ʻAzoospermia: He mea keakea anei kēia i kāu moeʻuhane e lilo i makuakāne? E kamaʻilio kāua.

Malia paha ua hoʻāʻo nei ʻoe a me kāu wahine e loaʻa kahi pēpē no kekahi manawa i kēia manawa. I ka manawa āu i manaʻo ai ua maikaʻi nā mea āpau, ua haʻi aku ke kauka iā ʻoe ʻaʻohe sperm i loko o kāu semen. Pehea kou manaʻo ke lohe ʻoe i kēia mau ʻōlelo? He mea maʻamau ka manaʻo e like me ka hiolo ʻana o kou honua a me ke kaumaha nui. Akā, mai hopohopo. ʻAʻole ʻoe hoʻokahi. E kamaʻilio kākou e pili ana i kēia maʻi i kapa ʻia ʻo Azoospermia ma ke ʻano pololei, maʻalahi, a me ke aloha.

He aha maoli ka Azoospermia?

I ka ʻōlelo maʻalahi, ʻo Azoospermia ka wā ʻaʻohe sperm hiki ke ana ʻia i loko o ka sperm o ke kāne. He kūlana huikau kēia no nā poʻe he nui. Malia paha ke puka maʻamau nei ka sperm, akā ʻo ka pilikia, ʻaʻole i loko o ka sperm nā cell sperm e pono ai e hana i kahi pēpē.

E noʻonoʻo e like me ka wai huaʻai. ʻOiai he wai a me ke kō kona, ʻaʻohe ona ʻāpana hua i loko. Pēlā nō, ʻoiai he sperm, ʻaʻohe paha ona sperm cell i loko. Ua kapa ʻia hoʻi kēia ʻo "ʻaʻohe helu sperm."

Hoʻopilikia kēia maʻi i kahi 1% o nā kāne. ʻO ia hoʻi, ʻaʻole ia he mea kakaikahi. Hānau ʻia kekahi mau kāne me ia, aʻo kekahi poʻe e loaʻa iā ia i ko lākou wā ʻōpio a ma hope paha o ke ola. ʻO ka mea nui, ʻo ka loaʻa ʻana o kēia maʻi ʻaʻole ia he manaʻo ʻaʻole hiki iā ʻoe ke lilo i makuakāne.

ʻEkolu mau ala nui e hiki ai kēia kūlana.

Ua hoʻokaʻawale nā ​​kauka i kēia ʻano o Azoospermia i ʻekolu ʻano nui. Ke maopopo ke kumu pololei, ʻoi aku ka maʻalahi o ka mālama ʻana. E nānā kākou i kēlā mau ʻano ʻekolu.

He aha nā kumu o Azoospermia?

Nui nā kumu e hiki ai ke hoʻoulu i kēia ʻano. E hoʻokaʻawale kākou i kēia mau kumu i nā ʻano ʻelua a mākou i kūkākūkā ai ma mua.

1. ʻAzoospermia ālai

ʻO kēia ke kumu maʻamau, ʻike ʻia ma kahi o 40% o nā kāne me Azoospermia. Ke hana ʻia ka sperm i loko o nā testicles , ʻaʻole hiki iā lākou ke puka i waho.

• ʻEha : Nā ʻeha i nā testicles a i ʻole nā ​​​​​​wahi a puni.
• Nā maʻi: Nā maʻi e pili ana i nā testicles, no ka laʻana `( Epididymitis )`.
• ʻO ke ʻoki kino ma mua: Hiki i ke ʻoki kino ma ka ʻāpana pelvic ke hōʻino i ke kaula spermatic.
• Vasectomy: He pale ʻana kēia i nā vas deferens ma ke ʻano he hana hoʻolālā ʻohana.
• ʻO ka ejaculation retrograde: Hele ka sperm i hope i ka ʻōpū mimi ma kahi o ka puka ʻana i waho o ka penis.
• Nā kumu hoʻoilina: ʻO nā kūlana hoʻoilina e like me Cystic Fibrosis hiki ke kumu i ka nalowale ʻana o ke kaula spermatic a i ʻole ke ālai ʻia i ka wā hānau.

2. Nā pilikia me ka hana ʻana o ka sperm (Non-obstructive Azoospermia)

He pilikia kēia me ka "hale hana" nāna e hana i ka sperm, a i ʻole ka "hoʻokele" nāna e hāʻawi iā ia i nā hōʻailona.

• Nā kūlana hoʻoilina: Nā kūlana e like me ka `(Klinefelter's syndrome)` a i ʻole `(Y chromosome deletion)` o ka Y chromosome.
• Nā hemahema o ka hormonal:Nā pilikia hormonal e like me nā pae testosterone haʻahaʻa.
• Varicocele: Ka pehu ʻana o nā aa koko i loko o nā testicles. Hiki i kēia ke hoʻonui i ka mahana o nā testicles a keakea i ka hana ʻana o ka sperm.
• Lāʻau lapaʻau no ke kanesa: Hiki i ka radiation a i ʻole chemotherapy ke hōʻino i nā pūnaewele e hana ana i ka sperm.
• Kekahi mau lāʻau lapaʻau: Hiki i kekahi mau lāʻau lapaʻau ke hoʻemi i ka hana sperm ma ke ʻano he hopena ʻaoʻao.
• Nā maʻi e hoʻopilikia ana i nā testicles: ʻO ka Orchitis, kahi maʻi i hoʻokumu ʻia e kahi maʻi e like me ka mumps.
• ʻAno o ke ola: Ka hoʻohana nui ʻana i ka waiʻona a i ʻole ka lāʻau lapaʻau, ka hōʻike ʻana o nā testicles i ka wela nui (e like me ka ʻauʻau pinepine ʻana, ka hoʻohana ʻana i ka sauna).

Pehea e ʻike ai inā loaʻa iaʻu kēia maʻi?

ʻIke pinepine ʻia kēia maʻi ma hope o ka hoʻāʻo ʻana e loaʻa kahi pēpē a ʻaʻole ia e holo pono. I ka hapa nui o nā hihia, ʻaʻohe hōʻailona ʻē aʻe.

Akā i kekahi manawa, ʻike ʻia nā hōʻailona e pili ana i ke kumu kumu.

• Inā he pilikia hormonal ia, a laila ua emi iho ka makemake i ka moekolohe.
• Inā he maʻi, he puʻupuʻu a ʻeha paha i loko o nā testicles.

Nā hoʻokolohua a ke kauka e hana ai

Ke ʻike ʻoe i ke kauka, e holo ʻo ia i kekahi mau hoʻokolohua e ʻike ai i ke kumu.

1. Ka Nānā ʻana i ka Semen: ʻO kēia ka hoʻāʻo maʻalahi a koʻikoʻi loa. Maanei, lawe ʻia kahi hāpana o kāu semen a nānā ʻia ma lalo o kahi microscope e ʻike inā he sperm, ehia ka nui, a pehea lākou e neʻe ai. No ka hōʻoia ʻana i ka azoospermia, pono ʻoe e hana i kēia hoʻāʻo ma ka liʻiliʻi ʻelua , a e hōʻoia ʻaʻohe sperm i nā manawa ʻelua.

2. Mōʻaukala lapaʻau a me ka hoʻokolokolo kino: E nīnau ke kauka iā ʻoe e pili ana i nā maʻi i hala, nā ʻoki kino, nā lāʻau lapaʻau āu e lawe ai, a inā paha ua loaʻa i kekahi o kou ʻohana nā pilikia like. E hana pū ʻo ia i kahi hoʻokolokolo kino o kāu mau testicles.

3. Nā hoʻāʻo koko: E nānā i nā pae hormone o ke kino, ʻoiai nā pae o nā hormones i kapa ʻia ʻo `(Testosterone)` a me `(FSH)`.

4. Hoʻāʻo Hoʻoilina: Hana ʻia kēia hoʻāʻo inā he kānalua no ke kumu hoʻoilina.

5. Ultrasound: E nānā no kekahi mau mea e ālai ana i nā testicles a i ʻole ke kaula spermatic, e like me ka varicocele.

6. MRI scan: Hiki ke hana ʻia kēia inā he kānalua e pili ana i ka pituitary gland i loko o ka lolo, ka mea e kaohi ana i nā hormones.

Mai hopohopo... aia ka lāʻau lapaʻau!

ʻO ka nūhou maikaʻi, hiki ke mālama ʻia ʻo Azoospermia ma muli o ke kumu. He mea nui e ʻimi mua i ke kumu pololei.

He mea hoʻomaha i kou manaʻo...

He mea maʻamau ke manaʻo i nā manaʻo he nui, me ke kaumaha, ka huhū, a me ka manaʻolana ʻole, ke loaʻa iā ʻoe kahi hōʻailona e like me kēia. Akā, ʻaʻole pono ʻoe e hele wale ma kēia huakaʻi.

• E kamaʻilio me kāu wahine: E haʻi iā ia i kou manaʻo. He mea nui loa ia e kū pū ʻolua i kēia.
• E hilinaʻi i ke kauka: E nīnau iā ia. E hoʻopau i kou mau kānalua a pau. E hoʻomaopopo pono i nā koho lapaʻau.
• Mai hoʻokuʻu i ka manaʻolana:Ua holomua loa ka ʻenehana lapaʻau o kēia wā. Loaʻa i nā kāne he nui me ka azoospermia ka manawa kūpono e lilo i mau makuakāne i kēia lā.