Iyo Inoshanda Sei, Inogona Sei Kuvandudza Maitiro Ako, uye Zvakadini Kana Iwe Usingagoni Kuziva
Kubata pamuviri mushure mekudzoka kwevasectomy kunogona. Nekugadzirisa micro-chirurgical, avhareji ye 90 muzana achawana zvakare mushumo mushure memwedzi mitatu kusvika kumitanhatu, uye avhareji yevana 73 muzana achawana pamuviri mushure megore.
Izvozvo zvakati, kubudirira kwamazinga uye mafisi emazuva anosiyana zvakasiyana zvichienderana nemakore akawanda apfuura kubvira vasectomy, ingave vaviri vacho vakave nemwana pamwe chete munguva yakapfuura, unyanzvi hwechiremba wechiremba, uye rudzi rwekugadzirisa runodikanwa.
Uyewo zvakakosha, chirongwa chevasectomy reversal chirurgic ndeimwe nzira yekuve nevana venyama. IVF ne ICSI (intracytoplasmic injection sperm) ndeimwe nzira iyo vakaroorana vanogona kufunga, zvichida seimwe nzira yekuchinja kana sechinhu chinotevera kana kugadzirwa kwekupora kusingabudiriri.
Kushandiswa kweVasectomy Kunoshanda Sei
Tisati takurukura kuchinja kwevasectomy, ichabatsira kuti tibvunze nokukurumidza kuti vasectomy inoshanda sei.
Mune hutachiona hwehutano, hutachiona hwemhungu hunenge huchigadzirwa mumakumbo. Kubva pamakumbo, vanoenda ku epididymis, iyo yakasimba yakaumbwa tube-sechirongwa chinogara pamusoro pemakumbo. Sezvo mbeu yemuviri inopinda uye ichifamba nemabhati akabatanidzwa, inokura kuva munhu hwakakura wemasero uye, pakupedzisira, inoramba yakachengetwa ipapo kusvikira yava nguva yekuenda kune imwe nhengo, vas deferens.
I epididymis inobatanidza kune vas deferens, iyo inonzi muscular duct duct. Apo munhu anowedzera, hutundu hunofamba kubva pakuguma kwekuchengetedza kwe epididymis kupinda uye kuburikidza nevas deferens.
Izvo vas deferens inoshandisa mushure kune urethra, apo, panguva yekudzika, inosanganiswa ne fructose-rich fluid (kubva paminiti vesicles) uye prostate fluids (yakagadzirwa mu prostate.)
Munguva yevasectomy, vas deferens inogurwa. Izvi zvinodzivirira hutachiona kubva pakusanganiswa nemamwe emvura.
Zvinotora mwedzi mishomanana mushure me-vasectomy yemusero masero kuti abvise kubva mu tubal system.
Nekudzoka kwevasectomy, vas deferens migumo inonamatirwa zvakare. Izvi zvinozivikanwa sevasovasostomy. Nemhaka yokuti iyi muscle tube-sechimiro yakaonda kwazvo-kwete kupfuura kuwanda kwepaghetti tsandanyama-yekugadzirisa zvakare-kugadzirisa ichinhu chakaoma, chakaoma.
Dzimwe nguva, zvakare kuwirirana kwevashed sevas deferens kunopera hazvibviri. Izvi zvinowanzoitika kana makore mazhinji apfuura kubva pakurongwa. Muchiitiko ichi, chiremba anovhiya anobatanidza vas deferens zvakananga ku epididymis. Izvi zvinozivikanwa sevasoepididymostomy.
Vasoepididymostomy inzira inonyanya kuoma, kutora kaviri nguva yekuvhiya. (Maawa mana panzvimbo pemamwe maviri.) Kuchinja kwehuwandu hwehutano hwakakosha zvikuru kune vasoepididymostomy, uye zvinogona kutora nguva yakareba kuti chirume chidzokere kune ejaculate.
Unoda here vasovasostomy kana vasoepididymostomy? Hazvibviri kutaura pamberi pokuvhiyiwa.
Munguva yehutano pachayo, chiremba wako achaongorora kuguma kwevas deferens pamusana wezvinyorwa kuti uone kana pane hutachiona masero aripo. Kana zvisingaiti, izvi zvinoratidza kuvharwa kwakaumbwa pakati pekuvhura uye epididymis. Chiremba wako aizozoita vasoepididymostomy.
Post post vasovasostomy, zvinogona kutora kusvika kumwedzi mitatu kuti chirume chivepo muEjaculate. Zvisinei, dzimwe nguva zvinotora vhiki shomanana chete. Post vasoepididymostomy, zvinogona kutora mwedzi mitanhatu pagore kuti mbeu yemarume idzoke. Chiremba wako acharayira kuongorora kwemajeri kwemwedzi mitatu mushure mekuita (kana pamuviri usingaiti panguva ino) kuti uone kana chirume chakadzoka.
Pamberi Penyu Ratidza Kuchinja kweVasectomy
Unyanzvi hwechiremba wako chiyeuchidzo pakuvandudza mikana yako yekubudirira. Unoda mumwe munhu anoita vasectomy kuchinja pane imwe nguva nguva dzose. Kutsvakurudza kwakawana kuti ruzivo uye nguva yakawanda nyaya.
Bvunza urologist yako kuti yakawanda sei kuchinja kwaakaita mugore rapfuura uye kuti zvakadini kubudirira kwake. Uyewo, simbisai kuti vane microsurgical kudzidziswa uye nhengo dzeHellow of the American College of Surgeons (FACS).
Iwe unodawo kusimbisa kuti chiremba wako ane ruzivo nekuita vasoepididymostomies, kunyanya kana vasectomy yako yakaitwa makore anodarika manomwe akapfuura. Yeuka kuti hazvibviri kuziva kana iwe unoda chirwere chakaoma zvikuru kusvikira chiremba wako atanga matanho.
Zvakakosha kuenda kunowana chiremba ane ruzivo.
Chimwe chinhu chaunofanira kuita usati wasarudza kushanduka kunovimbisa kuti mudzimai wako wepamuviri ane hutano hwekuberekwa . Kana pane zvikadzi zvekubereka , zvinogona kuve zvakanakira kudarika nzira yekudzoka uye enda kune imwe nzira yeVF .
Zera remudzimai wako weshamwari rinokoshawo, kunyanya kana ane makore 37 kana kupfuura. Nekuberekwa kwevakadzi kunowedzera nokukurumidza mushure mezera remakore makumi matatu nemakumi mashanu , zvingave zvisingafaniri kukurudzirwa kumirira kwegore kuti zvione kana kuchinja kuchibudirira. Ovarian reserve test ingakubatsira iwe neshamwari yako kuita sarudzo pamusoro peizvi, pamwe nechinangwa chechiremba wako.
Pakupedzisira, funga kubvunza chiremba wako kuti awanezve uye aite gorosi chemajeri masero panguva yekuita. Izvi zvinoreva mari yakawedzerwa, uye iwe haungamboshandisi mbeu iyi yakanyanyisa. Zvisinei, kana kuchinja kusati kwabudirira, iwe uchava nemusoro unotanga paIVF-ICSI sarudzo.
Iwe Uchakurumidza Kukurumidza Sei Kuwana Muchembera Post Vasectomy Reversal?
Vamwe vakaroorana vachabata pamuviri nokukurumidza semavhiki mashoma mushure mekudzoka. Vamwe vanotora makore maviri kuti vawane pamuviri. Zvinowanzoitika, zvinotora mwedzi mitanhatu kusvika pagore.
Kunyanya kuberekwa kunoitika kunoenderana nezvimwe zvinhu, kusanganisira:
- Ndeupi rudzi rwevasectomy yakagadzirisa iwe unoda
- Zvinotora nguva yakareba kuti chirume chidzokere ku ejaculate yako
- Pasinei nokuti pane zvimwe zvinhu zvinobereka
Chiremba wako acharonga chirwere chema sperm Kana mitsva yacho ichiita yakanaka, uye iwe unowanzoita zvepabonde zvakakwana panguva yewindo remudiwa wako (nguva isati yasvika ovulation) , unogona kutora mimba mukati pemwedzi mishomanana.
Kana sarudzo yekutsvaga semaronda isiri yakanaka , chiremba wako angangodaro agadzirisa imwe muedzo miviri kana mitatu gare gare.
Inogona kutora nguva yakareba kuti umhondi idzoke kana iwe wakanga uine zvakanyanya kuoma. Dzimwe nguva, zvinogona kutora kusvika pagore kuti chirume chidzokere kumukadzi post-vasoepididymostomy.
Ndingaitei Kuti Ndivandudze Maitiro Okuwana Kubata Nokukurumidza?
Maitiro ako ekuita pamuviri kubudirira anonyanya kuvimba kana kugadziriswa kwekugadzira kuchibudirira uye pane kubereka kwaunoita iwe nemumwe wako. Zvakawanda zveizvi hazvisi zvekutonga kwako.
Zvisinei, pane chimwe chinhu chaunogona kuita kuti uwedzere mikana yekuwana pamuviri mushure mekudzoka. Izvi ndezvechokwadi kune vose vakaroorana.
- Drop unhealthy tsika. Kana iwe utsi , siya. Kana iwe uri munwiwa , cheka shure. Iyi miitiro yakaipa yeutano inogona kukanganisa hutano hwemhando.
- Chengetedza zvinyorwa zvako zvakanaka! Madzimai aya anogara kunze kwemuviri nekuti mbeu inononoka kupisa. Usapinda mabhati anopisa, mabhati akawanda ekutsvaira, zvinodziya zvigaro, uye kugara kwenguva yakareba nemakumbo ako pamwe chete.
- Edza kudya utano hwakanaka. Kutsvakurudza kwakawana kuti varume vanodya mapeke akawanda, zvokudya zvisina kudya, nyama yakatsvuka, zviyo zvakanatswa, uye zvinwiwa zvine simba zvine chirwere chakashata kupfuura varume vanodya zvokudya zvakawanda zvinovaka muviri .
- Ita zvepabonde nguva dzose. Izvi zvakanaka nokuda kwezvikonzero zviviri: Kuita zvepabonde nguva dzose kunoita kuti zvive nyore kuti iwe uite zvepabonde kana wako wako ari kupisa (uye yakawanda). Chechipiri, kuenderera mberi kwejeri kunobatsira kufambisa chirume kuburikidza nehutachiona hwekubereka.
- Edza kuita zvepabonde paanenge achizora. Kune mazuva anenge matanhatu mwedzi iyo mukadzi anogona kutora pamuviri, uye chete paviri kana matatu yemazuva inenge yakawanda kwazvo. Vamwe vakaroorana vanodzvinyirirwa apo vanoedza nguva nenguva zvepabonde nokuda kwekuvhunga . Kana iri iwe, yeuka pamusoro pazvo. Zvisinei, kana iwe uri kukwanisa kuita dambudziko racho, unogona kuvandudza matanho ako kana iwe uchitarisira iyo firiji yakaorera.
- Shandisa kubereka mafuta anobatsira. Mbeu yako inogona kushandisa rubatsiro rwavangagona kuwana. Nguva dzose mabhururi anokwanisa kudzivisa kufamba kwemuviri , uye kunyange kuva chepfu. Zviri nani kusarudza kusarura zvine ushamwari .
Ko Kana Iwe Usingawani Mucheche?
Kana mumwe wako asingaiti pamuviri pakarepo, usatya. Kunyange vakaroorana vane hutano huripo vanogona kutora mwedzi mishomanana kuti vawane pamuviri.
Izvozvo zvakati, kana mwedzi yakawanda ichipfuura, uye pamuviri hazviitiki, usanonoka kutsvaka rubatsiro. Izvi zvinonyanya kuitika kana mukomana wako wechikadzi ava nemakore 35 kana kupfuura . Kazhinji kutaura, kana iwe usingakwanisi kuita pamuviri mukati memwedzi mitanhatu kusvika pagore mushure mekuvhiyiwa, ona nyanzvi yekuberekwa.
Nhanho inotevera inogona kunge iri kuedza kubereka (kana kuongorora zvakare, kana iwe mave mave mave muchiongororwa munguva yakapfuura.) Zvadaro, zvisarudzo zvokurapa zvinogona kubvunzurudzwa. Kana kushanduka kusingatungamiri pamuviri, IVF ne ICSI inogona kuva yakanakisisa yako. (Zvimwe pane zviri pasi apa.)
IOVF Option
Kana kuvhiringidzika kwevasectomy kusingabatsiri, kana kusakurudzirwa (nekuda kwezera rechikadzi kana zvimwe zvinhu zvinobereka), IVF ne ICSI ndiyo imwe nzira. Icho, asi, iyo inodhura nzira uye inouya nehuwandu hwehutano hwehutano .
Nekurapwa kweVIV, mukadzi anosangana nemikana inotora mishonga inobereka iyo inokurudzira mazai ekubereka mazai akawanda akakura. Aya mazai anoshandiswa akabudiswa kubva kumapapiro omukati, kuburikidza nesimbi inotungamirirwa ne-ultrasound kuburikidza nemudzimai.
Kazhinji yenguva, mukomana ane mukomana anogadzira saridzi yemusana kuburikidza nemhombwe. Nhengo inodarika imwe yekuchenesa nzira. Mushure meizvi, chirume chinogadzirirwa pamwe chete namazai akadzorerwa mune petri dish. Zvisinei, kune varume vasina hura mumumuna wavo, izvi hazvigoni kushanda. Panzvimbo pacho, hutachiona hunogona kuwanikwa kubva kune ehurume kubereka chirwere. Izvi zvinozivikanwa semhombwe aspiration.
Iyi ndiyo in-inoferi yenzira. Chimiro chechiedza uye chinzvimbo chekushandiswa kwemasimba chinoshandiswa, uye nenyuchi aspir sperm zvakananga kubva mumatete kana epididymis. Mishonga yezvokurapa nokuda kweiyo nzira ndeyoPESA (percutaneous epididymal sperm aspiration) kana TESA (testicular sperm aspiration.)
Kana iwe wakapfuura kuburikidza nekuderedzwa kwevasectomy, uye chiremba wako aikwanisa kuwana uye kupora gorosi mukati mekugadzirisa, iwe ungasafanira kuva nemafungiro okuda zvakare zvakare.
Kudzorerwa kwemurume hakugoni kushandiswa nekushambadzira nyore nyore uye kunoda IVF ne ICSI. ICSI inzira inoshandiswa imwe musero wemiviri uye yakananga "injowa" muaii. ICSI ine mamwe mari uye njodzi pamusoro peivo inowanzoitwa IVF.
Sezvo nehupi hwehupi hweVIVF, kubudirira hakubvumirwi . Kubata pamuviri kubudirira kunobva pazera remukadzikadzi uye chii chimwe (kana chiripo) chibereko chekubereka chiri kutamba.
Shoko Rinobva Kunyanya
Mumwe muvarume makumi maviri nemakumi maviri achasarudza kuchinja vasectomy. Vanogona kuita chisarudzo kana vakashandura pfungwa dzavo pamusoro pokuda vana vakawanda, kana mumwe wevana vavo achipfuura, kana kuti vakadzokera zvakare. Kuchinja kweVasectomy kunogona kubudirira, asi hazvibvumirwi.
Kune vamwe vakaroorana, IVF neCISI ndiyo nzira yakanakisisa. Kune vamwe, zvakafanira kuedza vasectomy kuchinja kwekutanga. Nzira mbiri idzi dzinowanzovharwa nehutano inshuwarisi uye inogona kutengesa zviuru zvuru zvemadhora.
Iva nechokwadi chekutaura kune vose urologist (ane ruzivo rwakawanda muvasectomy reversal) uye mwana wemucherechedzo wekupedzisira wekubereka asati aita sarudzo yemugwagwa waunotora.
Ivawo nechokwadi chokuti kubereka kwomukadzikadzi kunoedzwa vasati vasarudza chero sarudzo. Ingava kuparadza nguva nemari kuti iende nekuchinja kana chirwere chinonzi IVF chaidiwa nekuda kwekudzivirira kwevakadzi.
Ramba uchiyeuka mupfungwa, zvakare, kuti kana iwe wakasununguka kushandisa unhu hupi, mimba inogona kuwanikwa nekushambadza kana kurapa kweVIV. Zvisinei, munyaya iyi, mwana haazovi nemuviri wakafanana newe.
> Sources:
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> Ostrowski KA1, Polackwich AS1, Kent J1, Conlin MJ1, Masheji JC2, Fuchs EF1. "Migumisiro yepamusoro yevasectomy inodzokorora kune varume vane musikana mumwechete wepamberi savasati vasati vasangana. "J Urol. 2015 Jan; 193 (1): 245-7. doi: 10.1016 / j.juro.2014.07.106. Epub 2014 Aug 1.
> Patel AP, Smith RP1. "Kuchinja kweVasectomy: kliniki inovandudzwa. "Asian J Androl. 2016 May-Jun; 18 (3): 365-71. doi: 10.4103 / 1008-682X.175091.