Indwangu yesidoda, noma indlala yesidoda, iyisakhiwo sohlelo lokuzala lwabesilisa olubandakanyeka ekwakhiweni kwesidoda.

Isikhundla. Okubili ngenombolo, ama-vesicles wesidoda atholakala ngemuva kwesinye nangaphambi kwethanga (1). Futhi zixhunywe ngqo kwi-prostate, etholakala ngaphansi kwe-prostate (2).

Ukwakheka. Cishe ngo-4 kuye ku-6 cm ubude, i-vesicle yesidoda yakhiwa ngomsele omude, omncane ohlanganiswe wodwa. Iza ngokuma kwephare eliphikisiwe futhi inendawo engqubekile. Ihamba ngasekupheleni kwama-vas deferens kusuka emasendeni. Ukuhlanganiswa kwendwangu ngayinye yesidoda nama-vas deferens ahambisanayo kuvumela ukwakheka kwamapayipi okukhipha (3).

Indima ekukhiqizweni kwesidoda. Ama-vesicles ama-seminal ayabandakanyeka ekukhiqizeni i-seminal fluid (1). Lolu ketshezi luyingxenye enkulu yesidoda futhi luqukethe izinto ezidingekayo ukondla nokuhambisa isidoda ngesikhathi sokukhishwa. Ikakhulu, ivumela ukulethwa okufanele kwesidoda ku-oocyte.

Indima yesitoreji. Ama-vesicles ama-seminal asetshenziselwa ukugcina isidoda phakathi kwe-ejaculation ngayinye (3).

Izifo ezithathelwanayo. Ama-vesicles wesilisa angathola izifo eziqoqwe ngaphansi kwegama elithi spermato-cystitis. Zivame ukuhlotshaniswa nokutheleleka kwe-prostate, i-prostatitis, noma i-epididymis, i-epididymitis (4).

I-tumor pathologies. Izicubu, ezinobungozi noma ezimbi, zingakhula kuma-vesicles wesilisa (4). Lokhu kuthuthukiswa kwesimila kungaxhunyaniswa nokuthuthukiswa komdlavuza ezithweni ezingomakhelwane:

• Umdlavuza wendlala yesinye. Izicubu ze-Benign (ezingewona umdlavuza) noma ezibulalayo (ezinomdlavuza) zingakhula ku-prostate futhi zithinte izicubu eziseduze, kufaka phakathi ama-vesicles wesisu. (2)
• Umdlavuza wesinye. Lolu hlobo lomdlavuza luvame ukubangelwa ukukhula kwezimila ezibulalayo odongeni lwangaphakathi lwesinye. (5) Kwezinye izimo, lezi zicubu zingakhula futhi zithinte izicubu ezizungezile, kufaka phakathi ama-vesicles wesilisa.

Ukukhubazeka kwama-vesicles wesilisa. Kwabanye abantu, ama-vesicles weseminal angahle abe angajwayelekile, kufaka phakathi ukuba mncane, i-atrophic, noma ukungabikho (4).

Ukwelashwa. Ngokuya ngesifo esitholakele, kungabekwa imishanguzo ehlukile njengama-antibiotic.

Ukwelashwa kokuhlinzwa. Ngokuya nge-pathology etholakele kanye nokuziphendukela kwayo, ukuhlinzwa kungenziwa. Endabeni yomdlavuza wesibeletho, ukwenziwa kwe-prostate, okubizwa ngokuthi yi-prostatectomy, noma ukwehliswa kwama-vesicles wesilisa kungenziwa ikakhulukazi.

I-Chemotherapy, i-radiotherapy, i-hormone therapy, ukwelashwa okubhekiswe. Ngokuya ngohlobo nesigaba sesimila, ukwelashwa ngamakhemikhali, ukwelashwa ngemisebe, ukwelashwa kwamahomoni noma ukwelashwa okuhlosiwe kungasetshenziswa ukuqeda amangqamuzana omdlavuza.

Ukuhlolwa kwe-Proctological. Ukuhlolwa kwamakholomu edijithali kungenziwa ukuze kuhlolwe ama-vesicles wesilisa.

Ukuhlolwa kwe-imaging yezokwelapha. Ezingeni le-protast, izivivinyo ezahlukahlukene zingenziwa njenge-MRI yesisu-pelvic, noma i-ultrasound. I-Ultrasound ye-prostate ingenziwa ngezindlela ezimbili ezihlukile, kungaba ngaphandle kwe-suprapubic noma ngaphakathi ngaphakathi.

I-prostate biopsy. Lokhu kuhlolwa kuqukethe isampula lamaseli avela endlala yesinye futhi kwenza kube nokwenzeka ikakhulukazi ukuthola ukuthi kukhona amangqamuzana esithumba.

Ukuhlolwa okungeziwe. Ukuhlolwa okungeziwe okufana nokuhlaziywa komchamo noma kwesidoda kungenziwa.

Ama-vesicles ama-seminal ahlotshaniswa kakhulu nokuzala kubantu. Ngempela, izifo ezithile ezingeni lama-vesicles wesilisa zingaholela ezinkingeni zokuzala.