Malinga ndi ziwerengero, azimayi amakonda kudwala matenda a shuga kangapo. Koma koposa zonsezi, kudwala kumeneku kumaonekera mwa amuna. Itha kuchepetsa chonde ndi 80% ndikuwupangitsa kubereka kwathunthu!
Tidafunsa dokotala wa urologist-andrologist Maxim Alekseevich Kolyazin kuti alankhule za momwe pulogalamu ya IVF imaphatikizidwira ndi matenda a shuga.
Maxim Alekseevich Kolyazin, urologist andrologist
Membala wa R search (Russian Human Reproduction Association)
Anamaliza maphunziro ake ku Smolensk State Medical Academy ndi digiri ya General Medicine. Kukhalanso mu "Urologist" wapadera ku Dipatimenti ya Urology, SSMA.
Kuyambira 2017 - dokotala wa chipatala "Center IVF"
Mobwereza bwereza ziyeneretso. Kuphatikizapo wochita nawo pulogalamu yophunzitsira "Beyond ED Treatment" Glaxosmithkline, Sukulu ya Zaubadwidwe yophatikizika pakati pa Unduna wa Zaumoyo ku Russia.
Ambiri samalabadira zoyamba za matenda ashuga. Amadziwika kwambiri kwa amuna ndi akazi: ludzu losalekeza kukodza pafupipafupi, kupenya mosasunthika, mabala amtundu wa machiritso. Koma pali ena, mwachitsanzo, kutupa kwa khungu. Monga lamulo, abambo amapita kwa dokotala womaliza, pomwe matendawa atasamalidwa kale.
Wanga mnzake adafotokoza momwe matenda amtundu wa 1 komanso mtundu wa 2 amaphatikizira ndi pulogalamu ya IVF mwa odwala ake. Ndipo ndazindikira kuti ngakhale matendawa amafala kwambiri mwa azimayi, amakhudza kwambiri thanzi la abambo, makamaka ngati simukugwirizana ndi chithandizo:
- Kuyipa kwachilendo kwa mitsempha kungayambitse vuto la potency.
- Chifukwa cha kunenepa kwambiri, testosterone imachepetsedwa. Kuperewera kwake kumakhala ndi vuto pa ntchito ya abambo, chifukwa ndi timadzi tomwe timafunikira kuti umuna upange.
- Amuna omwe ali ndi matenda osokoneza bongo nthawi zambiri amakhala ndi nephropathy (kuwonongeka kwa impso komanso mavuto pokodza). Izi zimabweretsa kuweruza kwa urethra, pomwe munthu sangathe kutulutsa mbewu. Kubwereza kumatha kuchitika - umuna ukalowa mu chikhodzodzo.
- Choopseza chonde chachikulu ndi matenda a shuga, kuphatikizapo kupweteka kwa miyendo, kumva kulira kwa malekezero, kupweteka m'miyendo; kuzindikira kumeneku kukuwopsezanso potency chifukwa chakuti magazi samalowa m'matupi amisala (vuto ili limatchulidwa makamaka mu mtundu 2 wa shuga).
- Ubwino waumuna umachepetsedwa (zovuta zowopsa, ndipo pansipa ndizikambirana mwatsatanetsatane).
Mwamuna atha kukhala ndi zovuta ndi kugawikana kwa umuna wa DNA. Izi zimachitika kawiri komanso mtundu woyamba wa matenda ashuga. Vuto ndilakuti ndi kugawikana kwa DNA, pamakhala chiopsezo chachikulu cha mluza kuyimitsidwa chitukuko kapena kuti kutenga pakati kungathetse.
Amayi nthawi zambiri amaganiza kuti vuto lakusokonekera lili mwa iwo, ndipo adakweza madokotala. Gynecologists shrug, sangathe kukhazikitsa choyambitsa ... Koma chinthu chonsecho chili mwa munthu! Ngati titenga odwala onse a IVF Center, ndiye kuti 40% yamayi siyikhala chifukwa cha amuna.
Mu 15% mwa zotere, odwala amadwala matenda a shuga. Chifukwa chake, ndimalimbikitsa maanja kuti apite kumalo olera. Zizindikiro zimatchulidwa makamaka ngati matenda ashuga ayambitsidwa ndipo sanalandiridwe. Mkulu kwambiri a glucose amakhudza spermatogeneis ndi umuna wa DNA.
Ndiyenera kufotokozera wodwala aliyense kuti matenda ake ndi olepheretsa mkazi wake kukhala ndi pakati. Mwa oyembekezera khumi, 5 (!) Amathera padera. Muzochitika zapamwamba - 8 (!!!).
Nthawi zina ndi mtundu wachiwiri wa matenda ashuga, madokotala amalimbikitsa kuchulukana kwa umuna, chifukwa nthendayi ndi matenda opita patsogolo ndipo umuna wake umangowonjezereka pakapita nthawi. Komabe, ngati bambo alamulira thanzi lake ndikumamwa mankhwala oyenera panthawi yake, ndiye kuti payenera kukhala mavuto. Kwa abambo omwe ali ndi matenda ashuga, musanayambe kukonzekera kukhala ndi pakati paukwati, ndikulimbikitsani kuti mufunsire dokotala.
Mukakonzekera mwana wamwamuna yemwe akudwala matenda ashuga, muyenera kupita kwa endocrinologist kuti mudzakumane naye, ndipo potsatira lingaliro lake, pitani ku andrologist. Mkaziyo adziwitsidwe za thanzi la mnzake. Mwamuna yemwe ali ndi matenda ashuga amapatsidwa mayeso olemba mu DNA.
Zikatero, IVF + PIXI imakonda kuchitidwa. Ndi njirayi, spermatozoa imayang'aniridwa ndi zina zowonjezera, zomwe zimakhazikitsidwa ndi umunthu wa khungu lobala la amuna. Spermatozoa yokhwima kwambiri yomwe imakhala ndi DNA yolimba ndipo imakhala ndi maubwino angapo othandiza kumvetsetsa imasankhidwa. Mimba yogwiritsira ntchito njirayi imapezeka mwa 40% ya odwala - izi ndizokwera kuposa ICSI (pafupifupi. Ed: ndi ICSI, umuna umasankhidwa pansi pa ma microscope. Ndi PICSI, iyenso, koma pankhani iyi, njira yowonjezerapo yoyesa ubora ndi momwe umuna umagwirira hyaluronic acid. Wathanzi "ndodo" yake.
Mwa njira, pali kutengera kwa chibadwa cha matenda ashuga, kotero ana aamuna otere ayenera kuyamba kupewa momwe angathere. Pofunsidwa, ma genetics amatha kudziwa kukhalapo kwa jini la matenda osokoneza bongo omwe ali m'mimba mwa ana omwe amagwiritsa ntchito PGD (kudziwitsa majini).
