Wake wacabanga ngaleli thuluzi elincane emzimbeni wesilisa? Kungenzeka ukuthi awuzange uzwe okuningi ngalo. Kodwa, liyingxenye ebaluleke kakhulu yesistimu yokuzala yabesilisa. Namuhla sizokhuluma ngaleli thuluzi elithwala isidoda , noma njengoba odokotela belibiza, i-"Vas Deferens". Ungakhathazeki, ngizokuchazela ngendlela elula kakhulu, ngendlela ongayiqonda.
Iyini le vas deferens? Sizokwazi kahle?
Kalula nje, unamapayipi amabili anjengalawa emzimbeni wakho. Lawa yilokho esikubiza ngokuthi `(Vasa Deferentia)` (lokho kusho ubuningi). Ipayipi elilodwa libizwa ngokuthi `(Vas Deferens)`. Ngezinye izikhathi libizwa nangokuthi `(Ductus Deferens)`, noma nje "ama-vas deferens". Cabanga ngakho njengepayipi elide, elinemisipha elithwala isidoda.
Le tube iqala e-epididymis, eseduze kwamasende akho. Ukusuka lapho, ingena esiswini sakho, idlule ngemuva kwesinye, idlule esinqeni sakho, bese ekugcineni ixhumeka e-urethra yakho. Indawo lapho ixhumeka khona ibizwa ngokuthi i-ejaculatory duct. Le duct yesidoda izungezwe isakhiwo esibizwa ngokuthi i-spermatic cord. Umsebenzi wayo oyinhloko ukuthwala isidoda esivuthiwe siye e-urethra ngaphambi kokukhipha isisu. Uyaqonda?
Yimuphi umsebenzi obaluleke kakhulu walokhu?
Kulungile, manje ake sibone ukuthi kwenzekani ngale ntambo yesidoda.
Uyazi, isidoda sikhiqizwa emasendeni . Ukusuka lapho, lesi sidoda siya esakhiweni esincane phezu kwesende esibizwa ngokuthi i-`(Epididymis)`. Le `(Epididymis)` ifana nendawo lapho isidoda sigcinwa khona isikhashana futhi silethwe esimweni lapho singavuthwa khona kahle, okungukuthi, singahlangana neqanda lesifazane futhi senze umntwana.
Uma uvukwa ucansi, imisipha emzimbeni wakho iyafinyela, bese isidoda esivuthiwe esise-epididymis sigijimela phansi kuma-vas deferens, lapho sihlangana khona ne-urethra. Isidoda sibe sesikhishwa emzimbeni wakho. Phakathi nalolu hambo, isidoda sihlangana nezinye izinto ukuze sakhe lokho esikubiza ngokuthi isidoda.
Kukuphi lokhu? Kude kangakanani?
Ama-vas deferens aqala esikhumbeni, isikhwama esiqukethe amasende . Ukusuka lapho, isikhumbeni sihamba sikhuphukele esikhumbeni bese singena emzimbeni. Sihlangana ne-seminal vesicle ukuze sakhe isikhumbeni esikhipha amanzi.
Lo msele we-spermatic, noma `(Ductus Deferens)`, ungaba noma yikuphi kusukela kumasentimitha angu-30 (cishe amasentimitha angu-12) kuya kumasentimitha angu-45 (cishe amasentimitha angu-18). Cabanga ukuthi ubude bawo bungakanani! Ubukeka ugobile kwezinye izindawo, kodwa kwezinye izindawo uqondile. Lo msele wenziwe ngezicubu ezine-fibrous kanye nezicubu zemisipha. Yingakho ubizwa nangokuthi `(Fibromuscular)`.
Yiziphi izimo ezivamile ezingathinta ama-vas deferens?
Ngezinye izikhathi, ama-vas deferens angathinteka yizinkinga nezimo ezahlukahlukene. Ake sibone ukuthi ziyini:
- Ukungabikho kwe-Vas Deferens ezalwa nayo: Amanye amadoda azalwa enalesi simo. Uma i-vas ingekho ohlangothini olulodwa kuphela, ibizwa ngokuthi i-Congenital Unilateral Absence of Vas Deferens. Uma i-vas ingekho nhlangothi zombili, ibizwa ngokuthi i-Congenital Bilateral Absence of Vas Deferens. Lesi simo ngezinye izikhathi singahlotshaniswa nesifo esibizwa ngokuthi i-Cystic Fibrosis . Lokhu kungaba imbangela enkulu yokungazali.
- I-Vasitis: Lokhu kuwukuqina kwe-vas deferens. Ngokuvamile kubangelwa ukutheleleka nokuvuvukala (ukuvuvukala) kwezingxenye zomzimba ezizungezile. Kubizwa nangokuthi i-Deferentitis noma i-Funiculitis.
- Ukuvaleka kwepayipi le-fallopian: Lolu hlobo lokuvaleka lungenzeka uma kukhona ukulimala endaweni yakho ye-pelvic noma uma uthola ukutheleleka okukhulu.
- I-Spermatocele : Lesi yisikhwama esigcwele uketshezi esakheka phezu noma ngemuva kwesende lakho.
- Izifo Ezithathelwana Ngocansi (ama-STI): Lezi zifo zingasakazeka nganoma yisiphi isenzo socansi esihilela izitho zakho zobulili, umlomo, noma indunu.
- Izinkinga Zamasende: Izibonelo zalezi yi-Orchitis, umdlavuza wamasende, ukugoba kwamasende , kanye namasende angakazalwa.
Ngaphezu kwalokhu, kungenzeka ukuthi uke wezwa ngokuhlinzwa "kwe-vasectomy". Lokhu akuyona inkinga yezokwelapha ngempela. Lokhu kuhlinzwa kuhilela ukusika noma ukubulala izintambo zesidoda kuzo zombili izitho zangasese. Lokhu kuvimbela isidoda ukuba singaphumi emzimbeni. Lokhu kwenziwa njengendlela yokuvimbela inzalo ehlala njalo.
Wazi kanjani ukuthi kunenkinga nge-vas deferens? Ziyini izimpawu?
Uma kunenkinga nge-vas deferens yakho, ungase ube nezimpawu ezithile. Qaphela izinto ezinjengalezi:
- Ubuhlungu: Ubuhlungu bungase buvele emasendeni noma esiswini esingezansi .
- Ukuvuvukala: Indawo ethintekile ingase ivuvuke.
- Amaqhubu : Ungase uzwe amaqhubu noma amaqhubu azwakala sengathi athathwa yisandla sakho.
- Ukuphuma koketshezi oluphuma endukwini: Uma kukhona ukukhishwa okungavamile.
- I-Azoospermia kanye nokungazali :Lokhu kungathinta labo abalindele izingane.
Uma unesinye noma ngaphezulu salezi zimpawu, kungcono ukubona udokotela ngokushesha ukuze uthole iseluleko.
Udokotela uyihlola kanjani impilo yalo muntu?
Uma uya kudokotela, uzoqala ngokukubuza ngomlando wakho wezokwelapha kanye nezimpawu zamanje. Bese bezokwenza ukuhlolwa ngokomzimba. Bazobheka ipipi lakho, i-scrotum, bese beyithinta.
Udokotela uzothinta amasende akho womabili ngesikhathi esisodwa ngezandla zombili. Njengoba udokotela azi ukuthi kunjani ukuba ne-scrotum enempilo kanye ne-spermatic cord, angabona uma kukhona okungajwayelekile.
Ngezinye izikhathi udokotela wakho angase akhanyise ukukhanya okukhulu nge-cyst yakho ukuze abone ukuthi ingabe iyisigaxa esiqinile noma i-cyst egcwele uketshezi. Lokhu kubizwa ngokuthi "i-transillumination."
Ngaphezu kwalokho, udokotela angayala ezinye izivivinyo, ezifana nalezi:
- Amaskeni: Iskeni se-`(Ultrasound)` noma se-`(Magnetic Resonance Imaging - MRI)`.
- Ukuhlolwa kwelebhu: Izinto ezifana nokuhlolwa komchamo negazi.
- Ukuhlaziywa Kwesidoda: Lokhu kuhlola usayizi, ukunyakaza, kanye nesimo sesidoda.
- Ukuthatha ingcezu encane yezicubu bese uyihlola (i-Biopsy).
Yiziphi izindlela zokwelapha lezi zimo?
Ukwelashwa kwezinkinga nge-vas deferens kuncike embangela. Ukwelashwa okuvamile kufaka phakathi:
- Ukunikeza imithi: Uma kukhona ukutheleleka, imithi efana nama-antibiotic inganikezwa.
- Ukususa uketshezi kuma-cyst: Uketshezi olukuma-cyst lususwa kusetshenziswa inaliti (i-aspiration).
- Ukuhlinzwa: Ukuhlinzwa kungenziwa ukuze kulungiswe izimo ezifana ne-varicoceles (imithambo evuvukele emasendeni), kususwe amaqhubu noma izimila, noma kuncishiswe ukuvaleka kwama-vas deferens.
Ngakho-ke, singawugcina kanjani lo msele wesidoda uphilile?
Izinto ezifanayo ozenzayo ukuze ugcine umzimba wakho wonke uphilile zizosiza ekugcineni uhlelo lwakho lokuzala, okungukuthi, lezi zintambo zesidoda, ziphilile.
- Zama ukugcina isisindo esinempilo esikufanele.
- Phuza amanzi amaningi futhi udle ukudla okunhlobonhlobo okunomsoco.
- Vivinya umzimba njalo.
- Gwema ukubhema nokusebenzisa imikhiqizo kagwayi. Lokhu kungalimaza nesidoda sakho.
- Yenza ucansi oluphephile. Lokhu kungakuvikela ezifweni zocansi ezithathelwana ngocansi.
- Uma udlala ezemidlalo, gqoka izingubo ezivikela izitho zakho zangasese.
- Qaphela ukuthi izitho zakho zangasese zibukeka futhi zizizwa kanjani uma ziphilile. Uma ubona noma yiziphi izinguquko, bona udokotela.
Ingabe abesifazane nabo banalo lolu hlobo lomsele?
Cha, abesifazane abanayo i-vas deferens. Kodwa-ke, kunezimbobo ohlelweni lokuzala lwabesifazane ezenza umsebenzi ofanayo. Lawa yi-Fallopian Tubes. Lawa ma-tubes athwala amaqanda akhiqizwa ezimbotsheni zamaqanda aye esibelethweni, lapho angavundiswa khona yisidoda.
Kungenzeka ukuthi awukaze ucabange nge-vas deferens uze ube nesizathu esithile sokucabanga ngakho. Mhlawumbe uzama ukuqala umndeni kodwa akusebenzi, noma unezinhlungu noma ukuvuvukala endaweni. Into ebaluleke kakhulu ukuba nobuhlobo obuhle nodokotela wakho futhi uphendule imibuzo ngokwethembeka. Khona-ke wena nodokotela wakho ningasebenzisana ukuthola ikhambi lenkinga.
Okokugcina, into ebaluleke kakhulu okufanele uyikhumbule...
Bheka, le ntambo yesidoda iyingxenye ethule kakhulu, kodwa ebaluleke kakhulu yomzimba wesilisa. Kubaluleke kakhulu ukuqaphela lokhu, nokufuna iseluleko sezokwelapha uma usola ukuthi kunenkinga. Ungalokothi ube namahloni noma wesabe. Into ebaluleke kakhulu ukunakekela impilo yakho.
Sicela uqaphele ukuthi lesi sihloko senzelwe ulwazi olujwayelekile kuphela. Uma unezimpawu, sicela uxhumane nodokotela ofanelekayo ukuze uthole iseluleko esifanele sezokwelapha.
👩🏽⚕️ Imibuzo eyengeziwe (ama-FAQ)
💬 Iyini i-vas deferens kwabesilisa?
Lawa amapayipi amabili amade, anemisipha athwala isidoda esikhiqizwa emasendeni (amasende) siye emzimbeni. Lena yindlela eyinhloko ethwala isidoda ngaphambi kokuba sikhishwe (singene esithweni sangasese) ngesikhathi socansi.
💬 Yini eyenziwayo ngesikhathi sokuhlinzwa kwe-LRC (Vasectomy) kwabesilisa abahlela umndeni?
Lokhu kuyindlela elula kakhulu, encane yokuhlinzwa ethatha cishe imizuzu eyi-15. Okwenziwa lapha ukusika amapayipi amabili okukhulunywe ngawo ngaphambili (ama-Vas Deferens) athwala isidoda bese ewabopha ndawonye. Ngemuva kwalokho, njengoba kungekho ndlela yokuthi isidoda siphume, noma ngabe uya ocansini, ngeke ukwazi ukukhulelwa.
💬 Ingabe kuyiqiniso ukuthi amandla owesilisa ayancipha ngemva kokuhlinzwa kokubopha i-tubal?
Lokhu kungamanga amakhulu emphakathini! Ngisho noma ukukhiqizwa kwesidoda emasendeni kuyeka, i-hormone ethi 'Testosterone' edala ubudoda ayinciphi. Iyaqhubeka nokumuncwa ngqo egazini, igcina ubudoda kanye nesifiso sobulili.
Ukususwa kwemithambo yegazi, impilo yabesilisa, uhlelo lokuzala, isidoda, ukungazali, i-vasectomy
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