Kungenzeka ukuthi awukaze uzwe ngegama lezokwelapha elithi Azoospermia ngaphambili. Kodwa, uma uphupha ngokuba nomntwana, okungenye yamathemba ajabulisayo empilweni yakho, bese udokotela ekutshela ukuthi akukho sidoda esidodeni sakho... cabanga ukuthi kungaletha umthwalo nokushaqeka okungakanani enhliziyweni yakho. Kungase kuzwakale sengathi umhlaba wakho wonke uwile ngokuzumayo.
Kodwa ungakhathazeki, ungesabi. Lena akuyona inkinga engenakuqondwa noma ixazululwe. Ake sixoxe ngalesi simo (i-Azoospermia), izimbangela zaso, kanye nokwelashwa ngendlela elula ongayiqonda.
Kuyini i-Azoospermia?
Kalula nje,
i-Azoospermia isho ukuthi isidoda sakho, uketshezi oluphuma ngesikhathi socansi, alunawo inani elilinganiselwe lesidoda. Lokhu kuvame ukwenzeka ngoba amasende akho afana nefektri yesidoda. Isidoda esikhiqizwayo sihamba ngamapayipi ahlukahlukene ohlelweni lwakho lokuzala futhi sihlanganiswa nezinye izinto eziningana ukuze sakhe isidoda. Ngakho-ke, indoda ene-Azoospermia ingakhipha isidoda, kodwa kungenzeka ingabi naso isidoda. Abanye abantu bakubiza nangokuthi "akukho sibalo sesidoda." Lokhu kungaba yinto ezalwa nayo kwabanye abantu. Okusho ukuthi, bangase babe nalesi simo kusukela ekuzalweni kwabo. Kwabanye, lesi simo (i-Azoospermia) singakhula ebusheni babo noma kamuva lapho sebekhulile. Into ebalulekile ukuthi akubona bonke abanalesi simo abakwazi ukuba nabantwana.
Ezimweni eziningi, singaxazululwa ngokwelashwa okufanele kanye nezeluleko. Ngakho-ke ungalilahli ithemba.
Ingabe kunezinhlobo ezahlukene ze-Azoospermia?
Yebo, (i-Azoospermia) ingahlukaniswa ngezinhlobo ezintathu eziyinhloko. Njengoba nje amanzi ephuma empompini, kumele kube namanzi ethangini, ipayipi akumele livaleke, futhi ipompo kumele isebenze kahle. Ake sibone ukuthi yiziphi lezo zinhlobo.
1. I-azoospermia yangemva kwesende (ngenxa yokuvaleka ngemva kwesende)
Lolu
uhlobo oluvame kakhulu lwe-Azoospermia. Kulesi simo, amasende akho akhiqiza isidoda ngendlela efanele. Okusho ukuthi, akukho nkinga ngesikhungo sokukhiqiza isidoda.
Kodwa-ke, kukhona ukuvaleka noma ukulahleka kokuxhumana endaweni ethile lapho isidoda esikhiqizwayo siphuma khona nesidoda. Kufana nepayipi lamanzi eliphuka phakathi, noma kukhona into engcolile ebhajwe kulo futhi ivimbe amanzi ukuthi angagelezi. Odokotela babiza lokhu ngokuthi "i-obstructive azoospermia". Cishe abantu abangu-40% abane-Azoospermia bathinteka yilolu hlobo.
2. Ngenxa yezinkinga zamasende (i-azoospermia yamasende)
Kulolu hlobo, inkinga ayikho endleleni yesidoda.
Lapha, kukhona ubuthakathaka, umonakalo, noma isifo esakhiweni noma ekusebenzeni kwamasende akho okubangela ukuthi ukukhiqizwa kwesidoda kunciphe kakhulu noma kume ngokuphelele.Lokho kusho ukuthi kukhona iphutha elithile ekukhiqizweni kwesidoda ngokwaso. Lokhu kubizwa nangokuthi "i-nonoobstructive azoospermia". Kulokhu, akukho sithiyo endleleni yokuphuma kwesidoda.
3. Ngenxa yezinkinga ngaphambi kwamasende (i-Pretesticular azoospermia)
Lokhu kuhlukile kancane. Lapha, amasende akho kanye nemigudu yesidoda kungabonakala kujwayelekile futhi kunempilo.
Kodwa-ke, kunenkinga ngamahomoni atshela amasende ukuthi "akhiqize isidoda." Isibonelo, ifektri isesimweni esihle, indlela yokuthutha izimpahla ilungile, kodwa ifektri ayitholi isignali yokuqala ukusebenza. Lesi simo ngezinye izikhathi singavela ngemva kokwelashwa okunamandla njengokwelashwa ngamakhemikhali kwezifo ezifana nomdlavuza, noma ngenxa yokungalingani kwamahomoni. Lokhu kuphinde kuwele esigabeni "se-azoospermia engavimbeli." Sekukonke, izibalo zibonisa ukuthi lesi simo (i-Azoospermia) sithinta cishe u-1% wabantu besilisa.
Yiziphi izimpawu ezingabonisa i-Azoospermia?
Nakhu okumangaza abantu abaningi.
Ngokuvamile, umuntu one-Azoospermia akanazo izimpawu ezithile. Ungase ungaboni mehluko noma ukungakhululeki. Abantu abaningi bafunda ngalesi simo lapho bona nomlingani wabo bezama ukukhulelwa, futhi lapho leyo mizamo ingaphumeleli, bafuna usizo lwezokwelapha. Kodwa-ke, abanye abantu bangabonisa izimpawu ezihlobene nembangela eyinhloko ye-Azoospermia. Isibonelo:
- Uma kungenxa yokungalingani kwama-hormone , kungase kubangele izinto ezifana nokwehla kwesifiso sobulili .
- Uma amasende ethelelekile, kungase kube nokuvuvukala, iqhubu, noma ubuhlungu kuleyo ndawo.
Kodwa khumbula, i-Azoospermia ingaba khona noma ngabe lezi zimpawu azikho.
Kungani lokhu (i-Azoospermia) kwenzeka? Ziyini izimbangela?
Izimbangela ze-azoospermia zingahlukaniswa ngezigaba ezimbili eziyinhloko: izimbangela ezivimbelayo kanye nezimbangela ezingezona ezivimbelayo.
1. Ngenxa yokuvaleka kwentambo yesidoda (i-Post-testicular / Obstructive Azoospermia)
Okwenzekayo kulesi simo ukuthi noma isidoda sakheke kahle, kukhona ukuvaleka endaweni ethile lapho siphuma khona. Lokhu kuvimbeka kuvame ukwenzeka ezindaweni ezilandelayo:
- I-Epididymis : Lena ipayipi elincane, eligoqekile elixhunywe emasendeni, lapho ukuvuthwa kwesidoda kwenzeka khona.
- I-Vas deferens: Ipayipi eliyinhloko elithwala isidoda.
- Umsele wokukhipha isidoda: Ipayipi eliseduze nalapho isidoda, kanye nezinye izinto eziwuketshezi oluphuma esithweni sowesilisa, ziphuma khona epenis.
Kunezizathu eziningana zokuthi kungani kwenzeka ukuvinjelwa okunjalo:
- Ukulimala noma ukulimala kwamasende.
- Ukutheleleka: Isibonelo, ukutheleleka esikhumbeni sama-scrotum (i-epididymitis).
- Ukuvuvukala .
- Ukuphuma komchamo emuva: Lokhu kwenzeka lapho isidoda sibuyela esinyini esikhundleni sokuphuma epenis, kodwa kubangela izinkinga ezihlukile kune-Azoospermia. Kodwa-ke, kwezinye izimo, kungaba nezinkinga.
- Ukuhlinzwa okwenziwa esiswini noma endaweni ye-pelvic. Okunye ukuhlinzwa kungalimaza ngengozi intambo yesidoda.
- Ama-cyst noma ukukhula.
- I-Vasectomy: Lena inqubo yokuhlela umndeni lapho i-vas deferens inqunywa futhi iboshwe khona. Ngemva kwalokhu, isidoda ngeke sikhishwe ngokwemvelo.
- Ukuguquka kwezakhi zofuzo kwe-cystic fibrosis: Lesi yisimo sezakhi zofuzo. Lokhu ngezinye izikhathi kungabangela ukuthi ama-vas deferens angabi khona kusukela ekuzalweni, noma uketshezi olujiyile lunganqwabelana ngaphakathi kwama-vas deferens, okuvimba ukudlula kwesidoda.
2. Ngenxa yezimbangela ezingavimbeli (i-Pretesticle kanye ne-Testicular / Non-obstructive Azoospermia)
Kulolu hlobo, akukho ukuvaleka komsele wesidoda. Inkinga isenqubweni yokukhiqizwa kwesidoda noma ohlelweni lwama-hormone olusizayo. Kunezizathu eziningana zalokhu:
- Izimo ezithile zofuzo: Isibonelo, i-Kallmann syndrome, i-Klinefelter's syndrome, noma ukususwa kwe-chromosome Y. Lokhu kungathinta ukuthuthukiswa kwama-testicles kanye nokukhiqizwa kwesidoda.
- Ukungalingani kwama-hormone kanye nezinkinga ze-endocrine: Isibonelo, amazinga aphansi e-testosterone , i-hyperprolactinemia (amazinga e-prolactin akhuphukile), kanye nezinkinga ezihlobene ne-androgen.
- I-Varicocele: Ukuvuvukala kwemithambo ezungeze amasende. Lokhu kungakhuphula izinga lokushisa lamasende futhi kuthinte ukukhiqizwa kwesidoda.
- Ukusabela emithini ethile: Eminye imithi (isib., eminye imithi yokulwa nomdlavuza, eminye imithi elwa ne-antifungal, eminye imithi yomfutho wegazi ophakeme) ingathinta kabi ukukhiqizwa kwesidoda.
- Ukwelashwa ngemisebe, ukwelashwa ngamakhemikhali, noma ukuchayeka ezinsimbi ezisindayo kanye nobuthi.
- Ukungabikho kwamasende (ekuzalweni) noma amasende angakhuphuki.
- I-Orchitis: Ngokuvamile ivela njengenkinga yezifo ezibangelwa amagciwane njenge-mumps.
- Ezinye izindlela zokuphila ongakhetha kuzo: ukusebenzisa kabi izidakamizwa noma utshwala, ukuchitha isikhathi esiningi kuma-sauna noma kuma-hot tub, kanye nokubeka amasende emazingeni okushisa aphezulu.
Odokotela bakuthola kanjani i-Azoospermia?
Uma wena nomlingani wakho nizama ukukhulelwa isikhathi eside (ngokuvamile cishe unyaka) ngaphandle kokuvimbela inzalo futhi ningaphumelelanga, isinyathelo sokuqala ukubona udokotela. Uma kukhona okusolakala ukuthi une-Azoospermia, udokotela uzolandela lezi zinyathelo: Okokuqala, kwenziwa
ukuhlaziywa kwesidoda . Kulokhu, isampula yesidoda sakho ihlolwa ngaphansi kwe-microscope ukuze kubonakale ukuthi kukhona isidoda, ukuthi singaki, sihamba kanjani, nokuthi sinjani isimo saso. Ukuze uqiniseke ukuthi une-Azoospermia,
akufanele kutholakale isidoda okungenani ezivivinyweni ezimbili zesidoda okungenani. Ngemuva kwalokho, udokotela uzokubuza imibuzo eminingi ukuthola ukuthi kungani une-Azoospermia. Lokhu kubizwa ngokuthi ukuthatha
umlando ophelele wezokwelapha . Ngaleso sikhathi, ungase ubuzwe izinto ezinjengalezi:
- Kungakhathaliseki ukuthi uke waba nezingane noma cha.
- Ingabe uke waba nezingozi, ukulimala, noma ukuhlinzwa endaweni yakho ye-pelvic?
- Uke waba nanoma yiziphi izifo zomgudu womchamo (UTIs) noma izifo ezithathelwana ngocansi (STIs) ngaphambili?
- Yimiphi imithi oyisebenzisayo njengamanje futhi oke wayisebenzisa esikhathini esidlule?
- Uyabusebenzisa utshwala, insangu (i-cannabis), noma ezinye izidakamizwa?
- Ingabe wenza imisebenzi eveza amasende akho ekushiseni okukhulu? (isib. i-sauna, ukusebenza endaweni eshisayo)
- Ingabe ukhona emndenini wakho onezinkinga zokuzalwa, izifo ezifana ne-cystic fibrosis, noma ukungazali?
Ngesikhathi esifanayo, udokotela uzokwenza
ukuhlolwa okuphelele ngokomzimba , ikakhulukazi ehlola amasende akho nendawo ewazungezile. Ngezinye izikhathi ukuhlolwa kwe-rectal nakho kungenziwa.
Yiziphi ezinye izivivinyo ezenziwayo?
Ukuze kutholakale imbangela eyengeziwe, udokotela angase futhi acele ukuhlolwa okwengeziwe okufana nalokhu:
- Ukuhlolwa kwegazi: Lokhu kuhlola amazinga ama-hormone njenge-testosterone kanye ne-follicle-stimulating hormone (FSH). La ma-hormone abaluleke kakhulu ekukhiqizweni kwesidoda.
- Ukuhlolwa kofuzo:Lezi zivivinyo zenziwa ukuhlola izimo ezithile zofuzo ezingabangela i-Azoospermia.
- Ama-X-ray noma ama-ultrasound scan ama-testicles: Lokhu kusiza ukuthola izinto ezifana nokwakheka kwama-testicles kanye nokuvinjelwa kwamapayipi athwala isidoda.
- Ukuskena kobuchopho nge-MRI (Magnetic Resonance Imaging): Ama-hormone alawulwa izingxenye zobuchopho njenge-hypothalamus noma i-pituitary gland. Ngakho-ke, lokhu kuhlolwa kungenziwa uma kukhona okusolakala ukuthi i-Azoospermia ibangelwa inkinga yama-hormone.
Yiziphi izindlela zokwelapha i-Azoospermia?
Ukwelashwa kwe-Azoospermia kuncike
embangela eyinhloko. Yingakho kubaluleke kakhulu ukuthola imbangela eqondile kuqala. Ukuhlolwa kofuzo kanye nokwelulekwa okuhlobene nakho kuyingxenye ebalulekile yokuqonda nokwelapha isimo se-Azoospermia. Ezinye zezinketho zokwelapha eziyinhloko yilezi:
- Ukuhlinzwa: Uma imbangela ye-Azoospermia iwukuvinjelwa komsele wesidoda, ukuhlinzwa kungenziwa ukuze kususwe ukuvinjelwa noma kuxhunywe kabusha amapayipi alimele/alahlekile. Uma lokhu kuphumelele, isidoda sizoqala ukuphuma futhi.
- Ukwelashwa ngama-hormone: Uma imbangela ye-azoospermia kuwukuthi amazinga aphansi ama-hormone, imithi yama-hormone enqunywe udokotela ingakhuthaza ukukhiqizwa kwesidoda.
- Ukutholwa kwesidoda ngqo emasendeni: Kwezinye izimo (ikakhulukazi ku-azoospermia engavimbeli), isidoda singase singabi khona emasendeni, kodwa isidoda esithile singase sikhiqizwe emasendeni. Ezimweni ezinjalo, isidoda singathathwa ngqo emasendeni kusetshenziswa inalithi encane kakhulu (i-testicular sperm aspiration - TESA) noma inqubo encane yokuhlinzwa (ukukhishwa kwesidoda emasendeni - TESE).
Isidoda esitholakala ngale ndlela singasetshenziswa ukusiza ukukhulelwa kwengane kusetshenziswa ubuchwepheshe bokusiza ekuzaleni (ART) . Izindlela ezivame ukusetshenziswa kakhulu ukuvundiswa kwe-in vitro (IVF) kanye nokujovwa kwesidoda nge-intracytoplasmic (ICSI) . I-ICSI ihilela ukufaka isidoda esisodwa ngqo eqandeni.
Uma imbangela ye-azoospermia yakho iwufuzo, udokotela wakho angakuthumela
ukuze uthole ukwelulekwa ngofuzo, njengoba kungadluliselwa ezinganeni zakho.
Ingabe isidoda singabuya ngemva kwe-Azoospermia?
Yebo, ungakwazi! Kodwa
kuya ngohlobo lwe-Azoospermia onalo kanye nembangela.Isibonelo, uma isidoda singekho ngenxa yokuvaleka kwama-seminal vesicles, kungenzeka ukuthi isidoda sizophinde sivele esidoda sakho ngemva kokususwa kokuvaleka ngokuhlinzwa.
Ingabe i-Azoospermia ingalapheka ngokuphelele?
Lokhu kufana nombuzo odlule.
Ezinye izimbangela ze-Azoospermia zingelapheka ngokuphelele noma ziguqulwe. Kodwa-ke, ezinye izimbangela (ikakhulukazi izimo ezithile zofuzo noma umonakalo omkhulu kuma-testicle) zingase zingelapheki. Kodwa-ke, ngisho nalapho, njengoba kushiwo ngaphambili, ungazama ukuba nomntwana ngokuqoqa isidoda ema-testicle.
Ingabe zikhona izindlela zokuvimbela i-Azoospermia?
Asikwazi ukuvimbela ezinye izimo zofuzo ezibangela i-Azoospermia. Ziyizinto ezihambisana nathi. Kodwa-ke, uma i-Azoospermia yakho ingabangelwa inkinga yofuzo, ukwenza lezi zinto kungasiza ekunciphiseni ingozi ngezinga elithile:
- Gwema imisebenzi engalimaza izitho zakho zokuzala. Noma, gqoka isivikelo sesisu/inkomishi uma udlala imidlalo (isb. ikhilikithi, i-baseball).
- Gwema ukuchayeka emisebeni noma nini lapho kungenzeka.
- Qaphela imithi engalimaza ukukhiqizwa kwesidoda. Uma udokotela ekubhalela imithi, khuluma ngezinzuzo nezingozi ezingaba khona.
- Gwema ukubeka amasende akho ekushiseni okweqile isikhathi eside (isib., ama-sauna avamile, izindawo zokugeza ezishisayo, kanye nezingubo zangaphansi eziqinile).
Iyini imbono yalabo abane-Azoospermia? (Imbono)
Isibikezelo sazo zonke izimbangela ze-azoospermia asifani, futhi siyahlukahluka.
Into engcono kakhulu ukuthi izimbangela eziningi ze-azoospermia zingelashwa futhi lesi simo singaguqulwa. Wena nethimba lakho lezokwelapha nizosebenzisana ukuthola imbangela ye-azoospermia yakho kanye nokwelashwa okungcono kakhulu kwayo. I-Azoospermia ivame ukwelashwa, kungakhathaliseki ukuthi ibangelwa izinkinga zamahomoni noma ukuvaleka kwentambo yesidoda. Kukhona futhi ithuba elihle lokuthi ukuzala kuzobuya. Ngisho noma imbangela iyisimo samasende, njengoba kushiwo ngaphambili, izindlela zokufakelwa okwenziwe njenge-IVF zingasetshenziswa ukuthola isidoda esiphilayo emasendeni.
Ngakho-ke, kubaluleke kakhulu ukuhlala unethemba. Uma umyeni wami ene-Azoospermia, asikwazi yini ukuba nomntwana ngokwemvelo?
Lona umbuzo obuzwa ngabafazi abaningi. Yebo, ngezinye izikhathi ungase ukwazi ukukhulelwa umntwana ngokwemvelo.
Kuncike ngokuphelele kuhlobo luni lwe-Azoospermia umlingani wakho analo nokuthi lungelashwa yini. Udokotela wakho ungumuntu ongcono kakhulu wokukweluleka ngalokhu. Khuluma naye ngokukhululekile mayelana nezinketho zokwelapha kanye nokuhlela umndeni.
Ingabe i-IVF iyindlela kuphela yokuthi umuntu one-Azoospermia abe nengane?
Cha, akunjalo.
Kuncike futhi embangweni we-Azoospermia. Uma imbangela iyinkinga yamasende futhi kudingeka ukuhlinzwa ukuze kutholakale isidoda, khona-ke i-IVF noma i-ICSI ivame ukuba yizinketho. Kodwa-ke, uma i-Azoospermia ingelashwa futhi yelapheke (isb., ukususa ukuvaleka, ukwelashwa ngama-hormone), khona-ke umbhangqwana ungazama ukuba nomntwana ngokwemvelo ngaphandle kokusebenzisa i-IVF.
Ngingazinakekela kanjani uma ngithola ukuthi ngine-Azoospermia?
Ukuthola kudokotela ukuthi une-Azoospermia kungaba yinto enzima kakhulu ngokomzwelo nangokomzimba. Kuyindaba ebucayi kakhulu.
"Kukhona okungahambi kahle ngesidoda sami... Angisoze ngakwazi yini ukuba ubaba?" Kuvamile ukuba nemicabango efana nale. Kungabangela imizwa eyahlukahlukene, okuhlanganisa ukudabuka, intukuthelo, ukuphelelwa yithemba kanye nomuzwa wecala.
Into ebaluleke kakhulu ukuqonda ukuthi awuwedwa ngalesi sikhathi.- Themba ulwazi neseluleko sikadokotela wakho. Landela lokho akushoyo ngqo.
- Hlalani ndawonye nomlingani wakho kulolu hambo. Xoxani ngalokhu ndawonye, nisekelane.
- Khuluma nomlingani wakho, umndeni, noma umngane omethembayo ngemicabango nemizwa yakho. Ungagcini imfihlo ngaphakathi.
- Kuvamile ukuzizwa udangele uma ubhekene nobunzima obufana nabu. Kodwa ungalilahli ithemba ngokuphelele. Abantu abaningi abane-azoospermia bagcine sebengabazali bezingane zabo. Khumbula lokho.
- Uma kudingeka, ungangabazi ukufuna usizo kumeluleki.
Kufanele ngimbone nini udokotela?
Uma wena nomlingani wakho
niye ocansini olungavikelekile njalo izinyanga ezingu-12 (unyaka) futhi ningakakhulelwa, bona udokotela ngokushesha. Noma, uma unemibuzo noma ukukhathazeka mayelana nokuzala kwakho, bona udokotela ukuze nixoxe ngakho. Lokhu kuvame ukuba uphawu lokuqala lokuthi kunenkinga ngokukhiqizwa kwesidoda. Udokotela wakho angase aqale akuncomele ukuhlolwa kwesidoda ukuze ahlole inani lesidoda sakho.
Yimiphi imibuzo okufanele ngiyibuze udokotela wami?
Kuvamile ukuba nemibuzo eminingi uma uthola ukuthi asikho isidoda esidodeni sakho. Ungesabi noma ungabaze ukubuza udokotela wakho imibuzo efana nale:
- Yiziphi izimbangela zokulahlekelwa yisidoda? Yini engabangela lesi simo kimi?
- Yiziphi izivivinyo okufanele ngizenze ukuze ngithole imbangela eqondile?
- Ngizokwazi yini ukwamukela ingane yami?
- Yiluphi uhlobo lokwelashwa ongincomayo? Luphumelela kangakanani?
- Kuzothatha isikhathi esingakanani lokhu kwelashwa? Yimiphi imiphumela emibi engaba khona?
- Kungenzeka yini ukuthi izingane zami zizuze lesi simo njengefa?
Ukubuza imibuzo efana nale kuzokusiza ukuthi uqonde kahle isimo, uqaphele izinyathelo ezilandelayo, futhi uzilungiselele ngokwengqondo.
## Okokugcina, izinto ezibaluleke kakhulu okudingeka uzikhumbule (Umyalezo Wokuya Ekhaya)
Ngiyaqonda ukuthi kungaba buhlungu kangakanani ukuthola ukuthi kukhona okuvimba amaphupho akho okuqala umndeni nokuba nomntwana. Uma uzwa ukuthi asikho isidoda esidodeni sakho, ungase uzizwe imizwa eminingi. Kodwa zama ukubekezela ngenkathi udokotela wakho ethola imbangela.
Ukubalwa kwesidoda okungu-zero akusho ukuthi awusoze wakwazi ukuba nomntwana.
Udokotela wakho angakusiza ukufeza iphupho lakho ngokusebenzisa izindlela ezifana ne-IVF, njengokuthola isidoda emasendeni. Khuluma ngokukhululekile nodokotela wakho ngakho konke ukungabaza kwakho, imibuzo, kanye nezinketho zokwelapha ezingaba khona.
Kwangathi ungathola amandla okunqoba le nselele ngolwazi olufanele, ukwelashwa okufanele, kanye nethemba elingantengantengi!
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