Ungave usati wambonzwa nezvezwi rekurapa rekuti Azoospermia. Asi, kana uchirota kuva nemwana, inova imwe yetariro dzinofadza muhupenyu hwako, uye chiremba achikuudza kuti hapana mbeu mumbeu yako... fungidzira kuti zvinokuremera uye zvinokuvhundutsa zvakadii. Zvinganzwa sekunge nyika yako yese yaparara kamwe kamwe.
Asi usazvidya moyo, usatya. Iri harisi dambudziko risinganzwisiswe kana kugadziriswa. Ngatitaurei nezvechirwere ichi (Azoospermia), zvikonzero zvacho, uye marapirwo acho nenzira iri nyore yaunogona kunzwisisa.
Chii chinonzi Azoospermia?
Zvichitaurwa zviri nyore,
Azoospermia zvinoreva kuti mbeu yako, mvura inobuda panguva yebonde, haina huwandu hwembeu hunoyerwa. Izvi zvinowanzoitika nekuti machende ako akafanana nefekitori yembeu. Mbeu inogadzirwa inofamba nemumachubhu akasiyana-siyana mumuviri wako wekubereka uye inosanganiswa nedzimwe mvura dzakawanda kuti igadzire mbeu. Saka, murume ane Azoospermia anogona kuburitsa urume, asi inogona kunge isina mbeu. Vamwe vanhu vanoti izvi "hapana huwandu hwembeu." Izvi zvinogona kuva chimwe chinhu chinoberekwa nevamwe vanhu. Kureva kuti, vanogona kunge vaine chirwere ichi kubva pakuzvarwa. Kune vamwe, chirwere ichi (Azoospermia) chinogona kukura muhudiki hwavo kana kuti pakukura. Chinhu chakakosha ndechekuti havasi vese vane chirwere ichi vasingakwanise kuva nevana.
Kazhinji, chinogona kugadziriswa nekurapwa kwakakodzera uye mazano. Saka usarasa tariro.
Kune mhando dzakasiyana dzeAzoospermia here?
Ehe, (Azoospermia) inogona kukamurwa kuita mhando nhatu huru. Sekunge mvura ichibuda mupombi, panofanira kunge paine mvura mutangi, pombi haifanirwe kuvharika, uye pombi inofanira kunge ichishanda nemazvo. Ngationei kuti ndedzipi mhando idzodzo.
1. Kuzoospermia mushure memachende (nekuda kwekuvharika kwemachende mushure memachende)
Iyi ndiyo
mhando yeAzoospermia inonyanya kuwanikwa. Mumamiriro ezvinhu aya, machende ako ari kugadzira mbeu zvakanaka. Kureva kuti, hapana dambudziko nekugadzirwa kwembeu.
Zvisinei, pane kuvharika kana kurasikirwa kwekubatana kwembeu munzira iyo mbeu inogadzirwa inobuda nembeu. Zvinoita sepombi yemvura inotyoka pakati, kana chimwe chinhu chakasviba chinonamira mairi uye chinomisa mvura kuyerera. Vanachiremba vanodanawo izvi kuti ``obstructive azoospermia``. Vanhu vanosvika 40% vane Azoospermia vanobatwa nerudzi urwu.
2. Nekuda kwematambudziko ematesticular (Testicular azoospermia)
Murudzi urwu, dambudziko harisi panzira yembeu.
Pano, pane kusasimba, kukuvara, kana chirwere muchimiro kana mashandiro emachende ako zvinoita kuti kugadzirwa kwembeu kuderere zvakanyanya kana kumira zvachose.Izvi zvinoreva kuti pane chimwe chinhu chisina kunaka pakuburitswa kwembeu. Izvi zvinonziwo "nonoobstructive azoospermia". Muizvi, hapana chinovhara nzira yekubuda kwembeu.
3. Nekuda kwematambudziko aripo pamberi pemachende (Pretesticular azoospermia)
Izvi zvakasiyana zvishoma. Pano, machende ako nemidziyo yembeu zvinogona kutaridzika zvakanaka uye zvine hutano.
Zvisinei, pane dambudziko nemahormone anoudza machende kuti "agadzire urume." Semuenzaniso, fekitori iri mumamiriro akanaka, nzira yekutakura zvinhu yakanaka, asi fekitori haigamuchire chiratidzo chekuti itange kushanda. Dambudziko iri rinogona dzimwe nguva kuitika mushure mekurapwa kwakasimba senge chemotherapy yezvirwere zvakaita sekenza, kana nekuda kwekusawirirana kwemahormone. Izvi zvinowirawo muchikamu che "nonobstructive azoospermia." Kazhinji, nhamba dzinoratidza kuti chirwere ichi (Azoospermia) chinokanganisa vanhu vanosvika 1% yevanhurume.
Ndezvipi zviratidzo zvinogona kuratidza Azoospermia?
Hechino chinhu chinoshamisa vanhu vazhinji.
Kazhinji, munhu ane Azoospermia haana zviratidzo chaizvo. Ungasaona musiyano kana kusagadzikana. Vanhu vazhinji vanodzidza nezvechirwere ichi ivo nemumwe wavo pavanenge vachiedza kubata pamuviri, uye kana kuedza ikoko kukasabudirira, vanotsvaga rubatsiro rwechiremba. Zvisinei, vamwe vanhu vanogona kuratidza zviratidzo zvine chekuita nechikonzero chikuru cheAzoospermia. Semuenzaniso:
Asi yeuka, Azoospermia inogona kuvapo kunyangwe zviratidzo izvi zvisipo.
Sei izvi (Azoospermia) zvichiitika? Ndezvipi zvinokonzera?
Zvikonzero zve azoospermia zvinogona kukamurwa muzvikamu zviviri zvikuru: zvikonzero zvinodzivisa uye zvisingadziviriri.
1. Nekuda kwekuvharika kwetambo yembeu (Post-testicular / Obstructive Azoospermia)
Chinoitika munyaya iyi ndechekuti kunyangwe mbeu yemurume yakaumbwa zvakanaka, panenge paine kuvharika kuri kuda kubuda. Kuvharika uku kunogona kuitika munzvimbo dzinotevera:
- Epididymis : Iyi ichubhu diki, yakakombama yakabatana nemachende, uko kunoitika kukura kwembeu.
- Vas deferens: Chubhu huru inotakura urume.
- Mugero wekubudisa urume: Chubhu iri pedyo nepanobva urume, pamwe chete nezvimwe zvinobuda mumasero emurume, zvinobuda munhengo yemurume.
Pane zvikonzero zvakawanda nei kuvharika kwakadaro kuchiitika:
- Kukuvara kana kukuvara kwemachende .
- Utachiona: Semuenzaniso, hutachiona mudumbu (epididymitis).
- Kuzvimba .
- Kubuda kwembeu: Apa ndipo apo mbeu inodzokera mudundira kwete kunze kwenhengo yemurume, asi zvinokonzera matambudziko akasiyana neAzoospermia. Zvisinei, mune dzimwe nguva, matambudziko anogona kuitika.
- Kuvhiyiwa kunoitwa padumbu kana muhudyu. Mamwe mavhiyiwa anogona kukanganisa tambo yembeu netsaona.
- Matumbu kana kuti matumbu.
- Vasectomy: Iyi inzira yekuronga mhuri apo vas deferens inochekwa yosungwa. Mushure meizvi, mbeu haizoburitswi yega.
- Kuchinja kwemajini eCystic fibrosis: Ichi chirwere chemajini. Dzimwe nguva izvi zvinogona kukonzera kuti mavas deferens asavepo kubva pakuzvarwa, kana kuti maburi akakora anogona kuungana mukati mevas deferens, zvichivhara kufamba kwembeu.
2. Nekuda kwezvikonzero zvisingadziviriri (Pretesticle and Testicular / Nonoobstructive Azoospermia)
Murudzi urwu, hapana kuvharika kwemugero wembeu. Dambudziko riri mukugadzirwa kwembeu kana kuti muhurongwa hwemahormone hunoibatsira. Pane zvikonzero zvakawanda zveizvi:
- Zvimwe zvirwere zvemajini: Semuenzaniso, Kallmann syndrome, Klinefelter's syndrome, kana kubviswa kwechromosome yeY. Izvi zvinogona kukanganisa kukura kwemachende uye kugadzirwa kwembeu.
- Kusawirirana kwemahormone uye matambudziko eendocrine: Semuenzaniso, mazinga e testosterone akaderera, hyperprolactinemia (kuwedzera kwemazinga eprolactin), uye matambudziko ane chekuita ne androgen.
- Varicocele: Kuzvimba kwetsinga dzakatenderedza machende. Izvi zvinogona kuwedzera tembiricha yemachende uye kukanganisa kugadzirwa kwembeu.
- Kukanganiswa kwemishonga: Mimwe mishonga (semuenzaniso, mimwe mishonga yekurwisa kenza, mimwe mishonga yekuuraya fungus, mimwe mishonga yeBP) inogona kukanganisa kugadzirwa kwembeu.
- Kurapwa nemwaranzi, chemotherapy, kana kusangana nesimbi dzinorema uye chepfu.
- Kusavapo kwemachende (pakuzvarwa) kana machende asina kukwira.
- Orchitis: Kazhinji inoitika sedambudziko rehutachiona hwakadai semapundu.
- Zvimwe zvinhu zvaunofanira kuita pakurarama: kushandisa zvinodhaka kana doro zvisina kunaka, kushandisa nguva yakawanda mumabhawa kana mumabhawa anopisa, uye kushandisa machende emwana pakupisa kwakanyanya.
Vanachiremba vanoongorora sei Azoospermia?
Kana iwe nemumwe wako mave muchiedza kubata pamuviri kwenguva yakareba (kazhinji gore rimwe chete) musina kushandisa nzira dzekudzivirira pamuviri uye musina kubudirira, danho rekutanga nderekuona chiremba. Kana paine fungidziro yekuti une Azoospermia, chiremba achatevera matanho aya: Kutanga,
kuongororwa kwembeu kunoitwa. Muizvi, sampuro yembeu yako inoongororwa pasi pemaikorosikopu kuti ione kana paine mbeu, kuti ngani dziripo, kuti dzinofamba sei, uye kuti dzakaita sei. Kuti uve nechokwadi chekuti une Azoospermia,
hapana mbeu inofanira kuwanikwa muongororo mbiri dzembeu. Zvadaro, chiremba achakubvunza mibvunzo yakawanda kuti aone kuti sei uine Azoospermia. Izvi zvinonzi kutora
nhoroondo yakazara yezvekurapa . Panguva iyoyo, unogona kubvunzwa zvinhu zvakaita se:
- Ungave wakambova nevana here kana kuti kwete.
- Wakambova netsaona, kukuvara, kana kuvhiyiwa munzvimbo yako yehudyu here?
- Wakambova nezvirwere zvemunzira yeweti (UTIs) kana zvirwere zvepabonde (STIs) here?
- Ndeipi mishonga yauri kushandisa parizvino uye yawakamboshandisa kare?
- Unoshandisa doro, mbanje (cannabis), kana zvimwe zvinodhaka here?
- Unoita zvinhu zvinoita kuti mazamu ako apiswe zvakanyanya here? (semuenzaniso sauna, kushanda munzvimbo inopisa)
- Pane mumwe munhu mumhuri yako ane matambudziko ekuzvarwa nawo, zvirwere zvakaita se cystic fibrosis, kana kusabereka here?
Panguva imwe chete, chiremba achaita
ongororo yakakwana yemuviri , kunyanya achitarisa machende ako nenzvimbo yakaapoteredza. Dzimwe nguva kuongororwa kwetsvina kunogona kuitwawo.
Ndezvipi zvimwe zviedzo zvinoitwa?
Kuti azive chikonzero chacho, chiremba anogonawo kuraira mimwe miedzo yakaita seyi:
- Kuongororwa kweropa: Izvi zvinonyanya kuongorora huwandu hwemahormone akadai se testosterone ne follicle-stimulating hormone (FSH). Mahormone aya akakosha zvikuru pakugadzirwa kwembeu.
- Kuongororwa kwemajini:Miedzo iyi inoitwa kuti ionekwe kana paine zvimwe zvirwere zvemajini zvinogona kukonzera Azoospermia.
- Kuongororwa kwemachende eX-ray kana kuti ultrasound: Izvi zvinobatsira kuona zvinhu zvakaita semaumbirwo emachende uye kuvharika kwemachubhu anotakura mbeu yemurume.
- Kuongororwa kweuropi neMRI (Magnetic Resonance Imaging): Mahormone anodzorwa nezvikamu zveuropi zvakaita sehypothalamus kana pituitary gland. Saka, bvunzo iyi inogona kuitwa kana paine fungidziro yekuti Azoospermia inokonzerwa nedambudziko remahormone.
Ndezvipi zvirongwa zvekurapa Azoospermia?
Kurapwa kweAzoospermia kunoenderana
nechikonzero chaicho. Ndosaka zvichikosha kutanga wawana chikonzero chaicho. Kuongororwa kwemajini uye mazano ane chekuita nazvo chikamu chakakosha chekunzwisisa nekurapa mamiriro eAzoospermia. Dzimwe dzesarudzo huru dzekurapa ndeidzi:
- Kuvhiyiwa: Kana chikonzero cheAzoospermia chiri kuvharika kwemugero wembeu, kuvhiyiwa kunogona kuitwa kubvisa kuvharika kana kuti kubatanidzazve machubhu akakuvara/asipo. Kana izvi zvikabudirira, mbeu inotanga kubuda zvakare.
- Kurapa mahormone: Kana chikonzero chekuora kwemurume chiri kuderera kwemahormone, mishonga yemahormone inonyorerwa nachiremba inogona kukurudzira kugadzirwa kwembeu.
- Kutorwa kwembeu zvakananga kubva mumachende: Mune zvimwe zviitiko (kunyanya muazoospermia isingadziviriri),mbeu inogona kusavapo mumbeu, asi imwembeu inogona kugadzirwa mumachende. Muzviitiko zvakadaro,mbeu inogona kutorwa zvakananga kubva mumachende uchishandisa tsono diki kwazvo (kusveta mbeu yemachende - TESA) kana kuvhiyiwa kudiki (kubviswa kwembeu yemachende - TESE).
Urume hunowanikwa nenzira iyi hunogona kushandiswa kubatsira kubata pamuviri wemwana uchishandisa tekinoroji yekubatsirwa kubereka (ART) . Nzira dzinonyanya kushandiswa ndedzekuberekesa mwana muchibereko (IVF) uye kupinza urume mudumbu (ICSI) . ICSI inosanganisira kubaya urume humwe chete zvakananga muzai.
Kana chikonzero chekuora kwenhengo dzemuviri wako chiri chegenetic, chiremba wako anogona kukutumira
kuti uwane mazano ezvemajini, sezvo zvichigona kupfuudzwa kuvana vako.
Urume hunogona kudzoka here mushure meAzoospermia?
Ehe, unogona! Asi
zvinoenderana nerudzi rweAzoospermia yaunayo uye chikonzero chayo.Semuenzaniso, kana mbeu yemurume ikashaikwa nekuda kwekuvharika kwemasero emurume, zvinokwanisika kuti mbeu yemurume idzokezve mumbeu yako mushure mekunge yabviswa nekuvhiyiwa.
Ko Azoospermia inogona kurapwa zvachose here?
Izvi zvakafanana nemubvunzo wapfuura.
Zvimwe zvinokonzera Azoospermia zvinogona kurapwa zvachose kana kugadziriswa. Zvisinei, zvimwe zvinokonzera (kunyanya mamwe majini kana kukuvara kwakanyanya kwemachende) zvingasagone kurapwa. Zvisinei, kunyangwe zvakadaro, sezvambotaurwa, unogona kuedza kuva nemwana nekutora mbeu kubva mumachende.
Pane nzira dzekudzivirira Azoospermia here?
Hatigone kudzivirira mamwe mamiriro ezvinhu emumajini anokonzera Azoospermia. Izvi zvinhu zvinouya nesu. Zvisinei, kana Azoospermia yako isingakonzerwi nedambudziko remajini, kuita zvinhu izvi kunogona kubatsira kuderedza njodzi kusvika pamwero wakati:
- Dzivisa zvinhu zvinogona kukuvadza nhengo dzako dzekubereka. Kana, pfeka chidziviriro chemudumbu / kapu paunenge uchitamba mitambo (semuenzaniso cricket, baseball).
- Dzivisa kubatwa nemwaranzi pese pazvinogoneka.
- Zivai mishonga inogona kukanganisa kugadzirwa kwembeu. Kana chiremba akakunyorerai mushonga, taurai nezvezvakanakira nenjodzi dzingangoitika.
- Dzivisa kuisa machende ako pakupisa kwakanyanya kwenguva yakareba (semuenzaniso, kugara uchigeza, kugezera zvinopisa, uye zvipfeko zvakabatirira).
Ndeipi tarisiro kune avo vane Azoospermia? (Maonero)
Kufanotaura kwezvikonzero zvese zve azoospermia hakuna kufanana, uye zvinosiyana.
Chinhu chakanakisa ndechekuti zvikonzero zvakawanda zve azoospermia zvinogona kurapwa uye chirwere chinogona kugadziriswa. Iwe nechikwata chako chekurapa muchashanda pamwe chete kuti muone chikonzero che azoospermia yenyu uye kurapwa kwakanakisa kwayo. Azoospermia inowanzo gadziriswa, kungave kuri nekuda kwezvinetso zvemahormone kana kuvharika kwetambo yembeu. Pane mukana wakanaka wekuti kubereka kuchadzoka. Kunyangwe chikonzero chiri chirwere chematesticular, sezvambotaurwa, nzira dzekugadzira insemination dzakadai seIVF dzinogona kushandiswa kutora mbeu mhenyu kubva mumatesticle.
Saka, zvakakosha kuti urambe uine tariro. Kana murume wangu aine Azoospermia, hatigone here kuva nemwana nenzira yechisikigo?
Uyu mubvunzo unobvunzwa nemadzimai mazhinji. Ehe, dzimwe nguva unogona kukwanisa kubata pamuviri nenzira yechisikigo.
Zvinoenderana nekuti mudiwa wako ane rudzii rweAzoospermia uye kuti inogona kurapwa here. Chiremba wako ndiye munhu akakodzera kukupa mazano panyaya iyi. Taura naye pachena nezvenzira dzekurapa uye kuronga mhuri.
IVF ndiyo yega sarudzo yekuti munhu ane Azoospermia ave nemwana here?
Kwete, hazvisizvo.
Zvinoenderanawo nechikonzero cheAzoospermia. Kana chikonzero chiri dambudziko remachende uye kuvhiyiwa kuchidikanwa kuti mbeu ibudiswe, saka IVF kana ICSI kazhinji ndiyo sarudzo. Zvisinei, kana Azoospermia ichigona kurapwa uye kurapwa (semuenzaniso, kubvisa kuvharika, kurapwa nemahormone), ipapo vaviri vanogona kuedza kuva nemwana nenzira yechisikigo vasina kushandisa IVF.
Ndingazvitarisira sei kana ndikaziva kuti ndine Azoospermia?
Kuziva kubva kuna chiremba kuti une Azoospermia kunogona kukunetsa mupfungwa nemumuviri. Inyaya inonetsa zvikuru.
"Pane chimwe chinhu chisina kumira zvakanaka pambeu yangu... Handizombokwanisi kuva baba here?" Zvakajairika kuva nepfungwa dzakadai. Zvinogona kukonzera manzwiro akasiyana-siyana, kusanganisira kusuruvara, hasha, kushaya tariro, uye kuzvipa mhosva.
Chinhu chinonyanya kukosha kunzwisisa kuti hausi wega panguva ino.- Vimba neruzivo nemazano achiremba wako. Tevedzera zvaanotaura chaizvo.
- Garai pamwe chete nemumwe wenyu parwendo urwu. Taurai nezvazvo pamwe chete, tsigiranai.
- Taura nemumwe wako, mhuri, kana shamwari yaunovimba nayo nezvepfungwa dzako nemanzwiro ako. Usazvivharira mukati.
- Zvakajairika kunzwa kusuruvara kana ukasangana nematambudziko akadai. Asi usarasikirwa netariro zvachose. Vanhu vazhinji vane azoospermia vakazopedzisira vava vabereki vevana vavo. Yeuka izvozvo.
- Kana zvichidikanwa, usazeza kutsvaga rubatsiro kubva kune anopa mazano.
Ndinofanira kuona chiremba rini?
Kana iwe nemumwe wako
makaita bonde nguva dzose, musina dziviriro kwemwedzi gumi nemiviri (gore) uye musina kubata pamuviri, endai kuna chiremba nekukasika. Kana, kana muine zvinokunetsai kana mibvunzo nezvekubereka kwenyu, endai kuna chiremba kuti mukurukure nezvazvo. Ichi ndicho chiratidzo chekutanga chekuti pane dambudziko nekugadzirwa kwembeu. Chiremba wenyu anogona kutanga akurudzira kuti muedze urume hwenyu kuti muone huwandu hwembeu dzenyu.
Mibvunzo ipi yandinofanira kubvunza chiremba wangu?
Zvakajairika kuva nemibvunzo yakawanda kana ukaona kuti hapana mbeu mumbeu yako. Usatya kana kuzeza kubvunza chiremba wako mibvunzo yakaita seiyi:
- Ndezvipi zvinokonzera kurasikirwa kwembeu dzemurume? Chii chingave chiri kukonzera dambudziko iri kwandiri?
- Ndedzipi bvunzo dzandinofanira kuita kuti ndizive chikonzero chaicho?
- Ndichakwanisa here kutora mwana wangu wekuzvarwa naye?
- Munondikurudzira kurapwa kupi? Kunobudirira zvakadini?
- Kurapwa uku kunotora nguva yakareba sei? Ndezvipi zvimwe zvingaitika?
- Zvinokwanisika here kuti vana vangu vagare nhaka chirwere ichi?
Kubvunza mibvunzo yakaita seiyi kuchakubatsira kunzwisisa mamiriro acho ezvinhu zvakajeka, kuziva matanho anotevera, uye kugadzirira pfungwa dzako.
## Chekupedzisira, zvinhu zvakakosha zvaunofanira kurangarira (Mharidzo Yekuenda Kumba)
Ndinonzwisisa kuti zvinorwadza sei kuziva kuti pane chiri kuvharira zviroto zvako zvekutanga mhuri uye kuva nemwana. Paunonzwa kuti hapana mbeu mumbeu yako, unogona kunzwa manzwiro akawanda. Asi edza kuva nemoyo murefu apo chiremba wako anoona chikonzero.
Kusava nembeu dzemurume hazvirevi kuti hauzombofi wakakwanisa kuva nemwana.
Chiremba wako anogona kukubatsira kuzadzisa hope dzako nekushandisa nzira dzakadai seIVF, dzakadai sekutora mbeu kubva mumachende. Taura pachena nachiremba wako nezvekusava nechokwadi kwako kwese, mibvunzo, uye nzira dzekurapa dzinogona kushandiswa.
Dai wawana simba rekukunda dambudziko iri neruzivo rwakakodzera, kurapwa kwakakodzera, uye tariro isingazununguki!
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