Yu gɛt prɔblɛm bak fɔ gɛt bɛlɛ? Lɛ wi tɔk bɔt Male Infertility!

If yu ɛn yu patna de op fɔ bɔn pikin, bɔt da drim de nɔ kam tru yet, i nɔmal fɔ fil bɔku sɔri ɛn lod. Sɔntɛnde lɛk dis, bɔku pipul dɛn kin tink se na di uman in an gɛt di prɔblɛm. Bɔt fɔ tru, di man patna fɔ bɔn pikin impɔtant jɔs lɛk aw i impɔtant we i kam pan fɔ gɛt bɛlɛ. Tide wi go tɔk bɔt dis kɔndishɔn we dɛn kɔl ``Male Infertility``.

Yu no wetin na man infertility?

Fɔ tɔk am simpul wan, Male Infertility na we man in ebul fɔ gɛt bɛlɛ we de ridyus ɔ lɔs bikɔs ɔf prɔblɛm wit in riprodaktiv sistɛm. If yu dɔn de du mami ɛn dadi biznɛs ɔltɛm fɔ pas wan ia we yu nɔ yuz ɛni kayn famili plan, ɛn yu patna stil nɔ gɛt bɛlɛ, yu go nid fɔ tink bɔt dis sik.

Dis na sɔntin we nɔ kin afɛkt gyal pikin nɔmɔ, bɔt i kin afɛkt man bak. Bɔku tɛm, sɔm pipul dɛn nɔ kin want fɔ tɔk bɔt am. Bɔt dis na tin we pɔsin kin gɛt we i de mɛn pipul dɛn, nɔto sɔntin we pɔsin fɔ shem fɔ.

Aw kɔmɔn tin dis kin apin? Wetin mek sɔntɛnde i nɔ kin izi fɔ mɛn pikin?

Na lɛk 186 milyɔn pipul dɛn ɔlsay na di wɔl de sɔfa bikɔs dɛn nɔ ebul fɔ bɔn pikin. Ɛn dɛn dɔn kam fɔ no se na lɛk af pan dɛn sik ya kin apin bikɔs ɔf man dɛn . sכm stכdi dεm sho se man infεtiliti de afekt bitwin 10% εn 15% pan di man dεm we de tray fכ bεlε.

I nɔ izi fɔ gɛt bɛlɛ fɔ pikin. Mɔtalman na wan spɛshal animal we nɔ kin bɔn pikin. Ivin wɛlbɔdi, yɔŋ man ɛn in wɛf we nɔ gɛt ɛnitin fɔ ambɔg dɛn, gɛt 20-25% chans fɔ gɛt bɛlɛ ɛvri mɔnt.

Jɔs tink bɔt aw bɔku tin dɛn nid fɔ rayt fɔ mek pikin gro:

• di man bכdi nid fכ prodyuz hεlty sperm , εn di uman bכdi nid fכ prodyuz hεlty eg .
• di uman in fallopian tub dεm fכ opin εn dεn nכ blכk so dat di sεl dεm go rich di eg.
• we di sεl mit di eg, i fכ ebul fכ ``fεtilayz'' am .
• di fεtilayz eg כ εmbriyo we de fכm dis we nid fכ implant fayn fayn wan na di uterus.

fכ mek di bεlε go ful tεm (39-40 wik εn 6 dez), di pikin fכ hεlth. כlso, di כmon invayroment na di uman in bכdi fכ fit fכ di pikin fכ divεlכp. If ɛni wan pan dɛn tin ya afɛkt, i kin mek i nɔ ebul fɔ bɔn pikin.

Aw yu go no if prɔblɛm de wit di sperm? Wetin na di saykilɔjik impak?

Di men tin we de sho se man nɔ ebul fɔ bɔn pikin na we i nɔ ebul fɔ bɔn pikin . Bɔt dis kin gɛt bɔku tin dɛn we kin ambɔg pɔsin in maynd ɛn aw i kin fil. Fɔ ɛgzampul:

• Pwɛl at.
• Di filin fɔ lɔs sɔntin `(Lɔs)`.
• Pwɛl at.
• Fɔ fil se yu nɔ ebul fɔ du ɛnitin.
• Di filin we pɔsin kin fil se i nɔ ebul fɔ du sɔntin.

If yu ɔ yu patna de fil dɛn kayn tin ya, i go fayn fɔ mek yu tɔk to pɔsin we sabi gi advays ɔ dɔktɔ we de mɛn pipul dɛn we gɛt maynd prɔblɛm.

sכmtεm, di man infεtiliti kin riliyt to di dכn we di כmon tεstostεron de prodyuz di tεstikul dεm. Dis kayn tin kin apin lɛk wae yu taya, yu nɔr de du mami ɛn dadi biznɛs fayn, yu at pwɛl, yu de gɛt bɔku bɔku bɔdi, ɛn yu nɔr de intres pan ɛnitin. If na so i bi, i impɔtant fɔ go to dɔktɔ we de mɛn yu urolɔg ɔ dɔktɔ we de mɛn pikin dɛn we spɛshal pan man we nɔ ebul fɔ bɔn pikin.

Wetin na di tin dɛn we kin mek man nɔ ebul fɔ bɔn pikin?

Bɔku tin dɛn we de apin na di bɔdi ɛn di tin dɛn we de apin na di say we i de, kin mek man dɛn nɔ ebul fɔ bɔn pikin. Sɔm pan dɛn na:

• di prכblεm dεm na di sεl dεm: di shep we di sεl dεm de chenj, di sεl dεm we di sεl dεm de dכn (Oligospermia), di sεl dεm nכ de na di sεmεn (Azoospermia).
• Jɛnɛtik dizayd: Fɔ ɛgzampul, Klinefelter syndrome ɛn myotonic dystrophy.
• Sɔm mεdikal kכndyushכn dεm: Dayabitis, sכm כtoimyun sik dεm we de atak sεl dεm, sistik fibrosis.
• Infεkshכn: Epididymitis (infεkshכn na di tכb we de kכnεkt di tεstikul dεm), כkaytis (infεkshכn na di tεstikul dεm), εn infεkshכn dεm we dεn kin gεt fכ du mami εn dadi biznεs (STI) lεk gכnoria כ HIV.
• di vein dεm we de na di tεstikul dεm de swεla (Varicoceles) .
• Di tritmɛnt dɛm fɔ kansa: Kemotɛrapi, redyushɔn tɛrapi, ɔ ɔpreshɔn fɔ pul di tɛstikul dɛm (Orchiectomy).
• Testikul trauma .
• כmon dizכrd dεm we de afekt di haypothalamus כ pituitary gland dεm .

Udat dɛn de pan denja pas ɔlman?

Ɛni man kin gɛt infertility, bɔt yu kin gɛt mɔ risk fɔ dɛn rizin ya:

• If yu bɔdi mas indeks (BMI) pas 25 (ɔvaweit/fat).
• If yu ol 40 ia ɔ pas dat.
• If yu dɔn gɛt raytin.
• If yu dɔn gɛt pɔyzin we de na di say we yu de lɛk lid, kalsiɔm, peshɛnt sayd, ɔ mɛkuri.
• If yu de yuz tabak, marijuana, ɔ rɔm.
• If yu de tek sɔm mɛrɛsin dɛn lɛk flutamide, spironolactone, ɛn bicalutamide.
• Fɔ de pan tin dɛn we de mek di tɛstikul dɛn wam bɔku tɛm, lɛk sawna ɔ ɔt tub. If yu yuz wilchia, dat kin mek di tɛstikul dɛn wam bak.
• If histri de fכ di tεstikul dεm we nכ dכn dכn we dεn bכn am.
• if di `varicoceles` kכndishכn we wi bin dכn mεnshכn bin de bifo.
• If yu de tek tεstostεron as tritmεnt fכ lכw tεstostεron lεvεl.
• If yu tek anabolic-androgenic steroids (AAS) ɔ ɔmon sɔpɔtmɛnt fɔ bil mɔsul.

Aw di sεmεn we gɛt wɛlbɔdi tan lɛk?

di sεmεn na wayt to greysh wata we de kכmכt na di penis we i de εjakul. di sεmεn gεt sεl dεm, wata we de εp di sεl dεm fכ travul bak insay di vagina, εn protin, vaytamεn, εn minral dεm we de gi di sεl dεm fכ it.

Nɔmal wan, di wata we de na di bɛlɛ kin tik ɛn i kin stika . If di sεmεn de rכn כ wata, i kin sho se di sεl dεm nכ de kכnt. Dis kin bi bak wan tin we kin mek man nɔ ebul fɔ bɔn pikin.

Aw yu kin no se man nɔ ebul fɔ bɔn pikin? Us tɛst dɛn dɛn kin du?

Yu famili dɔktɔ (Primary Care Physician - PCP) kin no se man nɔ ebul fɔ bɔn pikin. Ɔ i kin rifer yu to yurolɔg ɔ riprodaktiv ɛndokrinɔlɔjis we spɛshal pan man infertility.

Di dɔktɔ go du wan kɔmplit ɛgzam fɔ yu bɔdi fɔ chɛk fɔ ɛni prɔblɛm wit yu bɔdi we go de afɛkt yu ɔl yu wɛlbɔdi ɛn fɔ bɔn pikin. Dɛn go aks yu ɛn yu patna kwɛstyɔn bak bɔt yu mami ɛn dadi biznɛs ɛn yu wɛlbɔdi istri. Fɔ ɛgzampul:

• Aw lɔŋ yu dɔn de tray fɔ mek yu patna gɛt bɛlɛ?
• Yu dɔn ɛva gɛt bɛlɛ fɔ yu patna bifo?
• Yu dɔn ɛva gɛt wan sik we pɔsin kin gɛt we i du mami ɛn dadi biznɛs wit ɔda pɔsin (STI)? If na so i bi, wetin na bin am ɛn ustɛm?
• Yu dɔn gɛt tritmɛnt fɔ am?
• Yu dɔn yuz ɛni we fɔ plan famili (kontraseptiv)? If na so i bi, wetin ɛn ustɛm?
• Yu tink se ɛni wan pan yu fambul dɛn na yu blɔd de sɔfa bikɔs man nɔ ebul fɔ bɔn pikin?
• Yu de smok, yuz rɔm, ɔ ɔda drɔgs?
• Us kayn mɛrɛsin dɛn kin yuz?

If dɛn chɛk di bɔdi ɛn di wɛlbɔdi istri nɔ sho klia wan wetin mek dɛn du am, di dɔktɔ kin tɛl dɛn fɔ du ɔda tɛst dɛn.

Wetin na di men tɛst dɛn we dɛn kin du?

di sεmεn analisis na wan pan di men tεst dεm we dεn kin yuz fכ no if man dεn nכ bכn pikin. insay dis, dεn de egzamin wan sεmpl fכ yu sεmεn na labכtכri fכ chεk di kwantiti εn kwaliti fכ di sεl dεm.

Mɛmba se dis na tɛst we rili impɔtant. Na in kin no bɔku prɔblɛm wit di swɛt.

Ɔda tɛst dɛn de bak. Sɔm pan dɛn:

• Di tɛst dɛn we dɛn kin du fɔ tek pikchɔ:Dis kin inklud tεst dεm we nכ de invayv lεk כltra saund כ magnεtik rεsכnans imej (MRI), כ invasiv tεst lεk vεnogram.
• Blɔd tɛst: Dɛn tin ya kin no di ɔmon lɛvɛl ɛn luk fɔ abnɔmal tin dɛn na yu jin ɔ kromozom.
• Urinalysis: Dis kin ɛp fɔ no tin dɛn lɛk seksual transmitted infection (STI) ɛn dayabitis.
• Testicular biopsy: Insay dis test , di dכkta de tek sכm sכm tisu frכm di tεstikul fכ si aw di tεstikul dεm de prodyuz sεl fayn fayn wan.

Tritmɛnt de fɔ dis sik? Wetin na dat?

Yɛs, di gud nyus na dat difrɛn tritmɛnt dɛn de fɔ mek man dɛn nɔ ebul fɔ bɔn pikin ɔ fɔ mek dɛn nɔ ebul fɔ bɔn pikin . Di tin we de mek yu gɛt dis sik go sho di tritmɛnt we go fayn fɔ yu.

Di we aw pipul dɛn de liv dɛn layf kin chenj

If yu mek sɔm chenj dɛn na yu layf, dat kin ɛp fɔ mek yu gɛt mɔ wɛlbɔdi swɛt:

• Yu kin kɔntinyu fɔ gɛt wɛlbɔdi wet .
• It mɔ frut ɛn vɛjitebul dɛn.
• Ɛnjɔy ɛksɛsayz ɔltɛm lɛk fɔ waka, jok, bayk, dans, ɔ fɔ es wet.
• Fɔ kɔntrol di strɛs.
• Stɔp fɔ smok, fɔ drink rɔm ɛn fɔ yuz ɔda drɔgs .
• Nɔ yuz mami ɛn dadi biznɛs lɔbrik we yu de du mami ɛn dadi biznɛs.

Mɛrɛsin dɛn we dɛn kin yuz

If yu ɔmon lɛvɛl bɔku ɔ smɔl, yu kin nid fɔ tek ɔmon tɛrapi fɔ kɔrɛkt am. Yu kin nid bak fɔ stɔp fɔ tek sɔm mɛrɛsin dɛn ɔ chenj to ɔda mɛrɛsin dɛn. Fɔ ɛgzampul:

• Trisayklik antidipreshan.
• Di wan dɛn we de blok di chanɛl we gɛt kalsiɔm.
• Anti-androjɛn dɛn.

Ɔpreshɔn

Sɔntɛnde, i kin nid fɔ du ɔpreshɔn:

• Vasectomy reversal: If yu bin dɔn du vasectomy bifo fɔ mek yu nɔ bɔn pikin, yu kin mek dɛn rivɛns am ɛn gɛt di abiliti fɔ gɛt bɛlɛ bak.
• Vasoepididymostomy: Dis ɔpreshɔn de pul wan blɔk we de na di epididymis, we na wan tiub usay di sεl dεm de machɔ.
• Fɔ pul di swɛlin: Dɔktɔ kin tek bayɔpsi ɛn tek di swɛt frɔm di tɛstikul ɔ di epididymis.
• Varicocelectomy: Varicocele na we blɔd de klɔt na di vein dɛn na di tɛstikul. Dis kin afɛkt di kwaliti fɔ di swɛt bad bad wan. Dis ɔpreshɔn de pul di veins dɛn. Sɔntɛnde, i kin mek di chans fɔ gɛt bɛlɛ bɔku.

Asist Riprodaktiv Tɛknɔlɔji (ART) .

insay dεn mεtכd dεm ya, dεn kin tek eg frכm yu patna in ovaria dεm εn kכmbayn wit yu sεl dεm na di labכtכri.

• Intracytoplasmic sperm injection (ICSI): Insay dis, dכkta de injεkt wan sεl dεm dairekt insay eg.
• In vitro fεtilayzεshכn (IVF): Insay dis prכsidכm, yu dכkta de injεkt yu patna wit fεtiliti dεm. Dis kin mek sɔm eg dɛn machɔ na in ovaria dɛn. We di eg dɛn dɔn rɛdi, dɔktɔ kin gɛda di eg dɛn ɛn put dɛn na lɛbɔtri. afta di sεl dεm fεtilayz di eg, dεn de put di eg we dεn fεtilayz (embryo) insay di uterus.

Yu tink se di we aw man nɔ kin bɔn pikin go bɛtɛ fɔ insɛf ? Yu tink se dɛn go ebul fɔ stɔp am?

Bɔku tɛm, we man nɔ ebul fɔ bɔn pikin, i nid fɔ gɛt tritmɛnt . I nɔ mek sɛns fɔ wet fɔ mek i bɛtɛ fɔ insɛf .

Dɔn bak, if yu du sɔm tin dɛn, dat kin mek man nɔ ebul fɔ bɔn pikin:

• Nɔ smok ɔ stɔp fɔ smok, rɔm, ɛn drɔgs we yu nɔ de bay.
• Fɔ mek yu nɔ gɛt bɔku kemikal dɛn we de mek yu gɛt prɔblɛm.
• Fɔ gɛt vaysin agens di vayrɔs dɛm we kin afɛkt yu fεtiliti.
• Nɔ put di tɛstikul dɛn pan ɔt pasmak fɔ lɔng tɛm.
• Nɔ it tin dɛn we gɛt bɔku fat ɛn mek yu gɛt wɛlbɔdi we go fayn fɔ yu.

If yu de sɔfa wit kansa, tɔk to yu dɔktɔ bɔt aw fɔ bank swɛt bifo yu bigin fɔ trit yu.

Aw yu de liv wit infertility? Aw yu kin kɔntinyu fɔ gɛt strɔng maynd?

Fɔ mek man nɔ bɔn pikin nɔ kin izi. Bɔrku pipul nɔr kin fil fayn fɔ tɔk bɔt am wit dɛn patna ɔr dɔktɔ. Bi gud to yusɛf ɛn yu patna . E kin fayn fɔ go to dɔktɔ ɔr jɔyn sɔpɔt grup fɔ woke tru aw yu de fil. Mɛmba se nɔto yu wangren de.

Wetin na di tin dɛn we it ɛn drink kin du? Wetin gud?

Sɔm stɔdi dɛn dɔn sho se dɛn it ɛn drink ya kin afɛkt di kwaliti fɔ di swɛlin:

• Mit dɛn we dɛn dɔn prosɛs.
• Swit tin dɛn.
• Soya `(Soya)`.
• Dairy prodakt (akɔdin to sɔm stɔdi dɛn).
• Fish we dɛn kin put insay tin.
• Soda pop ɛn ɔda drink dɛn we gɛt bɔku shuga.
• Rum.
• Kafin we gɛt kafin.

If yu it tin dɛn lɛk dis, dat kin bɛnifit yu:

• Fresh frut ɛn vɛjitebul dɛn.
• Frut dɛn we dɛn dɔn dray.
• Ligɛm dɛn.
• Fish we nɔ gɛt wan sik.
• Milk we nɔ gɛt bɔku fat.

Ustɛm a fɔ go to dɔktɔ? Us kwɛstyɔn dɛn a fɔ aks?

If yu ɛn yu patna dɔn de tray fɔ wan ia ɛn nɔ gɛt bɛlɛ, go to dɔktɔ.Dɔn bak, if yu de fil se yu gɛt pwɛl hat, yu de fil bad, ɔr nɔr de du wɛl, nɔr shem fɔ go to dɔktɔ.

We yu go to dɔktɔ, yu kin aks kwɛstyɔn dɛn lɛk dɛn wan ya:

• Wetin kin mek man dɛn nɔ ebul fɔ bɔn pikin?
• Yu tink se dɛn nid fɔ tɛst mi patna bak?
• Wetin na di bɛst tritmɛnt fɔ mi?
• Wetin na di sakses rεt fɔ di tritmɛnt wae yu rεkomεnd?
• Ɛni bad tin de we da tritmɛnt de kin du?
• Ɛni ɔda sayn ɔ kɔmplikeshɔn de we a fɔ no bɔt?
• Wetin na di kɔmplit list fɔ di mɛrɛsin dɛn we kin mek man nɔ ebul fɔ bɔn pikin?
• A fɔ go to dɔktɔ we de mɛn yu urolɔg ɔ dɔktɔ we de stɔdi bɔt aw fɔ bɔn pikin?
• Yu kin rεkomεnd wan tεrapist ɔr sɔpɔt grup?

Aw a go no if mi sperm de insay gud kɔndishɔn?

di bεst we fכ no di hεlth fכ yu sεl dεm na fכ mek dεn du di sεmεn analisis na fεtiliti klinik כ labכtכri .

OTC at-home sεmen analisis tεst dεm de bak we de. Bɔt dɛn tin ya nɔ kɔrɛkt lɛk lɛb tɛst, ɛn dɛn nɔ kin wok fayn. Mɛmba se, no klia sayn nɔ de we de sho se yu sperm wɛl if yu nɔ du tɛst.

Fɔ dɔn, tin dɛn fɔ mɛmba (Take-Home Message) .

Di we aw man dɛn nɔ kin bɔn pikin na prɔblɛm. Bɔt dis nɔ min se yu nɔ go ɛva ebul fɔ bɔn pikin we yu bɔn . Na di tɛknɔlɔji we dɛn de yuz tide, bɔku mared pipul dɛn kin ebul fɔ gɛt pikin we dɛn bɔn.

If yu patna nɔ gɛt bɛlɛ afta i dɔn tray fɔ wan ia, tɔk to dɔktɔ. If yu chenj di we aw yu de liv yu layf, dat kin ɛp fɔ mek yu nɔ bɔn pikin, ɛn ɔpreshɔn ɛn ɔda tin dɛn we dɛn kin du kin trit di rizin we mek yu nɔ bɔn pikin. Nɔ ɛva giv ɔp op!

` Man infεliti, infεliti, sεl, infεliti, riprodaktiv hεlth, fכ bכn pikin, mεdikal tritmεnt