Asthenozoospermia, amene chithandizo chake chikutalika kwa nthawi yayitali, ndi vuto limene maselo achiwerewere amatha kuchepa. Zomwe zimayambitsa matendawa zimakhala zosiyana. Talingalirani izi mwatsatanetsatane, kuwonetsa zifukwa zomwe zimayambitsa, mlingo wa matenda, njira za mankhwala.
Kodi "astenozoospermia" n'chiyani mwa amuna?
Kawirikawiri, pofufuza chifukwa cha kusakhala ndi nthawi yayitali, amuna amachitanso chimodzimodzi. Komabe, sakudziwa kuti "asthenozoospermia" amatanthauza chiyani. Kuti mumvetsetse, m'pofunika kuganizira makhalidwe a maselo ogonana. Chikhalidwe chawo chachikulu, pambuyo pa kafukufuku wamakhalidwe abwino, ndi kuyenda. Mwachindunji pa izi zimadalira kupambana kwabwino.
Poyesa mtundu wa ejaculate, ndi mwambo kupereka magawo 4 a spermatozoa:
- Selo - maselo opititsa patsogolo, ogwira ntchito mofulumira, ndi astenozoospermia, chiwerengero cha spermatozoa ndi kayendedwe kamene kamachepera pansi pa 20%;
- Mu kalasi - spermatozoa, yochepa kwambiri ya kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendedwe kameneka, ndi kuphulika kumeneku mu ejaculate kuli 30%;
- Ndi kalasi - osayenda mofulumira, yendetsani pendulum, pita pang'onopang'ono, ndi nthendayi ya 50% ndi nambala ya spermatozoa;
- D class - osayenerera kuthetsa maselo a kugonana, ndi astenozoospermia 10% kapena kuposa.
Pambuyo pofufuza zotsatira za spermogram, madokotala amalinganiza nambala ya spermatozoa ndi kuphwanya kusuntha kwa nambala yonse. Zotsatira zake, chidziwitso chomaliza chimapangidwa. Potsirizira pake, dokotala amasonyeza mwachindunji mlingo wa asthenozoospermia, malinga ndi zomwe anapeza pa maphunziro a labotale. Izi ndi zofunika pakugwiritsanso ntchito njira zothandizira.
Asthenozoospermia ya digiri 1
Pambuyo pa zotsatira za kufufuza ngati spermogram, asthenozoospermia ya digiri 1 amawonedwa, kuchuluka kwa spermatozoa ya makalasi A ndi B kuchepetsedwa kufika 50%. Ndi umoyo wambiri wa majeremusi, umuna umakhala ndi mphamvu yayikulu yosakaniza feteleza - mwayi wokhala atate ndi wabwino. Kukonzekera kwazing'ono kumathandiza kuthana ndi mavuto omwe alipo ndikukumana ndi mwana.
Asthenozoospermia wa 2 degree
Matendawa amapezeka nthawi zambiri pamapeto a akatswiri, monga asthenozoospermia. Pankhaniyi, chiwerengero cha makala a spermatozoa A, B ndi 40%. Dipatimenti imeneyi imafuna kufufuza bwino kuti zithetse ndi kuthetsa zomwe zimayambitsa kuphwanya. Mkwatibwi wa umuna ndi wochepa, muyenera kuwona dokotala kuchipatala.
Asthenozoospermia ya digiri ya 3
Kutulukira kwa "asthenozoospermia ya digiri yachitatu" kumapangidwa pa maziko a zotsatira za spermogram. Kuwerenga kotereku kumasonyeza kusintha kwapamwamba mu ejaculate. Kotero khalidwe, spermatozoa ya m'manja imapanga zosakwana 30 peresenti ya maselo ogonana omwe amapezeka mu umuna. Chipatso chachikulu cha spermatozoa cha makalasi a C ndi D ndi osasinthika. Kutenga mimba popanda chithandizo chamankhwala n'kosatheka.
Asthenozoospermia - zomwe zimayambitsa
Kufufuza kwa nthawi yaitali za matendawa, kuwonetsetsa bwino kwa zinthu, kunathandiza kukhazikitsa zifukwa zazikulu, zochititsa chidwi za kukula kwa asthenozoospermia, zomwe zimayambitsa:
- Matenda a chibadwa - congenital anomalies ndi kusintha komwe kumayambitsa kusinthika kwa morphological mu spermatozoa (kuwonongeka kwa mbendera, chiberekero, mutu);
- zowononga thupi, kugwira ntchito moipa, kumwa mowa, chikonga, zingasokoneze kukonza kwa pakati;
- Kutentha kwa nthawi yayitali - kugwira ntchito mu sitolo yotentha, kuyendera ma saunas ndi kusambira kungakhudze spermatogenesis (mapangidwe a maselo a kugonana);
- kupsinjika nthawi zonse ndi chidziwitso;
- Matenda opatsirana pogonana (gonorrhea, syphilis, trichomoniasis);
- kutupa kwa njira yobereka (urethritis, prostatitis);
- kudziletsa kwa nthawi yaitali.
Kodi kuchiza asthenozoospermia?
Pofotokoza momwe angagwiritsire ntchito asthenozoospermia, madokotala amamvetsetsa bwino zomwe zinachititsa kuti zikhale zovuta. Njira yothetsera mankhwala imadalira mwachindunji pa chifukwa. Kawirikawiri, kumwa mankhwala ena kumathandiza kuthetsa matendawa. Koma ndi chibadwa chosinthika cha astenozoospermia, mankhwalawa sali othandiza, ndipo funso limabwera chifukwa cha njira zothandizira kubereka. Nthawi zina, mankhwalawa amachokera pa:
- kugwiritsa ntchito mankhwala;
- kusamalira madandaulo azachipatala.
Astenozoospermia - mankhwala, mankhwala
Kulimbikitsidwa kwa spermatogenesis kumathandiza kuthetsa vutoli. Mankhwalawa amagwiritsidwa ntchito kwambiri kuti azitsatira magazi m'magazi amuna, omwe amakhudza ubwino wa spermatozoa. Ndi matenda monga astenozoospermia, mankhwalawa amagwiritsa ntchito zotsatirazi:
- Kutenga;
- Spermactin;
- Tribestan;
- Testis;
- Spem;
- Verona;
- Horagon.
Pambuyo pa kukhazikitsidwa kwa matenda a asthenozoospermia, mankhwala amasankhidwa payekha. Mankhwalawa, mlingo wake komanso nthawi yomwe amagwiritsa ntchito, nthawi yomwe ntchitoyo imagwiritsidwa ntchito nthawi zonse amasonyeza dokotala. Monga njira yogwirira ntchito mapangidwe a maselo ogonana, gwiritsani ntchito vitamini complexes ndi zakudya zowonjezera zakudya:
- Selzinc;
- PROPfertil;
- Androdosis.
Ngati matendawa ayambitsidwa ndi zotupa pa njira yobereka, mankhwala odana ndi kutupa angathe kuuzidwa:
- Ibuklin ;
- Wobenzym.
Asthenozoospermia - mankhwala ndi mankhwala owerengeka
Ndi matenda monga astenozoospermia, mankhwala amtunduwu angagwiritsidwe ntchito ngati zina. Zina mwa maphikidwe omwe alipo komanso othandiza ndi awa:
- Muzu wa ginseng. Tengani 90 g ndi kuwaza nyama chopukusira nyama. Mbewu yolandira imatsanulira ndi 1 lita imodzi ya uchi, mwezi umodzi umatsitsimutsidwa m'malo amdima, tenga supuni 1 ya tiyi katatu patsiku.
- Plantain. Masamba a udzu, wouma ndi wophwanyika mu kuchuluka kwa supuni imodzi ya chipinda chodyera, kutsanulira kapu ya madzi otentha, imani 1 ora. Tengani 4 pa tsiku, 50 ml pa nthawi.
- Sage. Dothi lasupa ladothi linatsanulira 250 ml la madzi otentha, tsatirani. Pambuyo pozizira, amagawidwa m'magawo atatu, omwe amatengedwa nthawi iliyonse asanadye.
Asthenozoospermia - ndikhoza kutenga mimba?
Ngakhale kusintha kwa njira yoberekera, kuwonongeka kwa ubwino wa ejaculate sikungathetsere kutenga pakati. Chifukwa cha ichi, madokotala amanena kuti asthenozoospermia ndi mimba nthawi zambiri sizigwirizana. Chilichonse chimadalira kukula kwake. Choncho mimba mwa njira yachirengedwe n'kotheka, pamene pali asthenozoospermia yofatsa, yomwe imachitidwa mwamsanga. Mu 90% amatha ndipo digiri imodzi imayambitsidwa.
Asthenozoospermia ndi IVF
Ndi kuphwanya kwakukulu, maselo osayenera a maselo, kugwiritsidwa ntchito mwachisawawa kumakhala njira yokhayo yopezera pathupi. Pankhaniyi, insemination, asthenozoospermia ya gawo loyambalo limatulutsa, imatenga mimba ya oocyte ndi maselo amtundu wa amuna omwe asanakhale osankhidwa. Panthawi yophunzitsidwa, madokotala amafufuza kafukufuku wa morpholoji, motility ya spermatozoa, ndipo amasankha kuchokera ku ejaculate yoyenera kubereka. Pali njira zingapo zomwe mungakwaniritsire IVF, zomwe mungasankhe malinga ndi kuchuluka kwa matendawa:
- IVF ndi kugwiritsa ntchito ejaculate wa mkazi (pa 1, 2 madigiri);
- mu vitro feteleza ndi ICSI (yogwiritsidwa ntchito pa digiri iliyonse);
- ICSI ndi umuna wopereka (wodwala matenda aakulu).