Unezinkinga ngesidoda? Ake sifunde ngokuvinjelwa kwepayipi lokukhipha indle!

Ingabe ngezinye izikhathi uzizwa sengathi umthamo wesidoda sakho uphansi ngesikhathi socansi? Noma unenkinga yokukhulelwa? Mhlawumbe isizathu salokhu yinto ongayicabangi. Namuhla, ake sixoxe ngenkinga ethinta amadoda, kodwa okungakhulunywa kakhulu ngayo - ukuvinjelwa komgudu wokukhipha i-ejaculatory, noma i-EDO.

Kuyini Ukuvalwa Kwemibhobho Yokukhipha Indle?

Kalula nje, i-Ejaculatory Duct Obstruction (EDO) iwukuvinjelwa komsele wesidoda sowesilisa. Kufana nombhobho wamanzi ovalekile. Lokhu kungaba imbangela yokungazali , kodwa ezimweni eziningi, odokotela bangayilapha.

Iyini i-vas deferens? Isebenza kanjani?

Kulungile, manje ake sibheke ukuthi iyini i-ejaculatory duct. Unemibhobho emibili (ama-vas deferens) athwala isidoda sisuka emasendeni akho. Lawa mapayipi amabili ahlangana nemibhobho ye-seminal vesicle (imibhobho evela kwezinye izindlala ezimbili ezenza isidoda) ukuze kwakheke imibhobho ye-ejaculatory (EDs). Njengoba lawa mapayipi edlula e-prostate gland, uketshezi olukhiqizwa yi-prostate gland lufakwa esidoda. Ekugcineni, isidoda esiphelele sikhishwa emzimbeni nge-urethra ngesikhathi sokukhuthazwa ngokocansi. Uyaqonda? Lolu ketshezi luthwala isidoda siphume.

Sivame kangakanani lesi simo?

Ukuze sikunike umbono wokuthi lokhu kuvinjelwa kuvame kangakanani, kulinganiselwa ukuthi cishe abesilisa abangu-5% abane-azoospermia, isimo lapho kungekho khona isidoda esidodeni, banalokhu kuvinjelwa. I-Azoospermia ngokwayo ithinta cishe u-1% wabesilisa.

Ingabe kunezinhlobo zokuvinjelwa kwe-vas deferens?

Yebo, kunezinhlobo eziningana eziyinhloko zokuvinjelwa kwe-vas deferens (EDO). Ake sibone ukuthi ziyini:

• I-EDO ephelele noma yakudala: Yilapho womabili amapayipi evalekile ngokuphelele. Cabanga ukuthi womabili amapayipi amanzi avinjiwe ngokuphelele.
• I-EDO engaphelele noma engaphelele: Kulokhu, ipayipi elilodwa lingase livalwe ngokuphelele, noma womabili amapayipi angase avalwe kancane. Kufana nepayipi elibhajwa phakathi nendawo.
• I-EDO esebenzayo: Lokhu kufana ne-EDO ephelele, kodwa akukho ukuvinjelwa okubonakalayo emgudwini womoya. Lokhu kusho ukuthi akukho lutho oluvinjiwe ngaphakathi komgudwi, kodwa kunenkinga ngokusebenza komgudwi.

Ingabe nawe unalezi zimpawu?

Uma une-vas deferens obstruction (EDO), ungase ubhekane nezinye zalezi zimpawu:

• Inani eliphansi lesidoda esikhishwe (ngaphansi kuka-1.5 ml).
• Ukuncipha kokuchama kanye/noma inani eliphansi lesidoda.
• Ukuzwa ubuhlungu ngesikhathi noma ngemva kocansi.
• Ubuhlungu obuhlobene nendlala ye-prostate.
• Ukuba khona kwegazi esidodeni (kwezokwelapha sikubiza lokhu ngokuthi `(hematospermia)`).
• Igazi emchameni (lokhu kubizwa ngokuthi 'i-hematuria').
• Ukungazali.

Ezinye izimpawu zingase zivame kakhulu kolunye uhlobo kunezinye, ngakho-ke kungcono ukubona udokotela uma unezinye zalezi zimpawu.

Yini ebangela lokhu?

Kulungile, manje ake sibone ukuthi yini ebangela lokhu kuvinjelwa kwe-vas deferens (EDO). Kungaba nezizathu eziningana:

• Izimbangela zofuzo: Ngezinye izikhathi, izimo zofuzo ezifana ne-cystic fibrosis zingabangela izinguquko zesakhiwo ezikhona lapho kuzalwa. Isibonelo, ama-vas deferens angase angabi khona (`atresia`) noma angase anciphe (`atrophic`).
• Izibazi ezivela ekuhlinzweni kwangaphambilini kwe-pelvic noma ukulimala kwe-urethra. Lokhu kuzibazi kungavimba amapayipi.
• Amatshe (i-calculi): Njengamatshe ezinso, izinto ezincane ezifana namatshe zingakheka futhi zivaleke kulezi zimbobo zesidoda.
• Ama-Cysts: Ama-Cysts angakheka ngaphakathi noma eduze kwamapayipi, okubangela ukuba aqine.
• Ukutheleleka okuvamile komgudu womchamo (UTIs).
• I-prostatitis engapheli.
• I-epididymitis ukuvuvukala kwe-epididymis, ipayipi elithwala isidoda ngemuva kwamasende.

Futhi, izinkinga ngama-seminal vesicles ngezinye izikhathi zingabangela izimpawu ezifana ne-vas deferens evalekile.

Yiziphi izivivinyo ezenziwayo ukuthola lokhu ngqo?

Udokotela angenza ukuhlolwa okulandelayo okukodwa noma ngaphezulu ukuqinisekisa ukutholakala kokuvinjelwa kwe-vas deferens (EDO):

• Ukuhlaziywa kwesidoda: Lesi isivivinyo esiyisisekelo kakhulu. Sibheka izinto eziningi njengenani lesidoda, ukunyakaza kwaso, kanye nesimo saso.
• Ukuhlaziywa kwe-fructose yesidoda: I-Fructose uhlobo lukashukela olutholakala esidoda. Ikhiqizwa yi-seminal vesicles. Uma iphansi, kungaba yinkinga kulawo mapayipi.
• I-transrectal ultrasound (TRUS): Lokhu kukuvumela ukuthi ubone izinto ezifana ne-prostate, ama-seminal vesicles, kanye nama-vas deferens ngokucacile. Lokhu kungasiza ekutholeni noma yikuphi ukuvinjelwa.
• Ukuhlolwa kwe-X-ray kwama-vas deferens.
• Ukuhlolwa okuhilela ukufaka idayi kuma-vas deferens. Lokhu kubizwa ngokuthi i-vasogram. Lokhu kungahlola ukuvaleka kwamapayipi.

Wenzani njengokwelashwa?

Kunezindlela ezimbili eziyinhloko zezokwelapha ezisetshenziswayo ukwelapha lesi simo (i-EDO). Lezi zivame ukuhlinzwa:

• Ukususwa kabusha kwemigudu yokukhipha indle (i-TURED): Lokhu kuhilela ukudlulisa ithuluzi elincane nge-urethra bese usika izicubu (njenge-cyst noma isibazi) esivimba imigudu yokukhipha indle.
• I-vesiculoscopy yesidoda: Lena futhi inqubo lapho ikhamera encane kakhulu (i-endoscope noma i-telescope) idluliselwa nge-urethra iye ku-prostate, iye kuma-vesicle esidoda, bese kutholakala imbangela yokuvaleka futhi isuswe. Lena inqubo ebucayi kancane kune-TURED.

Ngezinye izikhathi odokotela abahlinzayo bangase basebenzise zombili izindlela ndawonye. Kodwa-ke, kuzodingeka uthathe ama-antibiotic ukuze uvimbele ukutheleleka ngemva kokuhlinzwa.

Odokotela bavame ukuncoma ukuqandisa isidoda sakho (noma i-sperm banking) ngaphambi kokwenza lezi zinqubo. Njengoba lezi zindlela zokwelapha zingaphumeleli ngokuphelele, kuwumqondo omuhle ukwenza kanjalo ucabanga ngekusasa.

Kuthatha isikhathi esingakanani ukululama ngemva kokwelashwa?

Lokhu kuhlinzwa kuvame ukwenziwa ngaphandle kokuhlala esibhedlela futhi kukuvumela ukuthi uye ekhaya ngalolo suku (`izinqubo zokulaliswa esibhedlela`).

• I-catheter ye-Foley izofakwa ngepenisi yakho ukuze ikusize uchame izinsuku ezimbili kuya kwezintathu ngemva kokuhlinzwa. Kungase kube nzima kancane kuze kube yilapho isusiwe.
• Ungase ube negazi emchameni wakho kanye nasesidoda isikhashana ngemva kokuhlinzwa. Lokhu kuvamile, kodwa uma kukhona ukopha okuningi, kufanele utshele udokotela wakho.
• Kufanele ugweme ukuya ocansini uze ubone udokotela wakho futhi ukhiphe i-catheter, futhi kuze kube yilapho udokotela wakho ekweluleka ngenye indlela.
• Ungaphakamisi ngaphezu kwamakhilogremu angu-10 (cishe amakhilogremu angu-4.5) cishe amasonto amabili. Gwema imisebenzi enzima.
• Phuza imithi yokubulala izinzwa kanye nama-antibiotic njengoba nje udokotela wakho ekuyalele.
• Uma udokotela esekunike imvume, ungabuyela emisebenzini yakho evamile.

Ingabe ikhona imiphumela emibi yokuhlinzwa kwe-TURED?

Lezi ezinye zezinkinga noma imiphumela emibi engase ivele ngezinye izikhathi ngemva kokuhlinzwa kwe-'TURED'. Akwenzeki kuwo wonke umuntu, kodwa kuhle ukuzazi:

• Uma usesimweni sokuthokoza , kungase kuphume uketshezi olufana namanzi.
• I-epididymitis (ukuvuvukala kwepayipi elithwala isidoda ngemuva kwesende) kungenzeka.
• Ukuvaleka kungase kuphinde kwenzeke.
• Akuvamile kakhulu, kungase kube nomonakalo othile e-rectum.
• Ukungakwazi ukuzibamba komchamo kungenzeka (lokhu nakho akuvamile kakhulu).

Kwenzekani uma wenza i-Seminal Vesiculoscopy?

Imiphumela emibi evela kulokhu kuhlinzwa kwe-"Seminal vesiculoscopy" ayivamile kakhulu. Iningi layo lihlala isikhathi esifushane, njengobuhlungu. Kodwa-ke, abanye abantu abaye benza lokhu kuhlinzwa babike izinto ezifana nalezi:

• Ukuzwa sengathi inani lesidoda esiphumayo liphansi.
• Ukuzizwa sengathi ukusebenza noma ukusebenza kocansi kushintshile.

Kungakhathaliseki ukuthi uhlinzwa kanjani, kubalulekile ukuxoxa ngakho konke nodokotela wakho ngaphambi kokuba kwenziwe.

Ingabe ikhona indlela yokuvimbela lokhu ukuthi kungenzeki?

Eqinisweni, okwamanje ayikho indlela ecacile yokuvimbela la ma-vas deferens avaliwe. Ngoba ezinye izimbangela zizalwa nazo. Kodwa-ke, uma unezifo zomgudu womchamo ezivamile (ama-UTI), unganciphisa ingozi yakho ngezinga elithile ngokuthola ukwelashwa okufanele kwazo nokuzivikela ezifweni ezithathelwana ngocansi.

Uma unenkinga ngezinkinga zofuzo, ungahlangana nomeluleki wezakhi zofuzo ukuze uxoxe ngakho.

Kunemithi ethile engathinta ukuchama, kodwa ayibangeli ngqo ukungasebenzi kahle kokuchama. Ukugwema le mithi kungasiza ekuthuthukiseni ukuchama ngezinga elithile (kuphela ngaphansi kweseluleko sikadokotela):

• Imithi ebizwa ngokuthi `(Alpha blockers)` (isibonelo, imithi ye-prostate ekhulisiwe njenge `(tamsulosin)`).
• Eminye imithi yokucindezeleka kwegazi okuphezulu, njenge-thiazides, i-prazosin, ne-phentolamine.
• Imithi yezifo ezithile zengqondo, njenge-`(thioridazine - Mellaril®)`, `(haloperidol - Haldol®)` kanye ne-`(chlordiazepoxide - Librium®)`.
• Ezinye izidakamizwa zokucindezeleka, njenge-imipramine ne-amitriptyline.

Into ebaluleke kakhulu ukuthi, ungayeki ukuthatha noma yimuphi wale mithi noma ushintshe umthamo ngaphandle kokukhuluma nodokotela wakho.

Kwenzekani uma nginalesi simo?

Esikhathini esiningi, uthola ukuthi une-EDO uma unenkinga yokukhulelwa. Noma kungaba ngenxa yobuhlungu obuqhubekayo. Nakuba i-EDO ingaba yimbi, ayisongeli impilo noma ithelelane. Lokho kuyimpumuzo, akunjalo? Ezimweni eziningi, odokotela bangayiphatha ngempumelelo le nkinga futhi babuyisele ukuzala.

Kufanele ngimbone nini udokotela?

Uma unezinkinga ezikukhathazayo, xhumana nodokotela ngokushesha:

• Uma kukhona ukopha okusha noma okweqile (ku-semen noma emchameni).
• Uma unezinhlungu ezintsha noma ezandayo (esiswini esingezansi, eduze kwamasende, ngesikhathi socansi).
• Uma unomkhuhlane ongaphezu kwama-degrees Fahrenheit angu-102 (cishe ama-degrees Celsius angu-38.9).
• Uma uzizwa ubanda futhi uthuthumela.
• Uma uke wahlinzwa emilenzeni yakho futhi kukhona ukuvuvukala noma ubuhlungu obuzungeze inxeba.
• Uma une-allergy emuthini owuthathayo (isib. ukuqubuka kwesikhumba, ubunzima bokuphefumula).

Uma uzama ukuba nomntwana kodwa unenkinga, cela udokotela wakho akusize uthole ukuthi inkinga iyini. Uma une-fallopian tube evalekile, udokotela wakho angase akuncomele ukuhlinzwa ukuze kulungiswe ukuvaleka. Lokhu kuhlinzwa kungaphumelela kakhulu. Ukukhuluma ngokwethembeka nodokotela wakho kuyindlela engcono kakhulu yokwenza izinqumo ezinhle kakhulu ngempilo yakho.

Eminye yemiyalezo ebaluleke kakhulu okufanele uyithathe uye nayo ekhaya

Ukuvaleka Kwemibhobho Yokukhipha Imbewu Kuyisifo esingelapheka esithinta amadoda. Kubalulekile ukuqaphela lokhu.

• Qaphela izimpawu: Uma unevolumu encane yesidoda, ubuhlungu, noma igazi esidodeni sakho noma emchameni, qiniseka ukuthi ufuna iseluleko sezokwelapha. Ungabi namahloni.
• Lokhu kungaba yisizathu sokungabi nabantwana: Uma wena nomlingani wakho nilindele umntwana kodwa nimlibazisa, kungaba ukuhlakanipha ukuhlola nalokhu.
• Ukuxilongwa okunembile kubalulekile: Gwema ukuzihlola ngokusekelwe kulokho okufundayo ku-inthanethi. Hlola udokotela oqeqeshiwe ukuze uthole imbangela eqondile.
• Kunezindlela zokwelapha: Ukuhlinzwa okufana no-`(TURED)` kanye no-`(Seminal vesiculoscopy)` kungayelapha ngempumelelo lesi simo. Ungakhathazeki.
• Khuluma ngokukhululekile nodokotela wakho: Kubaluleke kakhulu ukukhuluma ngokukhululekile nodokotela wakho ngezinkinga zakho, ukwesaba kwakho, kanye nokulindela kwakho. Kulapho-ke kuphela lapho ungakhetha khona ukwelashwa okukulungele.

Khumbula, asikho isidingo sokuba namahloni noma sokwesaba ukukhuluma ngalezi zinkinga. Impilo yakho nenjabulo yakho yizinto ezibaluleke kakhulu!

Ukuvinjelwa Kwepayipi Lokukhipha Imbewu, Ukungazali Kwabesilisa, Isidoda, Isidoda, I-TURED, I-Prostate