Asthenozoospermia, uyo ane maitiro ekureba kwenguva refu, chirwere umo kubuda kwevarume zvepabonde kunoderera. Zvinokonzera chirwere zvinogona kunge zvakasiyana. Chimbofunga nezvazvo zvakadzama, kusimbisa zvinokonzera, chiyero chechirwere, nzira dzechirapa.
Chii chinonzi "astenozoospermia" mumarume?
Kakawanda, pakusimbisa chikonzero chekusavapo kwenguva refu kwekuita pamuviri , kuongororwa, varume vanotarisana nekufungidzirwa kwakafanana. Zvisinei, havazivi kuti "asthenozoospermia" inorevei. Kuti unzwisise, zvakakosha kufunga nezvemamiriro ehutachiona hwemurume. Chimiro chavo chikuru, mushure me morphology uye chimiro, ndiko kufamba. Kunyanya pane izvi zvinotarisirwa kubudirira kwekubata.
Kana uchitarisisa hutano hwe ejaculate, ndeye tsika yekupa makirasi mana e spermatozoa:
- Kirasi - inofambira mberi, inofambisa masero ezvirwere zvepabonde, ne astenozoospermia, nhamba ye spermatozoa ine chikamu chekare chinoderera chiri pasi pe20%;
- Mukirasi - spermatozoa isingashamisiki, ine rutivi rwekufambisa kwekufambisa, nekuputsa uku mune ejaculate vari kusvika 30%;
- Nekirasi - isiri kufamba zvishoma nezvishoma, famba nenzira inotevera ye pendulum, famba panzvimbo iyo, nekwereta yechirwere ye 50% uye yakawanda yenhamba ye spermatozoa;
- D kirasi - inoremekedzwa yekukwanisa kutamisa masero epabonde, ne astenozoospermia 10% kana kupfuura.
Mushure mokuongorora zviitiko zve spermogram, vanachiremba vanofananidza nhamba ye spermatozoa nekudarika kwekufamba kune nhamba yose. Somugumisiro, kugadziriswa kwekupedzisira kunoitwa. Mukupedzisa, chiremba anoratidza zvakananga chiyero che asthenozoospermia, zvichibva pane zvakagadziriswa zveongororo yekuongorora. Izvi zvakakosha mukugadzirwa kwechirongwa chechirongwa chekurapa.
Asthenozoospermia ye 1 degree
Pashure pemigumisiro yekutsvakurudza kwakadaro sa spermogram, asthenozoospermia ye 1 dig inofungidzirwa, kuwedzera kwepermatozoa yezvikoro A uye B kunoderedzwa kusvika 50%. Nekukanganiswa kwemasero emasero, chirume chinogona kuva nehuwandu hwekugadzirisa fertilizer - mukana wekuva baba zvakanaka. Kururamisa zvishoma kunobvumira kugadzirisa matambudziko aripo uye kubata mwana.
Asthenozoospermia yechipiri chechipiri
Ichi chiyero chekurwara chinowanzoratidzwa mumhedziso yevanyanzvi, se asthenozoospermia. Muchiitiko ichi, nhamba yepermatozoa A, B zvidzidzo zvinosvika 40%. Dhigirii yakadaro inoda kuongorora kwakakwana kusimbisa uye kubvisa zvinokonzera kukanganisa. Ukana hwekudyara huri pasi, unoda kuona chiremba kune imwe nzira yekurapa.
Asthenozoospermia ye 3rd degree
Kuongororwa kwe "asthenozoospermia yezinga rechitatu" kunoitwa pamusana pemigumisiro ye spermogram. Rudzi urwu rwekudzidzira runoratidza kuchinja kwehutano mu ejaculate. Saka hutsika, spermatozoa yepamusoro inoumba pasi pe30% yehuwandu hwehutano hwemagetsi hunowanikwa muhuro. Izvo zvakanyanya zve spermatozoa zveC naD zvidzidzo zvakasimbiswa. Kubata pamuviri pasina kurapwa kunotadza.
Asthenozoospermia - zvinokonzera
Nguva yakareba yekuongororwa kwechirwere ichi, kunyatsorongororwa kwemamiriro ezvinhu, kwakabatsira kusimbisa zvakanyanya, zvinokonzera zvinhu zvekuvandudzwa kwe asthenozoospermia, zvinokonzera izvo:
- matambudziko emagenzura - congenital anomalies uye kuchinja kunotungamirira mukukudziridzwa kwemarphological in spermatozoa (kukuvadza kune mureza, chiremera, musoro);
- zvinokonzera utachiona pamuviri, kushanda mukukuvadza kubudisa, kunwa doro, nicotine, kunogona kukanganisa kuronga kwemimba;
- kutsvaga kwenguva yakareba kutonhorera kwakakwirira - kushanda muchitoro chinotyisa, kushanyira saunas uye mabhati kunogona kukanganisa spermatogenesis (kuumbwa kwemasero epabonde);
- nguva dzose kushungurudzika uye ruzivo;
- Zvepabonde zvirwere (gonorrhea, syphilis, trichomoniasis);
- kuvhiringidzika kwekubereka vana (urethritis, prostatitis);
- kuramba kwenguva refu zvepabonde.
Nzira yekurapa asthenozoospermia?
Kutaura nezvenzira yekurapa asthenozoospermia, vanachiremba vanocherechedza kugadzirisa kwakarurama kwekupisa pfungwa. Shanduro yegadziriro yehutano yakarongeka inoenderana nechinangwa. Kazhinji, kutora mimwe mishonga inobatsira kubvisa chirwere chacho. Asi neine genetic mutation ye astenozoospermia, kurapwa hakubatsiri, uye mubvunzo unomuka unobatsira maitiro ekubereka. Mune zvimwe zviitiko, chirwere chepfungwa chinobva pa:
- kushandisa kwemishonga;
- kuchengetwa kwezvirongwa zvezvechiremba.
Astenozoospermia - kurapa, zvinodhaka
Kukurudzirwa kwepermatogenesis kunobatsira kugadzirisa dambudziko racho. Mishonga inoshandiswa inovandudza kubuda kweropa mune zvechirume zvepabonde, izvo zvinokanganisa kunaka kwe spermatozoa inogadzirwa navo. Nechirwere chakafanana ne-astenozoospermia, zvinodhaka zvinoshandisa zvinotevera:
- Pregnil;
- Spermactin;
- Tribestan;
- Testis;
- Spem;
- Verona;
- Horagon.
Mushure mekugadzwa kwechirwere asthenozoospermia, kurapa kunosarudzwa mumwe nomumwe. Mushonga, chiyero chake uye nguva yakawanda yekushandiswa, nguva yekushanda inogara ichiratidzwa nachiremba. Sezvo nzira yekuita zvakanaka inogadzirisa maitiro ezvirwere zvepabonde, shandisa vitamini complexes uye zvokudya zvekuwedzera:
- Selzinc;
- PROpfertil;
- Androdosis.
Kana chirwere ichocho chikavhiringidzwa nehuputi hwemuitiro wekuberekwa, zvinodhaka zvinopisa zvinokonzerwa zvinogona kurongerwa:
- Ibuklin ;
- Wobenzym.
Asthenozoospermia - kurapwa nemishonga yevanhu
Nechirwere chakadai sa astenozoospermia, mishonga yevanhu inogona kushandiswa sekuwedzera. Pakati pemakerekani akawanikwa uye anoshanda ndeokuti:
- Midzi ye ginseng. Tora 90 g uye usike nyama grinder. Iko rinogamuchirwa rinodururwa ne 1 lita yeuchi, mwedzi mumwe inomirirwa munzvimbo ine rima, tora 1 teaspoon yeai katatu pazuva.
- Plantain. Mashizha euswa, akaomeswa uye akapwanyiwa muchiyero chepuniki 1 yeimba yekudyira, dururira girazi remvura inopisa, kusimbisa 1 awa. Tora 4 pazuva, 50 ml panguva.
- Sage. Gorofa rinopisa uswa hwakadururirwa 250 ml yemvura inopisa, kusimbisa. Mushure mokunge kunotonhora, zvinopatsanurwa kuva zvikamu zvitatu, zvinotorwa nguva dzose vasati vadya.
Asthenozoospermia - ndinogona kutora pamuviri here?
Kunyange kuchinja muhutano hwekubereka, kuora kwehutano hwe ejaculate hakugoni kubvisa zvachose kubata pamuviri. Nemhaka yeizvi, vanachiremba vanotaura kuti asthenozoospermia uye pamuviri mune zvisingawanzoitika zvinowirirana. Zvose zvinoenderana nehuwandu hwekuputsa. Saka pamuviri nenzira yepanyama inogona kuitika, apo pane asthenozoospermia ine unyoro, uyo ane mushonga unoitwa kunze kwepakati. Muna 90% inonzwisisika uye 1 degree inotarisirwa kurapwa.
Asthenozoospermia uye IVF
Nekutyora kwakakomba, hutsika husina kunaka hwemasero ezvepabonde, kushandiswa kwemaitiro kunoshandiswa chete kwekutora pamuviri. Muchiitiko ichi, insemination, asthenozoospermia yemutambo wekutanga unotarisana nayo, inotanga kuberekwa kweoocyte nemajeri evanhu vasati vasarudzwa. Panguva yekurovedza, vanachiremba vanoongorora morphology, motility ye spermatozoa, uye vanosarudza kubva kune ejaculate yakafanira kumera. Pane zvakawanda zvingasarudzwa zveVIV, kusarudzwa kwaro kunoenderana nehuwandu hwechirwere ichi:
- IVF pamwe nekushandiswa kwe ejaculate yemudzimai (pa1, 2 degrees);
- in vitro fertilization ne ICSI (yakashandiswa chero ipi zvayo);
- ICSI pamwe nemupiro wemuviri (wakaitwa mumatambudziko akaoma echirwere).