Testicular biopsy i loko o nā kānaka: he ho'ākāka 'ana o nā kaʻina hana, aʻo, kāki, a ahonui e hoike

Testicular biopsy - he kūikawā iaoia no kaʻike, o ke kane infertility, a me ka papa hana no ka loaʻaʻana o ka malignantʻeho etiology. Iloko o ke kaʻina hana, ke kauka e lawe i ka'aʻaʻa no hou histological ninaninau ole e loaa sperm no nā 'ano like ano o ka hapai ana. I kēia lā, ua aʻo i ka hailona o ka mea nui a me ka hoihoi 'ike e pili ana i ke kaʻina hana e like me ka biopsy o na hoʻi i loko o nā kānaka: o ka uku, o ka wa hoomakaukau ia no ka manipulation, ke hana, hiki complications. I loaʻa mai i nā mea maʻi iho manaʻo o kēia hana o kaʻike,.

Ma kekahi mau hihia, ka mea hiki e lawe mai?

Testicular biopsy i loko o na kanaka ua hana i loko o ia mau wahi, i hiki:

1. A hiki i kaʻike, o ka azoospermia. He He ano ma i hihia hoʻi reproductive kuleana pili i. Ma keia hihia, he biopsy kokua ho oholo i ke kumu o ka azoospermia.
2. Inā elua i hoeeia e hiki ole hāpai i kekahi keiki maoli ai, a io i nā ki ina hana like.
3. Inā 'oe hāʻupu aʻe i kaʻeho ma ke kane ke keka gland.

ʻaoʻao waiwai

I kekahi manawa, loaʻa paha e io hualoaʻa ma hope o ka hana e like me testicular biopsy i loko o nā kānaka. Nā hopena e like penei:

1. Ola ka waiʻona ma ke.
2. Haanou ana.
3. Hoʻomāhuahua o ke koko.
4. Hematoma, he loa. Additional ana e hoʻonā i ka pilikia e koi 'ia.
5. O hoʻoʻino kaʻina hana i loko o ka testis paha epididymis. Maʻiʻaʻai ia lŘlŘ IeAUPIIe, IAa IO hope hamama biopsy. Ma keia hihia, ke kauka e koho i antibacterial lapaʻau, e like me ka hoʻokolokolo pono lapaau o kaʻeha a me antiseptic.
6. Testicular atrophy. Pu ia e ke emi ma ke kino a me ka nui ooieoeiiaeuiuo kāna hana. E pale aku i kēia io no, i ke kanaka e revisit andrologist a me ka hana i ultrasound o ka scrotum. E lawe mai i kēia mau hana i ke ahonui e koke aku, i ka wa i ka pilikia ua 'akomi i.

Testicular biopsy i loko o nā kānaka: no ka makaukau no ke kaʻina hana

Aia i maopopo rula e pono e hahai no ka 3 mahina mamua i ka manipulation:

1. I aliʻi mai kekahi physical haʻawina.
2. Hookomo i pulupulu e wehe ai i huihui.
3. Mai kipa i ka bata a me ka aai.
4. Pau ana momoku a me ka inu waiʻona.
5. ʻai'ākau.

Inā 'oe e hahai mau rula, oe e ho'ōla semen mea e like ai, e e maikaʻi, a me ka mau no e hiki ia i ke ola i ke kamaiki i ka manawa mua.

4 lā ma mua o ke biopsy i kekahi kanaka e hookaaokoa lakou i na wahine a me masturbation.

I ka lā mua o ka haʻalele 'ana i ke kaʻina hana, pono hoopili aku i ka hoʻomanawanui i ka keia mau rula:

1. I ke ahiahi, ma ka Ewa o ka ieie-ana mai iʻai ma hope o 8 pm.
2. Hookaawale ia i ka hoʻohana 'ana o carbonated ka wai a me ka mea inu i loaʻa caffeine.
3. Ma ke kakahiaka o ka lā i'ōleloʻia ai o, e koli i ke kanaka i kona scrotum. E hana 'ia e ole e pono ai, no laila, i ole e hōʻike loa.
4. Inā he kekahi mea i malama i kekahi lapaʻauʻia, ka mea e hoike aku i ke kauka.

Mālama '-commissioning ho'āʻo ma

Ma mua o ka manipulation kapaia testicular biopsy i loko o nā kānaka kauka pono hoʻohuli i nā mea maʻi no ka haʻawina e like me:

1. Haukaʻe i mai ka urethra.
2. Coagulation.
3. Lawe ho'āʻo ma no syphilis, hepatitis, HIV.
4. Electrocardiogram.
5. Piha koko helu.
6. Hoʻoholo 'ana o RH ololi a me ke koko pae.

A pau o kēia mau ho'āʻo ma ke ke pau i ka lā hoʻokahi. Inā e kuhikuhi i ka hopena o ka mua haʻawina i kekahi maʻi, oe e mua pono e loaa kūpono lapaʻau, a laila, hana i ka pa mea.

'ano o ka manipulation

Open biopsy. Ua Ua hoʻohana 'ia no ka lapaʻau' ana i manao ai.

Needle biopsy. Ua mālama 'ia nā i ka lapaʻau' ana a me ka pākōlea mau hana.

Pehea mea he hamama biopsy?

Paa keia ieie-ana i ka wahi ana. Man i ke kaʻina hana ma lalo o kūloko paha mau anesthesia:

• surgeon hana he incision i loko o kaʻili, a laila, i loko o ka tunica albuginea testis;
• oki i kekahi apana o ke kino;
• Ua humuhumu i ka incision cosmetology ulana.

Duration manipulations mai 10 a hiki i 20 minuke. Ke kanaka i ka la hookahi hiki ke hoʻouna i ka hale. Aia ia i pono ole 2 lā e i ke keka, e like me ole i ka ukana kou kino kāohi. Laila kanaka e kń i ka pilikia o ka hewa kēiaʻoki kino.

Open biopsy o 3 aoao:

1. TESE - ana ma i i wehe 'ia ka auka haʻawina testicular'aʻaʻa.
2. Anakahi iki TESE - ka wā wehe scrotum,ʻilikai i ka hua ma lalo o ka microscope kauka e hoʻoholo i ka mea kūpono auwai a, a e ia i loko o ka sperm.
3. Mesa - poe akamai i kuhikuhi i nui Canal o na epididymis, a laila, hāpai mai i ka wehena o kona Contents.

Pehea o ke kui kele ma biopsy?

Hua mai la i manipulation ma lalo o kūloko anesthesia a me ka ultrasound alakaʻi. Ua Ua hoʻokō like penei:

• surgeon punctures ia i hua manu;
• pa i ka sperm.

Puncture biopsy o ka testis i loko o nā kānaka, he mau kui kele hookomo kaʻina:

1. TESA - ka wā o ka hua e lawe mai i ka hoʻi,.
2. PESA - ka wā o ka mea ua wehe 'ia mai nā epididymis.

I mea maikaʻi: he hamama ai ke kuikele biopsy?

Ma ka hihia mua, kūikawā lako a ua koi 'ia. Ma ka lua o kaʻano, ka ieie-hana hiki e lawe maiʻo ia i loko o ka ua kahikoia a nani lumi.

Hua ke kui kele ma biopsy o ka mea i ka pa mea, ua makapo ia. A me keia ke alakai i ka poho i ka moku i ke koko, huahuaʻe.

An hamama biopsy ua hana wale nō i loko o ka haukapila. Akā, no ka pomaikai o keia ao mea e loa kń i ka pilikia o complications.

Hana ma hope o manipulations

A hiki aku ia i ka hana me testicular biopsy i loko o na kanaka ua hana, ke kauka pono kuhikuhi i ka hoʻomanawanui e pili ana ia ia e hele ma hope o ka ieie-ana, oia hoi:

1. Mai poina e lawe kuhikuhi lapaʻauʻia.
2. Lei huihui i ka maoli fabrics.
3. E mālama i ka scrotum i loko o ke ano maikai.
4. Mai poina i ka lawelawe i ka eha me ka iodine.
5. Mai kipaku aku i ke kaʻa ma ka lā mua ma hope o ka biopsy.
6. Mai lawe i ka ua a auau i 3 mau lā ma hope o ka manipulation.

loiloi '

Kēia kaʻina hana, e like hoʻi, biopsy i loko o nā kānaka, i kou manaʻo, mai na elele o ke kane hapalua o ka manaʻo kanaka ke launa maikaʻi. Eia naʻe, ma ka helu o nā pane i loko o ka Internet mea negligible. Men ka mea,ʻaʻole ia i manaʻo i ko lakou mau pilikia a me nā kanaka, a hiki hou no laila, e wehewehe i ka pilikia a me ka manaʻo ma ka World ākea Web. Akā, hana ia no ia ma ka wahine. Ka mea, aʻo e pili ana ana i ke kaʻina hana i hele ai, a laila haʻalele lākou mau pou. No ka laʻana, ka mea, e hoailona oukou ia ia mea maikaʻi, e lawe mai i kēia manipulation ma lalo mau anesthesia. Inā ka mea, ua lawe mai ma lalo o kūloko anesthetic, i ke kanaka e lohe na mea a pau i ka hele ana ma ka pae'ōnaehana papa. No ka mea ua'emi'ōnaehana i loko o nā kānaka mea,ʻaʻole like ka ikaika me na kaikamahine, ka mea, ua nuiʻoi aku ko mākou hopohopo paha olalo, e ālai ia 'aʻe i ke kauka ma ka ninau pili' nīnau. A me ka poʻe i aʻo aku ai iā ole e hana i ke kaʻina hana ma ke kau wela. I ka wela kanaka e haha ke koikoi i loko o ka postoperative wā. Keia ua hookupaa iho la ia e na kanaka. Ka ikaika anal paipai aku ia oe ka hailonaʻana i ka manipulation ma ka Akuma ka a me ka hooilo.

Biopsy o na hoʻi i loko o kāne a pau: o ka uku o ke kaʻina hana

Ke kāki o keia hana o ka lawe ana i ka mea loli aʻe a hilinaʻi nui ma luna o kekahi mau aʻe:

1. Māhele 'Lapaʻau Center, ma ka ieie-hana, e e lawe mai.
2. Ano o keʻoki kino (hamama a kui kele ma biopsy).
3. Ano o ka manipulation (laweʻia mai ka hua paha, mai kona appendage).
4. I ka papa hana o ka anesthesia (mau ole kūloko anesthesia).

Ma muli o kēia mau ana hoʻohālike, ho okumu i ke kumu kūʻai o ke kaʻina hana e like me biopsy o ka hoʻi, i loko o nā kānaka. Ke kumu o ka manipulation papa koa mai 25000-65000 rubles. Kēia kumu kūʻai nā:

1. Anesthesia.
2. Pa lole.
3. Oluolu noho i loko o ka? Aaieou.
4. Postoperative hoʻomakākiu.

No ka kumu kūʻai he kanaka pono pili i ka haukapila kahi i biopsy e e hana.

'Ana i kūpono pa spermatozoa

Aia nā wale elua:

1. Direct manaʻo o IVF ICSI hana. Ke hana ua hana ma hope o ka hua manu ka hōkeoʻikepili ka wahine.
2. Preservation o ka seminal loli. Me keia hana oe ke malama ola loko sperm a me ka fertilization mea e paka i IVF kalapona. Ka oi i paʻahau sperm e mālama ana kona waiwai no 1 makahiki.

ka hopena

Ma kēia 'atikala, e aʻo pehea e hana i kekahi biopsy o na hoʻi i loko o nā kānaka, nā mea i kūpono i hoʻohana ai no keia mea. Kēia mea mea hōʻikeʻikeʻuʻuku hana pono e pono ai ina he mea kekahi pahiki o ka malignancy e hana. Nō hoʻi, he biopsy ua hana e hooholo i ke kane sperm ka pono a me ka hoʻoholumua i ka manawa o ka lilo i ka makua kāne. Makau o keia ina hana mea i pono. Inā e hana kekahi biopsy ma ka palapala hōʻoia no kauka i loko o ka haukapila maikai, o ka pilikia o ka complications i ka palena haʻahaʻa.