Ngaba ujongene neengxaki zesidoda? Masithethe ngayo yonke into nge-Azoospermia noNirogi Lanka!

Usenokuba awukaze uve igama lezonyango elithi "Azoospermia" ngaphambili. Kodwa xa uphupha ngovuyo lokuba nomntwana, ukuva ugqirha esithi akukho sperm kwi-semen yakho kunokuba yinto ebuhlungu kakhulu kwaye ikwandise. Kungavakala ngathi lonke ihlabathi lakho liwile. Nangona kunjalo, nceda ungoyiki kwaye ungoyiki. Le ayisiyongxaki ingenakwenzeka okanye engenakulungiswa. Apha eNirogi Lanka , masithethe ngokuba yintoni i-Azoospermia, izizathu zayo, kunye nendlela enokulawulwa ngayo, ngamazwi alula onokuwaqonda.

Yintoni i-Azoospermia?

Ngamafutshane, i-Azoospermia ithetha ukuba isidoda sakho—ulwelo olukhutshwa ngexesha lokwabelana ngesondo—alunalo ubungakanani obulinganiswayo besidoda. Ngokwesiqhelo, amasende akho asebenza njengomzi-mveliso, evelisa isidoda. La masende ahamba kwiityhubhu ezahlukeneyo kwinkqubo yakho yokuzala, axubane nezinye izinto eziphumayo, aze enze isidoda. Ke ngoko, umntu one-Azoospermia usenako ukukhupha isidoda, kodwa ulwelo alunaso isidoda. Abanye babiza oku ngokuthi "yi-zero sperm count."

Kwabanye, le yimeko yokuzalwa, oko kuthetha ukuba bazalwa nayo. Kwabanye, inokuvela xa besebancinci okanye kamva ebomini. Okubaluleke kakhulu, ukuba nale meko akuthethi ukuba awunakuze ube nabantwana. Kwiimeko ezininzi, ngonyango olufanelekileyo kunye nesikhokelo sobungcali, izisombululo ziyafumaneka. Nceda, ungalahli ithemba.

Ngaba kukho iintlobo ezahlukeneyo ze-Azoospermia?

Ewe, i-Azoospermia idla ngokwahlulwahlulwa ibe ziintlobo ezintathu. Cinga ngayo njengepayipi yegadi: ukuze ufumane amanzi, udinga indawo yokugcina amanzi, ipayipi ecacileyo engenazithintelo, kunye nempompo esebenzayo. Makhe sijonge ezi ntlobo:

1. I-azoospermia emva kwe-testicular (Ethintelayo)

Olu lolona hlobo luqhelekileyo lwe-Azoospermia. Kule meko, amasende akho avelisa isidoda kakuhle; "ifektri yesidoda" isebenza kakuhle. Nangona kunjalo, kukho ukuvaleka okanye ingxaki yokunxibelelana kwenye indawo endleleni isidoda esihamba ngayo ukuze siphume nesidoda. Kufana nombhobho wamanzi ophukileyo okanye ovalekileyo phakathi, othintela amanzi ukuba angaphumi. Oogqirha babiza oku ngokuthi yi-azoospermia ethintelayo . Malunga nama-40% amadoda ane-Azoospermia awela kolu luhlu.

2. I-azoospermia yamasende

Kule hlobo, ingxaki ayikho endleleni. Apha, isiphene, ukwenzakala, okanye isifo kwisakhiwo okanye umsebenzi wamasende akho kunciphisa kakhulu ukuveliswa kwesidoda okanye kuyimisa ngokupheleleyo. Ngokwenyani, kukho ingxaki "kwifektri yesidoda" ngokwayo. Oku kubizwa ngokuba yi -nonoobstructive azoospermia . Kule meko, akukho zithintelo kwindlela yokuphuma.

3. I-azoospermia yangaphambi kwamasende

Oku kwahlukile kancinci. Amasende akho kunye neendlela zawo zinokubonakala ziphilile. Nangona kunjalo, kukho ingxaki kwinkqubo yamahomoni enika imiqondiso okanye ukuvuselela amasende akho ukuba "avelise isidoda." Kungathi ifektri ikwimeko entle kwaye iindlela zokuthumela zicacile, kodwa uphawu lokuqala umsebenzi alufiki kwifektri. Oku kunokwenzeka emva konyango olunamandla olufana ne -chemotherapy okanye ngenxa yokungalingani kwamahomoni. Oku kukwaphantsi kodidi lwe -azoospermia olungenamqobo .

Ngokwezibalo, i-Azoospermia ichaphazela malunga ne-1% yamadoda.

Zithini iimpawu ze-Azoospermia?

Oku kuyamangalisa abantu abaninzi: Rhoqo, umntu one-Azoospermia akabonisi zimpawu zangaphandle. Ungaziva uphilile ngokupheleleyo ngaphandle kokungonwabi konke konke. Amadoda amaninzi afumanisa le meko kuphela xa wona kunye namaqabane awo besokola ukukhulelwa baze bavavanywe ngugqirha.

Nangona kunjalo, abanye banokubonisa iimpawu ezinxulumene nesizathu esiyintloko, ezinje ngezi:

• Ukuba kubangelwa kukungalingani kwamahomoni , usenokuba nengxaki yokuthanda izinto zesini .
• Ukuba kubangelwa kusulelo lwamasende , unokubona ukudumba, iqhuma, okanye intlungu kuloo ndawo.

Khumbula, usenokuba ne-Azoospermia nangona ungenazo ezi mpawu.

Yintoni ebangela i-Azoospermia?

Izizathu ze-Azoospermia zahlulwe ngokwamaqela amabini: ezo zibangelwa kukuvinjwa kwendlela (ezithintelayo) kunye nezo zingavinjwayo (ezingavimbiyo).

1. I-Obstructive Azoospermia (Emva kwamasende)

Apha, isidoda siyaveliswa, kodwa siyavalwa xa siphuma. Iindawo eziqhelekileyo zokuvaleka ziquka:

• I-Epididymis : Umbhobho omncinci, obhityileyo onamathele kwi-testicle apho i-sperm ivuthwa khona.
• I-Vas deferens: Umbhobho ophambili othwala isidoda phambili.
• Imibhobho yokukhupha isidoda: Imibhobho ekufutshane apho isidoda sidibana khona nezinye izinto eziphumayo ukuze singene kwilungu lobudoda.

Izizathu eziqhelekileyo zokuvaleka okunjalo ziquka:

• Ukwenzakala okanye ukwenzakala kwamathambo.
• Izifo: Ezifana ne -epididymitis , usulelo lwe-epididymis.
• Ukudumba .
• Ukubuyela exesheni: Apho imbewu ingena khona kwisinyi endaweni yokuphuma ngepenis.
• Utyando: Iinkqubo ezisetyenziswa esiswini okanye kwindawo ye-pelvic ngamanye amaxesha zingonakalisa ngengozi imibhobho yokuzala.
• IiCysts okanye ukukhula.
• I-Vasectomy: Inkqubo yokubulala iintsholongwane ngotyando apho i-vas deferens inqunyulwa okanye ivalwe.
• Ukuguquka kwezakhi zofuzo ze-cystic fibrosis: Imeko yezakhi zofuzo enokubangela ukungabikho kwe-vas deferens okanye ukuvaleka ngenxa yokukhupha okuxineneyo.

2. I-Azoospermia Engathinteliyo (I-Pretesticular kunye ne-Testicular)

Kolu hlobo, akukho kuvalwa kwendlela. Ingxaki ikwinkqubo yokuveliswa kwesidoda okanye inkqubo yeehomoni eyixhasayo. Izizathu ziquka:

• Iimeko zemfuza: Iimeko ezifana ne-Kallmann syndrome, i-Klinefelter's syndrome, okanye ukususwa kwe-Y chromosome kunokuchaphazela ngqo uphuhliso lwamasende kunye nokuveliswa kwesidoda.
• Iingxaki ze-endocrine: Ukungalingani kweehomoni—ezifana ne -Testosterone ephantsi, i-Hyperprolactinemia (i-prolactin ephezulu), okanye ezinye iingxaki ezinxulumene ne-androgen—zinokuphazamisa ukusebenza kakuhle kwesidoda.
• I-Varicocele: Ukwanda kwemithambo ngaphakathi kwe-scrotum. Le meko inyusa ubushushu ngaphakathi kwama-testes, nto leyo enokuchaphazela kakubi ukuveliswa kwesidoda.
• Iziphumo ebezingalindelekanga ngamayeza: Amanye amayeza, kuquka amayeza athile e-chemotherapy, amayeza okulwa nentsholongwane, okanye amayeza oxinzelelo lwegazi, anokuphazamisana nokukwazi kwakho ukuvelisa isidoda.
• Ukuchatshazelwa yimeko-bume kunye nonyango: Unyango ngemitha, i-chemotherapy, okanye ukuchatshazelwa zisinyithi ezinzima kunye nezinye izinto ezinobuthi kunokonakalisa iiseli ezivelisa isidoda.
• Iingxaki zesakhiwo: Ukuzalwa ungenazo ii-testicles okanye ukuba nama-testicles angakhuliyo kunokuthintela ukukhula kwesidoda okuqhelekileyo.
• I-Orchitis (Ukudumba kwamasende): Ihlala isenzeka njengengxaki yosulelo lwentsholongwane olufana ne-mumps, oku kunokukhokelela kumonakalo ongunaphakade ukuba akulawuleki.
• Ukukhetha indlela yokuphila: Ukusebenzisa iziyobisi okanye ukuchanabeka kakhulu kubushushu obuphezulu (njengokusebenzisa rhoqo ii-sauna okanye ii-hot tubs) kunokuphazamisa ukusebenza kakuhle kwamasende.

Oogqirha bayixilonga njani i-Azoospermia?

Ukuba wena neqabane lakho benizama ukukhulelwa ixesha elingangonyaka kodwa ningaphumeleli, inyathelo lokuqala kufuneka nidibane nogqirha oyingcali. Ukuba ugqirha wakho urhanela ukuba ne-Azoospermia, baza kulandela la manyathelo okuxilonga:

Isixhobo esiphambili sokuxilonga luhlalutyo lwesidoda . Isampulu yesidoda sakho ihlolwa phantsi kwe-microscope ukuvavanya ubukho, ukubala, intshukumo (ukuhamba), kunye nokuma kwesidoda sakho. Ukuqinisekisa ukuxilongwa kwe-Azoospermia, ubuncinane uhlalutyo lwesidoda oluphindwe kabini kufuneka lubonise ukungabikho kwesidoda ngokupheleleyo.

Ukuze afumanise unobangela, ugqirha wakho uza kuqhuba uphononongo olupheleleyo lwembali yezonyango , ebuza imibuzo efana nale:

• Nokuba sele unabantwana ngaphambili.
• Ukuba ukhe wenzakala, wenzakala, okanye watyandwa kwindawo yesinqe.
• Nayiphi na imbali yosulelo lwendlela yomchamo (UTIs) okanye izifo ezidluliselwa ngesondo (iiSTI).
• Amayeza owasebenzisayo ngoku okanye awexesha elidlulileyo.
• Ukusebenzisa utywala, intsangu, okanye ezinye izinto.
• Ukuchanabeka kubushushu obuphezulu (umz., ii-sauna okanye iindawo ezishushu, ezifuna abasebenzi abaninzi).
• Imbali yosapho eneziphene zokuzalwa, iimeko ezifana ne-cystic fibrosis, okanye ukungazali okwaziwayo.

Ugqirha wakho uza kwenza uvavanyo lomzimba , ngakumbi ukuvavanya amasende akho kunye neendawo ezikufutshane. Kwezinye iimeko, uvavanyo lwedijithali lwerectal lunokwenziwa.

Uvavanyo olongezelelweyo lokuxilonga:

Ukuze afumane unobangela, ugqirha wakho angayalela uvavanyo olongezelelweyo:

• Uvavanyo lwegazi: Olu vavanyo lujonga amanqanaba eehomoni zakho, ngakumbi iTestosterone kunye neFollicle-stimulating hormone (FSH), ezibalulekileyo kwimveliso yesidoda.
• Uvavanyo lwemfuza: Ukuchonga ukuba imeko yemfuza yiyo ebangela i-Azoospermia.
• Uvavanyo lokufota: Ii-X-ray okanye ii-ultrasound scans zinceda ekuqondeni ulwakhiwo lwama-testes kunye nokuchonga imiqobo enokubakho kwindlela yokuzala.
• I-Brain MRI: Ukuba kukho ukungalingani kwamahomoni, i-MRI ingasetyenziselwa ukuhlola i-hypothalamus okanye i-pituitary gland, elawula iihomoni zokuzala.

Ziziphi iindlela zonyango lwe-Azoospermia?

Unyango lwe-Azoospermia luxhomekeke ngokupheleleyo kwisizathu esiyintloko . Ukuchonga ingxaki ebalulekileyo kubalulekile. Ingcebiso ngemfuza ikwayinxalenye ebalulekileyo yokuqonda nokulawula imeko yakho ethile.

Iindlela zonyango eziphambili ziquka:

• Utyando: Ukuba i-Azoospermia ibangelwa kukuvaleka komzimba, utyando lunokulungisa imibhobho okanye lususe ukuvaleka, okuvumela isidoda ukuba siphinde sihambe ngokwesiqhelo.
• Unyango lweehomoni: Ukuba kufunyenwe ukungabikho kwehomoni, amayeza athile anokunikwa ukukhuthaza ukuveliswa kwesidoda.
• Ukufunyanwa kwesidoda: Kwimeko ye-Azoospermia engathinteliyo, apho isidoda siveliswa ngamanani amancinci kakhulu ngaphakathi kwama-testes, iingcali zingasebenzisa iindlela ezifana nokufunwa kwesidoda sama-testicular (TESA) okanye ukukhutshwa kwesidoda sama-testicular (TESE) ukuze zifumane isidoda ngqo.

I-sperm efunyenweyo ingasetyenziswa nge- Assisted Reproductive Technology (ART) . Ezona ndlela zixhaphakileyo yi -In Vitro Fertilization (IVF) kunye ne -Intracytoplasmic Sperm Injection (ICSI) , apho i-sperm enye ifakwe ngqo kwiqanda.

Ukuba i-Azoospermia yakho inemfuza, ugqirha wakho usenokukuthumela kwingcebiso ngemfuza , njengoko kukho umngcipheko wokudlulisela esi sifo kubantwana bemvelo.

Ngaba ndingaphinda ndivelise isidoda emva kokuba ndixilongwe nge-Azoospermia?

Ewe, kunokwenzeka! Oku kuxhomekeke ngokupheleleyo kuhlobo lwe-Azoospermia kunye nesizathu sayo.Umzekelo, ukuba imeko ibangelwa kukuvaleka, ukulungiswa kotyando kunokubuyisela ubukho besidoda kwi-ejaculate.

Ngaba i-Azoospermia iyanyangeka?

Ngokufanayo nombuzo odlulileyo, ezinye izizathu ze-Azoospermia zinokuguqulwa ngokupheleleyo okanye zinyangeke. Nangona ezinye iimeko ezihlala zihleli (ezifana nezinto ezinobungozi zemfuza okanye umonakalo omkhulu kwizicubu zamasende) zisenokunganyangeki, amadoda amaninzi asenokufumana ubutata ngokusebenzisa iindlela zokufumana isidoda kunye ne-ART.

Ngaba i-Azoospermia ingathintelwa?

Nangona ezinye izizathu zemfuza zingenakuthintelwa, ukuba i-Azoospermia yakho ayizuzisi ilifa, unganciphisa umngcipheko wakho ngokuthatha amanyathelo okhuseleko alandelayo:

• Ziphephe izinto ezinokubangela ukonzakala kwamalungu akho okuzala. Xa udlala imidlalo (umz. ikhilikithi, ibaseball), soloko unxibe isivikelo sesisu okanye ikomityi.
• Nciphisa ukuvezwa kwakho kwimitha yelanga nanini na kunokwenzeka.
• Lumka ngamayeza anokuphazamisana nokuveliswa kwesidoda. Nanini na xa ugqirha ekunika amayeza amatsha, thetha ngemiphumo enokubakho ekuzaleni kwakho.
• Vimbela amasende akho ukuba angachaphazeleki bubushushu obugqithisileyo ixesha elide. (Umzekelo, kuyacetyiswa ukuba unciphise ukusebenzisa i-sauna rhoqo, uphephe ukuhlamba ngamanzi ashushu kakhulu, kwaye uphephe ukunxiba impahla yangaphantsi ekubambileyo.)

Iyintoni imbono yabantu abane-Azoospermia?

Uqikelelo lwe-Azoospermia luyahluka kakhulu ngokuxhomekeke kwisizathu esiyintloko. Iindaba ezikhuthazayo zezokuba uninzi lwezizathu ze-Azoospermia ziyanyangeka, kwaye imeko inokuguqulwa rhoqo. Wena kunye neqela lakho lezonyango niza kusebenzisana ukuchonga unobangela we-Azoospermia yakho kunye nokumisela isicwangciso sonyango esisebenzayo kwimeko yakho ethile.

Kwiimeko ezininzi, i-Azoospermia ebangelwa kukungalingani kwamahomoni okanye ukuvaleka kwendlela yokuzala inokunyangeka ngempumelelo, nto leyo eyandisa kakhulu amathuba okubuyisela ukuzala. Nokuba imeko iqala kumasende, iindlela ezifana nokubuyiswa kwesidoda kunye ne IVF (In Vitro Fertilization) zingasetyenziswa. Ngenxa yesi sizathu, kubalulekile ukugcina umbono olungileyo kunye nokuhlala unethemba.

Ukuba umyeni wam une-Azoospermia, akunakwenzeka ukuba sikhulelwe ngokwendalo?

Lo ngumbuzo oqhelekileyo obuzwa zizibini ezininzi. Ewe, kwiimeko ezithile, ukukhulelwa ngokwendalo kusenokwenzeka. Oku kuxhomekeke ngokupheleleyo kuhlobo lwe-Azoospermia olunayo iqabane lakho kunye nokuba unobangela wayo unokunyangeka na. Ugqirha wakho ngumntu ongcono onokukunika isikhokelo kule nto. Musa ukuthandabuza ukuba nencoko evulekileyo nabo malunga neendlela zakho zonyango kunye neenjongo zakho zokucwangcisa usapho.

Ngaba i-IVF yeyona ndlela ikhethekileyo yokuba umntu one-Azoospermia abe nomntwana?

Akunjalo ngokuyimfuneko. Oku kuxhomekeke nakwisizathu se-Azoospermia. Ukuba imbangela inxulumene namasende kwaye ifuna ukuthathwa kwesidoda ngotyando, ngoko IVF okanye ICSI zihlala ziyindlela eziphambili. Nangona kunjalo, ukuba i-Azoospermia inokulungiswa ngonyango (njengokususa ukuvaleka okanye ukulungisa amanqanaba ehomoni), isibini sinokukwazi ukuzama ukukhulelwa ngokwendalo ngaphandle kwesidingo se IVF .

Ndingahlangabezana njani nokuxilongwa kwe-Azoospermia?

Ukufumana uxilongo lwe-Azoospermia kugqirha kunokuba nzima ngokwasemzimbeni nangokweemvakalelo. Yinto enzulu kakhulu le.

“Kukho ingxaki ngesidoda sam… ingaba oku kuthetha ukuba andinakuze ndibe ngutata?” Kuqhelekile ukuba neengcinga ezinje. Iimvakalelo zosizi, ukuphoxeka, ukudana, okanye ukuziva unetyala ziimpendulo zendalo kwiindaba ezinjalo.

Eyona nto ibalulekileyo ekufuneka uyikhumbule kukuba awuwedwa kolu hambo.

• Themba ubuchule kunye nesikhokelo sikagqirha wakho kwaye ulandele iingcebiso zakhe ngononophelo.
• Hlalani nimanyene neqabane lakho kulo lonke olu hambo. Thethani ngokukhululekileyo kwaye nixhasane.
• Yabelana ngeemvakalelo zakho neqabane lakho, amalungu osapho, okanye umhlobo othembekileyo. Musa ukugcina iimvakalelo zakho zivaliwe ngaphakathi.
• Kungokwemvelo ukuba buhlungu emva kokuphazamiseka okunjalo, kodwa ungalahli ithemba. Abantu abaninzi abafunyaniswe bene-Azoospermia ekugqibeleni baba ngabazali babantwana babo. Hlala ukhumbula loo nto.
• Ukuba uziva uxinezelekile, ungathandabuzi ukufuna inkxaso yomcebisi oqeqeshiweyo.

Ndifanele ndimbone nini ugqirha?

Ukuba wena neqabane lakho benizama ukukhulelwa ngokulalana rhoqo, ngaphandle kokuzikhusela kangangeenyanga ezili-12 ngaphandle kwempumelelo, nceda nidibane nogqirha ngokukhawuleza. Ukongeza, ukuba unemibuzo okanye iingxaki malunga nokuzala kwakho, kububulumko ukufuna ingcebiso kagqirha. Olu luphawu lokuqala lokuba kunokubakho ingxaki ngokuveliswa kwesidoda. Ugqirha wakho uya kucebisa ukuba kwenziwe uhlalutyo lwesidoda ukuze kuhlolwe inani lesidoda sakho njengenyathelo lokuqala.

Ndingayibuza yiphi imibuzo ugqirha wam?

Ukwazi ukuba isampuli yakho yesidoda ayinayo imbewu yesidoda kunokubangela imibuzo emininzi. Musa ukoyika okanye ungathandabuzi ukubuza ugqirha wakho oku kulandelayo:

• Zithini izinto ezinokubangela i-Azoospermia, kwaye yintoni enokubangela ukuba ibe yimbangela kwimeko yam?
• Zeziphi iimvavanyo zokuxilonga endizidingayo ukuqinisekisa unobangela oyintloko?
• Ngaba kunokwenzeka ukuba ndibe nomntwana ozelwe ngumntwana wam?
• Ucebisa luphi ucwangciso lonyango, kwaye lingakanani izinga lempumelelo?
• Ziza kuthatha ixesha elingakanani ezi ndlela zonyango, kwaye zithini iziphumo ebezingalindelekanga ezinokubakho?
• Ingaba le meko inokwenzeka ukuba idluliselwe ebantwaneni bam?

Ukubuza le mibuzo kuya kukunceda uqonde kakuhle imeko yakho, kukulungiselele amanyathelo alandelayo, kwaye kukuncede uzive uxhotyiswe ngengqondo ngakumbi kuhambo oluzayo.

Umyalezo Wokugqibela Wokubuyela Ekhaya Ovela eNirogi Lanka

Xa uphupha ngokuqalisa usapho kwaye ujonge ulonwabo lomntwana, ukufunda ukuba kukho umqobo endleleni yakho kunokuba buhlungu kakhulu. Ndiyayiqonda indlela onokuziva ngayo emva kokufunda ngenani eliphantsi okanye elingekhoyo lembewu yesidoda. Zama ukuhlala unomonde ngelixa ugqirha wakho esebenza ukufumanisa unobangela.

Ukuxilongwa kokuba akukho sibalo sesidoda akuthethi ukuba awunakuze ube nabantwana.

Ugqirha wakho unokukwazi ukukunceda ufezekise iphupha lakho ngokukhupha isidoda emasendeni nokusebenzisa iindlela ezifana ne IVF . Xoxa ngayo yonke intandabuzo, yonke imibuzo, kunye nayo yonke indlela yonyango ngokukhululekileyo neqela lakho lezonyango. Ngolwazi oluchanekileyo, unyango olufanelekileyo, kunye nethemba elingagungqiyo, ngamana ungafumana amandla okoyisa lo mceli mngeni!