I-Necrozoospermia-noma i-necrospermia-yigama lezokwelapha lapho zonke izidakamizwa zifile esampheni samasamu.
- I-necrozoospermia engaphelele yilapho eziningi kodwa hhayi zonke izidakamizwa zesampula zesimanga zifile. Ngokuvamile, uma ngaphansi kuka-45%, kodwa ngaphezulu kuka-5%, kusebenza.
- Ukuqedela i-necrozoospermia yilapho zonke izidakamizwa zesampula zesilisa zifile.
Ukuqedela i-necrozoospermia kuyinto engavamile kakhulu.
Kulinganiselwa ukuthi kuphela u-0.2% kuya ku-0.5% wamadoda angenalutho ahlupheka nge-necrozoospermia ephelele.
I-Necrozoospermia akufanele idideke ne-asthenozoospermia.
I-Asthenozoospermia lapho i-sperm motility-noma ukuthi insimu ibhukuda-engavamile. Kulesi simo, isidoda asihambanga, kodwa asifanga.
I-asthenozoospermia engapheli yilapho kungekho nhlobo isisu esihamba khona. Kwenzeka kumadoda angu-1 kwangu-5 000.
Kokubili i-asthenozoospermia ne-necrozoospermia yizimbangela eziyinhloko zokwelashwa kwabantu besilisa. Ngokuvamile akuzona izimpawu zangaphandle. Indlela yodwa yokuxilonga le nkinga iwukuhlaziywa kwesilisa.
Izinketho zokwelapha zihlukile kakhulu kwi-asthenozoospermia ne-necrozoospermia. Nge-asthenozoospermia, I- IVF ne-ICSI iyindlela yokwelashwa okungenzeka. (I-IVF ne- ICSI yilapho isilisa esisodwa singeniswa khona eqandeni .)
Nge-necrozoospermia, i- IVF ne-ICSI ayikwazi ukwenza nge-ejaculate entsha. Awukwazi ukujova isidoda esifile emaqanda. Ukwelashwa okuphumelela kunazo zonke kwe-necrozoospermia yisisindo se-sperm testicular ne-ICSI noma i-TESE-ICSI.
Okuningi ngalokhu ngezansi.
Ukuqamba Amanga
Esikhathini esiningi, lapho ubhebhu ehlonza i-necrozoospermia kwisampuli yesimeni, kuyiphutha.
Ukuxilongwa kwamanga kungenzeka uma ...
Usebenzise i-lubricant engeyona yokuzala. Uma ukushaya indlwabu ukuhlaziywa kwesilisa, kubaluleke kakhulu ukuthi ungasebenzisa "u-rub rub omile" (akukho ukugcoba) noma usebenzise kuphela ukhetho lokunakekelwa kokuzala .
Amafutha avamile angabulala isidoda .
Njalo ubuze udokotela wakho ukuthi yikuphi okugcoba ongawasebenzisa ngokuphepha ukuze uvivinye.
Isitsha sokuqoqa isidoda sasingcolile. Isampula yesimanga kufanele iqoqwe ekomelweni elomile nelinyumba.
Uma indebe ingcolisiwe, kungenzeka ukuthi noma yini eyayisekhobe ingabulala insimu.
Wazama ukuqoqa isidoda ngaphakathi kwekhondomu. Amanye amadoda abe nobunzima obukhulu ukuthola isampula yesimanga nge-masturbation . Kubo, ukuthola isampula ngokusebenzisa ubulili kungaba lula.
Kodwa-ke, uma uzama lokhu, kufanele usebenzise ikhondomu ekhethekile eyenziwe ukuqoqwa kwezokwelapha! Ngisho noma ikhondomu ingakhangiswa njenge-spermicide, impahla ye-latex ingabulala isidoda.
Uma uthola ukuxilongwa kwe-necrozoospermia, udokotela wakho uzophinda ahlole futhi angathumela isampula sakho se-semen esikhwameni esikhethekile.
Uma uvuselela ukuhlolwa, ungase ubuzwe ukuthi unikeze amasampula amabili ngosuku olulodwa.
Isizathu siwukuthi i-ejaculation elandelayo izoba nesidoda esisha, futhi leyo nsizi ngeke isetshenziswe isikhathi esiningi ilinde ukuba ibe khona. Lokhu kungasiza ukuxilonga inkinga .
Izimbangela
Akucaci ukuthi yiziphi izimbangela ze-necrozoospermia. Ngoba kungavamile, kunezinto eziningi ezingaziwa.
Ezinye izimbangela nezinkomba ezivela ngemuva kwe-necrozoospermia zihlanganisa ...
- Ukutheleleka emkhakheni wesilisa wokuzala
- Izinkathi ezide zokungabikho ukujula
- Ukulimala kwentambo yomgogodla
- Izinkinga ngamathambo
- Izinkinga nge-epididymis (okuyinto ithubhu elide, elibiziwe ngaphezulu kwe-testicle ngayinye, lapho u-sperm eqoqwe khona futhi evuthiwe ngaphambi kokujula)
- Isizathu samahomoni, njenge-hypogonadotropic hypogonadism (HH)
- Umdlavuza wokuqala we-testicular
- Ukushisa komzimba okungavamile (izinga lokushisa eliphezulu libulala umuthi)
- Ama-antibodies e-Anti-sperm, (lapho isifo somzimba sokuzivikela nge-immune sihlasela khona amangqamuzana aphilile, amangqamuzana ... amaseli wesilisa, kulokhu)
- I-Varicocele
- Ukuboniswa kwezidakamizwa (izinhlayiya zemvelo ezisekhaya noma emsebenzini)
- Ukusetshenziswa kwezidakamizwa emgwaqweni
- Ubudala obukhulu (yebo, izindaba zeminyaka yobudala besilisa )
Ukwelapha
Ezimweni lapho kutholakala imbangela ye-necrozoospermia, ukwelashwa kwalesi sizathu yisinyathelo sokuqala.
Isibonelo, uma kukhona ukutheleleka, ama-antibiotic angase abekwe.
Uma i-necrozoospermia ibangelwa ukusetshenziswa kabi kwezidakamizwa, ukwelashwa kokulutha izidakamizwa kunganconywa.
Ukwelashwa okuvame kakhulu kwe-necrozoospermia ephelele kuyinto yokubuyiselwa kwesidakamizwa se-testicular ne-IVF-ICSI. Eyaziwa nangokuthi i-TESE-ICSI. I-TESE-ICSI imelela isilwane se-testicular / epididymal nge-intracytoplasmic injection yesilisa.
Ngisho noma kungekho magciwane ephilayo e-ejaculate, kuhlale kuphila amangqamuzana omzimba angasanda kutholakala ematendeni. Ukuze ufike kulawo maseli amancane amagciwane, i-anesthesia yendawo isetshenziselwa ukuphazamisa i-testis. Khona-ke, inaliti ifakiwe futhi isampula yama-testis izicubu i-biopsied (noma ikhishwe). Lezi zamasamu omzimba omdala akhuliswe ebhodini lomtholampilo wokuzala. I-sperm ayikwazi ukungena futhi ifaka iqanda ngokwabo. Yingakho i-IVF ne-ICSI iyadingeka. I-ICSI ihilela ukujova isilwane se-sperm ngqo eqandeni.
Ukwelashwa okungavamile kodwa okwenzekayo nge-necrozoospermia kuphindwephindwa ngesonto lokuphulukiswa. Kulabo abanokulimala kwentambo yomgogodla, lokhu kungenziwa ngokusebenzisa electroejaculation. (I-Electroejaculation ihilela ukusetshenzwa kwamandla kagesi ukuphoqa ukujula, ukuze uthole isilwane.)
Isifundo esincane kakhulu sathola ukuthi ukuphindwa okuphindaphindiwe-kulokhu, kabili ngosuku ngezinsuku ezine kuya kwezinhlanu-kwandisa inani lokuphila, isilwane seselula. Ukwanda kwakubalulekile. Iphesenti lenyuka izikhathi ezintathu kuya kweziyisikhombisa uma kuqhathaniswa nokwelashwa kwangaphambi.
Isidalwa esiphilayo esitholakala kulezi zampula singasetshenziswa ngesikhathi se-IVF noma i-IVF-ICSI.
Kodwa-ke, ucwaningo luqhathanise izinga lokukhulelwa kwe-IVF emva kwe-TESE-ICSI ngokumelene ne-IVF-ICSI ne-sperm encane etholakala nge-ejaculations ephindaphindiwe. Bathole ukuthi ukukhulelwa nokuphila kwamazinga okubeletha kuvame ukuba ngcono nge-TESE-ICSI.
Enye indlela yokwelashwa kungenzeka ukusebenzisa umhlinzeki wesilisa.
Imithombo:
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I-Electroejaculation. I-Weill Cornell Medical College. https://www.cornellurology.com/clinical-conditions/male-infertility/sperm-retrieval-techniques/electroejaculation/
Negri L1, Patrizio P, Albani E, Morenghi E, Benaglia R, Desgro M, Levi Setti PE. "Umphumela we-ICSI ukhulu kakhulu kakhulu nge-spermatozoa ye-testicular kwiziguli ezine-necrozoospermia: isifundo esiphendukayo." I-Gynecol Endocrinol. 2014 Jan; 30 (1): 48-52. doi: 10.3109 / 09513590.2013.848427. I-Epub 2013 Oct 22. http://www.ncbi.nlm.nih.gov/pubmed/24147853
I-Ortega C1, i-Verheyen G, i-Raick D, i-Camus M, i-Devroey P, i-Tournaye H. "I-asthenozoospermia ngokuphelele ne-ICSI: yiziphi izinketho?" Ukuvuselelwa kwe-Hum Reprod. 2011 Sep-Oct; 17 (5): 684-92. i-doi: 10.1093 / i-humupd / dmr018. I-Epub 2011 Aug 3. http://www.ncbi.nlm.nih.gov/pubmed/21816768
UVicari E1. [Indlela yokuhlola kanye nokwelashwa kweziguli ezingama-133 ezingenalutho ezine-astheno-necrozoospermia]. [Isihloko ngesiNtaliyane] I-Arch Ital Urol Androl. 1999 Feb; 71 (1): 19-25. http://www.ncbi.nlm.nih.gov/pubmed/10193019
Wilton LJ1, Temple-Smith PD, Baker HW, de Kretser DM. "Ukungasebenzi kwabantu besilisa okubangelwa ukushisa nokufa kwesidoda ema-epididymis." UFertil Steril. 1988 Jun; 49 (6): 1052-8. http://europepmc.org/abstract/med/3371483