Mitundu ya kulera kwa amuna

Sikuti anthu onse a msinkhu wobereka amafuna kukhala ndi ana, zomwe zimabweretsa mavuto ena kwa iwo posankha njira yabwino yotetezera. Kulera sikungokhala chitetezo kuchokera kwa mimba, ndiko kusunga thanzi, njira yakubadwa kwa mwana wathanzi pamene pali chikhumbo ndi mwayi wokhala ndi mwana. Mankhwala amakono ali ndi njira zambiri zomwe zimapewa mimba. Mankhwala opatsirana pogonana amasiyana kuchokera kwa wina ndi mzake, mosavuta kugwiritsa ntchito, kukula kwa thupi, kudalirika, bwino. Koma zonsezi zimaganizira kwambiri za amai, ndipo amuna ambiri amaganizira kusamalira maudindo a amayi. Madokotala amakhulupirira kuti amuna angathe kutenga nawo mbali komanso kutengapo mbali poteteza amayi ku mimba yosafuna, chifukwa cha izi, pali njira zothandizira kulera ana.

Njira zachidule za kulera kwa amuna:

• "Kutha msinkhu" kugonana. Njira yosasinthika, yomwe siingakhoze kuteteza ku mimba yosakonzekera. Zimapitiriza kutalika kwa chiwerewere, sizimayambitsa kukwera, koma spermatozoa pamodzi ndi madzi okongola akhoza kulowa m'chiberekero;
• analepheretsa kugonana. Kupambana kwa njirayi sikudutsa 70-72% (gawo limodzi mwa magawo atatu aliwonse ogonana ndi abambo amaonedwa kuti ndi owopsa), ntchito yake yowonongeka imachititsa kuchepa kwa mphamvu komanso matenda aakulu a prostatitis. Zambiri zokhudzana ndi kugonana zingasokonezeke pano ;
• kondomu. Njira yodziwika kwambiri yochilomboka kwa abambo, yopanda kutsutsana, yosavuta kugwiritsira ntchito, imateteza ku HIV ndi matenda opatsirana pogonana. (chithunzi 3) Phunzirani zambiri za momwe mungagwiritsire ntchito kondomu pano .

Kuchepetsa kulera

Vasectomy - kutseka kwa vas deferens pofuna kuteteza umoyo wa umuna. Kutsegula kwa amuna ndi njira yotsika mtengo, yodalirika komanso yophweka kwa amuna. Pambuyo pokambirana ndi dokotala, kukonzekera zikalata zoyenera, muyenera kusonkhanitsa anamnesis, osaphatikizapo kupezeka kwa magazi, mitsempha ya mtima, matenda, shuga, matenda a mkodzo, matenda opatsirana pogonana. Panthawi yoyezetsa ndondomeko, kupanikizika, kuthamanga, chikhalidwe cha mafuta ochepa, khungu, malo okhwima, kukhalapo kwa cryptorchidism, varicocele, kutukusira kwa scrotum kumatsimikiziridwa.

VASECTOMY TECHNICAL:

• yoyamba. Pewani mazenera osasuntha, osagwiritsa ntchito electrocoagulation pamtunda wa masentimita 1.5, pamwamba pa malo ozungulira;
• wachiwiri. Konzani mafinerens, musamalire minofu ndi khungu, patukani duct, ligate, mtanda. Gawo lirilonse liri cauterized. Kuti zitheke kwambiri, gawo la vas deferens nthawi zina lingachotsedwe;
• lachitatu. Pofuna kutulutsa makompyuta, iwo sagwiritsa ntchito mankhwala osokoneza bongo. Pezani anesthesia yowonongeka, ikani chikondwerero chotsamira pamsewu, popanda kuwonetsa zosanjikiza. Dulani khoma ndi khungu la vas deferens ndi chojambulira chotsalira, kudzipatula, kuchitapo kanthu.

Mndandanda wa kuvomereza kwa vasectomy ndi 99% pa miyezi 12 yoyamba. Chiwerengero cha zolephereka chimagwirizanitsidwa ndi munthu wosadziwika congenital anomaly wa vas deferens kapena ndi recanalization. Standard vasectomy ndizosasinthika, koma lero njira yothetsera "vasectomy" yakhazikitsidwa, yomwe kubereka kumabwezeretsanso 90-95%.

Mankhwala opatsirana ammimba kwa amuna

Mankhwala opatsirana pogonana a amuna apangidwa posakhalitsa. Vuto lalikulu la omanga amuna a OC linali losiyana ndi amayi omwe amafunika kuteteza dzira pokhapokha masiku omwe angakhale ndi pakati, umuna umapangidwa nthawi zonse, kotero kuti njira zothandizira ana ayenera kusokoneza njirayo tsiku ndi tsiku.

Zogwirizana za amuna

1. Zosakaniza za spermatogenesis. Mapiritsi a gululi ali ndi mahomoni a steroid omwe amaletsa kupanga gonadotropins, ntchito yosagwirizana ndi testicular, kuphatikizapo spermatogenesis. Ndi njira zothandizira, mapiritsi amagwiritsidwa ntchito palimodzi ndi mawonekedwe oyera:
   • testosterone enanthate. Pamalo ochereza, ziwalo za umuna zimachokera ku 5 miliyoni / ml ndi zina zotsika. Atasiya kudya umuna ndi msinkhu wa mahomoni otchedwa gonadotropic amabwereranso. Mbali yotsatira: phindu lolemera, nyamakazi, kudzoza kwa khungu;
   • gestagenic steroids. Progestin imaletsa spermatogenesis, chifukwa chogwiritsidwa ntchito, mankhwala aakulu amafunika. Mbali yogwira: kuchepa libido, nthawi ya kukonzanso kwa spermatogenesis;
   • nafarelin. Kugwiritsiridwa ntchito kwa nafarelin kwa nthawi yaitali kumalepheretsa kupanga mahomoni osakanikirana ndi opatsa luteinizing, ndipo kuphatikizapo 200 mg ya testosterone imaletsa spermatogenesis.

2. Mankhwala omwe amakhudza ntchito ya spermatozoa. Mankhwala otchuka kwambiri a gulu ili ndi Gossipol. Imaletsa mavitamini omwe ali m'maselo a spermatogenic epithelium ndi spermatozoa, zomwe zimapangitsa kuchepa kwa spermatozoa. Gossypol amatengedwa kwa miyezi 2-3 kwa 20 mg tsiku lililonse, kenako kutsatiridwa mpaka 60 mg masiku asanu ndi awiri (mlingo woyenera). Mbali zotsatira: matenda a m'mimba, amachepetsa libido, wouma pakamwa, chizungulire.

Njira yabwino yowalera (90-95%) imapindula ndi kayendedwe ka OK, zomwe zimakhudza kwambiri pa spermatozoa okhwima. Pambuyo pa kutha kwa mankhwala ovomerezeka a m'thupi, ubereki wamwamuna umabwezeretsanso.