Zvichida Mumwe mu1000 Akabatwa Pashure Kokuvhiya
Vasectomy ndiyo yakachengeteka, inowanzohofisi yehofisi iyo varume vakawanda vanoenda sehupenyu hwekusingaperi, husingaiti mishonga yekuberekwa kwemishonga. Zvinetso zvishoma uye zvisingawanzoitiki. A vasectomy inowanzoita zvishoma kudarika hafu yeawa kuti ipedze uye inowanzoitwa pasi pekushaya maitiro. Kune vakaroorana vakawanda, inogona kuva nzira yakasununguka, inovapa upenyu hwakasimba hwepabonde pasina kushungurudzika kwepamuviri .
Zvisinei, pane dzimwe nguva, munhu anogona kunetseka kurwadza kunotevera nzira. Post-vasectomy pain syndrome (PVPS) inonzi inozivikanwa iyo inobata inenge imwechete pavarume varume 1 000 vanoita vasectomy.
PVPS inogona kuitika pakarepo kutevera nzira kana kutora mwedzi kana kunyange makore kukura. Hapana nzira yekufanotaura kuti ndiani achawana kana kuti kurwadziwa kungave kwakanyanya sei. Kurapa chirwere chacho kunogonawo kuva kwakaoma sezvo kune vashomanana zvikuru vehuroyi vanoita basa rePVPS.
Zvinokonzera PVPS
Apo munhu anowedzera vasectomy, unhu hwake huri kuchinja. Kuvakwa kwehuta kunogona kuwedzera kukurira mu vas deferens (duct inounza marudzi mapepa kumaterera) uye epididymis (gland umo mbeu inosachengetwa). Icho chikuvhiringidza chinogona kukonzera marwadzo, dzimwe nguva chakakomba, mumarume vasectomized pose pavanenge vadzika.
Mukuwedzera, kune mabhonji emitsipa anomhanya pamwe chete nev vas deferens.
Kuvhara kwemahara aya kunogona kuita kuti mitsipa ive yakabatwa muhuturu hwemagetsi, zvichiguma nekurwadziwa kunopfuurira kunongowedzera kune chero basa ripi rinoshungurudza svotum. Saka kukanganisa ndiyo mamiriro ezvinhu ekushanda kana chero basa rekunyanya kukwikwidza rinenge risingaitiki kuita.
Kana ikasatenderwa, PVPS inogona kutungamirira kumamiriro akaoma anonzi testicular torsion umo inonzi spermatic cord inounza ropa kune tsvina inoshandura uye inodurura ropa rinopa.
Non-Surgical Treatment yePVPS
Kurapa kwePVPS kunogona kusanganisira mishonga inorayira uye isina mishonga, kurapa muviri, uye kana zvimwe zvose zvinokundikana, kuvhiyiwa.
Mishonga inowanzotanga kubva pane zviratidzo. Semuenzaniso, murume ane vasectomized ane epididymitis (kuvhiringidzika kunorwadza kwe epididymis) kazhinji inorayirwa maantibayoti kana chiitiko chacho chiri bhakitiriya. Kana marwadzo acho achienda, tinoziva zvekuti yakanga isiri PVPS. Zvimwe zvirwere zvingadai zvichitsvakurudzwa kutarisana nezviratidzo zvine chokuita nePVPS.
Pakati pavo:
- Muchiedza anti-inflammatories yakadai se ketorolac kana ibuprofen inogona kuwedzera marwadzo uye kuderedza kupisa.
- Nzira yemukati inoputika (SCAB) inzira inosanganisira kusanganiswa kwemishonga inopera uye steroid anti-inflammatory kuti isunungure post-vasectomy isina kunaka.
Chirwere chepanyama ndeimwe, nzira isiri yekuvhiya yePVPS. Vamwe varume vanokura kurwadziwa kwepelvic mushure mevasectomy. Misi miviri yavo inowanzosimbiswa mukupindura kunorwadza kusinganzwisisiki kwemanzwiro avo vari kuitika. Pane zvipembenene zvepelvic pasi rinoshandiswa mupfungwa inogona kudzidzisa kubatsira varume kuti vasunungure misi miviri uye kutora kushungurudzika kubva pachirwere nematete.
Kucherechedza Kuchengetedzwa kwePVPS
Kuvhiya nguva dzose kunofungidzirwa sekusarudzwa kwekupedzisira.
Iko kune zvinyorwa zvitatu zvekuvhiya kushandiswa kurapa PVPS:
- Kuchinja kweVasectomy ndiko kunonyatsojeka kwevatatu. Varume vane marwadzo ekudzivirira vanowanzoita zvakanaka kwazvo mushure mekudzoka nekusuruvara kukuru-pasina. Dambudziko nekudzoka nderokuti rinogona kubvisa mararamiro evasectomy uye, kana yakaitwa zvakanaka, inogona kutungamirira munhu kuti abereke zvakare. Uyezve, kuvhiringidzika kwevasectomy hakusimbwi neinishuwarenzi yakawanda.
- Epididymectomy ndiyo nzira iyo chiremba anovhiya achibvisa epididymis mune tariro yekuderedza marwadzo. Iyi nzira inodzivisa zvachose murume wacho kubereka mwana uye kubvisa kushanduka sechisarudzo kana akambochinja pfungwa dzake. Nguva yekudzorera yakareba kwenguva refu kudarika kuchinja, kazhinji kutora vhiki nhatu kusvika matanhatu kuti adzokere kune yakarongeka. Ikoko kunewo njodzi yakakwirira yekukuvadza ropa rinopa ku testis.
- Microscopic spermatic cord denervation ndiyo nzira inove yakakurumbira sezvo vazhinji veurologist vanoziva kuti munozviita. Iko kunosanganisira kudonha mitsetse yose kupinda mukoko kuti udzikise marwadzo anokonzerwa nevasectomy. Iyo nzira inochengetedza sterility, inokurumidza kupora nguva kupfuura epididymectomy, uye yakafukidzwa nemishuwarenzi yakawanda.
Shoko Rinobva
Shanda pamwe neunyanzvi hwako kuti uone kuti ndeupi nzira yekuvhiya kana isiri yekuvhiya inonyanya kukodzera kurwadziwa uye kusagadzikana kwako. Zvakakosha kuyeuka kuti pane nguva dzose pane imwechete. Tsvaga pfungwa yechipiri, kana ichidiwa.
PVPS haisi chinhu chakanyanya uye haifaniri kumbvumira vaviri kuti vaongorore vasectomy senzira yekudzivirira kuberekwa. Kana iwe kana mumwe wako ari kutambura nePVPS, usarega. Tsvaga urologist wenyanzvi munharaunda yako anogona kukubatsira.
> Sources
- > Leslie, T .; Kurwara, R .; Cranston, D; et al. "Chiitiko chemarwadzo asingagumi mushure mevasectomy: inotarisira kuongorora." BJU Int. 2007; 100 (6): 1330-1333
- > Tan, W. uye Levine, L. "Pfupiso yehutungamiri hwe post-vasectomy pain syndrome." Sezuva Androl. 2016; 18 (3): 332-337.