I-Asthenozoospermia, ukwelashwa kwayo kuyinkqubo ende, kuyisifo lapho ukuhamba kwamaseli wesilisa omzimba wesilisa kunciphisa khona. Izimbangela zesifo zingahluka. Cabanga ngalokhu ngokuningiliziwe, ukugqamisa izici ezivusa amadlingozi, izinga lesifo, izindlela zokwelapha.
Kuyini "astenozoospermia" emadodeni?
Ngokuvamile, lapho kutholakala imbangela yokungabikho kokukhulelwa isikhathi eside, inhlolovo, amadoda abhekana nokuxilongwa okufanayo. Noma kunjalo, abazi ukuthi yini "asthenozoospermia" okushoyo. Ukuze uqonde, kubalulekile ukucabangela izici zamaseli wesilisa wesilisa. Isici sabo esiyinhloko, emva kwe-morphology nesakhiwo, ukuhamba. Ngokuqondile lokhu kuxhomeke ekuphumeleleni kokukhulelwa.
Uma uhlola ikhwalithi ye-ejaculate, kuyisiko ukunika ama-4 ama-spermatozoa:
- Amaseli e-sex-aqhubekayo, aqhubekayo ahamba phambili, anesifo se-astenozoospermia, inani le-spermatozoa elinomthelela we-rectilinear wehla ngezansi kwe-20%;
- Esiklasini - i-spermatozoa esheshayo yeselula, enejubane eliphansi lokunyakaza, nalokhu kwephulwa ejaculate kufinyelele ku-30%;
- Ngeklasini - iselula engaqhubeki phambili, hamba uhambo lwe-pendulum, hamba lapho, ne-akhawunti yesifo ye-50% nokuningi kwenani le-spermatozoa;
- D ekilasini - enqatshelwe ikhono lokuhambisa amaseli ocansi, nge-astenozoospermia 10% noma ngaphezulu.
Ngemuva kokuhlola imiphumela ye-spermogram, odokotela baqhathanisa nenani le-spermatozoa ngokuhlukumeza ukuhamba kwinani eliphelele. Ngenxa yalokho, ukuxilongwa kokugcina kwenziwa. Ekuphetheni, udokotela ubonisa ngokuqondile izinga le-asthenozoospermia, ngokusekelwe kwidatha etholakalayo yokuhlola i-laboratory. Lokhu kubalulekile ekuhlanganisweni kwe-algorithm yezinyathelo zokwelapha.
Asthenozoospermia of degree 1
Emva kwemiphumela yophenyo olufana ne-spermogram, i-asthenozoospermia ye-degree elingu-1 kuthiwa, ukuhlushwa kwe-spermatozoa kwamakilasi A no-B kuncishisiwe kuya ku-50%. Ngalokhu okuhlushwa kwamagciwane, i-sperm inamandla amakhulu okufaka umquba - ithuba lokuba ubaba lukhulu. Ukulungiswa okuncane kukuvumela ukuxazulula izinkinga ezikhona futhi ukhulelwe ingane.
Asthenozoospermia of degree 2
Lesi sifo sokukhubazeka ngokuvamile siboniswa esiphethweni sophiko, njenge-asthenozoospermia elinganisiwe. Kulesi simo, inani lezinhlobo ze-spermatozoa A, B lifinyelela ku-40%. I-degree enjalo idinga ukuhlola okuphelele ukuze kutholakale futhi kuqede izimbangela ezibangela ukwephulwa. Amathuba okukhulelwa aphansi, udinga ukubona udokotela wezokwelapha.
I-Asthenozoospermia yezinga lesi-3
Ukuxilongwa "kwe-asthenozoospermia yezinga lesithathu" kwenziwa ngesisekelo semiphumela ye-spermogram. Lolu hlobo lokutadisha lubonisa ushintsho lwekhwalithi ku-ejaculate. Ngakho ikhwalithi, i-spermatozoa yeselula yenza okungaphansi kwezingu-30% kwenani eliphelele lamaseli ocansi atholakele kumuntu. I-predominance ye-spermatozoa yamakilasi e-C no-D ahleliwe. Ukucubungula ngaphandle kokwelashwa kwangaphambili kungenzeki.
Asthenozoospermia - izimbangela
Ukuphenywa kwesikhashana eside kwalesi sifo, ukuxilongwa ngokugcwele kwezimo, kwasiza ekusunguleni izici eziyinhloko, ezivusa ukuthuthukiswa kwe-asthenozoospermia, izimbangela zazo:
- ukuphazamiseka kwezakhi zofuzo - ukungabikho komzimba okungezansi kanye nokuguqulwa kwezinguquko okuholela ekuthuthukiseni izinguquko ze-morphological in spermatozoa (umonakalo ku-flagellum, i-cervix, ikhanda);
- imiphumela emibi emzimbeni, ukusebenza ngokukhiqiza okulimazayo, utshwala, i-nicotine, kungathinta kakhulu ukuhlela kokukhulelwa;
- ukuchayeka kwesikhashana emazingeni aphezulu okushisa - ukusebenza esitolo esishisayo, ukuvakashela ama-saunas namabhati okugeza kungathonya i-spermatogenesis (ukwakheka kwamaseli wesondo);
- ukucindezeleka njalo nesipiliyoni;
- Izifo zobulili (gonorrhea, syphilis, trichomoniasis);
- ukuvuvukala kwesistimu yokuzala (urethritis, prostatitis);
- ukuyeka ukuzibandakanya ngokocansi.
Indlela yokwelapha i-asthenozoospermia?
Ukukhuluma ngendlela yokwelapha i-asthenozoospermia, odokotela banakekele ukusungulwa okulungile kwesici esicasulayo. I-algorithm yezokwelapha ezinqunyiwe ixhomeke ngqo ekubambeni. Ngokuvamile, ukuthatha imithi ethile kusiza ukuqeda lesi sifo. Kodwa ngokuguqulwa kwezakhi zofuzo lwe-astenozoospermia, ukwelashwa akuphumelelanga, futhi umbuzo uvela ngamasu asetshenziswayo wokuzala. Kwezinye izimo, ukwelashwa kwezifo kusekelwe ku:
- ukusetshenziswa kwemithi;
- ukugcinwa kwezincomo zezokwelapha.
Astenozoospermia - ukwelashwa, izidakamizwa
Ukukhuthazwa kwe-spermatogenesis kusiza ukuxazulula le nkinga. Izidakamizwa ezisetshenzisiwe zithuthukisa ukugeleza kwegazi emigqonyeni yecansi yesilisa, echaphazela ikhwalithi ye-spermatozoa eyenziwa yibo. Ngesifo esifana ne-astenozoospermia, izidakamizwa zisebenzisa lokhu okulandelayo:
- I-Pregnil;
- I-Spermactin;
- I-Tribestan;
- I-Testis;
- I-Spem;
- I-Verona;
- I-Horagon.
Ngemuva kokusungulwa kwesifo se-asthenozoospermia, ukwelashwa kukhethwe ngabanye. Isidakamizwa, umthamo wayo kanye nemvamisa yokusetshenziswa, ubude besicelo bukhonjiswa njalo udokotela. Njengendlela yokuthinta ngokuhle ukubunjwa kwamaseli ocansi, sebenzisa i-vitamin complexes kanye nezithako zokudla:
- Selzinc;
- I-PROpfertil;
- Androdosis.
Uma lesi sifo sibhekene nenqubo yokuvuvukala ohlelweni lokuzala, izidakamizwa eziphikisayo zingahle zibekwe:
- Ibuklin ;
- Wobenzym.
Asthenozoospermia - ukwelashwa ngamakhambi abantu
Njengoba unezifo ezifana ne-astenozoospermia, amakhambi omuntu angasetshenziswa njengengeziwe. Phakathi kokupheka okukhona futhi okusebenzayo yi:
- Impande ye-ginseng. Thatha 90 g bese uthinta inyama grinder. Inqwaba eyamukelekile ithululelwa nge 1 litre uju, inyanga eyodwa ishicilelwe endaweni emnyama, thatha ithisipuni 1 yetiyi kathathu ngosuku.
- Plantain. Amaqabunga otshani, omisiwe futhi achotshoziwe ngesamba sezipuni 1 zegumbi lokudlela, uthele ingilazi yamanzi abilayo, ugcizelele ihora elilodwa. Thatha izikhathi ezine ngosuku, 50 ml ngesikhathi.
- Sage. Itafula le-spoon utshani obomile lathengwa ngama-250 ml wamanzi abilayo, gcizelela. Emva kokupholisa, zihlukaniswe zibe izingxenye ezintathu, ezithathwa njalo ngaphambi kokudla.
Asthenozoospermia - ngingakwazi yini ukukhulelwa?
Ngisho nezinguquko ohlelweni lokuzala, ukuwohloka kwekhwalithi ye-ejaculate akukwazi ukuqeda ngokuphelele ukukhulelwa. Ngenxa yalokhu, odokotela bathi asthenozoospermia nokukhulelwa ezimweni ezingavamile kuyahambisana. Konke kuncike ngesilinganiso sokuphulwa. Ngakho ukukhulelwa ngokwemvelo kuyakwenzeka, uma kukhona i-asthenozoospermia enobumnene, okwelashwa kwayo kuphelelwa yisikhathi. Ngama-90% alinganisela futhi i-1 degree yilashwa.
I-Asthenozoospermia ne-IVF
Ngokuhlukunyezwa okukhulu, izinga elibi lamangqamuzana ezocansi, ukuchithwa kokufakelwa kuyindlela yokuphela kokukhulelwe. Kulesi simo, i-insemination, i-asthenozoospermia yesigaba sokuqala ehamba nayo, iqala ukukhulelwa i-oocyte ngamasethini esilisa angaphambi akhethiwe. Phakathi nokuqeqeshwa, odokotela bahlola i-morphology, i-motility ye-spermatozoa, futhi bakhethe kusuka ejaculate efanelekile ukukhulelwa. Kunezinketho eziningana ze-IVF, okukhethwa kukho okususelwa kulesisifo:
- I-IVF esebenzisa i-ejaculate yomlingani (ku-1, 2 degrees);
- in vitro ukukhulelwa nge ICSI (esetshenziswa nganoma yisiphi izinga);
- I-ICSI ne-sperm doner (eyenziwa ngezimo ezimbi zesifo).