So wo ne wo yere abɔ mmɔden sɛ wobenya akokoaa akyɛ? Nanso ɛda so ara yɛ nea efi mu ba biara? Mpɛn pii no, wɔ tebea horow a ɛtete saa mu no, yɛn manfo de wɔn nsateaa to ɔbea no so. Nanso ɛsɛ sɛ yɛte ase sɛ ɔhaw no betumi aba mmarima afã nso. Awo a wontumi nwo yɛ biribi a ebetumi aka ahokafo baanu no nyinaa. Ɛnnɛ yɛreka asɛmti bi a nnipa pii mpɛ sɛ wɔbɛka ho asɛm, nanso ɛyɛ asɛmti a ɛho hia paa: Male Infertility.
Sɛ yɛbɛka no tiawa a, dɛn ne mmarima a wontumi nwo?
Sɛ yɛbɛka no tiawa a, mmarima awo a wontumi nwo no yɛ sɛnea ɔbarima ntumi nyinsɛn ne hokafo esiane ɔhaw bi a ɛwɔ n’awo nhyehyɛe mu nti. Wɔ aduruyɛ mu no, sɛ awarefo bi ada daa afe biako a wɔmfa awo ano aduru biara nni dwuma na wɔda so ara ntumi nyinsɛn a, ɛsɛ sɛ yɛhwehwɛ mu.
Eyi abu so wɔ wiase araa ma nnipa bɛyɛ ɔpepem 186 na wɔhaw saa ɔhaw yi wɔ wiase nyinaa. Mpɛn pii no, sɛ wɔrehwehwɛ nea enti a ontumi nwo a, ɔhaw no da mmarima fã anaa afã abien no nyinaa wɔ bɛyɛ fã mu . Enti mma w’ani nnwu anaa w’abam mmu, nsusuw sɛ eyi yɛ wo haw ara kwa.
Akokoaa a wubenyinsɛn no nyɛ mmerɛw sɛnea wususuw no!
Nokwarem no, abofra nyinsɛn yɛ adeyɛ a ɛyɛ den yiye. Wɔ awarefo nkumaa a wɔwɔ apɔwmuden mpo fam no, hokwan a ɛwɔ hɔ sɛ wobenyinsɛn bere a wɔabɔ mmɔden ɔsram biako akyi no sua te sɛ 20-25% . Enti susuw nneɛma pii a ɛsɛ sɛ ɛkɔ so yiye na ama ɛno abam no ho hwɛ.
Ɛsɛ sɛ saa nneɛma yi si na ama nyinsɛn a edi mu:
- Nkwaboaa a ahoɔden wom a wɔyɛ wɔ ɔbarima nipadua mu.
- Nkwaa a ɛwɔ apɔwmuden a ɛba ɔbea no nipadua mu.
- Ɛsɛ sɛ ɔbea no awotwaa no yɛ nea biribiara nsiw no kwan , na ɛma mmadwoa tumi kɔ ɛmo no mu.
- Nkwaboaa no tumi ne nkesua no bom na ɛma ɛwo .
- Ɛsɛ sɛ ɛmo (awotwaa) a wɔahyɛ no ma no de ne ho hyɛ awotwaa no mu yiye.
Sɛ nneɛma yi mu biako mpo sintɔ a, nyinsɛn no betumi akyɛ anaasɛ ɛremma.
Dɛn ne awo a wontumi nwo ho sɛnkyerɛnne?
Nsɛnkyerɛnne titiriw a ɛda adi kɛse a ɛkyerɛ sɛ mmarima ntumi nwo ne sɛ wontumi nwo abofra. Nanso, eyi akyi no, adwene mu nkɛntɛnso a tebea yi nya no dɔɔso yiye. Ebetumi ayɛ honam fam yare te sɛ nea ɛyɛ adwene mu yare no ara pɛ.
| Su ahorow a ɛwɔ hɔ | Tebea horow a ebetumi aba |
|---|---|
| Nipadua mu su ahorow | Mpɛn pii no, abɔnten so sɛnkyerɛnne atitiriw biara nni hɔ, nanso ɛtɔ mmere bi a, hormone ho haw betumi de nneɛma te sɛ ɔbrɛ a ɛtra so, nna mu ɔhaw, ne mu duru a ɛkɔ soro aba. |
| Adwene ne nkate mu su ahorow |
|
Sɛ wo anaa wo hokafo rehyia adwennwen a ɛte sɛɛ a, ɛho hia yiye sɛ wo ne oduruyɛfo, adwenemyare ho oduruyɛfo, anaa ɔfotufo kasa fa ho.
Dɛn nti na eyi ba? Nneɛma a ɛde awo a wontumi nwo ba
Nneɛma pii wɔ hɔ a ebetumi ama mmarima ntumi nwo. Ebetumi ayɛ awosu, honam fam, ne nneɛma a atwa yɛn ho ahyia.
| Sɛnti | Nkyerɛkyerɛmu a ɛnyɛ den |
|---|---|
| Nkwaboaa ho haw ahorow | Nkwaboaa dodow a ɛba fam (Oligospermia), mmadwoa a entumi nkɔ (Azoospermia), mmadwoa no nsɛso anaa sɛnea ɛtumi nkɔ baabiara a asɛe. |
| Awosu mu nyarewa | Awosu mu tebea horow a ɛwɔ hɔ wɔ awo mu, te sɛ Klinefelter syndrome. |
| Nyarewa afoforo | Asikreyare, nyarewa bi a nipadua no tumi ko tia nyarewa, cystic fibrosis. |
| Nyarewa a wɔde nyarewa ba | Testicular infections (epididymitis, orchitis) ne nna mu nyarewa (STIs) te sɛ akisikuru anaa HIV. |
| Ntini a ɛma mogya tu (varicoceles) . | Ntini a atwa awotwaa ho ahyia no ma ɔhyew kɔ soro na ɛka mmadwoa a wɔyɛ no. |
| Kokoram ayaresa | Nnuru a wɔde sa yare, mframa a wɔde sa yare, anaa oprehyɛn a wɔde yi awotwaa no (orchiectomy). |
| Hormone ho haw ahorow | Hormone a ɛnkari pɛ esiane ɔhaw ahorow a ɛwɔ pituitary anaa hypothalamus ntini a ɛwɔ amemene no mu no dwumadi mu nti. |
Nneɛma afoforo a ɛma asiane no yɛ kɛse
Wɔ nneɛma a yɛaka ho asɛm wɔ atifi hɔ no akyi no, asetra mu su ne suban ahorow bi nso betumi ama asiane a ɛwɔ hɔ sɛ mmarima ntumi nwo no ayɛ kɛse.
- Mu duru a ɛkɔ soro: Sɛ wo nipadua mu duru (BMI) boro 25 (kɛse mmoroso).
- Sɛ́ wadi boro mfe 40.
- Sigaretnom, nsa ne nnubɔne afoforo a wɔde di dwuma.
- Nnuru a awuduru wom te sɛ nnuru a wɔde kum mmoawa ne dade a emu yɛ duru (kɔbere, mercury) a wɔde wɔn ho bɛhyɛ mu.
- Nneɛma a ɛma awotwaa mu hyew kɔ soro: sauna anaa nsu a ɛyɛ hyew a wɔtaa de di dwuma, ne mmubuafo akongua a wɔde di dwuma bere tenten.
- Nnuru bi a wɔde di dwuma.
- Anabolic steroids a wɔde di dwuma ma ntini nyin.
Ɔkwan bɛn so ankasa na oduruyɛfo hu eyi?
Sɛ woabɔ mmɔden afe biako na woda so ara ntumi nwo a, ade a eye sen biara a ɛsɛ sɛ woyɛ ne sɛ wo ne wo yere bɛbom akɔ oduruyɛfo nkyɛn. Oduruyɛfo bedi anammɔn pii akyi de ahu tebea yi.
1. Wo ne wo yere ho nsɛm a wobɛbisa: Oduruyɛfoɔ no bɛbisa wo nsɛm pii afa w’akwahosan ho abakɔsɛm, nna mu su, adwuma, asetena, ne nea ɛkeka ho ho Ɛho hia paa sɛ wode nsɛm a ɛyɛ nokware ma a worenfɛre.
2. Nipadua mu nhwehwɛmu:Oduruyɛfo no bɛhwɛ sɛ ɔhaw bi wɔ wo nipadua mu a ebetumi aka w’awo.
3. Sɔhwɛ titiriw: Ɛno akyi no, wɔhyɛ sɛ wɔnyɛ nhwehwɛmu pii na ama wɔahu nea ɛde ba ankasa.
| Sɔhwɛ | Dɛn na wuhu wɔ saa asɛm no mu? |
|---|---|
| Nkwaboaa mu Nhwehwɛmu | Eyi ne sɔhwɛ titiriw ne nea ɛho hia sen biara . Wɔfa wo mmadwoa no bi na wɔhwehwɛ mmadwoa dodow, sɛnea ɛkeka ne ho, sɛnea ɛte, ne ne su afoforo mu. |
| Mogya mu Nhwehwɛmu | Hwɛ wo nipadua mu hormone dodow (titiriw testosterone) ne awosu mu haw ahorow. |
| Mfoninitwa Sɔhwɛ ahorow | Wobetumi ayɛ ultrasound scan de ahwɛ sɛ ebia biribiara asiw awotwaa anaa mmadwoa ntini te sɛ varicocele. |
| Testicular biopsy a wɔde yɛ awotwaa mu nhwehwɛmu | Wɔ tebea horow bi a ɛntaa nsi mu no, woyi ntini ketewaa bi fi awotwaa no mu na wɔsɔ hwɛ sɛ ebia mmadwoa a ɛba no rekɔ so yiye anaa. |
Nha wo ho! Ayaresa bi wɔ hɔ a wɔde sa eyi.
Yiw, koraa! Ayaresa a etu mpɔn pii wɔ hɔ nnɛ a wɔde sa mmarima awo a wontumi nwo, ɛmfa ho nea ɛde ba. Biribiara nni hɔ a enti ɛsɛ sɛ yegyae anidaso.
1. Asetra mu nsakrae
Mpɛn pii no, asetra mu nsakrae a ɛnyɛ den betumi ama nsakrae kɛse aba.
- Kura mu duru a ɛfata mu: Sɛ wo mu duru boro so a, teɛteɛ w’apɔw mu na di so.
- Aduan pa: Di nnuaba, nhabannuru, ne nhabannuru pii.
- Sigaretnom ne nsa a wobegyae: Eyinom sɛe mmadwoa tẽẽ.
- Adwennwen a wɔbɛtew so:Nneɛma te sɛ yoga ne nsusuwii bɛboa.
- Nkwammoaa a wɔbɔ ho ban fi ɔhyew a ɛboro so ho.
2. Nnuru a wɔde yɛ nnuru
Sɛ ɔhaw bi te sɛ hormone dodow a ɛba fam anaa ɛkɔ soro wɔ hɔ a, wobetumi de nnuru akari pɛ. Afei nso, wobetumi ama nnuru a ekum ɔyare mmoawa ama ɔyare mmoawa. Sɛ nnuru afoforo a wonom no rehaw awo a, wo duruyɛfo betumi asesa.
3. Oprehyɛn a wɔyɛ
Wɔ tebea horow bi mu no, ebia ɛho behia sɛ wɔyɛ oprehyɛn.
- Varicocelectomy: Wobetumi de oprehyɛn asiesie tebea a ɛwɔ varicocele a ɛyɛ ntini a ɛkyinkyim no.
- Vasectomy Reversal: Sɛ woadi kan ayɛ vasectomy na amma woanwo mma a, wobetumi asan ayɛ no bio denam oprehyɛn a wɔbɛyɛ no bio so.
- Nkwaboaa a Wogye: Sɛ ɔkwan bi asiw mmadwoa a, wobetumi ayi mmadwoa afi awotwaa no mu tẽẽ na wɔde ayɛ ayaresa.
4. Awo Mfiridwuma a Wɔboa (ART) .
Eyinom ne ayaresa a ɛkɔ akyiri sen biara a ɛwɔ hɔ nnɛ.
- In Vitro Fertilization (IVF): Sɛ yɛbɛka no tiawa a, wɔde ɔbea nkesua ne ɔbarima mmadwoa bom wɔ nipadua no akyi, wɔ aduruyɛdan mu, ma ɛyɛ awotwaa, na afei wɔsan de hyɛ ɛna no awotwaa mu.
- Intracytoplasmic Sperm Injection (ICSI): Eyi yɛ ɔkwan foforo a ɛkɔ akyiri a wɔfa so yɛ IVF. Sɛ mmadwoa dodow sua koraa anaasɛ ntumi nkɔ baabiara yiye a, wɔpaw mmadwoa biako a ɛwɔ apɔwmuden na wɔde gu nkesua no mu tẽẽ.
Wo duruyɛfo ne wo bɛbɔ nkɔmmɔ na wasi ayaresa kwan a eye ma wo ho gyinae.
Nkrasɛm a Wɔde Kɔ Fie
- Mmarima a wontumi nwo no yɛ tebea a abu so. Ɛnyɛ wo haw nko. Enti mma w’ani nnwu anaa w’abam mmu.
- Mmofra a wonni yɛ awarefo haw, na ɛnyɛ obiara mfomso. Ɛsɛ sɛ wo ne wo yere bom di eyi ho dwuma.
- Asetra a ahoɔden wom (adidi yiye, apɔw-mu-teɛteɛ, sigaretnom ne nsa a wobɛkwati) betumi ama w’awo atu mpɔn kɛse.
- Sɛ woabɔ mmɔden afe biako na woda so ara nhuu nea efii mu bae a, kɔ oduruyɛfo nkyɛn ntɛm. Dodow a wuhu nea ɛde ba no pɛpɛɛpɛ na wosa no, dodow no ara na hokwan a ɛwɔ hɔ sɛ wubedi nkonim no yɛ kɛse.
- W’adwene mu akwahosan nso ho hia yiye wɔ akwantu yi mu. Sɛ ɛho hia a, hwehwɛ afotu. Mma anidasoɔ nnyae!
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