Nzira yekunzwisisa sei mhedzisiro yespermogram
Zvemukati
- Maitiro ekunzwisisa mhedzisiro
- Shanduko huru mu spermogram
- 1. Zvinetso zveprostate
- 2. Azoospermia
- 3. Oligospermia
- 4. Astenospermia
- 5. Teratospermia
- 6. Leucospermia
- Chii chinogona kuchinja mhedzisiro
Mhedzisiro yespermogram inoratidza hunhu hwehurume, senge vhoriyamu, pH, ruvara, kusangana kwehurume mumuenzaniso uye huwandu hweeukocyte, semuenzaniso, ruzivo urwu rwuchikosha kuona shanduko muhurume hwekubereka, sekudzivirira kana kusashanda zvakanaka kwezvishongo, semuenzaniso.
Iyo spermogram bvunzo inoratidzirwa nachiremba wezveurongwa uyo anotarisira kuongorora urume uye urume uye izvo zvinofanirwa kugadzirwa kubva kune semen sampuro, iyo inofanirwa kuunganidzwa murabhoritari mushure mekuita bonhora. Kuongorora uku kunonyanya kuratidzirwa kuongorora kugona kwekubereka kwemurume. Nzwisisa kuti chii uye kuti spermogram inogadzirwa sei.
Maitiro ekunzwisisa mhedzisiro
Mhedzisiro yespermogram inounza ruzivo rwese rwakatariswa panguva yekuongororwa kwesampula, ndokuti, macroscopic uye microscopic maficha, ayo anoonekwa kuburikidza nekushandisa maikorosikopu, pamusoro pehunhu hunofungidzirwa hwakajairwa uye shanduko, kana dzikaonekwa. Mhedzisiro mhedzisiro yespermogram inofanira kusanganisira:
Macroscopic zvinhu | Yakanakisa kukosha |
Vhoriyamu | 1.5 mL kana kupfuura |
Viscosity | Zvakajairika |
Ruvara | Opalescent Chena |
pH | 7.1 kana kukura uye pasi pe8.0 |
Kubata | Yakazara kusvika pamaminetsi makumi matanhatu |
Microscopic maficha | Yakanakisa kukosha |
Kusungwa | Mamiriyoni gumi nemashanu urume pamL mL kana mamirioni makumi matatu nemakumi matatu embeu |
Hutano | 58% kana kupfuura chirume chirarama |
Motility | 32% kana kupfuura |
Morphology | Kupfuura 4% yeyakajairika urume |
Leukocytes | Asingasviki 50% |
Hunhu hwehurume hunogona kusiyana nekufamba kwenguva uye, nekudaro, panogona kuve neshanduko mune mhedzisiro pasina matambudziko muhurume hwekubereka. Naizvozvo, chiremba wezvedundira anogona kukumbira kuti spermogram idzokororwe kwapera mazuva gumi nemashanu kuti aenzanise mhedzisiro uye aone kana, chokwadi, mhedzisiro yekuyedza yakachinjwa
Shanduko huru mu spermogram
Dzimwe shanduko dzinogona kuratidzwa nachiremba kubva pakuongororwa kwemhedzisiro nachiremba ndeidzi:
1. Zvinetso zveprostate
Zvinetso zveprostate zvinowanzozviratidza kuburikidza neshanduko muhunza viscosity, uye mune dzakadai, murwere angangoda kuongororwa rectal kana prostate biopsy kuti aone kana paine shanduko muprostate.
2. Azoospermia
Azoospermia ndiko kusavapo kwembeu mumuenzaniso wesperm uye, nekudaro, inozviratidza nekudzora huwandu kana kusangana kwehurume, semuenzaniso. Izvo zvikonzero zvikuru zvinovhiringidza kwenzira dzechirume, hutachiona hwehurongwa hwekubereka kana hosha dzinopfuudzwa pabonde. Ziva zvimwe zvikonzero zvezoospermia.
3. Oligospermia
Oligospermia ndiko kudzikiswa kwenhamba yembeu, ichiratidzwa mu spermogram seyakaunganidzwa pazasi pemamirioni gumi nemashanu kana mamirioni makumi matatu nepfumbamwe pahoriyamu. Oligospermia inogona kunge iri mhedzisiro yehutachiona hwehurongwa hwekubereka, hosha dzinopfuudzwa pabonde, mhedzisiro yemimwe mishonga, yakadai seKetoconazole kana Methotrexate, kana varicocele, inoenderana nekuwedzeredzwa kweiyo testicular veins, zvichikonzera kuwanda kweropa, kurwadziwa uye kuzvimba kwemuno.
Kana kuderera kweuwandu hwehurume kuchiperekedzwa nekuderera kwemota, shanduko inonzi oligoastenospermia.
4. Astenospermia
Asthenospermia ndiro dambudziko rinowanzoitika uye rinomuka apo motility kana hutano hwakadzikira pane zvakajairwa tsika pane spermogram, iyo inogona kukonzerwa nekushushikana kwakanyanya, kudhakwa kana autoimmune zvirwere, senge lupus neHIV, semuenzaniso.
5. Teratospermia
Teratospermia inoratidzirwa neshanduko muhurume morphology uye inogona kukonzerwa nekuzvimba, kusagadzikana, varicocele kana kushandisa zvinodhaka.
6. Leucospermia
Leukospermia inoratidzirwa nekuwedzera kwehuwandu hweeukocyte mumbeu, iyo inowanzo kuratidza hutachiona muhurume hwekubereka, uye zvakafanira kuita bvunzo dzehutachiona kuona hutachiona hunokonzera hutachiona uye, nekudaro, kutanga kurapwa.
Chii chinogona kuchinja mhedzisiro
Mhedzisiro yespermogram inogona kuchinjwa nezvimwe zvinhu, senge:
- Kupisakusarongeka kwembeunekuti tembiricha inotonhorera kwazvo inogona kupesana nehurume motility, nepo kupisa kwakanyanya kuchikonzera kufa;
- Haikwane huwandu yembeu, inoitika kunyanya nekuda kweiyo isiriyo maitiro ekuunganidza, uye murume anofanira kudzokorora maitiro;
- Kushungurudzika, sezvo ichigona kutadzisa iyo ejaculatory maitiro;
- Kujekesa kune radiation kwenguva yakareba, nekuti inogona kupindira nekugadzirwa kwehurume;
- Kushandiswa kwemimwe mishongasezvo ivo vachigona kuve nemhedzisiro yakaipa pahuwandu uye mhando yembeu inogadzirwa.
Kazhinji, kana spermogram mhedzisiro yashandurwa, iyo urologist inoongorora kana paive nekukanganiswa nechero ipi yezvinhu zvataurwa, inokumbira spermogram nyowani uye, zvichienderana nemhedzisiro yechipiri, inokumbira mimwe bvunzo, senge kupatsanurwa kweDNA, FISH uye spermogram pasi pekukudza.