Nam giới độ tuổi 30-40 đang ở thời kỳ sung mãn và đây cũng chính là thời điểm vàng để kết hôn rồi sinh con đẻ cái. Thế nhưng không ít người ở độ tuổi này lại không được tận hưởng niềm vui làm chồng làm cha vì đối mặt với chứng hiếm muộn, vô sinh do mắc bệnh ở Tuyến tiền liệt mà không chữa trị kịp thời.
Vợ chồng Lan – Hoàng, lấy nhau đã mấy năm mà tin vui chưa có, chạy vạy thuốc thang khắp nơi, người thân thích có hỏi thăm thì Lan đều nói là trời chưa thương nên chưa có con. Nói thế để ông chồng có nghe được cũng đỡ suy nghĩ, chứ thật ra là bác sĩ cũng đã trao đổi với hai người về tình trạng của họ. Khả năng khó có con rất có thể do Hoàng, xét nghiệm tinh dịch đồ cho thấy tinh dịch của anh không bình thường – đây rất có thể là nguyên nhân khiến các chú tinh trùng không “đi được đến nơi về được đến chốn”.
Thời gian trước anh thấy khó chịu vùng bụng dưới, đau buốt khi xuất tinh, hay tiểu đêm. Lúc đó anh Hoàng nghĩ là do áp lực công việc căng thẳng mệt mỏi, nên chỉ nói vợ nấu thêm mấy món tẩm bổ rồi dùng mấy thứ như trà sâm, chè yến…
Cho đến khi những biểu hiện trên ngày càng nhiều và liên tục hơn khiến anh mệt mỏi, sụt cân, anh mới tìm đến phòng khám nam khoa thì được chẩn đoán là Viêm tuyến tiền liệt ở nam giới. Mặc dù đã được điều trị, nhưng giờ tuyến tiền liệt của anh cũng không còn được như xưa (bị teo nhỏ so với lúc đầu).
Theo thống kê cho thấy ngày càng nhiều nam giới mắc các bệnh về tuyến tiền liệt ở độ tuổi dưới 40, kể cả dưới 30 cũng có thanh niên mắc những căn bệnh này. Và khi nam giới mắc các bệnh liên quan đến tuyến tiền liệt mà không phát hiện và chữa trị sớm thì đều có khả năng bị hiếm muộn hoặc vô sinh, như trường hợp của anh Hoàng.
Tuyến tiền liệt là cái tuyến chi mà quan trọng đến vậy?
Đối với chức năng sinh sản của đàn ông thì tuyến tiền liệt là cơ quan sản sinh (60% lượng tinh dịch), nuôi dưỡng và hoàn thiện các chức năng của tinh trùng sau khi tinh binh được sinh ra. Vì vậy, khi tuyến tiền liệt mắc một số bệnh lý (như viêm tuyến tiền liệt chẳng hạn) đều có thể làm ảnh hưởng đến chất lượng dịch tiết ra. Điều này đồng nghĩa với việc tinh dịch để nuôi dưỡng tinh trùng sẽ kém đi cả về chất và lượng. Và khi môi trường tinh dịch không tốt thì tinh trùng cũng khó có thể trưởng thành và tồn tại trong đó được.
Thiếu tinh dịch chất lượng, tinh trùng sẽ không thể bơi lội và có sức chịu đựng để sống sót trong môi trường cơ thể khắc nghiệt. Nhất là khi rời “nhà máy” đi vào trong âm đạo của nữ giới để bắt đầu công đoạn thụ tinh.
Cho nên, nam giới có thể bị hiếm muộn, vô sinh hoặc mất hoàn toàn chức năng sinh sản nếu thiều đi tuyến tiền liệt. Nhất là sau khi uống thuốc hoặc dùng các phương pháp làm teo bỏ, cắt bỏ tuyến tiền liệt để chữa những bệnh phát sinh ở tuyến này. Đối với nam giới mà nói nhu cầu tinh dục, khả năng sinh sản chiếm 2/3 sống của họ, khó mà chấp nhận được nếu bị mất đi những khả năng đó.
Viêm tuyến tiền liệt dễ khiến nam giới bị vô sinh do:
- Làm thay đổi thành phần tinh dịch: Khi tuyến tiền liệt bị viêm, trong tinh dịch thường tồn tại vi khuẩn, tế bào viêm, độc tố vi khuẩn và các chất chuyển hoá chảy vào trong tinh dịch. Vi khuẩn tồn tại và vi khuẩn gây bệnh sẽ tiêu hóa mất một lượng lớn ôxy và chất dinh dưỡng có trong tinh dịch, khiến cho sự hoạt động của tinh dịch bị ảnh hưởng. Từ đó ảnh hưởng đến khả năng sinh sản của nam giới.
- Lượng PH trong tinh dịch bị thay đổi: Thông thường tinh dịch có tính kiềm. Khi bị viêm tuyến tiền liệt, lượng PH tăng lên khiến cho độ kiềm ở tuyến tiền liệt thay đổi không có lợi việc phát triển của tinh trùng.
- Độ nhớt tinh dịch tăng: Khi tuyến tiền liệt bị viêm, hoạt động sản xuất dịch của tuyến tiền liệt giảm hoặc giảm bài tiết, yếu tố đông máu tăng tương đối không có lợi cho sự hoạt động của tinh trùng.
Thêm một nguyên nhân nữa là khi viêm tuyến tiền liệt chuyển sang mãn tính thì để bảo vệ sức khỏe người bệnh, các bác sĩ sẽ sử dụng phương pháp can thiệp ngoại khoa (phẫu thuật thông ống tuyến…). Những phương pháp này ít nhiều tác động đến cơ chế hoạt động bình thường của tuyến tiền liệt hoặc làm mất chức năng sản sinh tinh dịch của tuyến khiến nam giới đối diện nguy cơ hiếm muộn, vô sinh.
Hầu hết nam giới khi mắc các bệnh tại tuyến tiền liệt có nguy cơ vô sinh cao, hoặc gặp những rối loạn về chức năng tình dục. Tuy nhiên, tất cả những bệnh lý về tuyến tiền liệt đều có thể phòng ngừa và điều trị được nếu như phát hiện sớm giúp duy trì khả năng sinh sản của nam giới.
TKS Tiền Liệt Tuyến
Bài viết đã được soạn thảo, kiểm tra và phê duyệt bởi đội ngũ bác sĩ, dược sĩ , giáo sư từ Viện Y Học Bản Địa Việt Nam với đại diện là Bác sĩ Hoàng Sầm – Chủ tịch Viện, phó chủ tịch hội Nam Y Việt Nam.
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