Kwanan nan, an mayar da hankali sosai ga namiji rashin haihuwa. Bayan da aka gudanar da bincike da dama sai ya bayyana a fili cewa dalilin hakan shine antisperm antibodies, wanda aka kafa a cikin maza a cikin kwayoyin da kuma appendages. Amma wani sakamako na spermogram bai isa ya bayyana ainihin rashin haihuwa ba. Saboda haka, don tabbatar da cikakkiyar ganewar asali, likitoci sun bada shawarar ga wani bincike na mutumwa - gwajin MAR ("agglutination dauki", wanda shine ma'anar "haɗuwa mai haɗuwa").
Antigens a cikin wannan yanayin su ne membranes a cikin spermatozoa. Idan ba za su iya jimre wa kwayoyin cutar antisperm ba, to sai spermatozoon ya rufe shi da wani maganin antispermic wanda ya hana motsi.
Jirgin MAR ya sa ya yiwu a gano wadannan kwayoyin cutar ko tabbatar da rashin su.
Kullum nazarin zane ba ya yarda ya bayyana wannan yanayin, tun a cikin wannan bincike, spermatozoon, lalacewa ta hanyar antisperm antibodies, ya dubi al'ada. Amma a lokaci guda, ba zai iya takin kwai ba kuma a gaskiya shi ne m. Jirgin MAR ya sa ya yiwu a ƙayyade rabo daga spermatozoa lalacewa ta hanyar kwayoyin cuta, zuwa yawan adadin da aka fitar a cikin ejaculate. Kuma kawai shi zai iya nuna ainihin adadin mai kula da lafiyar jiki wanda ke iya shiga cikin haɗuwa. Idan sakamakon gwajin MAR ba daidai ba ce, wanda ke nufin adadin haɓaka da kwayoyin cuta, to, wasu mawuyacin rashin haihuwa a cikin maza suna nema.
Dalilin bayyanar maganin antisperm a jikin namiji
A gaskiya ma, dalilan da yasa jikin mutum ya fara yaki da jikinsa na jiki shine kaɗan:
- karɓar raunuka na kwayoyin halitta (ciki har da ayyukan haɗari);
- cin zarafin shamaki tsakanin tasoshin jini da kuma canal na tarbiyya;
- gaban kamuwa da cuta;
- urogenital tsarin cuta;
- akwai wasu dalilai na asali;
- Jima'i na haɗuwa da lalata (yawancin sunadarin sunadarin sunadarai sun sani).
Indicators don manufar gwajin MAR
An gwada gwajin don ƙayyadewa ko babu antisperm antibodies idan aka gano a cikin jerin kwayoyin irin wannan cututtuka na spermatozoa kamar yadda:
- agglutination;
- tarayya;
- rage motsi;
- rashin jinkirin yin ciki a cikin ma'aurata;
- shiri na IVF da ICSI .
Idan likita ya nada wannan bincike, zai fi kyau a dauki gwajin MAR a cikin dakin gwaje-gwajen kimiyya na zamani, saboda ana amfani da kayan aiki mafi mahimmanci wajen sarrafa kayan don nazari, wanda zai rinjayar da daidaitattun bincike mai tsabta.
Jirgin MAR-gwajin maganin cutar antisperm ya nuna cewa ganewarsu ba wai kawai a binciken kwayar cutar ba, amma har a cikin nazarin kwayoyin. Yankewa na gwajin MAR:
- Kwancen gwaji na MAR-lokacin da sakamakon binciken bai bayyana cutar da cutar ta hanyar antisperm ba.
- Binciken MAR-negative yana nufin cewa yawan lalacewar spermatozoa bai wuce 50% ba. Wannan alama za a iya la'akari da al'ada.
- Matsalar MAR ta tabbatacce, an dauke shi lokacin da bincike ya nuna cewa adadin spermatozoa a cikin harsashin antispermic ya fi 50%. Wannan alamar yana nuna yiwuwar rashin haihuwa marar haihuwa.
Idan gwajin MAR ya nuna kyakkyawan sakamako na 100%, to, haɗakar jiki daga mutumin da aka yi binciken ya kusan ba zai yiwu ba. A wannan yanayin, likitoci suna amfani da hanyar amfani ta hanyar IVF da ICSI.