Ukufanelekile Kwabesilisa

Ukungabatholi abesilisa kubhekene ngqo noma ngokungaqondile ngamacala angama-50% athinta imibhangqwana yobudala bokuzala enezinkinga ezihlobene nokuzala. Ngeshwa, ukuhlolwa kokuzala kwabesilisa kuvame ukubukelwa phansi noma kuhlehliswe. Ukuhlolwa kowesilisa ongazaliyo usebenzisa izinqubo eziqinisekisiwe kuthuthukisa ukunemba kokuxilonga kanye nemiphumela yokuphathwa okulandelayo ngokuya ngempumelelo yokwelashwa, ubungozi, nezindleko.

Umlando wezokwelapha nokuhlolwa ngokomzimba wukuhlola okujwayelekile kuwo wonke amadoda, kufaka phakathi ukuhlaziya kwamaduna. 

Umlando wezokwelapha onemininingwane kufanele utholakale nganoma yisiphi isici esingahle sithinte amandla okuzala. Imininingwane emayelana nalezi zindawo ezilandelayo kufanele iqoqwe: ukuzala kwangaphambilini, izifo zangaphambilini ngesikhathi sobuntwana nokuthomba, ukuhlinzwa okwenziwe (ikakhulukazi lezo ezibandakanya izifunda zangasese kanye nezitho zangasese), ukuhlukumezeka kwezitho zangasese, ukutheleleka, ukukhula ngokomzimba nangokobulili, imikhuba yezenhlalo nezocansi, ukuvezwa kwe-radiotherapy noma i-chemotherapy, imithi yamanje noma yakamuva kanye nomlando womndeni wokukhubazeka kokuzalwa, ukukhubazeka kwengqondo, ukwehluleka kokuzala, noma i-cystic fibrosis.

Izici zokuqonda ngokuzala kwabesilisa yilezi:

  • Isikhathi sokuzala
  • Ukuzala inzalo okuyisisekelo noma kwesibili
  • Imiphumela yokuhlaziywa kwamaduna
  • Umlando wokuhlinzwa kwe-urogenital
  • Ukwelapha umdlavuza
  • Ubudala kanye nesimo sokuzala somlingani wesifazane

Ukuzala kwabesilisa kungancishiswa ngenxa ye:

  • Ukuhlukumezeka okuzelwe noma okutholakele ku-urogenital
  • Izifo ze-Urogenital tract
  • Ukukhuphuka kwamazinga okushisa (isib., Ngenxa ye-varicocele)
  • Ukuphazamiseka kwe-Endocrine
  • Ukuhlukumezeka kwezakhi zofuzo
  • Izici zokugonywa

Ukuhlaziywa kobudoda

Ukuhlaziywa kwezinduna kukala inani lamadoda akhiqizwa yindoda futhi inqume inani nekhwalithi yesidoda esibonelweni sobudoda. Ukuhlaziywa kwamaduna kwesinye sezvivinyo zokuqala ezenziwa ukusiza ukuthola ukuthi indoda inezinkinga zokuzala yini. Izinkinga nge-isidoda noma isidoda sithinta ngaphezu kwengxenye eyodwa kwezintathu yemibhangqwana engenalo inzalo. Uma imiphumela yokuhlaziywa kwamaduna ijwayelekile, ukuhlolwa okukodwa kufanele kwanele. Uma imiphumela ingajwayelekile ezivivinyweni okungenani ezimbili, kukhonjiswa uphenyo olwengeziwe lwe-andology. 

Uvivinyo olungenziwa phakathi kokuhlaziywa kobudoda lubandakanya:

  • Ivolumu. Lesi yisilinganiso sokuthi mangaki ama-semen akhona kumjondolo owodwa.
  • Isikhathi senkokhelo. I-Semen yi-grey obukhulu ngesikhathi sokuqothuka futhi imvamisa iba uketshezi ngaphakathi kwamaminithi we-20 ngemuva kokuqunjelwa. Isikhathi sokuphuza utshwala yisikhathi sesikhathi lapho kuthatha khona isidoda ukuba u-liquefy.
  • Ukubalwa kwesidoda. Lokhu kubalwa kwenani lesidoda esikhona ku-millilita ngamunye wozalo emgodleni owodwa.
  • Isidoda morphology. Lesi yisilinganiso samaphesenti wesidoda anesimo esijwayelekile.
  • Sperm motility. Lesi yisilinganiso samaphesenti wesidoda angaqhubekela phambili ngokujwayelekile. Inani lesidoda elibonisa ukuhamba okujwayelekile kwembambo ethile yamaduna kungalinganiswa (nokuqina kwabantu).
  • pH. Lesi isilinganiso se-acidity (i-pH ephansi) noma i-alkalinity (i-pH ephezulu) yamaduna.
  • Ukubalwa kweseli emhlophe. Amangqamuzana amhlophe egazi awavamile ukuba khona ku-isidoda. 
  • Izinga le-Fructose. Lesi yisilinganiso senani likashukela elibizwa nge-fructose ku-isidoda. I-fructose inika amandla isidoda.

Izinqumo zeHormonal (ukuhlolwa kwe-Endocrine)

Kwabesilisa abanokushoda kwamasende i-hypogonadotropic hypogonadism ivame ukuba khona, ngamazinga aphezulu we-follicle stimulating hormone [FSH] ne-luteinising hormone [LH], futhi kwesinye isikhathi amazinga aphansi e-testosterone. Ngokuvamile, amazinga e-FSH ahambisana nenombolo ye-spermatogonia; lapho i-spermatogonia ingekho noma inciphile ngokuphawulekayo, amanani we-FSH avame ukuphakanyiswa. Kubalulekile ukuhlola ukuthi ngabe isiguli sowesilisa sinenkinga ye-hormonal. Ingxenye ejwayelekile yokuhlola kokuqala ukuhlola amazinga athile we-serum hormone, okuvame ukufaka i-FSH, LH, testosterone, neprolactin.

Ukuhlolwa kwabesilisa okufanele kwenziwe:

  • I-Insulin - Ukuzila
  • IGlucose - Ukuzila
  • TSH
  • I-Prolactin
  • Ukukhula kweHormone
  • I-HIV - Ukuhlolwa Kokuhlola
  • IHep B - Ama-antibodies
  • IHep C - Ama-antibodies
  • Ukuhlaziywa kobudoda
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