Chii Chisiri Chakanaka, Ndezvipi Zvisina Kunaka, uye Sei
Kuongorora kwemhando yehutachiwana kuongororwa kunobatsira kwevabereki vasingabereki , uye kuedza kunofanira kuitwa musati mava nemishonga (kunyange " clomid " chete) inorayirwa. Varume vazhinji vanoona kushushikana pamusoro pemuedzo - uye gare gare, pamusoro pemigumisiro. Chiremba wako achatsanangurira zvawakagadzirisa kwauri, uye nokuti mabhizimusi akasiyana-siyana uye vanachiremba vangashandisa kusiyana kwakasiyana-siyana kwezvinhu zvakasiyana-siyana, izvo chiremba wako anofunga kuti zvakajairika kana zvisingaiti zvingave zvakasiyana kubva pane zvaunowana munyaya ino uye kune imwe nzvimbo paIndaneti.
Nezvo zvakataurwa, hezvino zvirwere zvehutano zvinowanzoongororwa mukutsvaga kwemajeni, maitiro avo akaenzana maererano neWorld Health Organisation's 2010 mirayiridzo, uye zvipi zvinowanzoitika zvinogona kureva.
IWorld Health Organization mirayiridzo inotarirwa pamapencenti, ayo akavakirwa neboka revarume vakabereka vana mugore rimwe kana kupfuura. Nhamba dzepamusoro dzakagamuchirwa dzinomirira 5th percentile yeboka iri. Mune mamwe mazwi, pasi pe5 kubva muzana yevarume vakabereka mwana mugore rapfuura vaive nemamineramende emiganho pasi pezvikwereti izvi.
| Parameter | Lower Reference Limits |
|---|---|
| Semenji volume (ml) | 1.5 (1.4 kusvika 1.7) |
| Zvose mbeu yepamusoro (10 ^ 6) | 39 (33 kusvika ku46) |
| Mbeu yakakanganiswa (10 ^ 6 / ml) | 15 (12 kusvika ku16) |
| Total motility (muzana) | 40 (38 kusvika ku42) |
| Progressive motility (muzana) | 32 (31 kusvika ku34) |
| Vitality (percent) | 58 (55 kusvika 63) |
| Sperm morphology (muzana) | 4 (3 kusvika ku4) |
Izvi zvinorevei kuti kuva nhamba dzakanaka kana dzakaipa hakureve kuti iwe kana kana ukasakwanise kubereka mwana. Izvo zvinoshandiswa semaminara zvinongova mazano ekufungisisa paunotsvaga izvo zvingave zvichikonzera kushaya simba.
Semen Ejaculate Volume
Chinyiko : Semenho inoumbwa zvinopfuura kungoita umhu.
Muzvokwadi, pasi pe5 muzana yezana inoumbwa nemurume.
Mbeu inopa utano inosanganisira mvura inobva kune ma testes (iyo inoshandiswa kuti mbeu inobva kune), kubva pamasinki vesicles (iyo inosanganisira zvibereko zvinokosha zvemurume), kubva ku prostate gland (iyo inosanganisira zinc-rich fluid kuchengetedza DNA kugadzikana kwehuta) , uye kubva kune zvinyorwa zvebrubourethral (izvo zvine musuki kunobatsira mbongoro kushambira).
Chii Chinofungidzirwa Chisiri Chakanaka: Chimiro chinowanikwa ejaculate chiri pakati pe 1.5 millilitres kusvika 6 milliliters yemvura. Izvi zvinenge chikamu chetatu chepasipuni kune zvishoma pane teaspoon.
Zvingave Zvisina Kukanganisika kana Zvikamu Zvisingakoshi : Kubata kwepombi kunogona kukonzerwa nekudzivirirwa kwevas deferens (duct inotakura chirwere kubva pamapepa kusvika ku-urethra), kusina kana kuvharwa kwemuviri vesicle, chikamu chekudzoka kwemajeri ejaculation, kana hormonal kuenzana.
Low volume inogonawo kukonzerwa nokushungurudzika pamusoro pekuedzwa . (Taurira chiremba wako kana ichi chiri chechokwadi kwauri.) Inzwi risingaverengeki ringave rakakonzerwa nokuputika kwezvinyorwa zvekubereka.
Total Sperm Number
Chinyiko : Iyi ndiyo nhamba yose yehuta inowanikwa mumashamba ekugovera.
Chii Chinofungidzirwa Chisinganzwisisiki: Inenge 39,000,000 (kana 39 x 10 ^ 6) chirume pa ejaculate chinonzi chikamu chakanaka chinogamuchirwa.
Kuva nechezasi kudarika huwandu hwemazuva ehurume dzimwe nguva kunonzi oligospermia. Kana pasina nhengo dzemajeri dzinowanika, izvi zvinonzi azoospermia.
Zvinogona Kuve Zvakaipa Kana Zviitiko Zvisingakoshi : Kuva nechezasi kweuviri hunogona kuratidza zvinetso zvakawanda, kusanganisira varicocele , zvirwere, zvirwere zvisingagumi kana kuti zvisingawaniki zvakadai sechirwere cheshuga kana chirwere cheliacac , matambudziko ejaculation sekudzokazve kwemajeri , matambudziko emakumbo, kusawirirana kwehomoni, uye kuonekwa kune zvinodhaka.
Zvisizvo zvisinganzwisisiki sperm chiverengero zvinogonawo kukonzerwa nemamwe mishonga, chirwere chachangobva kuendeswa nefivha huru, uye kusvibiswa kwechando kunopisa (sekupisa mukati).
Kusvuta, kuwandisa, uye kudhakwa kwakanyanyisa kunenge kwakabatanidzwa nehuwandu hwemhomho. Kazhinji, chinokonzerwa nehuwandu hwemhomho hachiwanikwi.
Azoospermia inogona kukonzerwa nedambudziko remarara, kusagadzikana kwemahomoni, kana dambudziko nemayeso.
Mbeu Kufunganya
Chinyiko : Mhedziso yehuta ndiyo nhamba yehuta inowanikwa mune imwe milliliter yemuna.
Chii chinofungidzirwa chinowirirana : Panofanira kuve nekusvika 15,000,000 (kana 15 x 10 ^ 6) chirume pamamirimita.
Zvinogona Kuve Zvakaipa Kana Zvikamu Zvisiri Zvisina Kuipa : Kushamwaridzana kwemajoni kunogona kuva chikamu chechidiki chechimiro chechimiro, kana chinogona kufananidzwa nekunze kwepamusoro ejaculate volume. Ona kumusoro pamusoro pezvimwe zvinhu izvi.
Motility
Chinyiko : Motility ndiyo yehuwandu hwemhandara inofamba. Kuti mbeu iite, chirume chinofanira kushambira chikafu chekuberekwa chevakadzi kuti chinosangana neii. Kukwanisa kushambira kunzvimbo yavo kunokosha. Zvose zvinosungirirwa zvinoreva chero kufamba, asi kushambadzira kwekufamba kunoreva kuenderera mberi mberi mune rumwe rutivi kana mudenderedzwa guru.
Zvinofungidzirwa Zvakajairika : Inenge 40 muzana yehuta inofanira kunge ichifamba, uye inenge 32 muzana inofanira kushambira mberi mberi kana mumakwikwi makuru.
Zvinogona Kuve Zvakaipa Kana Zviitiko Zvisina Kuipa : Asthenozoospermia ndiyo izwi rinoshandiswa kune varombo vashoma . Varombo vashoma vemaitiro vanogona kukonzerwa nechirwere, mamwe mishonga, kushaya zvokudya zvinovaka muviri, kana tsika dzisina kunaka dzehutano sekusvuta. Zvizhinji zvezvikonzero zvinokonzerwa nehuwandu hwemumera zvinogonawo kukonzera varombo motility. (Ona kumusoro.) Kazhinji chikonzero hachiwanikwi.
Viability kana Vitality
Chinyiko : Mbeu inogadzirisa inoreva kuwandisa kwehupenyu hwemumvuri mumuenzaniso wechidiki. Izvi zvinonyanya kukosha kuti zvione kana chirume chechimiro chiri pasi, saka chiparadzanisa pakati pemararamiro asina-motile nemurume akafa.
Chii Chinofungidzirwa Chisingarangarirwi : Inenge 58 muzana yemashizha emuviri inofanira kuve yakagoneka.
Chii Chingangove Chakaipa Kana Zviitiko Zvisina Kuipa : Necrozoospermia ndiyo izwi rinoshandiswa apo huseu hwose mumuenzaniso wevarume vakafa. Kune zvikonzero zvakasiyana-siyana zvinokonzera necrozoospermia, kusanganisira zvizhinji zvezvinhu zvakafanana zvinogona kukonzera kuderera kwemaviri. (Ona kumusoro.)
Kushandisa ganda risina kubereka-kana kuchengetedza kondomu nguva dzose inogona kuuraya chirume, kunyange kana isina spermicide. Iva nechokwadi chekuzivisa kuna chiremba wako kana wakashandisa gorozi kana kondomu yenguva dzose kuti ubudise mbeu yako. Kune zviyo zvinogamuchirwa zvekuberekwa uye makondomu anokosha anowanikwa kuunganidzwa kwemukira sendima. Kumbira chiremba wako kuti uwane mamwe mashoko.
Morphology
Chinyiko : Mbeu inonzi morphology inoreva kuumbwa kwehutachiona masero. Bhizimisi rerairi rinonyatsoongorora samuenzaniso rehuta, kutarisa kuona kuti zvikamu zvipi zvine chimiro chakajairika. Musoro, pakati-chikamu nemuswe unoongororwa, uyewo zviyero uye zviyero pakati pega rega.
Kusati kwa2011, World Health Organisation yakanga ine zvakasiyana siyana zvinoda kuti chirume chionekwe se "chimiro" muchimiro. Mareji angave akaongorora chirwere chema sperm morphology maererano neEV criteria, kana chii chinonzi Kruger's Strict criteria.
Zvisinei, iyo mitemo yeO WHO inokurudzira kushandiswa kweKruger's Strict criteria, zvichienderana nekutsvakurudza kwaDkt TF Kruger naDkt R. Menkeveld. Taura nachiremba wako kuti uone kana vari kushandisa nguva yakatarwa ye WHO kana yeKruger.
Chii chinofungidzirwa chakajairika: Zvinenge 4 muzana zvinofanira kuva nechimiro chinowanzoitika.
Zvinogona Kuve Zvakaipa Kana Zviitiko Zvisina Kuipa : Tetatozoospermia ndiro izwi rinoshandiswa kuti rive rakashata remaitiro morudziro. Varombo vashoma vema morphology vangave vachikonzera zvinhu zvakafanana izvo zvinogona kukonzera kuderera kwema sperm. (Ona kumusoro.)
Sermon morphology hainzwisisiki, uye nokuti kuongorora kune zvimwe zvingazviisa pasi, zvikamu zvinogona kusiyana pamusana padzidzo senyeredzi, mubhuku rimwe chete, uchishandisa nzira imwechete yekugadzira. Kana chirume chemaitiro chemapenzi chiri choga, asi mimwe miviri yemararamiro inowira mumiganhu yakasununguka, saka kubereka kwevarume kunogona kuonekwa sechinhu chisina kunaka.
Liquefaction
Chii Chiripo : Kana chirume chikaiswa, chakaoma uye gelatinous. Izvi ndezvekubatsira kuti zvibatanidze pamuviri wechibereko . Mbeu inozopedzisira ichinyangadza kuita kuti chirume chishambire zviri nani.
Chii chinofungidzirwa chakajairika: Chimiro chinofanirwa kunyangarika mukati memaminitsi makumi maviri nemakumi matatu ekugadzirisa.
Zvinogona Kuve Zvakaipa Kana Zviitiko Zvisingakoshi : Kuderedza kuchema kunogona kuratidza chinetso ne prostate, seminal vesicles, kana kuti maronda e bulbourethral, ayo anozivikanwawo sezvokudya zvevarume zvinowanikwa.
Kana kukanonoka kudengenyeka kunoitika, chiremba wako anogona kutevera ne-post-coital test (PCT). Iyi kuedzwa kwekuberekwa kunoongorora musikana wemudzimai wemukati mushure mekuita zvepabonde. Kana chirume chinowanikwa uye chichifambisa kazhinji, kunonoka kudengesa hazvirevi dambudziko.
Semen pH
Chinyiko : Semen pH chiyero chekuti acidic kana alkaline chirume chii. Iyo seminal vesicle fluid inofanira kuva yakawanda yeakari, nepo prostate fluid inofanira kuva yakawanda. Mukubatana, vanoenzanisa mumwe nemumwe kunze kwemukati.
Nhengo iyo yakanyanyisa yakawanda inogona kuuraya chirume kana kuti kudzivirira kuwedzerwa.
Chii Chinofungidzirwa Chisiri Chakanaka : Mbeu inofanira kunge ine pH inopfuura 7.2. Parizvino, hapana chibvumirano pamusoro pekuti huwandu hwema alkaline hunogona kuchinja sei kubereka, uye naizvozvo hapana pombi yepamusoro yepH maererano nemitemo ye WHO.
Zvingave Zvisina Kukanganisa kana Zvikamu Zvisingakoshi : Kazhinji, pasi pH inowirirana nezvimwe zviyero zvisingawanzoitiki, kusanganisira pasi shoma yevarume kana kuti pasi peperm count. Izvi zvinogona kureva kuvhiringidzika kana kusavapo kwevas deferens.
Mishonga Yakachena Yeropa (WBC)
Chinyiko : Mutsvuku eropa ndiro masero anorwisa utachiona mumuviri. Zvose zvinosanganisira masero eropa rega.
Chii chinofungidzirwa chinowirirana : Mucherecheche weropa rega rega unofanira kunge uri pasi pe1 000 000 pamamiriyoni emadzinza, kana kuti 1.0 x 10 ^ 6 pam ml.
Zvingave Zvisina Kuipa Kana Zvikamu Zvisingakoshi : Ipamusoro pane yakachena yeropa rekuyera nhamba inozivikanwa se leukocytospermia, uye inogona kuratidza utachiona. Bacterospermia iyo apo zvakanyanya kuwanda kwebhakitiriya inowanika mumuna.
Zvisinei, vamwe varume vangave vane leukocytospermia uye vasina chetachiona chakakosha kana kushaya simba kwevarume. Pose kubva pa5 kusvika ku20 muzana yevarume vanoedzwa vanogona kuwanika kuti vane leukocytospermia. Pane chirevo chokuti chimwe chinokonzera chikonzero chebhakterospermia hachina kubatwa nehutachiona hwemazino , kunyange izvi zvisati zvaratidzwa.
Kana Zvawakaguma Zvave Zvisingakoshi
Chimwe chimiro chisina kujairika chekutsvaga chikonzero chikonzero hachisi chaicho chiratidzo chekushaya simba kwevarume. Nemhaka yekuti zvinhu zvakawanda zvinogona kutungamirira kumugumisiro wakaipa, kusanganisira zvirwere zvenguva pfupi kana kunyanya kushungurudzika pamusoro pemuedzo, chiremba wako angangodzokorora kuongorora kwemajeri mumavhiki mashomanana.
Taura nachiremba wako pamusoro pezvaunotarisira mberi, uye iva nechokwadi chekuzivisa chero zvikonzero zvinokonzerwa nemigumisiro yakaipa (kusanganisira zvirwere zvenguva ichangopfuura, rudo rwetsva dzinopisa kana zvigaro zvemoto zvinopisa, dambudziko kubudisa samuenzaniso yekuongorora, nemishonga yose iwe ' re ikozvino kutora.)
> Sources:
> Sandro C Esteves, Ricardo Miyaoka, uye Ashok Agarwal. "Kuvandudzwa kwechirongwa chechipatara chechiremera chemurume." Makliniki (Sao Paulo) . 2011 April; 66 (4): 691-700. doi: 10.1590 / S1807-59322011000400026.
> WHO Laboratory Labor for the Examination and Processing of Human Sperm . Fifth Edition.