Ukungabikho komntu ongekho nto akuyiyo into oyiva ngayo kwiindaba, ngoko unokumangaliswa ukwazi ukuba ukungazinzi kwamadoda kubangelwa ukuba ukungabikho komntwana kungabandakanyeka ekubambeni kwabantwana ukuba bafumane ukukhulelwa.
Iindaba ezilungileyo kukuba uninzi lweziganeko zokungabikho kwindoda zingaphendululwa ngolu hlobo okanye ngokusebenzisa unyango lwezityalo.
Xa akusiyo imeko, isibini esibhekene nokungabikho komntu singaphendukela kumniki wesini okanye ukuthotyelwa ukuncedisa ukwakha intsapho yabo.
Ziyintoni Eziqhelekileyo Ngabantu Abangenanto?
Phantse i-10% ukuya kwi-15% yezibini aziyi kukwazi ukufumana ukukhulelwa emva konyaka owodwa wokuziphatha okubi. Kule qela, izibalo ezilandelayo ngezizathu zentsholongwane zisebenza ngokubanzi:
- Inxalenye yesithathu yezibini iza kufumana iingxaki zokuzala kumntu kuphela.
- Inxalenye yesithathu yezibini iza kufumana iingxaki zokuzala kwiintlobo zombini okanye ziza kuba zingabonakali.
- Inxalenye yesithathu yezibini iza kufumana iingxaki zokuzala kuphela kumfazi.
Kufunyanwe Njani Ukungenakucaluleka Kwesilisa?
Ukungaqabane kwamadoda kudla ngokufunyaniswa ngoluhlalutyo lwesini . Olu vavanyo olulula luquka umntu onika isampuli yeesenjini kwibhuleji ukuvavanya. Ibhule isebenzisa le sampuli ukulinganisa inani lembewu kunye nenani lomdlwane kunye nokuvavanya ummi wesilisa kunye nokunyakaza.
Ngokufanelekileyo, uvavanyo kufuneka lwenziwe ubuncinane kabini ukuqinisekisa iziphumo .
Uninzi lwexesha, uhlalutyo lwesisu oluyisiseko luyinto efunekayo ukuxilonga ukungabikho komntwana. Nangona kunjalo, ukuvavanywa okungakumbi kungaquka:
- Uvavanyo oluqhelekileyo lomzimba ngu-urologist.
- Uhlalutyo lwesilwanyana olukhethekileyo, kuquka ukuhlolwa kofuzo lwesidoda (ukukhangela ubukho be-antibodies) kunye nokuvavanya kwesimo sempilo esiswini (ukubona ukuba bafile okanye baphila).
- Umsebenzi wegazi ukuhlola amazinga e-hormone, ngokuqhelekileyo ye-FSH kunye ne-testosterone, kodwa ngamanye amaxesha i-LH, estradiol, okanye i-prolactin.
- I-garytic karyotyping , ukuba ukuphuphuma kwesisu ngokuphindaphindiweyo yingxaki.
- Ultrasound.
- I-post-ejaculatory urinalysis (ukuhlolwa komchamo), ukujonga ukuhlaziywa kwe-retrograde.
- I-biopsy yesicatshulwa.
- I-Vasografi.
Ziziphi Iimpawu Zobundlobongela Bomntu?
Ukuba isibini esingazithathiyo emva komnyaka wesondo esingakhuselekanga, zombini indoda kunye nowesifazane kufuneka bahlolwe.
Ngokungafani nokungabikho komfazi (apho amaxesha angenakunqwenelekayo angayichaphazela ingxaki), iimpawu ezibonakalayo aziqhelekanga kwindoda engakwazi ukufumana.
Kwezinye iimeko, iingxaki ze-hormonal ziyakucatshulwa ukuba umntu unokwanda kweenwele ezingavamile, i-libido ephantsi, okanye ezinye izibonakaliso zokungasebenzi kwezesondo.
Izinto ezinobungozi bokungabikho kwindoda ziquka ukukhuluphala, iminyaka (ngaphezu kwama-40 - ewe, amadoda anamawashi e-biological ), ukusulelwa kwangoku okanye kwangaphambili kwe-STD, ukutshaya okanye ukusela ngokugqithiseleyo. Amanye amayeza angaphinda aphelise ukuzala.
Yintoni Ebangela Ukuba Abantu Abangenanto?
Izizathu zokubangela ukungabikho komntwana zi:
- Ukugqitywa kokuphela kwesidoda (azoospermia)
- Inani le-sperm eliphantsi (i-oligospermia)
- Ubume obungavamile besilisa (teratozoospermia)
- Iingxaki ngeentshukumo zesisu (asthenozoospermia)
- I-sperm engagqibekanga (necrozoospermia); isidoda sinokuphila kwaye singashukumi, okanye mhlawumbi sifile
- Iingxaki zenkxaso yesininzi, ngenxa yokungasebenzi kwesondo, ukuphazamiseka, i-vasectomy yangaphambilini, okanye ukuhlaziywa kwakhona kwe-split
- Iingxaki kunye nokulungiswa okanye ezinye iingxaki zesini
Kukho iintlobo zeemeko ezingakhokelela ekungabikho komntwana. Iyona nto ibangelwa yindoda engakwazi ukuzala abantwana i- varicoceles . I-varicocele yi-varicose vein efumaneka kwi-scrotum. Ukushisa okongezelelweyo okubangelwa ngumvini kungakhokelela ekubaleni kwe-sperm ephantsi kunye nokukhubazeka kwesidoda.
Ziziphi iindlela zokwenza unyango lwabantu abangenasifo?
Ezinye izizathu zokungabikho komntwana zonyango okanye zilungiswe ngokuhlinzwa. Izinketho zonyango zingabandakanya:
- Unyango ngamayeza omzimba, kwiimeko zokusuleleka
- Ukulungiswa kocwangco, ukwenzela ukususa i-varicocele, ukuguqula i-vasectomy, okanye ukulungisa ukukhutshwa komda
- Amachiza okanye iziyobisi zokuzala ukuphucula umveliso wesilisa
Kwiimeko apho unyango olungenanto lungaphumelelanga, okanye xa kubangelwa ingxaki yokungabikho kwindoda engaziwayo okanye ingenakugula, i-IUI okanye unyango lwe-IVF lungacetyiswa.
I-IUI yonyango , apho isidoda idluliselwa kwisibeletho ngomlomo wesibeleko, isetyenziswa ngokuqhelekileyo kwiimeko zobuninzi bomzimba okanye umgangatho. Ingonyango ye-IVF ingacetyiswa ukuba i-IUI ayiphumelelanga okanye ifanelekile, okanye ukuba ukungabikho komntwana kubangelwa ingxaki.
Kwezinye iimeko, ugqirha wakho unokuncoma inkqubo eyaziwa ngokuba yi- intracytoplasmic injection yesinyosi (ICSI) . Ukwenziwe njengenxalenye yonyango lwe-IVF, i-ICSI iquka ukujoba enye isidoda kwiqanda.
Ukuba i-sperm ayibonakali kwi-ejaculate, kodwa ikhiqizwa, ugqirha unokukwazi ukuthatha isidoda ngokuthe ngqo kumathambo, okanye kwi-bladder (kwiimeko zokubuyiswa kwe-ejaculation), kwaye usebenzise loo ndoda ukuba iqule iqanda lebhu. Oku kuya kwenziwa njengenxalenye yonyango lwe-IVF.
Nangona kunjalo, ukuba akukho nanye kwezi zikhetho zikhoyo, okanye ukuba aphumelelanga, ugqirha wakho unokuthetha nawe malunga nokusebenzisa umniki-ndoda, okanye uthathe umtshato, ukuze uncede ukwakha intsapho yakho.
Imithombo:
Isikhokelo esisisiseko sokungafihli kwamadoda: Indlela yokufumanisa oko kungafanelekile. Umbutho wase-American Urologic. https://urology.ucsf.edu/sites/urology.ucsf.edu/files/uploaded-files/basic-page/a_basic_guide_to_male_infertility.pdf Kufinyelelwe ngo-Oktobha 21, 2013.
Ukungenzi lutho: Uqwalaselo. Umbutho waseMelika weMithi yokuzala. Ifikelele ngo-Apreli 23, 2009. http://asrm.org/uploadedFiles/ASRM_Content/Resources/Patient_Resources/Fact_Sheets_and_Info_Booklets/infertility_overview.pdf
Ukungenzi lutho: Izizathu. MayoClinic. Ifikelele ngo-Oktobha 21, 2013. http://www.mayoclinic.com/health/infertility/ds00310/dsection=causes
Isicatshulwa seNtsholongwane yomonde: Uvavanyo lokuxilonga kwi-Fact Factor. Umbutho waseMelika weMithi yokuzala. Ifikelele ngo-Apreli 23, 2009. http://asrm.org/uploadedFiles/ASRM_Content/Resources/Patient_Resources/Fact_Sheets_and_Info_Booklets/Testing_Male-Fact.pdf