Indlela yokuqonda ukungabi nenzalo okubangelwa yindoda kusukela ezimeni ezithambile kuye kwezinzima kakhulu?

Ukuzama ukuba nengane kungaba inqubo enzima, futhi kubalulekile ukwazi mayelana nokungakwazi ukuzala okuvela emadodeni. Abantu abaningi abazi ukuthi amadoda nawo afaka isandla ngokulinganayo ezinkingeni zokuzala. Eqinisweni, ukungakwazi ukuzala okuvela emadodeni kubangela cishe u-40% wazo zonke izimo zokungakwazi ukuzala [1]. Futhi elinye u-10% lihilela izinkinga ezivela kubalingani bobabili. Ngakho-ke, ukwazi umehluko phakathi kokungakwazi ukuzala okuncane okuvela emadodeni nokungakwazi ukuzala okukhulu okuvela emadodeni kungasiza ngempela imibhangqwana efuna ukuchuma.

Ukuyini ukungakwazi ukuzala okuvela emadodeni?

Ngakho, ukuba yini ukwanda kokungakwazi ukuzala okuvela emadodeni infertility rise? Kahle nje, kusho ukuthi kukhona izinkinga ku-hlelo lokuzala emadodeni ezenza kube nzima ukuba akhulelise umlingani wakhe. Lezi zinkinga zingaba mayelana nokuthi isidoda sakhiwa kanjani noma sisebenza kanjani [2]. Yize abaningi becabanga ukuthi ukungakwazi ukuzala kuyinkinga “yabesifazane” kakhulu, lokho akulona iqiniso ngempela. Empeleni, cishe ingxenye engaba uhhafu wazo zonke izimo zokungakwazi ukuzala ihilela amadoda. Ukwazi lokhu kusenesikhathi kungenza umehluko omkhulu ekutholeni ukwelashwa okufanele.

Ukuxilonga ukungakwazi ukuzala okuvela emadodeni

Ukuze kutholwe ukuthi ukungakwazi ukuzala okuvela emadodeni yikho yini inkinga, into yokuqala okumele yenziwe wuhlaziyo lwe-semen. Lolu vivinyo luhlola:

• I-Sperm Count: Inani lesidoda elisemanzini esidoda.
• I-Motility: Ukuthi isidoda sihamba kahle kangakanani.
• I-Morphology: Ukubukeka kwesidoda, nokuma kwaso.

Kubalulekile kakhulu ukwenza lo msebenzi wokuhlolwa elabhorethri enhle. Ngesinye isikhathi, imiphumela ingase ikhombise ukungakwazi ukuzala okuncane okuvela emadodeni, okusho ukuthi kukhona inkinga encane kwekhwalithi yesidoda. Kwezinye izikhathi, imiphumela ingakhomba ukungakwazi ukuzala okukhulu okuvela emadodeni, lapho kunenkinga enkulu [3].

Ithiphu Eyinhloko: Imikhiqizo equkethe i-Calcium ne-Magnesium ingasiza empilweni yesidoda. Lawa ma-mineral angathuthukisa indlela isidoda esinyakaza ngayo futhi asize ukwandisa amathuba okukhulelwa.

Okufanele Ukwazi Ngokungazali Okuncane Okubangelwa Yindoda

Ukungazali okuncane okubangelwa yindoda kuvamise ukusho ukuthi ikhwalithi noma inani lesidoda alikafiki lapho okufanele libe khona, kodwa akukabi kubi kakhulu. Lokhu kungabangelwa yizindlela zokuphila ezifana nokudla okungesilo elinempilo, ukubhema, noma ukuphuza kakhulu. Ngenhlanhla, kukhona izinguquko ezilula ezingaletha umehluko omkhulu:

• Yidla ukudla okunempilo okunama-antioxidant amaningi [4].
• Zivocavoce njalo ukuze uhlale ufuna.
• Yeka ukubhema futhi wehlise inani lotshwala owuphuza.
• Cabanga ngokuthatha i-multivitamin nsuku zonke.

Ngenxa yokuthi isidoda sihlala senziwa, kudingeka cishe izinsuku ezingu-74 ukuze isidoda esisha sivuthwe ngokuphelele. Ngakho-ke, uma wenza izinguquko ezinhle manje, ungabona ukuthuthuka kwekhwalithi yesidoda ezinyangeni ezimbalwa nje.

Kuthiwani Ngokungazali Okukhulu Okubangelwa Yindoda?

Manje, ukungazali okukhulu okubangelwa yindoda kubucayi kancane. Lokhu kusho ukuthi kunenkinga enkulu ngenani noma ngekhwalithi yesidoda, njengokuba lincane kakhulu noma ukunganyakazi kahle. Ngalolu hlobo lwezimo, usizo lwezokwelapha luvamise ukudingeka. Ukwelashwa kungahlanganisa:

• Ukufakwa KweSidoda Esibelethweni (IUI – Intrauterine Insemination): Lona ngumsebenzi olulula lapho isidoda sibekwa ngqo esibelethweni.
• Ukuchumiselwa Kweqanda Ngaphandle Esibelethweni (IVF – In Vitro Fertilization): Inketho ethuthukile lapho amaqanda echumiswa elabhorethri.
• Ukufakwa KweSidoda Ngqo Eqandeni (ICSI – Intracytoplasmic Sperm Injection): Uma kunokungazali okukhulu okubangelwa yindoda, isidoda esisodwa sijovwa ngqo eqandeni ukusiza inqubo yokuchumisa [5].

Lezi zindlela zinika isidoda ithuba elingcono lokufinyelela nokuchumisa iqanda, noma ngabe izinto zinzima.

Izinguquko Zendlela Yokuphila EzingaSiza

Kungakhathaliseki ukuthi ubhekene nokungazali okuncane okubangelwa yindoda noma okunzima kakhulu, izinguquko zendlela yokuphila zingaba usizo kakhulu. Nawa amanye amathiphu:

• Zivocavoce: Kusiza ukugcina isisindo silawulwa futhi kunciphise ukucindezeleka.
• Yidla Kahle: Ukudla okuphelele okufana nokudla okungakacutshungulwa, inyama enomsoco onamafutha anempilo kubalulekile.
• Lawula Ukucindezeleka: Ukucindezeleka okukhulu kungaphazamisa amahomoni nekhwalithi yesidoda.
• Gwema Ukushisa: Ukushisa okwengeziwe okuvela emachibini ashisayo noma kuma-sauna kunganciphisa inani lesidoda.

Okubalulekile Ekugcineni

Ukuqonda uhla lokungazali okungabangelwa yindoda—kusukela ekungazaleni okuncane okungabangelwa yindoda kuya kokukhulu—kubalulekile kunoma yiliphi yoke elinethemba lokukhulelwa. Ukwenza izivivinyo ezifanele, ukwenza izinqumo zendlela yokuphila enempilo, nokucabangela izindlela zokwelapha ezithile konke kungathuthukisa amathuba empumelelo. Kunemikhiqizo eminingi laphaya equkethe izithako ezisekela impilo yokuzala, engasiza imibhangqwana njengoba isebenza ngokubhekise ekubeni ngabazali.

Imibuzo evame ukubuzwa

Kuyini ukungazali okungabangelwa yindoda?

Ukungazali okungabangelwa yindoda kubhekisela kunoma yiziphi izinkinga emadodeni ezinciphisa ikhono lawo lokubangela ukukhulelwa, njengokuncipha kwesibalo sesidoda, ukuhamba kabi, noma ukuma okungavamile kwesidoda.

Yiziphi izindlela zokwelapha ezikhona zokungazali okukhulu okungabangelwa yindoda?

Ukungazali okukhulu okungabangelwa yindoda kungadinga ukwelashwa okufana ne-IUI, i-IVF, noma i-ICSI ukuze kwandiswe amathuba okukhulelwa.

Kuthatha isikhathi esingakanani ukubona izinguquko kwekhwalithi yesidoda ngezinguquko zendlela yokuphila?

Ngokuvamile, ungabona ukuthuthuka ezinyangeni ezingu-2-3 ngoba ukukhiqizwa kwesidoda kuthatha cishe izinsuku ezingu-74.

Izinkomba

1. Agarwal A, Mulgund A, Hamada A, Chyatte MR. Umbono oyingqayizivele ngokungazali kwabesilisa emhlabeni jikelele. Reprod Biol Endocrinol. Kuyatholakala ku: https://pubmed.ncbi.nlm.nih.gov/25928197/
2. Gaskins AJ, Chavarro JE. Ukudla nokuzala: ukubuyekeza. Am J Obstet Gynecol. Kuyatholakala ku: https://pubmed.ncbi.nlm.nih.gov/28844822/
3. Ding GL, Liu Y, Liu ME, Pan JX, Guo MX, Sheng JZ, Huang HF. Imiphumela yesifo sikashukela ekuzaleni kwabesilisa nasekulawulweni kwe-epigenetic ngesikhathi sokukhiqizwa kwesidoda. Asian J Androl. Kuyatholakala ku: https://pubmed.ncbi.nlm.nih.gov/25814158/
4. Eisenberg ML, Lipshultz LI. Ukungazali okubangelwa i-varicocele: imibono emisha ngendlela esebenza ngayo. Indian J Urol. Kuyatholakala ku: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3114589/
5. Palermo GD, O'Neill CL, Chow S, Cheung S, Parrella A, Pereira N, Rosenwaks Z. Ukufakwa kwesidoda ngaphakathi kweseli: isimo sobuciko kubantu. Reproduction. Kuyatholakala ku: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5719728/