela ngokwawo, nto leyo ethintela ukuhanjiswa kwegazi.
• Ezinye ii-Tumors: Ezinye ii-tumors ezinobungozi okanye ezinobungozi ezinokwenzeka kuma-testicles.
• I-Varicocele: Imeko apho imithambo yegazi ( imithambo yegazi) kumasende ivuleka khona.Imeko apho imithambo (imithambo) ibonakala idumbile kwaye inamaqhina.

Ngoko ke, ukuba unentlungu yamasende, ugqirha uza kuqwalasela konke oku aze afikelele kwisigqibo.

Oogqirha bayixilonga njani ngokuchanekileyo le meko ``(PVPS)``?

Akukho vavanyo lucacileyo lokuxilonga ukuze kufunyaniswe i-PVPS. Ugqirha uza kwenza oku kulandelayo:

1. Mamela ngononophelo iimpawu zakho . Iinkcukacha ezifana nokuba intlungu injani, ixesha elide kangakanani ikhona, kunye nokuba iba mandundu nini.

2. Ukwenza uvavanyo lomzimba . Amasende kunye nendawo engqongileyo ziyahlolwa.

Ukongeza, ezinye iimvavanyo zingenziwa ukuze kuthintelwe ezinye iimeko ezinokubangela intlungu yamasende esixoxe ngawo ngaphambili:

• Uhlalutyo lomchamo, inkcubeko yomchamo, kunye nenkcubeko yesidoda: Ezi zinto zinokubona izinto ezifana nosulelo.
• Uvavanyo lokuthatha imifanekiso: Umzekelo, iskeni ye-ultrasound. Oku kungajonga ngaphakathi kwamasende kwaye kujonge amaqhuma, anjengee-cysts.
• I-Spermatic cord block (okanye i-nerve block): Oku kuquka ukufaka i-anesthetic yendawo kwimithambo-luvo ekucingelwa ukuba ithwala iintlungu. Ukuba oku kuyayiphelisa intlungu okwethutyana, kucingelwa ukuba imithambo-luvo yimbangela yentlungu. Oku kusetyenziswa kokubini ekuxilongweni kwaye ngamanye amaxesha njengonyango.

Ziziphi iindlela zonyango lwe-PVPS ngaphandle kotyando?

Amaxesha amaninzi, oogqirha baqala ngokuzama ukulawula iintlungu ngonyango olungenalo utyando. Ezi sizibiza ngokuba "lunyango olungenalo utyando".

• Ukuzilolonga phantsi kwepelvic: Oku kukwabizwa ngokuba “ziiKegels zamadoda.” Ukuqinisa izihlunu kumgangatho wepelvic yakho (ezixhasa isinyi sakho, amathumbu, kunye namalungu okuzala) kunokunceda abanye abantu ukunciphisa iintlungu. Ungafumana uncedo kugqirha wezonyango oqeqeshwe ngokukodwa koku.
• Izithomalalisi zentlungu: Amayeza asetyenziswa rhoqo aquka amayeza angengo-steroidal anti-inflammatory (NSAIDs), afana ne-ibuprofen kunye ne-naproxen.
• Amayeza okudakumba: Amanye amayeza okudakumba, xa esetyenziswa ngeedosi eziphantsi, anokunceda ukulawula iintlungu ezihlala ixesha elide.
• Izithomalalisi zentlungu ze-neuropathic: Amayeza afana neGabapentin okanye iPregabalin asetyenziselwa ukunyanga iintlungu zemithambo-luvo.
• Amayeza ancedisayo:Abanye abantu baye bafumana isiqabu ngeendlela ezifana ne-acupuncture okanye i-biofeedback.

Ugqirha uza kumisela isicwangciso sonyango esifanelekileyo kuwe ngokudibanisa olunye okanye ngaphezulu kwezi ndlela zonyango.

Zithini iindlela zonyango zotyando?

Ukuba unyango olungelulo utyando olukhankanyiweyo apha ngasentla aluniki kuphumla ngokwaneleyo kwiintlungu, ugqirha wakho unokuqwalasela utyando. Ukunyanga iintlungu zePVPS ezihlala ixesha elide ngamanye amaxesha kunokuba nzima , kodwa kukho unyango olunika ithemba.

Kukho iindlela ezahlukeneyo zotyando, kuxhomekeke kwisizathu esiyintloko sentlungu:

• Ukuguqulwa kweVasectomy: Okumangalisayo kukuba, oku kunciphisa okanye kuphelisa ngokupheleleyo iintlungu kumadoda angaphezu kwe-9 kwi-10 . Kodwa khumbula, uya kukwazi ukuba nabantwana kwakhona emva koku.
• Ukususwa kwe-sperm granuloma: Ukuba kukho i-sperm granuloma, njengoko bekutshiwo ngaphambili, isuswa ngotyando.
• I-Epididymectomy: Ukususwa kwe-epididymis enye okanye zombini.
• Ukususwa kwe-microdenervation ye-spermatic cord (okanye i-cord stripping): Oku kubandakanya ukususa ngokukhetha imithambo-luvo ethambileyo kwi-spermatic cord ekucingelwa ukuba ibangela iintlungu. Le yinkqubo enzima kakhulu.
• Ukususwa kwethambo lomqolo: Ukususwa kwethambo elinye okanye omabini amasende. Oku kwenziwa rhoqo kwaye kuphela xa kungekho nyango lumbi oluphelisa intlungu .

Ugqirha uza kukuchazela olu tyando aze akuncede ukhethe olufanele imeko yakho.

Ngaba ikho indlela yokuthintela oku `(PVPS)` ukuba kungenzeki?

Njengoko bekutshiwo ngaphambili, i-PVPS yimeko engaqhelekanga kakhulu. Kwakhona, ekubeni kungaziwa ukuba kutheni isenzeka kwabanye abantu kuphela, okwangoku akukho nto inokwenziwa ukuyithintela ngokuthe ngqo . Eyona nto ingcono onokuyenza kukuthetha nogqirha wakho ngayo ngaphambi kokuba wenze i-vasectomy kwaye ulandele nayiphi na imiyalelo emva kotyando anokukunika yona.

Le ntlungu `(PVPS)` iza kuhlala ixesha elingakanani?

Kunzima ukutsho oku. Abanye abantu bafumana isiqabu ngokukhawuleza kunyango. Unyango lotyando ngokukodwa lunokuba nempumelelo enkulu. Umzekelo, ukutshintshwa kwe-vasectomy kunciphisa iintlungu kumadoda alithoba kwalishumi . I-Microdenervation inciphisa iintlungu kumadoda amathathu kwamane .

Kodwa, ngelishwa, amanye amadoda asenokuqhubeka eneentlungu nasemva kotyando. Yiyo leyo ingxaki kule meko.

Ndifanele ndibonane nogqirha nini?

Ukuba ukhe wayenza i-vasectomy kwaye unezinye zeempawu ezilandelayo, qiniseka ukuba ubona ugqirha:

• Iingxaki zokusebenza ngokwesondo: Izinto ezifana neentlungu ngexesha lokwabelana ngesondo, ubunzima bokuqina (ukungasebenzi kakuhle kwe-erectile).
• Ukuba amasende okanye ingxowa ejikeleze amasende (i-scrotum) idumbile.
• Intlungu emasendeni ebikho kangangeenyanga.

Musa ukuzityeshela izinto ezinje. Kungcono ukubona ugqirha ngokukhawuleza kwaye ufumane ingcebiso.

Yeyiphi imibuzo omele uyibuze ugqirha?

Xa usiya kugqirha, kungcono ukukhumbula le mibuzo ilandelayo:

• "Yintoni enokuba ibangela le meko `(PVPS)` kum?"
• "Loluphi unyango olungenalo utyando olungcono kum?"
• "Ngaba ndiza kufuna utyando? Ukuba kunjalo, loluphi uhlobo lotyando olulungele mna?"
• "Ngaba kukho ezinye iingxaki ekufuneka ndiqhubeke ndiziqaphele?"

Ngokubuza le mibuzo, ungayiqonda ngcono imeko yakho kwaye ufumane ulwazi malunga nonyango.

Okokugqibela, izinto ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Kwindoda engasafuni bantwana, i-vasectomy yindlela ekhuselekileyo nehlala ihleli yokucwangcisa usapho . Umngcipheko wokufumana imeko ebizwa ngokuba yi-"Post-Vasectomy Pain Syndrome (PVPS)" uphantsi kakhulu. Ungakhathazeki ngokungeyomfuneko ngayo loo nto.

Nangona kunjalo, ukuba ngequbuliso ufumana intlungu ende emasendeni akho emva kwe-vasectomy, kukho unyango lotyando nolungelulo utyando olunokunceda . Ngoko ke, musa ukuba neentloni okanye unyamezele intlungu . Xelela ugqirha wakho ngale ntlungu. Emva koko unokwenza uvavanyo olufunekayo, akunike unyango olufanelekileyo, aze akunike isiqabu. Nguwe omele ukhathazeke kakhulu ngempilo yakho.

Isifo sentlungu emva kweVasectomy, iPVPS, i-vasectomy, ukuvalwa kwesibeleko samadoda, iintlungu zamasende, iintlungu ezingapheliyo, iintlungu zamasende