Ukuxilongwa Kwamanje Nokunakekelwa Kwesilisa Okungenzi lutho
Esinye sezimbangela eziyinhloko zokungakwazi ukubeletha yi-low sperm count and motility. Lokhu, kanye nekhwalithi empofu yesimungulu, imelela ngamaphesenti angama-90 zonke izimo zokungabi namuntu emadodeni futhi noma yikuphi kusuka kumaphesenti angama-20 angama-40 emibhangqwaneni.
Isimo esidabukisayo futhi esivusa amandla esithinta cishe umuntu oyedwa kwabayisithupha. Izimbangela zivela ezihlosweni zefa kanye nendlela yokuphila yokukhetha ukutheleleka kwangaphambili kanye nobudala.
Izici ze-Low Sperm Count ne-Motility
I-Oligoasthenoteratozoospermia (OAT) yigama esasijwayele ukuchaza lesi simo. Ngencazelo, i-OAT ibonakaliswe yisilwane ngezimfanelo ezilandelayo:
- inombolo ephansi engavamile yesidoda (oligozoospermia)
- i-sperm inombolo ephansi engavamile ehambisana nomoya omuhle (asthenozoospermia)
- izinga eliphansi elingavamile lomuthi wesimo enempilo (i-teratozoospermia)
Igama elithi oligoasthenoteratozoospermia lisetshenziswa lapho zonke izici ezintathu zikhona.
Idiopathic oligoasthenoteratozoospermia isetshenziswa uma imbangela yalesi simo ingacacile. Kuze kube ngamaphesenti angama-30 wamacala amantombazane angenayo ukungabi nabantwana kuthiwa abe ne-OAT idiopathic.
Izimbangela Nokuphathwa Kwe-OAT
Izici ze-OAT zingahle zihlukaniswe zibe yizigaba ezine: izici zofuzo, izici zokuphila, nezici ze-testicular, kanye nokusebenza komshini we-testicular / ejaculatory.
Izakhi zofuzo zingathinta zonke izigaba zokuzala komuntu, kusukela ekulimala kwe-DNA kumagciwane esilisa (i-spermatozoa), ukukhubazeka kwezakhi zofuzo ze-Y chromosome, kanye nezifo zofuzo ezifana ne-Klinefelter syndrome.
Eziningi zezici azitholakali ngalunye kodwa ngokuvamile zinganqotshwa nokusetshenziswa kwe- in vitro fertilization (IVF) .
Izindlela zokuphila zihilela kokubili imikhuba nemibandela ethinta ngqo umuthi wesilisa. Eziningi zalezi zici zishintsha futhi zingathuthukisa kakhulu amathuba omuntu wokukhulelwa.
Phakathi kwazo:
- Ukubhema kuxhunyaniswe kakhulu nokungabi nabesilisa nakuba izizathu zingekho ngokucacile. Lokho esikwaziyo ukuthi ukubhema kunganciphisa isibalo sesidoda ngamaphesenti angama-23 nesikhombisi sesisu sibe ngamaphesenti angu-13.
- Ukusetshenziswa kotshwala kotshwala okuncane okuyisihlanu ngeviki kunganciphisa kakhulu ubufakazi be-testosterone yomuntu kanye nekhwalithi yesilisa. Izidakamizwa eziningi zokuzilibazisa zinomphumela ofanayo.
- Ukukhuluphala ngokweqile (i-BMI kuka-30) kuyaziwa ngokubangela ushintsho lwe-hormonal olungathinta ngqo ukuzala komuntu. Ukuba nesisindo esiphansi (BMI ngaphansi kwe-18.5) nakho kuyinkinga.
- Ukugibela okunzima (ukuhamba ngebhayisikili, amahhashi) kungabangela ukuvuvukala kwe-testicular okungakhululwa ngokumane nje uthathe ikhefu kulo msebenzi.
- Ukweqisa ama-testes kuhlotshaniswa nesibalo se-sperm esincane. Izimbangela zihlanganisa izibhakabhaka ezishisayo kakhulu, noma i-sauna, kanye nokugqoka amabheyi aqinile esikhundleni sababhokisi. Ukweqa ngokweqile esikoleni sokuzivocavoca kungaba nomphumela ofanayo.
- Imithi ethile ingaphazamisa ikhwalithi ye-sperm (anabolic steroids, iTagamet esetshenziselwa ukwelapha isisu esiswini) kanti amanye amathini angathinta isisu somzimba (Azulfidine esetshenziselwa ukwelapha isifo samathambo kanye ne-Macrobid esetshenziswa ukuphatha izifo zesisu).
Izici zobufakazi yizo eziphazamisa ikhono le-testicle lokukhiqiza inani eliningi noma ikhwalithi yesidoda.
Ezinye zezici zingaphathwa; abanye abakwazi. Zihlanganisa:
- ubudala
- ukuhlukumezeka kwamathambo
- izifo ezithile ezedlule (i-syphilis, iminyumba, i-malaria) eyaziwa ngokuqondile noma ngokungaqondile ohlelweni lwesibalo sokuzala)
- ukukhuliswa kwe-varicocele (okungasetshenziswa kaningi ukuphathwa ngokuhlinzwa futhi okungavunyelwe)
- umdlavuza we-testicular
- i-chemotherapy kanye nokwelashwa kwemisebe
Ukukhubazeka okwebufakazi nobuciko kubhekisela kunoma yisiphi isimo esivimbela ikhono lomuntu lokukhipha noma ukuvimbela ukugeleza kwebilisa emgodini wesilisa. Lezi zici zihlanganisa:
- ukuvinjelwa kwe-vas deferens noma imigodi ejaculatory
- i-prostatitis (ukuvuvukala kwe-prostate gland)
- Ukuphindaphinda kwe-ejaculation lapho isilwane siqondiswa khona ngokungaqondakali kwesinye
- i-hypospadias, i-defectital defect lapho ukuvulwa kwe-urethra engekho ekhanda lepenisi
- ukungasebenzi kahle kwe-erectile (okungajwayele ukuphathwa ngemithi)
- ukungabi namandla ngezinye izimbangela
Izwi elivela ku-Verywell
Ngenkathi zicindezela, eziningi zezimbangela zokungabi nabesilisa zingaphathwa. Uma kwenzeka bengenakukwazi, kunezinqubo eziningi zokusiza ekuzaleni ezingathuthukisa ithuba lomshado lokukhulelwa. Zihlanganisa izidakamizwa zokuzala , amadivayisi wezokwelapha , ukuhlinzwa , noma inhlanganisela yokwelashwa.
Noma yini oyenzayo, ungayeki. Uma ubhekene nokuhlukunyezwa kwamadoda, kungakhathaliseki ukuthi kuyini imbangela, khuluma nomchwepheshe wenzalo ongakwazi ukusiza.
Umthombo
- > Cavallini G. "Idiopathic oligoasthenoteratozoospermia." I-Asian J Androl. NgoMashi 2016; 8 (2): 143-57.
- > Punab, M .; Ama-Poolamets, O .; I-Vihljajev, i-V .; et al. "Izimbangela zokwelashwa kwabantu besilisa: umfundi oneminyaka engu-9 ofundwayo yi-monocentre ngeziguli ezingu-1737 ezinenani elincane elincane lobisikazi." Ukukhiqizwa kwabantu. 2017; 32 (1): 18-31.