Wahi a nā helu helu, hele pinepine nā wahine i ka maʻi maʻi i nā manawa pinepine pinepine. Akā ʻo nā mea nui loa, hōʻike ʻia kēia maʻi i nā kāne. Hiki iā ia ke hōʻemi i ka uluʻana e 80% a alakaʻi i ka infertility piha!
Ua nīnau mākou i ke kauka o ka urologist-andrologist ʻo Maxim Alekseevich Kolyazin e kamaʻilio e pili ana i ka hui pū ʻana o ka papahana IVF me ka maʻi diabetes.
ʻO Maxim Alekseevich Kolyazin, ʻo ka mea kākau ʻoihana iā urologist
He lālā o RARCH (Russian Human Reproduction Association)
Ua puka 'o ia mai Smolensk State Medical Academy me kahi degere ma General Medicine. ʻO ka noho ma ka "Urologist" kūikawā ma ke Keʻena ʻo Urology, SSMA.
Mai ka makahiki 2017 - ke kauka o ke haukapila "Center IVF"
Hōʻike pinepine ʻia nā kauka. Hoʻopili ʻana i kahi mea komo ma ka papahana hoʻonaʻauao "Ma waho aʻe o ke olakino ED" ʻO Glaxosmithkline, kahi kula interdisciplinary School of Reproductive Health ma ke Keʻena o ke ola olakino o ka Russian Federation.
ʻAʻole maʻalahi ka poʻe i ka nānā ʻole i nā hōʻailona mua o ka maʻi maʻi. He maʻamau lākou i nā kāne a me nā wahine: mau ka makewai mau ka hoʻomaʻemaʻe pinepine ʻana, ʻike maka, lōʻihi lōʻihi nā hōʻeha. Eia kekahi mau mea kikoʻī, no ka laʻana ka mumū o ka ʻōwili. Ma ke ʻano he kānāwai, e hele nā kāne i ke kauka hope loa, ke ʻeli loa ʻole ʻia ka maʻi.
Ua wehewehe koʻu hoa aloha i ke ʻano o ka maʻi diabetes type 1 a me ke ʻano 2 me ka polokalamu IVF i kāna mau maʻi. A e hoʻomaopopo au inā ʻoi loa ka maʻi o kēia maʻi i nā wāhine, ua loaʻa ka hopena nui loa i ke olakino kāne, inā ʻaʻole ʻoe e ʻoluʻolu.
- Hiki i kahi hopena maʻamau ke hoʻonāukiuki i ka huhū.
- Ma muli o ke kaupaona momona, hoʻemi ʻia ka testosterone. He hopena maikaʻi ʻole kona hemahema i ka hana o ka hānai no ka kāne, no ka mea, ʻo ia ka hāmona e pono ai nā kaʻai ʻana o ka sperm.
- ʻO nā kāne me ka maʻi decompensated e loaʻa pinepine i ka nephropathy (hoʻopōʻino i ka pilikia a me nā pilikia me ka urination). ʻO kēia e alakaʻi i ka hoʻopaʻi ʻana o ka urethra, ʻaʻohe hiki i ke kanaka ke lawe mai i ka hua. E hiki mai paha nā ejaculation kūlohelohe - i ka wā i komo ai ka semen i ka lāla.
- ʻO ka hoʻoweliweli koʻikoʻi i ka hānai i ka maʻi neuropathy maʻi, me ka manaʻo o ka "puhi" i nā wāwae, ke kuʻi ʻana i ka hopena, ʻeha ma nā wāwae; hoʻoweliweli ka kēia maʻi i ka potency ma muli o ka komo ʻole o ke koko i nā kino cavernous (ua hoʻopiʻi nui ʻia kēia hoʻonāukiuki i ka maʻi diabetes 2).
- Hoemi ʻia ka maikaʻi Sperm (ʻo ka hoʻopiʻi weliweli loa, a ma lalo aʻe e kamaʻilio au e pili ana i ka kikoʻī).
Hiki i kekahi kanaka ke pilikia me ka fragmentation DNA sperm. Hele nō kēia ma ka lua a me ke ʻano nō ka maʻi maʻi mua. ʻO ka pilikia me ka fragmentation DNA, nui ka hopena o ka ʻōpū o ka embryo e kāpae nei i ka hoʻomohala a i ʻole ka pau ʻana o ka wahine hāpai.
Ua manaʻo pinepine nā wahine, ʻo ka pilikia o ka hānai ʻana i loko o lākou, a ua kau lākou i ka paepae o nā kauka. Ua haki nā poʻe Gynecologists, ʻaʻole hiki ke hoʻokū i ke kumu ʻoiaʻiʻo ... Akā ka mea āpau i loko o ke kāne. Inā mākou e lawe i nā maʻi āpau o ka IVF Center, a laila ma kahi o 40% o ka hāpai ʻana ʻaʻole e kū mai ma muli o ke kumu kāne.
Ma 15% o kēlā mau hihia, ua maʻi nā maʻi ma ka maʻi maʻi. No laila, makemake nui wau i nā kāne e hele pū i ka hoʻonohonoho ʻōpiopio. Hoʻomaopopo mua ʻia nā maʻi maʻamau me ka hoʻomaka ʻana a mālama ʻole ʻia ka maʻi maʻi. Hoʻopilikia ka pae kiʻekiʻe o ka glucose i ka spermatogenesis a me ka DNA sperm.
He pono wau e wehewehe i kēlā me kēia maʻi e maʻi ko lākou pilikia i ka hoʻolālā ʻana o kāna wahine. He ʻumi o kēlā mau māmala, 5 (!) E pau ana i kahi keiki hānai. I nā kūlana holomua - 8 (!!!).
ʻO kekahi manawa me ka maʻi diabetes type 2, ʻōlelo aku nā kauka i ka cryopreservation o sperm, ʻoiai he maʻi holomua kēia a ʻo ka maikaʻi o ka sperm akā hoʻonui wale i ka wā. Eia naʻe, inā mālama ke kanaka i kona olakino a lawe i nā lāʻau lapaʻau e pono ai i ka manawa, a laila ʻaʻole pono nā pilikia. No nā kāne me ka maʻi maʻi, ma mua o ka hoʻomaka ʻana i ka hoʻolālā no ka hāpai ʻana i kahi kāne, manaʻo ikaika wau e ʻimi aku i kahi kauka.
I ka hoʻolālā ʻana i ke keiki no kahi kāne e maʻi ana i ka maʻi maʻi, pono ʻoe e hele i kahi endocrinologist no kahi hoʻohālikelike ʻana, a ma kāna kauoha, e kipa aku i kahi andrologist. Pono e ʻike ʻia ka wahine e pili ana i ke olakino o ka kāne. Ua hoʻokaʻawale ʻia kahi kanaka me ka maʻi pākahi.
I kēlā mau hanana, e hana pinepine ʻia ka IVF + PIXI. Me kēia ala, kau ʻia ka spermatozoa i kahi koho hou, kahi i kau ʻia ma luna o nā ʻano kino physiological o ke kāne hānau. ʻO ka spermatozoa pono loa e hāpai i ka DNA kūloko a he nui nā pono no ke kūleʻa ʻana i koho ʻia. ʻO ka hāpai ʻana o ka hoʻohana ʻana i kēia ala ka mea i ka 40% o nā maʻi - he ʻoi aku kēia ma mua o ka ICSI (approx. Ed: me ICSI, sperm koho ʻia ma lalo o kahi microscope. Me PICSI pū kekahi, akā, i kēia hana, kahi hana hou no ka loiloi i ka maikaʻi ʻo ka hoʻōla o ka sperm i ka acid hyaluronic. ʻO ke olakino iā ia "lāʻau".
Ma ke ala, aia kahi predisposition genetic i ka maʻi diabetes, no laila pono nā keiki o kēlā kāne e hoʻomaka i ka pale ʻana i ka hiki. Ma ke noi, hiki i nā hui o nā genetics ke ʻike i ka hiki ʻana o ka maʻi diabetes i ka embryo e hoʻohana ana i ka PGD (preimplantation genetic diagnosis).
