Pamusoro pezvinangwa zvemabhuku akawanda ekutsvakurudza, kusununguka kunorondedzerwa sekusakwanisa kubata mwana kwegore (mwedzi gumi nemaviri) kana uine unzenza hunogara usingadziviri. Kune vakadzi zvinoreva kuti pamuviri hazviitike uye kune varume kuti mudiwa wavo haakwanisi kuita pamuviri paanenge achiedza kwegore.
IBD uye Kuperesa kweHerctility
Nenzira yakawanda, zvinokonzerwa nekuputika kwechirwere chirwere (IBD) pamusoro pekubereka hachisi pachena.
Zvimwe zvidzidzo zvakaratidza kuti varume nevakadzi vane IBD havakwanisi kubereka mbeu dzakasiyana zvikuru nevanhu vasina IBD. Zvimwe zvidzidzo zvakaratidza kuti varume vane IBD vanogona kuva nekuderedza kuderedza kubereka, uye izvi zvinogona kunyanya kuitika kune varume vane Crohn's disease.
Chimwe chikamu cheBD chinofungidzirwa kuti chiri pakati pekuderedzwa kwekubereka hachisi chaicho chinetso chepanyama asi pane kubva pakuzvisarudzira kusarudza kusava nevana. Vanhu vane IBD vanowanetseka kuti chirwere ichi chinogona kupfuudzwa kuvana, izvo zvinogona kuita kuti vasarudze kusava nevana zvachose.
Kunyange zvakadaro, pane zvakawanda zvehupenyu zveBD zvinogona kukanganisa kubereka zvakare, kusanganisira mamwe mishonga, kuvhiyiwa, kusava neutano, nyaya dzepfungwa, uyewo huwandu hutano hutano. Ichi chinyorwa chichanyatsoongorora kuti izvo zvinokanganisa zvingakanganisa kubereka kwevarume. Varume (uye vakadzi) vane IBD vane vane hanya nehupenyu hwavo hwemazuva ano kana huchauya vanofanira kumubvunza gastroenterologist kuti vatumire kune unyanzvi hwekubereka kana zvichidikanwa.
Nzira yeBD inobata chibereko cheMurume
Kutsvakurudza kwokuti IBD inobata sei kubereka kwevarume hakushayikwi mumamiriro nekudzika; hakuna hutsva hutsvakurudzo hunoita kuti huve nyore, kuziva kuti kunyanya kunobatsira sei varume vane IBD. Kune, zvisinei, mamiriro mashomanana apo inozivikanwa kuti kubereka mune varume vane IBD kunogona kuchinjwa.
Zvirwere zviripo. Sezvo zvinogona kutarisirwa, chirwere chekuita chinobatsira pamunhu kukwanisa kubereka mwana. Varume vari mumwero wakakomba kusvika kune wakakomba IBD kurwisa-up vane mazinga akareba erectile kushanda , uye saka kuve nekugadzirisa pasi pekutonga kuchave kwakakosha usati watanga mhuri.
Mishonga. Mishonga yakawanda inoshandiswa kurapa IBD haina kuonekwa kuti inobatsira kubereka zvikuru pakati pevarume, pamwe chete. Azulfidine (sulfasalazine) , inoshandiswa kurapa ulcerative colitis, inogona kukanganisa kubereka kwevanhu. Nzira yechinguva yekushaya vana inokonzerwa ne sulfa chikamu chechirwere ichi kusvika kusvika 60 muzana yevarume vanozvitora. Inenge mwedzi miviri mushure mekudzivisa Azulfidine, kubereka kunodzokera kune zvaive musati mishonga yatanga.
Surgery. Kutsvakurudza nzira dzinoitwa pakurapa IBD kunogona kukanganisa kubereka kwevarume, kunyange zvazvo kuvhiyiwa hakurevi nhengo dzebonde dzevarume. Chirwere chekuvhiya chinoratidzika kuti chinonyanya kukonzera kukonzera matambudziko nekubereka ndeaya anosanganisira kusarudzwa pedyo nekwakabereka. Izvi zvinosanganisira proctocolectomy neleal pouch-anal anastomosis (IPAA) , iyo inowanzozivikanwa kuti chirwere chej-pouch uye chirwere che colostomy uye chirwere cheyiostomy.
Chimwe chekudzidza zvishoma chakaratidza kuti 2 varwere kunze kwe18 vakange vane matambudziko ejaculation mushure mekuvhiya IPAA. Kuvhiyiwa kwakaitwa pane imwe nzvimbo yepamusoro yevashandi vezvechiremba uye vamwe vashandi vehutano vanoita basa reBD uye vakapedza mavhivhi akawanda evanhu vakadaro vanogona kuunza njodzi kunyange dzakaderedza.
Icho chinowanzoitika, asi kusununguka kunogona kuitika shure kweizvi marudzi ekuvhiya IBD. Chinhu chinokosha chokuyeuka pamusoro peizvi ndechekuti kune maitiro ekurapa anowanika kune varume vanoona kuderedzwa kwekubereka. Imwe mishonga yemishonga, kunyanya, yakaratidzwa kubatsira mune vazhinji vanoita 79 muzana yematambudziko.
Nekuda kweizvi, zvisinei, chirwere chebhinzi chinokodzera kufunga nezvevarume vanoda kuve nemhuri uye vachazovhiyiwa nokuda kweBDD yavo iyo inogona kuchinja kubereka kwavo.
IBD Mishonga neMigumisiro Yadzo
Mishonga yekurapa IBD inogona kuva nemigumisiro yekukwanisa kubereka mwana. Mune zvimwe zviitiko, zvingava zviri nani kutsinhana mishonga kana kurega mishonga usati watanga mhuri. Izvi zvichave zvakasiyana kune varwere vose nemhuri dzavo, saka zvakakosha kukurukura mishonga yeBD ne gastroenterologist vasati vasarudza kuva nemwana.
6-MP. Zvidzidzo zvishomanana pamusoro pe 6-mercaptopurine (6-MP) mumarume avo vakabereka vana vakaratidza kuti pangava nehuwandu hwehutano hwekuita pamuviri kana kutadza. Zvimwe zvidzidzo zvakaratidza kuti hapana dambudziko rematambudziko nekudzivirira apo vanababa vakatora 6-MP. Nemhaka yeizvi, zvinokurudzirwa kuti vatapi vehutano vane hutano nevarume vanotora 6-MP vanoda kuve baba uye kurukura kukwanisa kwezvinetso kana kubereka mwana.
Azulfidine. Pakave nekunyanya kudzidza kumwe kwakaratidza kuti pangangodaro pangava nengozi duku yekuberekwa kukanganisa muvana vakaberekwa apo baba vaitora Azulfidine. Saka, zvinogona kukurudzirwa kuti varume vane IBD vanoda kubereka mwana kuchinja kune imwe mishonga.
Methotrexate. Kune vakadzi vanoda kuve nepamuviri, methotrexate inofanira kumira (iyo Chikwata Chekutanga X chirwere). Kune varume, zvinokurudzirwa kuti methotrexate inomira kwemwedzi mitatu kana 4 isati yatanga mhuri, sezvo mushonga unogona kugara mumuviri kwemwedzi mishomanana.
Zvimwe Zvikamu zveBD Worth Noting
Haisi mishonga chete inogona kuva nemigumisiro yekubereka nekuita pamuviri, kuratidzira, kusava neutano hwakanaka, uye zuva rezuva rehupenyu nehutachiona husingaperi hunoitawo zvinetso.
Kurarama nehosha isingaperi. Chirwere chisingagumi chakaoma kurarama nacho, uye IBD ndeimwe inobata zvinhu zvakawanda zvehupenyu hwevanhu. Kuva nechimiro chemuviri kwakanaka kunogona kuva hondo kune vamwe vanhu vane IBD. IBD inogona kusiya munhu kunzwa sokuti haafariri kana kuti asingadi kune mumwe wako. Izvi zvinogona kuva nemigumisiro yekuderedza gwara rekuita zvepabonde, izvo zvinowedzera mikana yekuwana pamuviri.
IBD uye kuora mwoyo. Chimwe chikonzero chokufunga nezvacho ndechekubatana pakati peBD uye kuora mwoyo , izvo zvinokanganisawo chido chemunhu chepabonde. Kuva nehutano hwakanaka hwepabonde uye kuva nevana kunonetsa pakubata nezvinetso zveBD neBD. Kutaura ne gastroenterologist pamusoro pezviitiko izvi zvinogona kubatsira, nokuti zvinogona kuwirirana neBD. Mune zvimwe zviitiko, kutungamirirwa kubva kune unyanzvi hwehutano hwepfungwa kunogona kukurudzirwa. Kune mishonga inogona kubatsira zvikuru mukudzidza kurarama nechirwere chisingagumi, uye kunyange kuva nomumwe munhu wokutaura nezvazvo kunogona kubatsira.
Kuruka-ups. Kuputika kwekushanda, izvo zvinoitika mumagadziri ekugadzirisa panguva yeBD-flare-up, kunogona kukanganisa mamwe maitiro emitumbi yakawanda. Kuvhiringidza kunewo kunokanganisa kusabereka, kunyanya kana kuputika kunoonekwa kunge kwakaoma. Dzidzo dzakaratidzawo kuti varume vane IBD uye kuvhuvhuta kukuru vane mazinga akakwirira erectile dysfunction.
Nutrition. Hapana hutsva hutsvakurudzo hwekuti utano hunokwanisa sei hunoita kuti varume vane IBD vanoda kubereka vana. Kune humwe humwe uchapupu hwokuti kushaya zinc kunogona kuderedza kubereka, uye varwere vakawanda vane chirwere cheCrohn vave vakaratidzwa kuva nechepasi zinc mazinga. Zvokudya zvinovaka muviri zvakakosha kune chero ani zvake anotarisira baba uye inogona kunge yakakosha zvikuru kune varume vane Crohn's disease vane kutuka mumutsipa muduku uri kudzivirira kunaka kwemavhithamini.
Kuramba usina mwana. Vanhu vane IBD dzimwe nguva vanosarudza kusava nevana nekuda kwekutya kuti IBD inogona kupfuudzwa. IBD ine ruzivo rwechibereko, asi hazvipi zvakapiwa kuti mubereki ane IBD achava nemwana anovandudza IBD. Ngozi yekudarika IBD kune mwana inopesana zvichienderana nekudzidza, asi inofungidzirwa kuva pakati pe10 ne20 muzana. Zvinokurudzirwa kuti vanhu vane IBD vataure navanachiremba vavo pamusoro pezvinetso izvi nokuti zvinogona kuva zvinokurudzira kunzwisisa kuti kuderera kwacho kwakadzika sei.
Tsananguro Inobva
Mune zviitiko zvakawanda, kuongororwa kweBD hakuzoendese kune imwe kuongororwa kwekushaya vana. Asi pane zvimwe zviitiko zvekuda kwevarume vane IBD, kunyanya kune avo vane mhando dzakasiyana dzekuvhiya kana kuti vari mune chirwere chinopisa.
Sezvo nehuwandu hwezvinhu zveBD, kuwana kuputika pasi pekutonga kuchava chinhu chakanyanya kukosha pakupa mukana wakanakisisa wokuva baba. Kutaura pamusoro pekuva baba vane gastroenterologist nokukurumidza pane kupfuura gare gare kunogona kubatsira. Kana zvichidikanwa, gastroenterologist inogona kutumira ruzivo ruzivo rwekuberekwa uyo akadzidziswa mukubatsira kuongorora uye kubata zvirwere nekubereka.
> Sources:
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> El-Tawil AM. "Kushaya kweZinc kuvarume vane chirwere cheCrohn kunogona kuita kuti urombo hushushi huve hunoita uye kusagadzikana kwevarume." Andrology . 2003 Dec; 35: 337-341.
> Tavernier N, Fumery M, Peyrin-Biroulet L, Colombel JF, Gower-Rousseau C. "Systematic review: kubereka mune chirwere chisina kuongororwa chinoputira chirwere chechirwere." Aliment Pharmacol Ther. 2013; 38: 847-853.
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