Izinketho ezengeziwe zokuhlola kanye nokwelapha ukuhlaziywa kwesimo
Ube nokuhlaziywa kwesilisa , futhi imiphumela yakho ibhekwa njengendabuko. Mhlawumbe isibalo sakho sabantu besilisa siphansi, noma mhlawumbe imiphumela yakho yokuhlola itholile impofu yesimo sempilo noma i-morphology. Kusho ukuthini lokhu? Yini elandelayo?
Umphumela owodwa ongajwayelekile ungasho ukuthi iNduna engenzi lutho
Into ebaluleke kakhulu ukwazi ukuthi imiphumela eyodwa empofu ayisho ukuthi awunamandla.
Ukuhlaziywa komzimba wakho kungathinteka ukugula kwamuva, ukukhathazeka ngokuhlolwa kanye nezinye izinto ezihlukahlukene. Udokotela wakho cishe uzohlehlisa ukuhlolwa okukodwa noma ezimbili ukulandela imiphumela, ukubona ukuthi imiphumela engavamile iphinda iphinde.
Kubuye kubalulekile ukukhumbula ukuthi imiphumela yokuhlaziywa kwamaduna kufanele ihlolwe ndawonye. Ngamanye amazwi, uma umphumela owodwa kuphela ongajwayelekile kubangelwa ukubalwa kwamangqamuzana egazi elimhlophe, kodwa ezinye izilinganiso zezinja zivamile futhi azikho ezinye izimpawu zokutheleleka, ngakho-ke imiphumela yakho ingase ibhekwe njengokujwayelekile.
Izinhlobo ze-Sperm engavamile kanye neziphumo zokuhlaziywa kwezinto ezimbi
Ngaphambi kokuthi uzwela ukungabi nabantwana, kungenzeka ukuthi ujwayele ukubalwa kwesidoda. Cishe uyazi ukuthi ukuba nesibalo esincane se-sperm kuyinkinga. Kungenzeka ukuthi wayengazi ezinye izindlela eziningi izidakamizwa noma isisu kungavamile.
Ungase uzwe la magama asetshenziselwa ukuchaza imiphumela yakho yokuhlaziywa kwesilisa.
I-Normozoospermia : lapho zonke izilinganiso zesilisa nezinambuzane zilinganiselwe.
U-Oligozoospermia : lapho isibalo sesidoda singaphansi kwejwayelekile. Kungase kuhlongozwe ngokuthi i-oligozoospermia enomusa, ejwayelekile, enzima noma eyedlulele.
I-Asthenozoospermia : uma amaphesenti amakhulu okunyakaza kwesidoda akuvamile, okunye okubizwa ngokuthi yi- sperm motility engavamile. Isidakamizwa esivamile kufanele sihambise esiqondisweni esiqhubekayo.
Lokhu kulayini oluqondile noma imibuthano emikhulu kakhulu.
I-Teratozoospermia : uma iphesenti enkulu yesidoda inesimo esingavamile. I-sperm morphology iyimvelo yesilisa. Isidalwa esivamile kufanele sibe nenhloko ye-oval ngomsila omude. Isidalwa esingavamile singaba nenhloko eyimvelo engavamile, ngaphezulu kweyodwa, noma ngaphezulu komsila owodwa.
Oligoasthenoteratozoospermia : lapho zonke izilinganiso zesilisa zingavamile . Ngamanye amazwi, isibalo sembewu, ukunyakaza, nokuma konke kuyinkinga.
I-Azoospermia : uma kunesidingo se-zero ku-ejaculate.
I-Necrozoospermia : lapho zonke izidakamizwa zifa noma zingahambi .
I-Leukocytospermia : uma kunenani eliphakeme lamaseli amhlophe egazi emzimbeni. Kulesi simo, i-sperm ayiyona into engavamile, kodwa isilwane singase sibe inkinga. Inani eliphakeme lamangqamuzana egazi legazi lingabonisa ukutheleleka okungenzeka.
I-Hypospermia : uma i-ejaculate esiphelele iphansi, noma ngaphansi kwe-1.5 milliliters of fluid. Lokhu kungaphansi kwengxenye yesithathu ye-isipuni.
Imiphumela Yokuhlaziywa Kwemvelo kanye Nokuzala Okungenzeka
Ukuhlaziywa kohlobo lwezinhlobo ezijwayelekile nezingajwayelekile ezingezansi kusekelwe kuma-percentiles. Ngamanye amazwi, yiliphi iphesenti lamadoda lalinomphumela othile futhi wahamba nobaba ingane engakapheli unyaka. Impilo yakho ye-semen ingacatshangwa njenge-subpar, kepha ungase ukwazi ukukhulelwa ngalezi zinombolo ezingaphansi.
Eqinisweni, imiphumela evamile ekuhlaziyweni kwezinsikazi eziyisisekelo akuqinisekisi ukuzala.
Ukuhlaziywa kwesimiso akuyona ukuhlolwa kokuzala , kodwa ithuluzi elisetshenziselwa ukuphenya izimbangela ezibangelwa ukungasebenzi. Ukubalwa kwesidoda esiphansi, isibonelo, akutholakali ukuhlonza, kodwa uphawu olungatholakala kuphela ngokuhlaziywa kwesilisa. Kunezimbangela ezihlukahlukene zokubalwa kwesidoda, futhi ngezinye izikhathi, imbangela ayitholakali. Uma ukuhlaziywa kwamademoni akho kubonisa isibalo esincane se-sperm, umgomo wakho olandelayo wezokwelapha uzoba ukuphenya ukuthi kungani lokhu kungase kwenzeke, futhi yini engenziwa ukusiza wena nomlingani wakho unomntwana.
Ukuhlola Okunye Ukwelashwa Kwesilisa
Njengoba kushiwo ngenhla, udokotela wakho uzofuna ukuphinda aphinde ahlaziye isilwane.
Uma unenkinga yokukhiqiza isampula , udokotela wakho angase asikisele ukwenza kanjalo ngezocansi, esebenzisa ikhondomu ekhethekile ehlose ukuqoqwa kwamasampuli wesilisa. (Ungasebenzisi ikhondomu njalo! Ungabulala isidoda, ngisho nangaphandle kokungezwa kwesibindi.)
Ngaphandle kokuhlaziywa kwesimiso eziyisisekelo, kuye ngokuthi imiphumela yokuhlola , udokotela wakho angase futhi ahlele:
- Ukuhlolwa okujwayelekile ngumholi we-urologist.
- Umsebenzi wegazi, ikakhulukazi ukuhlola amazinga e-hormone kufaka phakathi i-follicle evuselela i-hormone (FSH), i-testosterone, i-hormone i-luteinizing (LH), i-estradiol, ne-prolactin.
- Ukuhlolwa kokuhlolwa kwesilwane esiphuthumayo, okungabandakanya ukuhlolwa kwe-Computer Assisted Semen Analysis (CASE), ukuhlolwa kwe-anti-sperm antibodies, ukuhlolwa kwe-sperm DNA, ukuhlolwa kwe-hypo-osmotic ukuvuvukala, nokunye.
- Ukuhlolwa kwe-post-coital (PCT), ukuhlolwa okuhlola ukukhwabanisa kwesibeletho somama emva kokulala, ukuhlola ukuthi bukhoma, buhamba nesidoda.
- Ukuhlolwa kofuzo, ukuhlola izimpikiswano ze-chromosomal ezingabangela ukungasebenzi komuntu
- I-karyotyping ye-genetic , ikakhulukazi uma kwenzeka ukukhulelwa kwesisu okuphindaphindiwe
- I-Transrectal, i-scrotal, noma i-renal ultrasonography
- Ukufaniswa kwe-Magnetic Resonance (i-MRI)
- I-post-ejaculatory urinalysis (ukuhlolwa komchamo), ukuhlola ukubuyiswa kwe- retrograde
- I-biopsy yobufakazi
- I-Vasografi
Kuthiwani Uma Imiphumela Embi Phinda
Ngemuva kokuhlolwa okwengeziwe, udokotela wakho angancoma ukwelashwa ukuze uthuthukise impilo yakho yezimbuzi. Lokhu kungabandakanya izinguquko zokuphila, imithi noma ukuhlinzwa. Udokotela wakho angase futhi ancoma ukwelashwa kokuzala , njenge- IVF noma IVF nge-ICSI . Okunye kungenzeka ukuthi udokotela wakho uzokuncoma ngokucabangela umnikezeli wesilisa.
Kungenzeka futhi ukuthi udokotela wakho uzongincoma ukuthi azame into eyodwa, futhi uma lokho kungasebenzi, batusa okunye. Ukwelashwa akusiyo njalo okuqondile futhi okusheshayo njengoba singathanda. Ukuzala komlingani wakho nakho kuzocatshangelwa uma uhlela uhlelo lwezokwelapha.
Uma uzama ukuzama imithi, ukuguqula indlela yokuphila, noma ukuhlinzwa, kubalulekile ukwazi ukuthi impilo yakho yezimbuzi izothatha isikhathi sokuthuthukisa. Ngenkathi isilisa singase sibonakale sakhiwa ngesikhathi sokunyuka kwegazi, empeleni kuthatha amasonto ukuze insimu ikhule ngaphakathi kwesistimu yokuzala. Yingakho udokotela wakho angancoma ukuhlaziywa kwesilwane esilandelayo izinyanga ezintathu kuya kwezine ngemuva kokuba uhlelo lwezokwelapha lubekwe esenzweni.
Izwi elivela ku-Verywell
Ukuthola ukuxilongwa kokungazalwa komuntu kungabangela ukucindezeleka ngokomzwelo. Khuluma nodokotela wakho mayelana nezinhlelo zakhe zokwelashwa eziphakanyisiwe. Ungesabi ukubuza imibuzo. Uma wazi ngokwengeziwe, kuzoba lula kuwe nomlingani wakho ukwenza izinqumo ezinolwazi ngokuqhubeka phambili.
> Imithombo:
> Ukungenzi lutho: Sibutsetelo. I-American Society of Medicine Yokuzala.
> Ishidi Lokwethembeka Lomgogodla: Ukuhlola Ukuxilongwa Kwesilisa Okungenzi lutho . I-American Society of Medicine Yokuzala.
> Sandro C Esteves, uRicardo Miyaoka, no-Ashok Agarwal. "Ukubuyekezwa kokuhlolwa komtholampilo wesilisa ongenalutho." Imitholampilo (Sao Paulo) . 2011 ngo-Ephreli; 66 (4): 691-700. i-doi: 10.1590 / S1807-59322011000400026.