Inani elincane lesidoda elidingekayo ku-IVF nezinye izimfuneko ezibalulekile

Umuntu uthathwa njengonobalo lesidoda elijwayelekile uma kunezigidi ezingu-15 kuya kwezi-200 zamasidoda ku-millilitha ngayinye yengamanzi okuqeda [1]. Leli nani lesidoda libalulekile ukuze kube nokuvundiswa nokukhulelwa okuyimpumelelo.

Nokho, uma umuntu enenani lesidoda eliphansi kunezigidi ezingu-15 esivivinyweni se-semen analysis, kungenzeka angakwazi ukukhulelwa ngokwemvelo. Umuntu kufanele afune i-uhlolo lokuhlaziywa kwe-semen eduze kwami.

Amabhangqwana amaningi azibuza ukuthi kudingeka isidoda esingakanani ku-IVF ukuze inqubo iphumelele. I-In Vitro Fertilization iyindlela yokufeza ukukhulelwa kwabesilisa abanenani eliphansi lesidoda. Ngokusho kwezifundo ezahlukene, inani lesidoda elincane kakhulu le-IVF lingu-10 million kuya ku-15 million isidoda ku-millilitha ngayinye ye-semen [2].

Kungani ukubalwa kwesidoda kubalulekile?

Yize isidoda esisodwa kuphela esivundisa iqanda emzimbeni wowesifazane, isidoda esisodwa asikwazi ukubhukuda ngempumelelo sisuka esibelethweni siye esithunjini se-fallopian ukuze sifinyelele iqanda.

Amaseli esidoda abhekana nezinselelo ezahlukene ekufinyeleleni iqanda esithweni sokuzala sowesifazane futhi ambalwa kuphela akwazi ukufinyelela iqanda [3]. Ukuze kudlule kuwo wonke la maphuzu anzima, kumele kube nenani elithile lamaseli esidoda azama ukufinyelela iqanda. Leli nani liphakathi kwezigidi ezingu-15 kuya kwezi-200 zamasidoda ku-millilitha ngayinye ye-semen.

Uma inani lesidoda lingaphansi kwezigidi ezingu-15, kungase kungabi namasperm anele okufinyelela iqanda nokubangela ukukhulelwa okuyimpumelelo. Nokho, umuntu onenani eliphansi lesidoda angakwazi ukukhulelwa kodwa amathuba akhe mancane kakhulu uma kuqhathaniswa nalowo onenani lesidoda elijwayelekile [1].

Yini i-In Vitro Fertilization (IVF)?

I-In Vitro Fertilization noma i-IVF iyithuluzi lobuchwepheshe bokuzala obusizayo obusiza amabhangqwana ukuba akhulelwe [4]. Kusiza kakhulu kubabhangqwana abangakwazi ukukhulelwa ngenxa yenani eliphansi lesidoda noma ukunganyakazi kahle kwesidoda.

Wake wacabanga ukuthi i-IVF isebenza kanjani kumuntu wesilisa onenani eliphansi lesidoda?

Ku-IVF yokungazali kowesilisa, amaseli esidoda athathwa kumlingani wesilisa, bese iqanda likhishwa ngaphakathi kumlingani wesifazane. Bese kokubili isidoda neqanda kufakelwa inzalo esibhedlela ngaphansi kwemvelo elawulwayo kubeletha i-zygote.

Lapho ukuthuthuka kwe-zygote sekuqala, odokotela bese betshala leyo zygote ngaphakathi kwesibeletho sowesifazane bese ikhula ibe usana.

Iyini i-Minimum Sperm Count Ku-IVF?

Ukwelashwa kwe-IVF kukhona ukusiza abantu abanenani lesidoda eliphansi ukuthi bakwazi ukukhulelwa, kodwa le ndlela nayo inezimfuneko zayo ezincane.

Kodwa kudingeka malini isidoda ku-IVF?

Izifundo zibonisa ukuthi ukuze inqubo ye-IVF iphumelele, umlingani wesilisa kufanele abe nenani lesidoda eliphakathi kwezigidi ezingu-10 nezingu-15 zesidoda ngebhilitha elilodwa le-semen [2].

Ngamanye amazwi, umuntu kumele abe phakathi kwezigidi ezingu-35 nezigidi ezingu-40 zesidoda ku-ejaculate ngayinye ukuze azuze ku-technique ye-IVF.

Iyini i-Minimum Sperm Motility Ku-IVF?

Inani lesidoda akusilo yilo kuphela elibalulekile ukuze inqubo ye-IVF iphumelele. I-sperm motility, okungukuthi ikhono lamaseli esidoda okubhukuda aya eqandeni, nayo ibalulekile.

Ngokuvamile, i-sperm motility ibhekwa njengokujwayelekile uma uketshezi lokuchama elinobulili lunokungenani u-40% wesidoda esihambayo [5].

Ukuze inqubo ye-IVF iphumelele, izifundo zibonisa ukuthi umuntu kufanele abe okungenani no-30% wesidoda esihambayo ku-semenal fluid [2].

Ingabe i-Sperm Morphology Ibalulekile Ku-IVF?

I-morphology yesidoda ibhekisela ku-usayizi wesidoda nokuma kwamaseli esidoda akwi-semen [6]. Iseli yesidoda ibhekwa njengokujwayelekile ngokuma uma inekhanda, ingxenye emaphakathi nomsila okwakheke kahle.

Ngokuvamile, cishe amaphesenti angu-4 kuphela amaseli esidoda eketshezini lwesidoda abe nokwakheka okuvamile noma isakhiwo esimiseke kahle.

Isidingo sokuba nokwakheka kwamasidoda okuvamile siphakeme kakhulu ku-IVF. Imibiko ikhombisa ukuthi cishe u-20% wamasidoda kumele abe nokwakheka okuvamile ukuze kube nokukhulelwa okuyimpumelelo [2]. Isidingo siphezulu ku-IVF ngoba le ndlela ihilela ukukhetha amasidoda anempilo kakhulu ukuze kwenzeke ukuchumisa.

Okubalulekile Ekugcineni

Indlela ye-IVF ithemba kuziningi iz couples ezibhekene nezinkinga zenani eliphansi lamasidoda nokunyakaza kwamasidoda okubuthaka. Kodwa abantu abaningi abakuboni ukuthi le ndlela akuyona imilingo engasebenzela wonke umuntu.

Kukhona izimfuneko ezithile ezincane ukuze i-IVF iphumelele, kuhlanganise nenani elincane lamasidoda elidingekayo ku-IVF, elinomthelela obalulekile. Izinga lempumelelo ye-IVF lapho inani lamasidoda liphansi nokunyakaza kwawo kubuthaka liphansi kakhulu. Uma uhlela ukusebenzisa le ndlela ukuze uthole ukukhulelwa okulandelayo, sincoma ukuthi ubhukhe ukubonana nochwepheshe bezokuzala ukuze wenze isinqumo esinolwazi.

Imithombo Esetshenzisiwe

1. Inani eliphansi lamasidoda - Ukuxilongwa nokwelashwa - Mayo Clinic. (2022c, December 17). https://www.mayoclinic.org/diseases-conditions/low-sperm-count/diagnosis-treatment/drc-20374591 
2. Villani, M. T., Morini, D., Spaggiari, G., Falbo, A. I., Melli, B., La Sala, G. B., Romeo, M., Simoni, M., Aguzzoli, L., & Santi, D. (2022). Ingabe amazinga amasidoda ayakwazi ukubikezela impumelelo yobuchwepheshe bokuzala obusizwa? Ukuhlaziywa okubuyekeza emuva kwemijikelezo engaphezu kuka-22,000 yobuchwepheshe bokuzala obusizwa. Andrology, 10(2), 310-321. https://doi.org/10.1111/andr.13123 
3. Suarez, S. S., & Pacey, A. A. (2005). Ukuthuthwa kwamasidoda emgudwini wokuzala kowesifazane. Human Reproduction Update, 12(1), 23-37. https://doi.org/10.1093/humupd/dmi047 
4. Jain, M., & Singh, M. (2023, June 7). Amasu e-Assisted Reproductive Technology (ART). StatPearls - NCBI Bookshelf. https://www.ncbi.nlm.nih.gov/books/NBK576409/ 
5. Yini ukunyakaza kwamasidoda nokuthi kuthinta kanjani ukuzala. Conceive Plus®. https://conceiveplus.com/blogs/blog/what-is-sperm-motility-and-how-it-affects-fertility 
6. Ukuqonda ukwakheka kwamasidoda nokuzala. Conceive Plus®. https://conceiveplus.com/blogs/blog/sperm-morphology-and-fertility