Ayini amathuba okukhulelwa ngesibalo sezigidi ezimbili samaseli esidoda?

Kubashadile abazama ukuzala, ukuzwa ukuthi inani lesidoda liphansi kungaba nzima. Kungase kuzwe sengathi amathuba akho amile, kodwa ukukhulelwa unamanani esidoda ayi-2 million kusenzeka namanje. Yebo, izinombolo zesidoda eziphansi zinciphisa amathuba, kodwa lokhu akusho ukuthi yisiphetho sohambo. Kulesi sihloko, sizohlola ukuthi inani lesidoda lithinta kanjani ikhono lakho lokukhulelwa nokuthi yini ongayenza ukuze wandise lawo mathuba—noma unezinga eliphansi lezidoda elingaba ngu-2 million.

Kusho Ukuthini Empeleni Ukuba Nenani Lesidoda Eliphansi?

Inani lesidoda eliphansi, noma i-oligospermia, lisho ukuthi isidoda esesidodeni somuntu wesilisa singaphansi kwezinga elijwayelekile. Inani lesidoda elinempilo ngokuvamile lingaphezu kwama-sperm ayizi-15 million ku-millilitha ngayinye yesidoda. Kodwa uma ubheka ukukhulelwa unamanani esidoda ayi-1 million, amathuba aphansi kakhulu, nakuba kungesona isimo esingenzeki [1].

Futhi akukhona ngobuningi besidoda kuphela. Ikhwalithi ibalulekile ngokulinganayo. Indlela isidoda esinyakaza kahle ngayo (motility) nesimo saso (morphology) kubalulekile ngempela. Ngisho noma inani lesidoda liphansi, ukuba nesidoda sekhwalithi enhle kusengaholela empumelelweni, ikakhulukazi uma uhlose ukukhulelwa unamanani esidoda ayi-2 million [2].

Ingabe Usengakhulelwa Namanani Esidoda ayi-2 Million?

Yebo, kungenzeka. Ukukhulelwa unamanani esidoda ayi-2 million kungenzeka, yize kungase kuthathe isikhathi esithe xaxa nomzamo. Nakuba kungaphansi kobubanzi obufisayo, izifundo zikhombisa ukuthi ukukhulelwa ngokwemvelo kusengaphakathi kwamathuba. Kwesinye isikhathi, kungase nje kuthathe isikhathi eside [3]. Futhi akumelwe sikhohlwe, njalo kukhona usizo olutholakalayo. Ukwelashwa kokungazali njengokufakwa kwesidoda esibelethweni (IUI) noma ukufakelwa isibeletho ngezidoda ezikhuliselwe ngaphandle (IVF) nakho kungakhulisa amathuba akho [4]. Kubashadile abahlola izinketho zokuzala, i-at home fertility test inganikeza umbono wokuqala ngesimo sokuzala, okwenza kube lula ukunquma izinyathelo ezilandelayo ohambweni lokuya ekukhulelweni.

Indlela Yokwandisa Amathuba Okukhulelwa Uma Inani Lesidoda Liphansi

Kunezinto eziningana ongazenza ukuze wandise amathuba akho, ngisho nasezithweni zokukhulelwa ezinama-sperm ayizi-1 million noma ama-sperm ayizi-2 million. Nansi into engakusiza:

1. Sebenzisa ama-supplement anezakhamzimba ezisemqoka

Amanye amavithamini namaminerali abalulekile ekuthuthukiseni impilo yesidoda. I-Zinc, i-selenium, i L-arginine, ne-CoQ10 amanye abaluleke kakhulu. I-Zinc ibalulekile ekukhiqizweni kwesidoda, kuyilapho i-selenium iyioxidant evikela isidoda ekulimaleni [5]. I-L-arginine isiza ukuthuthukisa ukugeleza kwegazi ukuya ezithweni zokuzala, kanti i-CoQ10 inikeza isidoda amandla elidingayo ukuze sikwazi ukunyakaza kangcono [6].

2. Khetha Indlela Yokuphila Enempilo Kakhudlwana

Uyabhema? Kumelwe uyeke. Uphuza kakhulu? Yehlisa. Yonke le mikhuba ingaphazamisa inani nesimo sesidoda sakho. Ukushintshela endleleni yokuphila enempilo kungenza umehluko omkhulu [7]. Kuhlakaniphe futhi ukugwema ukuvezela izende ukushisa—akusenawo ama-bath ashisayo noma amabhulukwe aqinile. Ukushisa kungaphazamisa ukukhiqizwa kwesidoda [8].

3. Zama Ama-Lubricant Anobungane Ekuzaleni

Akuzona zonke izinhlobo zama-lubricant ezifanayo. Ama-lubricant ajwayelekile anganciphisa ijubane lesidoda, okwenza kube nzima ukuthi sifinyelele iqanda. Ama-lubricant anobungane ekuzaleni aqukethe i-calcium ne-magnesium angcono. Asiza ekunyakazeni kwesidoda futhi andise amathuba aso okusinda [9]. 

Izeluleko Ezinhle: Ukuhlelela ukwabelana ngesondo uzungeze isikhathi sokuvuthwa kweqanda komlingani wesifazane nakho kunganika isidoda ithuba elingcono lokuphumelela, ikakhulukazi uma ubhekene nesibalo sesidoda esingu-1 million [10].

Kungani Isikhathi Sibala Konke

Uma inani lesidoda liphansi, isikhathi sokwabelana ngesondo singaqinisa noma siphule amathuba akho okukhulelwa. Isikhathi esingcono kakhulu? Ngesikhathi sefasitela lokuzala lezakhamzimba zomlingani wesifazane, okuyizinsuku ezimbalwa ngaphambi nangesikhathi sokuvuthwa kweqanda. Ngesi sikhathi amathuba okukhulelwa ngesibalo sesidoda esingu-2 million aphezulu kakhulu [11]. Isidoda sidinga ukuba silungele futhi silindile ngesikhathi iqanda likhishwa, ngakho-ke isikhathi sibalulekile.

Okubalulekile Ekugcineni

Yebo, kungaba nzima ukukhulelwa ngesibalo sesidoda esingu-2 million noma esingu-1 million, kodwa akusho neze ukuthi akunakwenzeka. Ngokugxila ekuthuthukiseni ikhwalithi yesidoda ngokudla okufanele, izithasiselo, nokwenza izinqumo ezihlakaniphile zendlela yokuphila, ungakhulisa amathuba akho [12]. I-Conceive Plus inikeza imikhiqizo enobungane ekuzaleni egcwele amasondlo abalulekile ukusekela abashadile nozakwabo ohambweni lwabo lokuya ekukhulelweni. Ngezinye izikhathi, okudingekayo yizinguquko ezimbalwa nje ukwenza umehluko omkhulu. Ngokwenza ezinye izilungiso nokubekezela, kungenzeka ukuthuthukisa amathuba akho okukhiqiza inzalo nokusondela enhlosweni yakho yokuqala noma yokwandisa umndeni wakho.

Imibuzo evame ukubuzwa

Ngingakhulelwa yini uma inani lesidoda lingu-2 million?

Yebo, kungenzeka, kodwa kungathatha isikhathi eside noma kudinge usizo olwengeziwe njengokwelashwa kokuzala.

Yiziphi izithasiselo ezisizayo ekwenzeni ikhwalithi yesidoda ibe ngcono?

Ama-nutrient anjenge-zinc, i-selenium, i-L-arginine, ne-CoQ10 angasiza ukuthuthukisa impilo yesidoda nokukhulisa amandla okuzala.

Ingabe indlela yokuphila enempilo ngempela ithuthukisa isibalo sesidoda?

Impela! Ukuyeka ukubhema, ukunciphisa utshwala, ukudla kahle, nokugwema ukushisa ngokweqile kungathuthukisa inani nesinga lesidoda.

Yisiphi isikhathi esingcono kakhulu sokuqala ukuzama ukukhulelwa?

Ubudlelwano besikhathi sokulala ngesikhathi sewindi lokuzala, elisondelene nokuvuthwa kwamaqanda, bunikeza ithuba elingcono kakhulu lokukhulelwa.

Ingabe i-IUI noma i-IVF ingasiza uma isibalo sesidoda siphansi?

Yebo, uma ukukhulelwa kwemvelo kungenzeki, udokotela wakho angancoma ukwelashwa kokuzala njengokwenziwa kwe-IUI noma i-IVF.

Izinkomba

1. Umbono oyingqayizivele ngokungazali kwabesilisa emhlabeni wonke. Reproductive biology and endocrinology. Available at: https://pubmed.ncbi.nlm.nih.gov/25928197/
2. Shin, D. H., & Turek, P. J. (2013). Amasu okukhipha isidoda. Nature reviews. Urology. Available at: https://pubmed.ncbi.nlm.nih.gov/24296703/
3. Kovac, J. R., Addai, J., Smith, R. P., Coward, R. M., Lamb, D. J., & Lipshultz, L. I. (2013). Imiphumela yobudala obuphambili bukayise ekuzaleni. Asian journal of andrology Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3854059/
4. Sadri-Ardekani H. (2014). Ukuphathwa kwezokwelapha nokuhlinzwa kokungazali kwabesilisa. Journal of Reproduction & Infertility. Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4032969/
5. Showell, M. G., Brown, J., Yazdani, A., Stankiewicz, M. T., & Hart, R. J. (2011). Ama-antioxidant ekungazaleni okuncishisiwe kwababe nolwazi lokuzala abesilisa. The Cochrane database of systematic reviews. Available at: https://pubmed.ncbi.nlm.nih.gov/21249690/
6. Mancini, A., De Marinis, L., Littarru, G. P., & Balercia, G. (2005). Ukuvuselelwa kolwazi nge-Coenzyme Q10 emiphumeleni ekungazaleni kwabesilisa: izici zamakhemikhali nezokwelashwa. BioFactors (Oxford, England). Available at: https://pubmed.ncbi.nlm.nih.gov/16873942/
7. Sharma, R., Biedenharn, K. R., Fedor, J. M., & Agarwal, A. (2013). Izici zempilo yokuphila nempilo yokuzalana: ukuthatha ukulawula inzalo yakho. Reproductive biology and endocrinology. Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3717046/
8. Hoang-Thi, A. P., Dang-Thi, A. T., Phan-Van, S., Nguyen-Ba, T., Truong-Thi, P. L., Le-Minh, T., Nguyen-Vu, Q. H., & Nguyen-Thanh, T. (2022). Umthelela wezinga lokushisa eliphezulu emoyeni ezinkambweni zesidoda somuntu: Ukuhlaziywa kwe-meta. Iranian journal of public health. Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9288403/
9. Markram, J., Griessel, L., Girdler-Brown, B., & Outhoff, K. (2022). Uketshezi lokuthambisa olungenabungozi kumdlandla wesidoda: Iqiniso noma inganekwane. International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics. Available at: https://pubmed.ncbi.nlm.nih.gov/35318650/
10. Showell, M. G., Brown, J., Yazdani, A., Stankiewicz, M. T., & Hart, R. J. (2011). Ama-antioxidant ekungazaleni okuncishisiwe kwababe nolwazi lokuzala abesilisa. The Cochrane database of systematic reviews. Available at: https://pubmed.ncbi.nlm.nih.gov/21249690/
11. Su, H. W., Yi, Y. C., Wei, T. Y., Chang, T. C., & Cheng, C. M. (2017). Ukutholwa kokuvuthwa kwamaqanda, uhlaziyo lwezindlela ezikhona njengamanje. Bioengineering & translational medicine. Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5689497/
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