Ukukhiqizwa Okuncane Kwezidoda: Indlela Yokwandisa Inani Lezidoda

Indoda enempiloindoda enempilo ikhiqiza izidoda ezingu-15 kuya kwezingama-200 ezigidi kumililitha ngamunye wesidoda, futhi kubhekwa njengokubalwa okuvamile kwesidoda [1]. Isidoda ulwelo oluphuma ngesikhathi sokuqeda olubamba izidoda.

Ukukhiqizwa kwesidoda okuncane kubhekisela enanini eliphansi lamaseli esidoda kumililitha ngamunye wesidoda. Lesi simo siyisigaba sezokwelapha futhi sibizwa ngokuthi i-oligospermia [2]. Lesi simo singenze kube nzima kakhulu ukuthi indoda izale ingane, ngenxa yokuthi inani elincane lesidoda linciphisa amathuba okuchumisa iqanda.

Kule ndatshana, sizoxoxa ngezimbangela ezivame kakhulu zenani eliphansi lesidoda nokuthi ungayithuthukisa kanjani ukugxila kwesidoda ngendlela yemvelo.

Iyini i-Oligospermia?

I-Oligospermia yigama lezokwelapha elisetshenziswa ukukhomba inani eliphansi lesidoda. Libhekisela esimweni lapho indoda inezidoda ezingaphansi kwezigidi eziyi-15 kumililitha ngamunye wesidoda.

Lesi simo singathinta ikhono lendoda lokukhulelisa ngokwemvelo. Lokhu kungenxa yokuthi kuzoba nenani elincane lesidoda elitholakalayo ukuze libhukude liye eqandeni futhi lilichumise emzimbeni womuntu wesifazane.

Kodwa-ke, kubalulekile ukuqaphela ukuthi inani eliphansi lesidoda alihlali livimbela ukukhulelwa. Limane nje linciphise amathuba okuchumisa iqanda.

Izimo Zokwelapha Ezithinta Inani Lesidoda

Izimo ezahlukene zempilo zingathinta ukukhiqizwa kwesidoda noma zilimaze izitho zokuzala, okungaholela ekukhiqizweni kwesidoda okuncane. Izimo zezokwelapha ezivame ukudala inani eliphansi lesidoda yilezi:

1. I-Varicocele

I-Varicocele yisimo lapho imithambo yegazi emasendeni ivuvukala noma yande [3]. Lokhu kungaholela ekungahambi kahle kwegazi nasekufudumeni ngokweqile emasendeni, okuthinta ukukhiqizwa kwesidoda futhi kwehlise inani lesidoda.

2. Izifo zokutheleleka

Ezinye izifo zokutheleleka, ezifana nezifo ezithathelwana ngokocansi (STIs) noma i-prostatitis, zingakwazi kuphazamise impilo yesidoda [4]. Lokhu kutheleleka kungadala ukuvuvukala noma ukulimala ngezibazi ezithweni zokuzala, okungavimba ukukhiqizwa noma ukukhishwa kwesidoda.

3. Ukungalingani kwama-hormone

Ama-hormone afana ne-testosterone adlala indima ebalulekile ekukhiqizeni isidoda. Uma indoda inez ukungalingani kwama-hormone njenge-testosterone, i-luteinizing hormone (LH), noma i-follicle-stimulating hormone (FSH), ingaphazamisa ukukhiqizwa kwesidoda futhi yehlise inani lesidoda [5].

Izindlela Zokuphila Ezithinta Inani Lezidoda

Eminye imikhuba yokuphila engakhuthaza ukuthuthuka kwe-oligospermia imi kanje:

• Ukusetshenziswa Kotshwala Ngokweqile: Ukuphuza utshwala ngokweqile kungaphazamisa amazinga amahomoni abalulekile ekukhiqizweni kwezidoda. Lokhu kungaholela enanini eliphansi lezidoda futhi kwehlise amathuba okukhulelwa.
• Ukusetshenziswa Kwezidakamizwa Zokuzijabulisa: Ukusebenzisa izidakamizwa zokuzijabulisa ezifana ne-marijuana noma ama-steroid kungalimaza ukukhiqizwa kwezidoda. Lezi zinto zingaguqula amazinga amahomoni futhi zehlise ikhwalithi nenani lezidoda.
• Ukukhuluphala: Ukuba nesisindo esiphezulu noma ukugula ngokukhuluphala kungathinta amazinga amahomoni, okuhlanganisa ne-testosterone, ebalulekile ekukhiqizweni kwezidoda. Lokhu kungaholela enanini eliphansi lezidoda nokwehla kwamandla okuzala.
• Ukuchayeka Okuphindaphindiwe Ekushiseni: Ukuchayeka njalo ekushiseni, njengamabhavu ashisayo noma izingubo eziqinile, kungakhuphula izinga lokushisa kwamasende. Lokhu kungalimaza ukukhiqizwa kwezidoda futhi kwehlise inani lezidoda.

Umthelela Wokuntuleka Kokudla Okunomsoco Enanini Lezidoda

Ezinye izakhi ezifana amavithamini, amaminerali, nama-antioxidant zibalulekile ekukhiqizweni kwezidoda eziphilayo [6]. Ukuntuleka kwalezi zakhi kungaholela enanini eliphansi lezidoda, futhi kwesinye isikhathi kube ukungabi namandla okuzala emadodeni.

Izakhi ezibalulekile zenani lezidoda nempilo yezidoda yilezi:

• I-zinc
• I-selenium
• i-vitamin C
• I-vitamin E
• I-folic acid
• Ama-omega-3 fatty acids

Uma kungekho amanyanisi anele akhonjwe ngenhla, ikhwalithi nenani lezidoda kungalimala. Ukudla ukudla okunomsoco okulinganiselayo okunothiswe ngalezi zakhi kungasiza ukusekela ukukhiqizwa kwezidoda nokuthuthukisa ukukwazi ukuzala.

Ngaphezu kokudla okunomsoco okulinganiselayo, ungazithola lezi zakhi kumasengezo (supplements). Izithasiselo zokuzala kwabobaba ukunikeza wonke amanyanisi abalulekile adingekayo ekukhiqizweni kwezidoda eziphilayo.

Ezinye Izimbangela Zenani Eliphansi Lezidoda

Ingcindezi ingathinta amazinga amahomoni, okungase kwehlise ukukhiqizwa kwezidoda futhi kunciphise inani lezidoda. Amazinga aphezulu ezingcindezi angathinta nempilo yezocansi yonke.

Izinguquko ezihlobene nobudala nazo zinemthelela, njengoba ikhwalithi nenani lezidoda kwehla ngokwemvelo ngokuhamba kweminyaka. Njengoba amadoda eba makhulu, ukunyakaza kwezidoda kwehla, okwenza kube nzima ukukhulelwa.

Ungalithuthukisa Kanjani Inani Lezidoda?

Uma unesifo sezokwelapha esibangela ukwehla kwenani lesidoda, kumelwe ufune iseluleko sezokwelapha kuspecialist. Nokho, uma ungenayo inkinga yezempilo noma inkinga yokuzala, ungakhuphula inani lesidoda ngokwemvelo ngokulandela lezi zeluleko:

• Gcina isisindo esinempilo, ngoba ukuvuvukala komzimba (obesity) kungase kwehlise inani lesidoda futhi kuthinte amazinga amahomoni.
• Yidla ukudla okulinganiselayo okunothile ngamavithamini, amaminerali, nama-antioxidant asekelela ukukhiqizwa kwesidoda.
• Gwema ukubhema nokuphuza utshwala ngokweqile, ngoba kokubili kungonakalisa izinga lesidoda futhi kwehlise inani laso.
• Lawula ingcindezi ngokusebenzisa izindlela zokuphumula, ngoba ingcindezi ingaphazamisa ibhalansi yamahomoni.
• Gwema ukushisa kakhulu izende ngokunciphisa ukusebenzisa amachibi ashisayo nokugqoka izingubo zangaphansi ezikhululekile ezingacindezeli.

Okubalulekile Ekugcineni

Ukukhiqizwa okuncane kwesidoda kungaba inkinga enkulu kumadoda azama ukutolela umlingani ukhulelwe. Inani eliphansi lesidoda elikhishwa ngesikhathi socansi linganciphisa amathuba okuthi noma yiliphi isidoda lifinyelele eqandeni futhi lilichumise. Ukukhiqizwa okuncane kwesidoda kuvame ukubizwa ngokuthi i-oligospermia, okuyisimo esixilongwa lapho inani lesidoda lehla lingaphansi kwezigidi ezingu-15 nge-millilitre.

Ezinye izimbangela zenani eliphansi lesidoda azikwazi ukwelapheka kodwa ezinye ungazilawula ngokwamukela indlela yokuphila enempilo. Ukudla okulinganiselayo, ukuzivocavoca umzimba, nendawo yokuphila engekho nengcindezi ezinye zezindlela ezisebenzayo zokukhuphula inani lesidoda nokuthuthukisa ukukwazi ukuzala kowesilisa.

Imithombo Esetshenzisiwe

1. Inani eliphansi lesidoda - Ukuxilongwa nokwelashwa - Mayo Clinic. (2022b, December 17). https://www.mayoclinic.org/diseases-conditions/low-sperm-count/diagnosis-treatment/drc-20374591
2. Choy, J. T., & Amory, J. K. (2020). Ukuphathwa Kwe-oligozoospermia Ngaphandle Kokuhlinzwa. The Journal of Clinical Endocrinology and Metabolism, 105(12), e4194. https://doi.org/10.1210/clinem/dgaa390 
3. Eisenberg, M. L., & Lipshultz, L. I. (2011). Ukungazali okubangelwa i-varicocele: Imibono emisha mayelana ne-pathophysiology yayo. Indian Journal of Urology : IJU : Journal of the Urological Society of India, 27(1), 58-64. https://doi.org/10.4103/0970-1591.78428 
4. Wang, S., Zhang, K., Yao, Y., Li, J., & Deng, S. (2021). Ukutheleleka Ngamabhaktheriya Kuthinta Ukukwazi Ukuzala Kowesilisa: Ukugxila Ku-Oxidative Stress-Autophagy Axis. Frontiers in Cell and Developmental Biology, 9. https://doi.org/10.3389/fcell.2021.727812 
5. Wang, S., Zhang, K., Yao, Y., Li, J., & Deng, S. (2021). Ukutheleleka Ngamabhaktheriya Kuthinta Ukukwazi Ukuzala Kowesilisa: Ukugxila Ku-Oxidative Stress-Autophagy Axis. Frontiers in Cell and Developmental Biology, 9. https://doi.org/10.3389/fcell.2021.727812 
6. Bashir, S. (2024j, September 8). Yiziphi iVithamini Umuntu Wesilisa Okufanele Aya Zidla Uma Ezama Ukutholela Umlingani Ukukhulelwa. Conceive Plus®. https://conceiveplus.com/blogs/blog/what-vitamins-should-a-man-take-when-trying-to-conceive