Odokotela bathola kanjani isampula yesidoda se-IVF noma sokuqoqwa ekhaya?
Omunye wemibuzo evame ukubuzwa abantu uma bezama ukukhulelwa uthi, odokotela bayithola kanjani isampula yesidoda? Akusona isihloko ocabanga ngaso nsuku zonke. Kodwa noma ngabe sikuhlolo lokuzala noma ku-IVF, ukuqoqa isidoda kubalulekile kakhulu ekutholeni ukuthi indoda inamandla okuzala kangakanani. Ake sichaze ukuthi ukusebenza kanjani ukuqoqa isampula yesidoda, kungaba esibhedlela noma ekhaya.
Odokotela Bayithola Kanjani Isampula Yesidoda?
Iningi lesikhathi, odokotela bathembele ekuzikhamezeni (masturbation) ukuze baqoqe isidoda esibhedlela. Kungenzeka ukunikezwe isitsha esihlanzekile engenazifo—abanye bangase ngisho bakubize ngokuthi “isidoda engcupsini”—ukuze baqinisekise ukuthi ukuqoqa kwakho isidoda kuhlanzekile [1]. Uzobe usegumbini langasese emtholampilo ukuze kuqoqwe isidoda somuntu, ngakho isikhathi sokulinda sincane, futhi isampula ihlala ekushiseni okufanele.
Uma sesiqoqiwe, isidoda sihlaziywa ngezinto ezifana nenani lesidoda, ukunyakaza (motility), nokuma kwamaseli (morphology). Uyazibuza ukuthi isidoda siqoqwa kanjani se-IVF? Kuyafana cishe, ngaphandle kokuthi baqinisekise ukuthola isampula engcono kakhulu ukuze bandise amathuba akho ngesikhathi sokufakelwa kwembewu [2].
Ithiphu Ebalulekile: Gwema ukusebenzisa noma yimaphi ama-lubricant lapho uqoqa isampula yesidoda—angalilimaza izinga laso.
Ingabe Ungaqoqa Isidoda Ekhaya se-IVF?
Abaningi babesilisa bayabuza bathi, ingabe ungakuqoqa yini isidoda ekhaya se-IVF? Yebo, ungakwenza! Kodwa kudingeka ulandele ngokucophelela imiyalelo yomtholampilo yokuhlaziywa kwesidoda. Kuzofanele usebenzise inkomishi ehlanzekile engenazifo evela emtholampilo wakho. Ukuqoqa isidoda ekhaya ngempela kunethezeke kwabanye abantu, kodwa kuzomele usilethe emtholampilo kungakapheli ihora elilodwa. Isikhathi sibaluleke kakhulu lapha [3].
Uma ucabanga ngakho, isampula yesidoda ihlala isebenza isikhathi esingakanani? Ngokuvamile, cishe ihora elilodwa kuphela ngemuva kokukhishwa kwesidoda. Ngemva kwalokho, izinga lesidoda liqala ukwehla. Ngakho ungabambezeli ukuletha isampula elabhorethri [4].
Ithiphu Ebalulekile: Gcina isampula isondelene nokushisa komzimba lapho uyithutha—amaphakethe asebenzela kahle kakhulu lokhu.
Ukulungiselela Ukuhlolwa Kwesidoda
Ngaphambi kokuba ufike ekutheni uqoqe isampula yesidoda, ukulungiselela kahle ukuhlolwa kwesidoda kubalulekile. Odokotela abaningi batusa ukuzibamba ekwabelaneni ngesondo noma kunoma yikuphi ukukhishwa kwesidoda phakathi kwezinsuku ezimbili kuya kwezingu-5. Uma ulinda isikhathi eside kakhulu, izidoda zingase zinganyakazi kahle. Kanti ukungalindi isikhathi esanele kunganciphisa nenani lezidoda. Kumele kube nokulinganisela [5]!
Kukhona nezinye izinguquko zempilo zingakwenza umehluko. Ukunciphisa ikhofi, utshwala, nokubhema kungasiza. Futhi ukwengeza iVitamin C, iZinc, neFolic Acid ekudleni kwakho kungavikela isidoda sakho futhi kuthuthukise impilo yakho yokuzala yonke. Yilezo zinto ezincane ezingaba nomthelela omkhulu [6].
Umkhuba Ongcono: Qiniseka ukuthi ulandela iseluleko sikadokotela wakho sokuthi ulungiselela kanjani ukuhlolwa kwesidoda—lokho kuzokwenza umehluko emiphumeleni yakho. Ukuze uthole umhlahlandlela onemininingwane yokuhlolwa, bheka imiyalelo yokuhlolwa kwe-sperm check ukuze uqinisekise imiphumela enembile.
Indlela Yokunikeza Isampula Yesidoda Esibhedlela
Ukunikeza isampula ekiliniki kungase kukhathaze abanye abafana. Bangase bazibuze, ukuthi unikeza kanjani isampula yesidoda ngaphansi kwezimo ezinjalo? Inqubo ihilela ukuqoqa isidoda ngokuzimithisa, okwenziwa egumbini labucala, impela. Lokhu kuqinisekisa ukuthi isampula yesidoda esesibhedlela asinaso ukungcola [7]. Ngemva kokuqoqwa kwesampula yolwelo lwesidoda, ilabhorethri isithatha ukuze yenze ukuhlaziywa.
Qiniseka ukuthi ulandela imiyalelo ye-kliniki yokuhlaziywa kwesidoda nemiyalelo yokuhlaziywa kwezimuncwana ngokunembile nangomqondo wayo. Ubucoceko bubalulekile, ngakho geza kahle ngaphambi kokuqoqwa kwesampula yesidoda. Beka ilebula efanele esitsheni, bese usiyisa elabhorethri MASINYANE—ukuguquguquka kwezinga lokushisa kungaphazamisa kakhulu izinga lezidoda [8].
Umkhuba Ongcono: Yisa isampula elabhorethri kungakapheli ihora ukuze uthole imiphumela engcono kakhulu.
Isampula Yesidoda Ihlezi Isikhathi Esingakanani Isesimeni Esifanele?
Isampula yesidoda ayihlali isikhathi eside ngaphandle komzimba. Uma uzibuza ukuthi isampula yesidoda ihlala isikhathi esingakanani isesimeni esifanele, umthetho ojwayelekile uthi cishe ihora elilodwa. Ngemva kwalokho, isidoda siqala ukulahlekelwa ikhono lokunyakaza, ikakhulukazi uma sibhekene nokushisa noma amakhaza. Yingakho ama-klinikhi evame ukuthanda ukuqoqa isidoda endaweni yawo [9].
Uma uqoqa isidoda ekhaya, qiniseka nje ukuthi ugcina isampula iseduze nomzimba wakho bese uyashesha ukuyisa elabhorethri [10].
Umkhuba Ongcono: Thutha isampula yakho ngendlela egcina ifudumele, njengokuyibeka ephaketheni lejazi.
Ulinika Kanjani Isampula Yesidoda se-IVF?
Uma wenza i-IVF, unikeza kanjani isampula yesidoda? Inqubo ifana nokuhlolwa kokuzala okujwayelekile. Ukuqoqa isampula yesidoda kwenziwa ngokuzikhulula ngesandla. Udokotela wakho uzokunikeza imiyalelo yokuhlaziywa kwesidoda—izinto ezifana nokusebenzisa inkomishi ehlanzekile engenazifo nokugwema ama-lubricant [11].
Isampula sihlaziywa ukuze kubonwe ukuthi sifanele yini i-IVF. Kubazalwane abazama ukukhulelwa, ukwazi ukuthi odokotela bathola kanjani amasampula esidoda se-IVF kuyingxenye enkulu yenqubo [12]. Ungase futhi ufune ukuthatha izithasiselo ezifana neL-Carnitine neZinc, ezingathuthukisa ikhwalithi yesidoda futhi zikhuphule amathuba akho empumelelo [13].
Ithiphu ebalulekile: Bambelela emithethweni yekliniki mayelana nesikhathi sokuzibamba ukuze unikeze isampula yekhwalithi engcono kakhulu ongayenza.
Okubalulekile
Ukukwazi ukuthi odokotela bathola kanjani isampula yesidoda kuwumkhakha obalulekile wokuqonda ukwelashwa kokuzala . Noma unikeza isampula yesidoda esibhedlela noma wenza ukuqoqa isidoda ekhaya, ukulandela zonke izinyathelo kuqinisekisa imiphumela enembile kakhulu. Qiniseka ukuthi uyaqonda inqubo yokulungiselela ukuhlolwa kwesidoda bese uyayilandela kuze kube sekugcineni. Hlale uxhumana nodokotela wakho ukuze uthole izeluleko zokuthuthukisa ikhwalithi yesidoda kokubili kwe-IVF nakwezinye izivivinyo zokuzala.
Imibuzo ejwayele ukubuzwa
Ngingaqoqa isidoda ekhaya se-IVF na?
Yebo, ungakwenza. Qiniseka nje ukuthi uletha isampula ekiliniki kungakapheli ihora ukuze uqinisekise ukuthi sisasebenza.
Kumele ngizibambe isikhathi esingakanani ngaphambi kokunikela isampula yesidoda?
Zibambe ekwabelaneni ucansi izinsuku ezingu-2 kuya ku-5 ukuze uthole inani lesidoda eliphezulu nokunyakaza okuhle.
Ngingayisebenzisa ikhondomu ukuqoqa isampula yesidoda na?
Cha, ngaphandle kokuthi kube ikhondomu ekhethekile yokuqoqwa kwesidoda evela ekiliniki yakho, ngoba amakondomu ajwayelekile angaphazamisa isampula.
Yimaphi amavithamini athuthukisa ikhwalithi yesidoda?
Amavithamini afana neVitamin C, iZinc, iFolic Acid neCoQ10 angasiza ukukhuphula ikhwalithi nokunyakaza kwesidoda.
Isampula yesidoda sihlala sisebenza isikhathi esingakanani?
Isampula yesidoda ivamise ukuhlala isebenza cishe ihora elilodwa ngemva kokuqoqwa.
Izikhombo
- Barratt CLR, Björndahl L, De Jonge CJ, Lamb DJ, Osorio Martini F, McLachlan R, Oates RD, van der Poel S, St John B, Sigman M, Sokol R, Tournaye H. Ukuxilongwa kokungazali kwabobaba: ukuhlaziywa kobufakazi obusekela ukuthuthukiswa komhlahlandlela womhlaba wonke we-WHO — izinselelo namathuba ocwaningo lwesikhathi esizayo. Hum Reprod Update. Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5850791/
- Brugh VM 3rd, Lipshultz LI. Ukungazali okubangelwa yindima yomuntu wesilisa: ukuhlolwa nokwengamela. Med Clin North Am. Available at: https://pubmed.ncbi.nlm.nih.gov/15049583/
- Cissen M, Wely MV, Scholten I, Mansell S, Bruin JP, Mol BW, Braat D, Repping S, Hamer G. Ukukala ukuqhekeka kwe-DNA yesidoda nemiphumela yezokwelashwa yokuzaliswa okusizwa ngokomuthi: ukubuyekezwa okuhlelekile nokuhlanganiswa kwemininingo (Meta-Analysis). PLoS One. Available at: https://pubmed.ncbi.nlm.nih.gov/27832085/
- Erenpreiss J, Spano M, Erenpreisa J, Bungum M, Giwercman A. Isakhiwo se-chromatin yesidoda nokuzala kwabobaba: izici zokulunga komzimba nezokwelashwa. Asian J Androl. Available at: https://pubmed.ncbi.nlm.nih.gov/16372115/
- Agarwal A, Mulgund A, Hamada A, Chyatte MR. Umbono ohluke kakhulu ngokungazali kwabobaba emhlabeni wonke. Reprod Biol Endocrinol. Available at: https://pubmed.ncbi.nlm.nih.gov/25928197/
- Lewis SE, John Aitken R, Conner SJ, Iuliis GD, Evenson DP, Henkel R, Giwercman A, Gharagozloo P. Umthelela wokulimala kwe-DNA yesidoda ekuzaleni okusizwa nakweyaphezulu kwalokho: inqubekelaphambili yakamuva ekuxilongweni nasekwelapheni. Reprod Biomed Online. Available at: https://pubmed.ncbi.nlm.nih.gov/23948450/
- Esteves SC, Miyaoka R, Agarwal A. Amasu okuthola isidoda ekuzalisweni okusizwa. Int Braz J Urol. Available at: https://pubmed.ncbi.nlm.nih.gov/22099268/
- Zini A, Sigman M. Ingabe ukuhlolwa kokulimala kwe-DNA yesidoda kuyasiza ngokwezokwelashwa? Izinzuzo nezinkinga. J Androl. Available at: https://pubmed.ncbi.nlm.nih.gov/19059901/
- Bungum M, Bungum L, Giwercman A. Uvivinyo lwesakhiwo se-chromatin yesidoda (SCSA): ithuluzi lokuxilonga nokwelapha ukungazali. Asian J Androl. Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3739398/
- Villani MT, Morini D, Spaggiari G, Falbo AI, Melli B, La Sala GB, Romeo M, Simoni M, Aguzzoli L, Santi D. Ingabe amazinga esidoda ayakwazi ukubikezela impumelelo yezobuchwepheshe bokuzaliswa okusizwa? Ukuhlaziywa komlando wemicimbi engaphezu kuka-22,000 yezindlela zobuchwepheshe bokuzaliswa okusizwa. Andrology. Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9298690/
- McQueen DB, Zhang J, Robins JC. Ukuqhekeka kwe-DNA yesidoda nokuphindaphindwa kokulahleka kokukhulelwa: ukubuyekezwa okuhlelekile nokuhlanganiswa kwemininingo (meta-analysis). Fertil Steril. Available at: https://pubmed.ncbi.nlm.nih.gov/31056315/
- Aitken RJ, De Iuliis GN. Ngemvelaphi engaba khona yokulimala kwe-DNA esidodeni somuntu. Mol Hum Reprod. Available at: https://pubmed.ncbi.nlm.nih.gov/19648152/
- Hosen MB, Islam MR, Begum F, Kabir Y, Howlader MZ. Ukulimala kwe-DNA yesidoda okubangelwa ukucindezeleka kokuhogela umoya-mpilo (oxidative stress), okuyimbangela engaba khona yokungazali kwabobaba. Iran J Reprod Med. Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4637119/










