Mhando dzekudzivirira vana kuvanhu

Havasi vanhu vose vezera rekubereka vanoda kuva nevana, izvo zvinoumba matambudziko mamwe kwavari pavanosarudza nzira yakanakisisa yekudzivirira. Kubata pamuviri hakusi kungodzivirirwa kubva pamuviri, ndiko kuchengetedza utano, nzira yekuzvarwa kwechechecheche kana pane chido uye mukana wekuva nemwana. Mishonga yemazuva ano ine nzira dzakawanda dzinodzivirira kubata pamuviri. Kuita zvepabonde kunopesana kubva kune imwe neimwe mukana wekushandiswa, dhigiriro yemuviri, kuvimbika, kubudirira. Asi vose vari kutarisa, kutanga kune zvose, pamusoro pevakadzi, uye varume vazhinji vanofunga kutarisira kuchengetedzwa kwemabasa evakadzi. Vanachiremba vanotendawo kuti varume vanogona uye vanofanirwa kutora chikamu mukudzivirira vakadzi kubva pamuviri usina kukodzera, nokuda kweizvi, kune chirongwa chakakosha chekudzivirira kwevarume.

Zvizvarwa zvekare zvekudzivirira kubata pamuviri kwevarume:

• "Kuchengeta" zvepabonde. Nzira isingagoneki, iyo isingagoni kudzivirirwa pakubata pamuviri usina kurongwa. Inowedzera nguva yechiratidzo chepabonde, haitungamiri pakuenda, asi spermatozoa pamwe chete nefuramusiya inogona kupinda mukati mechibereko;
• kukanganisa zvepabonde. Kubudirira kwenzira yacho hakupfuuri 70-72% (yechitatu yechitatu kubatana inonzi inogona kunge ine ngozi), kushanda kwayo nguva dzose kunoita kuti kuderera mu potency uye isingaperi prostatitis. Mamwe mashoko pamusoro pepabonde ekuvhiringidzika anogona kuwanikwa pano ;
• kondomu. Nzira yakakurumbira yekubata pamuviri, isina zvinopesana, iri nyore kushandisa, inodzivirira kupararira kweHIV uye zvirwere zvepabonde. (Mufananidzo 3) Dzidza zvakawanda pamusoro pekuisa pamakondomu pano .

Kuvhara mimba yekuvhiya

Vasectomy - kuvharwa kwevas deferens kuitira kuti kudzivirira hutachiona huvepo. Kubata muviri kwemurume inotengeswa, yakatendeseka uye inoratidzika nzira yekudzivirira kubata pamuviri yevarume. Mushure mekubvunza chiremba, kugadzirira zvinyorwa zvinodiwa, iwe unofanira kutora anamnesis, usabvisa kuvapo kwekubuda ropa, yemwoyo mamiriro ekurwara, zvirwere, chirwere cheshuga, urinary tract infections, STDs. Pakati pekuongororwa kwechinangwa, kushandiswa kwemasimba, kupisa, chimiro chemukati fataneous fat layer, ganda, nzvimbo yakakonzera, kuvapo kwe cryptorchidism, varicocele, kupisa kwemapurogiramu ezvinyorwa zvakatemwa.

VASECTOMY TECHNICAL:

• yekutanga. Yambuka vas vas deferens pasina bandaging, zvichienderana ne electrocoagulation pakadzika 1.5 centimita, inogadzirisa fascial layer;
• yechipiri. Rongedza vas deferens, cheka muscle mashizha uye ganda, kurega duct, ligate, muchinjikwa. Chikamu chimwe nechimwe chinokonzerwa. Nokuvimbika kukuru, chikamu che vas deferens dzimwe nguva chingabviswa;
• wechitatu. Kuti vasununguke ducts, havangosviki kune kuvhara, asi kune kuvhara. Ita anesthesia yemunharaunda, gadzirai gore rinosungirirwa pamusoro pemudhaini, musingaiti maitiro. Ita rutivi rwemadziro uye ganda re vas vas deferens ne-dissection clip, kurega, kuitisa chimiro.

Nhamba yekudzivirirwa kwekudzivirira kwekudzivirira kwepabonde yevasectomy ndeye 99% mukati memwedzi 12 yekutanga. Izvo zvikamu zvekukundikana zvinosanganiswa neusingazivikanwi congenital anomaly ye vas deferens kana nekudzoka kwavo. Nhamba yevasectomy inenge isingabvumirwi, asi nhasi nzira yeku "reverse vasectomy" yakave yakagadzirwa, umo kubereka kunodzorerwa muna 90-95% yezviitiko.

Zviratidzo zvemuviri zvevarume zvevanhu

Zviratidzo zvepabonde zvevarume zvakasikwa munguva ichangopfuura. Dambudziko guru revarume veOC vekudzimai ndechekuti kusiyana nevadzimai vanoda kuchengetedza mazai kwemazuva ekufungidzika kwemazai, chirume chinoumbwa nguva dzose, saka kubata pamuviri kunofanirwa kupedza basa racho zuva rega rega.

Mazana evanhu OK

1. Inhibitors ye spermatogenesis. Matafura eboka iri ane steroid hormones inopedza kugadzirwa kwegonadotropins, imwe nzira isingazivikanwi testicular, kusanganisira spermatogenesis. Nekudzivirira pamuviri, mahwendefa anoshandiswa muhutano hwakabatana uye hwakachena:
   • testosterone enanthate. Pagamuchiriro, kuwedzera kwepermatozoons kunokonzerwa nemamiriyoni mashanu / mami uye mamwe pasi. Mushure mekudzivisa kudya kwemumvu uye chiyero chegonadotropic hormone inodzokera kune yakasikwa. Chikamu kuitika: kuwedzera kuwanda, mazinya, kuchena kweganda;
   • gestagenic steroids. Progestins inhibit spermatogenesis, nokuda kwechirevo chakataurwa, maitiro makuru anodiwa. Nhengo yechirwere: yakaderedza libido, nguva yekuvandudzwa kwe spermatogenesis;
   • nafarelin. Nokushandiswa kwenguva refu kweNafarelin kunopesana nekugadzirwa kwemahomoni e-follicle-stimulating uye luteinizing, uye pamwe chete ne 200 mg ye testosterone inhibits spermatogenesis.

2. Zvinodhaka zvinokanganisa basa re spermatozoa. Mishonga inonyanya kuzivikanwa yeboka iri Gossipol. Inhibitisa ma enzymes ari mumasero e spermatogenic epithelium uye spermatozoa, iyo inotungamirira ku kuderera kwemotility ye spermatozoa. Gossypol inotorwa kwemwedzi 2-3 kusvika 20 mg zuva nezuva, inoteverwa nekushandurwa kusvika 60 mg mumazuva manomwe (chirongwa chekuchengetedza). Chikamu kuitika: gastric disorders, decreased libido, yakaoma muromo, dutu.

Iyo yakanakisisa yekudzivirira kubata pamuviri (90-95%) inowanikwa nehutungamiri hweE OK, iyo ine chinangwa chinogadziriswa pane spermatozoa yakakura. Mushure memugumo wekutora mishonga yemakemikari inorapwa, kubereka kwevanhu kunodzorerwa zvakakwana.