Cishe eyodwa ku-1,000 ethintekile ngemva kokuhlinzwa
I-Vasectomy iyinkqubo ephephile, ejwayelekile yehhovisi amadoda amaningi awela njengendlela yokugcina, engeyona izidakamizwa zokuzalwa kwezidakamizwa. Izinkinga zimbalwa futhi zingavamile. I-vasectomy ngokuvamile ithatha ngaphansi kwengxenye yehora ukuqedela futhi ivame ukuqhutshwa ngaphansi kokuhlinzekwa kwezinzwa zendawo. Emibhangqwana eminingi, kungaba yinkambiso yokukhulula, ebenza babe nobulili obuqinile ngaphandle kokukhathazeka kokukhulelwa .
Kodwa-ke, kwezinye izimo, indoda ingathola ubuhlungu obunzima ngokulandela inqubo. I-post-vasectomy pain syndrome (i-PVPS) isimo esimenyezelwe esithinta cishe kuwo wonke amadoda angu-1 000 athola i-vasectomy.
I-PVPS ingenzeka ngokushesha ngemuva kwenqubo noma ithathe izinyanga noma ngisho neminyaka ukuthuthukisa. Ayikho indlela yokubikezela ukuthi ubani oyothola noma ukuthi ubuhlungu bungaba bunjani. Ukwelapha lesi simo kungase kube nzima njengoba kunabantu abambalwa kakhulu be-urologists abasebenza ngokukhethekile ku-PVPS.
Izimbangela ze-PVPS
Lapho umuntu ewela i-vasectomy, ukukhiqiza kwakhe kwesilisa akuguquki. Ukwakhiwa kwesilisa kungakhuphula ingcindezi ku-vas deferens (i-conduit ehambisa umuthi ama-testicles ku-urethra) kanye ne-epididymis (isikhumba lapho udoti egcinwa khona). Yilokhu kuphazamiseka okungabangela ubuhlungu, ngezinye izikhathi obukhulu, kumadoda abhekene naso uma kunesidingo.
Ngaphezu kwalokho, kunezinhlanzi zemisipha egijima eceleni kwe-vas deferens.
Ukuvinjelwa kwala makhukhi kungabangela ukuthi izinzwa ziboshwe ezinxenyeni ezifubeni, okuholela ekubuyeni okuqhubekayo okubuhlungu kakhulu kunoma yimuphi umsebenzi ophazamisa i-scrotum. Ngakho ukukhubazeka yisimo sokuthi ukusebenza noma noma yikuphi umsebenzi wezemidlalo ojulile kuba nzima ukwenza.
Uma kushiywe kungalashwa, i-PVPS ingaholela esimweni esibi okuthiwa i-testicular torsion lapho intambo ye-spermatic eletha igazi ku-scrotum ishintshe futhi inqume ukunikezwa kwegazi.
Ukwelapha Okungahlosiwe kwe-PVPS
Ukwelashwa kwe-PVPS kungabandakanya imithi kadokotela kanye nokungavumeleki, ukwelashwa ngokomzimba, futhi uma konke okunye kungaphumeleli, ukuhlinzwa.
Ukwelashwa kuvame ukuqala ngokusekelwe ezimpawu. Isibonelo, indoda e-vasectomized ene-epididymitis (ukuvuvukala okubuhlungu kwe-epididymis) izovame ukushiwo ama-antibiotics uma kwenzeka imbangela ibhaktheriya. Uma ubuhlungu buphela, siyazi ukuthi akusiyo i-PVPS. Ezinye izindlela zokwelashwa zizocubungulwa ukuze zibhekane nezimpawu ezihlobene ne-PVPS.
Phakathi kwazo:
- Ama-anti-inflammatories e-oral efana ne-ketorolac noma ibuprofen angakwazi ukuthuthukisa ubuhlungu nokunciphisa ukuvuvukala.
- Insimu ye-spermatic block anesthetic block (SCAB) iyindlela ehlanganisa ukuhlanganiswa kwemithi yokugwedla kanye nesifo esivimba ukuvuvukala ukuze kunciphise ukuhlukumeza kwe-post-vasectomy.
Ukwelashwa ngokomzimba kungenye indlela, indlela engeyona yokuhlinzwa eya ku-PVPS. Amanye amadoda athuthukisa ubuhlungu obukhulu be-pelvic ngemuva kwe-vasectomy. Imisipha yabo ye-pelvic iyovame ukuqinisa ukubhekana nobuhlungu obungokwemvelo obubuhlungu obubuzwayo. Kukhona inamba ye-pelvic esetshenziswayo isazi esingokwenyama esingasifundisa ukusiza amadoda ukuba aphumule lawo misipha futhi athathe ukucindezeleka avela ku-scrotum nama-testicles.
Ukwelapha Okuhlinzekwa kwe-PVPS
Ukuhlinzwa njalo kubhekwa njengesenzo sokugcina.
Kunezinhlobo ezintathu zokuhlinzwa okusetshenziselwa ukuphatha i-PVPS:
- Ukuguqulwa kwe-Vasectomy yiyona ecacile kunazo zonke ezintathu. Amadoda anesifo esivimbelayo avame ukwenza kahle emva kokuguqulwa nokuningi okungenabuhlungu. Inkinga ngokuguqula ukuthi ikhansela izinzuzo ze-vasectomy futhi, uma yenza kahle, ingaholela indoda ukuba ikhule futhi. Ukwengeza, ukuguqulwa kwe-vasectomy akuhlanganiswa nomshuwalense omkhulu.
- I-Epididymectomy yinkqubo lapho udokotela ohlinzayo esusa ama-epididymis ngethemba lokunciphisa ubuhlungu. Le nqubo ivimbela unomphela lo muntu ukuba abelethe ingane futhi asuse ukuguqulwa njengendlela yokukhetha uma eguqula ingqondo yakhe. Isikhathi sokutakula sisinde kakhulu kunokuguqulwa, ngokuvame ukuthatha amasonto amathathu kuya kwanguyisithupha ukubuyela emuva evamile. Kukhona ingozi ephakeme yokulimaza igazi elibhekene ne-testis.
- Ukuchithwa kwentambo ye-spermatic microscopic yinkqubo eyaziwa njengama-urologists amaningi afunda ukuthi uyayenza. Lokhu kuhilela ukusika zonke izinzwa zibe se-scrotum ukunciphisa ubuhlungu obubangelwa i-vasectomy. Le nqubo igcina inzalo, inesikhathi sokuphumula esheshayo kunokuthi i-epididymectomy, futhi ihlanganiswa nezinqubomgomo eziningi zomshuwalense.
Izwi elivela
Sebenza nomchwepheshe wakho ukuze uthole ukuthi iyiphi indlela yokuhlinzwa noma engeyona yokuhlinzwa efaneleke kakhulu ebuhlungu futhi ayizwanga kahle. Kubalulekile ukukhumbula ukuthi kuningi okukhethwa kukho njalo. Funa umbono wesibili, uma kudingeka.
I-PVPS yisimo esingavamile futhi akufanele neze ihlukumeze umbhangqwana ekuhloleni i-vasectomy njengendlela yokulawula ukuzalwa. Uma wena noma umlingani wakho ehlupheka nge-PVPS, ungayeki. Thola urologist ochwepheshe endaweni yakho ongakusiza.
> Imithombo
- > Leslie, T .; Ukugula, R .; Cranston, D; et al. "Isimo sobuhlungu obuhlala njalo ngemuva kwesifo se-vasectomy: i-auditing audit." I-BJU Int. 2007; 100 (6): 1330-1333
- > Tan, W. and Levine, L. "Ukubuka konke ukuphathwa kwe-post-vasectomy syndrome." Njengosuku lwe-Androl. 2016; 18 (3): 332-337.