I-Post-Vasectomy Pain Syndrome (PVPS): Ake sixoxe ngayo

I-Vasectomy iyindlela ephumelelayo yokuhlela umndeni abantu abaningi abayikhethayo. Kodwa-ke, akuvamile kakhulu, inani elincane kakhulu labantu lingabhekana nobuhlungu obuqhubekayo emasendeni ngemva kwalokhu kuhlinzwa. Namuhla sizokhuluma ngalobu buhlungu besikhathi eside, obaziwa nangokuthi "I-Post-Vasectomy Pain Syndrome" noma "(PVPS)" . Ungakhathazeki, lokhu akuvamile kakhulu, kodwa kuhle ukuthi wonke umuntu akuqaphele.

Okokuqala, kuyini i-vasectomy?

Kalula nje, i-vasectomy ukuhlinzwa okuncane okwenziwa endodeni ukuze kumiswe unomphela ukuba nabantwana . Siphinde sikubize ngokuthi “ukuvala inzalo kwabesilisa.” Lokhu kuhlinzwa kuvame ukwenziwa udokotela ogxile ezinhlelweni zomchamo nezokuzala, obizwa ngokuthi i-Urologist.

Lokhu kuhlinzwa kuhilela ukusika noma ukuvimba amapayipi amabili athwala isidoda emasendeni akho, amapayipi e-vas deferens. Ngaphambi kwe-vasectomy, isidoda sikhishwa njengesidoda ngokuxubana nolunye uketshezi. Kodwa-ke, ngemva kokuhlinzwa, isidoda asikwazi ukuhamba ngamapayipi asikiwe noma avalekile. Isidoda sibe sesiphinde simuncwa emzimbeni ngaphakathi kwamasende.

Into ebalulekile ukuthi ngemva kokuhlinzwa kwe-vasectomy, ungakhipha i-ejaculate bese ufika esikhathini sokufika esikhathini esijwayelekile . Kodwa-ke, leyo ejaculate ngeke iqukathe isidoda esidingekayo ukuze kwakheke umntwana. Ngakho-ke, iqanda lowesifazane ngeke livundiswe futhi ukukhulelwa ngeke kwenzeke.

Cabanga nje, uma uke wafuna ukuba nomunye umntwana, ngezinye izikhathi ungabuyiselwa emuva kule vasectomy (ukuguqulwa kwe-vasectomy noma i-vasovasostomy). Kodwa odokotela babheka lokhu njengendlela yokulawula inzalo ehlala njalo .

Sivame kangakanani lesi simo esibizwa ngokuthi ``(PVPS)''?

Eqinisweni, izinkinga ngemva kokuhlinzwa kwe-vasectomy azivamile. Ngokusho kwemibiko yezokwelapha, ukuhlinzwa okukodwa noma okubili kwayikhulu (100) kwe-vasectomy kubangela lesi simo esibizwa ngokuthi "i-PVPS" . Kuthiwa cishe kwenziwa ukuhlinzwa kwe-vasectomy okuyizinkulungwane ezingamakhulu amahlanu emhlabeni wonke minyaka yonke. Uma ukubheka ngaleyo ndlela, "i-PVPS" yinto engavamile kakhulu. Ngakho-ke, asikho isizathu sokukhathazeka ngokungadingekile.

Kungani kwenzeka "i-Post-Vasectomy Pain Syndrome - i-PVPS"?

Nakhu lapho kuba khona ukudideka okuncane. Ochwepheshe bezokwelapha abakazi kahle ukuthi kungani amadoda athile kuphela abhekana nalolu buhlungu obungapheli . Kodwa-ke, kunezinto ezimbalwa abacabanga ukuthi zingaba imbangela yalo:

• I-Congestive epididymitis: I-epididymis iyipayipi elincane, eligoqekile elitholakala ngemuva kwamasende eligcina isidoda. Ngezinye izikhathi isidoda singaminyana futhi sivuvuke lapha. Lokhu kubizwa nangokuthi i-edema.
• Ukulimala kwe-vas deferens: Umonakalo othile kwe-vas deferens uyenzeka ngesikhathi sokuhlinzwa.
• Ukuvuvukala: Uhlobo lokuvuvukala, njengokuqubuka, endaweni yokuhlinzwa.
• Ukucindezelwa kwemizwa noma i-neuropathy: Ukucindezelwa noma ukulimala kwemizwa endaweni ethintekile. Lokhu kubizwa nangokuthi i-neuropathy.
• Izicubu zezibazi: Ukwakheka kwezicubu zezibazi endaweni ngemva kokuhlinzwa kanye nobuhlungu obuvelayo.
• I-granuloma yesidoda: Lokhu kwenzeka lapho inani elincane lesidoda liphuma esiphethweni esinqunyiwe se-vas deferens bese kwakha iqhubu elincane elizungezile njengempendulo. Lokhu kungaba buhlungu ngezinye izikhathi.

Ngakho-ke, ngikholelwa ukuthi lesi simo "(PVPS)" singenzeka ngenxa yesizathu esisodwa noma inhlanganisela yezizathu eziningana.

Ziyini izimpawu zalokhu `(PVPS)`?

Uphawu oluyinhloko noluwukuphela kwesibonakaliso se-PVPS ubuhlungu obuhlala isikhathi eside emasendeni obuhlala izinyanga ezintathu (3) noma ngaphezulu . Kwabanye abantu, lobu buhlungu bungaqala ngokushesha ngemva kokuhlinzwa. Kwabanye, lobu buhlungu bungase buvele ezinyangeni noma ngisho neminyaka kamuva.

Uhlobo lobuhlungu lungahlukahluka kuye ngomuntu nomuntu:

• Abanye abantu bangase babe nomuzwa obuhlungu obungapheli emasendeni abo .
• Kwabanye, ubuhlungu bungase bube buthule futhi bufike budlule .
• Amanye amadoda angase abe nobuhlungu obukhulu ngesikhathi sokuzivocavoca, ucansi, ukuvuka, noma ukukhipha isidoda .

Into ebaluleke kakhulu ukuthi uma unalolu hlobo lobuhlungu, ungabunaki bese ucela iseluleko sezokwelapha.

Yiziphi ezinye izimo ezibangela izimpawu ezifana ne-PVPS?

I-PVPS akuyona yodwa imbangela yobuhlungu bamasende. Ngakho-ke, udokotela uzoqala akhiphe ezinye izimbangela zobuhlungu. Nazi ezinye izimo ezingabangela lokhu:

• I-Hydrocele: Iqoqo elifana noketshezi elizungeze amasende.
• Izifo: Isibonelo, izifo zomgudu womchamo (UTI).
• I-hernia ye-Inguinal: Ukuphuma kwengxenye yamathumbu endaweni ye-groin.
• I-Prostatitis: Ukuvuvukala kwendlala ye-prostate.
• Umdlavuza wamasende: Lokhu kuyinto engavamile kakhulu, kodwa kuyinto okudingeka ikhishwe.
• Ukugoba Kwamasende: Lesi yisimo esiphuthumayo lapho isende lizijika khona, linqamule ukugeleza kwegazi.
• Ezinye Izimila: Ezinye izimila ezingengozini noma eziyingozi ezingase zivele emasendeni.
• I-Varicocele: Isimo lapho imithambo yegazi ( imithambo yegazi) emasendeni ivuleka khona.Isimo lapho imithambo (imithambo) ibonakala ivuvukele futhi ifinyeziwe.

Ngakho-ke, uma uzwa ubuhlungu emasendeni, udokotela uzocabangela konke lokhu bese efinyelela esiphethweni.

Odokotela bakuthola kanjani ngokunembile lesi simo "(PVPS)"?

Empeleni akukho ukuhlolwa okuqondile kokuxilonga ukuze kutholakale i-PVPS. Udokotela uzogxila kakhulu kulokhu okulandelayo:

1. Lalela ngokucophelela izimpawu zakho . Imininingwane efana nokuthi ubuhlungu bunjani, isikhathi esingakanani bukhona, nokuthi buqala nini ukuba bubi kakhulu.

2. Ukwenza ukuhlolwa ngokomzimba . Amasende nendawo ezungezile kuyahlolwa.

Ngaphezu kwalokho, ezinye izivivinyo zingenziwa ukuze 'kususwe' ezinye izimo ezingase zibangele ubuhlungu bamasende esixoxe ngawo ngaphambili:

• Ukuhlolwa komchamo, ukukhuliswa komchamo, kanye nokukhuliswa kwesidoda: Lokhu kungabona izinto ezifana nokutheleleka.
• Ukuhlolwa kwezithombe: Isibonelo, ukuskena nge-ultrasound. Lokhu kungabheka ingaphakathi lamasende bese kubheka amaqhubu, njenge-cysts.
• Ukuvimba kwentambo yesidoda (noma ukuvimba kwemizwa): Lokhu kuhilela ukufaka umuthi wokubulala izinzwa wendawo emizweni okucatshangwa ukuthi ithwala ubuhlungu. Uma lokhu kuqeda ubuhlungu okwesikhashana, kucatshangwa ukuthi imizwa iyimbangela yobuhlungu. Lokhu kusetshenziselwa kokubili ukuxilongwa kanye nokwelashwa ngezinye izikhathi.

Yiziphi izindlela zokwelapha i-PVPS ngaphandle kokuhlinzwa?

Ngokuvamile, odokotela baqala ngokuzama ukulawula ubuhlungu ngokwelashwa okungadingi ukuhlinzwa. Lokhu sikubiza ngokuthi "ukwelashwa okungadingi ukuhlinzwa".

• Ukuzivocavoca phansi kwe-pelvic: Lokhu kubizwa nangokuthi “ama-Kegel amadoda.” Ukuqinisa imisipha phansi kwe-pelvic yakho (esekela isinye sakho, amathumbu, kanye nezitho zokuzala) kungasiza abanye abantu ukunciphisa ubuhlungu. Ungathola usizo kuchwepheshe wezokwelapha ngokomzimba oqeqeshwe ngokukhethekile ngalokhu.
• Imithi yokuqeda ubuhlungu: Imithi evame ukusetshenziswa ihlanganisa imithi elwa nokuvuvukala engeyona eye-steroidal (ama-NSAID), njenge-ibuprofen ne-naproxen.
• Ama-antidepressant: Amanye ama-antidepressant, uma esetshenziswa ngemithamo ephansi, angasiza ekulawuleni ubuhlungu besikhathi eside.
• Imithi yokwelapha ubuhlungu be-neuropathic: Imithi efana neGabapentin noma iPregabalin isetshenziselwa ukwelapha ubuhlungu be-nerve.
• Umuthi ohambisanayo:Abanye abantu bathole impumuzo ngezindlela ezifana ne-acupuncture noma i-biofeedback.

Udokotela uzonquma uhlelo lokwelashwa olufanele kakhulu kuwe ngokuhlanganisa olulodwa noma ngaphezulu lwalezi zindlela zokwelapha.

Kuyini ukwelashwa ngokuhlinzwa?

Uma ukwelashwa okungekhona ukuhlinzwa okukhulunywe ngakho ngenhla kunganikezi impumuzo eyanele yobuhlungu, udokotela wakho angase acabangele ukuhlinzwa. Ukwelapha ubuhlungu besikhathi eside be-PVPS kungaba nzima ngezinye izikhathi , kodwa kunezindlela zokwelapha ezinikeza ithemba.

Kunezinketho eziningana zokuhlinzwa, kuye ngokuthi imbangela yobuhlungu iyini:

• Ukuguqulwa kwe-Vasectomy: Ngokumangalisayo, lokhu kunciphisa noma kuqeda ngokuphelele ubuhlungu emadodeni angaphezu kuka-9 kwangu-10 . Kodwa khumbula, uzokwazi ukuba nezingane futhi ngemva kwalokhu.
• Ukususwa kwe-granuloma yesidoda: Uma kukhona i-granuloma yesidoda, njengoba kushiwo ngaphambili, isuswa ngokuhlinzwa.
• I-Epididymectomy: Ukususwa kwe-epididymis eyodwa noma zombili.
• Ukususwa kwe-microdenervation yentambo yesidoda (noma ukukhipha intambo): Lokhu kuhilela ukususa ngokukhetha imizwa ebucayi entanjeni yesidoda okucatshangwa ukuthi ibangela ubuhlungu. Lena inqubo eyinkimbinkimbi impela.
• Ukususwa kwe-Orchiectomy: Ukususwa kwesende elilodwa noma womabili. Lokhu kwenziwa kaningi futhi kuphela uma kungekho okunye ukwelashwa okudambisa ubuhlungu .

Udokotela uzokuchazela lokhu kuhlinzwa futhi akusize ukhethe okuhambisana nesimo sakho.

Ingabe ikhona indlela yokuvimbela lokhu `(PVPS)` ukuthi kungenzeki?

Njengoba kushiwo ngaphambili, i-PVPS iyisimo esingavamile kakhulu. Futhi, njengoba kungaziwa kahle ukuthi kungani senzeka kwabanye abantu kuphela, okwamanje akukho lutho olungenziwa ukuze kuvinjelwe ngokuqondile . Into engcono kakhulu ongayenza ukukhuluma nodokotela wakho ngakho ngaphambi kokwenza i-vasectomy bese ulandela noma yimiphi imiyalelo yangemva kokuhlinzwa angase akunike yona.

Lobuhlungu '(PVPS)' buzohlala isikhathi esingakanani?

Kunzima ukusho lokhu. Abanye abantu bathola impumuzo ngokushesha ekwelashweni. Ukwelashwa ngokuhlinzwa ikakhulukazi kungaba yimpumelelo enkulu. Isibonelo, ukuguqulwa kwe-vasectomy kunciphisa ubuhlungu emadodeni ayisishiyagalolunye kwayishumi . I-Microdenervation inciphisa ubuhlungu emadodeni amathathu kwamane .

Kodwa, ngeshwa, amanye amadoda angase aqhubeke nokuba nobuhlungu ngisho nangemva kokuhlinzwa. Yileyo inselele ngalesi simo.

Ngingayibona nini udokotela?

Uma uke wahlinzwa i-vasectomy futhi unezinye zezimpawu ezilandelayo, qiniseka ukuthi ubona udokotela:

• Izinkinga zokusebenza kocansi: Izinto ezifana nobuhlungu ngesikhathi socansi, ubunzima bokuthola ukuqina (ukungasebenzi kahle kwe-erectile).
• Uma amasende noma isikhwama esizungeze amasende (i-scrotum) sivuvukele.
• Ubuhlungu emasendeni obebukhona izinyanga eziningi.

Ungazinaki izinto ezinjengalezi. Kungcono ukubona udokotela ngokushesha okukhulu bese uthola iseluleko.

Yimiphi imibuzo okufanele uyibuze udokotela?

Uma uya kudokotela, kuwumqondo omuhle ukukhumbula le mibuzo:

• "Yini engabangela lesi simo `(PVPS)` kimi?"
• "Yikuphi ukwelashwa okungenalo ukuhlinzwa okungcono kakhulu kimi?"
• "Ingabe ngizodinga ukuhlinzwa? Uma kunjalo, yiluphi uhlobo lokuhlinzwa olungilungele?"
• "Ingabe kukhona ezinye izinkinga okufanele ngiqhubeke ngiziqaphela?"

Ngokubuza le mibuzo, ungaqonda kangcono isimo sakho futhi uthole ulwazi mayelana nokwelashwa.

Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Kumuntu ongasafuni abantwana, i-vasectomy iyindlela ephephile kakhulu futhi ehlala njalo yokuhlela umndeni . Ingozi yokuthola isimo esibizwa ngokuthi "Post-Vasectomy Pain Syndrome (PVPS)" empeleni iphansi kakhulu. Ungakhathazeki ngokungadingekile ngakho.

Kodwa-ke, uma uzwa ubuhlungu besikhathi eside emasendeni akho ngemva kokuhlinzwa kwe-vasectomy, kunezindlela zokwelapha ezihlinzayo nezingezona ezokuhlinzwa ezingasiza . Ngakho-ke, ungabi namahloni noma ubekezelele ubuhlungu . Tshela udokotela wakho ngalobu buhlungu. Angenza izivivinyo ezidingekayo, akunikeze ukwelashwa okufanele kakhulu, futhi akunike impumuzo. Nguwe okufanele ukhathazeke kakhulu ngempilo yakho.

Isifo Sobuhlungu Ngemva Kwe -Vasectomy, i-PVPS, i-vasectomy, ukuvala inzalo kwabesilisa, ubuhlungu bamasende, ubuhlungu obungapheli, ubuhlungu bamasende