Ingabe nawe unenkinga yokukhulelwa? Ake sixoxe ngokungakwazi ukuzala kwabesilisa!

Uma wena nomlingani wakho nilindele umntwana, kodwa lelo phupho lingakafezeki, kuyinto evamile ukuzizwa nidabuke kakhulu futhi nithwele kanzima. Ngezikhathi ezinjengalezi, abantu abaningi bacabanga ukuthi inkinga isezandleni zowesifazane. Kodwa empeleni, ukuzala komlingani wesilisa kubaluleke ngendlela efanayo uma kuziwa ekukhulelweni komntwana. Namuhla sizokhuluma ngalesi simo esibizwa ngokuthi "Ukungabi Nanzalo Kwabesilisa".

Uyazi ukuthi kuyini ukungazali kwabesilisa?

Kalula nje, ukungazali kwabesilisa kuwukuncipha noma ukulahlekelwa ikhono lendoda lokukhulelwa ngenxa yenkinga ohlelweni lwayo lokuzala. Uma ubulokhu ulala njalo isikhathi esingaphezu konyaka ngaphandle kokusebenzisa noma yiluphi uhlobo lokuhlela umndeni, futhi umlingani wakho engakakhulelwa, kungadingeka ucabangele lesi simo.

Lokhu kuyinto engathinta hhayi intombazane kuphela, kodwa nendoda. Izikhathi eziningi, abanye abantu bayanqikaza ukukhuluma ngakho. Kodwa lokhu kuyisimo sezokwelapha, akuyona into okufanele ube namahloni ngayo.

Kuvamile kangakanani lesi simo? Kungani ukukhulisa ingane kunzima ngezinye izikhathi?

Abantu ababalelwa ezigidini ezingu-186 emhlabeni wonke bahlushwa ukungazali. Futhi kutholakale ukuthi cishe ingxenye yalezi zimo ibangelwa yizici zabesilisa . Ezinye izifundo zibonisa ukuthi ukungazali kwabesilisa kuthinta phakathi kuka-10% no-15% wabesilisa abazama ukukhulelwa.

Akulula ukukhulelwa umntwana. Abantu bangabantu abangazali kakhulu. Ngisho nombhangqwana osemusha onempilo futhi onothando locansi olungenazithiyo unethuba elingu-20-25% lokukhulelwa inyanga ngayinye.

Cabanga nje, zingaki izinto okudingeka zilungele ingane ukuze ikhule:

• Umzimba wesilisa udinga ukukhiqiza isidoda esinempilo , kanti nomzimba wesifazane udinga ukukhiqiza iqanda elinempilo .
• Amapayipi esibeletho sowesifazane kumele avuleke futhi avuleke ukuze isidoda sifinyelele eqandeni.
• Uma isidoda sesihlangane neqanda, kumele sikwazi " ukulivundisa ".
• Iqanda elivundisiwe, noma umbungu, owakheka ngale ndlela kudingeka lifakwe kahle esibelethweni.

Ukuze ukukhulelwa kufinyelele esimisweni esiphelele (amasonto angu-39-40 nezinsuku ezingu-6), ingane kufanele ibe nempilo enhle. Futhi, indawo yamahomoni emzimbeni wowesifazane kumele yanele ukuze ingane ikhule. Uma noma yiziphi zalezi zici zithinteka, ukungabi nabantwana kungenzeka.

Wazi kanjani ukuthi kunenkinga ngesidoda? Uyini umthelela wengqondo?

Uphawu oluyinhloko lokungazali kwabesilisa ukungakwazi ukuzala umntwana ngokwemvelo . Kodwa-ke, lokhu kungaba nemiphumela eminingi yengqondo nengokomzwelo. Isibonelo:

• Ukucindezeleka.
• Umuzwa wokulahlekelwa okuthile `(Ukulahlekelwa)`.
• Usizi.
• Umuzwa wokungafaneleki.
• Umuzwa wokwehluleka.

Uma wena noma umlingani wakho nizwa le mizwa, kungaba ngumqondo omuhle ukukhuluma nomeluleki ochwepheshe noma udokotela wezifo zengqondo.

Ngezinye izikhathi, ukungazali kwabesilisa kungahlotshaniswa nokwehla kokukhiqizwa kwe-hormone testosterone ngama-testicles. Kulesi simo, izimpawu ezifana nokukhathala, ukungasebenzi kahle kocansi, ukucindezeleka, ukukhuluphala, nokulahlekelwa isithakazelo kunoma yini zingavela. Uma kunjalo, kubalulekile ukubona udokotela wezifo zomchamo noma isazi se-endocrinologist yokuzala ogxile ekungazali kwabesilisa.

Yiziphi izimbangela zokungazali kwabesilisa?

Izici eziningana zebhayoloji kanye nezemvelo zingabangela ukungazali kwabesilisa. Ezinye zazo yilezi:

• Izinkinga zesidoda: Ukuma kwesidoda okuphambene, ukwehla kwenani lesidoda (i-Oligospermia), ukungabikho kwesidoda esidoda (i-Azoospermia).
• Izinkinga zofuzo: Isibonelo, i-Klinefelter syndrome kanye ne-myotonic dystrophy.
• Ezinye izimo zezokwelapha: Isifo sikashukela i-Mellitus, ezinye izifo ezihlasela isidoda, i-cystic fibrosis.
• Izifo: I-Epididymitis (ukutheleleka kwepayipi elixhumanisa amasende), i-orchitis (ukutheleleka kwamasende), kanye nezifo ezithathelwana ngocansi (STIs) njenge-gonorrhea noma i-HIV.
• Ukuvuvukala kwemithambo emasendeni (ama-Varicoceles) .
• Ukwelashwa komdlavuza: Ukwelashwa ngamakhemikhali, ukwelashwa ngemisebe, noma ukususwa kwamasende ngokuhlinzwa (i-Orchiectomy).
• Ukulimala kwamasende .
• Izinkinga zama-hormone ezithinta i-hypothalamus noma i-pituitary glands .

Ubani osengozini enkulu?

Noma yimuphi umuntu wesilisa angaba nokungabi nabantwana, kodwa ungase ube sengozini enkulu ngenxa yezizathu ezilandelayo:

• Uma inkomba yakho yesisindo somzimba (i-BMI) ingaphezu kuka-25 (ukhuluphele/ukhuluphele ngokweqile).
• Uma uneminyaka engu-40 noma ngaphezulu.
• Uma uke wavezwa imisebe.
• Uma uke wavezwa ubuthi obungokwemvelo njengothofu, i-calcium, izibulala-zinambuzane, noma i-mercury.
• Uma usebenzisa ugwayi, insangu, noma utshwala.
• Uma uthatha imithi ethile efana ne-flutamide, i-spironolactone, kanye ne-bicalutamide.
• Ukuchayeka njalo ezintweni ezikhulisa izinga lokushisa lamasende, njenge-sauna noma ama-hot tub. Ukusebenzisa isihlalo sabakhubazekile nakho kungakhuphula izinga lokushisa lamasende.
• Uma kukhona umlando wamasende angakhuli lapho ezalwa.
• Uma isimo se-'varicoceles' esishiwo ngenhla sike saba khona ngaphambili.
• Uma uthatha i-testosterone njengokwelashwa kwamazinga aphansi e-testosterone.
• Uma uthatha ama-anabolic-androgenic steroids (AAS) noma izithasiselo zama-hormone ukuze wakhe imisipha.

Injani i-sperm enempilo?

Isidoda siwuketshezi olumhlophe kuya kompunga olukhishwa endodeni ngesikhathi sokuphuma kwesidoda. Isidoda siqukethe isidoda, uketshezi olusiza isidoda ukuthi sibuyele esithweni sangasese sowesifazane, kanye namaprotheni, amavithamini, namaminerali ondla isidoda.

Ngokuvamile, isidoda sijiyile futhi sinamathela . Uma kukhona isidoda esigobhozayo noma esinamanzi, kungase kusho inani eliphansi lesidoda. Lokhu kungaba futhi imbangela yokungazali kwabesilisa.

Ukuthola kanjani ukungazali kwabesilisa? Yiziphi izivivinyo ezenziwayo?

Udokotela womndeni wakho (uDokotela Wokunakekelwa Okuyinhloko - PCP) angakuxilonga ukungabi nabantwana kwabesilisa. Noma angakuthumelela kudokotela wezifo zomchamo noma udokotela wezifo zokuzala ogxile ekungazalini kwabesilisa.

Udokotela uzokwenza ukuhlolwa okuphelele ngokomzimba ukuze ahlole noma yiziphi izinkinga zomzimba ezingase zithinte impilo yakho iyonke kanye nokuzala. Bazokubuza imibuzo wena nomlingani wakho mayelana nemikhuba yenu yocansi kanye nomlando wempilo. Isibonelo:

• Sekuyisikhathi esingakanani uzama ukukhulelwa umlingani wakho?
• Wake wakhulelwa umlingani wakho ngaphambili?
• Wake waba nesifo esithathelwana ngocansi (STI)? Uma kunjalo, sasiyini futhi nini?
• Uke wathola ukwelashwa ngakho?
• Ingabe uke wasebenzisa izindlela zokuhlela umndeni (izindlela zokuvimbela inzalo)? Uma kunjalo, kwenzekani futhi nini?
• Ingabe kukhona izihlobo zakho zegazi ezihlushwa ukungazali kwabesilisa?
• Uyabhema, usebenzisa utshwala, noma ezinye izidakamizwa?
• Yimiphi imithi esetshenziswayo?

Uma ukuhlolwa ngokomzimba kanye nomlando wezempilo kungabonisi imbangela ecacile, udokotela angase acele ukuhlolwa okwengeziwe.

Yiziphi izivivinyo eziyinhloko ezenziwayo?

Ukuhlaziywa kwesidoda kungenye yezivivinyo eziyinhloko ezisetshenziselwa ukuxilonga ukungabi nabantwana kwabesilisa. Kulokhu, isampula yesidoda sakho ihlolwa elabhorethri ukuze kuhlolwe inani kanye nekhwalithi yesidoda.

Khumbula, lokhu ukuhlolwa okubaluleke kakhulu. Yikho okungabona izinkinga eziningi ngesidoda.

Kukhona nezinye izivivinyo. Phakathi kwazo:

• Ukuhlolwa kwezithombe:Lokhu kungafaka phakathi izivivinyo ezingangenisi umswakama njenge-ultrasound noma i-magnetic resonance imaging (MRI), noma izivivinyo ezingenisi umswakama njenge-venogram.
• Ukuhlolwa kwegazi: Lokhu kungalinganisa amazinga akho ama-hormone futhi kubheke ukungalingani kwezakhi zofuzo noma ama-chromosome akho.
• Ukuhlolwa komchamo: Lokhu kusiza ekutholeni izinto ezifana nezifo ezithathelwana ngocansi (STI) kanye nesifo sikashukela.
• Ukuhlolwa kwe-testicular biopsy: Kulokhu kuhlolwa , udokotela uthatha inani elincane lezicubu ezivela emasendeni ukuze abone ukuthi amasende akhiqiza kahle kangakanani isidoda.

Ingabe ikhona indlela yokwelapha lesi simo? Kuyini?

Yebo, izindaba ezinhle ukuthi kunezindlela zokwelapha ezahlukahlukene ezitholakalayo zokulungisa noma zokulawula ukungabi nabantwana kwabesilisa . Imbangela izonquma ukwelashwa okufanele wena.

Izinguquko zendlela yokuphila

Ukwenza izinguquko ezithile endleleni yokuphila kungasiza ekwandiseni ukukhiqizwa kwesidoda okunempilo:

• Ugcina isisindo sakho siphilile .
• Yidla izithelo nemifino eminingi.
• Zivocavoce njalo njengokuhamba, ukugijima, ukugibela ibhayisikili, ukudansa, noma ukuphakamisa izinsimbi.
• Ukulawula ukucindezeleka.
• Yeka ukubhema, utshwala kanye nezinye izidakamizwa .
• Gwema ukusebenzisa amafutha okugcoba ngesikhathi socansi.

Imithi

Uma amazinga akho ama-hormone ephezulu noma ephansi, kungadingeka ukuthi uthathe ukwelashwa ngama-hormone ukuze uwalungise. Kungadingeka futhi uyeke ukuthatha imithi ethile noma ushintshele kweminye imithi. Isibonelo:

• Ama-antidepressant e-Tricyclic.
• Ama-blocker eziteshi ze-calcium.
• Ama-anti-androgens.

Ukuhlinzwa

Kwezinye izimo, ukuhlinzwa kungadingeka:

• Ukuguqulwa kwe-Vasectomy: Uma uke wahlinzwa i-vasectomy ngaphambilini ukuze uvimbele ukuba nezingane, ungayilungisa futhi ubuye uthole ikhono lokukhulelwa.
• I-Vasoepididymostomy: Lokhu kuhlinzwa kususa ukuvaleka kwe-epididymis, ipayipi lapho isidoda sivuthwa khona.
• Ukutholwa kwesidoda: Udokotela uthatha i-biopsy bese ethola isidoda emasendeni noma e-epididymis.
• Ukuhlinzwa kwe-Varicocel: I-varicocele iwukuqhekeka kwegazi emithanjeni yamasende. Lokhu kungathinta kabi ikhwalithi yesidoda. Lokhu kuhlinzwa kususa imithambo. Kwezinye izimo, kungandisa amathuba okukhulelwa.

Ubuchwepheshe Bokuzala Obusizayo (ART)

Ngalezi zindlela, iqanda lithathwa emaqanda omlingani wakho bese lihlanganiswa nesidoda sakho elabhorethri.

• Umjovo wesidoda we-Intracytoplasmic (ICSI): Kulokhu, udokotela ujova isidoda esisodwa ngqo eqandeni.
• Ukukhulelwa kwe-in vitro (IVF): Kule nqubo, udokotela wakho ujova umlingani wakho ngemithi yokuzala. Lokhu kubangela ukuthi amaqanda amaningana avuthwe emaqanda akhe. Lapho amaqanda eselungile, udokotela uqoqa amaqanda bese ewaveza esidodaneni elabhorethri. Ngemva kokuba isidoda sivundise iqanda, iqanda elivundisiwe (isidoda) lifakwa esibelethweni.

Ingabe ukungazali kwabesilisa kuzothuthuka ngokwako ? Ingabe kungavinjelwa?

Ezimweni eziningi, ukungabi nabantwana kwabesilisa kudinga ukwelashwa . Akuhlakaniphile ukulinda ukuthi kube ngcono ngokwakho .

Futhi, ukwenza izinto ezithile kunganciphisa ingozi yokungazali kwabesilisa:

• Gwema noma uyeke ukubhema, utshwala, kanye nezidakamizwa ezithengiswa ngaphandle kwemvume kadokotela.
• Ukunciphisa ukuchayeka kumakhemikhali ayingozi.
• Ukugonyelwa amagciwane angathinta ukuzala kwakho.
• Gwema ukubeka amasende ekushiseni okweqile isikhathi eside.
• Gwema ukudla okunamafutha amaningi futhi ugcine isisindo esinempilo esikufanele.

Uma unesifo somdlavuza, khuluma nodokotela wakho mayelana nokugcinwa kwesidoda ngaphambi kokuqala ukwelashwa.

Uphila kanjani nokungabi nabantwana? Uhlala kanjani uqinile engqondweni?

Ukungazali kwabesilisa akulula. Abantu abaningi abakhululekile ukukhuluma ngakho nomlingani wabo noma udokotela. Yiba nomusa kuwe nakumlingani wakho . Kungasiza ukubona udokotela noma ukujoyina iqembu lokusekela ukuze uxazulule imizwa yakho. Khumbula, awuwedwa.

Iyini imiphumela yokudla nokuphuza? Yini enhle?

Ngokwezinye izifundo, lokhu kudla neziphuzo kungathinta ikhwalithi yesidoda:

• Inyama ecutshunguliwe.
• Amaswidi.
• I-Soy `(Soy)`.
• Imikhiqizo yobisi (ngokusho kwezinye izifundo).
• Inhlanzi ekheniwe.
• I-soda pop nezinye iziphuzo eziqukethe ushukela omningi.
• Utshwala.
• I-caffeine.

Ukudla okunempilo okufana nalokhu kungakuzuzisa:

• Izithelo nemifino emisha.
• Izithelo ezomisiwe.
• Imifino.
• Inhlanzi engenamafutha.
• Ubisi olunamafutha aphansi.

Kufanele ngimbone nini udokotela? Yimiphi imibuzo okufanele ngiyibuze?

Uma wena nomlingani wakho nizama unyaka wonke kodwa ningakhulelwanga, bonana nodokotela.Futhi, uma uzizwa ucindezelekile, udabukile, noma ungafaneleki, ungangabazi ukubona udokotela wezokwelapha.

Uma ubona udokotela, ungabuza imibuzo efana nale:

• Yini ebangela ukungazali kwabesilisa?
• Ingabe umlingani wami naye udinga ukuhlolwa?
• Yikuphi ukwelashwa okungcono kakhulu kimi?
• Lingakanani izinga lempumelelo lokwelashwa okuncomayo?
• Ingabe ikhona imiphumela emibi kulolo hlobo lokwelashwa?
• Ingabe kukhona ezinye izimpawu noma izinkinga okufanele ngizazi?
• Yiluphi uhlu oluphelele lwemithi engabangela ukungabi nabantwana kwabesilisa?
• Ingabe kufanele ngibone udokotela wezifo zomchamo noma isazi sezifo zokuzala?
• Ungamncoma yini umelaphi noma iqembu lokusekela?

Ngingazi kanjani ukuthi isidoda sami sisesimweni esihle?

Indlela engcono kakhulu yokwazi kahle impilo yesidoda sakho ukwenza ukuhlaziywa kwesidoda emtholampilo wokuzala noma elabhorethri .

Kukhona nokuhlolwa kokuhlaziywa kwesidoda ekhaya okutholakalayo kwe-OTC. Kodwa-ke, lokhu akunembile njengokuhlolwa kwelebhu, futhi kungase kungasebenzi kahle. Khumbula, azikho izimpawu ezibonakalayo zangaphandle zokuthi isidoda sakho siphilile ngaphandle kokuhlolwa.

Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Ukungazali kwabesilisa kuyinselele. Kodwa-ke, lokhu akusho ukuthi awusoze wakwazi ukuba nomntwana ozelwe ngokuzalwa . Ngenxa yobuchwepheshe besimanje, imibhangqwana eminingi iyakwazi ukukhulelwa umntwana ozelwe ngokuzalwa.

Uma umlingani wakho engakhulelwanga ngemva konyaka ezama, khuluma nodokotela. Izinguquko zendlela yokuphila zingasiza ekuvimbeleni ukungazali, kanti ukuhlinzwa nezinye izinqubo kungasiza ekwelapheni imbangela eyinhloko. Ungalokothi ulahle ithemba!

` Ukungazali kwabesilisa, ukungazali, isidoda, ukungazali, impilo yokuzala, ukuba nezingane, ukwelashwa kwezokwelapha