Indlela Esebenzayo, Indlela Yokuthuthukisa Isimo Sakho, Nalokho Uma Ungenakukwazi Ukuyiqonda
Ukukhulelwa emva kokuguqulwa kwe-vasectomy kungenzeka. Njengoba ukukhanda okuncane, ukulinganiselwa kwamaphesenti angu-90 kuzophinde kutholakale isidoda emva kwezinyanga ezintathu kuya kweziyisithupha, kanti isilinganiso samaphesenti angu-73 sizofinyelela ekukhuleleni emva konyaka.
Lokhu kusho ukuthi amazinga okuphumelela kanye nama-time frame ahluka kakhulu kuncike ukuthi sekudlule iminyaka eminingi kusukela i-vasectomy, kungakhathaliseki ukuthi lo mbhangqwana ube nomntwana ndawonye esikhathini esidlule, ikhono lomhlinzeki ohlinzayo, nokuthi yiluphi uhlobo lokulungisa oludingekayo.
Okunye okubalulekile, ukuhlinzwa okuguquguqukayo kwe-vasectomy kuyindlela eyodwa kuphela yokuba nezingane eziphilayo. I-IVF ne-ICSI (injection ye-intracytoplasmic sperm) yindlela enye imibhangqwana engakhulelwa ngayo, njengokunye okunye okungaholela ekuguqulweni noma njengesinyathelo esilandelayo uma ukulungiswa kokuhlinzwa kungaphumeleli.
Indlela Ukuguqulwa Kwe-Vasectomy Kusebenza Kanjani
Ngaphambi kokuba sixoxe ngokuguquguquka kwe-vasectomy, kuzosiza ukuba uthole isibuyekezo esisheshayo sokuthi i-vasectomy isebenza kanjani.
Esikhathini sesimiso sokuzala, amadoda amangqamuzana omzimba angadalwa ematendeni. Kusukela ematendeni, bahamba e-epididymis, isitho esiqinile esine-tube-like organ ehlala phezulu kwamagundane. Njengoba amangqamuzana omuthi angena futhi ahambele amashubhu aphehliwe, ahlakulela abe amangqamuzana abesilisa avuthiwe futhi, ekugcineni, ahlale egcinwe lapho kuze kube sekuyisikhathi sokuthuthela esithombeni esilandelayo, i-vas deferens.
I-epididymis ixhuma kuma-vas deferens, okuyi-duct encane yomzimba. Uma umuntu ejaculates, isidoda sisuka ekugcineni kwesitoreji se-epididymis singena nakwe-vas deferens.
I-vas deferens ishukumisa isidoda ku-urethra, lapho, lapho i-ejaculation, ihlanganiswa ne-fructose-rich rich-rich (kusuka ema-vesicles omzimba) kanye ne-prostate fluids (eyenziwa nge-prostate.)
Ngesikhathi se-vasectomy, i-vas deferens inqunywe. Lokhu kuvimbela isibindi ukuba singaxubani nezinye izikhukhula zomzimba.
Kuthatha izinyanga ezimbalwa i-post-vasectomy yamasamu omzimba ukuba aqedwe ohlelweni lwe-tubal.
Ngokuguqulwa kwe-vasectomy, i-vas deferens iphelile ixhunyiwe kabusha. Lokhu kwaziwa ngokuthi i-vasovasostomy. Ngenxa yokuthi le nsilinga yesikhumba se-muscular ilula kakhulu-ayikho ngaphezu kokuqina kwe-spaghetti strand-ukuhlinzwa kabusha ukuxhuma kuyinkambinkimbi enzima, enzima.
Ngezinye izikhathi, ukuxhumeka kabusha kwe-vas deferens ehlukanisiwe akupheli. Lokhu kungenzeka uma sekudlule iminyaka eminingi kusukela inqubo. Kulokhu, udokotela ohlinzayo uxhuma ama-vas deferens ngokuqondile ema-epididymis. Lokhu kwaziwa ngokuthi i-vasoepididymostomy.
I-Vasoepididymostomy iyinkambinkimbi eyinkimbinkimbi kakhulu, ukuthatha kabili isikhathi sokuhlinzwa. (Amahora amane esikhundleni sama-two.) Ukuguqula amazinga okuphumelela aphansi kakhulu ku-vasoepididymostomy, futhi kungathatha isikhathi eside ukuze isidoda sibuyele ejaculate.
Ingabe uzodinga i-vasovasostomy noma i-vasoepididymostomy? Akunakwenzeka ukusho ngaphambi kokuhlinzwa.
Phakathi nenqubo uqobo, udokotela wakho uzohlola ukuphela kwe-vas deferens ohlangothini lwama-testicle ukuze abone ukuthi kukhona yini amangqamuzana omuthi akhona. Uma kungenjalo, lokhu kubonisa ukuvinjelwa kuye kwakha phakathi kokuvulwa kanye ne-epididymis. Udokotela wakho ohlinzayo wayezokwenza i-vasoepididymostomy.
Thumela i-vasovasostomy, kungathatha izinyanga ezintathu ukuze isidoda sibe khona ejaculate. Nokho, ngezinye izikhathi kuthatha amasonto ambalwa kuphela. Thumela i-vasoepididymostomy, kungathatha izinyanga eziyisithupha ngonyaka ukuze i-sperm cell ibuyele. Udokotela wakho uzoyilungisa ukuhlaziywa kwesilwane emva kwezinyanga ezintathu (uma ukukhulelwa kungenzi okwamanje) ukuhlola uma isisu siphenduke.
Ngaphambi kokuthi Uhlele ukuguqulwa kwe-Vasectomy
Ikhono lomhlinzeki wakho ohlinzayo kuyisihluthulelo sokuthuthukisa amathuba akho okuphumelela. Ufuna umuntu owenza ukuguqulwa kwe-vasectomy ngezikhathi ezithile. Ucwaningo seluthole ukuthi udaba nesipiliyoni sendaba.
Buza urologist wakho ukuthi yikuphi ukuguqulwa okwenzile ngonyaka odlule nokuthi yiziphi izindinganiso zakhe eziphumelelayo. Futhi, qinisekisa ukuthi banokuqeqeshwa okungokwemvelo futhi bangamalungu omuntu we-American College of Surgeons (FACS).
Uzophinde ufune ukuqinisekisa ukuthi udokotela wakho unolwazi ngokwenza i-vasoepididymostomies, ikakhulukazi uma i-vasectomy yakho yenziwe eminyakeni engaphezu kwesikhombisa edlule. Khumbula ukuthi akunakwenzeka ukwazi ukuthi udinga ukuhlinzekwa okunzima kakhulu kuze kudokotela wakho aqale inqubo.
Kuyafaneleka ukuhamba ukuthola udokotela onolwazi oluthe xaxa.
Okunye okumele ukwenze ngaphambi kokuthi unqume ukuguqulwa kuqinisekisa ukuthi umlingani wakho wesifazane unokuhlolwa kokuqala kokuzala . Uma kunezici zokuzala zesifazane , kungenza kube ngcono ukuweqa inqubo yokuguqula bese uya ngqo ku -IVF inketho .
Ubudala bomlingani wakho wesifazane bubalulekile, ikakhulukazi uma eneminyaka engu-37 noma ngaphezulu. Ngokuzala kwesifazane okuncipha ngokushesha ngemva kweminyaka engama-35 , kungase kunganqatshwa ukulinda unyaka ukubona ukuthi ukuguqulwa kuyaphumelela. I-Ovarian reserve test ingakusiza wena nomlingani wakho ukuthi wenze isinqumo ngalokhu, ngokufakelwa kukadokotela wakho.
Okokugcina, cabanga ukuthi ucele udokotela wakho ohlinzayo ukuba athole futhi agweme ama-cell cells ngesikhathi senqubo. Lokhu kusho izindleko ezengeziwe, futhi ungalokothi usebenzise leyo nsimu efriziwe. Nokho, uma ukuguqulwa kungaphumeleli, uzoqala ikhanda ku-IVF-ICSI inketho.
Uzokwenzisisa Kanjani Ukuguqulwa Kwama-Post Vasectomy Okukhulelwe?
Eminye imibhangqwana iyokhulelwa masinyane amasonto ambalwa emva kokuguqulwa. Abanye bazothatha iminyaka emibili ukukhulelwa. Ngokuvamile, kuthatha izinyanga eziyisithupha ngonyaka.
Ukukhulelwa kwenzeka ngokushesha kuncike ezintweni eziningi, kubandakanya:
- Yimuphi uhlobo lwe-vasectomy yokulungisa owawuyidingayo
- Kuthatha isikhathi esingakanani ukuba isidoda sibuyele ejaculate yakho
- Kungakhathaliseki ukuthi kunezinye izici zokuzala
Udokotela wakho uzohlelela ukubalwa kwesidoda (noma ukuhlaziywa kwesilisa ) ukuhlola izinyanga ezimbalwa izinqubo zokuthunyelwa. Uma imiphumela ibonakala inhle, futhi uhlale ucansi olwanele ngesikhathi sewindi elivundile lomlingani wakho (nje ngaphambi kokuvuthwa) , ungakhulelwa ezinyangeni ezimbalwa.
Uma imiphumela yokuhlaziya isisu ayilungile , udokotela wakho cishe uzohlelela olunye uvivinyo ezinyangeni ezimbili kuya kwezintathu kamuva.
Kungathatha isikhathi eside ukuba isidoda sibuyele uma unenkambinkimbi eyinkimbinkimbi. Ngesinye isikhathi, kungathatha isikhathi seminyaka ukuze isidoda ibuyele kumama we-post-vasoepididymostomy.
Yini Engingayenza Ukuze Ngithuthukise Izimo Zokuthola Ukukhulelwa Ngokushesha?
Izinkinga zakho zokuphumelela ukukhulelwa ngokuyinhloko zixhomeke ekutheni ukukhanda okuhlinzekwayo kuphumelele futhi kukho konke ukuzala kwakho nomlingani wakho. Okuningi kwalokhu akuphephile.
Noma kunjalo, kukhona into ongayenza ukuze ukwandise kancane amathuba okuthola ukuthunyelwa kokuthunyelwa kokukhulelwa. Lokhu kuyiqiniso kuwo wonke umbhangqwana.
- Yehlisa imikhuba engenampilo. Uma ubhema , shiya. Uma ungumuntu ophuzayo , nciphisa emuva. Le mikhuba emibi yezempilo ingaba nomthelela omubi kakhulu kumthelela wesilisa.
- Gcina izimfihlo zakho zipholile! Amacwecwe ahlala ngaphandle komzimba ngoba isidoda sibhekene nokushisa. Gwema izibhakabhaka ezishisayo, izibhakabhaka ezishisayo, izifudumala zezihlalo, futhi uhlezi isikhathi eside ezinemilenze yakho ndawonye.
- Zama ukudla okunempilo. Ucwaningo luye lwathola ukuthi amadoda adle amaswidi amaningi, ukudla okungenamsoco, inyama ebomvu, okusanhlamvu okuhlanzekile, neziphuzo zamandla ezinomzimba ezincane kunamadoda adla ukudla okunomsoco ocebile .
- Yenza ucansi njalo. Lokhu kuhle ngezizathu ezimbili: Ubulili obuvamile kwenza kube lula ukuthi uzolala ocansini uma umlingani wakho evuleka (futhi egcwele kakhulu). Okwesibili, i-ejaculation evamile iyosiza ukuhambisa isidoda ngokusebenzisa uhlelo lwesilisa lokuzala.
- Zama ukulala ocansini uma u-ovulating. Kukhona izinsuku ezingaba yisithupha inyanga owesifazane angakhulelwa, futhi kuphela ezinsukwini ezimbili noma ezintathu kungenzeka kakhulu. Eminye imibhangqwana igxilile lapho izama ukwenza isikhathi sokulala ngocansi . Uma ngabe nguwe, ukhohlwa ngakho. Kodwa-ke, uma uphelele inselele, ungathuthukisa izinkinga zakho uma uhlose iwindi elivundile.
- Sebenzisa amakhemikhali anomsoco. Isibungu sakho singasebenzisa lonke usizo abangathola. Amafutha avamile angavimbela ukunyakaza kwesidoda , futhi abe yingozi. Kungcono ukhethe izinketho ezinobungane zokuzala .
Kuthiwani Uma Ungeke Ukhulelwe?
Uma umlingani wakho engakhulelwa ngokushesha, ungesabi. Ngisho nemibhangqwana enokuzala okuvamile ingathatha izinyanga ezimbalwa ukufeza ukukhulelwa.
Lokho kusho ukuthi, uma izinyanga eziningi zidlula, futhi ukukhulelwa akukwenzeka, ungalibali ukufuna usizo. Lokhu kuyiqiniso ikakhulu uma umlingani wakho wesifazane eneminyaka engu-35 noma ngaphezulu . Ngokuvamile, uma ungakutholi ukukhulelwa ezinyangeni eziyisithupha ukuya kokuhlinzwa ngemuva kokusebenza, bheka isazi sokuzala.
Isinyathelo esilandelayo singase sibe ukuhlolwa kokuzala (noma ukuhlola kabusha, uma usuvele uhlolwe kokubili.) Khona-ke, izinketho zokunakekelwa kokuzala zingakhulunyelwa. Uma ukuguqulwa kungaholeli ekukhulelweni, I-IVF ne-ICSI ingase ibe yindlela enhle kakhulu. (Ngaphezu kwalokho ngezansi.)
I-IVF Option
Uma ukuguqulwa kwe-vasectomy kuphumelelanga, noma kungenconywa (ngenxa yobudala besifazane noma ezinye izici zokuzala), I- IVF ne-ICSI yindlela ehlukile. Kodwa-ke, indlela ebiza kakhulu futhi iza nezingozi zezokwelapha ngaphezulu.
Ngokwelapha kwe-IVF, umlingani wesifazane uthatha izidakamizwa zokuzala ezikhuthaza ama-ovari ukuba akhiqize amaqanda amaningi avuthiwe. Lawa maqanda atholakala ekuhlinzekeni ama-ovarie, nge-sindula eqondiswa yi-ultrasound ngokusebenzisa udonga lwangasese.
Esikhathini esiningi, umlingani wesilisa ukhiqiza isampula sowesilisa nge-masturbation. Insizwa ihamba ngezinqubo zokuhlanza ezikhethekile. Emva kwalokhu, isidoda sabekwa ndawonye namaqanda atholiwe esitsheni se-petri. Kodwa-ke, kubantu abangenayo isidoda esitheni sabo, lokhu ngeke kusebenze. Esikhundleni salokho, amangqamuzana omuthi angasuswa kusuka ohlelweni lwesilisa lokuzala. Lokhu kwaziwa ngokuthi i-aspiration aspiration.
Lena inqubo ye-in-office. Ukudalwa okukhanyayo kanye nokuhlinzekwa kwezinzwa zasendaweni kusetshenziselwa, futhi insimu ye-needle aspirs ngokuqondile ematendeni noma epididymis. Amagama wezokwelapha kulezi zinqubo yiPESA (aspiration epididymal sperm aspiration) noma i-TESA (isifiso se-sperm testicular.)
Uma ubuyekezela ukuguqulwa kwe-vasectomy engaphumelelanga, futhi udokotela wakho ohlinzayo wakwazi ukuthola futhi ukhiqiza isidoda ngenkathi kwenziwa inqubo, kungenzeka ukuthi awudingi ukuba nenqubo yokufisa futhi.
Isidakamizwa esibuyiselwe asikwazi ukusetshenziselwa ukusabalalisa okulula futhi sidinga IVF nge-ICSI. I-ICSI iyinkambiso lapho i-sperm cell eyodwa ekhethiwe khona futhi "ijojowe" ngqo eqenjini. I-ICSI inezindleko ezengeziwe nezingozi ngaphezu kwe-IVF evamile.
Njenganoma imuphi ukwelashwa kwe-IVF, impumelelo ayiqinisekisiwe . Ukuphumelela kokukhulelwa kuyoncika eneminyaka yobuhlobo bomfazi nokuthi yiziphi ezinye (uma zikhona) izici zokuzala ezidlala.
Izwi elivela ku-Verywell
Omunye wamadoda angu-20 uyokhipha isinqumo sokuguqula i-vasectomy. Bangase benze lesi sinqumo uma beguqula ingqondo yabo ngokufuna izingane ezingaphezulu, uma omunye wezingane zabo edlula, noma uma eseshada. Ukuguqulwa kwe-Vasectomy kungaphumelela, kodwa akuqinisekisiwe.
Kweminye imibhangqwana, i-IVF ne-ICSI iyindlela engcono kakhulu. Kwabanye, kufanelekile ukuzama ukuguqulwa kwe-vasectomy kuqala. Zombili izinqubo zivame ukumbozwa umshuwalense wezempilo futhi zingadla izinkulungwane eziningana zamaRandi.
Qinisekisa ukuthi ukhulumisana nombili we-urologist (onokuhlangenwe nakho okujulile ekuguqulweni kwe-vasectomy) kanye ne -endocrinologist yokubeletha ngaphambi kokwenza isinqumo sendlela ozoyithatha.
Qinisekisa ukuthi ukuzala komlingani wesifazane kuhlolwa ngaphambi kokuba kwenziwe izinqumo zokuhlinzeka. Kungaba ukuchitha isikhathi nemali ukuhamba nokuguqulwa uma ukwelashwa kwe-IVF kwakudingeka ngenxa yokungabi nabesifazane.
Gcina futhi engqondweni ukuthi uma uvulekile ukusebenzisa umsizi wesibindi, ukukhulelwa kungafinyelelwa nge-insemination noma i-IVF yokwelapha. Kodwa-ke, kulokhu, ingane ngeke ibe nezofuzo ezihlobene nawe.
> Imithombo:
> Herrel LA1, Goodman M2, Goldstein M3, Hsiao W4. "Imiphumela ye-vasovasostomy ye-microsurgical yokuguqulwa kwe-vasectomy: ukuhlaziywa kwe-meta nokubuyekezwa okuhlelekile. "Urology. 2015 Ngo-Apreli; 85 (4): 819-25. doi: 10.1016 / j.urology.2014.12.023.
> Ostrowski KA1, Polackwich AS1, Kent J1, Conlin MJ1, Hedges JC2, Fuchs EF1. "Imiphumela ephezulu ye-vasectomy ishintshe emadodeni anomlingani ofanayo wesifazane njengaphambi kwe-vasectomy. "U-Urol. 2015 Jan; 193 (1): 245-7. doi: 10.1016 / j.juro.2014.07.106. Epub 2014 Aug 1.
> Patel AP, Smith RP1. "Ukuguqulwa kwe-Vasectomy: ukubuyekezwa kwemitholampilo. "I-Asian J Androl. 2016 Meyi-Jun; 18 (3): 365-71. i-doi: 10.4103 / 1008-682X.175091.