ʻO Asthenospermia kahi maʻi maʻamau i hoʻopili ʻia i ka neʻe ʻana o ka sperm. ʻO ke kelepona liʻiliʻi, ʻike ʻo spermatozoa i ko lākou mana momona i hoʻololi ʻia, me ka hopena i ka momona o nā kāne. E paʻakikī paha ka wahine i ka hāpai ʻana.

ʻO Asthenospermia, a i ʻole asthenozoospermia, kahi sperm abnormalities i hōʻike ʻia e ka lawa ʻole o ka neʻe sperm. Hiki iā ia ke hoʻololi i ka momona o ke kāne a hoʻemi i ka manawa o ka hāpai ʻana no ka wahine no ka mea inā ʻaʻole lawa ke kelepona, ʻaʻole hiki i ka sperm ke neʻe mai ka ʻōpala i ka paipu e momona i ka oosit.

Hiki ke hoʻokaʻawale ʻia ʻo Asthenospermia a i ʻole pili ʻia me nā hanana ʻanoʻano like ʻole o ka semen. I ka hihia o OATS, a i ʻole oligo-astheno-teratozoospermia, pili ia me ka oligospermia (ka nui o ka sperm ma lalo o nā waiwai maʻamau) a me ka teratozoospermia (kiʻekiʻe loa ka mahele o ka spermatozoa ʻano like ʻole). E ʻoi aku ka hopena o ka momona o ke kanaka.

E like me nā ʻano mea like ʻole o ka semen, hiki i nā kumu o ka oligospermia ke nui:

• maʻi maʻi, fever;
• nele i ka hormonal;
• ke alo o nā anti-sperm antibodies;
• ka hōʻike ʻana i nā mea ʻona (ʻalekohola, paka, nā lāʻau, nā mea haumia, a pēlā aku);
• he kino ʻano ʻē;
• he varicocele;
• hemahema pono kino
• maʻi maʻamau (kidney, ate);
• lapaʻau (chemotherapy, radiotherapy, kekahi mau lāʻau)

ʻAʻohe o Asthenospermia i hōʻailona ma mua o ka paʻakikī e hāpai.

ʻIke ʻia ʻo Asthenospermia e ka spermogram, kahi ʻōnaehana biology o ka sperm i lawe ʻōnaehana ʻia i nā kāne i ka hōʻike infertility o ka wahine. I ka wā o kēia hoʻokolokolo ʻana, loiloi ʻia nā ʻāpana like ʻole o ka sperm, me ka neʻe ʻana o ka sperm. ʻO kēia ka pākēneka o ka sperm hiki ke holomua mai ka ʻōpala i ka paipu e momona i ka oosit. No ka loiloi i kēia parameter, nānā nā biologists, ma kahi kulu o ka semen i hoʻonoho ʻia ma waena o nā pāheʻe ʻelua, ka pākēneka o spermatozoa hiki ke hele wikiwiki i ke kahua o ka microscope i kahi laina pololei. Ke aʻo nei lākou i kēia neʻe i nā helu ʻelua:

• ma waena o 30 mau minuke i hoʻokahi hola ma hope o ka ejaculation no ka mea i kapa ʻia ka neʻe mua;
• ʻekolu mau hola ma hope o ka ejaculation no ka mea i kapa ʻia ka neʻe lua.

Hoʻonohonoho ʻia ka neʻe ʻana o Sperm i nā kaha 4:

• a: neʻe, wikiwiki a holomua holomua;
• b: hoʻemi, lohi a holo iki paha i ka neʻe ʻana;
• c: neʻe i kahi, ʻaʻole holomua;
• d: sperm immobile.

Wahi a nā koina paepae i wehewehe ʻia e ka WHO (1), pono e loaʻa i kahi sperm maʻamau ma kahi o 32% o ka sperm me ka neʻe mua (a + b) a ʻoi aku paha ma mua o 40% me ka neʻe maʻamau (a). Ma lalo o kēia paepae, ʻōlelo mākou no astenospermia.

E hōʻoia i ke kuhi, pono e hana i kahi lua a i ʻole ʻekolu spermogram i 3 mau mahina ka lōʻihi (ʻo ka lōʻihi o ka pōʻaiapuni spermatogenesis ʻo 74 mau lā) e hōʻoia i ke kuhi, no ka mea, he nui nā palena (ka maʻi, ke kuni, ka luhi, ke koʻikoʻi, ka loaʻa ʻana o nā lāʻau make, etc.) hiki ke hoʻohuli i ka spermatogenesis a hoʻololi i ka maikaʻi o ka sperm.

ʻO nā hoʻokolohua ʻē aʻe e hoʻopau i ke kuhi:

• kahi spermocytogram, kahi hoʻokolokolo e pili ana i ke aʻo ʻana i ke ʻano o ka spermatozoa ma lalo o kahi microscope i mea e ʻike ai i nā ʻano morphological abnormalities. I ka hanana o astenospermia i kēia hihia, hiki i kahi abnormality ma ka pae o ka flagellum ke hōʻino i ka neʻe o ka sperm;
• kahi moʻomeheu sperm e ʻike i kahi maʻi o ka semen e hiki ke hoʻopili i ka spermatogenesis;
• kahi hoʻokolohua neʻe-ola (TMS), i loko o ke koho ʻana e centrifugation i ka spermatozoa maikaʻi maikaʻi loa a me ka loiloi i ka pākēneka o spermatozoa hiki ke hoʻoulu i ka oosit.

Aia ka hoʻokele i ke kekelē o astenospermia, nā ʻano spermatic abnormalities e pili ana paha, i ka pae o ka sperm morphology, a me nā hopena o nā hoʻokolohua like ʻole, ke kumu o ka astenospermia (inā loaʻa ia), ka makahiki o ka mea maʻi.

I ka astenospermia mālie a kaulike paha, e hoʻāʻo ʻia paha e hoʻomaikaʻi i ka maikaʻi o ka sperm. ʻO ka hoʻohui Antioxidant i hiki ke hāpai i ka hoʻonui ʻana i ka helu a me ka neʻe o spermatozoa, e ka hoʻēmi ʻana i ke koʻikoʻi oxidative, kahi ʻenemi o spermatozoa. Ua hōʻike nui ʻia kahi noiʻi ʻIlani (2) ʻo ka hoʻohui me ka anti-oxidant coenzyme Q-10 i hoʻomaikaʻi i ka noʻonoʻo a me ka neʻe o spermatozoa.

Ke hiki ʻole ke mālama i ke kumu o astenospermia a i ʻole ke hāʻawi ʻole ʻia o nā hopena i nā hopena, hāʻawi ʻia paha nā ʻenehana ART ʻelua i ka wahine ma muli o ke kūlana.

• i ka hoʻouluulu vitro (IVF);
• i ka hoʻouluulu vitro me ka microinjection (IVF-ICSI).