ʻO Teratospermia (a i ʻole teratozoospermia) kahi maʻi kīnā ʻole spermatozoa me nā hemahema morphological. Ma ke ʻano he hopena o kēia mau deformities, ua hōʻino ʻia ka mana momona o ka sperm, a he paʻakikī paha ka hāpai ʻana o ka wahine.

ʻO Teratospermia kahi maʻi kīnā ʻole sperm me nā hemahema morphologic. Hiki i kēia mau abnormalities ke hoʻololi i nā ʻāpana like ʻole o ka sperm:

• ke poʻo, nona ka nukelea e hāpai ana i nā chromosome 23 makua;
• ʻo ka acrosome, kahi membrane liʻiliʻi i mua o ke poʻo, i ka manawa o ka momona, e hoʻokuʻu i nā enzymes e ʻae i ka sperm e hele i ka wahi pellucid o ka oosit;
• ka flagellum, kēia "huelo" e ʻae iā ia e lawe lima a no laila e neʻe aʻe mai ka ʻōpala i ka pūpū a laila nā paipu, no kahi hiki ke hālāwai me ka oocyte;
• ka mahele waena ma waena o ka flagellum a me ke poʻo.

ʻO ka pinepine, he polymorphic nā anomalies: hiki iā lākou ke nui, i ka nui a i ʻole ʻano, hoʻopili i ke poʻo a me ka flagellum, ʻokoʻa mai kahi sperm a i kekahi. Hiki iā ia ke globozoospermia (ka nele o acrosome), ka pāpālua flagellum a i ʻole poʻo poʻo ʻelua, flagellum ʻōwili ʻia, etc.

Loaʻa ka hopena o kēia mau anomalies āpau i ka mana momona o ka sperm, a no laila i ka momona o ke kāne. E ʻoi aku paha ka liʻiliʻi o ka hopena ma muli o ka pākēneka o ka sperm maʻamau i koe. Hiki i ke Teratospermia ke hoʻēmi i nā manawa o ka hapai ʻana, a hiki i ka infertility kāne inā koʻikoʻi ia.

ʻO ka manawa pinepine, pili ka teratospermia me nā hanana spermatic ʻē aʻe: oligospermia (lawa ʻole o spermatozoa-, astenospermia (kīnā ʻole i ka neʻe ʻana o ka sperm.

E like me nā abnormalities o ka sperm, hiki i nā kumu ke hormonal, infectious, ʻawahia, a lāʻau paha. ʻO ka morphology o spermatozoa ka mea ʻoiaʻiʻo ka palena mua e hoʻololi ʻia e kahi mea kūwaho (ʻike ʻia i nā toxins, maʻi, a pēlā aku.). Manaʻo ka nui a ʻoi aku ka nui o nā loea i ka lewa a me ka haumia o ka meaʻai (ma o nā pesticides ponoʻī) kahi hopena pololei i ka morphology o spermatozoa.

Akā i kekahi manawa, ʻaʻohe kumu i loaʻa.

ʻO ka hōʻailona nui o ka teratospermia ka paʻakikī e hāpai. ʻO kaʻoiaʻiʻo o ke ʻano o ka sperm he mea maʻamau ʻole e hoʻopili i ka hanana o nā malformations i ke keiki i hānau ʻole ʻia, akā ʻo nā manawa wale nō o ka hāpai keiki.

ʻIke ʻia ʻo Teratospermia e hoʻohana ana i kahi spermogram, kekahi o nā hoʻokolohua mua i ʻōnaehana ʻia i nā kāne i ka wā o ka loiloi infertility. ʻAe i kahi loiloi kūpono a me ka nui o ka sperm mahalo i ke kālailai ʻana i nā palena biology like ʻole:

• ka nui o ka ejaculate;
• ka pH;
• hoʻoliʻiliʻi sperm;
• hoʻoneʻe sperm;
• sperm morphology;
• ola sperm.

ʻO ka ʻāpana e pili ana i ka morphology sperm ka lōʻihi loa a paʻakikī o ka spermogram. I kahi hoʻokolohua i kapa ʻia he spermocytogram, 200 sperm i hoʻopaʻa paʻa ʻia a hoʻohaumia ʻia i nā slide smear. A laila e hoʻopaʻa ka biologist i nā ʻāpana like ʻole o ka sperm ma lalo o kahi microscope i mea e loiloi ai ka pākēneka o ka sperm morphologically maʻamau.

Lawe pū ʻia ke ʻano o nā pono ʻole morphological e koho i ka hopena o ka teratospermia i ka momona. Aia kekahi mau ʻano hoʻohālikelike:

• ka hoʻoliʻiliʻi David i hoʻololi ʻia e Auger a me Eustache, hoʻohana mau ʻia e kekahi mau keʻena hoʻokolohua Palani;
• ka hoʻolaha Kruger, ka WHO international classification, ka mea i hoʻohana ākea ākea ʻia ma ka honua. Lawe ʻia me ka hoʻohana ʻana i kahi mīkini aunoa, hoʻohālikelike ʻia kēia hoʻohālikelike ʻoi loa "koʻikoʻi" i spermatozoa atypical i kekahi spermatozoon e heʻe ana, ʻoi aku ka liʻiliʻi loa, mai ke ʻano i manaʻo ʻia he maʻamau.

Inā ʻo ka mahele o ka sperm i hana pono ʻia ma lalo o 4% e like me ka hoʻohālikelike ʻana o WHO, a i ʻole 15% e like me ka hoʻoponopono David hoʻololi ʻia, manaʻo ʻia ʻo teratospermia. Akā no kēlā me kēia abnormalities spermatic, e lawe ʻia ka lua a i ʻole ke kolu o ka spermogram 3 mau mahina ke kaʻawale (ʻo ka lōʻihi o kahi pōʻai spermatogenesis ʻo 74 mau lā) i mea e paʻa ai kahi hōʻailona, ​​ʻoiai he mau kumu like ʻole i hiki ke hoʻohuli i ka sperm morphology ( ka manawa abstinence lōʻihi, lawe ʻana i ka cannabis, kau wela, a pēlā aku.).

Hoʻopau maʻamau kahi hōʻike neʻe-ola (TMS) i ka hōʻailona. Hiki iā ia ke loiloi i ka helu o spermatozoa hiki ke hoʻopau i ka kōpū a hiki ke hoʻoulu i ka oosit.

Hoʻopili pinepine ʻia kahi moʻomeheu sperm me ka spermogram i mea e ʻike ai i kahi maʻi i hiki ke hoʻololi i ka spermatogenesis a alakaʻi i nā kīnā o ka sperm.

Inā loaʻa kahi maʻi i ka wā o ka moʻomeheu sperm, e kuhikuhi ʻia ka lāʻau antibiotic. Inā hōʻike ʻia i kekahi mau lāʻau make (ka paka, nā lāʻau, ka waiʻona, ka lāʻau) i manaʻo ʻia ʻo ia ke kumu o ka teratospermia, ʻo ka hoʻopau ʻia ʻana o nā toxins ka hana mua ma ka hoʻokele.

Akā i kekahi manawa ʻaʻole loaʻa kahi kumu a hāʻawi ʻia ka hoʻohana ʻana o ART i ka wahine. ʻO ka pākēneka o ka spermatozoon o ke ʻano maʻamau he hōʻailona maikaʻi ia o ka hiki pono o ka spermatozoon, he kumumanaʻo ia o ka hoʻoholo, me ka hoʻāʻo ʻana i ka neʻe ʻana o ka neʻe ʻana, i ke koho ʻana o ka ʻenehana o ART: intra- insemination. uterine (IUI), in vitro fertilization (IVF) a i ʻole vitro fertilization me ka intracytoplasmic injection (IVF-ICSI).