It was not until he took the inability to have children seriously that he was treated in the hospital. Xiaojun (a pseudonym), a 32-year-old man who lives in a town in Hanjiang River, didn't know that his wife was not pregnant until he got married for many years, which was related to mumps when he 13 years old. ...
A 32-year-old man has been married for 5 years and his wife is infertile.
Mumps complicated with orchitis in adolescence.
In 20 13, Xiaojun married his wife who had known him for several years. The married family is happy and harmonious, but the fly in the ointment is that they have never had their own children. "Before we got married, we had a physical examination. After marriage, the company where the two are located will also have a medical examination, which is quite healthy. " Xiaojun said. After five years of marriage, Xiaojun and his wife are both in their thirties. Both parents are very anxious, urging them to go to a specialist to see infertility.
Xiaojun is a big man and never thinks he will have any problems. However, when he went to the city hospital of traditional Chinese medicine, after several routine semen tests, no sperm was found. "The genetic examination, seminal plasma biochemistry and sex hormones all showed normal," said Zhang Xing, deputy chief physician of andrology department of the Municipal Hospital of Traditional Chinese Medicine. After passing relevant examination methods, he found that his testicles had sperm.
Network picture
Later, Zhang Xing learned from Xiaojun's medical history that Xiaojun had suffered from mumps when he was 13 years old. "His mouth was swollen. Later, his parents took him to find someone to paint his face with ink. He went to the hospital to hang water. For a long time, "Xiaojun said. "I remember when my mouth was swollen and painful, there was testicular pain. But I don't have the courage to tell adults. When I got better, I forgot about it. " Zhang Xing said that Xiaojun's infertility is probably due to azoospermia caused by mumps and orchitis in adolescence.
Serious complications of mumps.
Mumps is an acute infectious disease caused by virus, which mainly occurs in children and adolescents aged 5- 15, as well as adults. Spring is the season of mumps. Mumps is a self-limiting disease. At present, there is a lack of specific drugs, and antibiotic treatment is ineffective. Oral and external use of traditional Chinese medicine has a good therapeutic effect, which generally subsides within 7 ~ 10 days.
Zhang Xing said that the prognosis of simple mumps is good, and the terrible thing is the various complications caused by it. Serious complications of mumps include meningitis, orchitis, oophoritis, myocarditis and nephritis. Once a man is complicated with orchitis, it may lead to infertility in adulthood. "
How can mumps complicated with orchitis lead to infertility in adulthood? Zhang Xing explained that mumps virus can easily invade testicular tissue except parotid gland. If parotitis is not treated in time or thoroughly, mumps virus may invade testicular tissue, thus causing inflammatory reaction of testis, causing damage to testicular tissue, irreparable damage to epithelial cells and interstitial cells of seminiferous tubules of testis, and even testicular atrophy in severe cases, making testis lose the ability to produce sperm, thus losing fertility.
During mumps epidemic season
Boys travel in protection, pay attention to hygiene, pay special attention to prevention.
Worryingly, most of these injuries are permanent, because adolescent boys are ashamed to talk about them, just as Xiaojun didn't find out until he got married that he couldn't have children as an adult. In this regard, Zhang Xing reminded that after children, adolescents or childless adult men suffer from mumps, parents must take effective measures to prevent them from complicated with orchitis, and always pay attention to whether patients are complicated with orchitis. Once complicated with orchitis, it is necessary to give effective treatment in time to minimize the damage of the virus to the testicles.
During the epidemic season of mumps, experts remind the public to take daily preventive measures to prevent diseases.
What is mumps?
Mumps, commonly known as "mumps", is an acute respiratory infectious disease caused by mumps virus infection, which is most contagious when parotid gland is swollen. Common in children and adolescents. Mumps virus mainly invades parotid gland. The parotid gland is located around the earlobes of both cheeks. Besides parotid gland, virus can also invade other gland tissues and organs, such as pancreas, gonads, brain tissues, heart and joints.
Mumps occurs frequently in winter and spring, and people are the only source of infection.
How is mumps spread?
Mumps is mainly transmitted through respiratory tract, and the virus can exist in saliva and respiratory secretions of patients and spread through air or droplets. It can also be spread indirectly through clothes, toys or public appliances contaminated by infected saliva.
Susceptible patients usually get sick within 2-3 weeks after contact with patients.
What are the symptoms of mumps?
Mumps is mainly characterized by swelling at the root of one or both earlobes. The swollen parotid gland is often hemispherical, with the earlobe as the center, spreading forward, downward and backward, with obvious tenderness. When chewing or eating acidic food, the pain is aggravated. In addition to swelling and pain of parotid gland, most patients with parotitis have fever symptoms, and their body temperature is about 38℃, which is intermittent. If there are no complications, it will heal itself in a week or so.
What are the complications of mumps?
Mumps itself is not terrible, but the complications can be serious. Mumps can be complicated with orchitis, viral encephalitis, pancreatitis, myocarditis and pneumonia.
When children with mumps have abdominal pain, bloating, vomiting, fever and other symptoms, they need to be alert to pancreatitis, which can be life-threatening in severe cases.
If the child has headache, persistent fever, vomiting, poor spirit, or even convulsions, he needs to be alert to viral encephalitis;
When girls have abdominal pain, they need to be alert to ovarian inflammation;
Boys have a fever, swollen balls and pain, so they need to be alert to orchitis. If combined with bilateral orchitis, it may lead to infertility in adulthood.
What should I pay attention to when I get mumps?
Because mumps is contagious, once a child is diagnosed with mumps, it is best to rest at home and not go to school or kindergarten to avoid infecting other children. If there are no complications, it can heal itself in a week or so, and the parotid gland swelling disappears completely, and the isolation can be lifted; If you have contact with mumps patients, you need to observe them in isolation for 3 weeks.
How to prevent mumps?
At present, China's children's immunization program stipulates that children aged 18 ~ 24 months should be routinely vaccinated with 1 dose of measles-mumps-rubella combined vaccine (MMR), but the effect of vaccination with 1 dose of mumps vaccine is limited. It is suggested that children should be vaccinated with 1 dose of mumps vaccine before entering primary school.
When you have mumps, try not to take your children to crowded places, let alone play or get together with children who already have mumps.
The classroom should pay attention to ventilation and keep the air circulating, which can be disinfected with 0.2% peracetic acid.
Educate children to develop good personal hygiene habits, take part in more physical exercises and strengthen their physique.
In school, it is best to have health personnel to monitor, check regularly, increase morning check-ups and do a good job in health education; Timely medical observation when suspicious cases are found; Once an epidemic situation occurs, it is necessary to report to the local health institutions in time, disinfect the activity places, and carry out emergency vaccination with mumps vaccine for susceptible people as soon as possible.
Susceptible people who have been exposed to infectious mumps (people who have never been sick or vaccinated before) should be closely observed.