Usenokuba awukaze uve ngegama lezonyango elithi Azoospermia ngaphambili. Kodwa, xa uphupha ngokuba nomntwana, elilelona themba livuyisayo ebomini bakho, aze ugqirha akuxelele ukuba akukho sperm kwi-sperm yakho... khawucinge ukuba kuya kuzisa umthwalo noloyiko olungakanani entliziyweni yakho. Kusenokuvakala ngathi ihlabathi lakho lonke liwile ngequbuliso.
Kodwa ungakhathazeki, ungoyiki. Le ayiyongxaki engenakuqondwa okanye isonjululwe. Masithethe ngale meko (i-Azoospermia), izizathu zayo, kunye nonyango ngendlela elula onokuyiqonda.
Yintoni i-Azoospermia?
Ngamafutshane,
i-Azoospermia ithetha ukuba isidoda sakho, ulwelo oluphuma ngexesha lokwabelana ngesondo, alunalo ubungakanani obulinganisekayo besidoda. Oku kwenzeka rhoqo kuba amasende akho afana nefektri yesidoda. Isidoda esiveliswayo sihamba kwiityhubhu ezahlukeneyo kwinkqubo yakho yokuzala kwaye sidityaniswe nezinye izinto ezininzi zolwelo ukwenza isidoda. Ngoko ke, indoda ene-Azoospermia inokukhupha isidoda, kodwa isenokungabi naso. Abanye abantu bakubiza oku ngokuthi "akukho sibalo sesidoda." Oku kunokuba yinto ezalwa nayo kwabanye abantu. Oko kukuthi, banokuba nale meko ukususela ekuzalweni kwabo. Kwabanye, le meko (i-Azoospermia) inokukhula nokuba kusebutsheni babo okanye kamva ebudaleni. Into ebalulekileyo kukuba ayinguye wonke umntu onesi sifo ongenakukwazi ukuba nabantwana.
Kwiimeko ezininzi, inokulungiswa ngonyango olufanelekileyo kunye neengcebiso. Ngoko ke musa ukuphelelwa lithemba.
Ngaba kukho iintlobo ezahlukeneyo ze-Azoospermia?
Ewe, (i-Azoospermia) inokwahlulwa ibe ziintlobo ezintathu eziphambili. Njengokuba amanzi ephuma kwimpompo, kufuneka kubekho amanzi etankini, umbhobho akufuneki uvaleke, kwaye impompo kufuneka isebenze kakuhle. Masibone ukuba zeziphi ezo ntlobo.
1. I-azoospermia emva kwe-testicular (ngenxa yokuvaleka emva kwe-testicles)
Olu lolona
hlobo luqhelekileyo lwe-Azoospermia. Kule meko, amasende akho avelisa isidoda ngokufanelekileyo. Oko kukuthi, akukho ngxaki ngesixhobo sokuvelisa isidoda.
Nangona kunjalo, kukho ukuvaleka okanye ukulahleka konxibelelwano kwenye indawo endleleni apho isidoda esiveliswayo siphuma khona nesidoda. Kufana nombhobho wamanzi oqhekekayo embindini, okanye into engcolileyo inamathele kuwo kwaye ivale amanzi ukuba angaphumi. Oogqirha bakwabiza oku ngokuthi "yi-obstructive azoospermia". Malunga nama-40% abantu abane-Azoospermia bachatshazelwa lolu hlobo.
2. Ngenxa yeengxaki zamasende (i-testicular azoospermia)
Kolu hlobo, ingxaki ayikho kwindlela yesidoda esihamba ngayo.
Apha, kukho ubuthathaka, umonakalo, okanye isifo kwisakhiwo okanye umsebenzi wamasende akho obangela ukuba ukuveliswa kwesidoda kunciphe kakhulu okanye kume ngokupheleleyo.Oko kuthetha ukuba kukho isiphene esithile kwimveliso yesidoda ngokwayo. Oku kukwabizwa ngokuba yi-"nonoobstructive azoospermia". Kule nto, akukho siphazamiso kwindlela yokuphuma kwesidoda.
3. Ngenxa yeengxaki ezingaphambi kwamasende (i-Pretesticular azoospermia)
Oku kwahlukile kancinci. Apha, amasende akho kunye nemibhobho yesidoda ingabonakala iqhelekile kwaye isempilweni.
Nangona kunjalo, kukho ingxaki ngeehomoni ezixelela amasende ukuba "enze isidoda." Umzekelo, ifektri ikwimeko entle, indlela yokuthutha impahla ilungile, kodwa ifektri ayifumani mqondiso wokuqalisa ukusebenza. Le meko ngamanye amaxesha inokwenzeka emva konyango olunamandla olufana ne-chemotherapy yezifo ezifana nomhlaza, okanye ngenxa yokungalingani kwamahomoni. Oku kukwawela kudidi lwe-"nonobstructive azoospermia." Ngokubanzi, izibalo zibonisa ukuba le meko (Azoospermia) ichaphazela malunga ne-1% yamadoda.
Ziziphi iimpawu ezinokubonisa i-Azoospermia?
Nantsi into ebamangalisayo abantu abaninzi.
Rhoqo, umntu one-Azoospermia akanazo iimpawu ezithile. Usenokungawuboni umahluko okanye ukungakhululeki. Abantu abaninzi bafunda ngale meko xa bona kunye neqabane labo bezama ukukhulelwa, kwaye xa loo mizamo ingaphumeleli, bafuna uncedo lwezonyango. Nangona kunjalo, abanye abantu banokubonisa iimpawu ezinxulumene nesizathu esiyintloko se-Azoospermia. Umzekelo:
- Ukuba kungenxa yokungalingani kwamahomoni , kunokubangela izinto ezifana nokuncipha kwenkanuko yobulili .
- Ukuba amasende anentsholongwane, kunokubakho ukudumba, iqhubu, okanye intlungu kuloo ndawo.
Kodwa khumbula, i-Azoospermia inokubakho nokuba ezi mpawu azikho.
Kutheni oku (i-Azoospermia) kwenzeka? Zithini izizathu?
Izizathu ze-azoospermia zinokwahlulwa zibe ziindidi ezimbini eziphambili: izizathu ezithintelayo nezizathu ezingezizo ezithintelayo.
1. Ngenxa yokuvaleka kwentambo yesidoda (i-Post-testicular / Obstructive Azoospermia)
Okwenzekayo kule meko kukuba nangona isidoda sakheke kakuhle, kukho ukuvaleka kwenye indawo endleleni yokuphuma. Oku kuvaleka kunokubakho kakhulu kwiindawo ezilandelayo:
- I-Epididymis : Le yityhubhu encinci, ebhityileyo eqhagamshelwe kumasende, apho ukuvuthwa kwesidoda kwenzeka khona.
- I-Vas deferens: Umbhobho ophambili othwala isidoda.
- Umbhobho wokukhupha i-ejaculatory: Umbhobho okufutshane apho isidoda, kunye nezinye izinto ezikwi-seminal fluid, ziphuma khona kwi-penis.
Kukho izizathu ezahlukeneyo zokuba kutheni ezi ngxaki zenzeka:
- Ukwenzakala okanye ukwenzakala kwamathambo.
- Iintsholongwane: Umzekelo, iintsholongwane ezikwi-scrotum (epididymitis).
- Ukudumba .
- Ukubuyela exesheni: Oku kulapho imbewu ibuyela esinyini endaweni yokuphuma kwilungu lobudoda, kodwa ibangela iingxaki ezahlukileyo kune-Azoospermia. Nangona kunjalo, kwezinye iimeko, iingxaki zinokubakho.
- Utyando olwenziwa esiswini okanye kwindawo ye-pelvic. Ezinye ii-operation zingonakalisa ngengozi i-spermatic cord.
- IiCysts okanye ukukhula.
- I-Vasectomy: Le yinkqubo yokucwangcisa intsapho apho i-vas deferens inqunyulwa kwaye ibotshelelwe. Emva koko, isidoda asiyi kukhululwa ngokwendalo.
- Utshintsho lwe-cystic fibrosis gene: Le yimeko ye-genetic. Oku ngamanye amaxesha kunokubangela ukuba ii-vas deferens zingabikho kwasekuzalweni, okanye iincindi ezixineneyo zinokuqokelelana ngaphakathi kwi-vas deferens, zivale indlela yokudlula kwesidoda.
2. Ngenxa yezizathu ezingathinteliyo (i-Pretesticle kunye ne-Testicular / Non-obstructive Azoospermia)
Kolu hlobo, akukho kuvinjelwa kombhobho wesidoda. Ingxaki ikwinkqubo yokuveliswa kwesidoda okanye kwinkqubo yeehomoni esincedayo. Kukho izizathu ezahlukeneyo zoku:
- Iimeko ezithile zemfuza: Umzekelo, i-Kallmann syndrome, i-Klinefelter's syndrome, okanye ukususwa kwe-Y chromosome. Ezi zinokuchaphazela uphuhliso lwamasende kunye nokuveliswa kwesidoda.
- Ukungalingani kwamahomoni kunye neengxaki ze-endocrine: Umzekelo, amanqanaba aphantsi e-testosterone , i-hyperprolactinemia (amanqanaba aphezulu e-prolactin), kunye neengxaki ezinxulumene ne-androgen.
- I-Varicocele: Ukudumba kwemithambo ejikeleze amasende. Oku kunokunyusa ubushushu bamasende kwaye kuchaphazele ukuveliswa kwesidoda.
- Iimpendulo kumayeza athile: Amanye amayeza (umz., amanye amayeza okubulala umhlaza, amanye amayeza okubola, amanye amayeza oxinzelelo lwegazi oluphezulu) anokuchaphazela kakubi ukuveliswa kwesidoda.
- Unyango ngemitha, i-chemotherapy, okanye ukuvezwa kwisinyithi esinzima kunye neetyhefu.
- Ukungabikho kwamasende (ekuzalweni) okanye amasende angaphakamanga.
- I-Orchitis: Ihlala isenzeka njengengxaki yezifo ezibangelwa ziintsholongwane ezifana ne-mumps.
- Ezinye iindlela zokuphila onokukhetha kuzo: ukusebenzisa kakubi iziyobisi okanye utywala, ukuchitha ixesha elininzi kwiisauna okanye kwiibhafu ezishushu, kunye nokubeka amasende kubushushu obuphezulu.
Oogqirha bayixilonga njani i-Azoospermia?
Ukuba wena neqabane lakho benizama ukukhulelwa ixesha elide (ngesiqhelo malunga nonyaka) ngaphandle kocwangciso lokuzalwa kwaye aniphumelelanga, inyathelo lokuqala kukubona ugqirha. Ukuba kukho ukurhanelwa kokuba une-Azoospermia, ugqirha uya kulandela la manyathelo: Okokuqala, kwenziwa
uhlalutyo lwesidoda . Kule nto, kuhlolwa isampulu yesidoda sakho phantsi kwemakroskopu ukuze kubonwe ukuba kukho isidoda, zingaphi, zihamba njani, kwaye zinjani na. Ukuze uqiniseke ukuba une-Azoospermia,
akufuneki kufunyanwe isidoda ubuncinane kwiimvavanyo ezimbini zesidoda. Emva koko, ugqirha uya kukubuza imibuzo emininzi ukuze afumanise ukuba kutheni une-Azoospermia. Oku kubizwa ngokuba kukuthatha
imbali epheleleyo yezonyango . Ngelo xesha, unokubuzwa izinto ezinje:
- Nokuba ukhe waba nabantwana okanye awuzange ube nabo ngaphambili.
- Ngaba ukhe waba neengozi, wenzakele, okanye watyandwa kwindawo yakho yesinqe?
- Ngaba wakha waba nazo naziphi na izifo zomchamo (UTIs) okanye izifo ezidluliselwa ngesondo (STIs) ngaphambili?
- Ngawaphi amayeza owasebenzisayo ngoku kwaye wakha wawasebenzisa ngaphambili?
- Ngaba usebenzisa utywala, intsangu (intsangu), okanye ezinye iziyobisi?
- Ngaba ubandakanyeka kwimisebenzi ebangela ukuba amasende akho afumane ubushushu obugqithisileyo? (umz. i-sauna, ukusebenza kwindawo eshushu)
- Ngaba kukho umntu kusapho lwakho oneengxaki zokuzalwa, izifo ezifana ne-cystic fibrosis, okanye ukungazali?
Kwangaxeshanye, ugqirha uza kwenza
uvavanyo olupheleleyo lomzimba , ingakumbi ukujonga amasende akho kunye nendawo ewajikelezileyo. Ngamanye amaxesha uvavanyo lwe-rectal lunokwenziwa.
Zeziphi ezinye iimvavanyo ezenziwayo?
Ukuze kuqinisekiswe ngakumbi unobangela, ugqirha unokuyalela iimvavanyo ezongezelelweyo ezifana nezi:
- Uvavanyo lwegazi: Olu vavanyo lujonga ikakhulu amanqanaba eehomoni ezifana ne-testosterone kunye ne-follicle-stimulating hormone (FSH). Ezi homoni zibaluleke kakhulu ekuvelisweni kwesidoda.
- Uvavanyo lwemfuza:Olu vavanyo lwenziwa ukujonga iimeko ezithile zemfuza ezinokubangela i-Azoospermia.
- Ii-X-ray okanye ii-ultrasound scans zamasende: Ezi zinceda ekufumaneni izinto ezifana nolwakhiwo lwamasende kunye nokuvaleka kwimibhobho ethwala isidoda.
- Iskeni yobuchopho nge-MRI (Magnetic Resonance Imaging): IiHormones zilawulwa ziindawo zengqondo ezifana ne-hypothalamus okanye i-pituitary gland. Ngoko ke, olu vavanyo lunokwenziwa ukuba kukho ukurhanelwa kokuba i-Azoospermia ibangelwa yingxaki yeehomoni.
Ziziphi iindlela zonyango lwe-Azoospermia?
Unyango lwe-Azoospermia luxhomekeke
kwisizathu esiyintloko. Yiyo loo nto kubaluleke kakhulu ukuqala ngokufumanisa unobangela ochanekileyo. Uvavanyo lwemfuza kunye neengcebiso ezinxulumene noko nazo ziyinxalenye ebalulekileyo yokuqonda nokunyanga imeko ye-Azoospermia. Ezinye zeendlela eziphambili zonyango zezi:
- Utyando: Ukuba unobangela we-Azoospermia kukuvaleka kombhobho wesidoda, utyando lunokwenziwa ukuze kususwe ukuvaleka okanye kuphinde kuqhagamshelwe kwakhona imibhobho eyonakeleyo/engekhoyo. Ukuba oku kuphumelele, isidoda siya kuqala ukuphuma kwakhona.
- Unyango lweehomoni: Ukuba unobangela we-azoospermia kumanqanaba aphantsi eehomoni, amayeza eehomoni amiselwe ngugqirha anokukhuthaza ukuveliswa kwesidoda.
- Ukufunyanwa kwesidoda ngqo kumasende: Kwezinye iimeko (ingakumbi kwi-azoospermia engathinteliyo), isidoda sisenokungabikho kumasende, kodwa isidoda esithile sinokuveliswa kumasende. Kwiimeko ezinjalo, isidoda sinokuthathwa ngqo kumasende kusetyenziswa inaliti encinci kakhulu (i-testicular sperm aspiration - TESA) okanye inkqubo encinci yotyando (i-testicular sperm extraction - TESE).
Imbewu yesidoda efunyenwe ngale ndlela ingasetyenziselwa ukunceda ukukhulelwa komntwana kusetyenziswa ubuchwepheshe bokuzala obuncediswayo (ART) . Iindlela ezisetyenziswa kakhulu kukuchumisa umntwana nge-vitro (IVF) kunye nokufakwa kwesidoda nge-intracytoplasmic (ICSI) . I-ICSI ibandakanya ukufaka isidoda esinye ngqo kwiqanda.
Ukuba unobangela we-azoospermia yakho yimfuza, ugqirha wakho unokukuthumela
kwingcebiso yemfuza, njengoko inokudluliselwa kubantwana bakho.
Ngaba isidoda singabuya emva kwe-Azoospermia?
Ewe, unako! Kodwa
kuxhomekeke kuhlobo lwe-Azoospermia onayo kunye nesizathu.Umzekelo, ukuba isidoda asikho ngenxa yokuvaleka kwe-seminal vesicles, kunokwenzeka ukuba isidoda siphinde sivele kwi-semen yakho emva kokuba ukuvaleka kususiwe ngotyando.
Ngaba i-Azoospermia inganyangeka ngokupheleleyo?
Oku kufana nombuzo odlulileyo.
Ezinye izizathu ze-Azoospermia zinokunyangwa ngokupheleleyo okanye ziguqulwe. Nangona kunjalo, ezinye izizathu (ingakumbi iimeko ezithile zemfuza okanye umonakalo omkhulu kumasende) zisenokunganyangeki. Nangona kunjalo, nangona kunjalo, njengoko bekutshiwo ngaphambili, ungazama ukuba nomntwana ngokuqokelela isidoda kumasende.
Ngaba kukho iindlela zokuthintela i-Azoospermia?
Asinakuthintela ezinye iimeko zemfuza ezibangela i-Azoospermia. Zizinto eziza nathi. Nangona kunjalo, ukuba i-Azoospermia yakho ayibangelwa yingxaki yemfuza, ukwenza ezi zinto kunokunceda ukunciphisa umngcipheko ngandlela ithile:
- Ziphephe izinto ezinokwenzakalisa amalungu akho okuzala. Okanye, nxiba isivikelo sesisu/indebe xa udlala imidlalo (umz. ikhilikithi, ibaseball).
- Kuphephe ukuvezwa kwimitha yelanga nanini na xa kunokwenzeka.
- Lumka ngamayeza anokonakalisa ukuveliswa kwesidoda. Xa ugqirha ekubhalela amayeza, thetha ngeenzuzo kunye neengozi ezinokubakho.
- Kuphephe ukuveza amasende akho kubushushu obugqithisileyo ixesha elide (umz., ii-sauna ezihlala zikho rhoqo, iibhafu ezishushu, kunye neempahla zangaphantsi eziqinileyo).
Iyintoni imbono yabo bane-Azoospermia? (Imbono)
Ingqikelelo yazo zonke izizathu ze-azoospermia ayifani, kwaye iyahluka.
Eyona nto ilungileyo kukuba uninzi lwezizathu ze-azoospermia zinokunyangwa kwaye imeko inokuguqulwa. Wena kunye neqela lakho lezonyango niza kusebenzisana ukufumanisa unobangela we-azoospermia yakho kunye nonyango olungcono lwayo. I-Azoospermia idla ngokuphathwa, nokuba kungenxa yeengxaki zehomoni okanye ukuvaleka kwintambo yesidoda. Kukwakho nethuba elihle lokuba ukuzala kuya kubuya. Nokuba unobangela yimeko yamasende, njengoko bekutshiwo ngaphambili, iindlela zokufakelwa inzalo ezenziweyo ezifana ne-IVF zinokusetyenziswa ukukhupha isidoda esiphilayo kumasende.
Ke ngoko, kubaluleke kakhulu ukuhlala unethemba. Ukuba umyeni wam une-Azoospermia, asinakuba nomntwana ngokwendalo?
Lo ngumbuzo obuzwa ngabafazi abaninzi. Ewe, ngamanye amaxesha unokukwazi ukukhulelwa umntwana ngokwendalo.
Kuxhomekeke ngokupheleleyo kuhlobo lwe-Azoospermia olunayo iqabane lakho kwaye nokuba lunokunyangeka na. Ugqirha wakho ngumntu ofanelekileyo ukukunika ingcebiso ngale nto. Thetha naye ngokukhululekileyo malunga neendlela zonyango kunye nocwangciso losapho.
Ngaba i-IVF yeyona ndlela ikhethekileyo yokuba umntu one-Azoospermia abe nomntwana?
Hayi, akunjalo.
Kukwaxhomekeke kwisizathu se-Azoospermia. Ukuba unobangela yingxaki yamasende kwaye kufuneka utyando ukuze kufunyanwe isidoda, ngoko ke i-IVF okanye i-ICSI zihlala ziyindlela yokukhetha. Nangona kunjalo, ukuba i-Azoospermia inokunyangwa kwaye inyangeke (umz., ukususa ukuvaleka, unyango lweehomoni), isibini sinokuzama ukuba nomntwana ngokwendalo ngaphandle kokusebenzisa i-IVF.
Ndingazinyamekela njani xa ndifumanisa ukuba ndine-Azoospermia?
Ukufumanisa kugqirha ukuba une-Azoospermia kunokuba nzima kakhulu ngokweemvakalelo nangokomzimba. Yinto ebucayi kakhulu le.
"Kukho into engalunganga ngesidoda sam... Andisoze ndikwazi ukuba ngutata?" Kuqhelekile ukuba neengcinga ezinje. Kunokubangela iimvakalelo ezahlukeneyo, kuquka usizi, umsindo, ukuphelelwa lithemba, kunye netyala.
Eyona nto ibalulekileyo kukuqonda ukuba awuwedwa ngeli xesha.- Thembela kulwazi kunye neengcebiso zikagqirha wakho. Landela kanye oko akuthethayo.
- Hlalani kunye neqabane lakho kolu hambo. Thethani ngale nto kunye, nixhasane.
- Thetha neqabane lakho, usapho, okanye umhlobo othembekileyo ngeengcinga zakho neemvakalelo zakho. Musa ukuyigcina iyimfihlo.
- Kuqhelekile ukuba buhlungu xa uhlangabezana nobunzima obunje. Kodwa ungalilahli ithemba ngokupheleleyo. Abantu abaninzi abane-azoospermia ekugqibeleni baye baba ngabazali babantwana babo. Khumbula oko.
- Ukuba kuyimfuneko, ungathandabuzi ukufuna uncedo kumcebisi.
Ndifanele ndimbone nini ugqirha?
Ukuba wena neqabane lakho
niye nabelana ngesondo rhoqo, ningakhuselekanga kangangeenyanga ezili-12 (ngonyaka) kwaye anikakhulelwa, bonana nogqirha ngoko nangoko. Okanye, ukuba uneenkxalabo okanye imibuzo malunga nokuzala kwakho, bonana nogqirha ukuze nixoxe ngazo. Olu luphawu lokuqala lokuba kukho ingxaki ngokuveliswa kwesidoda. Ugqirha wakho angacebisa kuqala uvavanyo lwesidoda ukujonga inani lesidoda sakho.
Ndingayibuza yiphi imibuzo ugqirha wam?
Kuqhelekile ukuba nemibuzo emininzi xa ufumanisa ukuba akukho sperm kwi-semen yakho. Musa ukoyika okanye ungathandabuzi ukubuza ugqirha wakho imibuzo efana nale:
- Zithini izizathu zokulahleka kwesidoda? Yintoni enokubangela le meko kum?
- Zeziphi iimvavanyo ekufuneka ndizenze ukuze ndifumanise unobangela ochanekileyo?
- Ngaba ndiza kukwazi ukwamkela umntwana wam?
- Loluphi unyango olundicebisayo? Luphumelele kangakanani?
- Ziza kuthatha ixesha elingakanani ezi ndlela zonyango? Zeziphi iziphumo ebezingalindelekanga ezinokubakho?
- Ngaba kunokwenzeka ukuba abantwana bam bazuze esi sifo njengelifa?
Ukubuza imibuzo efana nale kuya kukunceda uyiqonde kakuhle imeko, uqaphele amanyathelo alandelayo, kwaye uzilungiselele ngengqondo.
## Okokugqibela, ezona zinto zibalulekileyo ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)
Ndiyaqonda ukuba kunokuba buhlungu kangakanani ukufumanisa ukuba kukho into ethintela amaphupha akho okuqala usapho nokuba nomntwana. Xa usiva ukuba akukho sidoda kwimbewu yakho, ungaziva iimvakalelo eziliwaka. Kodwa zama ukuba nomonde ngelixa ugqirha wakho efumanisa unobangela.
Ukuba akukho sperm count akuthethi ukuba awusoze ukwazi ukuba nomntwana.
Ugqirha wakho anokukunceda ufezekise iphupha lakho ngokusebenzisa iindlela ezifana ne-IVF, ezifana nokukhupha isidoda emasendeni. Thetha ngokukhululekileyo nogqirha wakho malunga nawo onke amathandabuzo akho, imibuzo, kunye neendlela zonyango ezinokubakho.
Ngamana ungafumana amandla okoyisa lo mceli mngeni ngolwazi oluchanekileyo, unyango olufanelekileyo, kunye nethemba elingagungqiyo!
💬 Comments (0)
Akukho zimvo zithunyelweyo okwangoku. Faka uluvo lwakho apha okokuqala.
Faka uluvo lwakho