Mhlawumbi wena nomfazi wakho benizama ukuba nomntwana okwethutyana ngoku. Kanye xa ubucinga ukuba yonke into ihamba kakuhle, ugqirha ukuxelele ukuba akukho sidoda kwimbewu yakho. Uziva njani xa usiva la mazwi? Kuqhelekile ukuziva ngathi ihlabathi lakho liyawa kwaye uzive ulusizi kakhulu. Kodwa ungakhathazeki. Awuwedwa. Masithethe ngale meko ibizwa ngokuba yi -Azoospermia ngendlela ethe ngqo, elula, neyobuhlobo.
Yintoni kanye kanye i-Azoospermia?
Ngamafutshane, i-Azoospermia iyenzeka xa isidoda sendoda singenaso isidoda esilinganiswayo. Le yimeko edidayo kubantu abaninzi. Kusenokwenzeka ukuba isidoda sikhupha i-ejaculation ngokuqhelekileyo, kodwa ingxaki kukuba isidoda asinazo iiseli zesidoda ezifunekayo ukwenza umntwana.
Cinga ngayo njengejusi yeziqhamo. Nangona inamanzi neswekile, ayinazo iziqwenga zeziqhamo kuyo. Ngokufanayo, nangona kukho isidoda, isenokungabi nazo iiseli zesidoda kuyo. Oku kukwabizwa ngokuba "kukungabikho kwenani lesidoda."
Le meko ichaphazela malunga ne-1% yamadoda. Oko kuthetha ukuba ayinqabile kangako. Amanye amadoda azalwa enayo, ngelixa amanye ekhula xa eseshumini okanye kamva ebomini. Into ebalulekileyo kukuba ukuba nale meko akuthethi ukuba awusoze ukwazi ukuba ngutata.
Kukho iindlela ezintathu eziphambili ezinokwenzeka ngayo le meko.
Oogqirha bahlula le meko ye-Azoospermia kwiintlobo ezintathu eziphambili. Xa sele iqondwa imbangela echanekileyo, kulula kakhulu ukuyinyanga. Makhe sibone ukuba zeziphi ezo ntlobo zintathu.
| Uhlobo lwe-Azoospermia | Kalula nje... | Elinye igama lale nto |
|---|---|---|
| I-Azoospermia emva kwe-testicular | Imbewu yeqanda iyaveliswa emasendeni, kodwa kukho indawo ethintela ukuphuma kwembewu yeqanda. Kufana neemoto ezibambeka kwiindlela ezininzi. | I-Azoospermia ethintelayo |
| I-Azoospermia yamasende | Ingxaki ikumasende ngokwawo. Incinci kakhulu imbewu eveliswayo, okanye ayiveliswa kwaphela. Kungathi umzi-mveliso awusebenzi. | I-Azoospermia engathinteliyo |
| I-Azoospermia yangaphambi kwamasende | Amasende alungile, kwaye akukho zithintelo endleleni yesidoda. Kodwa imiqondiso yehomoni evela ebuchotsheni yokwenza isidoda ayingeni kakuhle. Kufana nokuba ifektri ayifumani umyalelo. | I-Azoospermia engathinteliyo |
Zithini izizathu ze-Azoospermia?
Zininzi izizathu ezinokubangela le meko. Masizihlukanise ezi zizathu zibe ziindidi ezimbini esixoxe ngazo ngaphambili.
1. I-Azoospermia ethintelayo
Le yeyona nto ixhaphakileyo, ibonwa malunga nama-40% amadoda ane-Azoospermia. Xa isidoda siveliswa kumasende , asikwazi ukuphuma.
- Ukwenzakala : Ukwenzakala kwamasende okanye kwindawo engqongileyo.
- Izifo: Izifo ezinxulumene namasende, umzekelo `( Epididymitis )`.
- Utyando lwangaphambili: Utyando kwindawo ye-pelvic lunokonakalisa intambo yesidoda.
- I-Vasectomy: Oku kukuvalwa ngabom kwe-vas deferens njengendlela yokucwangcisa usapho.
- Ukukhupha i-ejaculation: I-semen ihamba ibuyela umva isiya kwisinyi endaweni yokuphuma kwilungu lobudoda.
- Izizathu zemfuza: Iimeko zemfuza ezifana neCystic Fibrosis zinokubangela ukuba intambo yesidoda ingabikho okanye ivaleke xa izalwa.
2. Iingxaki ngokuveliswa kwesidoda (i-Non-obstructive Azoospermia)
Le yingxaki "kwifektri" evelisa isidoda, okanye "ulawulo" olunika imiqondiso.
- Iimeko zemfuza: Iimeko ezifana `(Klinefelter's syndrome)` okanye `(Y chromosome deletion)` ye-Y chromosome.
- Ukungalingani kwamahomoni:Iingxaki zehomoni ezifana namanqanaba aphantsi e-testosterone.
- I-Varicocele: Ukudumba kwemithambo emasendeni. Oku kunokunyusa ubushushu bamasende kwaye kuphazamise ukuveliswa kwesidoda.
- Unyango lomhlaza: Unyango ngemisebe okanye i-chemotherapy lunokonakalisa iiseli ezivelisa isidoda.
- Amayeza athile: Amanye amayeza anokubangela ukwehla kwemveliso yesidoda njengesiphumo esingesihle.
- Izifo ezichaphazela amasende: I-Orchitis, imeko ebangelwa sisifo esifana ne-mumps.
- Indlela yokuphila: Ukusebenzisa utywala okanye iziyobisi ngokugqithisileyo, ukuvezwa kwamasende kubushushu obugqithisileyo (umz. ukuhlamba rhoqo ngamanzi ashushu, ukusebenzisa i-sauna).
Ndingayazi njani ukuba ndinale meko?
Le meko idla ngokufunyanwa emva kokuba kuzanyiwe ukuba nomntwana kwaye ayisebenzi. Kwiimeko ezininzi, azikho ezinye iimpawu.
Kodwa ngamanye amaxesha, iimpawu ezinxulumene nesizathu esiyintloko zinokubonakala.
- Ukuba yingxaki ye-hormone, ngoko ke kukho ukuncipha komnqweno wesondo.
- Ukuba kukho usulelo, iqhubu okanye intlungu emasendeni.
Eyona nto ibalulekileyo kukuba, ukuba wena nomfazi wakho nibe nilalana rhoqo malunga nonyaka ngaphandle kocwangciso lokuzalwa kwaye anikakhulelwa mntwana, bonana nogqirha ngokukhawuleza.
Uvavanyo oluqhutywa ngugqirha
Xa ubona ugqirha, uza kwenza iimvavanyo ezininzi ukuze afumane unobangela.
1. Uhlalutyo lwe-Semen: Olu lolona vavanyo lusisiseko nolubalulekileyo. Apha, kuthathwa isampulu ye-semen yakho ize ihlolwe phantsi kwe-microscope ukuze kubonwe ukuba kukho i-sperm, zingaphi, kwaye zihamba njani. Ukuqinisekisa i-azoospermia, kufuneka wenze olu vavanyo ubuncinane kabini , kwaye uqinisekise ukuba akukho sperm kuzo zombini izihlandlo.
2. Imbali yezonyango kunye novavanyo lomzimba: Ugqirha uza kukubuza ngezifo zangaphambili, utyando, amayeza owasebenzisayo, kunye nokuba kukho nabani na kusapho lwakho oye waba neengxaki ezifanayo. Uza kwenza uvavanyo lomzimba lwamasende akho.
3. Uvavanyo lwegazi: Jonga amanqanaba eehomoni emzimbeni, ingakumbi amanqanaba eehomoni ezibizwa ngokuba yi-`(Testosterone)` kunye ne-`(FSH)`.
4. Uvavanyo lweMfuzo: Olu vavanyo lwenziwa ukuba kukho ukurhanelwa kwesizathu semfuzo.
5. I-Ultrasound: Jonga ukuba akukho nakuphi na ukuvaleka kwamasende okanye kwintambo yesidoda, njenge-varicocele.
6. I-MRI scan: Oku kungenziwa ukuba kukho amathandabuzo malunga ne-pituitary gland engqondweni, elawula iihomoni.
Ungakhathazeki... kukho unyango!
Iindaba ezimnandi zezokuba i-Azoospermia inokunyangeka ngokuxhomekeke kwisizathu. Kubalulekile ukufumana unobangela ochanekileyo kuqala.
| Isizathu | Unyango | Ingcaciso elula |
|---|---|---|
| Ukuvaleka kwentambo yesidoda | Ukususwa ngotyando kokuvaleka | Njengokususa umqobo nokuvumela izithuthi ukuba zidlule, kukuvula indlela yokuba isidoda sidlule. |
| Ukungalingani kwamahomoni | Unyango lwehomoni (iipilisi okanye inaliti) | Ngokunika umzimba iihomoni ezifunekayo ezivela ngaphandle, ukuveliswa kwesidoda kuyavuseleleka kwakhona. |
| Ingxaki yokuveliswa kwesidoda (enganyangekiyo) | Iindlela Zokubuyisa Isidoda | Imbewu iqokelelwa ngqo emasendeni kusetyenziswa inaliti encinci. Le mbewu ingasetyenziselwa ukumithisa umfazi ngeendlela ezifana ne -IVF (in vitro fertilization) okanye i-ICSI . |
Isiqabu engqondweni yakho...
Kuqhelekile ukuba neemvakalelo ezininzi, kuquka usizi, umsindo, kunye nokuphelelwa lithemba, xa ufumana isifo esinje. Kodwa akufuneki ukuba udlule kolu hambo wedwa.
- Thetha nomfazi wakho: Mxelele indlela ovakalelwa ngayo. Kubaluleke kakhulu ukuba nobabini nijongane nale meko kunye.
- Mthembe ugqirha: Mbuze imibuzo. Susa onke amathandabuzo akho. Qonda kakuhle iindlela zonyango.
- Musa ukuphelelwa lithemba:Iteknoloji yezonyango yanamhlanje iphucuke kakhulu. Amadoda amaninzi ane-azoospermia anethuba lokuba ngootata namhlanje.
I-Azoospermia ayisosiphelo sephupha lakho lokuba ngutata. Inokuba sisiqalo sohambo olutsha, uhambo lokufumana izisombululo ezintsha.
Umyalezo Wokuya Ekhaya
- I-Azoospermia kukungabikho kwesidoda kwimbewu yesidoda. Ayikuko ukungabikho kwesidoda.
- Oku kubangelwa kukuvaleka kwendlela yesidoda, okanye yingxaki yokuveliswa kwesidoda okanye iihomoni.
- Ukuze kufunyanwe isifo esichanekileyo, kubalulekile ukubona ugqirha nokwenza uvavanyo oluyimfuneko, kuquka novavanyo lwesidoda.
- Ngokuxhomekeke kwisizathu, kukho unyango oluphambili olufana notyando, unyango lwehomoni, okanye i-IVF/ICSI.
- Musa ukudimazeka ngenxa yesi sifo. Sebenzisana nomfazi wakho kunye nogqirha wakho ukuze ufumane isisombululo esifanelekileyo. Kusekho ithemba lokuba ngutata.
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