Tinh trùng yếu vẫn có thai!

Tinh trùng yếu luôn là nỗi lo âu của các đấng mày râu. Nỗi lo lắng thường bắt đầu khi tự bản thân các bạn cảm thấy tinh dịch của mình loãng hay đặc hơn bình thường, rối loạn cương dương hoặc sau khi kết hôn mãi mà không thấy vợ có thai được dù rất cố gắng. 

Việc thăm khám và nhận được chẩn đoán tinh trùng yếu luôn là “nỗi đau” vì động chạm đến lòng tự ái của các quý ông vì thế nên ít ai có ý định tự đi thăm khám mà cần sự động viên của người vợ. 

Với tình trạng hiếm muộn ngày càng gia tăng trong đó nguyên nhân do đàn ông ngang ngửa với phụ nữ nên trách nhiệm của người đàn ông trong điều trị hiếm muộn luôn ưu tiên hàng đầu vì việc kiểm tra tinh dịch đồ vô cùng đơn giản, rẻ tiền, ít tốn thời gian so với kiểm tra khả năng sinh sản của phụ nữ. 

Vậy nên dù bạn không có dấu hiệu tinh trùng yếu đi chăng nữa bạn cũng nên làm tinh dịch đồ nếu sau 1 năm kết hôn không sử dụng bất cứ biện pháp ngừa thai nào mà hai bạn không thể có con, tất cả vì người vợ thân yêu của bạn. 

TINH TRÙNG YẾU LÀ NHƯ THẾ NÀO?

Các bác sỹ thường dựa vào 3 yêu sau để đánh giá tinh trùng yếu:

  1. Số lượng tinh trùng thấp trong một mẫu tinh dịch 
  2. Độ di động của tinh trùng kém hoặc không di động 
  3. Kích cỡ và hình dáng tinh trùng bất thường 

Các bạn xem thêm một số gợi ý tinh trùng yếu tại đây nhé

tinh dich loang
Nguồn Vimeco

Bảng tiêu chuẩn tinh dịch đồ bình thường của tổ chức y tế thế giới 2010

Thể tích tinh dịch>= 1.5 ml 
pH>= 7.2
Bạch cầu <  1 triệu bạch cầu / ml 
Độ di động của tinh trùng >= 40% tinh trùng di động / 60 phút
kể từ khi xuất tinh
Khả năng sống tinh trùng>= 58% tiêu chuẩn thông thường
Nồng độ tinh trùng  >= 15 triệu tinh trùng / ml 

VÌ SAO TINH TRÙNG YẾU? 

Có rất nhiêu nguyên nhân dẫn đến tinh trùng yếu và được chia thành 3 nhóm nguyên nhân chính:

Nguyên nhân từ môi trường: 

  • Hóa chất công nghiệp: benzene, toluene, xylene, thuốc diệt cỏ, thuốc trừ sâu, dung môi hữu cơ, sơn và chì có thể làm cho số lượng tinh trùng thấp. 
  • Tiếp xúc kim loại nặng như thủy ngân, chì… 
  • Phóng xạ: mất nhiều năm để tinh trùng có thể sản xuất lại bình thường nhưng đối với những trường hợp tiếp xúc tia xạ liều cao thì sự sản xuất tinh trùng có thể giảm vĩnh viễn 
  • Nhiệt độ cao đối với tinh hoàn: tuy chưa có nhiều bằng chứng và kết luận nhưng việc sử dụng nhiều xông hơi và bồn tắm nước nóng có thể làm suy yếu tạm thời số lượng tinh trùng. Ngồi quá lâu, mặc quần quá chật hoặc để laptop trên đùi duỗi thẳng một thời gian dài có thể làm tăng nhiệt độ vùng bìu và giảm nhẹ sự sản xuất tinh trùng. 

Nguyên nhân Sức khỏe – lối sống …

  • Chất gây nghiện: steroid đồng hóa, cocaine, cần sa 
  • Uống rượu: làm giảm nồng độ testosterone từ đó gây giảm sản xuất tinh trùng 
  • Nghề nghiệp: thợ hàn, những nghề ngồi lâu như lái xe tải… 
  • Hút thuốc: những người hút thuốc có số lượng tinh trùng thấp hơn những người không hút thuốc 
  • Stress cảm xúc: stress cảm xúc kéo dài và nặng bao gồm cả stress vì hiếm muộn liên quan đến những hormone cần để sản xuất tinh trùng 
  • Trầm cảm: làm giảm nồng độ tinh trùng 
  • Cân nặng: béo phì làm giảm khả năng thụ thai theo nhiều cách bao gồm ảnh hưởng trực tiếp đến tinh trùng hoặc làm thay đổi hormone gây giảm khả năng sinh sản nam. 

Nguyên nhân y khoa: 

  • Dãn tĩnh mạch thừng tinh: dãn tĩnh mạch dẫn đến tinh hoàn, là nguyên nhân phổ biến nhất dẫn đến vô sinh nam. Mặc dù nguyên nhân chính xác của dãn tĩnh mạch thừng tinh chưa được rõ nhưng nó có liên quan đến sự điều hòa nhiệt độ của tinh hoàn bất thường.  
  • Nhiễm trùng: bao gồm viêm mào tinh hay tinh hoàn, nguyên nhân có thể do quai bị, lậu, chlamydia, HIV… gây sẹo làm tắc nghẽn đường đi của tinh trùng. Một vài loại viêm nhiễm có thể gây tàn phá vĩnh viễn tinh hoàn nhưng tinh trùng thường có thể được phục hồi. 
  • Xuất tinh ngược dòng: xảy ra khi tinh dịch đi vào trong bàng quang trong suốt quá trình cực khoái thay vì đi qua lỗ đầu dương vật, thường gặp trong các bệnh lý như: đái tháo đường, chấn thương tủy sống, phẫu thuật bàng quang, tuyến tiền liệt hay niệu đạo, thuốc chẹn beta trong điều trị huyết áp. 
  • Kháng thể kháng tinh trùng: là những tế bào của hệ miễn dịch bị lỗi nên phát hiện tinh trùng như kẻ xâm nhập gây hại và ra sức tiêu diệt nó. 
  • Khối u: u lành hay u ác đều có khả năng ảnh hưởng trực tiếp đến cơ quan sinh sản như u tuyến yên. Phẫu thuật, hóa trị, xạ trị để điều trị u đều có thể ảnh hưởng đến vô sinh nam. 
  • Mất cân bằng hormone: vùng hạ đồi, tuyến yên, tinh hoàn sản xuất những hormone cần thiết để tạo tinh trùng. Sự thay đổi những hormone này cũng như tuyến giáp hay tuyến thượng thận có khả năng làm suy yếu sự sản xuất tinh trùng. 
  • Khiếm khuyết ống dẫn và vận chuyển tinh trùng: có nhiều ống khác nhau vận chuyển tinh trùng và chúng có thể bị tắc nghẽn do nhiều nguyên nhân khác nhau bao gồm chấn thương vô ý do phẫu thuật, nhiễm trùng trước đó, chấn thương hay sự phát triển bất thường như xơ nang hoặc những tình trạng di truyền tương tự. 
  • Bất thường nhiễm sắc thể: hội chứng Klinefelter, hội chứng Kallmann, hội chứng Kartagener. 
  • Bệnh Celiac: rối loạn tiêu hóa gây ra bởi nhạy cảm với gluten có thể gây vô sinh nam và có thể được cải thiện với chế độ ăn không gluten. 
  • Một số loại thuốc: liệu pháp thay thế testosterone, sử dụng steroid đồng hóa dài hạn, hóa liệu pháp điều trị ung thư, một số thuốc kháng nấm và kháng sinh nhất định… có thể làm suy yếu tinh trùng. 
  • Phẫu thuật trước đó: thắt ống dẫn tinh, sửa thoát vị bẹn, phẫu thuật tinh hoàn hoặc bìu, tuyến tiền liệt, phẫu thuật ung thư tinh hoàn hoặc trực tràng. 

TINH TRÙNG YẾU PHẢI LÀM SAO?

Nếu sau khi xét nghiệm tinh dịch đồ và bạn nhận được kết quả tinh trùng yếu, các bạn nên làm nhưng hướng dẫn sau:

  • Phẫu thuật: nếu lý do gây tinh trùng yếu là do dãn thừng tinh hay thoát vị bẹn thì bạn nên phẫu thuật để chỉnh sửa. 
  • Điều trị nhiễm trùng đường sinh sản nếu thăm khám nghi ngờ có viêm nhiễm sinh dục nam 
  • Điều trị những vấn đề trong quá trình quan hệ tình dục: sử dụng thuốc điều trị rối loạn cương dương hoặc xuất tinh sớm. 
  • Điều trị hormone và thuốc: nếu tinh trùng yếu gây ra do nguyên nhân tăng hoặc giảm hormone liên quan sinh dục. 
  • Kỹ thuật hỗ trợ sinh sản (ART): lấy tinh trùng từ lần xuất tinh bình thường, chọc hút hay từ người hiến tặng tùy vào tình huống đặc biệt và nguyện vọng của mỗi người. Tinh trùng sau đó sẽ được đưa vào đường sinh dục nữ hoặc sử dụng thụ tinh trong ống nghiệm hay tiêm tinh trùng vào bào tương noãn. 

TINH TRÙNG YẾU CÓ THỤ THAI ĐƯỢC KHÔNG?

Nếu nguyên nhân tinh trùng yếu của bạn đến từ dinh dưỡng và lối sống thì nhiều khả năng vẫn có thai tự nhiên được, bằng mẹo nhỏ như sau:

  • Quan hệ mỗi ngày hoặc cách ngày ít nhất trong vòng 4 ngày trước khi người phụ nữ rụng trứng. 
  • Tránh chất bôi trơn: những sản phẩm như Astroglide, K-Y gel, dưỡng ẩm và nước bọt có thể làm suy yếu sự di động và chức năng của tinh trùng. 

TINH TRÙNG YẾU NÊN UỐNG THUỐC GÌ?

Các bạn có thể bổ sung chất cải thiện số lượng và chất lượng tinh trùng như sau:

  • Thì là đen
  • Coenzyme Q10
  • Folic acid
  • Hạt dẻ ngựa
  • L-carnitine
  • Nhân sâm
  • Kẽm. 

Nhắc mấy chị em nè 🙂 thay vì suốt ngày phàn nàn chồng tinh trùng yếu phải làm sao? Hãy cố gắng loại bỏ những yếu tố nguy cơ từ phía gia đình, hạn chế stress cho người chồng, giúp chồng tăng cường dinh dưỡng, tập luyện, nếu có bệnh lý thì hỗ trợ chồng điều trị hết sức có thể.

Nếu thụ thai được thì đừng lo lắng tinh trùng yếu có ảnh hưởng đến thai nhi hay không vì bản thân chiến binh tinh trùng xuất sắc mới có thể thụ thai được với trứng, dị tật nhiễm sắc thể có thể gây sẩy thai sớm, thai ngưng phát triển sớm, quái thai sẽ được kiểm tra phát hiện sớm bằng xét nghiệm máu và siêu âm, chọc ối.  

>>Xem thêm các bài viết hiếm muộn tại đây<<

Mình biết các bạn vẫn còn nhiều thắc mắc, tuy nhiên mình không thể giải đáp hết trong một bài viết được. Các bạn có thể để lại câu hỏi của mình ở comment bên dưới hoặc chát trực tiếp với Tuyet để hiểu rõ thêm nhé 🙂

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