Ukuba ngethuba lonyaka isibini esisebenzisanga ukukhulelwa komzimba, kodwa asikwazi ukukhulelwa umntwana, ngoko ke kukho izizathu zokukholelwa ukuba amaqabane aneengxaki malunga nomsebenzi wokuzala. Izizathu zazo zingabini bobabini nabesilisa abangenasifo.
Kwi-40% yamatyala, imbangela ibangelwa zizifo zesibhinqa, i-45% yamatyala yindoda ebangela ukungabikho komntwana, i-15% eseleyo iimeko ezibizwa ngokuba yi-immunological uhlobo lokungahambelani kwamanye amaqabane kunye nezinye iintlobo zokungabikho.
Masiqwalasele ngokuthe ngqo kwindlela eqhelekileyo yokungabikho kwempilo namhlanje - indoda engenabantwana.
Iintlobo zesintu esingenasifo
Kukho oku kulandelayo:
- I-Immunological - xa umzimba uqala ukuphuhlisa izidalwa ze-antibodies ukuya kwidoda okanye izicubu ze-testicular.
- Imfihlo - uhlobo lokungabikho kwengqondo, apho ubuninzi, umgangatho, umkhwa we-spermatozoa wehla.
- I-Obturation - ngenxa yokuba umphumo we-spermatozoa uyinto ephazamisayo, umzekelo, isisu, i-cyst okanye i-scarpoperation.
- Ukungabikho kobubele obungenabumba, kubangelwa izizathu ezibonakalayo. Olu hlobo lokusweleka lunokuba ngumphumo wobandezelo.
Okwangoku, naluphi na olu hlobo lweentlobo zengqondo zonyango oluphathwayo. Kule meko, kokubili ukuxilongwa kunye nokunyangwa kwabantwana abangenako ukungabikho komntwana kunzima kakhulu kunabesifazane.
Izizathu kunye neempawu zokungabikho komntwana
Ukungabikho komntwana kungabangelwa ziintlobo ezininzi zezizathu ezivela kumaqela alandelayo:
- izifo zamathambo, kuquka ukuphuhliswa okungavamile, ukuxhatshazwa, izilonda ezithathelwanayo;
- izizathu ze-hormonal, kubandakanywa neqondo eliphantsi le testosterone okanye i-hormone ye-thyroid;
- umsebenzi wokuvelisa ummi;
- impembelelo emzimbeni okanye ukuvezwa kweetekisi, umzekelo, imitha okanye imichiza;
- iingxaki ngokurhoxiswa kwesidoda - ukukhusela iziteshi ezithwala isisu, izifo zentsholongwane, iintsholongwane kunye nokunyuka, izilonda ze-varicose ze-scrotum;
- i-chromosomal okanye i-inherited disorder;
- izifo eziqhelekileyo, kuquka ne-cirrhosis yesibindi, isifo sesifo, ukungondleki;
- ukuthatha amayeza kunye neziyobisi, kuquka ezo zisetyenziswa kwi-psychiatry, anabolic steroids, utywala, nezinye iziyobisi.
Njengomthetho, iimpawu zesantya zengqondo azibonakali. Ukuba kukho iingxaki ze-hormone, izigulane ziyakwazi ukucotha ukukhula kweenwele, utshintsho lwezwi, iingxaki zesini.
Unyango lwengxaki yokungabikho komntu
Ukuxilongwa kwe-infertility yindoda kuqala ngohlalutyo lwesidoda okanye uhlalutyo lwesambuko.
Ukongezelela, ugqirha uphando ngokubanzi ngembali yesifo, kubandakanywa nempawu zoqulunqo lwentlalo kunye nolwabelana ngesondo, ufumanisa ukuba zeziphi izifo ahlupheke ngazo, kwaye yiziphi iimpembelelo zangaphandle ezingathintekiyo ebomini bakhe.
Emva koko, uviwo oluqhelekileyo lomzimba ukuchonga izizathu zokungabikho. Ngenxa yesiseko seenkcukacha ezifunyenweyo, kufuneka kwenziwe izifundo ezithile, umzekelo, i-ultrasound, i-ultrasound, uvavanyo lwezofuzo, ukusekwa kwemisebenzi yesininzi kunye ne-testicular biopsy.
Kwimeko nganye, indlela yokonyango ikhethwe ngabanye. Ukuba isisiseko sokungabikho kwengqondo sisungulwe ngokuchanekileyo, ngoko, ukuba kunokwenzeka, zama ukuwususa.
Kwezinye iimeko, isizathu asikwazi ukusekwa okanye akukho nto iyakwazi ukulungisa ingxaki. Kwiimeko ezinjalo, inkalo yendoda yokungabikho komntwana inikwe ubuchwepheshe bobubele bokuzala, kuquka i- IVF .
Ukukhethwa kwalolu hlobo okanye loo ndlela ixhomekeke kwimeko yempilo yomntu, izizathu zokungabikho komntwana, iingxaki zomfazi.
Kwimeko yokusebenzisa i-IVF kwindoda engapheliyo, i-oocyte isuswe ngokugqithiseleyo kumfazi, ixutywe kwibhubhoratri kunye nesidoda, kwaye "ibekwe" kwindawo yokubeletha kwesisu.
Indlela elula kakhulu i-intrauterine. Kule meko, isampula yembewu ifundwa kwibhubhoratri, ize ibandakanywe kwisibeleko ngexesha lokuvuthwa.
Iindlela ezininzi zanamhlanje zi-injra-cytoplasmic injection ye-sperm, apho i-sperm isuswe kumathambo, kunye nesidoda ifakwe kwi-ovum. Ngokusebenzisa le teknoloji, kunokwenzeka ukuphumeza umphumo oyifunayo nakwiimeko ezinzima ze-spermatogenesis.