I-Asthenozoospermia, unyango lwayo luyinkqubo ende, yintlupheko apho ukuhamba kweeseli zesini zesini kuyancipha. Izizathu zesifo zingahluka. Cinga ngeenkcukacha ezingakumbi, ukhankanya izinto ezinokubangela ukuba, isantya sesifo, iindlela zonyango.
Yintoni "i-astenozoospermia" emadodeni?
Ngokuqhelekileyo, xa kusungulwa imbangela yokungabikho kokuzala kokudala , uphando, amadoda ajongene nokuxilongwa okufanayo. Nangona kunjalo, abazi ukuba "i-asthenozoospermia" ithetha ntoni. Ukuqonda, kubalulekile ukuqwalasela iimpawu zesini zesini zesini. Uphawu lwazo oluphambili, emva kwe-morphology kunye nesakhiwo, ukuhamba. Ngokuthe ngqo kule nto kuxhomekeke kwimpumelelo yokukhulelwa.
Xa uvavanya umgangatho we-ejaculate, kuyisiko ukunika iiklasi ezine ze-spermatozoa:
- Ieseli zesigaba-ezenza ngokuqhubekayo, ezithintekayo zesini, kunye ne-astenozoospermia, inani le-spermatozoa kunye nokunyakaza kwe-rectilinear linciphisa ngaphantsi kwe-20%;
- Kwiklasini - i-spermatozoa ephathekayo ephathekayo, inesivinini sokunyakaza, kunye nokuphulwa kwe-ejaculate kufike kwi-30%;
- Ngeklasini - engahambanga ngokuhambahambayo, hambelana nomzila we-pendulum, uhambe kwindawo leyo, kunye ne-akhawunti yesifo i-50% kunye nenani le-spermatozoa;
- D iklasi - inyanzelekile yokukwazi ukuhambisa iseli zesini, nge-astenozoospermia 10% okanye ngaphezulu.
Emva kokuvavanya iziphumo ze-spermogram, oogqirha baqhathanisa inani le-spermatozoa kunye nokuphulwa kwenkohlakalo kwinani elipheleleyo. Ngenxa yoko, ukuxilongwa kokugqibela kwenziwa. Ekugqibeleni, ugqirha ubonisa ngokuthe ngqo umlinganiselo we-asthenozoospermia, ngokusekelwe kwidata efunyenweyo yee-laboratory izifundo. Oku kubalulekile ekuhlanganiseni i-algorithm yamanyathelo okwelapha.
I-Asthenozoospermia ye-1 degree
Emva kweziphumo zophando olunjalo njenge-spermogram, i-asthenozoospermia ye-1 degree iqikelelwa, ukuxilongwa kwe-spermatozoa yeeklasi A no-B kuncitshiswa ibe ngu-50%. Ngolu xholongwane lweeseli zegciwane, ubuncinci bunobuchule obukhulu bokuchumisa-ithuba lokuba nguyise lukhulu. Ukulungiswa kwamancinci kukuvumela ukulungisa iingxaki ezikhoyo kwaye ukhulelwe umntwana.
Asthenozoospermia we-2 degree
Eli nqanaba lokukhubazeka lisoloko luboniswe kwisigqibo seengcali, njenge-asthenozoospermia. Kule meko, inani le-spermatozoa A, B lifikelela kuma-40%. Iqondo elinjalo ludinga uphando olusisiseko ukuseka nokuphelisa izizathu ezibangele ukuphulwa. Ubungakanani bokukhulelwa umgangatho ophantsi, kufuneka ufunde ugqirha kwiziko leyeza.
I-Asthenozoospermia yesigaba sesi-3
Ukuxilongwa "kwe-asthenozoospermia yesigangatho sesithathu" kwenziwa ngesiseko se-spermogram. Olu hlobo lwesifundo lubonisa utshintsho olulungileyo kwi-ejaculate. Ngoko umgangatho, i-spermatozoa yeselula yenza i-30% engaphantsi kwe-30% yeeseli zesini ezifunyenwe kwisidoda. I-predermance ye-spermatozoa yeeklasi ze-C ne-D zichanekile. Umqhawulo ngaphandle kokuba unyango olungenakuqala lungenakwenzeka.
Asthenozoospermia - izizathu ze
Ukuphanda kwangexesha elide eso sifo, ukuxilongwa ngokupheleleyo kweemeko, kunceda ekusekeni izinto eziphambili, ezibangele ukuphuhliswa kwe-asthenozoospermia, izizathu zokuthi:
- ukuphazamiseka kwemfuzo - ukungabikho komzimba kunye nokuguqulwa komzimba okukhokelela ekuphuculweni kweenguqulelo ze-morphological in spermatozoa (umonakalo kwi-flagellum, umlomo wesibeleko, intloko);
- iziphumo ezinobungozi emzimbeni, ukusebenza kwimveliso enobungozi, ukusetyenziswa kotywala, i-nicotine, kunokuchaphazela kakhulu ukucwangciswa kombono;
- Ukutshatyalaliswa kwexesha elide kumaqondo aphezulu aphezulu - ukusebenza kwivenkile eshushu, ukutyelela i-saunas kunye namabhafu kunokuchaphazela i-spermatogenesis (ukubunjwa kweeseli zesini);
- uxinzelelo kunye namava;
- Izifo zesondo (gonorrhea, syphilis, trichomoniasis);
- ukuvuvukala kwenkqubo yokuzala (urethritis, prostatitis);
- ukuyeka ukuzibandakanya ngokwesondo.
Indlela yokuphilisa i-asthenozoospermia?
Ukuthetha ngendlela yokuphatha i-asthenozoospermia, oogqirha baqwalasela ukusekwa okuchanekileyo kwento evuselelayo. I-algorithm yonyango echanekileyo ixhomekeke ngqo kwisizathu. Ngokuqhelekileyo, ukuthatha amayeza athile kunceda ukususa eso sifo. Kodwa ngokuguqulwa kofuzo lwe-astenozoospermia, unyango alusebenzelanga, kwaye umbuzo uphuhliso lwezakhono zokuzala. Kwezinye iimeko, i-disorder ye-disorder isekelwe kwi:
- ukusetyenziswa kwamachiza;
- ukugcinwa kweengcebiso zonyango.
I-Astenozoospermia - unyango, iziyobisi
Ukukhuthazwa kwe-spermatogenesis kunceda ukuxazulula ingxaki. Iziyobisi ezisetyenziselwa ukuphucula ukuhamba kwegazi kwiingqungqingi zesini zesini, ezichaphazela umgangatho we-spermatozoa eziveliswe ngabo. Ngesifo esifana ne-astenozoospermia, iziyobisi zisebenzisa oku kulandelayo:
- Pregnil;
- Spermactin;
- Tribestan;
- Testis;
- Spem;
- IVerona;
- UHoragon.
Emva kokusungulwa kwesifo se-asthenozoospermia, unyango lukhethwe ngabanye. Isilwayo, umyinge wayo kunye nexesha lokusetyenziswa, ubude besicelo luhlala luboniswa ngugqirha. Njengendlela yokuchaphazela ngokuqinisekileyo ukubunjwa kweeseli zesini, sebenzisa i-vitamin complexes kunye nezongezelelo zokutya:
- Selzinc;
- PROpfertil;
- Androdosis.
Ukuba eso sifo sishukunyiswa yinkqubo yokuvuvukala kwinkqubo yokuzala, izidakamizwa ezichasayo zingabhalwa:
- Ibuklin ;
- Wobenzym.
I-Asthenozoospermia - unyango kunye nezilwanyana zabantu
Ngaloo ntsholongwane njenge-astenozoospermia, izilwanyana zomntu zingasetyenziselwa njengongeziweyo. Phakathi kweendlela zokupheka ezifumanekayo nezifanelekileyo:
- Ingcambu ye-ginseng. Thatha i-90 g uze usike i-grinder yenyama. Ubuninzi obufunyenweyo buchithwa nge 1 litre yobusi, inyanga e-1 igxininiswe kwindawo emnyama, thatha i-1 teaspoon yeeyi kathathu ngosuku.
- Plantain. Iintsi zengca, ezomileyo zinyanzeliswe kwisixa sepuniji ye-1 kwigumbi lokudlela, uthele iglasi yamanzi abilayo, ugxininise i-iri iyure. Thatha amaxesha amane ngosuku, 50 ml ngexesha.
- Sage. Itafile egcotyiweyo enotshani obomileyo ethululelwe i-250 ml yamanzi abilayo, igxininise. Emva kokupholisa, zihlukaniswe zibe ziincandelo ezintathu, ezithathwa rhoqo emva kokutya.
Asthenozoospermia - ndiyakhulelwa?
Nokuba utshintsho kwinkqubo yokuzala, ukonakaliswa komgangatho we-ejaculate awukwazi ukulawula ngokupheleleyo ukukhulelwa. Ngenxa yoko, oogqirha bathi asthenozoospermia kunye nokukhulelwa kwiimeko ezinqabileyo zihambelana. Yonke into incike kwizinga lokuphulwa. Ngoko ukukhulelwa ngokwemvelo kunokwenzeka, xa kukho i-asthenozoospermia epholileyo, unyango lwayo olwenziwa kwimeko yokugula. Ngama-90% aphantsi kwaye i-1 degree ilawulwa yonyango.
Asthenozoospermia kunye neVIV
Ngokuphulwa kakubi, umgangatho omgangatho weeseli zesini, ukuchithwa kwezinto ezenziwe ngumbutho kuba yindlela kuphela yokukhulelwa. Kule meko, ukusatshalaliswa, i-asthenozoospermia yeqonga lokuqala elihambisa ngayo, lithatha ukuchumisa i-oocyte ngamaseli wesini esandulelayo. Ngexesha loqeqesho, oogqirha bavavanya i-morphology, i-motility ye-spermatozoa, kwaye bakhethe kwi-ejaculate efanelekileyo yokuchumisa. Kukho iindlela ezininzi ze-IVF, ukhetho oluxhomekeke kwisixa sesifo:
- IVF kunye nokusetyenziswa kwe-ejaculate yeqabane (kwi-1, 2 degrees);
- kwi-vitro fertilization ne-ICSI (isetyenziswe naluphi na umgangatho);
- I-ICSI kunye ne-sperm doner (eyenziwa kwiimeko ezinzima zesifo).