Saukakawa da rashin amfani

by Rachel Gurevich; Binciken by Anita Sadaty, MD

Ayyuka da dama da kuma cututtukan cututtuka, yadda suke haifar da rashin amfani, da zabin Zɓk

A varicocele (mai suna VAR-a-co-cell) shine kararɗaɗa a karar daɗaɗɗa da kayan aiki, wanda aka samo a gefen hagu, amma ana iya samuwa a bangarorin biyu na scrotum, kuma yana da wuya kawai a gefen dama. Wataƙila kana iya saba da sassan varicose, wanda ke faruwa a kafafu. Kamar dai tare da sauye-sauyen varicose, lokacin da wani varicocele ya kasance, ɓajin dabbar da take taimakawa jini ya tashi zuwa zuciya ya zama dysfunctional.

Wannan yana haifar da jini a cikin yankin. Wannan zai haifar da kumburi, testicular shrinking, rashin haihuwa, da kuma wani lokacin zafi.

Varicocele's su ne na kowa da kowa, yana faruwa a cikin har zuwa 15% na maza. Su ne, a gaskiya ma, babban dalilin namiji mara haihuwa , da aka samu a cikin kashi 40 cikin dari na maza da ƙananan ƙwayoyin cuta. Kwayoyin sauye-sauye suna da kyau, kuma idan dai sauran matsaloli na haihuwa ba su kasance ba ga namiji ko mace, ba tare da ƙarin magani na haihuwa ba zai yiwu.

Duk da haka, ko gyaran maganganu na inganta daidaituwa cikin ciki a cikin dukkan lokuta abu ne na muhawara, tare da wasu nazarin da ke nuna karuwar haɓakawa da sauransu. Ya kamata ku yi magana da duka likitan urologist da kuma likitan ɗalibai na masu haifuwa akan ko aikin tiyata yana da mahimmanci ga halin da kake ciki.

Hanyoyin cututtukan cututtuka da ganewar asali

Yawancin mutane ba su da masaniya game da varicocele har sai sun fuskanci matsalolin haihuwa. Wani bincike mai mahimmanci zai haifar da sakamakon binciken likita, kuma wannan shine lokacin da za'a iya gano varicocele.

Duk da haka, wasu maza suna samun alamun ko alamun bayyanar cututtuka ban da rashin haihuwa. Suna iya haɗawa da haka:

Ƙunƙarar ƙwaƙwalwa ko jin nauyi a cikin jigidar, musamman ma bayan motsa jiki
Wani busa ko taro a cikin kararraki, wasu lokuta aka kwatanta da jin kamar jakar nau'o'i
Ɗaya daga cikin gwaji ya san karami fiye da sauran

A varicocele za a iya bincikarsa a yayin gwajin jiki. Urologist na iya tambayarka ka tashi da duska. Bayan haka zai gwada jaririnku. Idan wani varicocele ya kasance, ƙwanƙirin ku zai haifar da varicocele don kara girma kuma ya zama fili. Zai iya zama bayyane ba tare da buƙatar ɓarna ba. Kwararka zai iya gwada ku yayin kwance. A varicocele ya ɓace lokacin da kake cikin matsayi na kwance.

Yana yiwuwa a sami varicocele wanda ba a lura ba a yayin gwajin jiki, kuma kawai an gano shi tare da amfani da duban dan tayi. Duk da haka, ana iya rage yawancin girman wannan girman, kamar yadda bincike bai gano wata ƙungiya ga rashin haihuwa ba a cikin waɗannan lokuta.

Kwararka na iya yin umurni da duban dan tayi idan jarrabawar jiki ta hada, ko kuma idan akwai wani gwajin gwaji wanda ba ya zama varicocele. Duk da yake an yi amfani da varicocele yawanci idan cutar da haihuwa ba batun ba ne, kada ka ɗauka cewa taro da ka samo a kan kullun shine varicocele. Tsarin na iya zama wani abu mai tsanani wanda ya buƙaci kulawa da sauri.

Ta yaya Varicocele na iya haifar da rashin amfani

An haɗu da kasancewar wani varicocele tare da rage yawan ƙwayoyin cuta, karuwa a cikin DNA ya lalata kwayar halitta, kwayar halitta maras kyau (ko siffar), da kuma yaduwar kwayar halitta.

Ba daidai ba ne dalilin da yasa varicoceles ke haifar da rashin haihuwa, amma akwai ra'ayoyi.

Mafi shahararren ka'idar ita ce, jini wanda aka zubar da jini yana haifar da yawan zafin jiki a cikin ƙwayar cuta da kuma kwayoyin. Ƙara wutar zafi mai zafi zai iya lalatawa ga maniyyi.

Wani ka'ida ita ce, rashin ƙarfi na wurare dabam dabam na haifar da ƙwayar magungunan ƙwayoyi, wanda hakan zai haifar da rashin lafiyan marasa lafiya. Wata ka'ida ta nuna cewa kara yawan karfin da ake yiwa tsofaffin kwayoyin cutar ya cutar da lafiyar mai. Rawanin oxygenation maras kyau daga cikin kwayoyin halitta shine wani ka'ida.

Hanyar gaggawa ta haifar da ƙananan ƙwayoyi

Babu wanda ya tabbatar da abin da ya sa varicoceles su samo. Suna iya fara bayyana a lokacin haihuwa kuma sun fi kowa a cikin maza masu shekaru 15 zuwa 25.

Da zama nauyi zai iya ƙara yawan haɗarinka na bunkasa varicocele.

Maganin sauye-sauye

Ko yayinda ba za a bi da wani varicocele zai dogara da girman varicocele ba, ko yana sa ka ciwo, ko akwai ƙarin abubuwan haihuwa a wasa, da kuma abin da kake da shi da tsarin likita na likita game da ku. Yawan shekarun mata na abokin tarayya za a rika la'akari da shi, tun da yake magani baya haifar da sakamakon da sauri. (Ƙari a kan wannan ƙasa.)

Idan, alal misali, ana buƙatar magani na IVF saboda matsalar rashin haihuwa na mata, baza'a bada shawara akan gyaran gyaran varicocele ba. Wani mawuyacin dalili bazai bada shawara ba idan binciken binciken ku na jini bai samu kwayar cutar ba, wanda aka sani da azoospermia, kuma azoospermia baya haifar da haɗari a cikin gabobin namiji. Wasu bincike ba su samo hanyoyin maganin maganin maganin maganin maganin maganin ƙwayar cuta ba a wannan yanayin, kuma mutanen da suka yi aikin tiyata na iya buƙatar TESE (ko samfurori na ƙwaƙwalwar jini) don dawo da kwayar cutar ta IVF .

A gefe guda, idan babu ƙarin takaddun shaida a wurin wasa, kuma ƙwarƙwarar ku yana da ƙananan ƙananan (ba tare da kasancewarsa ba cikakku ba), magani na iya zama wani zaɓi mai kyau a gare ku.

Zaɓuɓɓukan maganin gaggawa sun hada da:

Tsarin fasahar microsurgical: Wannan aikin gwani ne mai gwadawa, mai ma'anar ta hanyar maɗaukaki, ko ma'anarsa, ma'anar ta hanyar guda ɗaya wanda yake kimanin daya inch a sama da zuwa gefen azzakari, kuma yana amfani da microscope don taimakawa a gyara. Wannan ƙwarewar tana da ƙananan haɗari da kuma lokacin da ya fi dacewa, ya sa shi magani na zabi.
Laparoscopic varicocelectomy: A wannan yanayin, ana gyara ta hanyar ciki. Saboda kara yawan haɗari da tsawon lokaci na dawowa, wannan yana da wuya a zaba.
Yin gyaran gyare-gyare na ɓarna (wanda aka fi sani da haɓakar radiyo): Wannan wata hanyar da ba ta dacewa ba tare da ƙananan haɗari da ciwo fiye da ko wane daga cikin magunguna na sama. Wannan jiyya ya haɗa da wani likitan kwaminisin injecting cikin ƙananan ƙwayar cuta ko kuma barasa don hana ɓacin cutar da ke haifar da matsala. Wannan magani yana buƙatar mahimmin likita a cikin wannan fasaha, wadda bazai samuwa a duk yankuna ba. Akwai rikice-rikice a kan tsayi na tsawon lokaci na wannan magani.

Dukkan wadannan jiyya suna da wani haɗari, tare da haɓakawa na ciki wanda ke ɗauke da ƙananan haɗari da kuma laparoscopic gyaran gyare-gyare da ke ɗauke da mafi yawan haɗari. Tabbas ku tattauna da likitanku duk abubuwan da kuka samu na likita, ciki har da cikakken bayani game da hadari, ragamar nasara, da lokutan dawowa.

Gwargwadon ci gaba zai bambanta daga mutum zuwa mutum, amma wasu bincike sun gano ingantaccen lafiyar mutum a fiye da kashi biyu bisa uku na marasa lafiya. Har ila yau, 30 zuwa 50% na ma'aurata za su iya cimma burin ta jiki bayan ta tiyata.

Lura, duk da haka, saboda yanayin rayuwa na maniyyi, zai dauki watanni uku zuwa hudu bayan gyara kafin kiwon lafiyar mutum zai nuna inganta. Kwararku na iya bayar da shawarar zubar da zubar da jini a kowane watanni uku zuwa hudu, kafin a sake gyara, don ganin idan an yi nasarar maganin. Yana iya ɗaukar watanni shida zuwa goma sha biyu kafin ɗaukar ciki zai faru da magani na baya.

Ƙari game da maza na rashin haihuwa:

_Sources:

_{Ficarra V, Crestani A, Novara G, Mirone V. "Varicocele gyara don rashin haihuwa: menene shaida?" Curr Opin Urol.} _{2012 Nov, 22 (6): 489-94.} _{Doi: 10.1097 / MOU.0b013e328358e115.}

_{Fassara: Nau'in Gaskiya na Tabbacin.} _{Ƙasar {asar Amirka na Cibiyar Harkokin Ciniki.} _{Samun shiga Yuni 20, 2013. http://www.asrm.org/uploadedFiles/ASRM_Content/Resources/Patient_Resources/Fact_Sheets_and_Info_Booklets/Varicocele.pdf}

_Varicocele. _{College of Medicine Weill Cornell, James Buchanan Brady Foundation, Ma'aikatar Urology.} _{Samun shiga Yuni 20, 2013. https://www.cornellurology.com/clinical-conditions/male-infertility/general-information/varicocele/}

_{Rahoto kan varicocele da rashin haihuwa.} _{Kwamitin Kwaskwarimar Ƙungiyar Amurkan Nahiyar Amirka don Harkokin Harkokin Ciniki.} _{Samun shiga Yuni 20, 2013. http://www.asrm.org/uploadedFiles/ASRM_Content/News_and_Publications/Practice_Guidelines/Joint_Reports/Report_on_varicocele(1).pdf}

_{Schlegel PN, Kaufmann J. Fertil Steril.} _{2004 Jun; 81 (6): 1585-8.} _{"Matsayi na varicocelectomy a cikin maza tare da azoospermia bautar ƙetare."}

_{Schlesinger MH, Wilets IF, Nagler HM.} _{"Sakamakon gwaji bayan varicocelectomy.} _{Urol Clin North Am.} _{1994 Agusta 21 (3): 517-29.}

Hanyoyin cututtukan cututtuka da ganewar asali

Ta yaya Varicocele na iya haifar da rashin amfani

Hanyar gaggawa ta haifar da ƙananan ƙwayoyi

Maganin sauye-sauye

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