Hom kev tiv thaiv kab mob rau cov txiv neej:
- "Protracted" kev sib deev com. Unreliable kev xaiv, uas tsis tau muab kev tiv thaiv tawm tsam cev xeeb tub. Nws ntev mus ntev txog kev sib deev, tsis ua rau ejaculation, tab sis cov spermatozoa nrog rau cov phev pob txha taub hau yuav zoo rau lub tsev menyuam;
- interrupted sexual intercourse. Txoj kev ua tau zoo ntawm txoj kev tsis tshaj li 70-72% (txhua feem peb qhov chaw sib phim sib nraus yog qhov muaj feem xyuam), nws daim ntawv thov ua rau txo qis zog thiab mob prostatitis. Xav paub ntau ntxiv txog kev sib deev kev sib deev nrhiav tau ntawm no ;
- condom. Txoj kev nyiam tshaj plaws ntawm cov txiv neej tsis muaj kev tiv thaiv, tsis muaj kev tsis sib haum, yog ib qho yooj yim siv, tiv thaiv tawm tsam kab mob HIV thiab kab mob sib kis los ntawm kev sib deev. (duab 3) Kawm ntxiv txog kev siv hnab looj hauv hnab.
Cawv plab hnyuv
Vasectomy - txhawm rau lub vas deferens thiaj li tiv thaiv tau phev patency. Menyuam kom tsis muaj menyuam yog ib qho pheej yig, txhim khu kev ntseeg thiab yooj yim rau cov txiv neej. Tom qab pab tswv yim rau tus kws kho mob, npaj cov ntaub ntawv tsim nyog, koj yuav tsum sau anamnesis, tsis muaj ntshav, muaj kab mob plawv, ua xua, mob ntshav qab zib, tso zis mob, STDs. Thaum lub sijhawm kuaj, lub siab, lub plab, kev mob ntawm cov kab mob subcutaneous, daim tawv nqaij, thaj chaw, muaj cryptorchidism, varicocele, inflammatory txheej txheem ntawm scrotum.
VASECTOMY TECHNIQUES:
- thawj. Hla lub vas deferens tsis muaj bandaging, raws li electrocoagulation ntawm ib qhov tob ntawm 1.5 centimeters, superimpose lub fascial txheej;
- qhov thib ob. Txhim kho lub vas deferens, txiav cov nqaij thiab cov tawv nqaij, cais cov ciav, ligate, hla. Ib ntu twg yog cauterized. Rau ntau dua kev ntseeg tau, qhov ntu ntawm lub vas deferens qee zaus yuav raug tshem tawm;
- qhov thib peb. Tso tawm cov ducts, lawv tsis xav mus rau qhov incision, tab sis mus rau lub puncture. Ua kom muaj cov kabmob hauv zos, muab ib lub clamp ntawm cov kabmob, tsis cuam tshuam rau txheej. Ua ib ntuag ntawm cov phab ntsa thiab daim tawv nqaij ntawm lub vas deferens nrog ib qho kev muab cais, cais tawm, ua kev kub hnyiab.
Qhov kev ntsuas ntawm kev pov thawj ntawm kev tiv thaiv ntawm ib vas vas ntshav yog 99% ntawm thawj 12 lub hlis. Qhov feem pua ntawm kev tsis sib haum yog cuam tshuam nrog ib qho kev tsis sib haum xeeb ntawm tus cev tsis sib haum xeeb ntawm lub vas deferens los yog nrog lawv cov recanalization. Tus mob vasectomy yog mob tsis muaj mob, tab sis hnub no tus txheej txheem ntawm "rov qab vasectomy" tau tsim, thaum twg fertility raug rov qab los hauv 90-95% ntawm cov neeg mob.
Qhov ncauj tawm ntawm cov txiv neej
Cov tshuaj tiv thaiv kab mob rau cov txiv neej tau tsim nyuam qhuav. Qhov teeb meem tseem ceeb ntawm txiv neej txiv neej OC yog tias tsis zoo li cov poj niam uas yuav tsum tau tiv thaiv lub qe tsuas yog hnub ntawm cov kev xav ntawm lub cev, cov phev raug ua tas li, yog li cov tshuaj tiv thaiv kab mob yuav tsum tsis ua rau tus txheej txheem txhua txhua hnub.
Ib pawg ntawm cov txiv neej OK
- Cov kab mob ntawm cov tshuaj tua kabmob (spermatogenesis). Cov ntsiav tshuaj ntawm cov pab pawg no muaj cov tshuaj hormones steroid uas suppress zus tau tej cov gonadotropins, muaj kev sib tw tsis ua haujlwm, nrog rau cov kab mob spermatogenesis. Nrog ib qhov tshuaj tiv thaiv, tshuaj ntsiav yog siv nyob rau hauv ib qho ua ke thiab huv huv:
- testosterone enanthate. Ntawm kev txais tos cov concentration ntawm spermatozoons nws txawv ntawm 5 lab / ml thiab ntau dua. Tom qab siv ceev xwm txheej ntawm cov phev thiab theem ntawm cov tshuaj hormones gonadotropic rov mus rau qhov qub. Sab nyhuv: hnyav nce, pob txuv, greasiness ntawm daim tawv nqaij;
- gestagenic steroids. Progestins inhibit spermatogenesis, rau cov nyhuv, qhia tau tias yuav tsum tau loj loj. Lwm cov nyhuv: tsawg libido, ntev ntawm kev rov ua dua tshiab ntawm spermatogenesis;
- nafarelin. Nrog rau kev siv cov tshuaj nchuav hauv lub cev tsis zoo rau kev tsim cov tshuaj hormones thiab cov luteinizing, thiab nrog 200 mg ntawm testosterone inhibits spermatogenesis.
- Tshuaj uas cuam tshuam rau cov kev ua ntawm spermatozoa. Cov tshuaj yeeb-tshuaj feem ntau ntawm cov neeg no yog Gossipol. Nws inhibits cov enzymes uas muaj nyob hauv lub hlwb cov spermatogenic epithelium thiab spermatozoa, uas ua rau kom txo tau ntawm qhov ntawm lub spermatozoa. Gossypol yog siv rau 2-3 lub hlis rau 20 mg txhua hnub, raws li kev hloov mus rau 60 mg hauv 7 hnub (txij nkawm). Lwm cov nyhuv: mob plab nyom, tsis muaj zog libido, qhov ncauj qhuav, kiv taub hau.
Qhov zoo tshaj plaws ntawm cov tshuaj tiv thaiv kab mob (90-95%) yog ua tiav nrog cov kev tswj hwm ntawm OK, uas muaj cov nyhuv rau cov phev txiv neej ntsim. Tom qab qhov kawg ntawm kev noj tshuaj hormonal contraceptives, txiv neej fertility yog rov qab rau tag nrho.