I-Low Sperm Motility

Ikhwalithi yesidoda idlala indima ebalulekile ekuvundeni. I-low sperm motility yinto eyodwa yekhwalithi ethinta ukuzala kwabesilisa, nokho abantu abaningi abakunaki.

Le bhulogi ebanzi ihlanganisa konke okufanele ukwazi mayelana ne-low sperm motility kanye nezimbangela ze-sperm motility ephansi. Uzofunda ukuthi kungani kwenzeka, yiziphi izimpawu okufanele uzibheke, nokuthi odokotela bazihlola futhi babelaphe kanjani. 

Iyini i-Low Sperm Motility?

I-sperm motility ikhombisa ukuthi ama-sperm cell abhukuda kahle kangakanani emgudwini wokuzala wesifazane ukuze afinyelele futhi avundise iqanda. Udokotela uthola ukuthi i-sperm motility ephansi, ebizwa nangokuthi i-asthenozoospermia noma i-asthenospermia, lapho isidoda singabhukudi kahle.

Ukwazi ukukala ukunyakaza kwesidoda okunempilo kubalulekile. Odokotela basebenzisa lezi zindlela zokunquma eziqondile:

• I-Motility evamile: Ukuqhubekela phambili kokungenani kwama-micrometer angama-25 ngomzuzwana 
• I-Motility Engalungile: Ukunyakaza ngaphansi kwama-micrometer angu-5 ngesekhondi 
• Isamba sokubala se-Motile: Isibalo esinempilo kufanele sibe ngaphezu kwezigidi ezingu-20 zesidoda esinyakazayo 
• I-Diagnostic Threshold: I-motility ephansi itholakala lapho ngaphansi kwama-32% wesidoda ekhombisa ukunyakaza okusebenzayo

ITotal Motile Count (TMC) idlala indima ebalulekile ekuhloleni inzalo. Lesi sibalo simelela inani lesidoda esibhukudayo ku-ejaculate. Ukubala okungaphansi kwezigidi ezingu-20 kuphakamisa izinselelo ezingaba khona zokuzala. Amanye amadoda angase abe nenani eliphezulu lesidoda kodwa i-motility ephansi, engase ibeke engcupheni inzalo yabo.

Izimpawu Zokuhamba Kwesidoda Esiphansi

I-low sperm motility ibonakala ikakhulukazi njengenkinga yokukhulelwa. Ungase ungaboni noma yiziphi izimpawu zomzimba, kodwa lesi simo singathinta kakhulu indlela yombhangqwana eya ekubeni umzali.

Odokotela babona izinhlobo eziningana zezinkinga ze-motility emadodeni:

• I-Slow Progressive Motility: Isidoda siya phambili kodwa ngesivinini esincishisiwe 
• I-Motility engaqhubeki: Ukunyakaza ngaphansi kwama-micrometres angu-5 ngomzuzwana 
• Ukunganyakazi Okuphelele: Akukho mnyakazo nhlobo

Abesilisa bangase babone izimpawu ezengeziwe uma benesimo sempilo esicashile. Lezi zimpawu zihlanganisa:

• Ukuncipha kwesifiso socansi 
• Ubunzima bokusebenza kwe-erectile 
• Izinkinga ngokuphuma kwesidoda 
• Ukunciphisa ukukhula kwezinwele ebusweni noma emzimbeni 
• Ukungalingani kweHormonal

Yini Ebangela I-Low Sperm Motility?

I-sperm motility ephansi ingabangelwa izimo zezokwelapha, ukukhetha indlela yokuphila, kanye nezici zemvelo. Odokotela badinga ukuhlonza lezi zimbangela ukuze belaphe futhi bavimbele lesi simo ngempumelelo.

• Izimo Zezokwelapha: Indlela isidoda esihamba ngayo incike kakhulu esimweni somuntu sezempilo. 
  • I-Varicocele, eyenzeka lapho imithambo ku-scrotum ikhula, ngokuvamile inciphisa inani lesidoda kanye nekhwalithi. 
  • Ezinye izifo zingalimaza impilo yesidoda noma zidale ukuvinjelwa okumisa ukunyakaza kwesidoda.
• Izinketho Zendlela Yokuphila:
  • Ukukhuluphala
  • Ukubhema 
  • Ukusetshenziswa kotshwala
  • Ukusetshenziswa Kwefoni Ephathwayo
• Izici Zendawo Yomsebenzi Nezemvelo:
  • Amakhemikhali ezimboni kanye nezibulala-zinambuzane 
  • izinsimbi ezisindayo 
  • Imisebe yesikhathi eside 
  • Ukushisa okukhulu kakhulu eduze kwe-scrotum
• Izinkinga zeGenetic kanye neHormone: 
  • Izinkinga nge-hypothalamus noma i-pituitary gland 
  • Amadoda angaphezu kweminyaka engama-50 ngokuvamile abona ukwehla kokunyakaza kwesidoda.

Izinkinga ze-Low Sperm Motility

I-sperm motility ephansi, noma i-asthenozoospermia, ingaholela ezinkingeni eziningana. Lokhu kubandakanya:

• ukukhathazeka kanye nokucindezeleka ngenxa yobunzima bokukhulelwa.
• Izingqinamba ebudlelwaneni
• ukungazali
• Izinkinga Zezempilo Nezezimali: 
  • Ukwelashwa okusizwayo kokuzala okufana ne-IVF noma i-ICSI sekudingeka.
  • Iziguli zingase zidinge izinqubo zokuhlinzwa ukuze kulungiswe izimo ezikhona. 
• Lesi simo, esibizwa nge-asthenozoospermia, sithinta ingqondo kubo bobabili abalingani njengoba bezama ukukhulelwa.

Sifo

Ukuhlaziywa kobudoda: Ukuhlaziywa okuningiliziwe kwesidoda kusebenza njengegazi lokuhlola inzalo yowesilisa ukuze kuhlonzwe ukuhamba kwesidoda okuphansi. Izikhungo zezokwelapha zidinga okungenani amasampula amabili wesidoda ngokushaya indlwabu. Uma ngaphansi kwe-40% yesidoda i-motile, isampula ibhekwa njenge-motility ephansi yesidoda.

Odokotela batusa le mihlahlandlela yeqoqo ukuze kuqinisekiswe imiphumela enembile:

• Akukho ukwenza ucansi izinsuku ezimbili kuya kweziyisikhombisa ngaphambi kokuhlolwa 
• Qinisekisa ukuqoqwa kwesampula okuphelele 
• Gwema ukusebenzisa amafutha ngesikhathi sokuqoqa 
• Letha isampula phakathi kwemizuzu engama-30-60 
• Gcina izinga lokushisa ekamelweni ngesikhathi sokuthutha

Imiphumela yasekuqaleni ingase iholele odokotela ukuthi bacele lezi zivivinyo ezengeziwe zokuxilonga:

• Ukuhlolwa Kwehomoni: Ukuhlolwa kwegazi ukuhlola amazinga e-pituitary kanye ne-testicular hormone 
• I-Scrotal Ultrasound: Amaza omsindo we-high-frequency angena kumasende nezakhiwo ezisekelayo 
• Ukuhlolwa kofuzo: Ukuze ubone ukuthi kungani kwenzeka 
• Ukuhlaziywa kokuchama kwangemva kokuchama: Ukuze uhlole i-retrograde ejaculation

Ukwelashwa Kwe-Low Sperm Motility

Odokotela bavame ukutusa ukwelashwa isinyathelo ngesinyathelo ngokusekelwe ekutheni isimo sinzima kangakanani. Okulandelayo ezinye izindlela ezijwayelekile zokwelapha i-sperm motility:

• Ukulungiswa kwe-Vascocele nokwakhiwa kabusha kwe-vas deferens evinjiwe kungathuthukisa ikhwalithi yesidoda kakhulu.
• Odokotela bangase banikeze imithi ethile yokwelashwa ngama-hormone uma bethola ukungalingani kwe-hormone kubangela inkinga.
• Ubuchwepheshe bokuzala obusezingeni eliphezulu (ART): Lezi zihlanganisa:
  • I-Intrauterine Insemination (IUI): Odokotela bakhetha isidoda esihamba ngokushesha kakhulu futhi basifake esibelethweni ngeshubhu lepulasitiki elihle 
  • KuVitro Fertilization (IVF): Ongoti bamalebhu bavundisa amaqanda ngesidoda ezimeni ezilawulwayo
  • I-Intracytoplasmic Sperm Injection (ICSI): Ochwepheshe bajova isidoda esisodwa esinempilo eqandeni ngalinye elivuthiwe
• Izithako: 
  • Vitamin C 
  • Ashwagandha 
  • Coenzyme Q10 

Uzoyibona Nini Udokotela

Ukwelashwa ngokushesha kuyadingeka uma kuvela lezi zimpawu: 

• Ubuhlungu noma ukungakhululeki endaweni yesende 
• Izinkinga ngomsebenzi wocansi noma ukuqhanyelwa 
• I-low sex drive 
• Izigaxa noma ukuvuvukala endaweni yesende 
• Umlando we-prostate noma izinkinga zocansi

Izithandani akufanele zilinde unyaka wonke uma umlingani wesifazane eseneminyaka engaphezu kuka-35. Ngaphezu kwalokho, bobabili abalingani badinga ukuhlolwa kwenzalo ngoba izinselele zokukhulelwa ngokuvamile zihlanganisa izici eziningi.

Amakhambi E-Low Sperm Motility

Amakhambi emvelo ayindlela enhle yokuthola ukuhamba kahle kwesidoda ngokushintsha indlela yokuphila kanye nokudla okungcono. 

• Ukuguqulwa Kwezokudla: Ucwaningo luthole ukudla okuningana okuthinta kahle impilo yesidoda:
  • Izinhlanzi ezicebile omega-3 amafutha acids
  • Izithelo nemifino emisha equkethe ama-antioxidants
  • Ama-Walnuts (i-18 nsuku zonke amaviki angu-12 abonise ukubala okuthuthukisiwe)
  • Ezinye izindlela zobisi ezinamafutha aphansi
  • Imikhiqizo engenazibulala-zinambuzane
• Ukugcina izinga lokushisa elilungile: Amadoda angavikela isidoda sawo ngokuthi:
  • Ugqoke izingubo zangaphansi ezixegayo
  • Ukunciphisa ukusetshenziswa kwe-laptop emathangeni
  • Ukugwema ukuchayeka isikhathi eside kuma-saunas namabhavu ashisayo
  • Ukuthatha amashawa apholile
• Ikhwalithi Yokulala:
  • Ukulala ngaphansi kwamahora angu-6 kungabangela amasosha omzimba alwa nesidoda anciphisa ukuhambahamba.
• Ukuzivocavoca: 
  • Ukuzivocavoca umzimba okulinganiselayo kukhulisa amazinga e-enzyme e-antioxidant evikela isidoda. 

Isiphetho

I-low sperm motility idala izithiyo emibhangqwaneni eminingi efuna ukuba nengane. Intuthuko yezokwelapha ehlangene nezinguquko zendlela yokuphila inikeza ithemba langempela lokuthuthukisa lesi simo. Ucwaningo lubonisa ukuthi ukwelashwa okufanele okuhambisana namakhambi emvelo kungakhuphula kakhulu impilo yesidoda kanye namathuba okukhulelwa.

Amazinga empumelelo yokwelashwa abukeka ethembisa, ikakhulukazi uma imibhangqwana ithola usizo lwezokwelapha kusenesikhathi. Ukulungiswa okuyisisekelo kwendlela yokuphila njengokudla ukudla okunempilo, ukulala kahle, nokugwema ukushisa okudlulele kungadala izinguquko ezinhle. Izithandani ezibhekene nezinkinga ezinzima zinezinketho ezimbalwa ezitholakalayo ngokwelashwa kwezokwelapha - kusukela ekwelashweni kwamahomoni kuya kubuchwepheshe bokusiza bokuzala.

Imibuzo Evame Ukubuzwa

1. Ngingakwandisa kanjani ukuhamba kwesidoda?

Indlela esheshayo yokuthuthukisa ukuhamba kwesidoda ivela ocwaningweni olufakazelwe. Ucwaningo luveza ukuthi izithasiselo zikavithamini C zingakhuphula ukuhamba kwesidoda ngaphezu kuka-90% kanye nesibalo sesidoda esiphindwe kabili. Ukuvivinya umzimba njalo nokulawula isisindo esinempilo kuyithinta kakhulu impilo yesidoda. Imikhawulo yokuchayeka kweselula kanye nokuncishiswa kotshwala nakho kubonisa imiphumela engcono yokunyakaza kwesidoda.

2. Ungakwazi yini ukulungisa i-motility ephansi?

I-low sperm motility ngokuvamile ithuthuka ngendlela efanele. Ukwelashwa okuhambisana nezinguquko zendlela yokuphila kubonisa imiphumela ethembisayo. Odokotela bangakwazi ukunikeza imithi efana ne-follicle-stimulating hormone noma ukuhlinzwa uma amazinga aphansi e-hormone noma i-varicocele edala inkinga. Amadoda amaningi abona ikhwalithi engcono yesidoda ngemva kwezinyanga ezintathu zokushintsha indlela yokuphila.

3. Isiphi isithelo esilungele isidoda?

Ucwaningo lukhomba ezithelweni ezithile ezithuthukisa impilo yesidoda kakhulu. I-Guava ihola iphakethe ngokuqukethwe kwayo okuphezulu kwevithamini C, okubonisa ukuthuthuka okumangalisayo kwemingcele yesidoda. Lezi zithelo zisiza futhi:

• Amapomegranati (aqukethe u-30% wevithamini C nsuku zonke edingekayo)
• ubhanana (icebile ngamavithamini A, B6, no-C)
• Amawolintshi (ahlinzeka ngo-160% wevelu ye-vitamin C nsuku zonke)

4. I-low sperm motility ithinta kanjani inzalo?

Ukuhamba kwesidoda okuphansi kwenza ukukhulelwa kwemvelo kube nzima. Ukukhulelwa kuba yinselele kakhulu ngesikhathi lapho ngaphansi kwamaphesenti angama-32 wesidoda ekhombisa ukuhambahamba okuqhubekayo. Ukungenelela kwezokwelapha okufana ne-IUI noma i-IVF kusengaholela ekukhulelweni okuphumelelayo. Lesi simo sithinta u-30-40% wezithandani ezingakhulelwa kalula.

 UDkt. Vaibhav Vinekar

CARE Medical Team

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