Ingabe i-spermatocele ingadala ukungazali futhi ingabe ama-epididymal cysts ahlotshaniswa nesibalo esiphansi sesidoda?

Uma ucabanga ngezinkinga zokuzala futhi uzwile nge-spermatocele, kungenzeka uzibuze ukuthi, ingabe i-spermatocele ingabangela ukwanda kokungazali? Lokhu kuyinkathazo evamile, ikakhulukazi kwababhangqwana abazama ukuzala. Ukuqonda lezi zimo nendlela ezingase zithinte ngayo ukuzala kubaluleke kakhulu.

Kuyini Ama-Spermatocele Nama-Epididymal Cyst Empeleni?

Manje-ke, kuyini i-spermatocele? Empeleni iyisikhwama esigcwele uketshezi esakheka ku-epididymis, okuyileli thumbu elincane eligoqiwe elisemva kwesende lapho isidoda sigcinwa khona futhi sidluliselwa khona. Imvamisa, le mibobone ayinabungozi futhi ayibangeli zimpawu. Kodwa kwesinye isikhathi ingakhula ibe nkulu futhi ibangele ukungakhululeki. Lokhu kuveza umbuzo othi, ingabe i-spermatocele ingabangela ukungazali okungachazeki?

Bese kuba nama-epididymal cyst, afana kancane, kodwa ngokuvamile agcwele uketshezi kuphela hhayi isidoda. Lokhu kuholela kolunye umbuzo abantu abawubuzayo: ingabe i-epididymal cyst ingabangela ukuba isibalo sesidoda sehle? Le mibobone ingesinye isikhathi ivimbe izindlela ezidlula kuzo isidoda noma ibangele ukuvuvukala, okungase kuthinte inani lesidoda noma ikhwalithi yaso [1].

Ithiphu ebalulekile: Uma uzwa imfundo yemigudu noma ubone noma yikuphi ukungakhululeki phansi lapho, kungcono ukuya kudokotela noma umhlinzeki wezempilo ukuze uhlolwe. Ukubona lezi zinto kusenesikhathi kungasiza ukuvimbela izinkinga ezinkulu ngokuhamba kwesikhathi.

Ingabe ama-Spermatocele Athela Umthelela Ekuzaleni?

Kubafana abaningi, ukuba nespermatocele akuphazamisi ukuzala nhlobo. Imvamisa iba zincane futhi azivimbi lutho olubalulekile oludingekayo ukuze isidoda sifike ku-semen. Kodwa uma esinye salezi zimbotshana sikhula kakhulu, singacindezela izingxenye ezizungezile, okungenzeka kuthinte ngendlela okudluliselwa ngayo isidoda. Ngakho-ke, ingabe i-spermatocele ingabangela ukungazali? Kuvamile ukuthi kungenzeki, kodwa kungenzeka uma imbobone enkulu isuswa bese ukuhlinzwa kuholela ekwakhekeni kwamathumba noma ukulimala kwe-epididymis, okungase kube nomthelela ekuzaleni [2].

Ingabe Ama-Epididymal Cysts Angaholela Ekwehleni Kwesibalo Samasende?

Enye inkathazo abantu ababa nayo ukuthi, ingabe i-epididymal cyst ingabangela ukwehla kwesibalo samasende? Ngokuvamile, la ma-cyst awanciphisi isibalo samasende ngqo, kodwa angaphazamisa uma ekhula amakhulu noma ebangela ukuvuvukala. Lokho kungasho ukuthi amasende ambalwa afinyelela esidodeni (semen), okungase kuthinte ikhwalithi nesibalo samasende ngokujwayelekile. Kuhlale kuyicebo elihle ukugcina impilo yomzimba isesimeni esihle, futhi kwezinye izikhathi ukuthatha izakhamzimba ezifana ne-Zinc ne-Selenium kungasiza ukuthuthukisa impilo yesidoda nokulwa nanoma yiziphi izinkinga ezibangelwa ama-cyst [3].

Yini Ongayenza Ngama-Spermatocele Nama-Epididymal Cysts?

Ukwelashwa kuya ngempela ngosayizi wama-cyst nokuthi abanga yiziphi izinkinga. Uma emancane futhi engabhangi ubuhlungu noma ezinye izinkinga, udokotela angase acebise ukuthi nje niwubheke isikhathi esithile. Kodwa uma i-cyst iqala ukubuhlungu noma iqala ukuphazamisa ukuzala, zikhona izinto ezimbalwa ezingaqhutshwa:

• I-Aspiration: Lapha yilapho kusetshenziswa inaliti ukuze kukhishwe uketshezi oluvela ku-cyst. Lokhu kunganciphisa okunye ukungakhululeki, kodwa kungase kungabi yisixazululo saphakade ngoba i-cyst ingagcwala futhi.
• I-Sclerotherapy: Ngemva kokukhipha uketshezi, kujojowe isixazululo ukuze kuzanywe ukuvimba i-cyst ekugcwaleni futhi. Lokhu kungase kulimaze i-epididymis, nokho, okungase kuthinte ukuzala [4].
• Ukuhlinzwa (i-Spermatocelectomy): Uma i-cyst inkulu kakhulu noma ibanga ubuhlungu obukhulu, bangase batusa ukuhlinzwa ukuze isuswe. Lokhu kuvame ukwenziwa uma ugodliwe esibhedlela okwesikhashana kuphela (outpatient). Kodwa khumbula ukuthi ukuhlinzwa kwesinye isikhathi kungaholela ekwakhekeni kwamathonya (scarring) angavimba amasende, okungase kuthinte ukuzala [5].

Imicabango Yokugcina

Uma ukhathazekile ngokungabi nenzalo kanye nezimo ezifana ne-spermatocele noma ama-epididymal cysts, kuyenzeka uzibuze, ingabe i-spermatocele ingabangela ukungabi nenzalo noma ingabe i-epididymal cyst ingabangela ukwehla kwesibalo samasende? Izindaba ezinhle wukuthi la ma-cyst ngokuvamile awabangeli ukungabi nenzalo ngqo. Kodwa uma emakhulu kakhulu noma uma ukuhlinzwa kubangela izinkinga, angathinta impilo yesidoda. Ukuhlolwa njalo, indlela yokuphila enempilo, kanti kwezinye izikhathi ukwesekwa ngokudla okunomsoco, kungasiza kakhulu ekugcineni impilo yokuzala. Uma unokukhathazeka, kuhlala kungcono ukukhuluma nochwepheshe bezempilo ukuze nithole uhlelo olungcono kakhulu lohambo lwakho lokuzama ukuba nabantwana.

Imibuzo ejwayele ukubuzwa

Ingabe i-spermatocele ingaba yingozi?

Iningi lamacala, ama-spermatocele awalimazi futhi awathinti ukuzala ngaphandle uma emakhulu kakhulu noma kudingeka asuswe ngokuhlinzwa.

Yiziphi izimpawu ze-spermatocele?

Iningi lawo alinazimpawu, kodwa lawo makhulu angadala ukuvuvukala, ukungakhululeki, noma umuzwa wobunzima esikhumbeni.

Lawa ma-cyst axilongwa kanjani?

Odokotela bangawaxilonga ngokuhlolwa komzimba futhi ngezinye izikhathi nge-ultrasound ukuze babheke usayizi nendawo.

Kufanele ngenzeni uma ngicabanga ukuthi nginama-cyst?

Uma ukhathazekile ukuthi mhlawumbe unama-cyst noma ukhathazekile ngokuzala, qiniseka ukuthi ubona umhlinzeki wezempilo ukuze uthole ukuxilongwa okufanele kanye nezeluleko ngezinyathelo ezilandelayo.

Izinkomba

1. Lundström KJ, Söderström L, Jernow H, Stattin P, Nordin P. I-epidemiology ye-hydrocele ne-spermatocele; ukuvela, ukwelashwa nezingqinamba. Scand J Urol. Available at: https://pubmed.ncbi.nlm.nih.gov/30990342/
2. Punab M, Poolamets O, Paju P, Vihljajev V, Pomm K, Ladva R, Korrovits P, Laan M. Izimbangela zokungazali emadodeni: ucwaningo lweminyaka eyi-9, lwenkundla eyodwa oluhilela iziguli ezingu-1737 ezinokwehla kwesamba esiphelele sesidoda. Hum Reprod. Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5165077/
3. Weatherly D, Wise PG, Mendoca S, Loeb A, Cheng Y, Chen JJ, Steinhardt G. Ama-cyst e-epididymis: Ingabe ahlotshaniswa nokungazali? Am J Mens Health. Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5987960/
4. Low LS, Nair SM, Davies AJW, Akapita T, Holmes MA. Ukumunca (aspiration) nokwelapha nge-sclerotherapy ama-hydrocele nama-spermatocele/ama-cyst e-epididymal kusetshenziswa utshwala obu-100%. ANZ J Surg. Available at: https://pubmed.ncbi.nlm.nih.gov/31628703/
5. Hou Y, Zhang Y, Li G, Wang W, Li H. Ukususwa ngokuhlinzwa okuncane kwama-cyst e-epididymis akuthinti inani lesidoda, ukunyakaza noma ukwakheka kwaso futhi kuyindlela ephephile nephumelelayo yokwelapha izilonda ze-epididymal cystic (ECLs) emadodeni asemasha anesidingo sokuzala. Urology. Available at: https://pubmed.ncbi.nlm.nih.gov/30142407/