Asthenospermia ihwo hurume husina kujairika hunokanganisa kufamba kwechirume. Pasina nharembozha, spermatozoa inoona simba ravo rekusanganisa richichinjwa, zvine chekuita nekubereka kwevarume. Vaviri vacho vanogona kuzonetseka nepamuviri.

Asthenospermia, kana asthenozoospermia, ihwo hurume husina kujairika hunoratidzwa nekushomeka kwembeu kufamba. Zvinogona kushandura kubereka kwemurume uye kudzikisira mikana yekuva nepamuviri kune vaviri vacho nekuti kana dzisingakwanise kufamba, urume haugone kutama kubva pamukadzi uye kuhubhu kunyorera oocyte.

Asthenospermia inogona kusarudzika kana kusangana nehumwe hunowanzoitika. Muchiitiko cheOATS, kana oligo-astheno-teratozoospermia, inosanganisirwa neoligospermia (sperm concentration pazasi pehunhu hwese) uye teratozoospermia (yakanyanya kukwirisa chikamu che spermatozoa isina kujairika). Iko kukanganisa kune kubereka kwevanhu kuchave kwakanyanya.

Sezvo nezvose zvakasarudzika urume, izvo zvikonzero zveoligospermia zvinogona kuwanda:

• hutachiona, fever;
• kusakwana kwemahomoni;
• kuvapo kwemaanti-sperm antibodies;
• kuratidzwa kune zvine chepfu (doro, fodya, zvinodhaka, zvinosvibisa, nezvimwewo);
• kusagadzikana kwemajini;
• varicocele;
• kushomeka kwehutano;
• chirwere chikuru (itsvo, chiropa);
• kurapwa (chemotherapy, radiotherapy, mamwe madhiragi)

Asthenospermia haina zviratidzo kunze kwekunetseka kubata.

Asthenospermia inoonekwa neiyo spermogram, ongororo yehupenyu hwehurume hwakaitwa zvakarongeka muvarume panguva yekuongorora kushaya mbereko kwevaviri. Munguva yekuongorora uku, kwakatarwa kwakasiyana paramende yemurume, kusanganisira kufamba kwesirume. Iyi ndiyo muzana yembeu inokwanisa kufambira mberi kubva pamukadzi kusvika pahubhu yekudyara oocyte. Kuti uongorore iyi paramende, biologist tarisa, padonhwe rerume rakaiswa pakati pemasiraidhi maviri, iyo muzana yespermatozoa inokwanisa kukurumidza kuyambuka munda weiyo microscope munzira yakatwasuka. Ivo vanodzidza kufamba uku pazvikamu zviviri:

• mukati memaminetsi makumi matatu kusvika paawa rimwe mushure mekusvikira pane izvo zvinonzi kufamba kwekutanga;
• maawa matatu mushure mekubuda pane izvo zvinonzi zvinofamba zvechipiri.

Kufamba kwerudzi kunozoiswa muzvikamu zvina:

• a: yakajairwa, inokurumidza uye inofambira mberi kufamba;
• b: kuderedzwa, kunonoka kana zvishoma kufambira mberi kufamba;
• c: kufamba munzvimbo, kwete kufambira mberi;
• d: kusasimukira urume.

Zvinoenderana nehunhu hwechikumbaridzo hunotsanangurwa neWHO (1), urume chaihwo hunofanirwa kunge huine makumi matatu neshanu% embeu nekufamba kunofambira mberi (a + b) kana kupfuura makumi mana muzana nekufamba kwese (a). Pazasi peichi chikumbaridzo, tinotaura nezve asthenospermia.

Kusimbisa kuongororwa, yechipiri kana kunyange yechitatu spermogram inofanira kuitwa mwedzi mitatu yakaparadzana (iyo nguva yespermatogenesis kutenderera iri mazuva makumi manomwe nemanomwe) kuratidza hutachiona, nekuti akawanda ma parameter (hutachiona, fivha, kuneta, kushushikana, kushushikana nehupfu, nezvimwewo) inogona kukanganisa spermatogenesis uye nekukasira kuchinja hunhu hwehurume.

Mimwe bvunzo inopedzisa kuongororwa:

• spermocytogram, kuongororwa kunosanganisira kudzidza chimiro che spermatozoa pasi pe microscope kuti uone chero kusagadzikana kwema morphological. Muchiitiko che asthenospermia mune ino kesi, kusagadzikana padanho re flagellum kunogona kukanganisa kufamba kwehurume;
• hutsika hwerume kuti utarise hutachiona hwemurume hunogona kukanganisa spermatogenesis;
• yekupukunyuka-kupona bvunzo (TMS), inosanganisira mukusarudza ne centrifugation yakanakisa mhando spermatozoa uye kuongorora huwandu hwespermatozoa inokwanisa kuisa oocyte.

Iwo manejimendi anoenderana nedhigirii reasthenospermia, zvimwe zvingangodaro zvine chekuita nespermatic kusagadzikana, kunyanya padanho rerume morphology, uye mhedzisiro yemabvunzo akasiyana siyana, mabviro easthenospermia (kana ikawanikwa), zera remurwere.

Kana paine asthenospermia yakapfava kana ine mwero, kurapwa kunogona kuyedzwa kusimudzira mhando yembeu. Antioxidant yekuwedzera iyo inogona kukurudzira kuwedzera kwenhamba uye kufamba kwespermatozoa, nekudzora kushushikana kweiyo oxidative, inova muvengi wespermatozoa. Chidzidzo cheIranian (2) chakaratidza zvakanyanya kuti kuwedzera pamwe neanti-oxidant coenzyme Q-10 kwakavandudza kusangana uye kufamba kwespermatozoa.

Kana zvisingaite kurapa chikonzero cheasthenospermia kana kana kurapwa kusingape chero mhedzisiro, nzira dzakasiyana dzeART dzinogona kupihwa kune vaviri vacho zvichienderana nemamiriro ezvinhu:

• in vitro fertilization (IVF);
• in vitro fertilization ine microinjection (IVF-ICSI).