Latest News

CREDIT

သတင္းစံုေပ်ာ္၀င္အိုးၾကီးတြင္ ေဖာ္ျပထားသည့္ သတင္း၊ဓာတ္ပံုမ်ားသည္ သက္ဆိုင္သူမ်ား၏မူပိုင္သာျဖစ္ေၾကာင္း အသိေပးအပ္ပါသည္။

Tuesday, February 19, 2013

အသက္ (၁၈) ႏွစ္ျပည့္မွဖတ္ပါ ေဆးပညာစာမ်ား-Infertility news သားသမီး မရႏိုင္ေသးသူေတြအတြက္ စိတ္မပ်က္နဲ


သားသမီး မရေသးသူ စံုတြဲတိုင္းကို ဇနီးေရာ ခင္ပြန္းကိုပါ ေဆးစစ္ရတယ္။ အမ်ိဳးသမီးအတြက္ စစ္တာက စစ္နည္းေတြ မ်ားတယ္။ ေယာက္်ားကိုေတာ့ တနည္းထဲ စစ္တယ္လို႔ ေျပာႏိုင္တယ္။ သုက္ပိုးစစ္တာပါ။ သုက္ပိုး စစ္ရာမွာေတာ့ အေရအတြက္နဲ႔ အရည္အေသြး ၂ မ်ိဳး စစ္ရတယ္။

အိႏၵိယမွာ လင္မယား ၂ ေယာက္ရွိတယ္။ ကေလးမရေသးလို႔ ကုသမႈခံယူေနၾကတယ္။ ေယာက္်ားျဖစ္သူမွာ သုက္ပိုး အေရအတြက္က နည္းလို႔ ကေလးရႏိုင္စြမ္းမရွိဘူးလို႔ သတ္မွတ္တယ္။ ေနာက္မွာ သူ႔မိန္းမက ကိုယ္ဝန္ေဆာင္ေတာ့ ျပႆနာျဖစ္လာတယ္။ ေမြးလာတဲ့ကေလး ဘယ္သူနဲ႔ရတာလဲေပါ့။ DNA စစ္ေတာ့မွ ကေလးအေဖဟာ သူ႔ေယာက္်ား ျဖစ္ပါတယ္လို႔ သက္ေသ ျပႏိုင္ေတာ့တယ္။

ကေန႔ကာလမွာ ေယာက္်ားေတြရဲ႕ သုက္ပိုးဟာ နည္းနည္းလာတာေတြ႔ရတယ္လို႔ ေဒလီက AIIMS ေဆးရံုၾကီးက ဆရာဝန္ကေန ေျပာပါတယ္။ ဘာလို႔နည္းလာသလဲ စိန္ဖိအားေတြ မ်ားတာ၊ အရက္ေသစာေသာက္စားတာ။ ပတ္ဝန္းက်င္ ညစ္ညမ္းမႈ နဲ႔ လူေနမႈပံုစံေၾကာင့္ျဖစ္ရပါသတဲ့။ လြန္ခဲ့တဲ့ ႏွစ္ ၃ဝ ေလာက္ကဆို သုက္ပိုးေကာင္ေရ ပ်မ္းမွ် သန္း ၆ဝ ရွိရာကေန အခု သန္း ၂ဝ သာရွိလာတယ္ တဲ့။

ဆရာဝန္အမ်ားက သုက္ပိုးအေရအတြက္ သတ္မွတ္ခ်က္ကို ၁ စီစီ ထဲမွာ သန္း ၂ဝ ရွိမွာသာ ေကာင္းတယ္လို႔ ျဖစ္ပါတယ္။ ဒါေပမဲ့ အခု WHO ကေန ၁၅ သန္းဆို လံုေလာက္ပါတယ္လို႔ ျဖစ္လာျပီ။ အရည္အေသြးအတြက္မွာလဲ ပံုမွန္ သုက္ပိုးကို အရင္က ၁၄% သတ္မွတ္ထားရာကေန အခု ပံုမွန္သုက္ပိုး ၄% ရွိရင္ေတာင္မွ ကေလးရႏိုင္ပါတယ္ လို႔ျဖစ္လာပါတယ္။

ေဒလီမွာရွိတဲ့ ဆာဂင္းဂါရမ္ ေဆးရံုၾကီးက ဒီနယ္ပယ္က အထူးကု ဆရာဝန္ကေနေျပာတာက ကေလးမရေသးလို႔ လာျပတဲ့ အတြဲေတြထဲက ၂ဝ-၃ဝ% ဟာ သဘာဝနည္းနဲ႔ ကေလးရသြားၾကတယ္ တဲ့။

ေဒါက္တာတင့္ေဆြ
၁၃-၂-၂ဝ၁၃

Low sperm count? Don’t take it too hard
By Durgesh Nandan Jha, TNN | Feb 13, 2013, 05.26 AM IST
Thousands of Indian males have been incorrectly diagnosed as ‘unable to reproduce’ because of incorrect diagnosis of their sperm count and quality.

NEW DELHI: The world seemed to have come crashing down for Shekhar Maharaj (name changed) when his wife told him about her pregnancy two years ago. Maharaj, who had been termed infertile after a semen test, suspected his wife's fidelity. Finally, a DNA test had to be done on the baby to convince Maharaj that the child was indeed his own.

Like Maharaj, thousands of Indian males have been incorrectly diagnosed as 'unable to reproduce' because of incorrect diagnosis of their sperm count and quality. Experts say misdiagnosis is one of the reasons why increasing number of couples are opting for in-vitro fertilization procedures instead of trying for natural conception.

For instance, the World Health Organization says a man with a semen count of 15 million and more can reproduce. In India, however, some diagnostic labs still consider 20 million as the lower cutoff for infertility.

To tackle this problem, the WHO has begun conducting workshops in different Indian cities, where embryologists are given short-term training on the latest guidelines about minimum sperm count required for reproduction and the scales of measurement for the quality of male reproductive cells.

"WHO's latest guideline on semen analysis is more evidence-based and reflects the fertility potential of males more accurately. These clearly show that minimum sperm concentration required for reproduction is 15 million sperm per ml," said WHO expert Daniel Franken in Delhi on Tuesday.

Similarly, Dr Franken said, the new guidelines have defined the quality of sperm in more absolute terms. "But lab reports continue to follow impression-based analysis which is subjective and not accurate," he added.

The WHO expert said semen analysis is the basis of evaluation and management of the infertile couple and is often the only investigation done for the male partner. It often determines the course and nature of treatment.

According to Gaurav Mazumdar chief embryologist at Sir Ganga Ram hospital, 20%-30% of patients coming to the centre with a negative semen analysis report end up conceiving naturally.

"Many patients come heartbroken thinking they can never have their own child or seek IVF. But when further analysis is conducted, the sperm count and other parameters are found to good enough for reproduction," he said.

Dr Suneeta Mittal, former lead of AIIMS IVF centre, said that sperm counts are generally lower among men these days due to stress, exposure to environmental pollutants, alcohol abuse and other lifestyle problems. But that doesn't mean everyone requires an IVF procedure to get a child, she added.

Research shows there has been a fall in the average sperm count of the Indian male, from 60 million per ml to 20 million, over the last three decades. Also, the number of normal cells in a person has reduced by more than one-third.

"New guidelines show one can reproduce even if 4% of sperm cells are normal," Mazumdar said. 


No comments:

Post a Comment