Ngaba nawe unengxaki yokukhulelwa umntwana? Masithethe ngokungakwazi ukufumana abantwana kwamadoda!

Ukuba wena neqabane lakho nilindele umntwana, kodwa elo phupha alikazaliseki, kuyinto eqhelekileyo ukuziva usizi olukhulu kunye nomthwalo. Ngamaxesha anje, abantu abaninzi bacinga ukuba ingxaki isezandleni zomfazi. Kodwa eneneni, ukuzala kweqabane lendoda kubaluleke ngokufanayo xa kufikwa ekukhulelweni komntwana. Namhlanje siza kuthetha ngale meko ibizwa ngokuba yi-"Male Infertility".

Uyazi ukuba yintoni ukungazali kwamadoda?

Ngamafutshane, ukungazali kwamadoda kukuncipha okanye ukulahleka kwamandla endoda okukhulelwa ngenxa yengxaki kwinkqubo yayo yokuzala. Ukuba ubusoloko ulala nomntu rhoqo ixesha elingaphezu konyaka ngaphandle kokusebenzisa naluphi na uhlobo locwangciso-ntsapho, kwaye iqabane lakho alikakhulelwa, kunokufuneka uqwalasele le meko.

Le yinto enokuchaphazela kungekuphela nje intombazana, kodwa nendoda. Amaxesha amaninzi, abanye abantu bayathandabuza ukuthetha ngayo. Kodwa le yimeko yempilo, ayiyonto yokuba neentloni ngayo.

Ixhaphake kangakanani le meko? Kutheni ukukhulisa umntwana ngamanye amaxesha kunzima?

Malunga nezigidi ezili-186 zabantu kwihlabathi liphela banengxaki yokungazali. Kwaye kufunyenwe ukuba malunga nesiqingatha sale meko sibangelwa zizinto zamadoda . Ezinye izifundo zibonisa ukuba ukungazali kwamadoda kuchaphazela phakathi kwe-10% kunye ne-15% yamadoda azama ukukhulelwa.

Akulula ukukhulelwa umntwana. Abantu bangabantu abangafumani bantwana. Kwanesibini esisempilweni nesiselula esinesondo esingenaziphazamiso sinethuba elingama-20-25% lokukhulelwa inyanga nenyanga.

Khawucinge nje, zingaphi izinto ekufuneka zilungele umntwana ukuze akhule:

• Umzimba wendoda kufuneka uvelise isidoda esiphilileyo , kwaye umzimba webhinqa kufuneka uvelise iqanda eliphilileyo .
• Imibhobho ye-fallopian yomfazi kufuneka ivuleke kwaye ivuleke ukuze isidoda sikwazi ukufikelela kwiqanda.
• Xa isidoda sidibana neqanda, kufuneka sikwazi " ukulichumisa ".
• Iqanda elivundisiweyo, okanye i-embryo, elenziwa ngolu hlobo kufuneka lifakwe kakuhle esibelekweni.

Ukuze ukukhulelwa kufikelele kwixesha elipheleleyo (iiveki ezingama-39-40 kunye neentsuku ezi-6), umntwana ongekazalwa kufuneka abe sempilweni. Kwakhona, imeko-bume yamahomoni emzimbeni womfazi kufuneka yanele ukuba umntwana ongekazalwa akhule. Ukuba kukho naziphi na kwezi zinto ezichaphazelekayo, ukungabi nabantwana kunokwenzeka.

Uyazi njani ukuba kukho ingxaki ngesidoda? Iyintoni impembelelo yengqondo?

Uphawu oluphambili lokungazali kwamadoda kukungakwazi ukuba nguyise womntwana ngokwebhayoloji . Nangona kunjalo, oku kunokuba nemiphumo emininzi yengqondo neemvakalelo. Umzekelo:

• Uxinzelelo.
• Ukuziva ulahlekelwe yinto ethile `(Ilahleko)`.
• Intlungu.
• Ukuziva ungafaneleki.
• Ukuziva uhlulekile.

Ukuba wena okanye iqabane lakho niziva ngale mvakalelo, kuya kuba kuhle ukuthetha nomcebisi okanye ugqirha wengqondo oqeqeshiweyo.

Ngamanye amaxesha, ukungazali kwamadoda kunokunxulunyaniswa nokwehla kwemveliso ye-testosterone yehomoni ngamasende. Kwimeko enjalo, iimpawu ezinje ngokudinwa, ukungasebenzi kakuhle ngokwesondo, ukudakumba, ukutyeba, kunye nokuphelelwa ngumdla kuyo nayiphi na into zinokwenzeka. Ukuba kunjalo, kubalulekile ukubona ugqirha wezifo zomchamo okanye ingcali ye-endocrinologist yokuzala egxile ekungazali kwamadoda.

Zithini izizathu zokuba amadoda angakwazi ukufumana abantwana?

Kukho izinto ezininzi zebhayoloji nezendalo ezinokubangela ukungafumani bantwana kwamadoda. Ezinye zazo zezi:

• Iingxaki zesidoda: Ukuma okugqwethekileyo kwesidoda, ukuncipha kwenani lesidoda (i-Oligospermia), ukungabikho kwesidoda kwisidoda (i-Azoospermia).
• Iingxaki zemfuza: Umzekelo, i-Klinefelter syndrome kunye ne-myotonic dystrophy.
• Ezinye izifo: Isifo seswekile i-Mellitus, ezinye izifo ezihlasela isidoda, i-cystic fibrosis.
• Izifo: I-Epididymitis (usulelo lombhobho odibanisa amasende), i-orchitis (usulelo lwamasende), kunye nezifo ezidluliselwa ngesondo (ii-STI) ezifana ne-gonorrhea okanye i-HIV.
• Ukudumba kwemithambo emasendeni (iiVaricoceles) .
• Unyango lomhlaza: Unyango ngamachiza, unyango ngemitha, okanye ukususwa kwamasende ngotyando (Orchiectomy).
• Ukonzakala kwamasende .
• Iingxaki zehomoni ezichaphazela i-hypothalamus okanye i-pituitary glands .

Ngubani osengozini enkulu?

Nawuphi na umntu unokuba nobunzima bokungazali, kodwa unokuba sengozini enkulu ngenxa yezi zizathu zilandelayo:

• Ukuba i-body mass index yakho (BMI) ingaphezulu kwama-25 (ubunzima obugqithisileyo/otyebe kakhulu).
• Ukuba uneminyaka engama-40 ubudala nangaphezulu.
• Ukuba ukhe wachaphazeleka yimitha.
• Ukuba ukhe wachaphazeleka ziityhefu ezikwindalo ezifana nelothe, icalcium, izibulali-zinambuzane, okanye imercury.
• Ukuba usebenzisa icuba, intsangu, okanye utywala.
• Ukuba uthatha amayeza athile afana ne-flutamide, i-spironolactone, kunye ne-bicalutamide.
• Ukuchanabeka rhoqo kwizinto ezinyusa ubushushu bamasende, njengee-sauna okanye ii-hot tubs. Ukusebenzisa isitulo esinamavili kunokunyusa ubushushu bamasende.
• Ukuba kukho imbali yamasende angakhuliyo ekuzalweni.
• Ukuba imeko ye-`varicoceles` ekhankanyiweyo apha ngasentla ibikhe yakho ngaphambili.
• Ukuba uthatha i-testosterone njengonyango lwamanqanaba aphantsi e-testosterone.
• Ukuba uthatha ii-anabolic-androgenic steroids (AAS) okanye izongezo zehomoni ukwakha izihlunu.

Injani i-sperm enempilo?

Imbewu yendoda lulwelo olumhlophe ukuya kumbala ongwevu oluphuma kwilungu lobudoda ngexesha lokukhupha isidoda. Imbewu yendoda inembewu yendoda, ulwelo olunceda isidoda ukuba sibuyele kwilungu lobufazi, kunye neeproteni, iivithamini, kunye neeminerali ezondla isidoda.

Ngokwesiqhelo, isidoda sityebile kwaye sinamathela . Ukuba kukho isidoda esiphumayo okanye esinamanzi, oko kungabonisa ukuba inani lesidoda liphantsi. Oku kungaba yimbangela yokungazali kwamadoda.

Uyifumanisa njani into yokuba indoda ayinazo izakhono zokungazali? Zeziphi iimvavanyo ezenziwayo?

Ugqirha wakho wosapho (uGqirha weNkathalelo ePhambili - PCP) unokuxilonga ukungazali kwamadoda. Okanye angakuthumela kwingcali ye-urologist okanye kwi-endocrinologist yokuzala egxile ekungazali kwamadoda.

Ugqirha uza kwenza uvavanyo olupheleleyo lomzimba ukujonga naziphi na iingxaki zomzimba ezinokuthi zichaphazele impilo yakho iyonke kunye nokuzala. Baza kukubuza imibuzo wena kunye neqabane lakho malunga nemikhwa yenu yesondo kunye nembali yempilo. Umzekelo:

• Unexesha elingakanani uzama ukukhulelwa iqabane lakho?
• Ngaba wakha wakhulelwa iqabane lakho ngaphambili?
• Ngaba wakha waba nesifo esidluliselwa ngesondo (STI)? Ukuba kunjalo, sasiyintoni kwaye nini?
• Ngaba ukhe wafumana unyango ngenxa yalo?
• Ngaba ukhe wasebenzisa iindlela zokucwangcisa usapho (izinto zokuthintela ukukhulelwa)? Ukuba kunjalo, kuza kwenzeka ntoni kwaye nini?
• Ngaba kukho izalamane zakho zegazi ezinengxaki yokungakwazi ukufumana abantwana?
• Ngaba uyatshaya, usebenzisa utywala, okanye ezinye iziyobisi?
• Luhlobo luni lwamayeza asetyenziswayo?

Ukuba uvavanyo lomzimba kunye nembali yempilo azibonisi sizathu sicacileyo, ugqirha unokuyalela ukuba kwenziwe olunye uvavanyo.

Zeziphi iimvavanyo eziphambili ezenziwayo?

Uhlalutyo lwesidoda lolunye lovavanyo oluphambili olusetyenziselwa ukufumanisa ukungazali kwamadoda. Kule meko, isampuli yesidoda sakho ihlolwa kwilebhu ukujonga ubungakanani kunye nomgangatho wesidoda.

Khumbula, olu luvavanyo olubaluleke kakhulu. Lulo olunokuchonga iingxaki ezininzi ngesidoda.

Kukho nezinye iimvavanyo. Phakathi kwazo:

• Uvavanyo lomfanekiso:Oku kungabandakanya iimvavanyo ezingangenisi gazi ezifana ne-ultrasound okanye i-magnetic resonance imaging (MRI), okanye iimvavanyo ezingenelelayo ezifana ne-venogram.
• Uvavanyo lwegazi: Olu vavanyo lunokulinganisa amanqanaba eehomoni zakho kwaye lukhangele izinto ezingaqhelekanga kwiijini zakho okanye kwiikromosomu.
• Uhlalutyo lomchamo: Oku kunceda ekufumaneni izinto ezifana nezifo ezidluliselwa ngesondo (ii-STI) kunye nesifo seswekile.
• I-biopsy yamasende: Kolu vavanyo , ugqirha uthatha inani elincinci lezicwili ezivela kumasende ukuze abone ukuba amasende avelisa kakuhle kangakanani isidoda.

Ingaba ikhona indlela yokunyanga le meko? Yintoni?

Ewe, iindaba ezimnandi zezokuba kukho iindlela ezahlukeneyo zonyango ezikhoyo zokubuyisela okanye zokulawula ukungazali kwamadoda . Unobangela uya kugqiba unyango olulungele wena.

Utshintsho kwindlela yokuphila

Ukwenza utshintsho kwindlela yokuphila kunokunceda ukwandisa imveliso yesidoda esempilweni:

• Ugcina ubunzima bakho busempilweni .
• Yitya iziqhamo nemifuno emininzi.
• Ziqhelise rhoqo njengokuhamba, ukubaleka, ukukhwela ibhayisekile, ukudanisa, okanye ukuphakamisa iintsimbi.
• Ukulawula uxinzelelo.
• Yeka ukutshaya, ukusebenzisa utywala nezinye iziyobisi .
• Kuphephe ukusebenzisa izinto zokuthambisa zesondo ngexesha lokwabelana ngesondo.

Amayeza

Ukuba amanqanaba akho ehomoni aphezulu okanye aphantsi, kunokufuneka uthathe unyango lwehomoni ukuze uwalungise. Kunokufuneka uyeke ukusebenzisa amayeza athile okanye utshintshele kwamanye amayeza. Umzekelo:

• Ii-tricyclic antidepressants.
• Izithinteli zemijelo yecalcium.
• Ii-anti-androgens.

Utyando

Kwezinye iimeko, utyando lunokufuneka:

• Ukuguqulwa kweVasectomy: Ukuba ukhe wayenza i-vasectomy ngaphambili ukuze uthintele ukuba nabantwana, ungayiguqula le nto kwaye uphinde ukwazi ukukhulelwa.
• I-Vasoepididymostomy: Olu tyando lususa ukuvaleka kwi-epididymis, ityhubhu apho isidoda sivuthwa khona.
• Ukufunyanwa kwesidoda: Ugqirha uthatha i-biopsy aze afumane isidoda kumasende okanye kwi-epididymis.
• Utyando lwe-Varicocele: I-varicocele lihlwili legazi kwimithambo yamasende. Oku kunokuchaphazela kakubi umgangatho wesidoda. Olu tyando lususa imithambo. Kwezinye iimeko, lunokwandisa amathuba okukhulelwa.

Iteknoloji yoNcedo lokuZala (i-ART)

Ngale ndlela, iqanda lithathwa kwii-ovari zeqabane lakho lize lidityaniswe ne-sperm yakho elabhoratri.

• Inaliti yesidoda ye-Intracytoplasmic (ICSI): Kule nto, ugqirha ufaka isidoda esinye ngqo eqandeni.
• Ukuchumisa nge-in vitro (IVF): Kule nkqubo, ugqirha wakho ufaka iqabane lakho amayeza okuzala. Oku kubangela ukuba amaqanda amaninzi avuthwe kumaqanda akhe. Xa amaqanda elungile, ugqirha uqokelela amaqanda aze awaveze kwi-sperm kwilebhu. Emva kokuba i-sperm ichumise iqanda, iqanda elichumisiweyo (i-embryo) lifakwa esibelekweni.

Ngaba ukungazali kwamadoda kuya kuphucuka ngokwako ? Ngaba kunokuthintelwa?

Kwiimeko ezininzi, ukungazali kwamadoda kufuna unyango . Akubobulumko ukulinda ukuba kuphole ngokwako .

Kwakhona, ukwenza izinto ezithile kunokunciphisa umngcipheko wokungabi nabantwana kwamadoda:

• Kuphephe okanye uyeke ukutshaya, utywala, kunye neziyobisi ezithengiswa ngaphandle kwemvume kagqirha.
• Ukunciphisa ukuvezwa kwiikhemikhali eziyingozi.
• Ukugonyelwa iintsholongwane ezinokuchaphazela ukuzala kwakho.
• Kuphephe ukubeka amasende kwindawo yobushushu obugqithisileyo ixesha elide.
• Kuphephe ukutya okunamafutha amaninzi kwaye ugcine ubunzima obusempilweni obukufaneleyo.

Ukuba unesifo somhlaza, thetha nogqirha wakho malunga nokugcinwa kwesidoda ngaphambi kokuba uqale unyango.

Uphila njani nokungabi nabantwana? Uhlala njani unamandla engqondweni?

Ukungazali kwamadoda akulula. Abantu abaninzi abakhululeki ukuthetha ngako namaqabane abo okanye ugqirha. Yiba nobubele kuwe nakwiqabane lakho . Kunokuba luncedo ukubona ingcali yezonyango okanye ukujoyina iqela lenkxaso ukuze ujongane neemvakalelo zakho. Khumbula, awuwedwa.

Zithini iziphumo zokutya neziselo? Yintoni elungileyo?

Ngokwezinye izifundo, oku kutya neziselo kunokuchaphazela umgangatho wesidoda:

• Inyama ezicutshungulweyo.
• Iilekese.
• Isoya `(Isoya)`.
• Iimveliso zobisi (ngokwezinye izifundo).
• Iintlanzi ezifakwe ebhotileni.
• I-Soda pop kunye nezinye iziselo ezineswekile eninzi.
• Utywala.
• I-caffeine.

Ukutya okunesondlo ngolu hlobo kunokukunceda:

• Iziqhamo nemifuno emitsha.
• Iziqhamo ezomisiweyo.
• Iimbotyi.
• Intlanzi engenamafutha.
• Ubisi olunamafutha aphantsi.

Ndifanele ndimbone nini ugqirha? Zeziphi imibuzo endifanele ndizibuze zona?

Ukuba wena neqabane lakho nizamile unyaka wonke kodwa anikhulelwanga, bonani ugqirha.Kwakhona, ukuba uziva uxinezelekile, ulusizi, okanye ungoneliseki, ungathandabuzi ukubona ugqirha wengqondo.

Xa ubona ugqirha, ungambuza imibuzo efana nale:

• Yintoni ebangela ukungafumani bantwana kwamadoda?
• Ngaba iqabane lam nalo kufuneka livavanywe?
• Yeyiphi indlela engcono yonyango kum?
• Ingakanani izinga lempumelelo yonyango olucebisayo?
• Ngaba kukho naziphi na iziphumo ebezingalindelekanga kuloo nyango?
• Ngaba kukho ezinye iimpawu okanye iingxaki endifanele ndizazi?
• Ngowuphi uluhlu olupheleleyo lwamayeza anokubangela ukungafumani bantwana kwamadoda?
• Ngaba kufuneka ndidibane nogqirha wezifo zomchamo okanye ingcali yezifo zokuzala?
• Ungacebisa umntu onyanga okanye iqela lenkxaso?

Ndingazi njani ukuba isidoda sam sikwimeko entle?

Eyona ndlela ilungileyo yokwazi kakuhle impilo yesidoda sakho kukwenza uvavanyo lwesidoda kwikliniki yokuzala okanye elebhu .

Kukwakho novavanyo lwe-OTC lokuhlaziya isidoda ekhaya olufumanekayo. Nangona kunjalo, olu vavanyo aluchanekanga njengovavanyo lwelebhu, kwaye lusenokungasebenzi kakuhle. Khumbula, akukho zimpawu zangaphandle ezicacileyo zokuba isidoda sakho siphilile ngaphandle kovavanyo.

Okokugqibela, izinto ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Ukungazali kwamadoda ngumceli mngeni. Nangona kunjalo, oku akuthethi ukuba awusoze ukwazi ukuba nomntwana ozelweyo . Ngenxa yetekhnoloji yanamhlanje, izibini ezininzi ziyakwazi ukukhulelwa umntwana ozelweyo.

Ukuba iqabane lakho alikakhulelwa emva konyaka lizama, thetha nogqirha. Utshintsho kwindlela yokuphila lunokunceda ekuthinteleni ukungazali, kwaye utyando kunye nezinye iinkqubo zinokunyanga unobangela oyintloko. Ungaze ulahle ithemba!

Ukungazali kwamadoda , ukungazali, isidoda, ukungazali, impilo yokuzala, ukuba nabantwana, unyango lwezonyango