Kuziva Kuwanikwa Kwezvino uye Kurapa kweMurume Infertility
Chimwe chezvikonzero zvinokonzerwa nekusava nepamuviri ishoma kuwanda kwemusikana uye motility. Izvo, pamwe nehurombo husina simba, rinomiririra 90 kubva muzana zvose zviitiko zvekushaya vana mumurume uye chero kupi zvako kubva kune 20 t0 40 muzana muvakaroorana.
Icho chinokonzera uye chinowanzoodza mwoyo mamiriro ayo anokanganisa anenge mumwe mumatanhatu. Zvinokonzera zvinowanzobva kune nhaka uye mararamiro ehupenyu kune hutachiwana hwekare uye makore.
Zviratidzo zveBlack Sperm Count and Motility
Oligoasthenoteratozoospermia (OAT) ndiro izwi ratakashandisa kurondedzera izvi. Nenzira, OAT inoratidzirwa nejeni nemhando dzinotevera:
- imwe nhamba isinganzwisisiki yehuta (oligozoospermia)
- chimiro chisina kukodzera chinonzi sperm ine zvakanaka motility (asthenozoospermia)
- chirwere chisina chimiro chemuviri wemhando yehutano (teratozoospermia)
Izwi rokuti oligoasthenoteratozoospermia rinoshandiswa apo zvinhu zvose zvitatu zviripo.
Idiopathic oligoasthenoteratozoospermia inoshandiswa kana chikonzero chechiitiko chisina kujeka. Kusvika kusvika makumi matatu kubva muzana zvemhosva dzevarume dzisingabatsiri dzinonzi dzine idiopathic OAT.
Zvinokonzera uye Kurapwa kweOAT
Izvo zviitiko zve OAT zvinogona kuparadzaniswa zvikaita zvikamu zvina: maitiro ehupenyu, mararamiro ezvinhu, uye testicular zvinhu, uye testicular / ejaculatory dysfunction.
Izvozvo zvinogona kukanganisa zvikamu zvose zvekubereka kwevarume, kubva kuDNA kukanganisa mumusero wemarumusi (spermatozoa), maitiro akasiyana-siyana eY chromosome, uye zvirwere zvepabonde saKlinefelter syndrome.
Zvizhinji zvezvikonzero hazvisi kurapwa nega asi zvinowanzokundwa nekushandiswa kwe in vitro fertilization (IVF) .
Maitiro ehupenyu anosanganisira zvose maitiro uye mamiriro ezvinhu anonyatsopindirana nemurume wemurume. Zvizhinji zvezviitiko izvi zvinoshanduka uye zvinogona kuchinja zvakanyanya mukana wemunhu wekubata.
Pakati pavo:
- Kusvuta kwakanyatsobatanidzwa nehutachiona husina simba kunyange zvikonzero zvisati zvanyatsojeka. Zvatinoziva ndezvokuti kusvuta kunogona kuderedza mbeu yevarume ne 23 muzana uye chirume chetility chiri 13 kubva muzana.
- Doro kushandiswa kwechinguva chiduku sezvinwiwa zvishanu pavhiki zvinogona kuderera zvakanyanya testosterone yemunhu uye hutano hwehuta hwake. Zvimwe zvinodhaka zvinodhaka zvinokonzera zvakafanana.
- Kuwedzera muviri (BMI anopfuura makumi matatu) kunozivikanwa kukonzera kuchinja kwehomoni kunogona kuita kuti munhu ave nekubereka. Kunyanya kuisa pasi pasi (BMI pasi pe18.5) zvakare kunetseka.
- Kutasva kunotyisa (mabhasikoro, mabhiza) zvinogona kukonzera kupupurika kwe testicular kunogona kununurwa nokungotora nguva kubva mubasa racho.
- Kuwedzeredza ma testes kunobatanidzwa nehope yepamusoro yepermerm. Zvinokonzera zvinosanganisira zvinopisa zvikuru zvinoshambidza mabhati, kana sauna, pamwe nekupfeka mabheti akaoma pane nzvimbo dzebhokisi. Kuwedzera kwekuita pajimini kunogonawo kuva nemigumisiro yakafanana.
- Mamwe mishonga inogonawo kukanganisa hutachiona (anabolic steroids, Tagamet inoshandiswa kurapa mudumbu asidi) asi mamwe mazai anokanganisa chirwere chekuita (Azulfidine inoshandiswa kurapa rheumatoid arthritis uye Macrobid inoshandiswa kurapa zvirwere zvechirwere).
Zviratidzo zvinokonzera izvo zvinopesana nekwanisi yekanyora yekubudisa huwandu hwakawanda kana hutano hwehuta.
Zvimwe zvezvinhu zvinogona kurapwa; vamwe havakwanise. Dzinosanganisira:
- vakwegura
- testicular trauma
- zvimwe zvipembenene zvekare zvakapfuura (shamhulisera, mumukati, marariya) inozivikanwa kana zvakananga kana kuti zvisina kukanganisa hutachiona hwekubereka vana)
- kuwedzerwa kwevaricocele (iyo inogona kuwanzoreswa kurapwa uye isiri kuongororwa)
- testicular kenza
- chemotherapy uye therapy rayation
Testicular uye ejaculatory dysfunction rinoreva chero mamiriro ezvinhu anokanganisa kukwanisa kwevanhu kuisa kana kudzivisa kupera kwebonde mumurume wepabonde. Izvi zvinosanganisira:
- kudziviswa kwe vas deferens kana ejaculatory duct
- prostatitis (kuputika kwe prostate gland)
- Kudzorerazve kuchinjwa kwemukoko uko mbeu isingatauri kuendeswa kune bhanhire
- hypospadias, chiremera chekuzvarwa chakakonzera kuti mukova we urethra usati uri pamusoro wepenisi
- erectile dysfunction (iyo inogona kupiwa kazhinji nemishonga)
- kusava nesimba nezvimwe zvinokonzera
Shoko Rinobva Kunyanya
Kunyange zvazvo zvinotambudza, zvakawanda zvezvikonzero zvinokonzera kusununguka kwemurume zvinogona kurapwa. Muchiitiko icho chavasakwanisa, kune mararamiro anobatsira ekuberekorora nzira dzinogona kuvandudza mukana wevamwe wekubata pamuviri. Zvinosanganisira zvinodhaka , zviyero zvemishonga , kuvhiyiwa , kana kusanganiswa kwemishonga.
Chero chipi nechipi chaunoita, usarega. Kana uchitarisana nehurume husina simba, chero chii chinokonzera, taura nenyanzvi yekubereka iyo inogona kukwanisa kubatsira.
Chinhu
- > Cavallini G. "Male idiopathic oligoasthenoteratozoospermia." Asia J Androl. March 2016; 8 (2): 143-57.
- > Punab, M .; Poolamets, O .; Vihljajev, V .; et al. "Zvinokonzerwa nekusava nemurume: ane makore 9 anotarisira monocentre kudzidza muna 1737 varwere vane zvishoma zvishoma zvevarume vanoverengeka." Kuberekwa kwevanhu. 2017; 32 (1): 18-31.