Ingane iyiphupho lawo wonke umndeni. Kodwa ngezinye izikhathi, ngenxa yezizathu ezahlukene zempilo, kuthatha isikhathi ukufeza lelo phupho. Ikakhulukazi, ukungazali kwabesilisa kungaba yimbangela yalokhu. Sonke siyaqonda usizi nokucindezeleka esikuzwayo ngesikhathi esinjengalesi. Kodwa into engcono kakhulu ukuthi isayensi yezokwelapha ethuthukisiwe yanamuhla inezixazululo eziphumelelayo kakhulu zezinkinga ezinjalo. Namuhla, sikhuluma ngenqubo yokuhlinzwa ethuthukisiwe kakhulu esetshenziswa njengokwelashwa kokungazali kwabesilisa. Lokho kuyi-microTESE.
Kalula nje, iyini i-microTESE?
I-microTESE (i-Microsurgical Testicular Sperm Extraction) inqubo ekhethekile yokuhlinzwa elapha ukungabi nabantwana kwabesilisa. Kalula nje, ihilela ukukhipha isidoda ngqo emasendeni endoda ene-azoospermia.
Cabanga ngale ndlela. Ngezinye izikhathi isidoda sikhiqizwa ngaphakathi kwamasende omuntu, kodwa asiphumi nesidoda. I-MicroTESE ifana nokusebenzisa i-microscope enamandla kakhulu ukuthola nokukhipha isidoda esinempilo esifihliwe emigudwini emincane ngaphakathi kwamasende.
Kunezinhloso ezintathu eziyinhloko zalokhu kuhlinzwa:
- Ukuthola isidoda sekhwalithi engcono kakhulu .
- Ukuthola inani elanele lesidoda ukuze kukhule iqanda elinempilo.
- Ukunciphisa umonakalo ezithweni zakho zokuzala.
Kunconywa bani lokhu kuhlinzwa?
Odokotela bavame ukuncoma lokhu kwelashwa kwabesilisa abanesimo esibizwa ngokuthi i-Azoospermia . Lokhu kusho ukuthi uma kwenziwa ukuhlolwa kwesidoda, akukho sidoda esingatholakala esidoda. Uma ufuna nokuba nomntwana kodwa ungakwazi ukukhiqiza isidoda esinempilo ngokwemvelo, udokotela wakho uzokuchazela inqubo ye-microTESE.
Into ebalulekile ukuthi ukuthi nje akukho sidoda esidodeni sakho akusho ukuthi umzimba wakho awukhiqizi isidoda nhlobo. Kungenzeka ukuthi isidoda sikhiqizwa ngamanani amancane kakhulu ngaphakathi kwamasende. I-MicroTESE isetshenziselwa ukuthola nokuqoqa lelo nani elincane.
Uzilungiselela kanjani ngaphambi kokuhlinzwa?
Ngaphambi kokwenza lokhu kuhlinzwa, kuzodingeka ubone uchwepheshe (Urologist). Lapho,
- Khuluma ngomlando wakho wezempilo ophelele.
- Kuzohlolwa umzimba ukuze kuhlolwe impilo yakho iyonke.
- Izinto ezifana nomfutho wegazi kanye nokushaya kwenhliziyo kuyahlolwa.
Ngalesi sikhathi, kubalulekile ukuthi utshele udokotela wakho nganoma yikuphi ukungezwani komzimba onakho kanye nayo yonke imithi oyithathayo (eyalelwe udokotela, ethengwe ekhemisi, ngisho nemikhiqizo yamakhambi).Ngoba eminye imithi ingandisa ingozi yokopha.
Uzokwaziswa ukuthi ungadli noma uphuze lutho ngemva kwamabili ngobusuku bangaphambi kokuhlinzwa. Uma udinga ukuthatha noma yimuphi umuthi obalulekile, phuza kanye namanzi. Udokotela wakho uzokuchazela konke lokhu ngokucacile.
Kwenziwa kanjani ukuhlinzwa futhi kwenzekani ngemva kwalokho?
Ake sibheke ukuthi le nqubo isebenza kanjani nokuthi yini okudingeka uyiqaphele ngemva kwalokho.
| Inqubo ye-microTESE kanye nesikhathi sokutakula | |
|---|---|
| Ngesikhathi sokuhlinzwa | |
| Isinyathelo 1: I-Anesthesia | Uzonikezwa i-anesthesia ejwayelekile ukuze ungezwa ubuhlungu. Ngakho-ke uzobe ulele. |
| Isinyathelo 2: Ukuhlinzwa | Udokotela wenza imbobo encane kakhulu phakathi kwe-scrotum. Bese besebenzisa imakroskopu enamandla amakhulu, bathola amapayipi amancane ngaphakathi kwe-testicle angase abe nesidoda. |
| Isinyathelo 3: Ukuthola amasampula | Kuthathwa amasampula amaningana amancane kakhulu ezicubu (i-testicular biopsy) emigudwini etholakele. Lawa athunyelwa elabhorethri. |
| Isinyathelo 4: Ukufuna isidoda | Elabhorethri, uchwepheshe uhlola lesi sampula sezicubu ngaphansi kwesibonakhulu ukuze abone ukuthi sinayo yini isidoda esinempilo. |
| Ngemva kokuhlinzwa | |
| Imiphumela kanye nokusetshenziswa | Uma kutholakala isidoda, singasetshenziswa ngokushesha ekukhulelweni (IVF) ngeqanda lomlingani wakho noma sigcinwe efrijini (cryopreservation) ukuze sisetshenziswe kamuva. |
| Isikhathi sokutakula | Kungathatha amasonto ambalwa ukululama ngokuphelele. Ungase ungakwazi ukuya emsebenzini izinsuku ezimbili noma ezintathu. Uma unomsebenzi onzima ngokomzimba, kungase kudingeke uphumule isikhashana. |
| Ukulawula ubuhlungu | Kungase kube nobuhlungu nokuvuvukala ezinsukwini ezimbili zokuqala. Ukufaka iphakethe leqhwa kuzokunikeza impumuzo. Sebenzisa imithi yobuhlungu njengoba udokotela wakho ekuyalele. |
Ungaya nini ocansini?
Odokotela bavame ukweluleka ukuthi ugweme ukuya ocansini kanye nokushaya indlwabu izinsuku ezimbalwa ngemva kokuhlinzwa. Udokotela wakho uzokutshela ngqo ukuthi kufanele nini kuye ngesimo sakho.
Yiziphi izinzuzo nezingozi zalokhu?
Inzuzo enkulu ukuthi unethuba elikhulu kakhulu lokufeza iphupho lakho lokuba ngubaba. Kuye ngembangela yesimo se-azoospermia, ukuhlinzwa kwe-microTESE kuye kwakwazi ukuthola isidoda esinempilo ngesilinganiso sempumelelo esifinyelela ku-60% .
Futhi, njengazo zonke izinhlobo zokuhlinzwa, kunezingozi ezithile .
- Into eyinhloko ukuthi kunethuba lokuthi isidoda ngeke sitholakale ngisho nangemva kokuhlinzwa.
- Izingozi ezihambisana nokubulala izinzwa.
- Ukopha.
- Ukutheleleka.
- Ubuhlungu nokungakhululeki.
- Kukhona ithuba lokulimala unomphela emasendeni, kodwa lokhu akuvamile kakhulu .
Ukungazali kuyindaba ebucayi abantu abaningi abangafuni ukukhuluma ngayo. Kodwa akusikho ubuthakathaka bomuntu siqu noma inkomba yokuthi awufaneleki ukuba nomntwana. Kuyisimo sezokwelapha esingelapheka. Ukwelashwa okufana ne-microTESE kungakunika wena nomlingani wakho ithuba lokuba nomntwana ozelwe ngokwemvelo.
Uma udinga ukushayela udokotela ucingo ngokushesha
Uma uhlangabezana nanoma yiziphi izimpawu ezingezansi ngemva kokuhlinzwa, kufanele uxhumane nodokotela wakho ngokushesha.
- Uma kukhona ubuhlungu obukhulu .
- Ukweqisa kakhulu eduze kokusikwaUma kukhona ukopha.
- Igazi emchameni (i-hematuria).
- Uma ubona izimpawu zokutheleleka (umkhuhlane, ukubanda, ukuvuvukala eduze kwesilonda, ukubomvu/ukubomvu/ukunsundu/ukushintsha kombala omnyama, noma ubomvu).
- Uma ubonisa izimpawu ze-sepsis.
Uyini umehluko phakathi kwe-TESE ne-microTESE?
I-TESE ingenye indlela yokuthola isidoda emasendeni. Kodwa-ke, i-TESE ayisebenzisi imakroskopu. I-TESE ivame ukusetshenziswa uma kukhona ukuvinjelwa kokudlula kwesidoda (i-obstructive azoospermia). Kodwa-ke, ezimweni lapho ukukhiqizwa kwesidoda emasendeni kuphansi kakhulu (i-non-obstructive azoospermia), i-microTESE, eyenziwa ngaphansi kwemakroskopu, iyindlela ephumelela kakhulu nephephile.
Umlayezo Wokuya Nawe Ekhaya
- I-MicroTESE iyindlela yokwelapha ephumelela kakhulu yokungazali kwabesilisa (ikakhulukazi uma kwenzeka i-Azoospermia).
- Lokhu kuhilela ukuthola isidoda esinempilo ngqo emasendeni kusetshenziswa imakroskopu enamandla amakhulu.
- Isidoda esitholakala ngale nqubo singakusiza ukuthi ufeze iphupho lakho lokuba ngubaba ngokusebenzisa ubuchwepheshe be-IVF.
- Njengakuzo zonke izinhlobo zokuhlinzwa, kunezingozi ezincane, ngakho xoxa ngazo ngokukhululekile nodokotela wakho ngaphambi kokwelashwa.
- Ukungazali akulona iphutha. Ngeseluleko sezokwelapha esifanele kanye nokwelashwa, lesi simo singanqotshwa.
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