Naute nau pai kawngah pawh harsatna i nei em? Male Infertility chungchang hi han sawi ila!

Nang leh i kawppui nen naute i beisei a, mahse chu mumang chu a la thleng dik lo a nih chuan lungngaihna leh phurrit tam tak inhriat chu thil pangngai a ni. Hetiang hunah hian mi tam tak chuan buaina chu hmeichhia kutah a awm niin an ngai a. Mahse a nihna takah chuan nau pai chungchangah hian mipa kawppui naupai theihna hi chutiang bawk chuan a pawimawh hle. Vawiin hian he dinhmun ``Male Infertility`` tih hi kan sawi dawn a ni.

Mipa nau pai theih lohna hi eng nge a nih i hria em?

A awlsam zawngin sawi ila, Male Infertility chu mipain a naupai theihna tihtlem emaw, a reproductive system lama harsatna a neih avanga a hloh emaw a ni. Family planning engmah hmang lovin kum khat chuang zet regular sex i hman tawh a, i kawppui chu nau a la pai lo a nih chuan he dinhmun hi ngaihtuah a ngai mai thei.

Hei hi hmeichhe naupang chauh ni lo, mipa pawh nghawng thei thil a ni. Vawi tam tak chu mi thenkhat chuan sawi an hreh hle. Mahse hei hi damdawi lam dinhmun a ni a, zah tur thil a ni lo.

Hetiang dinhmun hi engtiang chiahin nge a awm? Engvângin nge fa enkawl hi a châng chuan a harsat?

Khawvel pumah mi maktaduai 186 velin nau pai theih lohna an tuar a ni. Tin , heng zinga a chanve vel hi mipa thil vang a ni tih hmuhchhuah a ni bawk . Zirna thenkhatah chuan mipa nau pai theih lohna hian nau pai tum mipa 10% leh 15% inkar a nghawng tih an hmuchhuak.

Nau pai hi thil awlsam a ni lo. Mihring hi nau pai thei lo chi kan ni. Nupa hrisel, naupang, mipat hmeichhiatna hmanpui, tihbuai loh pawhin thla tin naupai theihna chance 20-25% an nei a ni.

Naupang chu a lo puitlin theih nan thil engzat nge dik a ngai tih hi han ngaihtuah teh:

• Mipa taksa hian sperm hrisel a siam a ngai a , hmeichhe taksa pawhin egg hrisel a siam a ngai bawk .
• Hmeichhia fallopian tubes chu a inhawng a, a khar loh a ngai a, chutiang chuan sperm chu egg a thleng thei ang.
• Sperm hian egg a tawk tawh chuan ``fertilize'' thei tur a ni .
• Chutianga fertilized egg, a nih loh leh embryo lo piang chu nausen pum chhungah uluk taka dah a ngai a ni.

Naupai chu full term (kar 39-40 leh ni 6) a kal theih nan nausen chu a hrisel a ngai a ni. Tin, hmeichhe taksaa hormone environment chu nausen lo thanglian tur chuan a tling tawk tur a ni. Heng zinga pakhat tal a nghawng chuan nau pai theih lohna a awm thei a ni.

Engtin nge sperm-ah harsatna a awm leh awm loh i hriat theih ang? Psychological impact chu eng nge ni?

Mipa nau pai theih lohna chhinchhiahna ber chu biological inability to father a ni . Mahse, hei hian rilru leh rilru lamah nghawng tam tak a nei thei a ni. Entir nan:

• Lungngaihna.
• Thil pakhat hloh tihna `(Loss)`.
• Lungngai.
• A tling tawk lo tih hriatna.
• Hlawhchhamna inhriatna.

Nangmah emaw i kawppui emaw hian heng rilru put hmang hi i tawng a nih chuan professional counselor emaw psychiatrist emaw nen inbiakna neih a tha ang.

A châng chuan mipa nau pai theih lohna hi testicles-in hormone testosterone a siam chhuah tlem vang a ni thei . Chutiang a nih chuan hahna, mipat hmeichhiatna lama harsatna, lungngaihna, taksa rihna sang, leh eng thil pawh ngaihven lohna ang chi symptoms a awm thei a ni. Chutiang a nih chuan mipa naupai theih lohna lama tui urologist emaw reproductive endocrinologist emaw pan a pawimawh hle.

Mipa nau pai theih lohna chhante chu engte nge ni?

Biological leh environmental factor engemaw zat hian mipa nau pai theih lohna a thlen thei a ni. Chung zinga ṭhenkhat chu:

• Sperm harsatna: Sperm pianzia dik lo, sperm count tlahniam (Oligospermia), semen-a sperm awm lohna (Azoospermia).
• Genetic disorder: Entirnan, Klinefelter syndrome leh myotonic dystrophy te hi a awm thei.
• Damdawi lam harsatna thenkhat: Diabetes Mellitus, autoimmune natna thenkhat, sperm bei thei, cystic fibrosis.
• Infection: Epididymitis (testicles thlunzawm tube a infection), orchitis (testicles infection), leh mipat hmeichhiatna hmanga kai theih natna (STI) te, gonorrhea emaw HIV emaw ang chi te.
• Testicles chhunga veins te a hring (Varicoceles) .
• Cancer enkawlna: Chemotherapy, radiation therapy, emaw, operation hmanga testicles lakchhuah (Orchiectomy).
• Testicular trauma a awm a .
• Hormone lama harsatna nei hypothalamus emaw pituitary glands emaw a nghawng thin .

Tu nge hlauhawm ber?

Mipa tu pawhin nau pai theih lohna an nei thei a, mahse a hnuaia thilte avang hian i hlauhawmna a sang zawk thei:

• I body mass index (BMI) 25 aia tam (overweight/obese) a nih chuan .
• Kum 40 aia upa i nih chuan.
• Radiation i tawk tawh a nih chuan.
• Environment toxins lead, calcium, pesticides, mercury te i tawk tawh a nih chuan .
• Zuk leh hmuam, ruihhlo, zu i hman chuan.
• Damdawi thenkhat flutamide, spironolactone, leh bicalutamide te i ei a nih chuan.
• Testicles lumna tisang thei thil, sauna emaw hot tub emaw-a inhmu fo . Wheelchair hman hian testicles lumna a tisang thei bawk.
• Pian tirh atanga undescended testicles history a awm chuan.
• A chunga kan sawi tak `varicoceles` condition hi a hmain a awm tawh a nih chuan.
• Testosterone level hniam enkawlna atan testosterone i ei a nih chuan.
• Anabolic-androgenic steroids (AAS) emaw hormone supplement emaw i ei chuan taksa ruh siamna atan.

Semen hrisel hi eng ang nge ni?

Semen hi tui var atanga rawng sen a ni a, ejaculation laiin penis atanga chhuak a ni. Semen hian sperm, sperm chu vagina chhunga kal leh tura puitu tui, sperm chawmtu protein, vitamin leh mineral te a pai a ni.

A tlangpuiin semen hi a thick a, a sticky bawk . Semen luang emaw, tui emaw a awm chuan sperm count hniam tihna a ni thei. Hei hi mipa nau pai theih lohna thlentu a ni thei bawk.

Mipa nau pai theih lohna hi engtin nge i hriat theih? Eng test nge tih thin?

I chhungkaw doctor (Primary Care Physician - PCP) chuan mipa naupai theih lohna a hmuchhuak thei. A nih loh leh, mipa naupai theih lohna lama tui urologist emaw, reproductive endocrinologist emaw hnenah a refer thei che a ni.

Doctor chuan i hriselna leh nau neih theihna zawng zawng tichhe thei taksa lama harsatna awm leh awm loh enfiah turin taksa enfiahna kimchang a nei ang. Tin, nang leh i kawppui nen in sexual habits leh health history chungchang zawhna an zawt bawk ang. Entir nan:

• Eng chen nge i kawppui naupai tir i tum tawh?
• I partner naupai i nei tawh em?
• Mipat hmeichhiatna hmanga kai theih natna (STI) i nei tawh em? A nih chuan eng nge ni a, engtikah nge?
• Chumi avanga enkawlna i dawng tawh em?
• Chhungkaw ruahmanna (contraceptives) i hmang tawh em? A nih chuan eng nge ni a, engtikah nge?
• I thisen chhungte zingah mipa naupai theih lohna tuar tu emaw an awm em?
• Meizial i in em, zu i hmang em, a nih loh leh ruihhlo dang i hmang em?
• Eng ang damdawi nge hman thin?

Taksa enfiahna leh hriselna chanchin atanga a chhan chiang tak a hriat loh chuan doctor chuan test dang neih belh turin thu a pe thei a ni.

Test tih ber berte chu engte nge ni?

Mipa nau pai theih lohna finfiahna atana hman ber pakhat chu semen analysis hi a ni. Hetah hian i semen sample chu laboratory-ah enfiahin sperm zat leh quality enfiah a ni.

Hei hi fiahna pawimawh tak a ni tih hre reng ang che. Sperm-a harsatna tam tak hmuchhuak theitu a ni.

Test dang pawh a awm bawk. Chung zingah chuan:

• Imaging test hrang hrang:Hei hian ultrasound emaw magnetic resonance imaging (MRI) ang chi non-invasive test te, venogram ang chi invasive test te pawh a huam thei.
• Thisen test: Hengte hian i hormone level a teh thei a, i genes emaw chromosomes-a thil dik lo awmte a zawng thei bawk.
• Urinalysis: Hei hian mipat hmeichhiatna hmanga kai theih natna (STI) leh zunthlum ang chi thilte a hriat theih nan a pui a ni.
• Testicular biopsy: He test -ah hian doctor chuan testicles atang hian tissue tlemte a la a, chu chu testicles in sperm a siam that dan a en thin.

Hetiang dinhmun hi enkawlna tur a awm em? Eng nge ni?

Ni e, thu lawmawm tak chu mipa naupai theih lohna tihdanglam emaw, enkawl emaw theihna tur enkawlna hrang hrang a awm tih hi a ni . A chhan hian i tana tha tur enkawlna a hril ang.

Nunphung a inthlak danglam thin

Nunphung tihdanglamna engemaw zat siam hian sperm hrisel siam chhuahna a tipung thei a ni:

• I taksa rihna hrisel tak i vawng reng thin .
• Thlai leh thlai ei tam zawk rawh.
• Exercise mumal tak, kea kal, jogging, cycle khalh, zai, emaw weight lifting te tih ang chi te ti thin ang che .
• Stress enkawl dan.
• Meizial zu, zu leh ruihhlo dang hman kha bansan rawh .
• Mipat hmeichhiatna hman lai hian sexual lubricant hman loh tur a ni.

Damdawi chi hrang hrang

I hormone level a sang emaw a hniam emaw a nih chuan siamthat nan hormone therapy i lak a ngai mai thei. Damdawi thenkhat ei kha i chawlhsan emaw, damdawi dang i thlak emaw a ngai thei bawk. Entir nan:

• Tricyclic hmanga tihdam theih a ni.
• Calcium channel blocker a ni.
• Anti-androgens a ni.

Inzai

Thil engemaw takah chuan operation neih a ngai mai thei:

• Vasectomy reversal: Tun hmaa fa neih loh nan vasectomy i lo neih tawh chuan i reversed thei a, naupai theihna i nei leh thei bawk.
• Vasoepididymostomy: He surgery hian sperm puitlinna tube epididymis-a blockage awm chu a paih chhuak thin.
• Sperm retrieval: Doctor chuan biopsy a la a, testicles emaw epididymis emaw atangin sperm a la a.
• Varicocelectomy: Varicocele chu mipa thisen zam a ni. Hei hian sperm quality a nghawng tha lo thei hle. He surgery hian veins te chu a paih chhuak thin. A then phei chuan naupai theihna a tipung thei bawk.

Assisted Reproductive Technology (ART) hmanga nau neih theihna tur technology (ART) .

Heng hmanruaah hian i kawppui ovary atang hian egg pakhat lakchhuah a ni a, laboratory-ah i sperm nen an inzawm khawm thin.

• Intracytoplasmic sperm injection (ICSI): Hetah hian doctor chuan sperm pakhat chu egg-ah direct-in a inject a.
• In vitro fertilization (IVF): Hetiang tih danah hian i doctor chuan i kawppui chu nau neih theihna tur damdawi a inject a. Hei hian a ovary-ah egg engemaw zat a puitling tir thin. Eggs te chu a peih fel chuan doctor chuan egg te chu a la khawm a, laboratory-ah sperm-ah a dah a. Sperm pakhatin egg a fertilize hnuah egg fertilized (embryo) chu uterus-ah dah a ni.

Mipa nau pai theih lohna hi a mah chauhin a tha ang em ? A veng thei ang em?

A tam zâwk chuan mipa nau pai theih lohna chu enkawl a ngai . Amah chauhva a dam leh hun nghah chu a finthlak lo .

Tin, thil engemaw tih hian mipa nau pai theih lohna a ti tlem thei bawk:

• Meizial zu te, zu in te, leh damdawi ei loh te chu pumpelh emaw, bansan emaw.
• Chemical hlauhawm tak tak nena inzawmna tihtlem.
• I nau neih theihna tichhe thei virus laka vaccine lak.
• Hun rei tak chhung chu testicles hi lum lutuka dah loh tur a ni.
• Chaw thau tamna ei loh la, i taksa rihna hrisel tak, i duh ang ang vawng reng rawh.

Cancer i vei a nih chuan enkawl tan hmain i doctor nen sperm banking chungchang sawipui hmasa phawt ang che.

Engtin nge nau pai theih lohna nen hian i nun? Engtin nge rilru lama chak taka i awm reng theih?

Mipa nau pai theih lohna hi thil awlsam a ni lo. Mi tam tak chuan an kawppui emaw, doctor emaw nena sawi dun chu an hrehawm lo hle. Nangmah leh i kawppui chungah ngilnei rawh . Therapist hmuh emaw, i rilru put hmang hmanga thawk turin support group-a tel emaw chu a ṭangkai thei hle. Nangmah chauh i ni lo tih hre reng ang che.

Ei leh in hian eng nghawng nge a neih? Eng thil nge tha?

Zirna thenkhatah chuan heng ei leh in te hian sperm quality a nghawng thei a ni:

• Sa siam chhuah (processed sa) te.
• Sweets a awm bawk.
• Soy `(Soy)` tih a ni.
• Dairy products (zirchianna thenkhatah chuan).
• Nga canned a ni.
• Soda pop leh in tur dang, sugar tam tak awmna.
• Zu.
• Caffeine a awm bawk.

Hetiang ei leh in inthlau tak hian a hlawkpui thei che a ni:

• Thlai leh thlai thar te.
• Thlai hring (dried fruits) a awm.
• Legumes a ni.
• Nga thau lo.
• Thau tlem nei bawnghnute.

Engtikah nge Doctor ka hmuh ang? Eng zawhna nge ka zawh ang?

Nang leh i kawppui nen kum khat chhung zet in lo tum tawh a, nau in la pai lo a nih chuan doctor pan rawh.Tin, lungngaihna, lungngaihna, emaw, tling lo emaw i neih chuan therapist pan hreh suh.

Doctor i hmuh hunah hetiang zawhna hi i zawt thei ang:

• Mipa nau pai theih lohna chhan chu eng nge ni?
• Ka partner pawh test a ngai em?
• Ka tan enge inenkawlna tha ber?
• I enkawlna tur i rawtna hlawhtlinna rate chu engzat nge ni?
• Chu enkawlna chuan side effect a nei em?
• Symptom dang emaw complication dang ka hriat tur a awm em?
• Mipa nau pai thei lo damdawi list kimchang chu eng nge ni?
• Urologist emaw, reproductive endocrinologist emaw ka pan tur em ni?
• Therapist emaw support group emaw i recommend thei ang em?

Engtin nge ka sperm hi a tha em tih ka hriat theih ang?

I sperm hriselna dik tak hriat theihna tha ber chu fertility clinic emaw laboratory emaw ah semen analysis neih tir hi a ni

OTC at-home semen analysis test pawh a awm bawk. Mahse, hengte hi lab test angin a dik lo va, a hlawhtling lo thei bawk. Test tel lo chuan i sperm a hrisel tih finfiahna langsar tak tak pawn lam a awm lo tih hre reng ang che.

A tawp berah chuan thil hriat reng tur (Take-Home Message) .

Mipa nau pai theih lohna hi thil harsa tak a ni. Mahse, hei hian fa dik tak i nei thei ngai lo vang tihna erawh a ni lo . Tunlai thiamna avang hian nupa tam tak chuan biological child an nei thei ta a ni.

Kum khat chhung zet i kawppuiin nau a pai lo a nih chuan doctor nen inbia ang che. Nunphung tihdanglam hian nau pai theih lohna a veng thei a, surgery leh tih dan dangte pawhin a chhan bulpui chu a tidam thei bawk. Beiseina chu bansan ngai suh!

` Mipa nau pai theih lohna, nau pai theih lohna, chi (sperm), nau pai theih lohna, nau neih hriselna, fa neih, damdawi hmanga enkawl