Murume asingabatsiri haisi chinhu chaunonzwa zvakawanda pamusoro pezvemashoko, saka unogona kushamiswa kuziva kuti kusagadzikana kwevarume kunowanzoita sokuti kusava nevakadzi kusabatanidzwa mukubatana kwevanhu vaviri pakukwanisa kubata pamuviri.
Mashoko akanaka ndeokuti maitiro akawanda ekusava nemurume anogona kugadziriswa kana kurapa dambudziko kana kushandisa mishonga yekubereka.
Kana izvi zvisiri izvo, vaviri vanotarisana nehutachiona hwemurume vanogona kutendeukira kumunhu anopa mhodzi kana kubvumirwa kuti vabatsire kuvaka mhuri yavo.
Ndezvipi Zvakasvibiswa Murume Asingazivi?
Vanenge 10 kubva kune 15 kusvika ku15% yevakaroorana havazokwanisi kubudirira pamuviri mushure megore rimwe risina kudzivirirwa kwepabonde. Kunze kweboka iri, nhamba dzinotevera pamusoro pemhaka yekushaya vana dzinowanzoshanda:
- Mumwe wechitatu wevakaroorana achawana zvinetso zvekubereka mumunhu chete.
- Mumwe wechitatu wevakaroorana achawana zvinetso zvekuberekwa kune vose vari vaviri kana kuti vana vavo vacharamba vasina kuzvirondedzera.
- Mumwe wechitatu wevakaroorana achawana zvinetso zvekubereka mumukadzi chete.
Murume Anofanirwa Kuzivikanwa Sei?
Murume asingabatsiri anowanzoongororwa nehutano hwemajeni . Uyu muedzo usinganzwisisi unosanganisira murume anopa senzamu yemuiti yebasa kuti aongorore. Bhuku iri rinoshandisa muenzaniso uyu kuti uone huwandu hwemajini uye nhamba yehuta uye kuongorora humiro hwemuviri nekufamba.
Zvakanaka, muedzo unofanirwa kuitwa kanopfuura kaviri kuti uone zviwanikwa .
Nguva yakawanda yenguva, kutsvaga kwemasvondo ekutanga ndiyo yose inofanirwa kuongororwa nehupombwe hwemurume. Zvisinei, kumwe kuedzwa kunogona kusanganisira:
- Kuongororwa kwakawanda kwemuviri wehuroyi.
- Kuongorora kwemazuva ano, kusanganisira genetic kuongororwa kwehuta (kutsvaga kuvepo kwezvirwere) uye kuongorora immobile sperm (kuona kana vakafa kana vari vapenyu).
- Ropa rinoshanda kuti riongorore mazinga ehomoni, kazhinji yeFSH uye testosterone, asi dzimwe nguva zvakare LH, estradiol, kana prolactin.
- Genetic karyotyping , kana kukanganisa kusununguka kunetsoka.
- Ultrasound.
- Post-ejaculatory urinalysis (urine test), kuti uongorore kudzokorora kunyorera.
- Testicular biopsy.
- Vasography.
Ndezvipi Zviratidzo zveMurume Usingafariri?
Kana vakaroorana vasingatauri mushure megore risina kudzivirirwa, murume nemukadzi vanofanira kuongororwa.
Kusiyana nekushaya simba kwevakadzi (uko nguva dzisinganzwisisiki dzingasangana nechinetso), zviratidzo zvakajeka hazviwanzovi nehutachiwana husina simba.
Mune zvimwe zviitiko, zvinetso zvehomoni zvingafungidzirwa kana murume ane uwandu husina kuchena kwebvudzi, pasi re libido, kana zvimwe zviratidzo zvekusagadzikana kwepabonde.
Njodzi dzinokonzerwa nekusava nemurume dzinosanganisira kurema, makore (kupfuura makumi mana-hongu, varumewo vane maawa ehupenyu ), hutachiona hwemazuva ano kana hwepfuura hweSDD, kusvuta, kana kunwa doro. Mimwe mishonga inogonawo kukanganisa kubereka.
Chii Chinokonzera Murume Asina Hanya?
Zvimwe zvinokonzera kukanganisa kwevarume ndezvi:
- Kusakwana kwechirume (azoospermia)
- Low sperm count (oligospermia)
- Nhengo dzisina kufema dzemuviri (teratozoospermia)
- Matambudziko neboka remuviri (asthenozoospermia)
- Mbeu inenge isina simba (necrozoospermia); chirume chinogona kunge chiri chipenyu uye chisingafambi, kana kuti vangave vakafa
- Matambudziko nehutachiona hutachiona, nekuda kwekuita zvepabonde, kuvhiringidza, vasectomy yapfuura,
- Zvinetso nezvipfeko kana zvimwe zvinetso zvepabonde
Pane mamiriro ezvinhu akasiyana-siyana anogona kutungamirira kumurume kusununguka. Chikonzero chinonyanya kukosha chekusununguka kwevarume ndechevaricoceles . A varicocele isvine varicose inowanikwa mukoko. Kuwedzera kupisa kunokonzerwa nemuviri kunogona kutungamirira kuhotera yepamusoro uye kusakanganiswa kwemajaya.
Ndezvipi Zvisarudzo zveMurume Infertility Treatment?
Zvimwe zvinokonzera kusununguka kwemurume zvinoporesa kana kugadziriswa kuburikidza nekuvhiyiwa. Sarudzo dzekurapa dzinogona kusanganisira:
- Kurapa nemishonga inorwisa mabhakitiriya, mumamiriro ezvinhu ehutachiona
- Kugadziriswa kwekuvhiya, kuitira kubvisa varicocele, kudzosera vasectomy, kana kugadzirisa chirwere chinodzivisa
- Mishonga kana kuberekwa zvinodhaka kunatsiridza mbeu yekurohwa
Mumamiriro ezvinhu apo mishonga inopfuura ino isingabudiriri, kana kuti chinokonzerwa nekusava nemurume chisingazivikanwi kana kusakanganisika, IUI kurapwa kana chirwere cheVF chinogona kutaurwa.
IUI kurapwa , uko chirume chinoshandurirwa mukati mechiberekero kuburikidza nemukati, chinowanzoshandiswa mumamiriro ekuderera kwema sperm kana kuti unhu. Zvirwere zveVIV zvinogona kurongedzwa kana IUI isingabudiriri kana yakakodzera, kana kana kusununguka kwevakadzi kuchiita dambudziko.
Mune zvimwe zviitiko, chiremba wako anogona kukurudzira nzira inonzi intracytoplasmic chirwere chemajoni (ICSI) . Kuitwa sechikamu chekurapa kweIVF, ICSI inosanganisira kuvhara unhu imwe chete muzai.
Kana chirume chisingaoneki mu ejaculate, asi chiri kubudiswa, chiremba angakwanisa kutora chirume zvakananga kubva mumatsetse, kana kubva kumucheka (mune zviitiko zvekudzoka kwemajeri), uye shandisa iyo mbeu kuti izere mazai mu lab. Izvi zvaizoitwa sechikamu chekurapa kweVIV.
Zvisinei, kana pasina chimwe chezviisarudzo izvi chiripo, kana kuti hachibudiriri, chiremba wako angataura newe nezvekushandisa mbeu yehurosi, kana kufunga nezvekugashira vana, kubatsira kubatsira kuvaka mhuri yako.
Sources:
Nhungamiro Yakakosha kuMurume Infertility: Ungawana Sei Zvakaipa? American Urologic Association. https://urology.ucsf.edu/sites/urology.ucsf.edu/files/uploaded-files/basic-page/a_basic_guide_to_male_infertility.pdf Yakagadzirirwa musi wa21 Gunyana, 2013.
Infertility: An Overview. American Society of Reproductive Medicine. Yakasvika musi waApril 23, 2009. http://asrm.org/uploadedFiles/ASRM_Content/Resources/Patient_Resources/Fact_Sheets_and_Info_Booklets/infertility_overview.pdf
Infertility: Zvinokonzera. MayoClinic. Yakasvika pana Gumiguru 21, 2013. http://www.mayoclinic.com/health/infertility/ds00310/dsection=causes
Mwoyo Murefu Chikwata Chekuongorora: Kuongororwa Kuongorora kweMurume Inonzi Infertility. American Society of Reproductive Medicine. Yakasvika musi waApril 23, 2009. http://asrm.org/uploadedFiles/ASRM_Content/Resources/Patient_Resources/Fact_Sheets_and_Info_Booklets/Testing_Male-Fact.pdf