Yini Ebulala Inani Lesidoda Nokuthi I-Oligospermia Ithinta Kanjani Ukuzala

Ukuqonda ukuthi yini “eabulala” inani lesidoda kuyisinyathelo sokuqala esibalulekile kumadoda abhekene nezingqinamba zokungazali. Izinhlobo ezifana ne-oligospermia, echazwa incazelo ye-oligospermia, zivame ukuhlotshaniswa nevolumu ephansi yesidoda nezinkinga zokuzala [1]. Amadoda afuna ukuqala umndeni kufanele azi ukuthi yini ehlisa inani lesidoda kanye nemithelela ye-oligozoospermia empilweni yokuzala [2].

Yini Ehlisa Inani Lesidoda?

Ukuze uqonde ukuthi yini ehlisa inani lesidoda, kudingeka ubheke indlela yokuphila nezinto zemvelo ezikusizungezile [3]. Ukushisa kungenye yezinto ezivame kakhulu. Ukuchitha isikhathi eside eziphethweni zamanzi ashisayo noma ukusebenzisa ilaptop ngqo ethangeni kungesinye sezinto ezivame ukwehlisa inani lesidoda. Ukubhema, ukusebenzisa kakhulu utshwala, nokuchayeka kumakhemikhali afana namakhemikhali abulala izinambuzane nakho kunegalelo ekonakaleni kwesidoda. Ukucindezeleka nokudla okungafanele kwengeza enkingeni, okwenza ikhwalithi yesidoda yehlise [4].

Umqondo Ongcono: Gwema izindawo ezishisa kakhulu futhi wehlise ukuvezwa kumakhemikhali ayingozi ukuze usize ugcine isidoda sinempilo.

Kuyini I-Oligospermia?

Ngakho-ke, kuyini i-oligospermia? Yisimo lapho inani lesidoda lendoda liphansi kunokuvamile, okungabenza kube nzima ukuba abambisane bakhe bakhulelwe [5]. I-oligospermia iwukuthi inani lesidoda lehla lingaphansi kwezigidigidi eziyi-15 ku-millilitha. Incazelo ye-oligospermia ithi isimo lapho inani lesidoda lincane kakhulu kunejwayelekile, okwenza ukukhulelwa ngokwemvelo kube nzima. Incazelo ye-oligozoospermia isondele kakhulu, isho inani eliphansi lesidoda, futhi womabili la magama abonisa inkinga efanayo. Yingakho igama lezokwelapha lenani eliphansi lesidoda liyi-oligospermia.

Kukhona amazinga ahlukene obunzima:

1. I-oligospermia elula: Izigidigidi ezi-10–15 zesidoda ku-millilitha.
2. I-oligospermia emaphakathi: Izigidigidi ezi-5–10 zesidoda ku-millilitha.
3. I-oligospermia enzima: Ngaphansi kwezigidigidi ezi-5 zesidoda ku-millilitha [6].

Odokotela basebenzisa la magama, ngakho kuhle ukwazi ukuthi igama lezokwelapha elisho inani eliphansi lesidoda kanye negama lezokwelapha elithi oligospermia asetshenziswa kakhulu ezingxoxweni zokungazali.

Umqondo Ongcono: Ukuhlolwa kwesidoda njalo kungakusiza uqonde inani lesidoda sakho futhi uthuthukise uhlelo lwakho lokukhulelwa.

Yini Ebanga Ivolumu Ephansi Yesidoda?

Ake sibheke kahle ukuthi yini ebangela ivolumu ephansi yesidoda. Ivolumu ephansi yesidoda inkinga evamile, futhi ingadalwa ukungalingani kwamahomoni, ukushoda kwamanzi emzimbeni, noma ukuvaleka ohlelweni lokuzala [7]. Kwesinye isikhathi, kuyindaba yobudala nje, kwezinye izimo kubangelwa izimo zempilo ezingaphakathi. Amadoda anenani eliphansi le-sperm ngokuvamile abhekana nezinselele ekuzaleni ngoba lokho kunciphisa inani le-sperm elitholakalayo ukuze lifinyelele iqanda. Le nkinga, uma ihambisana nenani eliphansi le-sperm, ivame ukubizwa ngokuthi isimo se-sperm encane kakhulu. 

Kulabo abanentshisekelo ngezihloko ezingavamile ezihlobene nempilo ye-sperm, ukuhlola amaqiniso nezinganekwane ezimayelana nabesifazane abadla i-sperm kunganikeza ulwazi olwengeziwe ngempilo yokuzala iyonke.

Ithiphu ebalulekile: Ukuphuza amanzi amaningi nokugwema amakhemikhali ayingozi kungasiza ukukhulisa ivolumu ye-sperm ngokwemvelo.

Izimpawu Nezindlela Zokwelapha I-Oligospermia

Uma kukhulunywa ngezimpawu ze-oligospermia, amadoda amaningi awakwazi ukuthi kukhona inkinga kuze kube yilapho ezama ukungenisa ekhaya. Izimpawu ezivamile zifaka ubunzima bokukhulelisa noma ukutholakala kokuthi inani le-sperm lendoda liphansi ngemuva kokuhlaziywa kwesidoda [8]. Kwesinye isikhathi awekho nhlobo izimpawu, okwenza isimo kube nzima ukusihlola ngaphandle kosizo lwezokwelapha. Nokho, uma usola ukuthi kukhona inkinga, uchwepheshe wezokuzala angasiza ukuthola izimbangela ze-oligospermia.

Ukufaka ezinhlelweni zakho izithasiselo zokuzala eziqondiswe ngqo kungaba indlela esebenzayo yokusekela nokuthuthukisa ikhwalithi ye-sperm, ikakhulukazi uma izinguquko zempilo zodwa zingalethi ukuthuthuka okufunwayo.\u00a0Izinketho zokwelashwa ziyahlukahluka kuye ngezimbangela eziyisisekelo. Izinguquko zendlela yokuphila, njengokuyeka ukubhema, ukunciphisa ukuphuza utshwala, nokudla ukudla okunempilo, zingathuthukisa inani le-sperm. Ukwelashwa ngama-hormone kwesinye isikhathi kuyadingeka uma i-hormone ebangela inani eliphansi le-sperm ihlotshaniswa ne-testosterone noma ezinye izilinganiso ezingalingani [9]. Ezimeni ezinzima, ukuhlinzwa noma izindlela zokuzala ezisizwa (ART) ezifana ne-IVF zingasiza.

Ithiphu ebalulekile: Ukuhlolwa kusenesikhathi nokungenelela kungaholela emiphumeleni engcono. Ungazibambezeli ukuvakashela uchwepheshe uma usuzame ukungenisa ekhaya iminyaka engaphezu koyedwa.

Ingabe Inani Eliphansi Le-Sperm Liyefuzelana?

Abaningi amadoda bayazibuza, ingabe inani eliphansi le-sperm lidlulela ezizukulwaneni? Impendulo ithi: kwesinye isikhathi [10]. Ezinye izifo zofuzo zingathinta ukukhiqizwa kwesidoda, okuholele ezinkingeni zokuzala. Ngakho-ke, umbuzo othi ingabe inani eliphansi lesidoda lidluliselwa ngokufuzo umbuzo onengqondo, futhi kwezinye izimo impendulo iwukuthi yebo. Nokho, izinkinga eziningi zenani eliphansi lesidoda zibangelwa izici zemvelo oyiphilayo noma indlela yokuphila kunokudluliselwa kofuzo.

Ithiphu ePhezulu: Uma unomlando womndeni wezinkinga zokuzala, kungasiza ukuhlolelwa noma ukuthola ukwelulekwa ngofuzo.

Ukuqonda I-Organic Oligospermia

Kukhona futhi i-organic oligospermia, ebhekisela ku-oligospermia ebangelwa izizathu zemvelo noma zemvelo yomzimba, njengokugula kofuzo noma izifo ezingapheli [11]. Incazelo ye-oligospermia iyafana kungakhathaliseki ukuthi ibangelwa izici zempilo oyiphilayo noma izinkinga zasemzimbeni. Incazelo ye-oligozoospermia ibhekisela enanini eliphansi lesidoda, futhi ukuqonda umehluko phakathi kwe-organic nezinye izinhlobo kungasiza ekutholeni ukwelashwa okufanele.

Ithiphu ePhezulu: Uma usola izimbangela zemvelo (organic) zenani eliphansi lesidoda sakho, xhumana nochwepheshe ongakuhola ezinkethweni zokwelashwa.

Indlela I-oligospermia Ethinta Ngayo Ukukhulelwa

Ekugcineni, ake sikhulume ngenani eliphansi lesidoda nokukhulelwa. Ngisho nange-oligospermia esindayo, kusenokwenzeka ukukhulelwa, kodwa kungadinga usizo olufana ne-IVF noma eminye imithi yokwelapha yokuzala [12]. Lesi simo senza kube nzima ukuthi isidoda sifinyelele futhi sichumise iqanda, kodwa izindlela zesimanje zezokwelapha zisize imibhangqwana eminingi.

Igama lezokwelapha elichaza ukuncipha kokukhiqizwa kwesidoda liyingxenye yalenkinga enkulu, futhi uma ukukhiqizwa kwesidoda kwehle, amathuba akho okukhulelwa angancipha. Yingakho ukuqonda konke lokhu, kusukela ekuchazeni i-oligospermia kuya ekwelashweni kwe-oligospermia, kubalulekile.

Ithiphu ePhezulu: Uma ukukhulelwa ngokwemvelo kungenzeki ngemuva konyaka uzama, hlola ubuchwepheshe bokusizwa ekuzaleni (ART) ukuze ukhuphule amathuba akho.

Okufanele Ukukhumbule Ekugcineni

Uhambo lokuqonda ukuthi yini ebulala isibalo sesidoda nokuzulazula emhlabeni wokungazali lungadida, kodwa ukuba nesandla kuyasiza. Ukwazi incazelo ye-oligospermia, igama lezokwelapha lenani eliphansi lesidoda, nezinketho zakho zokwelashwa kwe-oligospermia kukubeka ekulawuleni. Kungaba ukwenzenela izinguquko empilweni noma ukufuna iseluleko sezokwelapha, kukhona izindlela zokwandisa amathuba okukhulelwa nokuthuthukisa impilo yesidoda.

Imibuzo ejwayelekile (FAQs):

Iyini igama lezokwelapha elisetshenziselwa inani eliphansi lesidoda (low sperm count)?

Igama lezokwelapha lenani eliphansi lamasidoda yi-oligospermia.

Ingabe indlela yokuphila ingalinciphisa inani lamasidoda?

Yebo, izinto ezifana nokubhema, ukuvezwa ekushiseni, nobuthi zemvelo yizinto ezinciphisa inani lamasidoda.

Ingabe inani eliphansi lamasidoda liyifa?

Ingabe inani eliphansi lamasidoda liyifa? Lingaba yilo, ikakhulukazi uma kukhona isimo sezakhi zofuzo esibandakanyekayo.

Yini ebangela umthamo ophansi wesidoda?

Lokho okubangela umthamo ophansi wesidoda kungaba ukoma komzimba, izinkinga zamahomoni, noma ukuvinjwa emgodini wokuzala.

Ingabe usamkhulelwa yini uma inani lamasidoda liphansi?

Yebo, kodwa inani eliphansi lamasidoda nokukhulelwa kungase kudinge ukwelashwa kokuzala njengokuthi i-IVF.

Izikhombo

1. Choy JT, Amory JK. Ukuphathwa okungahlinzeki kwe-Oligozoospermia. J Clin Endocrinol Metab. Kutholakala ku: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7566408/
2. Leslie SW, Soon-Sutton TL, Khan MAB. Ukungabi nenzalo kowesilisa. [Updated 2024 Feb 25]. StatPearls [Internet]. Treasure Island. Kutholakala ku: https://www.ncbi.nlm.nih.gov/books/NBK562258/
3. Thonneau P, Bujan L, Multigner L, Mieusset R. Ukuvezwa ekushiseni emsebenzini nokuzala kowesilisa: ukubuyekeza. Hum Reprod. Kutholakala ku: https://pubmed.ncbi.nlm.nih.gov/9756281/
4. Mima M, Greenwald D, Ohlander S. Ubuthi bemvelo nokuzala kowesilisa. Curr Urol Rep. Kutholakala ku: https://pubmed.ncbi.nlm.nih.gov/29774504/
5. Choy, Jeremy & Amory, John. (2020). Ukuphathwa okungahlinzeki kwe-Oligozoospermia. Ijenali ye-Clinical Endocrinology & Metabolism. Kutholakala ku: https://www.researchgate.net/publication/342450492_Non-surgical_Management_of_Oligozoospermia
6. 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 Yobulili Neyokuzala Kowesilisa: Ukuvuselelwa kuka-2021 ngokungabi nenzalo kowesilisa. Eur Urol. Kutholakala ku: https://pubmed.ncbi.nlm.nih.gov/34511305/
7. Kidd SA, Eskenazi B, Wyrobek AJ. Imiphumela yobudala bendoda ekwikhwalithi yesidoda nasekuzaleni: ukubuyekeza umbhalo wezifundo. Fertil Steril. Kutholakala ku: https://pubmed.ncbi.nlm.nih.gov/11172821/
8. Kelton Tremellen, Oxidative stress nokungabi nenzalo kowesilisa—umbono wezokwelapha, Human Reproduction Update. Kutholakala ku: https://academic.oup.com/humupd/article/14/3/243/683505
9. Liu PY, Handelsman DJ. Isimo samanje nekusasa sokwelashwa ngamahomoni ekungabinanzalo kowesilisa. Hum Reprod Update. Kutholakala ku: https://pubmed.ncbi.nlm.nih.gov/12638778/
10. Sudhakar DVS, Shah R, Gajbhiye RK. I-genetics yokungabi nenzalo kowesilisa – okwamanje nekusasa: ukubuyekeza kokuqonda indaba. J Hum Reprod Sci. Kutholakala ku: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8527069/
11. Maurya, Neelesh. (2019). Indima yokudla okunomsoco nezinye izinto ezihambisanayo ku-oligospermia (inani eliphansi lamasidoda). I-Pharma Innovation. Kutholakala ku: https://www.researchgate.net/publication/331564589_Role_of_nutrition_and_associated_factors_in_oligospermia_Low_sperm_count_The_Pharma_innovation
12. Jain M, Singh M. Amasu e-Assisted Reproductive Technology (ART). [Updated 2023 Jun 7]. StatPearls [Internet]. Treasure Island. Kutholakala ku: https://www.ncbi.nlm.nih.gov/books/NBK576409/