Ukuxilongwa kwangoku kunye nokuPhathwa koMntu ongenzi lutho
Esinye sezizathu eziphambili zokungabikho kwintlobo yesibalo esincinci se-sperm kunye ne-motility. Oko, kunye nomgangatho oswelekileyo wesilisa, umele ipesenti ezingama-90 zonke iimeko zokungabikho kwamadoda kunye naphi na kwi-20 ukuya kwi-40 kwipesenti kwizibini.
Iimeko eziphazamisayo kwaye ezihlala ziphazamisayo ezichaphazela phantse omnye kumadoda ayisithandathu. Iimbangela zivela kwizinto ezinobomi kunye nokukhetha kwendlela yokuphila kwintsholongwane kunye nokudala.
Iimpawu ze-Low Sperm Count kunye ne-Motility
I-Oligoasthenoteratozoospermia (i-OAT) yigama elisetyenziswe ukuchaza le meko. Ngenkcazo, i-OAT ibonakaliswe ngumbono kunye neempawu ezilandelayo:
- inani elingaphantsi elingaqhelekanga lenkwenkwezi (oligozoospermia)
- inombolo yesimo esingaqhelekanga sesinambuzane esinobuhle obuhle (asthenozoospermia)
- kwinqanaba elingaphansi kwesimo sembewu yesimo esifanelekileyo (i-teratozoospermia)
Ixesha elithi oligoasthenoteratozoospermia lisetyenziswe xa zonke izinto ezintathu zikhoyo.
Idiopathic oligoasthenoteratozoospermia isetyenziselwa xa kubangelwa imbandela. Ukufika kuma-30 ekhulwini kwimeko yamatyala angabantwana abangenalo ukungatshatyalaliswa kuthiwa abe ne-OAT idiopathic.
Iingxaki kunye nokuPhathwa kwe-OAT
Iimpawu ze-OAT zinokugqitywa ngokubanzi kwiindidi ezine: iinjongo zofuzo, izinto zokuphila, kunye neenkcukacha ze-testicular, kunye ne-testicular / ejaculatory dysfunction.
Izifo ze-Genetic ziyakuchukumisa zonke izigaba zokuzala komntu, ukusuka kumonakalo we-DNA kumaseli esilisa (spermatozoa), ukukhubazeka kofuzo lwe-Y chromosome, kunye neengxaki ze-genetic ezifana ne-Klinefelter syndrome.
Uninzi lwezinto aziphilwanga ngeyodwa kodwa ziyakunqotshwa ngokusetyenziswa kwe- vitro fertilization (IVF) .
Izinto zokuphila ziquka imimiselo yomibini kunye neemeko ezichaphazela ngqo umntu wesilisa. Uninzi lwezi zinto litshintsha kwaye lunokuphucula kakhulu amathuba omntu wokukhulelwa.
Phakathi kwabo:
- Ukubhema kudibaniswa ngokuqinileyo kwindoda engenakunzima nangona izizathu zingekho ngokucacileyo. Oko sikuyaziyo kukuba ukutshaya kunokunciphisa isibalo sembewu ngamaphesenti angama-23 kunye ne-sperm motility ibe ngama-13 ekhulwini.
- Ukusetyenziswa kotywala kotywala ezincinane ezintlanu ngeveki kunokunciphisa kakhulu i-testosterone yomntu kunye nomgangatho wobomi bakhe. Zininzi iziyobisi zokuzonwabisa ezifanayo.
- Ubunzima (i-BMI ngaphezu kwe-30) yaziwa ngokuba kukho utshintsho lwe-hormonal oluchaphazela ngqo ukuzala komntu. Ukunyameka kakhulu (i-BMI ngaphantsi kwe-18.5) yinkxalabo.
- Ukugibela okunzima (ukuhamba ngebhayisikili, ukuhamba ngehashe) kunokubangela ukuvutha kwamathambo okunokukhutshwa ngokumane uthaphule umsebenzi.
- Ukugqithisa ii-testes kuhambelana nokubalwa kwesidoda. Izizathu zibandakanya iimvula zokushisa ezifudumele kakhulu, okanye i-sauna, kunye nokugqoka iimpawu ezixinayo endaweni yeebhokisi. Ukuxhaswa kwimeko yokuzivocavoca kwimeko yokuzivocavoca nako kunokuba nempembelelo efanayo.
- Amachiza athile anokuchaphazela umgangatho we-sperm (anabolic steroids, iTagamet esetyenziselwa ukuphatha isisu esiswini) ngelixa ezinye iikhenki zithintela isiswini se-sperm (i-Azulfidine esetyenziselwa ukunyanga i-rheumatoid arthritis kunye ne-Macrobid esetyenziselwa ukunyanga izifo zesifo).
Iimpawu zengqina ziphazamisa ukukwazi ukuvelisa ubungakanani beetekisi ukuvelisa ubungakanani obukhulu okanye umgangatho wesilisa.
Ezinye zezinto zinokuphathwa; abanye abakwazi. Ziquka:
- ubudala
- ngxakini
- izifo ezithe zadlulayo (i-syphilis, imimpi, i-malaria) eyaziwa ngokuchanekileyo okanye ngokungathanga ngqo kwinkqubo yokuzala inzala)
- Ukwandiswa kwe-varicocele (leyo ingasoloko iphathwa unyango kwaye ingekho gulane)
- umdlavuza
- i-chemotherapy kunye neyeza
Ubungqina bokungabikho komsebenzi obubonisa ubungqina obubhekiselele kunoma yimuphi umbandela obangela ukuba umntu akwazi ukuhlaziya okanye ukuphazamisa ukuhamba kwembewu kwindoda yesini yomzimba. Ezi zinto ziquka:
- ukuphazamiseka kwe-vas deferens okanye i-ejaculatory duct
- Iprotatitis (ukuvuvukala kweprotate gland)
- Ukubuyiswa kwe-ejaculation apho isityalo singakhange sitshintshelwe kwisilwanyana
- hypospadias, i-defenital defect apho ukuvulwa kwe-urethra kungekho kwintloko yentloko
- i-erectile i-dysfunction (leyo ingahlala iphathwa ngamachiza)
- ukungabi namandla ngenxa yezizathu
Igama elivela kwi-Verywell
Ngexesha elixakekayo, ezininzi zezona zinto ezibangela ukungabikho kwindoda zingaphathwa. Kwimeko apho abakwaziyo, kukho iindidi zokuncedisa iinkqubo zokuzala ezokuphucula ithuba lomtshato lokukhulelwa. Ziquka iziyobisi zonyango, izixhobo zonyango , ukuhlinzwa , okanye ukudibanisa unyango.
Nantoni na oyenzayo, ungayeki. Ukuba ubhekene nokungabikho kwindoda engakhathaliseki, nantoni na isizathu, thetha nomcebisi wenzalo onokukwazi ukukunceda.
Umthombo
- > Cavallini G. "Maledi idiopathic oligoasthenoteratozoospermia." Asia J Androl. Matshi 2016; 8 (2): 143-57.
- > Punab, M .; Poolamets, O .; Vihljajev, V .; okqhubekayo. "Iimbangela zokungabikho komntwana: uneminyaka engama-9 efunyenwe yi-monocentre kwizikolo ezingama-1737 ezinenani elincinci lenkomo yesilisa." Ukuzaliswa kwabantu. 2017; 32 (1): 18-31.