Izilwane zomyeni wami zakhulelwa

Izilwane zomyeni wami zakhulelwa

• Owesifazane ushaqekile ngezindaba zomyeni wakhe onenkinga yesidoda esingu-zero kodwa akazange aphatheke kabi ngoba wamangala ethola ukuthi ukhulelwe ngemva kwezinyanga ezi-XNUMX kuphela elashwa.
• Nakuba azama izindlela zokwelapha ezihlukahlukene ezinjengoju futhi engabonanga ngcono, ekugcineni wamangala ngemiphumela emangalisayo.

Wayenemibono engalungile ekuqaleni, njengoba wayekholelwa ukuthi kwakungeke kwenzeke ukuthi akhulelwe uma izilwane zomyeni wakhe zingekho.
Kodwa ngemva kokubonisana nochwepheshe okhethekile, kwavulwa ama-horizons amasha phambi kwakhe.

• Odokotela baqinisekisa ukuthi isidoda somyeni sasingekho ngokuphelele, okubonisa isimo esinzima esaziwa ngokuthi “isospermia,” okusho ukungabikho ngokuphelele kwesidoda esidodeni.

Kodwa ukukhulelwa ngemva kwalesi simo esizumayo kwenza owesifazane washintsha umbono wakhe ngale nkinga.
Ngathola ukuthi akhona amathuba okukhulelwa ngisho noma kushoda isidoda, nokuthi lezi zimo zingelashwa ngezindlela ezahlukene.

• UDkt. Imad El-Din Kamal, uprofesa wezifo zokuzala kanye nobudoda, ukuqinisekisile ukuthi ukwelashwa okubalulekile ukwelapha inkinga ngenkani.

Lesi simo ngesinye sezibonelo eziningi izithandani ezibhekana nazo emkhakheni wokuzala, futhi sibonisa ukubaluleka kokuqwashisa nokubonana kusenesikhathi nodokotela abangabatholi abantwana.
Ukwelashwa okutholakalayo kanye nobuchwepheshe besimanje kusiza kakhulu ukunqoba lobu bunzima nokufeza iphupho elilindelekile.

• Ithebula ngemuva kwesihloko esithi "Ukwelashwa kwamacala e-azoospermia"

• Isiphetho: Akungabazeki ukuthi amacala e-azoospermia ayinselelo enkulu emibhangqwaneni ephupha ngokukhulelwa.

Yiziphi izimo zokungazali ezingelapheka?

Kunezimo ezithile zokungatholi abantwana ezingelapheka unomphela.
Ukwelashwa kokungatholi abantwana kuncike kumbangela nohlobo lwako.
Phakathi kwalezi zimo ezingelapheki unomphela yizimo zokungazali zofuzo.

Izibonelo zokungazali kofuzo zihlanganisa i-Klinefelter syndrome, lapho ingane enalesi sifo izalwa ingenayo inzalo.
Ngaphezu kwalokho, kunezinye izifo, ezinye zazo ezibangela ukungazali futhi azikwazi ukwelashwa.

Ngaphandle kofuzo, kunezinye izimo zokungazali okunzima ukuzelapha.
Phakathi kwazo kukhona izigameko zokuphuma kwe-retrograde ejaculation, njengoba lolu hlobo lwenzeka uma isidoda sibuyela esinyeni esikhundleni sokuthi siphume ngendlela okufanele siphume ngayo.
Nakuba zikhona ezinye izinyathelo ezingathathwa ukwelapha i-retrograde ejaculation, kungase kube nzima ukuyelapha unomphela.

Futhi, kunezinye izimo eziholela ekungazali futhi kungase kube nzima ukuzelapha.
Ezinye izifo kanye nezimo zempilo ezihlukahlukene, njengesifo sikashukela, ukulimala komgogodla, nokuthatha imithi ethile, kungase kubangele ukuphindaphinda kwe-ejaculation futhi kuholele ekungazali.
Ukwengeza, ukuhlinza esinyeni noma i-prostate kanye namazinga aphezulu e-prolactin egazini ezinye izibonelo zezimo zokungazali okungenzeka zingelapheki ngokuphelele.

Kodwa nakuba lezi zimo kunzima ukuzelapha, izimo eziningi zokungatholi abantwana ziyelapheka.
Izindlela zokwelapha ziyahlukahluka kuye ngembangela yokungatholi abantwana, ubude besikhathi somzamo ongaphumelelanga wokukhulelwa, kanye neminyaka yombhangqwana.
Izinketho zokwelapha ezihlukahlukene zihlanganisa ukuhlinzwa, ukwelashwa, amasu okufakelwa, kanye nezinye izinqubo.

Imibhangqwana ehlushwa ubunzima bokukhulelwa noma ukuyibambezela kufanele ifune usizo lukadokotela onguchwepheshe ukuze bathole ukuxilongwa okunembile kanye nohlelo olufanele lokwelapha isimo sabo.

Ingabe inzalo ingelapheka?

• Lapho abantu bebhekene nenkinga yokungazali, bangase baqale ukufuna izindlela zokwelapha ezingase zibe khona.

• Izindlela zokwelapha ezingase zibe khona zokungazali zihlanganisa:

1. Imithi: Odokotela bangase basikisele ukusebenzisa imithi ukuthuthukisa amathuba okukhulelwa.
   Imithi ingase iqondiswe ekwelapheni izifo esidodeni futhi ilawule amahomoni abhekele inqubo yokuvuthwa kwamaqanda.
2. Ukuhlinzwa: Kungase kudingeke ukuhlinzwa ezimweni ezithile zokungazali.
   Isibonelo, i-varicocele ingelashwa ngokuhlinzwa ukuze kuthuthukiswe ukukhiqizwa kwesidoda.
3. I-uterine insemination: Uma kungekho ukwakheka kwesidoda okuvamile, indlela yokufaka isibeletho ingasetshenziswa ukwandisa amathuba okukhulelwa.
4. Ubuchwepheshe bokuzala obusizwayo: Lobu buchwepheshe buhlanganisa izinqubo eziningana, njengokuvundisa amaqanda nge-in vitro (IVF) kanye ne-in vitro sperm insemination (ICSI), okusiza ukufeza ukukhulelwa uma kwenzeka kunzima ukuzala.

Kodwa-ke, imibhangqwana kufanele yazi ukuthi izindlela zokwelapha ezitholakalayo zokuzala zingadinga ukuzibophezela okukhulu ngokwesikhathi, imali nomzamo.
Bangase futhi babe nemizwa yokungaqiniseki nengcindezi njengoba behlolwa nokuthola ukwelashwa.

• Ngaphezu kwalokho, ezinye izimo zokungatholi abantwana zingelapheka kalula ngokwelapha izifo ezithathelwana ngocansi njenge-chlamydia ne-gonorrhea.

Abantu akufanele balahlekelwe ithemba lokululama ekungazali.
Kufanele baxhumane nodokotela abangochwepheshe nochwepheshe bokungazali ukuze bathole isiqondiso nokwelashwa okufanele kwesimo sabo.
Bangase babe nethuba lokufeza iphupho lokuba ngumama nokuba ubaba ngosizo lokwelashwa okudingekayo.

Wazi kanjani ukuthi ukhululekile ekungazali?

• Nakuba ukukhulelwa kuyinqubo engokwemvelo emibhangqwaneni eminingi, abanye bangaba nobunzima ekutholeni ukukhulelwa ngenxa yezinkinga zokungazali.

• Izinguquko kumjikelezo wakho wokuya esikhathini zingase zibe inkomba yezinkinga zempilo.
• Isikhathi sakho sokuya esikhathini ngokuvamile siqala ngegazi elibomvu ngokugqamile, kodwa uma igazi linombala okhanyayo kunokuvamile, lokhu kungase kube uphawu olukhathazayo.

Ukungazali emadodeni kungenzeka ngenxa yokungakhiqizi kahle kwesidoda noma ngenxa yezinkinga zamasende.
Kungcono ukugcina izinga lokushisa lamasende liphansi ukugwema noma yiziphi izinguquko kuwo.
Ngaphezu kwalokho, amadoda angathola ubunzima bokuqhanyelwa, ubuhlungu besende, inani elincane lesidoda, futhi mhlawumbe nezinkinga zesifiso socansi.

Ukuqinisekisa impilo yakho yezocansi nokuthi azikho izinkinga ezithinta ikhono lakho lokukhulelwa, kubalulekile ukuvakashela udokotela.
Odokotela bangenza izivivinyo ukuze bahlole isidoda sakho namahomoni ocansi futhi baqinisekise ukuthi unempilo.

Kufanele uthathe izinto ngokungathi sína uma uhlangabezana nezimpawu ezifana nezokunyumba futhi uthintane nodokotela abangochwepheshe ukuze bakuhlole futhi belaphe izinkinga ezingaba khona.

Ingabe inzalo emadodeni ingalapheka?

Ezimweni ezingavamile, izinkinga ezithile zokuzala kwabesilisa zingabangela ukuba owesilisa angakwazi ukuthola abantwana.
Ngakho-ke, imibhangqwana enalezi zinkinga icabangela ezinye izinketho zokukhulelwa kwengane, njengokusebenzisa isidoda somnikeli noma ukutholwa.

• Nokho, izinkinga eziningi zokungatholi abantwana zabesilisa zingelapheka ngokwelashwa okufanele.

Eminye imibhangqwana ingase iqondiswe ukuba icabangele ukunikela ngesidoda ukuze kuxazululwe inkinga yokungazali kwabesilisa.
Le nqubo ihilela ukusebenzisa isidoda somunye umnikezeli ukuze kuvundiswe amaqanda alawulwayo, ngaleyo ndlela andise amathuba okukhulelwa.

• Ezinye izimo zokungatholi abantwana kwabesilisa zingelashwa ngokuhlinzwa.
• Isibonelo, i-varicocele ingelashwa ngokuhlinzwa okuvumela i-testicle ukuthi ibuyele ekukhiqizeni isidoda ngokujwayelekile.

Kubalulekile ukuqaphela ukuthi imithi nesayensi yenze inqubekelaphambili enkulu ekwelapheni izimo zokungabi nabantwana eminyakeni yamuva.

• Ngaphandle kokwelashwa, kunezinye izici okufanele imibhangqwana izicabangele lapho ifuna ukwelashwa kwenyumba.

Ukwelashwa kokungabi nanzalo kwabesilisa kufanele kunqunywe ngokusekelwe kumbangela eyinhloko yokungazali.
Kubalulekile ukuthintana nodokotela abangochwepheshe bokungatholi abantwana ukuze bahlole isimo sombhangqwana ngamunye ngamunye futhi banqume izinyathelo ezifanele kakhulu zokwelapha inkinga.
Sibheke phambili kubuchwepheshe obuthuthuke kakhulu nokwelashwa esikhathini esizayo ukuze sisize abantu abanalezi zinkinga eziyinkimbinkimbi.

Ingabe ukukhulelwa okuvamile kwenzeka ngokungabikho kwezilwane?

Ukukhulelwa okuvamile akwenzeki ngokuntuleka kwesidoda.
Uma kunesibalo esiphansi sesidoda noma ukungabikho okuphelele, ukukhulelwa ngokwemvelo kuba yinto engenakwenzeka.
Lokhu kungenxa yokuthi isidoda yisona esivundisa iqanda, futhi uma singekho, ukukhulelwa ngeke kwenzeke.

Kodwa-ke, kunezimo lapho amanye amadoda engase akwazi ukukhulelwa naphezu kwesidoda esiphansi.
Nakuba amathuba okukhulelwa kulezi zimo ephansi, kusengenzeka ngezinga elithile.
Endabeni ye-oligospermia, ukukhiqizwa kwesidoda kuyinto evamile, kodwa ukuphuma kwalesi sidoda akwenzeki ngenxa yokuvinjelwa ngokomzimba okuvimbela le nqubo.

Isibalo esiphansi nesiphansi sesidoda singenza kube nzima ukukhulelwa ngokwemvelo.
Nokho, kusenemikhankaso ethile ephumelelayo eyenzeka ngokwemvelo kulezi zimo.
Uma i-testicle isabela ekwelashweni futhi indoda ikwazi ukukhiqiza isidoda, ukukhulelwa kungenzeka ngokwemvelo.
Uma isende lingaphenduli ekwelashweni, kufunwa ezinye izindlela, njengokusebenzisa isidoda esithathwe ngaphandle kwesende.

• Ukubambezeleka kokukhulelwa kungaba umphumela wezici eziningana, kuhlanganise nesidoda esincane.

• Ukuntuleka kwesidoda kuyinkinga evamile emadodeni, futhi kwenza kube nzima ngenkosikazi ukukhulelwa ngokwemvelo.

Kunezimbangela ezihlukahlukene ze-azoospermia, kuhlanganise nezimbangela eziphilayo kanye nezakhi zofuzo, futhi zingabangelwa ukungenelela kokuhlinzwa, ukuzuza kwesisindo, futhi, yiqiniso, ukuguga.

Kuyaphawuleka ukuthi ukukhulelwa kudinga isidoda esisodwa esivuthiwe esikwazi ukuvundisa iqanda elilodwa elivuthiwe.
Uma lezi zimo zihlangene, i-fetus ibuyiselwa esibelethweni somfazi, futhi ukukhulelwa kwenzeka ngokwemvelo.

Kufanele uthintane nodokotela onguchwepheshe uma ukukhulelwa kungenzeki isikhathi eside.
Ukuhlolwa okudingekayo kufanele kwenziwe ukuze kutholakale imbangela yenkinga futhi kusungulwe uhlelo olufanele lokwelapha.

Yiziphi izimo ezinzima kakhulu zokungazali emadodeni?

• Izinkinga zokungazali ziyinkinga ebalulekile ethinta imibhangqwana eminingi emhlabeni jikelele.

• Amacala okuzala emadodeni ahlukene futhi anezimbangela eziningi, kodwa phakathi kwazo kukhona ezinye ezithathwa njengezinzima kakhulu kunezinye.

• Esinye isimo esinzima sokungazali yi-obstructive azoospermia.
• Lesi simo sithinta cishe u-1% wabesilisa, futhi sithathwa njengesinye sezigameko ezinzima kakhulu zokungazali ukuzelapha.
• Lesi simo senzeka lapho kuvaleka umgudu ovumela isidoda ukuthi sidlule esende siye epipini.

Izinkinga zamahomoni zingase zibe yimbangela yokungatholi abantwana kwabesilisa.
Uma amazinga amahomoni athile ephakeme ngokungavamile noma ephansi, angase athinte ikhono lokuzala.
Kulezo zimo, udokotela wakho angasikisela ukuthi uguqule la mazinga usebenzisa i-hormone therapy noma imithi efanele.

• Ngaphezu kwalokho, i-varicocele ingaba nomthelela omubi emandleni okuzala.
• Uma amavalvu noma izindonga zingasebenzi kahle emithanjeni ehlinzeka ngamasende, zingase zivimbele ukugeleza kwegazi okunempilo kule ndawo, futhi ngaleyo ndlela ukukhiqizwa kwesidoda kungase kuthinteke kabi.

Amadoda anenkinga yokukhulelwa abhekana nezimo ezinzima kakhulu zokungabi nabantwana, okungase kudinge ukungenelela kwezokwelapha okwengeziwe.
Kodwa-ke, kubalulekile ukuthi imibhangqwana isebenzisane nodokotela abangochwepheshe ukuze bathole izinga lokungazali nezimbangela zako futhi bathole ukwelashwa okufanele ngakho.

Kuthatha isikhathi esingakanani ukwelashwa kwe-infertility?

Umbhangqwana oyedwa kwabayisikhombisa unobunzima bokukhulelwa, futhi nakuba ukungazali kungabakhungathekisa imibhangqwana eminingi, kunethemba lokuthola isisombululo esifanele.
Imitholampilo nodokotela baziwa ngokuhlinzeka ngokwelashwa nezinqubo ezisiza ukufeza ukukhulelwa.

• Ubude besikhathi sokwelashwa kokungabi nabantwana siyahlukahluka kumuntu nomuntu, njengoba kuthintwa izinto eziningi, okuhlanganisa iminyaka, isimo sempilo, kanye nohlobo lokungazali.
• Ngokuvamile, imibhangqwana yelulekwa ukuthi ilinde isikhashana ngaphambi kokubona udokotela ukuze athole ukwelashwa kokungabi nabantwana.

• Ngokuqondene nabesilisa, ubude besikhathi sokwelashwa kokungabatholi siyahlukahluka kuye ngokuthi imbangela yokungazali kanye nendlela yokwelapha elandelwa udokotela.

Nakuba kungase kuthathe isikhathi ukuze ukwelashwa kuphumelele, lisekhona ithemba.
Ukuhlolwa kungase kube nzima ekuqaleni, kodwa lapho isimo sitholakala futhi ukwelashwa okudingekayo sekwenziwe, kunethuba langempela lokufeza ukukhulelwa okufunayo.

• Lapho imibhangqwana ibhekana nobunzima ekukhulelweni, ukwelashwa okufanele kungase kube ikhambi elikahle lokufeza amaphupho abo okudala umkhaya ojabulayo.

Okulandelayo: Imibhangqwana kufanele ivakashele udokotela ukuze ixilonge ngokunembile isimo sayo futhi ibonane naye mayelana nokwelashwa okufanele kuzo.

Yimaphi amaphutha avimbela ukukhulelwa?

Maningi amaphutha abanye abashadile abawenzayo avimbela amathuba okukhulelwa.
Ukuya ocansini nsuku zonke nokulandela isikhundla esisodwa kuphela kungenye yamaphutha avame ukwenziwa abanye abantu.
Abanye bangase bakholelwe ukuthi lesi sikhundla sivimbela ukukhulelwa, kodwa empeleni, ukuphindaphinda isikhundla esifanayo kubangela ukuncipha kwamathuba okukhulelwa.

Amanye amaphutha abanye abantu abawenzayo angase aholele ekuphuzeni ukukhulelwa ahlanganisa ukubhema nokuphuza utshwala.
Ngaphezu kwalokho, ukungalali ngokwanele kungabangela ukuphazamiseka ekukhiqizweni kwamahomoni enzalo.

Futhi, ukungasebenzisi izithambisi eziseduze ngesikhathi socansi kunganciphisa amathuba okukhulelwa.
Ukusebenzisa izithambisi eziseduze kungathuthukisa ukuhamba kwesidoda ukuya eqandeni futhi ngaleyo ndlela kwandise amathuba okukhulelwa.

Kufanele futhi ugweme ukwenza imikhuba engalungile engase ithinte impilo yesimiso sokuzala, njengokusebenzisa izibulala-zinambuzane ezibulala isidoda futhi zinqande ukukhulelwa.
Lezi zibulala-zinambuzane zitholakala ngendlela yejeli, izithako ze-vaginal suppositories, noma ukhilimu, futhi zisetshenziswa ngokuzifaka ngaphakathi esithweni sangasese.

Ngaphezu kwalokho, ukweqisa noma ukuntula ukuya ocansini kunganciphisa amathuba okukhulelwa.
Ukuya ocansini ngokungavamile noma ngokungajwayelekile kungase kungalethi amathuba amakhulu okukhulelwa nokuzala.

Kumelwe sicabangele ukuthi kungase kube nezinye izici ezithinta ukwenzeka kokukhulelwa, ngakho-ke kunconywa ukuya kodokotela abangochwepheshe ukuze bahlole isimo futhi baqondise imibhangqwana ngendlela efanele.