Iyo spermocytogram ndeimwe yebvunzo dzakakosha mukuongorora kubereka kwemurume. Chinhu chakakosha chekuongorora kwembeu, inosanganisira kucherechedza pasi pemaikorosikopu morphology yezvinhu zvitatu zvinoumba spermatozoa: musoro, chikamu chepakati uye flagellum.

Iyo spermocytogram bvunzo ine chinangwa chekuongorora morphology yembeu, imwe yemhando yesperm inodzidzwa sechikamu chekuongorora mbereko. Inobvumira kutsanangura huwandu hwemhando dzemhando, kureva nezve spermatozoa yeyakajairika morphology, yakakosha data yekufungidzira kutsanangura mikana yekusangana. in vivo (mimba yepanyama) uye in vivo. Iyo spermocytogram nekudaro chimwe chezvinhu zvakakosha kutungamira manejimendi evaviri mukuita insemination, classic in vitro fertilization (IVF) kana. intracytoplasmic sperm injection (ICSI).

Iyo spermocytogram inoitwa pamuenzaniso wembeu kubva kumurume. Kuti uve nemhedzisiro yakavimbika, kuunganidzwa kwembeu kunofanirwa kuitwa pasi pemamiriro akasimba:

• vakacherechedza nguva yekurega kuita zvepabonde kwemazuva maviri kusvika ku2, maererano neWHO mazano e7 (2010);
• muchiitiko chefivha, mishonga, X-ray, kuvhiyiwa, kuunganidza kuchamiswa nokuti zviitiko izvi zvinogona kuchinja zvishoma nezvishoma spermatogenesis.

Kuunganidza kunoitika murabhoritari. Mukamuri rakatsaurirwa rakasarudzika, mushure mekunyatsogeza maoko negirazi, murume anonhonga urume hwake mubhodhoro risina utachiona, mushure mebonyora.

Urume hunobva hwaiswa muchoto pa37 ° C kwemaminetsi makumi matatu, ipapo maparameta akasiyana-siyana eurume anoongororwa: kuwanda kwembeu, kufamba kwawo, simba rawo uye morphology.

Iyi yekupedzisira parameter, kana spermocytogram, ndiyo yakareba uye yakaoma nhanho yespermogram. Pasi peiyo X1000 maikorosikopu, pane yakagadziriswa uye yakasvibiswa smears, iyo biologist inodzidza zvikamu zvakasiyana zvespermatozoa kuti ione chero abnormalities:

• kusagadzikana kwemusoro;
• kukanganisa kwechikamu chepakati;
• kukanganisa kwe flagellum, kana chikamu chikuru.

Kubva pakuverenga uku, biologist inozotsanangura chikamu che morphologically chakajairwa kana atypical spermatozoa, pamwe nechiitiko chekucherechedzwa kusingaite. 

Iyo spermocytogram inoitwa sechikamu chespermogram (kuongorora urume), ongororo yakarongedzerwa kuvarume panguva yekuongororwa mbereko kwevaviri vari kubvunza nezvekunetsekana kwekubata pamuviri.

Zvikamu zviviri zviripo kune zvakabuda zvespermocytogram: iyo yakagadziridzwa David classification (2), French, uye Kruger classification, yepasirese, inokurudzirwa neWorld Health Organisation (WHO). The classification inoshandiswa icharatidzwa pane zvabuda.

Iwo maviri masisitimu anonyora ese abnormalities anowanikwa pane mashoma e100 spermatozoa, asi aine akasiyana system:

• Kruger's classification inozivisa 4 makirasi eanomalies mukukosha: anomalies maererano neacrosome (chikamu chiri pamberi pemusoro), iyo yemusoro, iyo yepakati chikamu uye iyo yemureza. Zvinongotora imwe inomaly mune imwe yemakirasi mana kuti spermatozoon ionekwe se "atypical form";
• David's modified class inotaridza 7 anomalies yemusoro (yakareba, yakatetepa, microcephalic, macrocephalic, musoro wakawanda, ichipa acrosome isina kujairika kana isipo, inopa hwaro husina kujairika), 3 anomalies yechikamu chepakati (kuvapo kwecytoplasmic residue, ura hudiki, angulated) uye 5 anomalies flagellum (isipo, yakadimburira, geji isina kujairika, yakasungirirwa uye yakawanda) mutafura yekupinda kaviri.

Chikumbaridzo chechimiro chechimiro chinosiyanawo zvichienderana nezvikamu zviviri. Maererano neKruger classification, iyo sperm morphology inonzi yakajairika kana munhu akacherechedza kuvapo kweinenge 4% yezvakajairwa spermatozoa, zvichipesana ne15% maererano neakagadziridzwa David classification. Pazasi, tinotaura nezve teratospermia (kana teratozoospermia), kusajairika kwembeu iyo inogona kuderedza mikana yekuve nepamuviri.

Zvisinei, spermogram isina kujairika nguva dzose inoda cheki yechipiri pamwedzi mitatu (nguva ye spermatogenesis cycle kuva mazuva makumi manomwe nemana), nokuti zvinhu zvakawanda (kushungurudzika, utachiona, nezvimwewo) zvinogona kuchinja zvishoma nezvishoma spermatic parameters.

Kana pakaitika teratozoospermia, IVF-ICSI (in vitro fertilization ine intracytoplasmic jekiseni) inogona kupihwa kune vaviri ava. Iyi AMP tekinoroji ine jekiseni imwe sperm, yakambosarudzwa uye yakagadzirirwa, yakananga mucytoplasm yeiyoocyte yakura.