Ingabe ubhekene nezinkinga zesidoda? Ake sixoxe ngakho konke nge-Azoospermia noNirogi Lanka!

Kungenzeka ukuthi awukaze uzwe igama lezokwelapha elithi "Azoospermia" ngaphambili. Kodwa uma uphupha ngenjabulo yokuba nomntwana, ukuzwa udokotela ethi asikho isidoda esidodeni sakho kungaba yinto ekhathazayo kakhulu futhi eqeda amandla. Kungase kuzwakale sengathi umhlaba wakho wonke uwile. Kodwa-ke, sicela ungesabi futhi ungesabi. Lena akuyona inkinga engenakwenzeka noma engaxazululeki. Kwa- Nirogi Lanka , ake sixoxe ngokuthi iyini i-Azoospermia, izimbangela zayo, nokuthi ingaphathwa kanjani, ngamazwi alula ongawaqonda.

Kuyini i-Azoospermia?

Kalula nje, i-Azoospermia isho ukuthi isidoda sakho—uketshezi olukhishwa ngesikhathi socansi—alunawo inani elilinganiselwe lesidoda. Ngokuvamile, amasende akho asebenza njengefektri, ekhiqiza isidoda. Lezi zidoda zihamba ngamapayipi ahlukahlukene ohlelweni lwakho lokuzala, zixubane nezinye izinto eziwuketshezi, bese zakha isidoda. Ngakho-ke, umuntu one-Azoospermia usengakwazi ukukhipha isidoda, kodwa uketshezi alunaso isidoda. Abanye babhekisela kulokhu ngokuthi “inani lezidoda eliyi-zero.”

Kwabanye, lesi yisimo sokuzalwa, okusho ukuthi bazalwa naso. Kwabanye, singakhula ngesikhathi sobusha noma kamuva ekuphileni. Okubaluleke kakhulu, ukuba nalesi simo akusho ukuthi awusoze waba nabantwana. Ezimweni eziningi, ngokunakekelwa kwezokwelapha okufanele kanye nesiqondiso sochwepheshe, izixazululo ziyatholakala. Sicela ungalilahli ithemba.

Ingabe kunezinhlobo ezahlukene ze-Azoospermia?

Yebo, i-Azoospermia ngokuvamile ihlukaniswa ngezinhlobo ezintathu. Cabanga ngayo njengepayipi lengadi: ukuze uthole amanzi, udinga indawo yokugcina amanzi, ipayipi elicacile elingenazo izithiyo, kanye nempompi esebenzayo. Ake sibheke lezi zinhlobo:

1. I-azoospermia yangemva kwesende (Evimbelayo)

Lolu uhlobo oluvame kakhulu lwe-Azoospermia. Kulesi simo, amasende akho akhiqiza isidoda kahle kakhulu; "ifektri yesidoda" isebenza kahle. Kodwa-ke, kukhona ukuvaleka noma inkinga yokuxhumana endaweni ethile endleleni isidoda esihamba ngayo ukuze siphume nesidoda. Kufana nepayipi lamanzi eliphukile noma elivalekile phakathi, okuvimbela amanzi ukuthi ageleze. Odokotela bakubiza lokhu ngokuthi yi-azoospermia evimbayo . Cishe ama-40% amadoda ane-Azoospermia awela kulesi sigaba.

2. I-azoospermia yamasende

Kulolu hlobo, inkinga ayikho endleleni. Lapha, isici, ukulimala, noma isifo esakhiweni noma ekusebenzeni kwamasende akho kunciphisa kakhulu ukukhiqizwa kwesidoda noma kumise ngokuphelele. Empeleni, kukhona iphutha "embonini yesidoda" uqobo. Lokhu kubizwa ngokuthi i-nonoblockive azoospermia . Kulokhu, azikho izithiyo endleleni yokuphuma.

3. I-azoospermia yangaphambi kokubeletha

Lokhu kuhlukile kancane. Amasende akho kanye nezindlela kungase kubonakale kunempilo. Kodwa-ke, kunenkinga ngaphakathi kwesimiso samahomoni esinikeza izimpawu noma ukukhuthazwa kwamasende akho ukuze "akhiqize isidoda." Kunjengokungathi ifektri isesimweni esihle futhi imizila yokuthumela icacile, kodwa isignali yokuqala umsebenzi ayifinyeleli efektri. Lokhu kungenzeka ngemuva kokwelashwa okunamandla njengokwelashwa ngamakhemikhali noma ngenxa yokungalingani kwamahomoni. Lokhu kuphinde kuwele ngaphansi kwesigaba se -azoospermia esingavimbeli .

Ngokwezibalo, i-Azoospermia ithinta cishe u-1% wabantu besilisa.

Ziyini izimpawu ze-Azoospermia?

Yilokhu okumangaza abantu abaningi: Ngokuvamile, umuntu one-Azoospermia akabonisi zimpawu zangaphandle. Ungase uzizwe uphilile ngokuphelele ngaphandle kokungakhululeki nhlobo. Amadoda amaningi athola lesi simo kuphela lapho wona nomlingani wawo behluleka ukukhulelwa futhi behlolwa ngokwezokwelapha.

Kodwa-ke, abanye bangase babonise izimpawu ezihlobene nembangela eyinhloko, njenge:

• Uma kubangelwa ukungalingani kwama-hormone , ungase ube nomuzwa wokwehla kwesifiso sobulili .
• Uma kubangelwa ukutheleleka kwamasende , ungase uqaphele ukuvuvukala, iqhubu, noma ubuhlungu kuleyo ndawo.

Khumbula, usengaba ne-Azoospermia ngisho noma ungenazo lezi zimpawu.

Yini ebangela i-Azoospermia?

Izimbangela ze-Azoospermia zihlukaniswe kakhulu ngamaqembu amabili: lezo ezibangelwa ukuvinjelwa endleleni (okuvimbezelayo) kanye nalezo ezingavimbeli (okungavimbeli).

1. I-Obstructive Azoospermia (Emva kwamasende)

Lapha, isidoda siyakhiqizwa, kodwa siyavalwa lapho siphuma. Izindawo ezivame ukuvaleka zifaka:

• I-Epididymis : Ipayipi elincane eligoqekile elinamathele esinqeni lapho isidoda sivuthwa khona.
• I-Vas deferens: Ipayipi eliyinhloko elithwala isidoda phambili.
• Amapayipi okukhipha isidoda: Amapayipi aseduze nalapho isidoda sihlangana khona nolunye uketshezi ukuze aphume ngepenisi.

Izimbangela ezivamile zokuvinjelwa okunjalo zifaka:

• Ukulimala noma ukulimala kwamasende.
• Izifo: Njenge -epididymitis , ukutheleleka kwe-epididymis.
• Ukuvuvukala .
• Ukubuyela emuva kokuchama: Lapho isidoda singena khona esinyeni esikhundleni sokuphuma ngepenisi.
• Ukuhlinzwa: Izinqubo ezisetshenziswa esiswini noma endaweni ye-pelvic ngezinye izikhathi zingalimaza ngengozi imigudu yokuzala.
• Ama-cyst noma ukukhula.
• I-Vasectomy: Inqubo yokuhlinzwa yokubulala inzalo lapho ama-vas deferens esikwa noma avalwa khona.
• Ukuguquka kwezakhi zofuzo kwe-cystic fibrosis: Isimo sofuzo esingaholela ekungatholakalini kwe-vas deferens noma ukuvaleka ngenxa yokukhishwa okujiyile.

2. I-Azoospermia Engavimbeli (I-Pretesticular kanye ne-Testicular)

Kulolu hlobo, akukho ukuvinjelwa ezindleleni. Inkinga isenqubweni yokukhiqizwa kwesidoda noma ohlelweni lwama-hormone olusisekelayo. Izimbangela zifaka:

• Izimo zofuzo: Izimo ezifana ne-Kallmann syndrome, i-Klinefelter's syndrome, noma ukususwa kwe-chromosome Y kungathinta ngqo ukukhula kwamasende kanye nokukhiqizwa kwesidoda.
• Izinkinga ze-Endocrine: Ukungalingani kwama-hormone—njenge -Testosterone ephansi, i-Hyperprolactinemia (i-prolactin ephezulu), noma ezinye izinkinga ezihlobene ne-androgen—kungaphazamisa ukusebenza kahle kwesidoda.
• I-Varicocele: Ukwanda kwemithambo ngaphakathi kwe-scrotum. Lesi simo sandisa izinga lokushisa ngaphakathi kwama-testes, okungathinta kabi ukukhiqizwa kwesidoda.
• Imiphumela emibi yemithi: Imithi ethile, okuhlanganisa imithi ethile ye-chemotherapy, imithi elwa namagciwane, noma imithi yomfutho wegazi, ingaphazamisa ikhono lakho lokukhiqiza isidoda.
• Ukuchayeka endaweni kanye nakwezokwelapha: Ukwelashwa ngemisebe, i-chemotherapy, noma ukuchayeka ezinsimbi ezisindayo kanye nezinye izinto ezinobuthi kungalimaza amangqamuzana akhiqiza isidoda.
• Izinkinga zesakhiwo: Ukuzalwa ungenawo amasende noma ukuba namasende angakhuli kungavimbela ukukhula kwesidoda okuvamile.
• I-Orchitis (Ukuvuvukala Kwamasende): Ngokuvamile kwenzeka njengenkinga yezifo ezibangelwa amagciwane njenge-mumps, lokhu kungaholela ekulimaleni okungapheli uma kungalawulwa.
• Izindlela zokuphila: Ukusebenzisa kabi izidakamizwa noma ukuchayeka kakhulu ekushiseni okuphezulu (njengokusebenzisa njalo ama-sauna noma ama-hot tub) kungaphazamisa ukusebenza kahle kwamasende.

Odokotela bakuthola kanjani i-Azoospermia?

Uma wena nomlingani wakho nizama ukukhulelwa cishe unyaka wonke kodwa ningaphumeleli, isinyathelo sokuqala kufanele kube ukubonana nochwepheshe. Uma udokotela wakho esola ukuthi i-Azoospermia ingenzeka, uzolandela lezi zinyathelo zokuxilonga:

Ithuluzi eliyinhloko lokuxilonga ukuhlaziywa kwesidoda . Isampula yesidoda sakho ihlolwa ngaphansi kwe-microscope ukuhlola ubukhona, inani, ukunyakaza (ukunyakaza), kanye nesimo sesidoda sakho. Ukuqinisekisa ukuxilongwa kwe-Azoospermia, okungenani ukuhlaziywa kwesidoda okubili okuhlukene kumele kubonise ukungabikho kwesidoda ngokuphelele.

Ukuze athole imbangela eyinhloko, udokotela wakho uzokwenza ukubuyekezwa okuphelele komlando wezokwelapha , ebuza imibuzo efana nalokhu:

• Ukuthi uke waba nabantwana yini ngaphambilini.
• Uma uke waba nokulimala, ukulimala, noma ukuhlinzwa endaweni yesinqe.
• Noma yimuphi umlando wezifo zomgudu womchamo (UTIs) noma izifo ezithathelwana ngocansi (STIs).
• Imithi yamanje noma yesikhathi esidlule oyisebenzisile.
• Ukusetshenziswa kotshwala, insangu, noma ezinye izinto.
• Ukuchayeka ekushiseni okuphezulu (isib. ama-sauna noma izindawo ezishisayo, ezidinga abasebenzi abaningi).
• Umlando womndeni wokukhubazeka kokuzalwa, izimo ezifana ne-cystic fibrosis, noma ukungazali okwaziwayo.

Udokotela wakho uzokwenza nokuhlolwa ngokomzimba , ikakhulukazi ukuhlola amasende akho nezindawo ezizungezile. Kwezinye izimo, ukuhlolwa kwe-rectal yedijithali kungenziwa.

Ukuhlolwa okwengeziwe kokuxilonga:

Ukuze athole imbangela, udokotela wakho angase acele ukuhlolwa okwengeziwe:

• Ukuhlolwa kwegazi: Lokhu kuhlola amazinga akho ama-hormone, ikakhulukazi i-Testosterone kanye ne-Follicle-stimulating hormone (FSH), ezibalulekile ekukhiqizweni kwesidoda.
• Ukuhlolwa kofuzo: Ukuthola ukuthi ngabe isimo sofuzo sibangela i-Azoospermia.
• Ukuhlolwa kwezithombe: Ama-X-ray noma ama-ultrasound scan asiza ukubona ngeso lengqondo isakhiwo sama-testes nokubona ukuvinjelwa okungenzeka endleleni yokuzala.
• I-Brain MRI: Uma kusolwa ukungalingani kwama-hormone, i-MRI ingasetshenziswa ukuhlola i-hypothalamus noma i-pituitary gland, elawula ama-hormone okuzala.

Yiziphi izindlela zokwelapha i-Azoospermia?

Ukwelashwa kwe-Azoospermia kuncike ngokuphelele embangela eyinhloko . Ukuthola impande yenkinga kubalulekile. Ukwelulekwa ngofuzo nakho kuyingxenye ebalulekile yokuqonda nokuphatha isimo sakho esithile.

Izindlela zokwelapha eziyinhloko zifaka:

• Ukuhlinzwa: Uma i-Azoospermia ibangelwa ukuvaleka komzimba, ukuhlinzwa kungalungisa imigudu noma kususe ukuvaleka, okuvumela isidoda ukuthi siphinde sigeleze ngendlela evamile.
• Ukwelashwa ngama-hormone: Uma kutholakala ukuthi kukhona ukuntuleka kwama-hormone, imithi ethile inganikezwa ukukhuthaza ukukhiqizwa kwesidoda.
• Ukutholwa kwesidoda: Ezimweni ze-Azoospermia engavimbeli, lapho isidoda sikhiqizwa khona ngamanani amancane kakhulu ngaphakathi kwama-testes, ochwepheshe bangasebenzisa amasu afana nokufiswa kwesidoda sama-testicular (TESA) noma ukukhishwa kwesidoda sama-testicular (TESE) ukuthola isidoda ngqo.

Isidoda esitholiwe singasetshenziswa nge- Assisted Reproductive Technology (ART) . Izindlela ezivame kakhulu yi -In Vitro Fertilization (IVF) kanye ne-Intracytoplasmic Sperm Injection (ICSI) , lapho isidoda esisodwa sifakwa khona ngqo eqandeni.

Uma i-Azoospermia yakho iwufuzo, udokotela wakho cishe uzokudlulisela ukuze uthole ukwelulekwa ngofuzo , njengoba kunengozi yokudlulisela lesi simo kubantwana abazalwa naso.

Ngingakwazi yini ukukhiqiza isidoda futhi ngemva kokuxilongwa kwe-Azoospermia?

Yebo, kungenzeka! Lokhu kuncike ngokuphelele ohlotsheni lwe-Azoospermia kanye nembangela yayo.Isibonelo, uma isimo sibangelwa ukuvaleka, ukulungiswa kokuhlinzwa ngokuvamile kungabuyisela ubukhona besidoda e-ejaculate.

Ingabe i-Azoospermia iyalapheka?

Njengombuzo odlule, ezinye izimbangela ze-Azoospermia zingashintsha ngokuphelele noma zelapheka. Nakuba ezinye izimo ezihlala njalo (njengezici zofuzo ezinzima noma umonakalo omkhulu ezicutshini zamasende) zingase zingelapheki, amadoda amaningi asengafinyelela ububaba ngokusebenzisa amasu okubuyisa isidoda kanye ne-ART.

Ingabe i-Azoospermia ingavinjelwa?

Nakuba ezinye izimbangela zofuzo zingenakuvinjelwa, uma i-Azoospermia yakho ingeyona ifa, unganciphisa ingozi yakho ngokuthatha izinyathelo zokuphepha ezilandelayo:

• Gwema imisebenzi engase ilimaze izitho zakho zokuzala. Uma udlala imidlalo (isb. ikhilikithi, i-baseball), gqoka njalo isivikelo sesisu noma inkomishi.
• Nciphisa ukuchayeka kwakho emisebeni noma nini lapho kungenzeka.
• Qaphela imithi engaphazamisa ukukhiqizwa kwesidoda. Noma nini lapho udokotela ekunika umuthi omusha, xoxa ngemiphumela emibi engaba khona ekuzaleni kwakho.
• Vimbela amasende akho ukuthi angavezwa ekushiseni okweqile isikhathi eside. (Isibonelo, kuyalulekwa ukunciphisa ukusebenzisa i-sauna njalo, ugweme ukugeza ngamanzi ashisayo kakhulu, futhi ugweme ukugqoka izingubo zangaphansi ezikubambayo.)

Iyini inhloso yabantu abane-Azoospermia?

Ukubikezela kwe-Azoospermia kuyahlukahluka kakhulu kuye ngembangela eyinhloko. Izindaba ezikhuthaza kakhulu ukuthi izimbangela eziningi ze-Azoospermia ziyelapheka, futhi lesi simo singavamise ukuguqulwa. Wena nethimba lakho lezokwelapha nizosebenzisana ukuthola imbangela eyinhloko ye-Azoospermia yakho futhi ninqume uhlelo lokwelapha olusebenza kahle kakhulu lwesimo sakho esithile.

Ezimweni eziningi, i-Azoospermia ebangelwa ukungalingani kwama-hormone noma ukuvinjelwa kwendlela yokuzala ingelashwa ngempumelelo, okwandisa kakhulu amathuba okubuyisela ukuzala. Ngisho noma lesi simo siqala emasendeni, amasu anjengokubuyisa isidoda kuhlanganiswe ne IVF (In Vitro Fertilization) angasetshenziswa. Ngenxa yalesi sizathu, kubalulekile ukugcina umbono omuhle nokuhlala unethemba.

Uma umyeni wami ene-Azoospermia, akunakwenzeka yini ukuthi sikhulelwe ngokwemvelo?

Lona umbuzo ovamile imibhangqwana eminingi ewubuzayo. Yebo, ezimweni ezithile, ukukhulelwa kwemvelo kungase kube yinto engenzeka. Lokhu kuncike ngokuphelele ohlotsheni lwe-Azoospermia umlingani wakho anayo nokuthi imbangela eyinhloko ingelapheka yini. Udokotela wakho ungumuntu ongcono kakhulu ukunikeza isiqondiso kulokhu. Unganqikazi ukuba nengxoxo evulekile nabo mayelana nezinketho zakho zokwelapha kanye nemigomo yakho yokuhlela umndeni.

Ingabe i-IVF iyindlela kuphela yokuthi umuntu one-Azoospermia abe nengane?

Akunjalo ngempela. Lokhu kuncike futhi embangweni we-Azoospermia. Uma imbangela ihlobene nama-testicles futhi idinga ukuhlinzwa kokubuyiselwa kwesidoda, khona-ke IVF noma ICSI ngokuvamile kuyizinketho eziyinhloko. Kodwa-ke, uma i-Azoospermia ingalungiswa ngokwelashwa (njengokususa ukuvaleka noma ukulungisa amazinga ama-hormone), umbhangqwana ungase ukwazi ukuzama ukukhulelwa ngokwemvelo ngaphandle kwesidingo se IVF .

Ngingabhekana kanjani nokuxilongwa kwe-Azoospermia?

Ukuthola ukuxilongwa kwe-Azoospermia kudokotela kungaba nzima ngokomzimba nangokomzwelo. Kuyindaba ebucayi kakhulu.

“Kunenkinga ngesidoda sami… ingabe lokhu kusho ukuthi angisoze ngaba ubaba?” Kujwayelekile ngokuphelele ukuzwa imicabango efana nale. Imizwa yokudabuka, ukukhungatheka, ukudumala, noma umuzwa wecala kuyizimpendulo zemvelo ezindabeni ezinjalo.

Into ebaluleke kakhulu okufanele uyikhumbule ukuthi awuwedwa kulolu hambo.

• Themba ubuchwepheshe kanye nesiqondiso sikadokotela wakho bese ulandela izincomo zakhe ngokucophelela.
• Hlalani nimunye nomlingani wenu kulo lonke lolu hambo. Khulumani ngokukhululekile futhi nisekelane.
• Yabelana ngemizwa yakho nomlingani wakho, amalungu omndeni, noma umngane omethembayo. Ungagcini imizwa yakho ivaliwe ngaphakathi.
• Kungokwemvelo ukudabuka ngemva kokwehluleka okunjalo, kodwa ungalilahli ithemba. Abantu abaningi abatholakale benesifo i-Azoospermia bagcina sebengabazali bezingane zabo. Khumbula lokho njalo.
• Uma uzizwa ukhungathekile, ungangabazi ukufuna usizo lomeluleki ochwepheshe.

Kufanele ngimbone nini udokotela?

Uma wena nomlingani wakho benizama ukukhulelwa ngocansi olujwayelekile, olungavikelekile izinyanga ezingu-12 kodwa ningaphumeleli, sicela nithintane nodokotela ngokushesha. Ngaphezu kwalokho, uma unemibuzo noma ukukhathazeka mayelana nokuzala kwakho, kuwukuhlakanipha ukufuna iseluleko sezokwelapha. Lokhu kuvame ukuba uphawu lokuqala lokuthi kungase kube nenkinga ngokukhiqizwa kwesidoda. Udokotela wakho cishe uzoncoma ukuhlaziywa kwesidoda ukuze ahlole inani lesidoda sakho njengesinyathelo sokuqala.

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

Ukwazi ukuthi isampula yakho yesidoda ayinaso isidoda kungabangela imibuzo eminingi ngokwemvelo. Ungesabi noma ungabaze ukubuza udokotela wakho okulandelayo:

• Yiziphi izimbangela ezingaba khona ze-Azoospermia, futhi yini engase ibangele lokhu esimweni sami esithile?
• Yiziphi izivivinyo zokuxilonga engizidingayo ukuqinisekisa imbangela eyisisekelo?
• Kungenzeka yini ukuthi ngibe nengane ezalwa yimi?
• Yiluphi uhlelo lokwelashwa oluncomayo, futhi izinga lempumelelo lingakanani?
• Kuzothatha isikhathi esingakanani lokhu kwelashwa, futhi yimiphi imiphumela emibi engaba khona?
• Ingabe lesi simo kungenzeka sidluliselwe ezinganeni zami?

Ukubuza le mibuzo kuzokusiza ukuthi uqonde kahle isimo sakho, kukulungiselele izinyathelo ezilandelayo, futhi kukusize uzizwe uhlonyiswe ngokwengqondo uhambo oluzayo.

Umyalezo Wokugcina Wokuya Ekhaya Ovela eNirogi Lanka

Uma uphupha ngokuqala umndeni futhi ucabanga ngenjabulo yengane, ukufunda ukuthi kukhona isithiyo endleleni yakho kungaba buhlungu kakhulu. Ngiyaqonda ukuthi imizwa eminingi ongase uyizwe ngemva kokufunda ngenani eliphansi noma elingekho nhlobo lesidoda. Zama ukubekezela ngenkathi udokotela wakho esebenza ukuthola imbangela.

Ukuxilongwa kwenani lesidoda elingekho akusho ukuthi awusoze waba nabantwana.

Udokotela wakho angase akwazi ukukusiza ukufeza iphupho lakho ngokukhipha isidoda emasendeni nokusebenzisa amasu afana ne IVF . Xoxa ngokungabaza ngakunye, yonke imibuzo, kanye nayo yonke indlela yokwelapha ngokukhululekile nethimba lakho lezokwelapha. Ngolwazi olufanele, ukwelashwa okufanele, kanye nethemba elingantengantengi, kwangathi ungathola amandla okunqoba le nselele!