Mhlawumbi omnye ku-1 ochaphazelekayo emva kokuPiliswa
I-Vasectomy yindlela ekhuselekileyo yenkqubo yeofisi apho amadoda amaninzi awela njengoluhlobo lokulawula unobomi obungunaphakade . Iingxaki zimbalwa kwaye ziqabile. I-vasectomy ihlala ithatha ngaphantsi kwesigamu seyure ukugqiba kwaye idlalwa phantsi kwe-anesthetic yendawo. Kwizibini ezininzi, inokuba yinkqubo yokukhulula, ibenzela ubomi obunzima besondo ngaphandle kokukhathazeka ngokukhulelwa .
Nangona kunjalo, kwezinye iimeko, umntu unokufumana iintlungu ezinzima ezilandelayo. I-Post-vasectomy syndrome isifo (PVPS) yimeko eyaziwayo echaphazela ubuncinane kwi-1,000 amadoda ahamba nge-vasectomy.
I-PVPS iyakwenzeka ngokukhawuleza emva kwenkqubo okanye kuthathe iinyanga okanye nokuba neminyaka ukuphuhlisa. Akukho ndlela yokuchaza ukuba ubani oyifumanayo okanye ukuba intlungu ingaba yintoni. Ukunyanga le meko kunokuba nzima kunokuba kubambalwa kakhulu i-urologists ekhethekileyo kwi-PVPS.
Izizathu zePVPS
Xa umntu ewela i-vasectomy, ukuveliswa kwakhe kwendoda akutshintshi. Ukwakhiwa kwesidoda kunokunyusa uxinzelelo kwi-vas deferens (umzila ohambisa i-sperm i-testicles kwi-urethra) kunye ne-epididymis (i-gland apho i-sperm igcinwa khona). Yilo mqobo onokubangela iintlungu, ngamanye amaxesha ezinzima, kumadoda athile xa athe xa ejaculate.
Ukongezelela, kukho iimbumba zeentsholongwane ezihamba ngapha kweeferensi.
Ukukhutshwa kwezi ngxenyana kungabangela ukuba iimbilini ziboshwe kwiisisiti ezifayiliweyo, ezibangele intlungu eqhubekayo eyenza ibuhlungu kakhulu nayiphi na into ephazamisa isiqu. Ngoko ukuphoxeka yimeko yokuba ukusebenza okanye nayiphi na imisebenzi ebalulekileyo yezemidlalo kuba nzima ukwenza.
Ukuba ishiywe ingaphendulwanga, i-PVPS ingakhokelela kwimeko enzima ebizwa ngokuba yi-tortic testicular apho intambo ye-spermatic eyenza igazi kwi-scrotum ishintshisa kwaye iyanqumla ukunikezelwa kwegazi.
Unyango olungaphelelanga lwePVPS
Unyango lwe-PVPS lunokubandakanya imithi yonyango kunye nokungagunyazisiyo, unyango lomzimba, kwaye ukuba yonke into ehlulekayo, ukuhlinzwa.
Unyango luhlala luqala ngokusekelwe kwiimpawu. Ngokomzekelo, indoda enesifo esine-epididymitis (ukuvuvukala okubuhlungu kwe-epididymis) iya kuhlonyelwa i-antibiotics xa kwenzeka ukuba ibhaktheriya. Ukuba intlungu ihamba, siyazi ukuba yayingeyona iPVPS. Ezinye iindlela zonyango ziya kuhlolisiswa ukujongana neempawu ezihlobene ne-PVPS.
Phakathi kwabo:
- I-Oral anti-inflammories ezifana ne ketorolac okanye ibuprofen inokuphucula intlungu kunye nokunciphisa ukuvuvukala.
- I-spermatic intambo ye-anesthetic block (SCAB) yinkqubo ebandakanya ukudibaniswa kweyeza elincinci kunye ne-steroid echasene nokuvuvukala ekunciphiseni ukuxhatshazwa kwe-post-vasectomy.
Ulwaphulo oluthile lunye, indlela engeyiyo yokuhlinzwa kwi-PVPS. Amanye amadoda akhula ubuhlungu obukhulu be-pelvic emva kwe-vasectomy. Imisipha yazo ihlala ixininise ekuphenduleni iintlungu ezingenangqondo ezibuhlungu. Kukho inani leplavic elisetyenziselwa ukufundisa abantu ukukhulula loo misipha kwaye bathathe uxinzelelo kwi-scrotum kunye namathambo.
Ukunyangwa kwePVPS
Uphando luhlala lubonwa njengento yokugqibela.
Kukho iintlobo ezintathu zokuhlinzwa ezisebenzisayo ukuphatha i-PVPS:
- Ukuguqulwa kweVasectomy yona nto ibonakele ngokuthe ngqo kwezi ezintathu. Amadoda anentlungu ephazamisayo athambekele ekusebenzeni kakuhle emva kokuguquka kweentlungu ezininzi. Ingxaki ngokuguqulwa kukuba iyakususa izibonelelo ze-vasectomy kwaye, xa yenza kakuhle, kunokukhokelela umntu ukuba aphinde avelise. Ukongezelela, ukuguqulwa kwe-vasectomy ayifumanekanga yingxowa-mali.
- I-Epididymectomy yinkqubo apho ugqirha ekhupha i-epididymis enethemba lokunciphisa intlungu. Le nkqubo inqanda unomphela umntu ukuba abele umntwana kwaye ususe ukuguqulwa njengendlela yokukhetha ukuba unokutshintsha ingqondo yakhe. Ixesha lokubuyisela lide lide kunokuguqulwa, ngokuqhelekileyo kuthatha iiveki ezintathu ukuya ezintandathu ukuba zibuyele eziqhelekileyo. Kukho umngcipheko ophezulu wokulimaza igazi kwi-testis.
- Ukukhutshwa kwentambo ye-spermatic intambo yinkqubo eyaziwayo njengoko urologists ezininzi zifunda ukuzenza. Oku kubandakanya ukusika zonke iingxaki kwi-scrotum ukunciphisa intlungu ebangelwa yi-vasectomy. Inkqubo igcina i-stterility, inokuphucula ixesha elikhawulezayo kune-epididymectomy, kwaye ifunyenwe yimigaqo-nkqubo yinshorensi.
ILizwi
Sebenza kunye neengcali zakho ukufumanisa ukuba ukhetho oluphilileyo okanye olungagqirha lufanelekile intlungu kunye nokungahambi kakuhle. Kubalulekile ukuba ukhumbule ukuba kukho ixesha elingaphezulu kweyodwa. Funa uluvo lwesibini, ukuba luyimfuneko.
I-PVPS yimeko engavumelekanga kwaye akufanele ilahlekise isibini esivela ekuhloliseni i-vasectomy njengendlela yolawulo lokuzalwa. Ukuba wena okanye lakho iqabane lijongene nePVPS, musa ukuyeka. Fumana i-urologist yengcali kwindawo yakho onokukunceda.
> Imithombo
- > Leslie, T .; Ukugula, R .; Cranston, D; okqhubekayo. "Isiganeko sobuhlungu obungapheliyo emva kwe-vasectomy: i-audit audit." BJU Int. 2007; 100 (6): 1330-1333
- > I-Tan, i-W. ne-Levine, i-L. "Ukujonga ngokubanzi ulawulo lwe-post-vasectomy pain syndrome." Nje nge-Day Androl. 2016; 18 (3): 332-337.