Izinhlobo zokukhulelwa kwamadoda

Akubona bonke abantu beminyaka yobudala abafuna ukuba nabantwana, okubadala izinkinga ezithile lapho bekhetha indlela evikelekile yokuvikela. Ukwelashwa akusiyo kuphela ukuvikelwa ekukhulelweni, kungukulondolozwa kwezempilo, indlela eya ekuzalweni kwengane enempilo uma kunesifiso nethuba lokuba nomntwana. Imithi yanamuhla inezindlela eziningi ezivimbela ukukhulelwa. Izinsimbi zokubeletha ziyahlukahluka komunye nomunye ekusebenziseni kalula, izinga lokuthinta umzimba, ukwethembeka, ukusebenza kahle. Kodwa zonke zigxile ekuqaleni, kubesifazane, futhi amadoda amaningi acabangela ukunakekela ukuvikelwa kwemithwalo yemfanelo yabesifazane. Odokotela bakholelwa nokuthi amadoda angakwazi futhi kufanele ahlanganyele ekuvikeleni abesifazane ekukhulelwe okungafunwa, ngoba lokhu, kukhona ukukhulelwa okukhethekile kwamadoda.

Izindlela zakudala zokuvimbela ukukhulelwa kwabesilisa:

• Ukulala ngokobulili "okwesikhashana". Ukhetho olungenakuphelelwa, olungenakuhlinzeka ngokuvikelwa kokukhulelwa okungahleliwe. Ukwandisa ubude besenzo socansi, akuholeli ekujuleni, kepha i-spermatozoa kanye ne-prefamily fluid ingangena ngaphakathi kwesibeletho;
• ukuphazamiseka ngokocansi. Ukuphumelela kwalendlela akudluli ku-70-72% (konke okuthintana nomuntu wesithathu kubhekwa kungaba yingozi), ukusetshenziswa kwayo okujwayelekile kuholela ekunciphiseni kwe-potency kanye ne-prostatitis engapheli. Ukwaziswa okwengeziwe mayelana nokuziphatha kobulili okuphazamisekayo kungatholakala lapha ;
• ikhondomu. Indlela ethandwa kakhulu yokukhulelwa komzimba wesilisa, ayikho into ephikisana nayo, kulula ukuyisebenzisa, ivikela ukutheleleka nge-HIV nezifo ezithathelwana ngocansi. (isithombe 3) Funda kabanzi mayelana nokuthi ungabeka kanjani ikhondomu lapha .

Ukwelashwa kokubeletha

I-Vasectomy - ukuvinjelwa kwe-vas deferens ukuze kuvimbele ukwelashwa kwesidoda. Ukwenziwa komzimba wesilisa kuyindlela engabizi, enokwethenjelwa futhi elula yokwelapha yamadoda. Emva kokubonisana nodokotela, ulungiselela amaphepha adingekayo, kufanele uqoke ama-anamnesis, ungafaki ukuphuma kwegazi, isifo se-cardiovascular system, isifo sofuba, isifo sikashukela, ukutheleleka kwamagciwane, ama-STD. Ngesikhathi sokuhlolwa komgomo, ukucindezela komzimba, ukushaywa komzimba, isimo se-fat layer engezansi, isikhumba, indawo yokukhohlisa, ukutholakala kwe-cryptorchidism, varicocele, inqubo yokuvuvukala ye-scrotum inqunywa.

IZIKHONO ZESVASECTOMY:

• owokuqala. Dlulisa ama-vas deferens ngaphandle kokufaka amabhande, ngokuya kwe-electrocoagulation ngamamitha ayisentimitha angu-1,5, uphawula uhlaka lwe-fascial;
• okwesibili. Lungisa i-vas deferens, uthathe uhlaka lwesisipha nesikhumba, uhlukanise umzila, i-ligate, isiphambano. Ingxenye ngayinye i-cauterized. Ukuze kube nokuthembeka okukhulu, ingxenye ye-vas deferens ngezinye izikhathi ingasuswa;
• okwesithathu. Ukuze ukhulule amadokodo, ahlukumezi ku-incision, kodwa ku-puncture. Yenza i-anesthesia yendawo, faka i-clamp annular ku-duct, ngaphandle kokuthinta ungqimba. Yenza ukusika kwesikhumba nesikhumba se-vas deferens nge-clip dissection, ukuhlukanisa, ukuqhuba ukukhishwa.

Inkomba yokuthenjelwa kwe-vasectomy ingu-99% phakathi nezinyanga ezingu-12 zokuqala. Iphesenti yokuhluleka kuhlotshaniswa ne-anomaly engavumelekile yokuzalwa engama-vas deferens noma nge-recanalization yabo. I-vasectomy ejwayelekile ingenakuphikiswa, kodwa namuhla inqubo "yokuguqula i-vasectomy" iye yasungulwa, lapho ukuzala kuvuselelwa khona ngamacala angu-90-95%.

Ukukhulelwa komlomo ngamadoda

Amaphilisi okukhulelwa kwamadoda adalwe maduzane. Inkinga enkulu yabathuthukisi be-OC besilisa kwakungewokungafani nabesifazane abadinga ukuvikela iqanda kuphela ezinsukwini zokukhulelwa okubonakalayo, isidoda sakhiwa njalo, ngakho-ke ukuvimbela imithi kumele kuphulukise inqubo nsuku zonke.

Iqembu lamaqembu OK

1. Ama-inhibitors we-spermatogenesis. Amathebulethi alaleli qembu aqukethe ama-hormone e-steroid avimbela ukukhiqizwa kwe-gonadotropins, umsebenzi ongacacile we-testicular, kuhlanganise ne-spermatogenesis. Nge-contraceptive, amaphilisi asetshenziswa ngendlela ehlanganisiwe nehlanzekile:
   • i-testosterone enanthate. Emkhatsini wokutholwa ukuhlushwa kwezinambuzane kuhluka kusuka ezigidini eziyisihlanu / ml nokuphansi okuphansi. Ngemuva kokuyeka ukudla kwesidoda kanye nezinga lama-hormone e-gonadotropic abuyela emuva evamile. Umphumela wesisindo: ukuzuza kwesisindo, i-acne, ukugcoba kwesikhumba;
   • i-gestagenic steroids. Ama-progestin avimbela i-spermatogenesis, ngomphumela oveziwe, ama-dose amakhulu adingekayo. Umphumela wangaphakathi: wehla libido, ubude bokuvuselelwa kwe-spermatogenesis;
   • nafarelin. Ukusetshenziswa isikhathi eside kwe-nafarelin kuvimbela ukukhiqizwa kwama-hormone e-follicle-stimulating and luteinizing, futhi kuhlanganiswe ne-200 mg testosterone inhibits spermatogenesis.

2. Izidakamizwa ezithinta umsebenzi we-spermatozoa. Isidakamizwa esidume kakhulu kuleli qembu nguGossipol. Ivimbela ama-enzyme aqukethe amaseli we-spermatogenic epithelium ne-spermatozoa, okuholela ekunciphiseni kwe-motility ye-spermatozoa. I-Gossypol ithathwa izinyanga ezingu-2-3 nge-20 mg nsuku zonke, ilandelwa ukushintshwa ku-60 mg ezinsukwini ezingu-7 (umthamo wokulondoloza). Umphumela wesici: izinkinga zesisu, ukunciphisa i-libido, umlomo omile, isiyezi.

Umphumela omuhle kakhulu wokukhulelwa (90-95%) utholakele ngokuphathwa kwe-OK, enomthelela ohlosiwe ku-spermatozoa evuthiwe. Ngemuva kokuphela kokuthatha izitho zomzimba ze-hormonal oral, inzalo yesilisa ibuyiselwe ngokugcwele.