Amaphesenti angakanani amadoda angazali, nezibalo zakamuva zokungazali kwabesilisa

Wake wazibuza ukuthi yisiphi iphesenti lamadoda angazali? Umbuzo abaningi abangawubuzi kuze kube sebefuna ukuba nengane kodwa izinto zingahambi njengoba zihlelwe. Kuyavela ukuthi cishe u-7% wamadoda emhlabeni jikelele babhekana nokungazali. Futhi nansi into: akusona “isinkinga sabesifazane” kuphela, noma kunjalo kanjalo njengoba kuvame ukubonwa. Ukungazali kuthinta amadoda nabesifazane ngokulinganayo, futhi ukungazali emadodeni kujwayelekile kakhulu kunalokho abantu abaningi abacabanga [1].

Kungani Kwenzeka Ukungazali Emadodeni?

Ukungazali emadodeni kwenzeka lapho isidoda sendoda singafiki eqandeni lowesifazane, noma sifike kodwa singakwazi ukusivundisa. Kungabakhona izinhlobo ezahlukene zezizathu zalokhu. Izinto ezifana nenani eliphansi lesidoda, isidoda esinganyakazi kahle, noma ukungalingani kwamahomoni. Ngakho-ke, yisiphi iphesenti lamadoda angazali? Njengoba ngishilo ngaphambili, siseduze no-7%, okungenzeka kubonakale kukuncane, kodwa uma ungomunye walabo bafana, kubonakala kukhulu kakhulu.

Izinga lokungazali emadodeni selikhuphuka eminyakeni edlule, ngokwengxenye ngenxa yezinguquko zendlela yokuphila, ukungcola, nengcindezi. Amadoda amaningi awazi nokuthi anazo izinkinga zokuzala kuze kube yilapho ezama ukuba nengane bese kudlula izinyanga kungekho mphumela. Kungaba uhambo olunzima, ngokomzimba nangokomzwelo [2].

Ithiphu Ebalulekile: Ungalindi iminyaka uzama. Uma kungekho okwenzekayo ngemva kwesikhathi esithile, hamba uyohlolwa kusenesikhathi.

Mangaki Amadoda Angazali?

Manje, mangaki-ke amadoda angazali? Ngokwezibalo, cishe indoda engu-1 kwengu-20 iba nezinkinga zokuzala. Lokho kungu-5% wawo wonke amadoda, kodwa izibalo zokungazali emadodeni zikhombisa ukuthi ukungazali emadodeni kudlala indima cishe ku-30% yazo zonke iz pairs ezibhekana nobunzima bokukhulelwa. Futhi cha, lokho akulona iphutha lokubhala—amadoda anegalelo ekungazaleni ngokulingana nabesifazane [3].

Yiliphi iphesenti lamadoda angazali ngenxa yezimo zezokwelapha ezifana ne-varicocele? I-Varicocele yisimo lapho imithambo emithweni yamadolo (amasende) ivuvukala, okuphazamisa ukukhiqizwa kwesidoda. Ijwayelekile futhi, ithinta cishe u-40% wamadoda anenkinga yokungazali. Izindaba ezinhle ukuthi ngokuvamile iyelapheka [4].

Ithiphu Ebalulekile: Uma unayo i-varicocele, kukhona izindlela zokwelashwa ezingathuthukisa ikhwalithi yesidoda futhi zandise amathuba akho okukhulelwa.

Yini Ebanga Ukungabi Nenzalo Kwesilisa?

Kunezinto eziningi ezingaphazamisa ukukhiqiza inzalo kowesilisa. Amahomoni, ukudla, ingcindezi, noma ngisho into elula njengokuchayeka ekushiseni ngokweqile (njengokusebenzisa i-laptop ethangeni noma ukugeza isikhathi eside emanzini ashisayo). Inani eliphansi lesidoda nezinkinga zokunyakaza kwesidoda kujwayelekile kakhulu. Kulabo abafuna ukwazi ngamaphesenti amadoda angabi nenzalo, lokhu kuvame ukuxhomeka ezintweni eziphathelene nendlela yokuphila noma izimo zezokwelapha eziphazamisa ukukhiqizwa kwesidoda esinempilo [5].

Ezinye ivithamini namaminerali zingasiza kakhulu ekuthuthukiseni ukukhiqiza inzalo. Isibonelo, i-zinc ne-selenium ziyaziwa ngokwandisa impilo yesidoda. Amasengezo anala ma-nutrient angaba ushintsho olukhulu kumadoda azama ukuthuthukisa amathuba abo [6].

Ithiphu Ebalulekile: Ukudla ukudla okucebile ngeVitamin C noma ukuthatha isengezo kungasiza ukuvikela isidoda ekulimaleni.

Yibaphi Amaphesenti Amadoda Angabi Namandla Ngokuphelele?

Manje, ake sikhulume ngokungabi namandla okuphelele. Ukungabi namandla okuphelele kwehluke ekungabi nenzalo. Ukungabi nenzalo kusho ukuthi ninzima ekutholeni ukukhulelwa, kodwa ukungabi namandla okuphelele kusho ukuthi akunakwenzeka nhlobo. Yibaphi amaphesenti amadoda angabi namandla ngokuphelele? Ngenhlanhla, yinani elincane kakhulu—cishe u-1-2% wamadoda angabamba iqhaza angabi namandla ngokuphelele. Lokhu kungabangelwa izimo zofuzo, ukulimala, noma ukwelashwa kwezokwelapha njengokwelashwa ngomdlavuza (chemotherapy). Ukungabi namandla okuphelele kuvame ukuba akuguquki, kodwa emadodeni abhekene nokungabi nenzalo, kusekhona izinketho eziningi ongazihlola [7].

Uma ubhekene nokungabi nenzalo hhayi ukungabi namandla okuphelele, kukhona izinto eziningi ongazenza. Kusukela ekuguquleni indlela yokuphila kuya kumasengezo, amadoda angathuthukisa ikhwalithi yesidoda futhi andise amathuba okukhulelwa. Izingxube ezifana ne-L-carnitine noma i-CoQ10 ziboniswe njengezinhle kakhulu ekuthuthukiseni ukuhamba kwesidoda nempilo yaso iyonke [8].

Indlela Yokwandisa Ukuzala Kwamadoda Ngendlela Yemvelo

Kukhona okuningi okungenziwa amadoda ukuze bathuthukise ukukhiqiza kwabo inzalo ngendlela yemvelo. Ukudla kahle, ukuzivocavoca nokunciphisa ingcindezi ezinye zezilula kodwa eziyizinselelo eziqinile zokuqala ngazo. Ama-nutrient afana ne-folic acid, i-magnesium, ne-vitamin D abalulekile empilweni yesidoda nasekubalanseni kwamahomoni. Angasiza ukulawula umzimba futhi athuthukise ukusebenza kokuzala [9].

Bese kuba khona i-L-arginine, okuwuyi-amino acid esiza ukwandisa ukugeleza kwegazi kuya ku-zitho zokuzala zamasilisa, ithuthukise ikhwalithi yesidoda. Uma ubukade uzibuza ukuthi bangaki amaphesenti amadoda angakwazi ukuzala ngenxa yezindlela zokuphila, impendulo mhlawumbe inkulu kunalokho ocabanga. Izinguquko ezilula zingaba nomthelela omkhulu [10].

Umqondo Ongcono Kakhulu: Ukwengeza ama-nutrient akhuthaza ukuzala afana neVitamin E ne-biotin esimisweni sakho sansuku zonke kungase kusekele kakhulu impilo yesidoda.

Uhlangothi Lwemizwa Lokungazali Kwabesilisa

Ukungazali akusona isinkinga somzimba kuphela; kungathinta kakhulu nemizwa yakho. Emibhangqwaneni ebezilokhu zizama ukutshala inzalo isikhathi eside, kungaba ukudida nokukhathaza. Kubalulekile ukwazi ukuthi ukungazali kwabesilisa kujwayelekile. Mangaki amaphesenti amadoda angakwazi ukuzala angathuthukisa amathuba awo ngezinguquko zendlela yokuphila kanye nezithasiselo? Amadoda amaningi angakwenza lokho, empeleni. Ngokwenza izinguquko ezincane nokufuna usizo lodokotela lapho kudingeka, kukhona ithemba kwabaningi abebecabanga ukuthi ngeke bakwazi ukuba nezingane [11].

Ukwazi ukuthi bangaki abesilisa abangakwazi ukuzala kubalulekile ukuze uqonde ukuthi awuwedwa kule mpi. Lokhu kubhekene namadoda amaningi, futhi ngosizo nolwazi olufanele, ungakhulisa amathuba akho empumelelo.

Okubalulekile Ekugcineni

Pho, mangaki amaphesenti amadoda angakwazi ukuzala? Cishe u-7% wamadoda babhekene nezinselelo zokuzala. Kodwa ngezinguquko zendlela yokuphila, ama-nutrient afanele, nosizo lwezokwelashwa, amadoda amaningi angathuthukisa impilo yawo yokuzala. Ukungazali kwabesilisa kuthinta imibhangqwana eminingi, kodwa okuhle wukuthi akusho ukuthi uhambo luphelile. Kukuningi ongakwenza ukuze wengeze amathuba akho futhi usondele ekuqaleni komndeni.

Imibuzo Evame Ukubuzwa

Bangaki amadoda angakwazi ukuzala?

Cishe u-7% wamadoda emhlabeni wonke babhekene nezinkinga zokuzala.

Yimaphi amaphesenti amadoda angakwazi ukuzala ngenxa yesibalo esiphansi sesidoda?

Inani eliphansi lesibalo sesidoda noma izinkinga zokunyakaza kwaso kubangela cishe u-50% wezimpi zokungazali kwabesilisa.

Ingabe izinguquko kwindlela yokuphila zingasiza ekungazalini kwabesilisa?

Yebo, ukuthuthukisa indlela odla ngayo, ukuzivocavoca njalo, nokulawula ingcindezi kungakwazi kakhulu ukuzuza impilo yesidoda.

Iyini eminye imbangela evamile yokungazali kwabesilisa?

Ukungalingani kwamahomoni, i-varicocele, nezinto zendlela yokuphila ezifana nokubhema nokudla okungesihle yizimbangela ezivamile.

Mangaki amaphesenti amadoda angakwazi ukuzala?

Cishe u-1-2% wamadoda awakwazi ukuzala, okusho ukuthi abakwazi ukutshala inzalo ngokwemvelo.

Izikhombo

1. Barratt, C. L. R., Björndahl, L., De Jonge, C. J., Lamb, D. J., Osorio Martini, F., McLachlan, R., Oates, R. D., van der Poel, S., St John, B., Sigman, M., Sokol, R.,amp; Tournaye, H. (2017). Ukuxilongwa kokungabi nenzalo kwabesilisa: ukuhlaziywa kobufakazi bokusekela ukuthuthukiswa kwemihlahlandlela yomhlaba wonke ye-WHO—izingqinamba namathuba ocwaningo esikhathini esizayo. Human reproduction update. Kutholakala ku: https://pubmed.ncbi.nlm.nih.gov/28981651/
2. Levine, H., Jørgensen, N., Martino-Andrade, A., Mendiola, J., Weksler-Derri, D., Mindlis, I., Pinotti, R.,amp; Swan, S. H. (2017). Izitayela zesikhathi enanini lesidoda: ukubuyekezwa okuhlelekile nokuhlaziywa kwe-meta-regression. Human reproduction update. Kutholakala ku: https://pubmed.ncbi.nlm.nih.gov/28981654/
3. Agarwal, A., Mulgund, A., Hamada, A.,amp; Chyatte, M. R. (2015). Umbono oyingqayizivele wokungabi nenzalo kwabesilisa emhlabeni jikelele. Reproductive biology and endocrinology. Kutholakala ku: https://pubmed.ncbi.nlm.nih.gov/25928197/
4. Guzick, D. S., Overstreet, J. W., Factor-Litvak, P., Brazil, C. K., Nakajima, S. T., Coutifaris, C., Carson, S. A., Cisneros, P., Steinkampf, M. P., Hill, J. A., Xu, D., Vogel, D. L.,amp; National Cooperative Reproductive Medicine Network (2001). Ukuma, ukuhamba, nokugxila kwesidoda emadodeni azalayo nanamanye angakwazi ukuzala. The New England journal of medicine. Kutholakala ku: https://pubmed.ncbi.nlm.nih.gov/11794171/
5. French, D. B., Desai, N. R.,amp; Agarwal, A. (2008). Ukulungisa i-varicocele: kusenendima yini ekwelapheni ukungabi nenzalo?. Current opinion in obstetricsamp; gynecology. Kutholakala ku: https://pubmed.ncbi.nlm.nih.gov/18460942/
6. Wong, W. Y., Thomas, C. M., Merkus, J. M., Zielhuis, G. A.,amp; Steegers-Theunissen, R. P. (2000). Ukungazali okuphathelene nesici sobulili besilisa: izimbangela ezingaba khona nomthelela wezinto zokudla. Fertility and sterility. Kutholakala ku: https://pubmed.ncbi.nlm.nih.gov/10688992/
7. Meinhardt A. (2010). Andrology uhlelo lwesithathu—E. Nieschlag, H.M. Behre, S. Nieschlag (abahleli). Asian Journal of Andrology. Kutholakala ku: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3739271/
8. Balercia, G., Regoli, F., Armeni, T., Koverech, A., Mantero, F.,amp; Boscaro, M. (2005). Uhlolo oluqondiswe nge-placebo, olungaziwa kokubili, oluqokwe ngokungahleliwe mayelana nokusetshenziswa kwe-L-carnitine, L-acetylcarnitine, noma inhlanganisela ye-L-carnitine ne-L-acetylcarnitine emadodeni anesifo sokuba nesidoda esingenamandla (idiopathic asthenozoospermia). Fertility and sterility. Kutholakala ku: https://pubmed.ncbi.nlm.nih.gov/16169400/
9. Rehman, R., Lalani, S., Baig, M., Nizami, I., Rana, Z.,amp; Gazzaz, Z. J. (2018). Ubudlelwano phakathi kweVitamin D, amahomoni okuzala nezici zesidoda emadodeni angakwazi ukuzala. Frontiers in endocrinology. Kutholakala ku: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6198108/
10. Pathak, U. I., Gabrielsen, J. S.,amp; Lipshultz, L. I. (2020). Ukuhlolwa kwamuva nobuchwepheshe bokungabi nenzalo kwabesilisa. The Urologic clinics of North America. Kutholakala ku: https://pubmed.ncbi.nlm.nih.gov/32272984/
11. Sharlip, I. D., Jarow, J. P., Belker, A. M., Lipshultz, L. I., Sigman,amp; M., Thomas, A. J., Schlegel, P. N., Howards, S. S., Nehra, A., Damewood, M. D., Overstreet, J. W.,amp; Sadovsky, R. (2002). Izinqubomgomo zemikhuba emihle yokungabi nenzalo kwabesilisa. Fertility and sterility. Kutholakala ku: https://pubmed.ncbi.nlm.nih.gov/12009338/