Indlela Eyisebenzisayo, Indlela Yokuphucula Iingxaki Zakho, Nento Enoba Awukwazi Ukuyiqonda
Ukukhulelwa emva kokuguquka kwe-vasectomy kunokwenzeka. Ngokulungiswa okuncinci, umlinganiselo weepesente ezingama-90 uza kuphinda ufumane isidoda emva kweenyanga ezintathu ukuya ezintandathu, kwaye umyinge wama-73 ekhulwini uza kufumana ukukhulelwa emva konyaka.
Oko kwathiwa, amazinga okuphumelela kunye namaxesha athile ahluke kakhulu kuxhomekeke kwiminyaka emininzi edlulileyo ukususela kwi-vasectomy, nokuba ngaba isibini sinomntwana ndawonye ngaphambili, isakhono sobugqirha, kwaye luhlobo luni lokulungiswa olufunekayo.
Kwakhona kubalulekile, ukuhlinzwa ngokutsha kwe-vasectomy yindlela eyodwa kuphela yokuba nezingane eziphilayo. I-IVF ne-ICSI (i-intracytoplasmic injection sperm) yindlela enye imibhangqwana inokukhulelwa, mhlawumbi njengenye indlela eya kutshintshwa okanye njengenyathelo elilandelayo ukuba ukulungiswa kokuhlinzwa kungaphumeleli.
Indlela yokuguqulwa kweVasectomy Imisebenzi
Ngaphambi kokuba sixoxe ngokuguquguquka kwe-vasectomy, kuya kunceda ukuba uhlolisiswe ngokukhawuleza kwindlela i-vasectomy isebenza ngayo.
Kwinkqubo yokuzala, isalathisi sesisu esilulayo sidalwa ngamathambo. Ukusuka kwamathambo, baya kwi-epididymis, iqumrhu elinjenge-tube-like-coiled-tile ehleli phezulu phezulu kwamathambo. Njengoko iinambuzane zesisu zingena kwaye zihambela kwiibhotile eziphehliweyo, zikhula zibe ngamalungu esityalo avuthiweyo kwaye, ekugqibeleni, zihlala zigcinwe khona kude kube lixesha lokungena kwisigaba esilandelayo, i-deferens.
I-epididymis idibanisa ne-vas deferens, eyona yindlela engumzimba omzimba. Xa umntu ejaculates, isisu sisuka ekupheleni kokugcinwa kwe-epididymis ukuya kunye nangaphezulu kwee-deferens.
I-vas deferens ishukumisa isisu kwi-urethra, apho, ngexesha lokunyuka kwegazi, ixutywa kunye ne-fructose-rich fluid (kwi-vesic vesicles) kunye ne-prostate fluids (eyenziwa kwi-prostate.)
Ngethuba le-vasectomy, i-deferens vas isinqunywe. Oku kuvimbela isidoda ukuba singaxubeki kunye nezinye izifo zamanzi.
Kuthatha iinyanga ezimbalwa emva kwe-vasectomy ukuze iisununu zedoda zisuswe kwi-tubal system.
Ngokuguqulwa kwe-vasectomy, i-deferens ends ixhunyiwe kwakhona. Oku kwaziwa ngokuba yi-vasovasostomy. Ngenxa yokuba le ngxube ye-muscular-like organ is thin-akukho ngaphezu kobunzima be-spaghetti yokuqhagamshela ngokutsha-nxiba yinkqubo enzima, eyinkimbinkimbi.
Ngamanye amaxesha, ukuxhumeka kwakhona kwezixhobo ezikhethiweyo ze-vas deferens eziphelayo akunakwenzeka. Oku kunokwenzeka ukuba iminyaka emininzi idlulile ukusuka kwenkqubo. Kule meko, ugqirha ugqirha i-vas deferens ngqo kwi-epididymis. Oku kwaziwa ngokuba yi-vasoepididymostomy.
I-Vasoepididymostomy yinkqubo eyinkimbinkimbi ngakumbi, ukuthatha kabini ixesha lokutyanda. (Iiyure ezine kuneendawo ezimbini.) Izinga lokuphumelela impumelelo ziphantsi kakhulu kwi-vasoepididymostomy, kwaye kungathatha ixesha elide ukuba isidoda sibuyele kwi-ejaculate.
Ngaba uya kufuna i-vasovasostomy okanye i-vasoepididymostomy? Akunakwenzeka ukuthetha phambi kokuhlinzwa.
Ngethuba le nkqubo ngokwalo, ugqirha uya kuhlola ukuphela kwee-deferens kwicala lesicatshulwa ukuze ubone ukuba kukho iindidi zesisu. Ukuba akunjalo, oku kubonisa ukuba ukukhutshwa kwakha phakathi kokuvula kunye ne-epididymis. Udokotela wakho ogqirha wayeza kwenza i-vasoepididymostomy.
Iposi ye-vasovasostomy, kungathatha iinyanga ezintathu ukuya ku-sperm ukuba ibe khona kwi-ejaculate. Nangona kunjalo, ngamanye amaxesha kuthatha iiveki ezimbalwa kuphela. Thumela i-vasoepididymostomy, kungathatha inyanga ezintandathu ukuya kunyaka ukuba iindidi zesisu zibuyele. Ugqirha wakho uya kuyala uhlalutyo lwesilwanyana emva kweenyanga (emva kokuba ukukhulelwa akukwenzeka okwangoku) ukujonga ukuba i-sperm ibuyele.
Ngaphambi kokuba uhlele uguquko lweVasectomy
Ikhono logqirha wakho uphambili lubalulekile ekuphuculeni amathuba akho okuphumelela. Ufuna umntu owenza i-vasectomy ishintsho ngokuthe rhoqo. Uphando lufumene ukuba ngamava kunye nemiba yexesha.
Buza i-urologist yakho ukuba zingaphi izinto ezenzileyo ezenzileyo kunyaka odlulileyo kunye neyiphi imilinganiselo yakhe yokuphumelela. Kwakhona, qinisekisa ukuba banokuqeqeshwa kwe-microsurgical kwaye ngamalungu oLuntu we-American College of Surgeons (FACS).
Uya kufuna kwakhona ukuqinisekisa ukuba ugqirha wakho unamava ngokuqhuba i-vasoepididymostomies, ngakumbi ukuba i-vasectomy yakho yenziwe ngaphezu kweminyaka eyisixhenxe edlulileyo. Khumbula ukuba akunakwenzeka ukuba uyazi ukuba ufuna utyando olunzima kunokuba ugqirha wakho aqale inkqubo.
Kufanelekile ukuhamba ukufumana udokotela onamava.
Enye into omele uyenze ngaphambi kokuba wenze isigqibo malunga nokuguqulwa kukuqinisekisa ukuba iqabane lakho labasetyhini linokuvavanywa kokuqala kokuzala . Ukuba kukho izinto zokuzala zentombi , kungenza kube nengqiqo ukunqumla inkqubo yokuguqula kwaye uye ngqo ngqo kwi -IVF .
Ixesha leqabane lakho leqabane lijongene nemicimbi, ingakumbi ukuba uneminyaka engama-37 okanye ngaphezulu. Ngokuzala komfazi ngokukhawuleza emva kokudala kweminyaka engama-35 , akunakukhuthazwa ukuba ulinde unyaka ukuze ubone ukuba ukuguqulwa kwaphumelela. Uvavanyo lwe-Ovarian reserve lunokukunceda wena kunye neqabane lakho wenze isigqibo malunga nale nto, kunye negalelo logqirha wakho.
Ekugqibeleni, cinga ukucela ugqirha wakho ukuba athathe kwakhona kwaye agqithise iiseli zesini ngexesha le nkqubo. Oku kuthetha iindleko ezongezelelweyo, kwaye ungeke usebenzise loo mizi. Nangona kunjalo, ukuba ukuguqulwa akuphumelelanga, uya kuba nentloko eqala kwi-IVF-ICSI.
Uza Kukhawuleza Njani Ukuguqulwa Kwangemva Kwe-Post Vasectomy?
Ezinye izibini ziza kukhulelwa ngokukhawuleza emva kweeveki ezimbalwa emva kokuguqulwa. Abanye baya kuthatha iminyaka emibili bekhulelwe. Ngokuqhelekileyo, kuthatha inyanga ezintandathu ukuya kunyaka.
Kungekudala ukukhulelwa kwenzeka ngokuxhomekeke kumanani amaninzi, kuquka:
- Yiyiphi uhlobo lokulungiswa kwe-vasectomy oyifunayo
- Kuthatha ixesha elingakanani ukuba isidoda sibuyele kwi-ejaculate yakho
- Ingaba kukho nayiphi na into enokuzala
Ugqirha wakho uya kuqulunqa isibalo sesidoda (okanye uhlalutyo lwesambulo ) vavanya iinyanga ezimbalwa zenkqubo yokuposa. Ukuba iziphumo zikhangeleka kakuhle, kwaye unesondo esaneleyo rhoqo ngexesha lewindowenu enezityalo (ngaphambi nje kokuba u-ovulation) , unokukhulelwa zingangeenyanga ezimbalwa.
Ukuba iziphumo zokuhlalutya isisu azilungile , ugqirha wakho uya kubeka olunye uvavanyo kwiinyanga ezimbini ukuya kweenyanga ezintathu.
Kungathatha ixesha elide ukuba isidoda sibuyele ukuba unenkqubo enzima kakhulu. Ngamanye amaxesha, kungathatha umnyaka ukuya kwidoda ukuze ubuyele kwi-semen post-vasoepididymostomy.
Yintoni Ndingayenza Ukuphucula Iimpawu Zokuba Ukukhulelwa Ngokukhawuleza?
Iingxaki zakho zokuphumelela ukukhulelwa zixhomekeka ngokukodwa ukuba ukulungiswa kokucubungula kuyaphumelela kwaye kuzaliswa ngokubanzi kwakho kunye neqabane lakho. Ininzi yale nto ayikho yolawulo lwakho.
Nangona kunjalo, kukho into onokuyenza ukuze wandise amathuba okukhulelwa emva kokutshintshwa. Oku kuyinyaniso kuzo zonke izibini.
- Ukulahla imikhwa engafanelekanga. Ukuba ubhema , shiya. Ukuba ungumntu oselayo , khawula. Le miphumo emibi yempilo ingachaphazela kakubi umgangatho wesilisa.
- Gcina iimfihlo zakho zipholile! Amathambo ahlala ngaphandle komzimba kuba isidoda sithintela ukushisa. Gweba iibhagi ezishisayo, iibhafu zokutshisa ixesha elide, izifudumezi zokuhlala, kunye nokuhlala ixesha elide kunye nemilenze yakho iqinile ndawonye.
- Zama ukutya okunempilo. Uphando lufumene ukuba amadoda atya iipesele, ukutya okungafunekiyo, inyama ebomvu, i-grains ecocekileyo kunye neziphuzo zamandla ezinomgangatho ongaphantsi kwesidoda kunamadoda adla ukutya okuninzi okunokondla .
- Unesondo rhoqo. Oku kulungile ngezizathu ezibini: Ukulala ngesondo rhoqo kwenza ukuba ube nesondo xa iqabane lakho likhuphaza (kwaye likhula). Okwesibini, ukunyuka kwexesha eliqhelekileyo kuya kunceda ukuhambisa isisu ngokusebenzisa inkqubo yokuzala.
- Zama ukulala ngesondo xa ekhupha. Kukho malunga neentsuku ezintandathu kwinyanga apho umfazi angakhulelwa, kwaye kuphela kwimizuzu emibini okanye emithathu kwimihla . Ezinye izibini zithatha uxinzelelo xa zizama ixesha lokulala ngesondo . Ukuba nguwe lo, libale ngalo. Nangona kunjalo, ukuba uphumelele kumngeni, unako ukuphucula iziganeko zakho ukuba ujolise kule festile enefestile.
- Sebenzisa iiblue oil friendly. Isibilini sakho singasebenzisa lonke uncedo abanokufumana. Amafutha afanelekileyo angavimbela ukunyuka kwesidoda , kwaye aze abe notyhefu. Kungcono ukhethe ukhetho lokunokwenene lokuzala .
Kuthiwani Ukuba Awuyi Kukhulelwa?
Ukuba iqabane lakho lingakhulelwa ngokukhawuleza, ungakhathazeki. Iingqabane ezineziqhelo eziqhelekileyo zingathatha inyanga ezimbalwa ukufikelela ekukhulelweni.
Oko kwathiwa, ukuba iinyanga ezininzi zidlulayo, kwaye ukukhulelwa akukwenzeka, ungalibali ukufuna uncedo. Oku kuyinyani ngokukodwa ukuba iqabane lakho lomfazi lineminyaka engama-35 okanye ngaphezulu . Ngokuqhelekileyo, ukuba awukwazi ukufumana ukukhulelwa kwisithuba seenyanga ezintandathu ukuya kutsho emva kokuhlinzwa, khangela inkcazo yokuzala.
Isinyathelo esilandelayo sinokuvavanywa kokuvuna (okanye ukuvavanywa kwakhona, ukuba sele uvavanywe kakade kwixesha elidlulileyo). Xa ukuguquka kungakhokelela ekukhulelweni, i-IVF ne-ICSI ingaba yindlela enokukhetha ngayo. (Oku ngakumbi ngezantsi.)
I-IVF Option
Ukuba ukuguqulwa kwe-vasectomy ayiphumelelanga, okanye ayikhuthazwa (ngenxa yobudala besifazane okanye ezinye izinto zokuzala), i- IVF ne-ICSI yindlela enye. Kodwa ke, yindlela ebiza ngakumbi kwaye iza neengozi ezingaphezulu zonyango .
Ngonyango lwe-IVF, iqabane lamabhinqa lithatha iziyobisi ezithintekayo ezenza amaqanda avelise amaqanda amaninzi aqolileyo. La maqanda atyhutyulwa kwii-ovari, ngokusebenzisa inaliti ekhokelwa yi-ultrasound ngokusebenzisa udonga lwamanzi.
Uninzi lwexesha, iqabane lamadoda livelisa isampuli yesidanga ngokubetha. Inambu ihamba kwinkqubo yokucoca ekhethekileyo. Emva koko, i-sperm ifakwa kunye namaqanda afunyenwe kwisitya se-petri. Nangona kunjalo, kumadoda angenayo isidoda kwimbewu yabo, oku akuyi kusebenza. Esikhundleni saloo, iiseliti zesinambu ziyakuthi zifunyanwe ukusuka kwindlela yokuzala yokuzalwa. Oku kwaziwa ngokuba yi-aspiration aspiration.
Le yinkqubo ye-ofisi. Ukudalwa okukhanya kunye ne-anesthetic yendawo isetyenzisiweyo, kwaye inaliti i-aspir sperm ngokuthe ngqo kumathambo okanye i-epididymis. Iimpawu zonyango kule nkqubo ziyi-PESA (i-epididymal sperm aspiration) okanye i-TESA.
Ukuba uthe wabuyela kwisifo se-vasectomy esingaphumelelanga, kwaye ugqirha wakho wakwazi ukuwufumanisa kwaye uphephe umdaka ngexesha lenkqubo, akufuneki ukuba ube nepropiration inkqubo kwakhona.
I-sperm ebuyisiwe ayinakusetyenziswa ngokusatshalaliswa okulula kwaye ifuna ii-IVF nge-ICSI. I-ICSI yinkqubo apho ikhefu enye yeselunyulo ikhethiweyo kwaye "ijojowe" ngqo kwiqanda. I-ICSI ineendleko ezongeziweyo kunye nobungozi ngaphezu kwe-IVF eqhelekileyo.
Njengoko nayiphi na unyango lwe-IVF, impumelelo ayiqinisekanga . Impumelelo yokukhulelwa iya kuxhomekeka kwiminyaka yeqabane lomfazi kunye nantoni na enye (ukuba ikhona) into yokuzala iyadlala.
Igama elivela kwi-Verywell
Omnye kumadoda angama-20 uya kuthatha isigqibo sokuguqula i-vasectomy. Baya kwenza isigqibo ukuba batshintshe ingqondo yabo ngokufuna abantwana abangaphezulu, ukuba omnye wabantwana babo uyadlula, okanye ukuba aphinde ashade. Ukuguqulwa kweVasectomy kungaphumelela, kodwa akuqinisekanga.
Ezinye izibini, i-IVF ne-ICSI yindlela engcono. Kwabanye, kubalulekile ukuzama ukuguqulwa kwe-vasectomy kuqala. Ezi zombini iinkqubo aziqhelwanga nge-inshurensi yezempilo kwaye zingabiza iindleko zamawaka ezigidi.
Qiniseka ukuba uthetha bobabini i-urologist (kunye namava amaninzi kwi-vasectomy ukuguqulwa) kunye ne-endocrinologist yokuzalana ngaphambi kokuthatha isigqibo sokuba yintoni indlela ongayithatha.
Kwakhona qiniseka ukuba ukuveliswa komlingani wesetyhini kuvivinywa phambi kokuba kwenziwe naziphi na izigqibo zokuzichukumisa. Kuya kuba yinkcitho yexesha kunye nemali ukuya kunye nokuguqulwa ukuba unyango lwe-IVF lwalufuneka ngenxa yokungabikho komntwana.
Hlalani nikhumbule, ukuba, xa uvulekile ukusebenzisa umniki wesini, ukukhulelwa kungafezwa nge-insemination okanye kwi-IVF. Nangona kunjalo, kulo mzekelo, umntwana akayi kuba ngumfuziselo wezofuzo.
> Imithombo:
> I-Herrel LA1, iGoodman M2, iGoldstein M3, i-Hsiao W4. "Iziphumo ze-vasovasostomy ye-microsurgical yokuguqulwa kwe-vasectomy: uhlalutyo lwe-meta nokuphononongwa ngendlela echanekileyo. "Urology. 2015 Ngo-Apr; 85 (4): 819-25. i-doi: 10.1016 / j.urology.2014.12.023.
> Ostrowski KA1, Polackwich AS1, Kent J1, Conlin MJ1, Hedges JC2, Fuchs EF1. "Iziphumo eziphezulu ze-vasectomy ukuguqulwa kwamadoda kunye neqabane elifanayo lomfazi njengaphambi kwe-vasectomy. "J Urol. 2015 Jan; 193 (1): 245-7. i-doi: 10.1016 / j.juro.2014.07.106. Epub 2014 uAgasti 1.
> Patel AP, Smith RP1. "Ukuguqulwa kweVasectomy: ukuhlaziywa kweklinikhi. "Asia J Androl. Ngo-2016 ngoMeyi-Juni; 18 (3): 365-71. i-doi: 10.4103 / 1008-682X.175091.