Ukungazalwa komuntu akuyona into oyizwayo kakhulu ezindabeni, ngakho-ke ungase umangale ukwazi ukuthi ukungabi namuntu okungenasilisa kuyinto enhle njengokungabi namandla kwabesifazane ukuba bahlanganyele ekuhlulekeni kombhangqwana ukufeza ukukhulelwa.
Izindaba ezinhle ukuthi izimo eziningi zokwelashwa kwabantu besilisa zingaxazululwa ngokuphatha le nkinga noma ngokusebenzisa imithi yokwelapha.
Uma kungenjalo, umbhangqwana obhekene nokungasebenzi komuntu ungadlulisela kumnikezeli wesisu noma ukutholwa ukuze usize ukwakha umndeni wabo.
Yeka Indlela Engajwayelekile Yomuntu Ongenalutho?
Amaphesenti angaba ngu-10 kuya kwangu-15% angeke akwazi ukufeza ukukhulelwa emva konyaka owodwa wokulala okungavimbelwe. Kule qembu, izibalo ezilandelayo ezibangelwa ukungabi nabantwana ngokuvamile zifaka isicelo:
- Umbhangqwana owodwa kwezintathu uzothola izinkinga zokuzala kumuntu kuphela.
- Umbhangqwana owodwa kwezintathu uzothola izinkinga zokuzala ku bobabili abalingani noma bazobe bengabonakali.
- Umbhangqwana owodwa kwezintathu uzothola izinkinga zokuzala kuphela ngowesifazane.
Ukutholakala Kokungabi Nesilisa Kwenzeka Kanjani?
Ukungazalwa komuntu ngokuvamile kutholakala ukuhlaziywa kwesilisa . Loluhlolo olulula luhilela umuntu ohlinzeka ngesampula sembewu ebhodini ukuze ahlolwe. Lebhu isebenzisa lesi sampula ukukala inani lembewu nenombolo yesidoda nokuhlola isimo somzimba nokunyakaza.
Okuhle, ukuhlolwa kufanele kwenziwe okungenani kabili ukuqinisekisa imiphumela .
Esikhathini esiningi, ukuhlaziywa kwesisindo okuyisisekelo yilokho okudingekayo ukuhlonza ukungasebenzi komuntu. Noma kunjalo, ukuhlolwa okwengeziwe kungabandakanya:
- Ukuhlolwa okujwayelekile ngokomzimba we-urologist.
- Ukuhlaziywa kwamaduna okukhethekile, kuhlanganise nokuhlolwa kofuzo lwesidoda (ukufuna ukutholakala kwama-antibodies) kanye nokuhlolwa kwe-immobile sperm (ukubona ukuthi bafile noma baphila).
- Umsebenzi wegazi ukuhlola amazinga e-hormone, ngokuvamile we-FSH no-testosterone, kodwa ngezinye izikhathi futhi i-LH, estradiol, noma i-prolactin.
- I-karyotyping ye-genetic , uma ukukhulelwa kwesisu okuphindaphindiwe kuyinkinga.
- I-Ultrasound.
- I-post-ejaculatory urinalysis (ukuhlolwa komchamo), ukuhlola ukubuyiswa kwe-retrograde.
- I-biopsy yobufakazi.
- I-Vasografi.
Ziyini Izimpawu Zokungafanani Nesilisa?
Uma umbhangqwana ungakhulelwe emva konyaka wokulala okungavunyelwe, owesilisa nowesifazane kufanele bahlolwe.
Ngokungafani nokwelashwa kwabesifazane (lapho izinkathi ezingavamile zingase zithinte inkinga), izimpawu ezisobala azivamile nokuntula komuntu.
Kwezinye izimo, izinkinga ze-hormonal zingase zisole uma umuntu ekhula izinwele ezingavamile, i-libido ephansi, noma ezinye izibonakaliso zokungasebenzi kahle ngokocansi.
Izingozi zokungabi nabesilisa ezingenalutho zihlanganisa ukukhuluphala, iminyaka yobudala (ngaphezu kwama-40 - yebo, amadoda nawo amawashi wezinto eziphilayo ), ukutheleleka kwamanje noma kwangaphambilini kwe-STD, ukubhema noma ukuphuza ngokweqile. Eminye imithi ingaphazamisa nokuzala.
Yini Ebangelwa Ukungabi Nesilisa?
Izimbangela eziyinhloko zokwelashwa kwamadoda yizi:
- Ukungabikho kokuphela kwesidoda (azoospermia)
- Ukubalwa kwesidoda esiphansi (i-oligospermia)
- Isimo semvelo esingavamile (i-teratozoospermia)
- Izinkinga nge-sperm movement (asthenozoospermia)
- Isidakamizwa esiphelele ngokuphelele (necrozoospermia); isidoda singase siphile futhi singahambi, noma singase sife
- Izinkinga nge-sperm kwezidingo, ngenxa yokungasebenzi komzimba ngokobulili, ukuvimbela, vasectomy yangaphambilini, noma ukubuyiswa kabusha kwe-ejaculation
- Izinkinga nge-erections noma ezinye izinkinga zobulili
Kukhona izimo ezihlukahlukene ezingase ziholele ekutheni umuntu angabhubhi. Isizathu esivamile kunazo zonke zokuhlukunyezwa kwamadoda yi- varicoceles . A varicocele kuyinto veic varicose etholakala scrotum. Ukushisa okwedlule okubangelwa yi-vein kungaholela ekubaleni kwe-sperm ephansi kanye nokukhubazeka kwesidoda.
Yiziphi Izinketho zokwelashwa kwabantu abangenalutho?
Ezinye izimbangela zesifo esingenasilisa ziphatheka noma zilungiswa ngokuhlinzwa. Izinketho zokwelashwa zingabandakanya:
- Ukwelashwa ngama-antibiotics, uma kwenzeka ukutheleleka
- Ukulungiswa kokuhlinzwa, ukuze kususwe i-varicocele, ukuguqula i-vasectomy, noma ukulungisa ukuvimbela ukuhamba
- Imithi noma izidakamizwa zokuzala ukuthuthukisa ukukhiqizwa kwesidoda
Ezimweni lapho izikwelapha ezingenhla zingaphumelelanga, noma lapho imbangela yokungasebenzi komuntu engaziwa noma engapheleleki, ukwelashwa kwe-IUI noma ukwelashwa kwe-IVF kungase kuphakanyiswe.
Ukwelashwa kwe-IUI , lapho isilisa sidluliselwa khona esibelethweni nge-cervix, isetshenziswa kakhulu ezimweni zokubalwa kwesidoda noma izinga eliphansi. Ukuphathwa kwe-IVF kungase kuphakanyiswe uma i-IU ingaphumeleli noma ingafaneleki, noma uma ukungabi nabesifazane kungabangela inkinga.
Kwezinye izimo, udokotela wakho angase ancoma inqubo eyaziwa ngokuthi i- intracytoplasmic injection yamagciwane (i-ICSI) . Ukwenziwe njengengxenye yokwelapha kwe-IVF, I-ICSI ihilela ukujova isidoda esisodwa emaqanda.
Uma isidoda singabonakali ku-ejaculate, kodwa sakhiwa, udokotela angakwazi ukuthatha isidoda ngokuqondile ematendeni, noma esesiswini (lapho kwenzeka ukubuyiswa kwe-ejaculation), bese usebenzisa lelo gciwane ukuba likhule iqanda ibhu. Lokhu kuzokwenziwa njengengxenye yokwelashwa kwe-IVF.
Kodwa-ke, uma engekho kulezi zindlela ezitholakalayo, noma uma zingaphumelelanga, udokotela wakho angakhuluma nawe mayelana nokusebenzisa umnikezeli wesilisa, noma ucabangele ukutholwa, ukusiza ukwakha umndeni wakho.
Imithombo:
Umhlahlandlela Oyisisekelo Wokungabi Nabesifazane Okungalungile: Indlela Yokuthola Okungalungile. I-American Urologic Association. https://urology.ucsf.edu/sites/urology.ucsf.edu/files/uploaded-files/basic-page/a_basic_guide_to_male_infertility.pdf Kufinyelelwe ngo-Okthoba 21, 2013.
Ukungenzi lutho: Sibutsetelo. I-American Society of Medicine Yokuzala. Kufinyelelwe ku-Apreli 23, 2009. http://asrm.org/uploadedFiles/ASRM_Content/Resources/Patient_Resources/Fact_Sheets_and_Info_Booklets/infertility_overview.pdf
Ukungabi nalutho: Izimbangela. I-MayoClinic. Ifinyelele ngo-Okthoba 21, 2013. http://www.mayoclinic.com/health/infertility/ds00310/dsection=causes
Itheksthi Yeliguli Lomzimba: Ukuvivinya Ukuxilongwa Kwesilisa Okungenzi lutho. I-American Society of Medicine Yokuzala. Kufinyelelwe ku-Apreli 23, 2009. http://asrm.org/uploadedFiles/ASRM_Content/Resources/Patient_Resources/Fact_Sheets_and_Info_Booklets/Testing_Male-Fact.pdf