Varicocele uye Infertility

Varicoza Zviratidzo uye Zviratidzo, Maitiro Azvo Anokonzera Kusakosha, uye Kurapa Zvimwe

A varicocele (pronounced VAR-a-co-cell) isvini yakawedzerwa mumucheka uye testicle, kazhinji inowanikwa kuruboshwe, asi inowanikwawo kumativi maviri echokudzivirira, uye kazhinji kazhinji chete kurudyi. Iwe unogona kunge uchiziva varicose veine, iyo inowanikwa mumakumbo. Sezvakaita varicose vevine, apo varicocele iripo, valve yemuviri iyo inobatsira ropa ichiyerera kumusoro kusvika pamwoyo inenge isingaiti.

Izvi zvinokonzera ropa kudzima munzvimbo. Izvi zvinogona kutungamirira kukudzika, kupera kwepenzvi, kushaya simba, uye dzimwe nguva kurwadziwa.

Varicocele's are common, in the up to 15% of men. Ivo, chaizvoizvo, chinokonzera kukonzera kusununguka kwevarume , kunowanikwa mumakumi mana evanhu eine uwandu hwehutachiona hwechikadzi. Varicoceles inorapwa, uye chero bedzi zvimwe zvinetso zvekuberekwa hazvisipo kune mukomana kana mukomana, kubata pasina kutora kurapa kwekuwedzera kunogona kuitika.

Zvisinei, kana varicocele kurapa kunowedzera kubata kubudirira muhutano mumatambudziko ose ibasa rekukakavadzana, nedzimwe dzidzo dzinoratidza huwandu huri nani hwekubata pamuviri uye vamwe kwete. Iwe unofanirwa kutaurirana kune vose urologist uye chirevo chekupedzisira chekubereka vana kana kuti kuvhiya kunonzwisisika pane imwe mamiriro ako ezvinhu.

Varicoza Symptoms and diagnosis

Varume vakawanda havasi kuziva varicella kusvikira vawana matambudziko ekubereka. Chirwere chisina kujairika chekutsvaga chiitiko chichaendeswa mberi nekuongorora kwechiremba, uye izvi apo apo varicocele inogona kuwanikwa.

Zvisinei, vamwe varume vanoona zviratidzo kana zviratidzo kunze kwekushaya infertility. Zvinogona kusanganisira zvinotevera:

A varicocele inogona kuongororwa panguva yekuongorora mumuviri. Irologist inogona kukukumbira iwe kuti umire uye udzike pasi. Iye zvino achazoongorora muviri wako. Kana varicocele iripo, kutora kwako pasi kunowanzoita kuti varicocele kuwedzere uye kuve pachena. Inogonawo kuonekwa isina kudikanwa kubhadhara pasi. Chiremba wako anogona kukuongorora iwe paanovata pasi. A varicocele inofanira kupera kana iwe uri munzvimbo yakanyanyisa.

Zvinokwanisika kuva nevaricocele iyo isingaoneki panguva yekuongorora kwemuviri, uye inongowanikwa nekushandiswa kwe ultrasound. Kunyange zvakadaro, varicocele yehukuru iyi inowanzosiyiwa isingateereri, sekutsvakurudza hakuna kuwana sangano rekushaya vana mumatambudziko aya.

Chiremba wako anogona kurayira ultrasound ye-scrotum kana kuongorora kwemuviri kuchibatanidza, kana kana kune testicular mass iyo isingaoneki sevariccele. Kunyange zvazvo varicocele inowanzoonekwa isingabatsiri kana kurwadziwa uye kubereka hazvisi nyaya, usafungidzira kuti uwandu hwaunowana pane wako hutsika ndewevaricocele. Huwandu hunogona kunge huri chinhu chakakomba chinotoda kurapwa nokukurumidza.

Maitiro aVaricocela Anogona Kukonzera Kusakosha

Kuvapo kwevaricocele kwave kuchibatanidzwa nekuderedzwa kwema sperm, kuwedzera kweDNA yakakanganiswa nemurume, chirwere chisina kunaka chemaitiro (kana chimiro), uye kusasarudzwa kwemaitiro evanhu.

Hazvinyatsonzwisisi kuti sei varicoceles inokonzera kusununguka, asi kune mazano.

Nyaya inonyanya kuzivikanwa ndeyekuti ropa rakasanganiswa rinomutsa huwandu hwekushanda mumapapiro nematete. Kuwedzera kupisa kupisa kunogona kukuvadza mbeu.

Imwe nyanzvi ndeyokuti kupararira kwakashata kunotungamirira kuwedzera kwehuwandu hwehupfu, izvo zvinotungamirira kuhutano husina hutano hwemaruva. Imwe nyanzvi inoratidza kuti kuwedzera kwekuwedzera kwechisimba kunovhiringidza hutano. Urombo hwakasvibiswa hwemakumbo ndeimwe imwe pfungwa.

Varicocele Zvinokonzera Nengozi

Hapana anoziva kuti chii chinokonzera varicoceles kuumba. Vanogona kutanga kuonekwa muhutano uye vanowanzoonekwa nevarume vane makore 15 kusvika ku25.

Kunyanya kuwandisa kunogona kuwedzera mungozi yako yekuvandudza varicocele.

Varicocele Treatment

Kudai kana kurapa varicocele kuchaenderana nehukuru hwevaricocele, ingave inokukonzera marwadzo, kana pane zvimwe zvekubereka zvinotamba, uye izvo iwe nemumwe wako makaronga chirongwa chekurapa kubereka chinoratidzika. Zera remudzimai wevakadzi richafanirwawo kuverengwa, sezvo kurapwa hakubvumi mhinduro nokukurumidza. (Zvimwe pamusoro apa iri pasi apa.)

Kana, somuenzaniso, kurapa kwaVIV kunodiwa nekuda kwechikadzi chikonzero chekushaya vana, chirwere chekugadzirisa varicocele hachizogadziriswa. Chimwe chikonzero kurapwa kunogona kusakurudzirwa kana chirume chako chekutsvaga chisina kuwana mbeu, inozivikanwa sezozoospermia, uye azoospermia haina kukonzerwa nekudzivirira mukati memitezo yekubereka. Imwe tsvakurudzo hauna kuwana varicella kurapa kwakakodzera munyaya iyi, uye varume vakambovhiyiwa vanogona kunge vachida TESE (kana kuti testicular sperm extraction) kuti iwanezve chirwere cheVFF .

Kune rumwe rutivi, kana pasina humwe huripo hwekubereka huri kutamba, uye uhu hwako hwehuta hunongova husinganzwisisiki pasi (kunze kwekusavapo zvachose), kurapwa kunogona kuva chinhu chakanaka kwauri.

Varicocele mushongwa unogona kusanganisira:

Zvose izvi zvinorapwa zvinotakura mungozi, nekutengesa kwemazuva ose kunotakura dambudziko guru uye laparoscopic yekugadzira chirongwa chinotakura dambudziko guru. Iva nechokwadi chekukurukurirana nachiremba wako zvose zvinogona kuitwa kurapwa, kusanganisira mashoko akazara pamusoro pengozi, kubudirira kwehuwandu, uye nguva yekudzorera.

Kubudirira kwehutano kuchasiyana kubva kumunhu kusvika kune mumwe munhu, asi kumwe kutsvakurudza kwakawana kuvandudzwa kwehutano hwemadzinza mune makumi maviri neatatu evarwere. Uyewo, 30 kusvika ku50% yevakaroorana vachakwanisa kuzadzika pamuviri nenzira yega mushure mekuvhiyiwa.

Cherechedza, zvisinei, izvo zvichienderana nehupenyu hwemhandara, zvinotora mwedzi mitatu kusvika kumana mushure mekugadziriswa kwehutano husati huri kuratidza hunovandudza. Chiremba wako angaratidza kuti kutevedza kwemajeni kuongororwa kwemwedzi mitatu kusvika kumwedzi mushure mekugadzirwa, kuona kana mushonga wacho wakabudirira zvechokwadi. Zvinogona kutora mwedzi mitanhatu kusvika kumwedzi gumi nemaviri musati mimba ichatanga kuitika mushure mokurapa.

Zvimwe pamusoro pechirume chekushaya mwana:

Sources:

Ficarra V, Crestani A, Novara G, Mirone V. "Varicocele kugadzirisa kuberekwa: chii chinoratidza?" Curr Opin Urol. 2012 Nov; 22 (6): 489-94. doi: 10.1097 / MOU.0b013e328358e115.

Varatiza: Mwoyo Murefu. American Society for Reproductive Medicine. Yakapera June 20, 2013. http://www.asrm.org/uploadedFiles/ASRM_Content/Resources/Patient_Resources/Fact_Sheets_and_Info_Booklets/Varicocele.pdf

Varicocele. Weill Cornell Medical College, James Buchanan Brady Foundation, Dhipatimendi reUrology. Yakapera June 20, 2013. https://www.cornellurology.com/clinical-conditions/male-infertility/general-information/varicocele/

Taura nezve varicocele uye nekushaya vana. Komiti Yedzidzo yeAmerican Society yekuberekwa Mishonga. Yakasvika June 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. "Basa revaricocelectomy muvarume vane zvisingabatsiri azoospermia."

Schlesinger MH, Wilets IF, Nagler HM. "Kurapa mugumisiro mushure mevaricocelectomy. Urol Clin North North Am. 1994 Aug; 21 (3): 517-29.