Malia paha ua hoʻāʻo nei ʻoe a me kāu wahine e hāpai no kekahi manawa i kēia manawa. I ka manawa āu i manaʻolana ai e holo pono nā mea āpau, ua ʻōlelo kāu kauka ʻaʻohe sperm i loko o kāu semen. Pehea kou manaʻo i ka lohe ʻana i kēlā mau ʻōlelo? He mea maʻamau loa ka manaʻo kaumaha, ka puʻuwai haʻihaʻi, a me he mea lā e hiolo ana kou honua. Akā, e ʻoluʻolu, mai hopohopo. ʻAʻole ʻoe hoʻokahi. E kūkākūkā kākou i kēia maʻi i kapa ʻia ʻo Azoospermia me ka pololei, ka maʻalahi, a me ke aloha.
He aha maoli ka Azoospermia?
I ka ʻōlelo maʻalahi, ʻo Azoospermia kahi kūlana kahi i loaʻa ʻole ai i kāu ejaculate ( semen ) ka nui o ka sperm. Nui ka poʻe e huikau nei i kēia: hiki nō iā ʻoe ke ejaculate maʻamau, akā ʻo ka pilikia, ʻaʻole i loaʻa i ka wai nā cell sperm e pono ai e hāpai i kahi keiki.
E noʻonoʻo e like me ka wai huaʻai—ʻoiai inā he wai a me ke kō, nele i nā ʻāpana hua maoli. Pēlā nō ia; loaʻa iā ʻoe ka semen, akā nele i nā cell sperm. Ua kapa pinepine ʻia kēia he "ʻaʻohe helu sperm."
Hoʻopilikia kēia maʻi ma kahi o 1% o nā kāne, ʻo ia hoʻi, ʻaʻole ia he mea kakaikahi e like me kou manaʻo. Hānau ʻia kekahi mau kāne me ia, a no kekahi poʻe, ulu ia i ka wā ʻōpio a i ʻole ka wā makua. ʻO ka mea nui e hoʻomanaʻo ai, ʻo ka loaʻa ʻana o kēia maʻi ʻaʻole ia he manaʻo ʻaʻole hiki iā ʻoe ke lilo i makuakāne.
Aia he 3 mau ʻano nui o kēia maʻi
Hoʻokaʻawale nā kauka i ka Azoospermia i ʻekolu ʻano nui. ʻO ka hoʻomaopopo ʻana i ke kumu kikoʻī e maʻalahi ai ka mālama ʻana. E nānā kākou i kēia mau ʻano ʻekolu.
| ʻAno Azoospermia | Ma nā huaʻōlelo maʻalahi ... | Inoa ʻē aʻe |
|---|---|---|
| ʻO Azoospermia ma hope o ka testicular | Hoʻopuka ʻia ka sperm i loko o nā testicles, akā aia kahi mea e ālai ana ma kekahi wahi ma ke ala. Ua like ia me kahi kaʻa e pale ana i nā kaʻa mai ka neʻe ʻana i mua. | ʻO ka Azoospermia ālai |
| ʻO ka Azoospermia Testicular | Aia ka pilikia i loko o nā testicles ponoʻī. Hoʻopuka ʻia ka sperm ma kahi pae haʻahaʻa loa a ʻaʻole paha i hana ʻia. Ua like ia me kahi hale hana i hana ʻole ʻia. | ʻAzoospermia ʻaʻole keakea |
| ʻO Azoospermia Pretesticular | Ola kino nā testicles, ʻaʻohe mea e ālai ʻia ai. Eia nō naʻe, ʻaʻole hiki pololei nā hōʻailona hormone mai ka lolo i nā testicles. Ua like ia me kahi hale hana i nele i ka loaʻa ʻana o kāna mau kauoha. | ʻAzoospermia ʻaʻole keakea |
He aha nā kumu o Azoospermia?
Nui nā kumu e hiki ai ke alakaʻi i kēia maʻi. E hoʻokaʻawale kākou iā lākou ma muli o nā ʻano nui ʻelua i ʻōlelo ʻia ma luna.
1. Nā ālai ʻana i ka ʻōnaehana lawe sperm (Obstructive Azoospermia)
ʻO kēia ke kumu maʻamau, ʻike ʻia ma kahi o 40% o nā hihia. ʻOiai ua hana ʻia ka sperm i loko o nā testicles , ʻaʻole hiki iā ia ke puka i waho.
- Trauma/ʻEha : Nā ulia e pili ana i nā testicles a i ʻole nā wahi a puni.
- Nā maʻi: Nā maʻi i loko o ke ala hānau, e like me Epididymitis .
- ʻO ke ʻoki kino ma mua: Nā ʻoki kino pelvic i hiki ke hōʻino i nā ducts sperm.
- Vasectomy: He kaʻina hana i hoʻolālā ʻia kahi e ālai ʻia ai nā kahawai sperm no ka kaohi hānau.
- ʻO ka ejaculation retrograde: Ke hele hope ka sperm i loko o ka ʻōpū mimi ma kahi o ka puka ʻana ma o ka penis.
- Nā kumu hoʻoilina: Nā kūlana e like me Cystic Fibrosis, ka mea e hopena ai i ka nele a i ʻole ka pale ʻana o nā kahawai sperm mai ka hānau ʻana.
2. Nā pilikia me ka hana ʻana o ka sperm (Non-obstructive Azoospermia)
Hana ʻia kēia ke loaʻa kahi pilikia me ka "hale hana" e hana ana i ka sperm a i ʻole ka "hoʻokele" e hoʻouna ana i nā hōʻailona e pono ai.
- Nā kūlana hoʻoilina: E like me ka maʻi Klinefelter a i ʻole ka holoi ʻana o ka chromosome Y.
- Nā hemahema hormonal: Nā pilikia e like me nā pae Testosterone haʻahaʻa.
- Varicocele: Hoʻonui ʻia nā aʻa koko i loko o ka scrotum, hiki ke hoʻokiʻekiʻe i ka mahana o ka testicular a kāohi i ka hana ʻana o ka sperm.
- Nā lāʻau lapaʻau no ke kanesa: Hiki i ka radiation a i ʻole chemotherapy ke hōʻino i nā pūnaewele nona ke kuleana no ka hana ʻana o ka sperm.
- Kekahi mau lāʻau lapaʻau: Loaʻa i kekahi mau lāʻau nā hopena ʻaoʻao e hiki ke hōʻemi i ka hana sperm.
- Nā maʻi testicular: Nā kūlana e like me ka orchitis , hiki ke hopena mai nā maʻi e like me ka mumps.
- Nā kumu o ke ʻano o ka nohona: Ka hoʻohana nui ʻana i ka waiʻona a i ʻole ka hoʻohana ʻana i nā lāʻau lapaʻau, a i ʻole ke kau ʻana i nā testicles i ka wela nui (e like me ka ʻauʻau pinepine ʻana i ka wela, ka hoʻohana ʻana i nā sauna).
Pehea e ʻike ai inā loaʻa iaʻu kēia?
ʻO ka maʻamau, ʻike nā kāne i kēia ma hope o ka hoʻāʻo ʻana e hāpai me ka holomua ʻole. I nā hihia he nui, ʻaʻohe hōʻailona ʻē aʻe i ʻike ʻia.
Eia nō naʻe, i kekahi mau hihia, hiki ke ʻike ʻia nā hōʻailona e pili ana i ke kumu kumu:
- Inā he pilikia hormonal ia, e ʻike paha ʻoe i ka haʻahaʻa o ka makemake moekolohe.
- Inā he maʻi ia, e manaʻo paha ʻoe i kahi puʻupuʻu a ʻeha paha i loko o nā testicles.
ʻO ka mea nui loa kēia: inā ʻoe a me kāu hoa e hoʻāʻo nei e hāpai mau no hoʻokahi makahiki me ka ʻole o ka kaohi hānau a ʻaʻole i holomua, e nīnau koke aku i ke kauka.
Nā hoʻokolohua a kāu kauka e hana ai
Ke kūkākūkā ʻoe me kahi loea, e hana lākou i kekahi mau hoʻokolohua e ʻike ai i ke kumu.
1. Ka Nānā ʻana i ka Semen: ʻO kēia ka hoʻāʻo mua a koʻikoʻi loa. Nānā ʻia kahi hāpana o kāu semen ma lalo o kahi microscope e ʻike ai inā aia ka sperm, ka nui, a pehea lākou e neʻe ai. No ka hōʻoia ʻana i ka Azoospermia, pono e hana ʻia kēia hoʻāʻo ma ka liʻiliʻi ʻelua e hōʻoia i ka nele o ka sperm ma nā manawa ʻelua.
2. Ka Moʻolelo Lapaʻau a me ka Hoʻokolokolo Kino:E kūkākūkā kāu kauka i kou mōʻaukala olakino, nā ʻoki kino i hala, nā lāʻau lapaʻau o kēia manawa, a me ke olakino ʻohana. E hana pū lākou i kahi hoʻokolokolo kino piha e kālele ana i kāu mau testicles.
3. Nā Hoʻāʻo Koko: Hana ʻia kēia mau mea e nānā i kāu mau pae hormone, ʻo ia hoʻi kāu mau pae (Testosterone) a me (FSH) .
4. Hoʻāʻo ʻana i ka Genetic: Hiki ke ʻōlelo ʻia kēia inā kānalua kāu kauka i kahi kumu genetic e kōkua ana i kou kūlana.
5. Nā Scans Ultrasound: Kōkua kēia i kāu kauka e ʻike i kekahi mau mea e ālai ana i loko o nā ʻōmole a i ʻole nā pilikia e like me ka (Varicocele) .
6. MRI Scan: Hiki ke kauoha ʻia kēia inā kānalua kāu kauka i kahi pilikia me ka (pituitary gland) i loko o kou lolo, ka mea e hoʻoponopono ai i kāu mau hormones.
Mai hoʻopau i ka manaʻolana—aia nā lāʻau lapaʻau!
ʻO ka nūhou maikaʻi loa, hiki ke mālama pinepine ʻia ʻo Azoospermia ma muli o ke kumu kumu. ʻO ka hana nui loa, ʻo ia ka ʻike pololei ʻana i ke kumu o ka pilikia.
| Kumu | Lapaʻau | He wehewehe maʻalahi |
|---|---|---|
| Ka pale ʻana i nā ala sperm | Hoʻoponopono ʻoki kino o ka poloka | E like me ka hoʻomaʻemaʻe ʻana i kahi mea e ālai ai i ke alanui e neʻe hou ai ke kaʻa, hoʻihoʻi kēia ʻoki kino i ke ala no ka puka ʻana o ka sperm. |
| Ka hoʻokae ʻole o ka hormonal | Ka lāʻau lapaʻau hormone (lāʻau lapaʻau a i ʻole nā inikini) | Ke hāʻawi nei i ke kino me nā hormones e pono ai mai waho e hoʻoulu hou i ka hana sperm. |
| Nā pilikia hana sperm (ʻaʻole keakea) | Nā ʻano hana hoʻihoʻi sperm | Ke hoʻohana nei i kahi nila liʻiliʻi e kiʻi pololei i ka sperm mai nā testicles. A laila hiki ke hoʻohana ʻia kēia sperm me IVF (In Vitro Fertilization) a i ʻole ICSI e kōkua i kāu hoa e hāpai. |
No kou maluhia o ka noʻonoʻo…
He mea maʻamau loa ke kaumaha, ka huhū, a i ʻole ka manaʻolana ʻole ma hope o ka loaʻa ʻana o kēia hōʻailona. Eia nō naʻe, e ʻoluʻolu e hoʻomaopopo ʻaʻole pono ʻoe e hele hoʻokahi ma kēia ala.
- E kamaʻilio me kāu hoa: E wehe i kou mau manaʻo. He mea nui loa ke alo ʻana i kēia me ka hui pū ʻana.
- E hilinaʻi i kāu kauka: E nīnau i nā nīnau, e hoʻoponopono i nā kānalua āpau āu, a e hōʻoia ua maopopo loa iā ʻoe kāu mau koho lapaʻau.
- Mai hoʻōki i ka manaʻolana: Ua holomua nui ka ʻenehana lapaʻau hou. I kēia lā, nui nā kāne me Azoospermia e lilo nei i mau makuakāne.
ʻAʻole ka hopena o kāu moeʻuhane o ka lilo ʻana i makuakāne ka maʻi Azoospermia. He hoʻomaka wale nō ia o kahi mokuna hou kahi āu e ʻimi ai i nā hopena hou me ke kōkua o Nirogi Lanka.
Leka Lawe-Home
- ʻO ke ʻano o Azoospermia ʻaʻohe sperm i loko o kāu semen; ʻaʻole ia manaʻo ʻaʻole hiki iā ʻoe ke ejaculate.
- ʻO ka maʻamau, ʻo ia ke kumu o kahi ālai ʻana i ke ala hānau a i ʻole kahi pilikia me ka hana ʻana o ka sperm / ka hoʻoponopono hormonal.
- No ka loaʻa ʻana o kahi hōʻoia pololei, he mea nui e kūkākūkā me kahi loea a hana i kahi loiloi sperm me nā hoʻokolohua e pono ai.
- Ma muli o ke kumu, loaʻa nā lāʻau lapaʻau kūpono e like me ke ʻoki ʻana, ka hormone therapy, a i ʻole nā hana holomua e like me IVF/ICSI.
- Mai hoʻonāwaliwali. E hana pū me kāu hoa a me kāu hui lapaʻau e ʻimi i ke ala maikaʻi loa e holomua ai. Aia nō kāu moeʻuhane no ka makuakāne ma kahi kokoke.
ʻAzoospermia, ka nele o ka sperm, nā pilikia momona, ka hānau ʻole ʻana o ke kāne, ka nānā ʻana i ka sperm, IVF, ICSI
