Azoospermia tih hi damdawi lam thumal hi i la hre ngai lo mai thei. Mahse, fa neih i mumang a, chu chu i nunah beiseina hlimawm ber pakhat a ni a, doctor-in i semen-ah sperm a awm lo tih a hrilh che chuan... i thinlungah eng ang phurrit leh mangang tak nge a nih dawn tih hi han ngaihtuah teh. I khawvel pum pui chu a chim nghal vek ang maiin a lang mai thei.
Mahse, lungngai suh, hlau suh. Hei hi hriatthiam theih loh leh chinfel theih loh buaina a ni lo. He natna (Azoospermia), a chhan leh a enkawl dan te hi i hriatthiam theih tur awlsam takin han sawi ila.
Azoospermia hi eng nge ni?
A awlsam zawngin
Azoospermia tih hian i semen, sex hman laia tui chhuak chu sperm teh theih zat a pai lo tihna a ni. Hei hi a thleng tlangpui a, a chhan chu i testicles te hi sperm factory ang mai a nih vang a ni. Chu sperm lo chhuak chu i reproductive system-a tube hrang hrangah a kal a, tui dang engemaw zat nen inzawmkhawmin semen a siam a ni. Chuvangin, Azoospermia vei mipa chuan a ejaculate thei a, mahse sperm a pai lo mai thei. Mi thenkhat chuan hei hi "no sperm count" an ti bawk. Hei hi mi thenkhat tan chuan pianpui thil a ni thei. Chu chu an pian tirh atangin hetiang dinhmun hi an nei thei tihna a ni. Midang tan chuan he natna (Azoospermia) hi an tleirawl lai emaw, puitlin hnu lamah emaw a lo awm thei bawk. A pawimawh ber chu hetiang dinhmun nei zawng zawng hian fa an nei thei lo.
A tam zawkah chuan damdawi leh thurawn dik tak hmanga chinfel theih a ni. Chuvangin beiseina bansan suh.
Azoospermia chi hrang hrang a awm em?
Ni e, (Azoospermia) hi chi thum ah then theih a ni. Faucet atanga tui chhuak tur ang bawkin tank chhungah tui a awm tur a ni a, pipe pawh a inkhar lo tur a ni a, tap pawh a thawk tha tur a ni. Chutiang chi chu eng nge ni tih i en ang u.
1. Post-testicular azoospermia (testicles hnua inkharkhip vang) .
Hei hi
Azoospermia chi khat zingah chuan a tam ber a ni. Hetiang dinhmunah hian i testicles hian sperm a siam tha hle a ni. Chu chu sperm siamna hmunah harsatna a awm lo tihna a ni.
Mahse, kawngpuiah khawi emaw laiah chuan sperm siam chhuah chu semen nen a chhuak a, chu chu blockage emaw, connection hloh emaw a awm a ni. A laiah tui pipe a chhiat ang mai a ni emaw, a chhunga thil bawlhhlawh a inkhung a, tui luang tur a titawp ang mai a ni. Doctor-te chuan hei hi ``obstructive azoospermia`` an ti bawk. Azoospermia vei zinga 40% velin he chi hi an vei a ni.
2. Testicular lama harsatna a awm avangin (Testicular azoospermia) .
Hetiang chi ah hian buaina chu sperm kalna kawngah a ni lo.
Hetah hian i testicles structure emaw function emaw ah chak lohna, chhiatna emaw natna emaw a awm a, chu chuan sperm production nasa takin a tihtlem emaw, a tawp vek emaw a ni.Chu chu sperm siamnaah ngei pawh hian chhiatna engemaw zat a awm tihna a ni. Hei hi ``nonobstructive azoospermia'' an ti bawk. Hetah hian sperm chhuahna kawngah hian daltu a awm lo.
3. Testicles hmaa harsatna awm avangin (Pretesticular azoospermia) .
Hei hi a danglam deuh hlek a ni. Hetah hian i testicles leh sperm duct te chu a pangngaiin a hrisel angin a lang thei.
Mahse, testicles te chu "sperm siam" tura hrilhtu hormone-ah hian harsatna a awm. Entirnan, factory chu a dinhmun a tha a, bungraw phurhna kawngpui a tha a, mahse factory hian hna thawh tan theihna signal a dawng lo. Hetiang dinhmun hi a chang chuan cancer ang chi natna chemotherapy ang chi enkawlna chak tak hnuah emaw, hormone inthlauhna thenkhat vang emaw a awm thei bawk. Hei hi "nonobstructive azoospermia" tih category-ah pawh a tel ve bawk. A pum puiin statistics atanga a lan dan chuan he natna (Azoospermia) hian mipa population 1% vel a nghawng a ni.
Azoospermia natna lan chhuah theihna tur symptoms te chu engte nge ni?
Mi tam tak mak tih thin chu hetiang hi a ni.
Vawi tam tak chu Azoospermia vei hian symptom bik a nei lo. A danglamna leh hrehawmna i hmu lo mai thei. Mi tam tak chuan he natna hi anmahni leh an kawppui nen nau pai an tum laiin an hre thin a, chutiang beihna chu a hlawhtlin loh chuan damdawi lam panna an zawng thin. Mahse, mi thenkhat chuan Azoospermia awm chhan bulpui nena inzawm symptom an nei thei. Entir nan:
- Hormone inthlauhna vang a nih chuan low libido ang chi thil a thlen thei a ni.
- Testicles a infect a nih chuan chu lai hmunah chuan a hring emaw, a hring emaw, a na emaw a awm thei.
Mahse, heng symptoms te hi a awm lo a nih pawhin Azoospermia hi a awm thei tih hre reng ang che.
Engvangin nge hetiang (Azoospermia) hi a lo awm? A chhante chu engte nge ni?
Azoospermia thlentu hi chi hnih ah then theih a ni a, chungte chu obstructive leh nonobstructive causes te an ni.
1. Mihring chi (Spermatic cord) a tihkhawtlai avangin (Post-testicular / Obstructive Azoospermia) .
Hetianga thil thleng chu sperm hi siam tha tak ni mahse, chhuahna kawngah khawi emaw laiah blockage a awm a ni. Heng blockage te hi a hnuaia hmun hrang hrangah hian a awm tam ber thei a ni:
- Epididymis : Hei hi tube te tak te, coiled tak, testicles nena inzawm a ni a, chutah chuan sperm maturation a awm thin.
- Vas deferens: Mihring chi (sperm) phurtu tube lian ber.
- Ejaculatory duct: Seminal fluid-a tui dangte nen sperm-in penis atanga a chhuahna bul hnaia tube.
Chutiang blockage awm chhan hrang hrang a awm a:
- Testicles-a trauma emaw hliam emaw a awm .
- Infection: Entirnan, scrotum-a natna (epididymitis) a awm.
- Pun .
- Retrograde ejaculation: Hei hi semen chu penis atanga chhuak lovin bladder chhungah a kal leh a, mahse Azoospermia aiin harsatna danglam tak a thlen thin. Mahse, a then phei chuan harsatna a awm thei.
- Surgery tih hi pum emaw pelvic area emaw a ni. Surgery thenkhatah chuan accident-in spermatic cord a tichhia thei a ni.
- Cyst emaw, a lo thang lian emaw.
- Vasectomy: Hei hi chhungkaw ruahmanna a ni a, vas deferens chu an tan a, an khih a ni. Hemi hnu hian sperm hi a pianphungah a chhuak dawn lo.
- Cystic fibrosis gene mutation: Hei hi genetic condition a ni. Hei hian a chang chuan pian tirh atangin vas deferens a awm lo thei a, a nih loh leh vas deferens chhungah secretion thuk tak tak a lo awm a, sperm kalna tur a tikhawlo thei bawk.
2. Thil tikhawlo thei lo (Pretesticular leh Testicular / Nonobstructive Azoospermia) avang hian .
Hetiang chi ah hian sperm duct ah blockage a awm lo. Buaina chu sperm siam chhuah danah emaw, a puitu hormonal system-ah emaw a awm a ni. Hei hi chhan hrang hrang a awm a:
- Genetic condition thenkhat: Entirnan, Kallmann syndrome, Klinefelter’s syndrome, a nih loh leh Y chromosome deletion. Chungte chuan testicles hmasawnna leh sperm siamchhuahna a nghawng thei a ni.
- Hormone inthlauhna leh endocrine disorder: Entirnan, testosterone level hniam, hyperprolactinemia (prolactin level sang), leh androgen nena inzawm harsatna.
- Varicocele: Testicles chhehvela vein awmte a lo hring chhuak thin. Hei hian testicles temperature a tisang thei a, sperm production a nghawng thei bawk.
- Damdawi thenkhat avanga thil thleng: Damdawi thenkhat (e.g., cancer dona damdawi thenkhat, fungal damdawi thenkhat, thisen sang damdawi thenkhat) hian sperm siamchhuahna a tichhe thei a ni.
- Radiation hmanga enkawlna emaw, chemotherapy emaw, heavy metal leh toxins nena inzawmna emaw.
- Testicles awm lohna (pian lai) emaw, undecended testicles emaw.
- Orchitis: Viral infection, mumps ang chi complication angin a awm fo thin.
- Nunphung duhthlan tur thenkhat: ruihhlo emaw zu emaw hmansual, sauna emaw hot tub emaw-a hun hman tam lutuk, leh testicles te chu lumna sang takah dah.
Doctor-te hian engtin nge Azospermia hi an hriat theih?
Nang leh i kawppui nen hian nau pai turin hun rei tak (a tlangpuiin kum khat vel) in nau pai tum a, birth control engmah nei lovin in hlawhtling lo a nih chuan a hmasa ber atan doctor pan a ni. Azoospermia i vei nia rinhlelhna a awm chuan doctor chuan hengte hi a zawm ang: A hmasain
semen analysis an ti thin. Hetah hian i semen sample chu microscope hmangin sperm a awm em tih te, engzat nge a awm tih te, engtin nge an che tih te, an pianzia te chu an enfiah thin. Azospermia i vei tih chian nan
semen test vawi hnih tal chu negative a nih a ngai. Tichuan, Azoospermia i vei chhan hriat tumin doctor chuan zawhna tam tak a zawt ang che. Hei hi
medical history kimchang tak lak an ti a . Chutih hunah chuan hetiang hi zawhna i dawng thei ang:
- Fa i nei tawh emaw nei lo emaw pawh nise.
- I pelvic area-ah hian accident, hliam emaw, operation emaw i nei tawh em?
- Urinary tract infection (UTI) emaw sexually transmitted infection (STI) emaw i nei tawh em?
- Tunah hian eng damdawi nge i hman a, tun hmain i lo hmang tawh em?
- Zu, marijuana (cannabis), emaw ruihhlo dang emaw i hmang em?
- I testicles te chu lum lutuk a thlen theihna tur thil i ti em? (e.g. sauna, boruak lum takah hnathawh) .
- I chhungkuaah hian nau piangsual, cystic fibrosis ang chi natna, emaw, nau pai theih lohna emaw nei an awm em?
Chutih rual chuan, doctor chuan
taksa enfiahna kimchang tak a nei ang , a bik takin i testicles leh a chhehvel hmunte chu a enfiah ang. A chang chuan rectal exam pawh tih theih a ni.
Eng test dang nge tih thin?
A chhan hriat chian lehzual nan doctor chuan test dang pawh a ti thei bawk a, chungte chu:
- Thisen test: Hengte hian hormone level testosterone leh follicle-stimulating hormone (FSH) te an enfiah ber. Heng hormone te hi sperm siamchhuahna atan an pawimawh hle.
- Genetic testing neih dan tur: 1.1.Heng test te hi Azoospermia thlen thei genetic condition thenkhat enfiah nan an ti thin.
- X-ray emaw ultrasound scan emaw hmanga testicles: Hengte hian testicles insiam dan leh sperm phurtu tube-a blockage awm ang chi thilte hriat theihna a siam a ni.
- MRI (Magnetic Resonance Imaging) hmanga thluak scan: Thluak hmun thenkhat, hypothalamus emaw pituitary gland emaw te hian hormone a control thin. Chuvangin, Azoospermia hi hormone problem avanga lo awm nia rinhlelhna a awm chuan he test hi tih theih a ni.
Azoospermia natna enkawl dan tur chu engte nge ni?
Azoospermia enkawl dan
hi a chhan bulpuiah a innghat a ni. Chuvang chuan a chhan dik tak hriat hmasak a pawimawh hle. Genetic testing leh a kaihhnawih counselling te pawh hi Azospermia natna hriatthiamna leh enkawlna atana thil pawimawh tak a ni. Enkawl dan tlangpui thenkhat chu:
- Surgery: Azoospermia thlentu chu sperm duct a block a nih chuan a block tihbo emaw, tube chhia/missing te inzawm lehna tur surgery tih theih a ni. Hei hi a hlawhtlin chuan sperm chu a rawn chhuak leh tan ang.
- Hormone enkawlna: Azoospermia awm chhan chu hormone level hniam vang a nih chuan doctor-in hormone damdawi a pek hian sperm siamchhuahna a tichak thei a ni.
- Testicles atanga direct-a sperm lakchhuah: A then (a bik takin nonobstructive azoospermia-ah) chuan semen-ah sperm a awm lo thei a, mahse sperm thenkhat chu testicles-ah a lo chhuak thei bawk. Chutiang hunah chuan needle nalh tak (testicular sperm aspiration - TESA) emaw, surgical procedure tenau tak (testicular sperm extraction - TESE) emaw hmangin testicles atang hian sperm chu direct-in lakchhuah theih a ni.
Chutianga sprm hmuh chu assisted reproductive technology (ART) hmangin nau pai theihna atan hman theih a ni . A hman tlanglawn ber chu in vitro fertilization (IVF) leh intracytoplasmic sperm injection (ICSI) te hi a ni. ICSI hian sperm pakhat direct-a egg-ah inject a ni.
I azoospermia awm chhan hi genetic a nih chuan i doctor chuan
genetic counseling atan a refer thei che a, chu chu i fate hnenah a kai theih avangin.
Azoospermia hnuah sperm a lo kir leh thei ang em?
Ni e, i ti thei! Mahse
Azoospermia i neih chi leh a chhan ah a innghat.Entirnan, seminal vesicles-a blockage avanga sperm a bo a nih chuan, i semen-a blockage chu surgery hmanga lakchhuah hnuah sperm a lo lang leh thei a ni.
Azospermia hi a dam kim thei ang em?
Hei hi zawhna hmasa nen a inang hle.
Azoospermia thlentu thenkhat chu tihdam vek emaw, tihdanglam emaw theih a ni. Mahse, a chhan thenkhat (a bik takin genetic condition thenkhat emaw, testicles chhiatna nasa tak emaw) chu tihdam theih a ni lo mai thei. Mahse, chuti chung pawh chuan, a hmaa kan sawi tawh ang khan, testicles atanga sperm lakkhawm hmangin fa neih i tum thei a ni.
Azoospermia ven dan tur a awm em?
Azoospermia thlentu genetic condition thenkhat kan veng thei lo. Kan bula thil lo thlengte an ni. Mahse, i Azoospermia hi genetic problem avanga lo awm a nih loh chuan heng thil tih hian a hlauhawmna chu eng emaw chen a tihziaawm thei a ni:
- I nau neihna hmun tichhe thei thil tih loh tur. A nih loh leh, infiamna (e.g. cricket, baseball) khelh laiin abdominal guard / cup ha la.
- A theih phawt chuan radiation laka inhriat loh tur.
- Sperm production tichhe thei damdawi te hi fimkhur rawh. Doctor-in damdawi a pek che chuan a hlawkna leh hlauhawmna awm thei chungchang sawi rawh.
- I testicles te chu hun rei tak chhung lum lutuk (e.g., sauna neih fo te, tui lum taka inbual te, leh underwear tight tak te) te chu pumpelh tur a ni .
Azoospermia vei te tan engtin nge an hmalam hun? (Hmuh dan tur) .
Azoospermia thlentu zawng zawng prognosis hi a inang lo va, a inang lo hle bawk.
A tha ber chu azoospermia thlentu tam tak hi enkawl theih a ni a, a dinhmun pawh a let leh thei a ni. Nang leh i medical team te chuan i azoospermia awm chhan leh a enkawlna tha ber tur chu i hre chhuak ang. Azoospermia hi a tlangpuiin enkawl theih a ni a, hormone lama harsatna vang emaw, spermatic cord-a block vang emaw pawh nise. Nau neih theihna pawh a lo kir leh theihna chance tha tak a awm bawk. A chhan chu testicular condition ni mahse, a hmaa kan sawi tawh ang khan artificial insemination method IVF ang chi hmangin testicles atanga sperm nung lakchhuah theih a ni.
Chuvangin beiseina nei reng a pawimawh hle. Ka pasal hian Azoospermia a vei a nih chuan natural takin fa kan nei thei lo ang em?
Hei hi nupui tam takin an zawh thin zawhna a ni. Ni e, a châng chuan pianphungah nau i pai thei mai thei.
I kawppui hian eng ang Azoospermia nge a neih tih leh enkawl theih a nih leh nih lohah a innghat vek a ni. Hemi chungchangah hian i doctor hi thurawn pe tur che tha ber a ni. Enkawl dan tur leh chhungkaw ruahmanna chungchangah zalen takin sawipui rawh.
Azoospermia vei tan chuan IVF chauh hi fa neih theihna tur a ni em?
Ni lo, a ni lo.
Azoospermia awm chhanah pawh a innghat bawk. A chhan chu testicular problem a nih a, sperm lakchhuah nan operation neih a ngai a nih chuan IVF emaw ICSI emaw hi duhthlan tur a ni fo. Mahse, Azoospermia hi enkawl leh tihdam theih a nih chuan (e.g., blockage tihbo, hormone therapy) chuan nupa tuak khat chuan IVF hmang lovin natural takin fa neih an tum thei a ni.
Azoospermia ka vei tih ka hriat chuan engtin nge ka in enkawl ang?
Doctor hnen atanga Azospermia i vei tih hriat hian rilru leh taksa lamah a ti buai hle thei a ni. Thil sensitive tak a ni.
"Ka sperm ah hian thil dik lo a awm... Pa ka ni thei ngai dawn lo em ni?" Hetiang ngaihtuahna neih hi thil pangngai a ni. Chu chuan rilru natna chi hrang hrang a tichhuak thei a, chung zingah chuan lungngaihna, thinrimna, beiseina nei lo, leh sualna te pawh a tel.
A pawimawh ber chu tun dinhmunah hian nangmah chauh i ni lo tih hriatthiam hi a ni.- I doctor hriatna leh thurawn chu ring rawh. A thusawi dik tak chu zawm rawh.
- He zinkawngah hian i kawppui nen hian awm dun rawh. Hemi chungchang hi sawi dun ula, in thlawp tawn ang u.
- I kawppui, chhungte, emaw, i ṭhian rintlak tak emaw hnenah i ngaihtuahna leh rilru put hmang sawipui rawh. A chhungah bottle-ah dah suh.
- Hetiang setback i tawn hian lungngaih hi thil pangngai tak a ni. Mahse, beiseina chu thlahthlam vek suh. Azoospermia vei tam tak chu a tawpah chuan anmahni fate nu leh pa an lo ni ta a ni. Chu chu hre reng ang che.
- A ṭûl chuan counselor ṭanpuina dîl hreh suh.
Engtikah nge Doctor ka hmuh ang?
Nang leh i kawppui nen
hian thla 12 (kum khat) chhung chu regular, invenna tel lova sex in hman tawh a , nau pai lo a nih chuan doctor pan nghal tur a ni. A nih loh leh, i nau neih dan chungchangah ngaihtuahna emaw zawhna emaw i neih chuan doctor pan la, chu chu sawipui rawh. Hei hi sperm siamchhuahnaah harsatna a awm tih hriattirna hmasa ber a ni fo thin. I doctor chuan i sperm count enfiah nan sperm test neih hmasak phawt a rawt mai thei.
Doctor hnenah eng zawhna nge ka zawh ang?
I semen-ah sperm a awm lo tih i hriat chuan zawhna tam tak i neih hi thil pangngai a ni. I doctor hnenah hetiang zawhna hi zawt la, hreh suh:
- Sperm hloh chhante chu engte nge ni? Eng thilin nge ka tan he dinhmun hi a thlen theih?
- A chhan dik tak hriat tumin eng test nge ka tih ang?
- Ka fa ngei pawh ka adopt thei dawn em ni?
- Eng enkawlna nge min rawt? Engtiang chiahin nge a hlawhtlin?
- Heng enkawlnate hian eng chen nge a daih ang? Eng side effect nge awm thei?
- Ka fate hian he dinhmun hi an rochun thei ang em?
Hetiang zawhna zawh hian thil awmdan hriatthiamna chiang tak i nei ang a, hmalak dan tur i hre chiang ang a, rilru lamah pawh i inbuatsaih ang.
## A tawp berah chuan i hriat reng tur pawimawh ber berte (Take-Home Message)
Chhungkaw din leh naute neih i duhthusam chu thil engemaw takin a tikhawlo tih i hriat chuan a thinlung a ti na thei hle tih ka hrethiam. I semen-ah sperm a awm lo tih i hriat chuan emotion sangkhat zet i nei thei. Mahse, i doctor-in a chhan a hriat chhuah chhung hian dawhthei takin awm tum ang che.
Sperm count neih loh chuan fa i nei thei ngai lovang tihna a ni lo.
I doctor chuan IVF ang chi hmangin i duhthusam chu a tihlawhtling thei che a, chu chu testicles atanga sperm lakchhuah te hi a ni. I rinhlelhna zawng zawng, zawhna zawng zawng, leh enkawlna kawng awm thei zawng zawngte chu i doctor nen zalen takin sawi rawh.
Hriatna dik, enkawlna dik leh beiseina nghet tak nen he harsatna hi hneh theihna chakna i hmu ang che!
💬 Comments (0)
Comment a la awm lo. Hetah hian i comment hi a vawikhatna atan add rawh.
I comment kha add rawh