I-Necrozoospermia-okanye i-necrospermia-yigama lezokwelapha xa zonke izidumi zifile kwisampuli yesilwanyana esitsha.
- I-necrozoospermia engapheliyo xa abaninzi kodwa kungekhona yonke inambuzane kwisampuli yesidumbu. Ngokuqhelekileyo, xa ngaphantsi kwama-45%, kodwa ngaphezulu kwama-5%, kuyafaneleka.
- Gcwalisa i-necrozoospermia yilapho zonke izilwanyana zesampuli zesityalo zifile.
Gcwalisa i-necrozoospermia ayinqabile.
Kuqikelelwa ukuba kuphela i-0.2% ukuya kwi-0.5% yamadoda angenabantwana abahluphekayo abane-necrozoospermia epheleleyo.
I-Necrozoospermia akufanele idideke ne-asthenozoospermia.
I-Asthenozoospermia xa i-sperm motility-okanye indlela indoda ehamba ngayo-ayiqhelekanga. Kule meko, i-sperm ayihambeli, kodwa ayifile.
I-Absolute asthenozoospermia yilapho kungekho nhlobo yokunyuka kwesilisa. Kwenzeka kwi-1 kuma-5,000 amadoda.
Bobabini i-asthenozoospermia ne-necrozoospermia yizona zinto ezibangelwa ukungabikho komntwana. Ngokuqhelekileyo akukho zibonakaliso zangaphandle. Indlela yodwa yokuxilonga ingxaki inokuhlaziywa kwesisu.
Izinketho zonyango zihluke ngokupheleleyo kwi-asthenozoospermia ne-necrozoospermia. Nge-asthenozoospermia, i- IVF ne-ICSI yonyango. (I-IVF ne- ICSI yilapho idiza enye ijojowe kwiqanda .)
Nge-necrozoospermia, i-IVF ne-ICSI ayikwazi ukuyenza nge-ejaculate entsha. Awukwazi ukufaka inambuzane efile eqanda. Impatho ephumeleleyo yonyango ye-necrozoospermia ingqungquthela yobuncwane be-sperm ne-ICSI okanye i-TESE-ICSI.
Oku ngakumbi ngale ngezantsi.
Ubuxoki-Ukuxilongwa
Ininzi yexesha, xa ibhobhu ifumanisa i-necrozoospermia kwisampuli yesondlo, kuyiphutha.
Ukuxilongwa kwangonyani kwenzeka xa ...
Usebenzise i-lubricant non-fertility friendly lubricant. Xa uhlaziya ukuhlalutya isisu, kubaluleke kakhulu ukuba usebenzise "i-rub rub ocebileyo"
Iibisi zasoloko zibulala umdaka .
Njalo ubuze ugqirha wakho ukuba ungayisebenzisa ngokukhuselekileyo ukuvavanya.
Isitya sokuqokelela umdaka sasingcolileyo. Isampuli yesidanga kufuneka iqokelelwe kwikomityi eyomileyo, engenamanzi.
Ukuba inkompo yayingcolisiwe, kunokwenzeka nayiphi na into eyayisekho indebe ingayibulala imbewu.
Uzame ukuqokelela imbewu ngaphakathi kwikhondom rhoqo. Amanye amadoda anzima kakhulu ukufumana isampuli yesitya nge-masturbation . Kubo, ukufumana isampula ngokubelana ngesondo kunokulula.
Nangona kunjalo, ukuba uya kuzama oku, kufuneka usebenzise ikhondom ekhethekileyo eyenzelwe ukuqoqwa kwezonyango! Nangona ikhondom engabhengezwa njenge-spermicide, i-latex impahla ingayibulala imbewu.
Ukuba ufumene ukuxilongwa kwe-necrozoospermia, ugqirha wakho uya kuphinda aphinde uvavanyo kwaye angathumela isampuli sakho sembewu esilandelayo kwibhanti ekhethekileyo.
Xa uphinda uvavanya uvavanyo, unokucelwa ukuba unikeze iisampuli ezimbini ngosuku olunye.
Isizathu kukuba i-ejaculation elandelayo iya kuba ne-sperm edibeneyo, kwaye loo ndoda ayiyi kuchitha ixesha elininzi lilindele ukuba lijonge. Oku kunokukunceda ukuxilonga ingxaki .
Izizathu
Akucaci ukuba yintoni ebangela i-necrozoospermia. Ngenxa yokuba kunqabile, kukho ezininzi ezingaziwa.
Ezinye izizathu ezikhoyo kunye neengcamango ezisemva kwe-necrozoospermia ziquka ...
- Usuleleka kwindlela yokuzala
- Ixesha elide lokungabikho
- Ukulimala kwentambo yomgca
- Iingxaki ngamathambo
- Iingxaki nge-epididymis (leyo yile ityhude ende, ephihliweyo ngaphezu kwetekisi nganye, apho idiza iqokelelwa kwaye iqokelele ngaphambi kokunyuka)
- Isizathu seHormon, njenge-hypogonadotropic hypogonadism (HH)
- Umhlaza wesifo somhlaza
- Ukushisa komzimba okungaqhelekanga (ukushisa okuphezulu kukubulala isityalo)
- Amanqindi e-Anti-sperm (apho izifo zomzimba zihlasela izilwanyana ezinempilo, eziqhelekileyo ... amaseli esilisa, kule meko)
- Varicocele
- Ukuboniswa kwiibhox (iibhoksi zendalo ezisekhaya okanye emsebenzini)
- Ukusetyenziswa kweziyobisi zesitrato
- Ubudala obude (ewe, imiba yeminyaka yokuzala indoda )
Unyango
Kwiimeko apho i-necrozoospermia ifumaneka, unyango lwaloo nto linyathelo lokuqala.
Ngokomzekelo, ukuba kukho isifo, i-antibiotics inokumiselwa.
Ukuba i-necrozoospermia ibangelwa ukusetyenziswa kakubi kweziyobisi, unyango lweziyobisi ezidakamizwa lunokucetyiswa.
Unyango oluqhelekileyo unyango lwe-necrozoospermia olupheleleyo lugqithiso lwentlobo lwe-sperm ukubukela nge-IVF-ICSI. Kwaziwa nangokuthi yi-TESE-ICSI. I-TESE-ICSI imele i-extraticular / epididymal isiskhi se-sperm nge-intracytoplasmic injection.
Nangona kungekho zilwanyana eziphilayo zentsholongwane ejaculate, zihlala zihlala kwiimfestile zentlobo ezitholakalayo kwiifom. Ukuze ufike kulezo zincinci zegciwane, i-anesthesia yendawo isetyenziselwa ukuphazamisa i-testis. Emva koko, inaliti ifakwe kwaye isampuli yama-testis tissue i-biopsied (okanye ikhutshwe). Ezi zinyama zesilwanyana ezinokukhula zikhuliswe kwibhuleji yeklinikhi yokuzala. Idiza ayinako ukungena kwaye ifaka iqanda ngokwabo. Yingakho i-IVF ne-ICSI iyadingeka. I-ICSI iquka ukujoba isilwanyana sesinqa ngqo kwiqanda.
Ingonyango engaqhelekanga kodwa inokwenzeka yonyango ye-necrozoospermia iphindwaphindwa rhoqo ngeveki yonyango. Kwabo benokulimala kwentambo yomgogodla, oku kungenziwa nge-electroejaculation. (I-Electroejaculation ibandakanya ukutshatyalaliswa kombane ukuphoqa ukunyuka, ukwenzela ukufumana isilwanyana.)
Uphando oluncinane lufumanisa ukuba ukuphindaphinda ngokuphindaphindiweyo-kule ngxaki, kabini ngosuku ngemini emine ukuya kwemihlanu-kwandisa inani lokuphila, isilwanyana seselula. Ukwanda kwakubalulekile. Ipesenteji yanda kathathu ukuya kusixhenxe xa kuthelekiswa nokunyangwa kwangaphambili.
I-sperm ephilayo efumaneka kwiisampuli ingasetyenziswa ngexesha le-IVF okanye i-IVF-ICSI.
Nangona kunjalo, iifundo zifanise amazinga okukhulelwa kwe-IVF emva kwe-TESE-ICSI malunga ne-IVF-ICSI kunye neembalo ezimbalwa ezitholakala ngokuphindaphindiweyo. Bafumene ukuba ukukhulelwa nokuhlala kwamazinga okuzalwa kubonakala ngcono nakwi-TESE-ICSI.
Olunye ukhetho lwenyango lunokusebenzisa umniki wesilisa.
Imithombo:
I-Brahem S1, uJellad S, Ibala S, uSaad A, Mehdi M. "I-DNA yokuhlukanisa izigulane kwizigulane ezine-necrozoospermia." I-Biol Reprod Med. 2012 Dec; 58 (6): 319-23. i-doi: 10.3109 / 19396368.2012.710869. I-Epub 2012 u-Agasti 8. http://www.ncbi.nlm.nih.gov/pubmed/22871031
UChavez-Badiola A1, uDktakeley AJ, uFinnney V, uSajjad Y, Lewis-Jones DI. "I-Necrospermia, i-antisperm antibodies, kunye ne-vasectomy." UFertil Steril. 2008 Mar; 89 (3): 723.e5-7. Epub 2007 Jul 5. http://www.ncbi.nlm.nih.gov/pubmed/17612533
I-Chemes EH1, i-Rawe YV. "I-Sperm pathology: inyathelo elingaphezulu kwe-morphology echazayo. Umvelaphi, ukubonakaliswa kunye nokukwazi ukuvelisa i-phenotypes engaqhelekanga kumadoda angaphantsi. 2003 Sep-Oct; 9 (5): 405-28. http://humupd.oxfordjournals.org/content/early/2011/08/03/humupd.dmr018.full
Electroejaculation. 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. "Isiphumo se-ICSI siphumelele ngakumbi kwi-spermatozoa yesicatshulwa kwizigulane ezine-necrozoospermia: uphando olulandelayo." UGynecol Endocrinol. 2014 Jan; 30 (1): 48-52. i-doi: 10.3109 / 09513590.2013.848427. Epub 2013 I-Oct 22. http://www.ncbi.nlm.nih.gov/pubmed/24147853
Ortega C1, Verheyen G, Raick D, Camus M, Devroey P, Tournaye H. "Absolute asthenozoospermia kunye ne-ICSI: ziziphi iindlela zokukhetha? 2011 Sep-Oct; 17 (5): 684-92. i-doi: 10.1093 / i-humupd / dmr018. Epub 2011 uAgasti 3. http://www.ncbi.nlm.nih.gov/pubmed/21816768
Vicari E1. [Inkqubo yokuchonga kunye nesicwangciso sonyango kwiigulana ezingama-133 ezingenasifo esine-astheno-necrozoospermia]. [I-Itali ngesiTaliyane] IArch Ital Urol Androl. Ngo-1999 Feb; 71 (1): 19-25. http://www.ncbi.nlm.nih.gov/pubmed/10193019
Wilton LJ1, Temple-Smith PD, Baker HW, de Kretser DM. "Ukungabikho kwabantu abangabantwana abangabangelwa yintlupheko kunye nokufa kwesidoda kwi-epididymis." UFertil Steril. 1988 Juni; 49 (6): 1052-8. http://europepmc.org/abstract/med/3371483