Asthenospermia: ma'ana, haddasawa, alamu da jiyya

Asthenospermia: ma'ana, haddasawa, alamu da jiyya

Asthenospermia cuta ce ta maniyyi wanda ke shafar motsi na maniyyi. Ƙananan wayar hannu, spermatozoa yana ganin an canza ikon takinsu, tare da tasiri kan haihuwar maza. Ma'aurata na iya samun wahalar yin ciki.

Menene asthenospermia?

Asthenospermia, ko asthenozoospermia, cuta ce ta maniyyi wanda ke nuna rashin isasshen motsi na maniyyi. Zai iya canza haihuwa ta mutum kuma ya rage damar samun juna biyu ga ma'aurata saboda idan ba su isa da wayar hannu ba, maniyyi ba zai iya yin ƙaura daga farji zuwa bututu don yin takin.

Asthenospermia na iya zama ware ko haɗewa da wasu abubuwan rashin lafiyar maniyyi. Game da OATS, ko oligo-astheno-teratozoospermia, yana da alaƙa da oligospermia (ƙimar maniyyi a ƙasa da ƙimar al'ada) da teratozoospermia (maɗaukaki ƙimar spermatozoa mara kyau). Tasiri kan hayayyafar ɗan adam zai fi girma.

Sanadin

Kamar yadda yake tare da duk abubuwan rashin lafiyar maniyyi, sanadin oligospermia na iya zama da yawa:

  • kamuwa da cuta, zazzabi;
  • rashin isasshen hormonal;
  • kasancewar garkuwar garkuwar jiki;
  • fallasa masu guba (barasa, taba, kwayoyi, gurɓata, da sauransu);
  • rashin lafiyar kwayoyin halitta;
  • varicocele;
  • rashin abinci mai gina jiki;
  • cutar gaba ɗaya (koda, hanta);
  • jiyya (chemotherapy, radiotherapy, wasu magunguna)

Alamun

Asthenospermia ba shi da alamun cutar ban da wahalar yin ciki.

A ganewar asali

Ana gano Asthenospermia ta hanyar maniyyi, nazarin halittu na maniyyi da aka aiwatar cikin tsari a cikin maza yayin kimanta rashin haihuwa na ma'auratan. Yayin wannan binciken, ana kimanta sigogi daban -daban na maniyyi, gami da motsi na maniyyi. Wannan shine adadin maniyyin da zai iya ci gaba daga farji zuwa bututu don takin oocyte. Don kimanta wannan sigar, masu nazarin halittu suna bincika, akan digon maniyyi da aka sanya tsakanin nunin faifai guda biyu, yawan maniyyin da ke iya tsallake filin microscope cikin madaidaiciya. Suna nazarin wannan motsi a wurare biyu:

  • cikin mintuna 30 zuwa awa daya bayan fitar maniyyi don abin da ake kira motsi na farko;
  • sa'o'i uku bayan fitar maniyyi don abin da ake kira motsi na sakandare.

Sannan ana rarrabe motsi na maniyyi zuwa maki 4:

  • a: al'ada, hanzari da haɓaka motsi;
  • b: raguwa, jinkirin ko motsi na ci gaba kadan;
  • c: motsi a wuri, ba ci gaba ba;
  • d: maniyyi mara motsi.

Dangane da ƙimar ƙofar da WHO (1) ta ayyana, dole ne maniyyi na al'ada ya ƙunshi aƙalla 32% na maniyyi tare da motsi mai ci gaba (a + b) ko fiye da 40% tare da motsi na al'ada (a). A ƙasa da wannan ƙofar, muna magana akan asthenospermia.

Don tabbatar da ganewar asali, dole ne a aiwatar da gwajin maniyyi na biyu ko ma na uku watanni 3 baya (tsawon lokacin sake zagayowar spermatogenesis shine kwanaki 74) don tabbatar da ganewar, saboda sigogi da yawa (kamuwa da cuta, zazzabi, gajiya, damuwa, fallasa gubobi, da dai sauransu) na iya yin tasiri akan maniyyi kuma sau da yawa yana canza ingancin maniyyi.

Sauran jarrabawa sun kammala ganewar asali:

  • spermocytogram, jarrabawar da ta kunshi nazarin siffar spermatozoa a karkashin madubin microscope domin gano duk wani rashin lafiyar halittu. Idan asthenospermia ya faru a wannan yanayin, rashin daidaituwa a matakin tutar zai iya lalata motsi na maniyyi;
  • al'adun maniyyi don gano kamuwa da maniyyi wanda zai iya shafar maniyyi;
  • gwajin ƙaurawar ƙaura (TMS), wanda ya ƙunshi zaɓar ta centrifugation mafi kyawun kwayayen spermatozoa da kimanta yawan maniyyi wanda zai iya yin takin.

Jiyya da rigakafin samun ɗa

Gudanarwa ya dogara da matakin asthenospermia, wasu abubuwan da ke da alaƙa na mahaifa, musamman a matakin ilimin halittar maniyyi, da sakamakon gwaje -gwaje daban -daban, asalin asthenospermia (idan an same shi), shekarun mai haƙuri.

Idan akwai asthenospermia mai taushi ko matsakaici, ana iya gwada magani don inganta ingancin maniyyi. Ƙarin maganin antioxidant wanda zai iya haɓaka haɓaka yawan lamba da motsi na spermatozoa, ta hanyar rage damuwar oxyidative, wanda shine maƙiyin spermatozoa. Nazarin Iran (2) musamman ya nuna cewa kari tare da anti-oxidant coenzyme Q-10 ya inganta maida hankali da motsi na spermatozoa.

Lokacin da ba zai yiwu a magance sanadin asthenospermia ba ko lokacin da jiyya ba ta ba da wani sakamako ba, ana iya ba da dabaru daban -daban na ART ga ma'aurata dangane da yanayin:

  • in vitro hadi (IVF);
  • in vitro hadi tare da microinjection (IVF-ICSI).

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