Kusho ukuthini uma ukhipha i-sperm engenalutho nokuthi ungakulungisa kanjani

Ngakho-ke, uma usuzame isikhathi ukuthola ingane kodwa lutho olwenzekayo, kungaba ngenxa yokufafaza isidoda esingenawo amasidoda. Akusona isihloko esikhulunywa kakhulu, kodwa sivamile kakhulu kunokucabanga kwakho. Ngokuyisisekelo, kusho ukuthi inani lamasidoda liphansi kakhulu noma mhlawumbe alikho nhlobo. Ngisho noma konke okunye kubonakala kuhamba kahle—njengokuthi ungakwazi ukuchama njalonjalo—akusho ukuthi kunamasidoda anele lapho ukuze kwenziwe ingane. Kuyakhathaza, akunjalo? Kodwa ungakhathazeki, kukhona ithemba.

Kwenzenjani Ngempela Uma Ufafaza Isidoda Esingenawo Amasidoda?

Uma sikhuluma ngokufafaza isidoda esingenawo amasidoda, sikhuluma ngesimo lapho inani lamasidoda liphansi kakhulu, noma alikho nhlobo ku-mgodlo. Yebo, ungakwazi ukuchama ngesikhathi socansi, kodwa isidoda asenzi umsebenzi waso. Akusho ukuthi awunakuthola umntwana nhlobo, kodwa kusho ukuthi kungase kudingeke usizwe. Kungaba nzima ukukwamukela engqondweni, kodwa kubantu abaningi besilisa lesi yisimo esingalungiseka [1].

Izimpawu Ezikhombisa Ukuthi Ungase Ufafaze Isidoda Esingenawo Amasidoda

Ungase ungaboni lutho olungajwayelekile ngaphandle kokuthi umngane wakho wesocansi akakhuleli. Lokho kuvame ukuba yisibonakaliso sokuqala. Kodwa kwesinye isikhathi kuba neminye imikhondo. Ungase ube ufafaza isidoda esingenawo amasidoda uma unesifiso socansi esiphansi, ubhekene nobunzima bokuma kwelungu lobudoda, noma uzwe ubuhlungu noma ukuvuvukala emaqandeni. Ngezinye izikhathi, umane wazi nje ukuthi kukhona okungahambi kahle.

Ezinye izinto azibonakali kalula, njengokuphazamiseka kwamahormone. I-testosterone ephansi ingakushiya ukhathele, futhi ithinte nempilo yakho yocansi. Akusho ukuthi njalo kukhona okungalungile, kodwa lezi yizimpawu okufanele uzinake [2].

Kungani Ufafaza Isidoda Esingenawo Amasidoda?

Kunezizathu eziningi zokuthi kungani ungase ube ufafaza isidoda esingenawo amasidoda, futhi ezinye zingalungiseka ngezinguquko ezilula. Kwabanye amadoda, kuhlobene nendlela yokuphila. Ukubhema, ukuphuza utshwala, izidakamizwa, ngisho nengcindezi kungaphazamisa isidoda sakho. Futhi, ukugqoka izingubo zangaphansi eziqinile noma ukuhlala ezindaweni ezifudumele kakhulu njenge-sauna kungaba nomthelela [3].

Ngakolunye uhlangothi, kungaba inkinga yezokwelashwa. Ukukhiqizwa okuncane kwesidoda kwenzeka uma umzimba wakho ungakhiqizi okwanele. Lokhu kungadalwa ukungalingani kwamahormone noma ukushoda kokudla okuthile—izinto ezifana ne-zinc noma i-selenium zidlala indima enkulu ekugcineni isidoda sinempilo [4]. Bese kuba nezivinjelakalo emgudwini wokuzalana, ngokuvamile ezidalwa ukutheleleka noma ukuhlinzwa, ezivimba isidoda ukuba sifinyelele lapho okufanele siyofika khona. Noma kwesinye isikhathi kubangelwa izifo ezifana ne-diabetes, izifo ezithathelwana ngokocansi (STI), noma ngisho nangemva kokwelashwa okufana ne-chemotherapy [5].

Ithiphu ebalulekile: Amavithamini afana ne-vitamin C ne-vitamin E amahle kakhulu empilweni yesidoda. Asebenza njengamahevini amancane, evikela isidoda ekulimaleni.

Indlela Yokulungisa Ukufafaza Isidoda Esingenawo Amasidoda

Ukuthola ukuthi udubula isidoda esingenalutho akusho ukuphela kwendlela. Kukhona izindlela zokwenza izinto zingcono. Okokuqala, cabanga ngokudla kwakho. Ukwengeza ukudla okunothe nge-folic acid ne L-carnitine kungasiza kakhulu. I-folic acid isiza ekukhiqizweni kwe-DNA esidodeni, kanti i L-carnitine ingathuthukisa indlela isidoda sakho esihamba kahle ngayo. Iyanika isidoda sakho umfutho, ngokusobala kanjalo [6].

Izinguquko zempilo? Umthelela omkhulu. Yeka ukubhema, yehlisa kakhulu utshwala, futhi ugweme izidakamizwa. Hhayi-ke, uma ukhulu ngokweqile, ukwehlisa isisindo kancane kungasiza futhi. Ukuzivocavoca njalo, noma kancane nje, kungasiza ukugcina amahomoni akho esesilinganisweni futhi kuthuthukise inani lesidoda [7].

Kwesinye isikhathi akugcini nje ngezinguquko zempilo. Uma kunenkinga yamahomoni, ukwelashwa ngamahomoni kungase kudingeke ukuze kukhuliswe izinga lakho le-testosterone futhi kubuyiselwe ukukhiqizwa kwesidoda esimweni esifanele [8]. Kwezinye izimo, kungase kudingeke ukuhlinzwa uma kukhona ukuvinjelwa okuvimba isidoda ukuthi siphume. Uma inani lakho lesidoda liphansi, ukuqonda inani eliphansi kakhulu lesidoda le-IVF kungakusiza uhlole ezinye izinketho zokwelashwa kokuzala.

Futhi, ake singakhohlwa imikhiqizo enobungane ekuzaleni. Ukusebenzisa izinto eziqukethe i-calcium ne-magnesium kungasiza ukudala indawo engcono yesidoda, kunikeze ithuba elingcono lokusinda uhambo oluya eqandeni [9].

Nini Ongaya Ngodokotela

Uma usuzame ukuthola ingane iminyaka engaphezu koyedwa kodwa usangenamphumela, sekuyisikhathi sokuvakashela udokotela. Ungalindi isikhathi eside kakhulu—ukuthola umbono womsebenzi wezokwelapha kusenesikhathi kungaletha umehluko omkhulu. Futhi, uma uhlangabezana nezimpawu ezifana nokungasebenzi kahle kwe-erection noma ubuhlungu emasende, lokho kuwuphawu olusobala lokuthi kumele uhambe uyohlolwa [10].

Udokotela okhethekile kwezokuzala uzokusiza ukunquma ukuthi ngabe udubula isidoda esingenalutho noma kukhona okunye okwenzekayo. Bangakuhola nangamanyathelo okufanele uwathathe ngokulandelayo, kungaba ukuhlolwa okwengeziwe noma ukwelashwa.

Into Ebalulekile Ekugcineni

Bheka, ukuthola ukuthi udubula isidoda esingenalutho kungaba nzima ukukwamukela, kodwa kubalulekile ukukhumbula ukuthi kukhona izinketho eziningi ngaphandle laphaya. Izinguquko zempilo, ukuthuthukisa indlela odla ngayo, futhi kwesinye isikhathi ukungenelela kwezokwelapha kungasiza ngempela. Thatha konke kancane, isinyathelo ngesinyathelo, futhi ungabesabi ukucela usizo uma uludinga.

Imibuzo ejwayele ukubuzwa

Kusho ukuthini ukukhulula isidoda esingenalutho?

Kusho ukuthi inani lesidoda lakho liphansi kakhulu noma akukho nhlobo isidoda ku-semen yakho, okwenza kube nzima ukukhulelisa.

Yini ebangela ukuthi indoda ikhiphe isidoda esingenalutho?

Kunezizathu eziningi, okuhlanganisa ukukhiqizwa okuphansi kwesidoda, ukuvinjwa kwemithambo, izinto zokuphila ezifana nokubhema, noma izifo ezifana nesifo sikashukela.

Kufanele ngiyobona yini udokotela mayelana nokungazali?

Uma usuvele uzama ukukhulelisa isikhathi esingaphezu konyaka ngaphandle kwempumelelo noma uqaphela izimpawu ezifana nobuhlungu emasendeni noma inani eliphansi lesidoda, sekuyisikhathi sokuyobona udokotela.

Izinkomba

1. Practice Committee of the American Society for Reproductive Medicine. Ukuhlolwa kokuxilonga owesilisa ongazali: umbono wekomiti. Fertil Steril. Available at: https://pubmed.ncbi.nlm.nih.gov/25597249/
2. Snyder, Peter J. Ukuhlolwa kwe-endocrine kowesilisa ongazali. Urologic Clinics. Available at: https://www.urologic.theclinics.com/article/S0094-0143(21)00120-8/abstract
3. Ramlau-Hansen CH, Thulstrup AM, Nohr EA, Bonde JP, Sørensen TI, Olsen J. Ukuncipha kokuzala (subfecundity) kubantu abashadile abakhuluphele noma abanesifo sokukhuluphala. Hum Reprod. Available at: https://pubmed.ncbi.nlm.nih.gov/17344224/
4. Colagar AH, Marzony ET, Chaichi MJ. Amazinga e-zinc ku-semenal plasma ahlotshaniswa nekhwalithi yesidoda emadodeni azalayo nawanga-zali. Nutr Res. Available at: https://pubmed.ncbi.nlm.nih.gov/19285597/
5. Minhas S, Bettocchi C, Boeri L, Capogrosso P, Carvalho J, Cilesiz NC, Cocci A, Corona G, Dimitropoulos K, Gül M, Hatzichristodoulou G, Jones TH, Kadioglu A, Martínez Salamanca JI, Milenkovic U, Modgil V, Russo GI, Serefoglu EC, Tharakan T, Verze P, Salonia A; EAU Working Group on Male Sexual and Reproductive Health. Imihlahlandlela ye-European Association of Urology ngeMpilo Yokuziphatha Ngokocansi Nokuzala Emadodeni: Isibuyekezo sango-2021 Sokungazali Kwabesilisa. Eur Urol. Available at: https://pubmed.ncbi.nlm.nih.gov/34511305/
6. Lenzi A, Sgrò P, Salacone P, Paoli D, Gilio B, Lombardo F, Santulli M, Agarwal A, Gandini L. Ucwaningo olulawulwa nge-placebo, oluphindwe kabili olungaboni oluqokwe ngokungahleliwe lokusetshenziswa kokwelashwa okuhlanganisa i-l-carnitine ne-l-acetyl-carnitine emadodeni anokunganyakazi kahle kwesidoda (asthenozoospermia). Fertil Steril. Available at: https://pubmed.ncbi.nlm.nih.gov/15193480/
7. Håkonsen LB, Thulstrup AM, Aggerholm AS, Olsen J, Bonde JP, Andersen CY, Bungum M, Ernst EH, Hansen ML, Ernst EH, Ramlau-Hansen CH. Ingabe ukwehla kwesisindo kuthuthukisa ikhwalithi yesidoda namahomoni okuzala? Imiphumela evela eqenjini lamadoda asinda kakhulu. Reprod Health. Available at: https://pubmed.ncbi.nlm.nih.gov/21849026/
8. Surampudi P, Swerdloff RS, Wang C. Ukubuyekezwa kokwelashwa kwe-hypogonadism emadodeni. Expert Opin Pharmacother. Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4168024/
9. Cinar V, Polat Y, Baltaci AK, Mogulkoc R. Imiphumela yokwengeza i-magnesium ezingeni le-testosterone kubadlali bezemidlalo nakubantu abangazivocavoci ngesikhathi sokuphumula nangemva kokukhathala. Biol Trace Elem Res. Available at: https://pubmed.ncbi.nlm.nih.gov/20352370/
10. Sharlip ID, Jarow JP, Belker AM, Lipshultz LI, Sigman M, Thomas AJ, Schlegel PN, Howards SS, Nehra A, Damewood MD, Overstreet JW, Sadovsky R. Izinqubomgomo ezingcono kakhulu zokwelapha ukungazali emadodeni. Fertil Steril. Available at: https://pubmed.ncbi.nlm.nih.gov/12009338/