Ngokungabikho kokukhulelwa isikhathi eside , kuvame ukukholelwa ukuthi wonke umthwalo wemfanelo unomama ozayo. Izinkinga zesimiso sokugonywa ngokuvamile zivimbela ukuqala kokukhulelwa. Kodwa ngokusebenza, ema-45% amacala, ukungabikho kwezingane emshadweni oshadile kuholela ekutheni umuntu angabi namuntu.
Kungabe kube khona ukungabi namuntu emadodeni?
Ukungafani namadoda kuvamile. Cishe ingxenye yesikhathi lapho kubonakala khona izinkinga zokukhulelwa, iphutha likhona nobaba ongase abe khona. Igama elithi "ukungabi nabesilisa" lisetshenzisiwe uma ukukhulelwa komlingani noma umlingani kungenzi kungakapheli unyaka owodwa ngokuphila ngokocansi okuvamile ngaphandle kokusetshenziswa kwezizalo zokubeletha. Kulesi simo, kuvamile ukuhlukanisa izinhlobo ezimbili zokungabi namuntu emadodeni:
- Okuyinhloko - ukwephulwa lapho yonke imizamo yokukhulelwa ingane ayiphumelelanga.
- Sekondari - kuphawulwe uma ekuqaleni kwakunomklamo, kungakhathaliseki ukuthi ukukhulelwa kuphelile ngempumelelo noma cha. Leli fomu liyakwazi ukwelashwa kahle, ikakhulukazi uma kunesisu eminyakeni engu-3 edlule.
Izimbangela zokungabikho emadodeni
Ngemva kokucabangela izinhlobo zokungabi nabesilisa, kufanele kuqashelwe ukuthi izimbangela ezibangela ukuba zivame ukufana. Phakathi kwezici ezibangela ukuphulwa komsebenzi wokuzala emadodeni, odokotela bayabiza:
- izifo zesimiso sezocansi zesimo esithathelwanayo: i-epididymitis, i-orchitis, i-vesiculitis, i-prostatitis;
- varicocele ;
- ukwephula inqubo yokwakhiwa kwe-spermatozoa - i-spermatogenesis;
- Izinguquko emzimbeni we-seminal of nature isolated - viscipathy;
- ukungabikho kokuzalwa kwangasese kwesistimu yokuzala: i-monarchism, cryptorchidism , hypospadias;
- Izifo zesimiso: isifo sikashukela, isifo sofuba, isifo se-thyroid, isimiso sokuphefumula, izimpande, isibindi sesibindi;
- ukutholakala kokuhlinzekwa okuhlinzekwa kwezigungwini zesikhumba esincane: ukususwa kwe-hernia engumgogodla, i-hydrocele, ukusebenza kwesikhumba;
- ukwenza ama-hormonal, imisebe noma imithi yamakhemikhali, ukuthatha imithi ethile;
- ukwephulwa kwe-ejaculation;
- izifo zofuzo.
Ngaphezu kwalokho, kunezici ezandisa ingozi yokungabi nalutho:
- imikhuba emibi;
- i-radiation ionizing;
- ukuxhumana nezinto ezinobuthi;
- sebenzisa ukukhiqizwa kwamakhemikhali;
- ukuhlukumezeka kumzimba wobulili;
- ukuhlukunyezwa okukhulu kwengqondo.
Ukuvikela ukungabi namuntu emadodeni
Umkhakha ubizwa ngokuthi uhlobo lokungazalwa, lapho inqubo yokukhiqiza inombolo edingekayo ye-spermatozoa iphulwa. Ngesikhathi esifanayo, ukuhlukumeza kokubili isakhiwo, i-morphology ye-spermatozoa, nokuhamba kwazo kungabonakala. Zombili lezi zici ziyimingcele ebalulekile yamangqamuzana ama-germ. Ngokushesha ngenxa yabo, ukukhulelwa kweqanda emzimbeni wesifazane kwenzeka.
Ukungabikho komuntu okungavumelekile kungenziwa okwesikhashana noma okuphakade. Ngakho-ke, ukuphulwa kwesikhashana kokufihla kwamagciwane amagciwane kungenzeka uma:
- ukushisa komzimba okwandisiwe;
- ukutholakala kwamazinga aphezulu okushisa (sauna, sauna);
- imiphumela enobuthi.
Ukuphulwa okuqhubekayo kokufihla kuvame kakhulu ngenxa yokukhubazeka kwezakhi zofuzo noma ukungaboni kahle komzimba. Ngakho-ke, i-varicocele nokungabi namuntu emadodeni yizici ezimbili ezingenakuhlukaniswa. Ngaphezu kwalokho, ukunqotshwa kwamangqamuzana e-secretory wesimiso se-tubular ezigulini zesilisa zobulili ngokuvamile kuvela uma kwenzeka isifo se-parotitis, izifo ezizimele. I-atrophy yamathambo kanye namaseli e-secretsory ayizinkinga ezingenakuphikisana, lapho ithuba kuphela lokukhulelwa umntwana kusetshenziswa umuthi wesinikelo.
Ifomu le-Obturation lokungabikho emadodeni
Ngokuvamile, isici sesilisa sokungazalwa sihlobene nokuphulwa kwenqubo yokugqugquzela i-spermatozoa eceleni kwe-vas deferens. I-pathology ingaba eyodwa-eceleni futhi ihlangothi ezimbili. Esikhathini sokuqala, lapho kutholakala ukuthi kukhona ukunciphisa okubukhali ku-spermatozoa ku-ejaculate. Endabeni yokwephulwa kwezinto zombili eziteshini esiteshini esivela esibhedlela, amangqamuzana ocansi ayengekho ngokuphelele. Kunezizathu eziningi zokuthuthukiswa kwesimo sokuvala. Phakathi odokotela abavame ukunikeza:
- i-epididymitis (ukuvuvukala kwe-epididymis);
- ukuhlukunyezwa kwe-gonads;
- isifo sofuba sezitho zangasese;
- ukuhlukunyezwa ngengozi emisebenzini ezithombeni ze-pelvis encane (i-rectum, ureters, rectum).
Ukungenzi lutho kubantu - izimpawu nezimpawu
Izimpawu zokungabi nabantwana emadodeni zivame ukufihlwa. Abamele besilisa bavame ukuzwa kahle, futhi inkinga yembula ngenqubo yokuhlela ngabantwana abaningana. Ngokuvamile owesifazane wokuqala uhlolwe futhi kuphela umlingani wakhe. Kodwa-ke, kwezinye izimo, kungase kube nezimpawu ezibonisa ngokungaqondile ukungasebenzi kwemishini yokuzala emadodeni. Phakathi kwabo kukhona:
- izinkinga zesimo socansi (ivolumu encane ye-ejaculate, ukuphulwa kwenqubo yokukhipha, ukuhlukunyezwa kwe-erectile, ukwehlisa isifiso sobulili);
- ubuhlungu nokuvuvukala esihlokweni;
- Izifo zokuphefumula ziyaqala kabusha;
- i-gynecomastia (ukukhula kwezigulane ezincelisayo);
- ukunciphisa ebunzini bezinwele zomzimba nobuso.
Ukuxilongwa kokungasebenzi komuntu
Ukuqaphela ukungazalwa kwamadoda kuqala ngokuhlolwa kwezokwelapha jikelele. Udokotela uhlola izitho zangasese zangaphandle, uqoqa anamnesis (kusukela eminyakeni yobudala eyaqala ngayo impilo yobulili, imvamisa yezenzo zocansi, ukutholakala kwezixhumanisi ezingahleliwe esikhathini esidlule). Ukuze kuhlolwe okuningiliziwe nokuhlonza imbangela eyabangela ukungabi namuntu wesilisa, isakhiwo esiyinkimbinkimbi yokuxilonga senziwa.
Phakathi kwezifundo eziyinhloko - i- spermogram . Ukuhlaziywa kwelabhutriyamu yesampula yesidoda kuhlola ikhwalithi ye-ejaculate kanye nekhono lokutshala. I-Spermogram ihlanganisa ukubala:
- inani elingu-spermatozoa;
- amafomu eselula;
- amangqamuzana esakhiweni esivamile nesomunyu.
Ukuhlaziywa kokungabi namuntu emadodeni
Ngaphambi kokunquma ukungabi nabantwana emadodeni, ukwenza ukuxilongwa kokugcina, odokotela banikeza ucwaningo oluningi. Phakathi kwezinqubo ezihloswe ekuqaliseni imbangela yokungasebenzi komuntu:
- I-Ultrasonography yezitho zomzimba kanye ne-scrotum. Umgomo oyinhloko ukukhipha izimo eziphuthumayo ekuthuthukiseni izitho zangasese, varicocele, okuvame ukuvimbela ukukhulelwa.
- Ukuhlolwa kwegazi kwamahomoni. I-Testosterone ingaphansi kokulawula, okuthinta ngokuqondile uhlelo lokuzala.
- I-biopsy ye-testicular isifundo se-tissue site ye-sex gland. Ivumela ukucacisa izinga lokukhiqizwa kwe-spermatozoa, akubandakanyi ukungasebenzi kwemfihlo.
- Ucwaningo olukhethekile olusebenzayo lwe-spermatozoa - odokotela bacwaninga ubungqabavu, ikhono lamagciwane amagciwane ukungena eqanda.
- I-ultrasound ye-Transrectal isetshenziselwa ukuthola ukuvinjelwa okungenzeka kwe-vas deferens, vesicles yemisipha.
Isivivinyo sokungabi namuntu emadodeni
Isivivinyo sokungabikho emadodeni, ngaphandle kwe-spermogrammy, singabandakanya ezinye izifundo ze-laboratory ze-ejaculate. Ukuhlolwa kwe- MAR kuvame ukusetshenziswa. Ngosizo lwaso, inani lamagciwane amagciwane ahlanganiswe nemizimba ye-antispermal isungulwa. Lezi zinambuzane azikwazi ukukhulelwa ngenxa yokungenakwenzeka kokubhujiswa kwamagobolondo amaqanda nokungena ngaphakathi. Lapho inani lalezi zinsuku lidlula u-50% wenani eliphelele, ukungabi namuntu okungahambi kahle kwe-immunological kuyatholakala, kumadoda lokhu kuvamile. Ukuze ube ubaba, kufanele usebenzise izinqubo ezisizayo.
Ukwelashwa kokungazalwa komuntu
Ngokuvamile, ukwelashwa kwalesi sifo kunzima kakhulu ngokuthola isizathu esiqondile, ngakho ukwelashwa kokungazalwa kwamadoda kuhloswe ekuthuthukiseni umsebenzi wokuzala ngokujwayelekile. Ukuze wenze lokhu, izidakamizwa zenziwa ukuthi zivuselele ama-germ cells futhi zithuthukise ukujikeleza kwegazi ezingxenyeni zomzimba. Izinyathelo zokwelapha zokungazalwa komuntu zihloswe (ukuhlukumezeka kwabantu besilisa okungenayo imithi):
- ukwelashwa kwezifo ezingavamile zocansi;
- ukuqedwa kwezinkinga zesimo socansi;
- ukubuyiselwa kwezifo ze-hormonal.
Ukungenzi lutho kubantu - kuphathwa noma cha?
Ngaphambi kokuba kuqala ukwelashwa, iziguli zivame ukuthakazelisa odokotela - ukungabi nabantwana okuphathwayo kubantu futhi yiziphi amathuba okuba ubaba? Odokotela abanikeli impendulo engavamile, banaka iqiniso lokuthi icala ngalinye lingumuntu ngamunye. Ukwelashwa okungcono kakhulu uhlobo lokuvimbela umzimba. Lapho ukufihla okufihliwe kuvame ukusetshenziselwa izindlela zokuzala ezisizayo.
Ukungasebenzi kwamadoda - ukwelashwa, izidakamizwa
Indlela yokuphatha ukungabi nabantwana emadodeni - odokotela banquma ngokusekelwe emiphumeleni yokuhlolwa okwenziwe, izizathu zokuphulwa. Yonke imithi inqunywe ngokweqile, ngokukhombisa ukulinganisa, ukuphindaphindwa nokusebenza kwesikhathi. Phakathi kwezidakamizwa ezisetshenziswe kaningi:
- I-Lutain iyi-remedy herbal. Ukwenza umsebenzi wokuzala ulinganise, ukwandisa ukusebenza kwamaseli wesilisa omzimba, ubuyekeze ubuzwe be-receptors kuma-hormone ocansi.
- I-Spematon iyilungiselelo elihlangene lokutshala izitshalo. Ivuselela ngokushesha ukuzala emadodeni.
- I-AndroDoz iyilungiselelo le-multicomponent eliqukethe ukubunjwa kwama-amino acids. Ithuthukisa ikhwalithi ye-ejaculate, ifaka umquba wekhono le-spermatozoa.
- I-Tribestan yilungiselelo esekelwe ekukhoneni kwehange. Ukwandisa isifiso sobulili, kushukumisa ikhono lamaseli ocansi ukutshala. Isetshenziselwa ukuphazamiseka kwesistimu yokuzala.
Ukwelashwa kwamadoda - ukwelashwa ngamakhambi abantu
Ukukhuluma ngendlela yokuphatha ukungasebenzi komuntu, kubalulekile ukuqaphela ukusebenza kwamakhambi omuntu ngamunye. Ngaphambi kokuzisebenzisa, buza udokotela.
Umhluzi goritsvet
Izithako:
- I-Gorisvet - 1 tbsp. isipuni;
- amanzi - 500 ml.
Ukulungiselela, uhlelo lokusebenza
- Utshani uthululwa ngamanzi abilayo.
- Gcizelela amahora amabili, uboshwe ngengubo efudumele.
- Thatha itiye izikhathi ezintathu ngosuku, pre-strain.
Ukuqothula impande ka-Adamu
Izithako:
- i-adams izimpande - 2 tsp.
- amanzi - 200 ml.
Ukulungiselela, uhlelo lokusebenza
- Utshani uthululwa ngamanzi abilayo.
- Bambelela ihora eli-1.
- Thatha, ngaphambi kokuhlunga, izikhathi ezingu-2 ngosuku.
Ukwelashwa kwabantu abesilisa
Ngokuvamile indlela ewukuphela kokuphatha ukungakwazi ukuhlinzwa kungukuhlinzwa. Ngakho-ke, ukungabi namuntu okwesikhashana emadodeni, okubangelwa u-varicocele, kulungele ukulungiswa. Ukwakhiwa kwe-vas deferens nakho kungasuswa. Njengoba i-spermatozoa encane ehlanjululwa emzimbeni, ingatholakala ngokuzihlukanisa kusuka ku-testicle noma i-epididymis futhi isetshenziselwa ukuqedwa kokufakelwa.