Azoospermia: Hei hi pa nih i tumna daltu a ni em? I sawi dawn nia.

Tunah hian nang leh i nupui hian nau neih hi in lo tum tawh a ni mai thei. Engkim a kal tha vek nia i ngaih lai tak chuan doctor chuan i semen-ah sperm a awm lo tih a hrilh che a. Heng thute i hriat hian engtin nge i awm? I khawvel a tlakchhiat ang maia inhriat a, lungngai lutuk hi thil pangngai tak a ni. Mahse, lungngai suh. Nangmah chauh i ni lo. He Azoospermia an tih hi a dik, awlsam leh friendly takin i sawi dawn nia.

Azoospermia hi eng nge ni tak tak?

A awlsam zawngin, Azoospermia chu mipa semen-a sperm teh theih loh a awm hian a ni. Hei hi mi tam tak tan chuan thil buaithlak tak a ni. Semen hi a ejaculate pangngai a ni mai thei, mahse buaina chu semen-ah hian naute siamna atana sperm cell mamawh a awm loh vang a ni.

Thei tui ang maiin han ngaihtuah teh. Tui leh sugar nei mahse, a chhungah thei chi hrang hrang a awm lo. Chutiang bawkin semen awm mah se, a chhungah hian sperm cell a awm lo mai thei. Hei hi "no sperm count" an ti bawk.

Hetiang dinhmun hian mipa 1% vel a nghawng a ni. Chutiang chuan a tlem lo tihna a ni. Mipa thenkhat chu pianpuiin an nei a, thenkhat erawh chuan an tleirawl lai emaw, a hnu lamah emaw an nei ve thung. A pawimawh ber chu hetiang dinhmun i neih hian pa i ni thei ngai lovang tihna a ni lo.

Hetiang dinhmun hi a thlen theih dan tlangpui 3 a awm.

Doctor-te chuan he Azoospermia natna hi chi thum-ah an ṭhen a. A chhan dik tak hriat chian a nih chuan enkawl a awlsam tawh hle. Chu chi thum chu eng nge ni tih i lo en ang u.

Azoospermia hi engte nge ni?

Hetiang dinhmun hi a thlen theih chhan tam tak a awm. Heng chhante hi a hmaa kan sawi tawh chi hnih ah hian then ila.

1. Azoospermia tihbuai thei

Hei hi a chhan tam ber a ni a, Azoospermia vei mipa 40% vel ah hmuh tur a awm. Testicles- a sperm a lo chhuah chuan , a chhuak thei lo.

• Hliam : Testcle emaw a chhehvel emaw a hliam.
• Infection: Testicles nena inzawm natna, entirnan `( Epididymitis )`.
• Surgery hmasa : Pelvic area-a surgery neih hian spermatic cord a tichhe thei a ni.
• Vasectomy: Hei hi chhungkaw ruahmanna siamna hmanrua atan tumruh taka vas deferens block a ni.
• Retrograde Ejaculation: Semen hi penis atanga chhuak lovin hnunglam hawiin bladder lam hawiin a kal thin.
• Genetic causes: Genetic condition Cystic Fibrosis ang chi hian pian tirh lamah spermatic cord a awm lo emaw, a block emaw thei.

2. Mihring chi (Sperm) siam chhuahna lama harsatna (Non-obstructive Azoospermia) .

Hei hi sperm siamtu "factory"-ah emaw, signal petu "management"-ah emaw harsatna a ni.

• Genetic conditions: Y chromosome-a `(Klinefelter’s syndrome)` emaw `(Y chromosome deletion)` emaw ang chi dinhmun.
• Hormone inthlauhna: 1.1.Hormone lama harsatna nei testosterone level hniam te.
• Varicocele: Testicles chhunga veins awmte chu a hring chhuak thin. Hei hian testicles temperature a tisang thei a, sperm siamchhuahna a tibuai thei bawk.
• Cancer enkawl dan: Radiation emaw chemotherapy emaw hmangin sperm siamtu cell te chu a tichhe thei a ni.
• Damdawi thenkhat: Damdawi thenkhat hian side effect angin sperm siamchhuah a ti tlem thei.
• Testicles tichhe thei natna: Orchitis, natna pakhat, mumps ang chi avanga lo awm.
• Nunphung: Zu emaw ruihhlo emaw hman tam lutuk, testicles lum lutuk (e.g. tui lum taka inbual fo, sauna hman).

Engtin nge he natna hi ka nei tih ka hriat theih ang?

Hetiang dinhmun hi naute neih tum hnuah hmuhchhuah a ni tlangpui a, a hlawhtling lo. A tam zawkah chuan symptom dang a awm lo.

Mahse a chang chuan a chhan bulpui nena inzawm symptoms te chu hmuh theih a ni.

• Hormonal issue a nih chuan mipat hmeichhiatna lama duhna a tlahniam tihna a ni.
• Infection, testicles-a lump emaw na emaw a awm chuan.

Doctor-in test a tih te

Doctor i hmuh chuan a chhan hriat tumin test eng emaw zat a kalpui ang.

1. Semen Analysis: Hei hi test bulpui leh pawimawh ber a ni. Hetah hian i semen sample lak a ni a, microscope hmangin sperm a awm em tih te, engzat nge awm tih te, engtin nge an che tih te an enfiah thin. Azoospermia nemnghet tur chuan he test hi vawi hnih tal i tih a ngai a , a vawi hnihnaah pawh sperm a awm lo tih chian a ngai bawk.

2. Damdawi lam chanchin leh taksa enfiahna: Doctor chuan tun hmaa i natna te, surgery te, damdawi i ei dan te, leh i chhungte zingah hetiang harsatna nei an awm em tih te a zawt ang che. I testicles taksa enfiahna pawh a ti ang.

3. Thisen test: Taksa a hormone level te enfiah thin a, a bik takin `(Testosterone)` leh `(FSH)` an tih hormone level te enfiah thin ang che.

4. Genetic Testing: He test hi genetic cause nia rinhlelhna a awm chuan tih a ni.

5. Ultrasound: Testicles emaw spermatic cord-a blockage awm leh awm loh enfiah thin ang che, chu chu varicocele ang chi hi a ni.

6. MRI scan: Hei hi thluaka hormone control tu pituitary gland chungchangah rinhlelhna a awm chuan tih theih a ni.

Ngaihtuah buai suh... enkawlna a awm!

Thu lawmawm tak chu Azoospermia hi a chhan a zirin enkawl theih a ni. A chhan dik tak zawn hmasak a pawimawh.

I rilruah hahdamna a ni...

Hetiang diagnosis i dawn hian lungngaihna, thinrimna leh beidawnna te pawh telna rilru natna tam tak i neih hi thil pangngai a ni. Mahse he zinkawng hi nangmah chauhin i paltlang a ngai lo.

• I nupui chu biak rawh: I rilru put hmang chu hrilh rawh. He thil hi in pahnih hian in hmachhawn dun a pawimawh hle.
• Doctor chu ring rawh: Zawhna zawt rawh. I rinhlelhna zawng zawng chu tifai vek rawh. Enkawlna kawng hrang hrangte chu uluk takin hrethiam rawh.
• Beiseina bansan suh:Tunlai damdawi lam thiamna hi a changkang hle. Azoospermia vei mipa tam tak chuan tunlai hian pa nih theihna hun remchang an nei a.