Ancient and modern male and modern 丨 Focus on patients with no spermatozoa

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[Ancient and Men's and Men] It is a science popularization issue organized by the male department of the Traditional Chinese Medicine Hospital of Guangdong Province. Protection.

A male patient was diagnosed last year. The young couple had been married for three years and had no children. There was no problem after the woman's detailed inspection. At this time, the man was willing to be inspected, and the inspection showed that the man was no seizure. When he got the semen inspection report, his mood was very tense, and the sudden result made the patient's emotions significantly anxious!

Fortunately, after further the cause of the cause, the cause of the patient's no sperm may be due to the poor development of the vollarization pipe and the decline of testicular sperm function, as well as the hope of treatment! After subsequent diagnosis and treatment of traditional Chinese and western medicine and arranged testicular biopsy, the operation was smooth. In order to be accurate for the dual insurance of the biopsy results, the testicular tissue I got was divided into two copies. One embryo culture room wasolated tissue tissue tissue tissue to find sperm, one sent the pathology. As a result, the embryonic training room was separated from the tissue tissue sperm. When I informed the patient, the patient cried like a child on the operating table. Fortunately, the ending of the later was successful. Through assisted reproductive technology, the young couple were pregnant with their own healthy babies in our department.

In the face of illness, patients bear not only physical pain, but also invisible huge psychological pressure. When doctors can cure patients, they should pay attention to the patient's mental health at the same time. In fact, there are many sperm -free patients who can also gain their own spring, so take this opportunity to science here to science the knowledge of sperm -free.

1. What is sperm -free?

Sperm -free refers to at least two semen examinations, and no sperm is found under the 3000g centrifugal rear mirror observation. Note that this means that there is no sperm in the semen! However, if the voyential pipe is blocked or a certain period of time, even if the source "testicles" can produce sperm and sperm cannot be transported, there can be no sperm in the semen. Therefore, sperm -free does not mean that the patient does not have sperm, only represents the sperm in the semen, just like the faucet without water, does not mean that there is no water in the water tank without water. According to whether there are sperm in the source, sperm -free can be divided into obstruction without sperm -free (testicles produce sperm but transport disorders) and non -obstructive sperm non -sperm (that is, the testicular does not produce or produce a very small number of sperm).

2. How to distinguish the type of sperm -ncement?

What kind of sperm non -sperm is mainly based on physical examination and clinical examination. Specifically, "One look at two touches and four inspections": At first glance, it refers to observing the second sexual characteristics of men (beards, throat knots, and muscles, etc.). Development; Two -touch refers to the size and texture of the testes, and whether the touches of the tubing pipe exist, the softened testicular of the volume and softness often indicates that the sperm function of the testicles is low, and the vasal tube cannot reach or there is nodules often indicate that the pipeline The lack of or the pipeline is unobstructed; the fourth examination refers to the inspection of sex hormones, chromosomes, the biochemistry of the slurry and the biochemical B -ultrasound. Through the above analysis, you can basically judge the general direction, but in the end, the testicular biopsy is required.

Third, how to treat the non -sperm -free disease in the vascular pipeline?

Obstructive treatment schemes are mainly selected according to the range of obstruction and the patient's wishes. If the transparent tube ligation, or the short -distance part of the congenital blockage, the surgery can be considered, and the efficiency of the dredging will be different due to the patient's condition and obstruction time; The surgery is resumed. When you need to give birth, you can take the surgery to take a test tube baby for treatment. Of course, considering that there is also a chance of obstruction after the volfted pipeline is resumed, the patient's willingness to choose is also an important reference factor for the formulation of the treatment plan. If there is no fertility plan, there is no need to intervene. Obstructive sperm -free has not much effect on other aspects of physical health.

What should I do if the source testicles do not produce sperm?

Little friends may think that the source testicles do not produce sperm, must be "Barbie Q"! In fact, otherwise, patients who do not produce sperm at the source are divided into various cases, just like planting crops, some are problems with seeds, some have problems with the soil, and some are fertilizer and nutritional problems, so the treatment plan is there, so there are other treatment plans. Differential. If the lack of fertilizer (the deficiency of sex hormones produced by sperm), we can treat the corresponding hormones; if the inflammation affects the growth and development of the seeds, it can control inflammation and improve the local micro -environment; Then you can discriminate the treatment and treat it, etc. ... Therefore, even if the testicles do not produce or produce a small amount of sperm, do not give up lightly for such patients. After analysis and treatment of traditional Chinese and Western medicine systems, as long as you can find sperm Genetic consultation.

Fifth, the application of Chinese medicine in the diagnosis and treatment of sperm -free disease

Traditional Chinese medicine believes that kidney is hidden, and the main development and reproduction. The prosperity of kidney essence determines the growth, development and aging of the human body, which is directly related to sex and reproductive function. The fullness of kidney qi has prompted "Tian Gui" to mature, and men are manifested as "essence of qi and diarrhea", which can be yin and yang and have children. It can be seen that the essence of reproductive is the qi in the kidney, and it is related to the precision of the five internal organs. The exquisite gas is full, the gasification is available, and the tibetan leaks are often coordinated. The sperm -non -sperm -free disease is also related to the function of kidney, liver, heart, and spleen. Sperm -free Chinese medicine treatment should focus on regulating the yin and yang of the kidneys, supplement the essence of the kidney, and guide the sperm of the kidney, that is, focusing on the two aspects of sperm production and dredging the vasal pipeline. Patients with non -obstructive spermatozoa are mostly kidney essence deficiency or weak spleen and stomach, which leads to lack of qi and blood biochemistry, and blood loss and no sperm; Internal accumulation, obscenity infection, or feel the evil of wind and heat, epidemic poison, wind cold, and sperm -free caused by the betting of evil poisoning, they are mostly obstructed from the scorching, humidity, hot stasis; Auxiliary treatment should be discerned and dialectical, such as Yiyen, nourishing the spleen or relieving liver treatment, and combined with the treatment of blood circulation, removing blood stasis, clearing heat or dampness.

Academic leader

Professor Chen Zhiqiang

Professor, chief Chinese doctor, doctoral supervisor. The academic experience inheritance of the academic experience of old Chinese medicine experts across the country, a famous Chinese medicine medicine in Guangdong Province. Former Deputy Dean and Director of Grand Surgery Hospital of Guangdong Provincial Hospital of Traditional Chinese Medicine, surgery academic leader. The Vice President of the Chinese and Western Medicine Association of the Chinese Medical Association, and the honorary chairman of the professional committee of the Society of Traditional Chinese and Western Medicine Society.

Good at:

Traditional Chinese medicine and traditional Chinese and Western medicine diagnosis and treatment of urology and orrology. Including prostate diseases, infertility, urogenital tumors and infections, sexual function abnormalities, organs related to reproductive systems and adrenal lesions, urethrosis and other diseases.

Disposal time:

Monday morning: The Ersha Island Hospital of Guangdong Provincial Hospital of Traditional Chinese Medicine Hospital needs outpatient clinics

Thursday afternoon: The Urology Cott, Dade Road General Hospital of Guangdong Provincial Hospital of Traditional Chinese Medicine, needs outpatient clinics

Friday morning: Outpatient clinic for male science in the University of Traditional Chinese Medicine Hospital

Contributor

Yuan Qilong

Deputy Chief Physician, Ph.D. in Medicine, Director of the World Chinese Medicine Federation, member of the Guangdong and Western Medicine Society of Traditional Chinese and Western Medicine, member of the Guangdong Medical Association, members of the male science branch, member of the Yogurt of the Yogurt of the Yogurt of the Guangdong Medical Society.

Good at:

Male infertility (less and weak deformity sperm and semen liquefaction abnormalities), sexual dysfunction, prostatitis, and spermatic varicose veins, especially in the auxiliary reproductive technology (artificial insemination and IVF) Patients' diagnosis and treatment and eugenic inheritance have in -depth research.

Surgery: Testis, epididymal minimally invasive essence and painless foreskin cycle surgery.

Disposal time:

Every Wednesday, Thursday, Saturday morning: The Division of Reproductive Medicine, Fourth Floor, East District, Dade Road General Hospital of Guangdong Province

Every Monday, Tuesday, Friday morning: The male clinic on the fourth floor of the University City Hospital of the University of Traditional Chinese Medicine

Every Tuesday and Friday afternoon: The Department of Reproductive Medicine, the 5th Floor, University of the University of Traditional Chinese Medicine,

Executive editor: Wu Yuan Tuan

Audit school pair: Zhuang Yingge

Editor in charge: Song Liping

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