Indlela Yokuhlonza Nokwelapha Ukuvinjwa Komsele Wokuchama Kwesidoda

Ake sikhulume ngomgudu wokuqubula. Ungesinye sezingxenye ezibaluleke kakhulu ekuzaleni kowesilisa. Uma kunomgudu wesidoda ovinjiwe, lokho kungadala izinkinga ezinkulu, kuvimbele isidoda ukuthi singene esidodeni (semen). Ngokusobala, lokhu kungadala izinkinga kumadoda azama ukuzala. Ukuqonda ukuvinjelwa komgudu wokuqubula nokwazi ukuthi ungabhekana kanjani nakho? Yebo, kubaluleke kakhulu kumadoda abhekene nezinkinga zokuzala.

Yini Ukuvinjelwa Komgudu Wokuqubula?

Uma umgudu wokuqubula uvinjiwe, empeleni uvimbela isidoda ukuthi sihambe kuwo. Lokhu kuvinjelwa kwesidoda, noma ukuvinjelwa komgudu wokuqubula njengoba kubizwa, kuvimbela isidoda ukuthi sikhishwe ngesikhathi sokuqubula. Lokho kuvinjelwa kungadalwa izinto ezifana namathumba noma izicubu zesibazi. Ngezinye izikhathi kubangelwa ukuvinjelwa komgudu wesidoda (vas deferens) [1]. Ngezinye izikhathi, umgudu wesidoda uvinjelwa uma kukhona ukuvinjelwa emgodini wesidoda esintanjeni (spermatic cord), okwenza isimo sibe sibi kakhulu. Umgudu wokuqubula ubalulekile ngoba uxhumanisa i-vas deferens ne-urethra. Uma lowo msebenzi uvinjiwe? Yebo, uphinde uthole lezo zinkinga zokuvaleka komgudu wokuqubula.

Izimpawu Zomgudu Wesidoda Ovinjiwe

Pho, izimpawu zomgudu wesidoda ovinjiwe ziyini? Eqinisweni, zingaba mncane kodwa ziphazamise kakhulu ikhono lakho lokuzala. Ezinye zezimpawu ezivamile zomgudu wesidoda ovinjiwe zifaka:

• Umthamo wesidoda omncane kunokujwayelekile
• Ubulungu obubuhlungu ngesikhathi sokuqubula
• Igazi esidodeni (okubizwa nangokuthi ukuvaleka kwesidoda)
• Kuzwakala sengathi isidoda sivinjiwe

Lezi zimpawu zokuvaleka kwesidoda zivamise ukuba uphawu lokuthi kukhona ukuvinjelwa komgudu wesidoda ndawana thize, okuvimba isidoda ukuthi sikhishwe kahle ngesikhathi sokuqubula. Abanye abafana bangase babe nezimpawu ezinzima kakhulu zokuvaleka komgudu wesidoda baze badinge usizo lwezokwelashwa ngokushesha [2].

Ithiphu Ebalulekile: Uma unazo noma yiziphi zalezi zimpawu, hamba uyohlolwa ukuvinjelwa komgudu wesidoda. Kungcono ukubamba inkinga kusenesikhathi.

Izimbangela Zokuvinjelwa Komgudu Wokuqubula

Kunezizathu eziningi zokuthi kungani kuvela ukuvinjelwa komgudu wokuqubula. Kungaba:

• Ubornomu (congenital abnormalities), njengokuvinjelwa komgudu wesidoda (vas deferens) noma ukuvinjelwa komgudu wesidoda esintanjeni (spermatic cord) [3]
• Izicubu zesibazi ezivela ekuhlinzweni kwangaphambilini noma ekuthelelekeni
• Ukutheleleka okuphindaphindayo, njenge-UTIs noma i-prostatitis engapheli
• Ukuvinjelwa kwe-seminal vesicle noma ngisho namatshe ohlelweni lokuzala [4]

Kwezinye izimo, ukuvinjelwa kwe-epididymis noma ukuvinjelwa kwesidoda kungaphazamisa inqubo nayo. Noma kungaba ukuvaleka komgudu wesidoda (vas deferens) okwenza isidoda singakwazi ukuhamba kahle, okubangela izinkinga zokuzala [5].

Ithiphu Ebalulekile: Ukuhlolwa njalo kungasiza ukuthola izinkinga ezifana nokuvinjelwa komgudu wokuqubula ngaphambi kokuba kuthinte kakhulu ukuzala.

Indlela Yokwelapha Umgudu Wesidoda Ovinjiwe Ngendlela Yemvelo

Kulungile, uma ungafuni ukuhlinzwa, mhlawumbe uyazibuza ukuthi ungawelapha kanjani umgudu wesidoda ovinjiwe ngendlela yemvelo. Yebo, ezinye izinguquko endleleni oziphilayo nemithi yokwengeza zingasiza kakhulu ukugcina impilo yakho yokuzala isesimweni esihle. Uma umgudu wesidoda uvinjiwe, ezinye izinto ongazizama zifaka:

• I-L-Arginine: Ithuthukisa ukugeleza kwegazi ezithweni zokuzala, ikhuphule ukukhiqizwa kwesidoda [6].
• I-CoQ10: Le antioxidant isiza ukuvikela isidoda ekulimaleni [7].
• I-Folic Acid: Isiza ekwakhekeni kwe-DNA futhi ithuthukise ikhwalithi yesidoda [8].
• I-Zinc: Yaziwa ngokukhulisa izinga le-testosterone nokukhuthaza isidoda esinempilo [9].

Le mithi yokwengeza ingasiza ekuvinjweni kokuchama isidoda futhi inikeze amandla amahle ekuzaleni kwakho.

Ithiphu Ephezulu: Faka le mithi yokwengeza (supplements) ohlelweni lwakho lwansuku zonke. Lokhu kungasiza ukwelapha ukuvinjwa komgudu wesidoda ngaphandle kwesidingo sokuhlinzwa.

Ukwelashwa Ngemithi Ukuze Kuvulwe Umgudu Wokuchama Isidoda Ovinjiwe

Uma izindlela zemvelo zingasizi, kukhona izindlela zokwelapha ngemithi zokubhekana nokuvaleka kwemigudu yokuchama isidoda. Ezinye ezivame ukusetshenziswa yilezi:

• I-Transurethral resection of the ejaculatory ducts (TURED): Lokhu kuhlinzwa kususa izivimbelo emgudwini wokuchama isidoda ovinjiwe ukuze isidoda sikwazi ukugeleza ngendlela ejwayelekile futhi [10].
• I-Seminal vesiculoscopy: Lena indlela yokuhlinza engahlaseli kakhulu ukususa ukuvinjwa komgudu we-seminal nokubuyisela umsebenzi ojwayelekile womgudu wokuchama isidoda [11].

Lezi zinqubo zisebenza kahle kakhulu ekulungiseni ukuvinjwa kokuchama isidoda nasekusizeni ekuzaleni ngokukhipha izivimbelo emigudwini yokuzala.

Ithiphu Ephezulu: Uma utshelwa ukuthi umgudu wakho wesidoda uvinjiwe, khuluma nodokotela wakho ngo-TURED. Lokhu kungasiza ukubuyisela amandla akho okuzala.

Umthelela Ekuzaleni

Umgudu wesidoda ovinjiwe unganciphisa kakhulu inani lesidoda, okwenza kube nzima kakhulu ukukhulelwa. Kwesinye isikhathi ukuvinjwa esende noma ukuvinjwa kwama-seminal vesicles kungenza isidoda singaxubeki nenyongo yesidoda nhlobo, kuholele ku-azoospermia (ukungabi nesidoda nhl вовсе) noma i-oligospermia (ukuba nenani eliphansi lesidoda). Ukulapha umgudu wesidoda ovinjiwe kungasiza ukuthuthukisa ikhwalithi yenyongo yesidoda futhi kwandise amathuba okuhlangana kwezitho zobulili kukhulelwe [12]. Ukuvinjwa komgudu wokuchama isidoda (ejaculatory duct) kungesinye sezinkinga eziningi zokuzala kowesilisa ezingathinta ukuzala, yingakho kubalulekile ukubhekana nanoma yiziphi izinkinga ezingaba khona ezithinta impilo yesidoda nomsebenzi wokuzala jikelele. Nakuba izinkinga zokuzala kowesilisa ezifana nokuvaleka komgudu wokuchama isidoda zingathinta ukukhulelwa, kubalulekile futhi ukuqaphela ukuthi izinkinga zokuzala kowesifazane zingaba nesandla ebunzini bokungabi nabantwana, okudinga ukuhlolwa nokwelashwa okufanele kwabo bobabili abalingani.

Ukwelashwa Kokuvaleka Kwamatheleni

Uma inkinga ikumatheleni akho, khona-ke kungase kudingeke ukwelashwa kokuvaleka kwamatheleni. Lokhu ngokuvamile kuhilela ukuhlinzwa noma imithi yokususa ukuvinjwa, kungakhathaliseki ukuthi kubangelwa yisifo noma ukuvuvukala. Ukubhekana nokuvaleka kwamatheleni kusenesikhathi ngokuqinisekile kungathuthukisa impilo yesidoda sakho nokukwazi kwakho ukuba nenzalo [13].

Ithiphu ebalulekile: Ukuthola ukwelashwa kusenesikhathi, kungaba ngenxa yokuvaleka kwesidoda noma okunye, kungenza umehluko omkhulu ekukhiqizeni kwakho inzalo.

Ukululama Nekusasa Ngemuva Kokwelashwa

Iningi lamadoda lilulama emisebenzini yokuhlinzwa efana ne-TURED noma i-seminal vesiculoscopy cishe emasontweni amabili [14]. Kungenzeka uqaphele ukuthuthuka enanini lesidoda esikhishwayo nasekubalweni kwesidoda ngemva kokwelapha ukuvinjwa komsele wesidoda. Ukunakekelwa okulandelayo kubalulekile, nokho, ukuqinisekisa ukuthi yonke into ihlala ivulekile nokuvimbela izinkinga ezifana nokuvinjwa kwe-vas deferens ekubuyeleni [15].

Ithiphu ebalulekile: Hlala ulandela imiyalelo kadokotela wakho yokululama. Lokhu kuzosiza ukuqinisekisa ukuthi konke kupholisa kahle futhi kwandise amathuba akho okukhulelwa.

Imibuzo Evame Ukubuzwa

Yiziphi izimpawu zokuvaleka komsele wokuchama ngesikhathi sokuchama?

Inani eliphansi lesidoda esikhishwayo, ukuhamba kwesidoda okubuhlungu, negazi esidodeni esikhishwayo yizimpawu ezijwayelekile.

Ingabe umsele wesidoda uvinjiwe ungaphathwa ngendlela yemvelo?

Yebo, izithasiselo ezifana ne-L-Arginine ne-CoQ10 zingasiza, nakuba ukuvinjwa okukhulu kungase kusadinga ukwelashwa kwezokwelapha.

Yini ebangela ukuvinjwa komsele wokuchama ngesikhathi sokuchama?

Kungadalwa izinkinga zokuzalwa, izicubu zokululama, izifo, noma ngisho ukuvinjwa kwezikhwama zesidoda.

Ukululama kuthatha isikhathi esingakanani ngemuva kokuhlinzwa komsele wokuchama ngesikhathi sokuchama?

Ukululama kuvame ukuthatha cishe amasonto amabili, kodwa kubaluleke kakhulu ukulandela imiyalelo kadokotela wakho.

Ingabe ukuvinjwa komsele wokuchama ngesikhathi sokuchama kubangela ukungabi nenzalo?

Yebo, ukuvinjwa komsele wokuchama ngesikhathi sokuchama kungavimba isidoda ekungeneni esidodeni esikhishwayo, okungaholela ekungabi nenzalo uma kungelashwa.

Okubalulekile

Umsele wesidoda ovinjiwe ungaba yisithiyo esikhulu ekuzaleni kowesilisa, kodwa ngokuxilongwa kusenesikhathi nangokwelashwa okufanele, kungenzeka ukubuyisela impilo yokuzala. Kungaba ngendlela yemithi yemvelo noma yokuhlinzwa, ukubhekana nokuvinjelwa komsele we-ejaculatory kubalulekile ekuthuthukiseni amandla okuzala. Ngokukuqonda kahle izimpawu, izimbangela, nokwelashwa kokuvinjelwa kwemisele ye-ejaculatory, amadoda angalawula amandla awo okuzala futhi anyuse amathuba okuqala umndeni.

Izikhombo

1. Ozgök Y, Tan MO, Kilciler M, Tahmaz L, Kibar Y. Ukuxilongwa nokwelashwa kokuvinjelwa komsele we-ejaculatory ekungazaleni kwabesilisa. Eur Urol. Kutholakala ku: https://pubmed.ncbi.nlm.nih.gov/11173935/
2. Turner KA, Rambhatla A, Schon S, Agarwal A, Krawetz SA, Dupree JM, Avidor-Reiss T. Ukungazali kwabesilisa kuyindaba yezempilo yabesifazane—Ucwaningo nokuhlolwa kwezokwelapha kokungazali kwabesilisa kuyadingeka. Cells. Kutholakala ku: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7226946/
3. Fisch H, Lambert SM, Goluboff ET. Ukuphathwa kokuvinjelwa komsele we-ejaculatory: izimbangela, ukuxilongwa, nokwelashwa. World J Urol. Kutholakala ku: https://pubmed.ncbi.nlm.nih.gov/17077974/
4. Colpi GM, Negri L, Mariani M, Balerna M. Ukungajwayeleki kwesidoda okubangelwa ukushoda kokuchama kahle emgodleni we-ampullo-vesicular. Ukungazali okubangelwa ukungakhishi kahle kwe-ampullo-vesicular. Andrologia. Kutholakala ku: https://pubmed.ncbi.nlm.nih.gov/2132071/
5. Ukuvinjelwa komsele we-ejaculatory. (2021). Cleveland Clinic. Kutholakala ku: https://my.clevelandclinic.org/health/diseases/17566-ejaculatory-duct-obstruction
6. Scibona M, Meschini P, Capparelli S, Pecori C, Rossi P, Menchini Fabris GF. I-L-arginine nokungazali kwabesilisa [I-L-arginine nokungazali kwabesilisa]. Minerva Urol Nefrol. Kutholakala ku: https://pubmed.ncbi.nlm.nih.gov/7701414/
7. Showell MG, Mackenzie-Proctor R, Brown J, Yazdani A, Stankiewicz MT, Hart RJ. Ama-antioxidant ekungazaleni okuncishisiwe kwabesilisa. Cochrane Database Syst Rev. Kutholakala ku: https://pubmed.ncbi.nlm.nih.gov/25504418/
8. Mathieu d'Argent E, Ravel C, Rousseau A, Morcel K, Massin N, Sussfeld J, Simon T, Antoine JM, Mandelbaume J, Daraï E, Kolanska K. Ukunikezwa ngomthamo ophezulu we-folic acid emadodeni angazali kuthuthukisa imiphumela ye-IVF-ICSI: Ucwaningo oluqondiswe ngokungahleliwe (Ucwaningo lwe-FOLFIV). J Clin Med. Kutholakala ku: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8123699/
9. Cavallini G. I-oligoasthenoteratozoospermia yamadoda engenazimbangela ezaziwayo. Asian J Androl. Kutholakala ku: https://pubmed.ncbi.nlm.nih.gov/16491265/
10. Fisch H, Lambert SM, Goluboff ET. Ukuphathwa kokuvinjelwa komsele we-ejaculatory: izimbangela, ukuxilongwa, nokwelashwa. World J Urol. Kutholakala ku: https://pubmed.ncbi.nlm.nih.gov/17077974/
11. Mekhaimar A, Goble M, Brunckhorst O, Alnajjar HM, Ralph D, Muneer A, Ahmed K. Uhlahlo lwamaphepha oluhleliwe lokususwa kwe-transurethral kwemijelo ye-ejaculatory ekuphathweni kokuvinjelwa kwemijelo ye-ejaculatory. Turk J Urol. Kutholakala ku: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7483456/
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