Tāpiri Iti O Te Purapura

Ko te iti o te maha o ngā purapura e whakaatu ana i te iti o te maha o ngā purapura i roto i te wai e kiia nei ko te purapura, e tukuna ana e te titi i te wa e taane ana.

Ka kiia hoki te iti o te maha o ngā purapura ko te oligospermia (ol-ih-go-SPUR-me-uh). Ko te kore rawa o ngā purapura ka kiia ko te azoospermia (ay-zoh-uh-SPUR-me-uh). Ka whakaarohia he iti ake i te noa te maha o ō purapura ki te iti iho i te 15 miriona purapura ia milirita o te purapura.

Ma te iti o te maha o ngā purapura ka iti ake te tūpono ka hono tahi tētahi o ō purapura ki te hua o tō hoa rangatira hei tīmatanga i te haputanga. Ki te hiahiatia, he rongoā kei reira hei awhina i ngā tokorua kia piki ake ō rātou tūpono ki te hapu.

Ko te tohu matua o te iti o te maha o ngā purapura ko te kore e taea te tīmata i te haputanga. Ka taea pea te kore o ētahi atu tohu mārama. I ētahi tāngata, he āhuatanga hauora kei raro i te āhua e pā ana ki te iti o te maha o ngā purapura me ētahi atu tohu. Hei whakawhirinaki ki te āhuatanga, ko ēnei atu tohu ka uru atu ki: Te raruraru ki te mahi taane – hei tauira, he iti te hiahia taane mō ētahi tāngata. Kei ētahi atu he raruraru ki te whiwhi, ki te pupuri rānei i te whakaara e kaha ana mō te moe, e kiia ana hoki ko te ngoikore o te whakaara. Te mamae, te pupū, te pūngāwerewere rānei i te wāhi o te pūkahukahu. Te iti o te huruhuru kanohi, o te tinana rānei, tetahi atu tohu rānei o te āhuatanga o te karōme, o te homoni rānei. Tirohia tetahi kaimahi hauora mena kaore kōrua ko tō hoa i taea te hapu i muri i te tau o te moe noa kaore e whakamahi i te whakahaere whānau. Koinei te huarahi e whakamāramatia ai te āhuatanga e kiia nei ko te kore e taea te whānau. Haere ki te tirotiro hauora i mua atu ki te mea kei a koe tētahi o ēnei: Ngā āwangawanga whakaara, ejaculation rānei, te iti o te hiahia taane, ētahi atu raruraru rānei o te moe. Te mamae, te kore ngāwari, te pūngāwerewere, te pupū rānei i te wāhi o te pūkahukahu. He hītori o ngā raruraru pūkahukahu, prostate, taane rānei. Te pokanga groin, pūkahukahu, titi, scrotum rānei.

Tena tirohia tetahi kaimahi hauora mena kaore koe me to hoa i taea te hapu i muri i te tau o te taangata noa kaore e whakamahia te whakahaere whanautanga. Koinei te huarahi e whakamaramatia ai te ahuatanga e kiia nei he mate kore. Whiwhi i te tirotiro hauora i mua atu mena kei a koe etahi o nga mea e whai ake nei:

• Nga awangawanga mo te whakaara, te ejaculation ranei, te hiahia iti ki te taangata, ki etahi atu raruraru ranei o te taangata.
• Te mamae, te ngoikoretanga, te pupuhi, te pupuhi ranei i te rohe o te whekau.
• He hitori o nga raruraru o te whekau, te prostate, te taangata ranei.
• Taatai whekau, prostate, weruweru, ranei te taatai.

Mō te tinana kia hanga mate, me mahi pai ngā pūkahukahu me ētahi atu okana i roto i te roro e whakaputa ana i ngā homoni. Kia oti te hanga mate i roto i ngā pūkahukahu, ka haere ngā mate i roto i ngā pūtuku e ngawari ana kia tae ra ano ki te whakaranu ki te purapura. Katahi ka tukuna te purapura i te ure, i te nuinga o te wā i te wā e taumata ana. Ka taea e ngā raruraru ki tētahi o ēnei pūnaha te whakaiti i te maha o ngā mate i roto i te purapura. Ki te koretake te nekehanga o te mate, te āhua rānei, ka taea hoki e tera te whakaiti i te hua. Engari, te take o te iti o te maha o ngā mate e kore e kitea. Ka taea te whakaeke i te iti o te maha o ngā mate e ngā āhuatanga hauora pēnei i te: Varicocele. He pupuhi o ngā uaua e whakaheke ana i te pūkahukahu te varicocele (VAR-ih-koe-seel). He take noa tēnei mō te kore hua o te tane. Ka taea e ia te whakaiti i te maha me te kounga o ngā mate. Mō ētahi tāngata, ka taea e te pokanga hei whakatika i te varicocele te whakapai ake i te maha, te nekehanga me te āhua o ngā mate. E kore e mārama te take tonu e puta ai te kore hua i ngā varicocele, engari pea he pānga ki te pāmahana o ngā pūkahukahu. Te mate. Ka taea e ētahi mate te pā ki te hauora o ngā mate, te kaha rānei o te tinana ki te hanga mate. Ka taea hoki e ētahi mate maha te whakaeke i te tohu e aukati ana i te haerenga o ngā mate. Ka pā te mate moepuku pēnei i te gonorrhea, te HIV rānei ki te maha o ngā mate me te hua. Ka taea hoki e ngā mate mai i ngā huaketo, ngā pūkohukohu, ngā harore rānei te whakaeke i te pupuhi o tetahi pūkahukahu, te rua rānei, te pupuhi rānei o te pūtuku kōwhiri i muri o te pūkahukahu e kiia nei ko te epididymis. Ka pai ake te nuinga o ngā mate kaore he raruraru roa. Engari ka taea e ētahi mate te whakaeke i te kino roa ki ngā pūkahukahu. Engari, ka taea pea e ngā tohunga hauora te kohikohi mate hei wāhanga o ētahi maimoatanga hua. Te raruraru ki te ejaculation. Ko te ejaculation te tukunga o te purapura i te ure. Ka puta i te nuinga o te wā i te wā e taumata ana. Ki te tomo te purapura ki te pūkahukahu i te wā e taumata ana, kaua ki te haere i te pito o te ure, ka kiia ko te ejaculation retrograde. Ka taea e ngā āhuatanga hauora maha me ētahi momo pokanga te whakaeke i te ejaculation retrograde, te kore katoa rānei o te ejaculation. Kei roto i ēnei te mate huka, ngā whara o te tuaiwi, me te pokanga o te pūkahukahu, te prostate, te urethra rānei. Ka taea hoki e ētahi rongoā te pā ki te ejaculation. Kei roto i ēnei ngā rongoā toto teitei e kiia nei ko ngā alpha blockers. Ka taea te whakaora i ētahi raruraru ejaculation. Ko ētahi atu he ora tonu. I te nuinga o te wā, ka taea tonu te kohikohi mate tika mai i ngā pūkahukahu hei wāhanga o ētahi maimoatanga hua. Ngā mate pukupuku. Ka taea e ngā mate pukupuku me ngā mate pukupuku kaore he mate pukupuku te pā tika ki ngā okana whakahi hua tane. Ka taea hoki e rātou te pā ki ēnei okana mā ngā whekau e tukuna ana ngā homoni e pā ana ki te hua, pēnei i te whekau pituitary. Ka taea hoki e te pokanga, te radiation, te chemotherapy rānei hei whakaora i ngā mate pukupuku i ētahi atu wāhi o te tinana te pā ki te kaha o te tinana ki te hanga mate. Ngā pūkahukahu kaore i heke. I te wā o te hapu, kaore i te heke iho tetahi pūkahukahu, te rua rānei o te pēpi kaore ano kia whānau ki te scrotum. Ko te scrotum te putea e mau ana i te nuinga o te wā ki ngā pūkahukahu. He nui ake te hua iti i ngā pakeke i whānau mai me tēnei āhuatanga. Ngā taumata homoni e puta ana i te koretake. He wāhanga o te roro e kiia nei ko te hypothalamus me te whekau i raro i te roro e kiia nei ko te whekau pituitary e hanga ana i ngā homoni e hiahiatia ana hei hanga mate. Ka hanga ngā pūkahukahu i ngā homoni e hiahiatia ana hei hanga mate. Ka taea e ngā huringa i ngā taumata o ēnei homoni te tikanga kei te raruraru te tinana ki te hanga mate. Ka taea hoki e ngā huringa i ngā taumata o ngā homoni e hanga ana e ngā whekau thyroid me ngā whekau adrenal te pā ki te maha o ngā mate. Ngā huringa i ngā pūtuku e kawe ana i ngā mate. He maha ngā pūtuku i roto i te tinana e kawe ana i ngā mate. Ka taea te aukati i ēnei pūtuku na te maha o ngā take. Kei roto i ngā take te whara mai i te pokanga, ngā mate o mua me te tūkino. Ka taea hoki e ngā āhuatanga pēnei i te cystic fibrosis te whakaeke i ētahi pūtuku kia kaua e whanake, kia hanga rānei i ngā huarahi koretake. Ka taea te aukati i tetahi taumata, tae atu ki roto i te pūkahukahu, i ngā pūtuku rānei e whakaheke ana i te pūkahukahu. Ngā āhuatanga ira. Ko ētahi huringa ira e tukuna ana mai i te mātua ki te tamaiti te whakaeke i ngā okana whakahi hua tane kia whanake i ngā huarahi koretake. Hei tauira, ka taea e te āhuatanga e kiia nei ko te syndrome Klinefelter te whakaeke i te tinana ki te hanga iti i ngā mate. Kei roto i ētahi atu āhuatanga ira e hono ana ki te kore hua te cystic fibrosis, te syndrome Kallmann me te syndrome Kartagener. Ka taea hoki e ētahi maimoatanga hauora te whakaeke i te iti o te maha o ngā mate, pēnei i te: Ētahi rongoā. Kei roto i ngā rongoā ka taea te whakaeke i te tinana ki te hanga iti i ngā mate ētahi maimoatanga mō te mate ngāwari, te pouri, te manukanuka, ngā taumata testosterone iti, te raruraru o te pūnaha kai, ngā mate, te toto teitei me te mate pukupuku. Ngā pokanga o mua. Ka taea e ētahi pokanga te aukati i a koe kei a koe ngā mate i roto i tō purapura. Kei roto i ēnei pokanga te vasectomy, ngā whakatikatika hernia inguinal, ngā pokanga o te scrotum, ngā pūkahukahu rānei, ngā pokanga prostate, me ngā pokanga puku nui e mahia ana mō ngā mate pukupuku pūkahukahu me ngā mate pukupuku tūtaratanga. I te nuinga o te wā, ka taea te mahi pokanga hei whakahuri i ngā aukatinga i whakaekea e te pokanga o mua. Ka taea rānei e te pokanga te awhina i te tango mate tika mai i ngā pūkahukahu me te pūtuku kōwhiri e kiia nei ko te epididymis e hono ana ki ia pūkahukahu. Ka taea te pā te maha o ngā mate, te mahi rānei ki te whakaekehia ki te nui rawa o te: Ngā matū ahumahi. Ko te whakaeke roa ki ngā insecticides, ngā pesticides me ngā solvents organic pea he wāhanga i ngā maha iti o ngā mate. Ngā kōwae mamae. Ka taea e te whakaeke ki te arahi, ki ētahi atu kōwae mamae rānei te whakaeke i te kore hua. Te radiation, te X-rays rānei. Ka taea e te whakaeke ki te radiation te whakaeke i te tinana ki te hanga iti i ngā mate. Ka roa pea ngā tau mō te tinana kia hanga i ngā maha noa o ngā mate i muri i tēnei whakaeke. Ki ngā rā nui o te radiation, pea ka iti ake te hanga mate i te noa mō te ora. Nui rawa te wera i runga i te scrotum. Ka taea e te wera nui i te scrotum te pā ki te maha me te mahi o ngā mate. Kei roto i ētahi atu take o te iti o te maha o ngā mate: Te whakamahinga rongoā. Ka taea e ngā steroids anabolic e tangohia ana hei whakapakari i te kaha o te uaua me te tipu te whakaeke i te tinana ki te hanga iti i ngā mate. Ko te whakamahinga o te cocaine, te marijuana rānei pea ka whakaiti i te maha me te kounga o ngā mate. Te whakamahinga waipiro. Ka taea e te whakamahinga waipiro nui, te haere tonu rānei te whakaiti i ngā taumata testosterone me te whakaeke i te tinana ki te hanga iti i ngā mate. Te kai hikareti. Pea he iti ake te maha o ngā mate i ngā tāngata e kai ana i te hikareti i ngā tāngata kaore e kai hikareti. Te ahotea hinengaro. Pea ka pā te ahotea hinengaro roa, tae atu ki te ahotea mō ngā raruraru hua ki te kounga o te purapura. Te taumaha. Pea ka pā tika te momona ki ngā mate. Ka taea rānei e ia te whakaeke i ngā huringa homoni e whakaiti ana i te hua. Ngā raruraru whakamātautau mate. Ka puta pea te iti o te maha o ngā mate i te mea pono na te maha o ngā raruraru whakamātautau. Hei tauira, pea ka tangohia te tauira mate i te wa poto rawa i muri i tō ejaculation whakamutunga. Ka taea rānei te tango i te tauira i te wa poto rawa i muri i te mate, te kaupapa ahotea rānei. Ka puta pea te iti o te maha o ngā mate ki te kore te tauira e whai i te katoa o te purapura i tukuna e tō ure na te mea i ringihia ētahi i te wā e kohikohi ana. Mō tēnei take, i te nuinga o te wā ka whakawhirinaki ngā hua ki ngā tauira torutoru e tangohia ana i te wā.

He maha ngā take tūponotanga e hono ana ki te iti o te tau o te purapura me ētahi atu take ka taea te whakaiti i te tau o te purapura.

Ko ētahi take tūponotanga ko ngā whiringa oranga, tae atu ki:

• Te whakakī i te tapeka.
• Te inu waipiro.
• Te whakamahi i ētahi rongoā kūpapa.

Ka taea hoki e ētahi āhuatanga hauora te tūponotanga, pēnei i:

• Te taumaha rawa.
• Te tino awangawanga.
• Te whai i ētahi mate kua pahure ake, kei te pā nei rānei.
• Te whara ki ngā pūkahukahu.
• Te whānau mai me te mate kaore e taea te whānau tamariki, te whānau rānei me te whānau e whai ana i te mate kaore e taea te whānau tamariki.
• Te whai i ētahi āhuatanga hauora, tae atu ki ngā mate pukupuku me ngā mate roa.
• Te whai i te hītori o ngā pūkahukahu kaore i heke iho.

Ka taea hoki e ētahi maimoatanga mō ngā āhuatanga hauora te tūponotanga, tae atu ki:

• Ngā maimoatanga mate pukupuku, pēnei i te radiation.
• Ētahi rongoā.
• Vasectomy, te pokanga nui o te kopu, te upoko rānei.

Ka taea hoki e ētahi mea kei roto i te taiao o te tangata te whakapiki ake i te tūponotanga o te iti o te tau o te purapura. Kei roto i ēnei te whakakī atu ki ngā pokanoa.

Ko te mate kore-hāpai e puta mai ana i te iti o te maha o ngā purapura kākano ka waiho hei āhuatanga whakapau kaha mōu me tō hoa. Ko ngā raruraru pea ka puta:

• Tātaritanga rānei, ā, ētahi atu rongoā mō te take o te iti o te maha o ngā purapura kākano.
• Ngā rongoā whakapūāwai utu nui me te whakapau kaha, pēnei i te whakakōkō in vitro (IVF).
• Te ahotea mai i te kore e taea te tīmata i te haputanga.

Kia tiaki tō ōu hua manu, ngana kia kaua e tata ki ngā take e mohiotia ana e pā ana ki te maha me te kounga o te purapura. Whakamahia ēnei kaupae:

• Kaua e wātea.
• Whakaitihia te waipiro, kāore rānei e inu.
• Kaua e whakamahi i ngā raau taero kore ture.
• Kōrero atu ki tō kaimahi hauora kia kitea atu mēnā he hua o ētahi rongoā e inu ana koe ki te maha o te purapura.
• Noho ki te taumaha hauora.
• Ngana kia kaua e nui rawa te wera.
• Whakahaerehia te ahotea.
• Me mahi koe i ngā mea ka taea e koe kia kaua e whakahekea ki ngā pūhui, ngā konganuku taumaha me ētahi atu pokanoa.

Ka taea e koe te mohio kei te iti te maha o ō huahua mena ka whiwhi koe i te tirotiro hauora, nā te mea kei te uaua koe ki te whakahaputanga i tō hoa. I tō whakatau, ka mahi tō kaimahi hauora ki te kimi i te take o ō raruraru whakahaputanga. Ahakoa ki te whakaaro tō kaimahi hauora kei te iti te maha o ō huahua, me tirotiro ano pea te whakahaputanga o tō hoa. Ka taea e tēnei te ārahi i ngā kōwhiringa maimoatanga whakahaputanga mōu me tō hoa.

Ka uru atu tēnei ki te whakamātautau i ō wahi ira. Ka ui atu ano tō kaimahi hauora ki ngā pātai mō ētahi āhuatanga kua oti te whakawhiwhi, ngā raruraru hauora roa, ngā mate, ngā whara, ngā pokanga rānei ka pā ki te whakahaputanga. Ka ui pea atu ano rātou ki ō tikanga taangata me tō whanaketanga ira.

Ka kohia tētahi tauira o ō purapura hei whakamātautau hoki. Ka kiia tēnei he tātaritanga purapura. Ka tirotirohia ō purapura i raro i te microscope kia kite i te maha o ngā purapura kei reira. I ētahi wā, ka āwhina tētahi rorohiko ki te ine i te maha o ngā purapura.

Ka taea te kohikohi i ngā tauira purapura i ngā huarahi rua. Ka taea e koe te hoatu i tētahi tauira mā te whakamahi i te ringa me te whakairi ki roto i tētahi ipu motuhake i te tari o te kaimahi hauora. Kei te taea hoki e koe te whakamahi i tētahi koniti motuhake e kohikohi ana i ō purapura i te wā o te moe.

Ka hangaia tonu ngā purapura hou i roto i ngā hua. Ka roa te whānuitanga o ngā purapura mai i te 42 ki te 76 rā kia whānuitia. No reira, ka whakaatu te tātaritanga purapura i tō taiao i ngā toru marama kua pahure. E kore ngā hua o ētahi huringa noho ora kua mahia e koe e puta mai i ngā marama maha.

Ko tētahi o ngā take tino noa o te iti o te maha o ngā purapura ko te kore rānei te kohikohi tika o te tauira purapura. Ka huri ano te maha o ngā purapura i runga i a rātou ake. Nā ēnei take, ka tirotiro te nuinga o ngā kaimahi hauora i ngā tauira purapura e rua neke atu rānei i te wā.

Hei āwhina i a koe ki te kohikohi i tētahi tauira tika, ka tino:

• Ui atu ki a koe kia whakaū ai ko ō purapura katoa kei roto i te kapu kohikohi, te koniti kohikohi rānei i te wā e whakairi ana koe.
• Ui atu ki a koe kia kaua e moe taane, kaua hoki e whakamahi i te ringa mō ngā rā 2 ki te 7 i mua i te kohikohi i tētahi tauira.
• Kohikohi i tētahi tauira tuarua i muri i te rua wiki i muri i te tuatahi.
• Korero atu ki a koe kia kaua e whakamahi i ngā hinu whakapaipai i te wā e kohikohi ana koe i tō tauira. Ka pā ēnei hua ki te nekehanga o ngā purapura.

Ki te iti te maha o ō purapura, he iti iho i te 15 miriona purapura i ia mililita, iti iho rānei i te 39 miriona purapura katoa mō te tauira katoa te maha o ngā purapura kei roto i ō purapura.

Ka heke tō tūmanako ki te whakahaputanga i tō hoa me te iti o te maha o ngā purapura. Kaore etahi tangata he purapura i roto i ō rātou purapura. Ka kiia tēnei ko te azoospermia.

He maha ngā take e uru ana ki te whakahaputanga. Ko te maha o ngā purapura kei roto i te purapura kotahi noa iho. He maha ngā tangata he iti te maha o ngā purapura ka taea te whakahaputanga i ō rātou hoa. Pēnei anō, kaore etahi tangata he maha noa o ngā purapura e taea te tīmata i ngā whakahaputanga. Ahakoa he nui ngā purapura, he mea nui ētahi atu take ki te tīmata i te whakahaputanga. Ka uru atu ēnei take ki te nekehanga hauora o ngā purapura, e kiia ana hoki ko te motility.

I runga i ngā hua o tō tātaritanga purapura, ka tūtohutia pea e tō kaimahi hauora ngā whakamātautau atu. Ka uru atu ngā whakamātautau ki te kimi i te take o te iti o te maha o ō purapura me ētahi atu take pea o te kore whakahaputanga o te tane:

• Ultrasound scrotal. Ka whakamahi tēnei whakamātautau i ngā ngaru oro teitei ki te titiro ki ngā hua me ngā hanganga tautoko.
• Whakamātautau homoni. Ka tūtohu pea tō kaimahi hauora i tētahi whakamātautau toto ki te tirotiro i ngā taumata o ngā homoni i hangaia e te pūtake pituitary me ngā hua. Kei te mahi nui ēnei homoni i te whanaketanga ira me te maha o ngā purapura e hangaia ana e te tinana.
• Whakamātautau mimi i muri i te whakairi. Ka mahia tēnei whakamātautau mimi i muri i tō whakairi. Ko ngā purapura kei roto i tō mimi ka taea te tikanga kei te haere whakamuri ō purapura ki te putea mimi, kaua ki waho o tō titi i te wā e whakairi ana koe. Ko tēnei te āhuatanga e kiia nei ko te whakairi whakamuri.
• Ngā whakamātautau ira. I te wā he iti rawa te taumata o ngā purapura kei roto i te purapura, ka uru pea etahi take ira. Ka taea e te whakamātautau toto te kimi mena kei a koe ngā tohu o te āhuatanga ira. Ka whakatau etahi tangata he āhuatanga ira kia kaua e whiwhi i te maimoatanga whakahaputanga. Ko te take, ko ngā huringa ira e pā ana ki ēnei āhuatanga ka taea te tuku atu i te matua ki te tamaiti.
• Biopsy hua. Ka uru atu tēnei whakamātautau ki te tango i ngā tauira pūtau iti mai i ngā hua me te ngira. Kāore i te whakamahia noa tēnei ki te kimi i te take o te kore whakahaputanga.
• Ultrasound transrectal. Ka whakanohoia tētahi rakau iti, hinuhinu ki roto i te tūturu ki te tirotiro i te prostate me te kimi i ngā aukati i roto i ngā pūkaha e kawe ana i te purapura.

Ko ngā tikanga whakaora mō te tokoiti o ngā purapura ngongo:

• Taote. Hei tauira, ka taea te whakatika i te varicocele i te nuinga o te wā mā te taote. Ā, ka taea te whakatikatika i te vas deferens kua aukati. Ka taea te whakahoki mai i ngā vasectomies o mua. Ki te kore he purapura ngongo kei roto i te wai mani, ka taea pea te kohikohi tika i ngā purapura ngongo mai i ngā pūwerewere, i te epididymis rānei.
• Ngā tikanga whakaora mō ngā āhuatanga taangata. Ka taea e te rongoā, te tohutohu rānei te awhina i te whakapai ake i te hua i roto i ngā āhuatanga penei i te ngoikore o te whakaohooho, te ejaculation wawe rānei.
• Ngā rongoā horomona me ngā rongoā. Ka taea e ēnei tikanga te awhina ki te mea kei a koe te kore hua e puta mai ana i te nui, te iti rānei o ētahi horomona. Ka taea hoki e ēnei tikanga te awhina ki te mea kei a koe ngā take e pā ana ki te whakamahinga a to tinana i ngā horomona.
• Te hangarau whakaora whakauru (ART). He uaua ki ētahi tokorua te whānau tamariki ahakoa te maha o te moe. Ko te ART e tohu ana ki ngā tikanga ka taea te awhina i ngā tokorua ki te whānau tamariki kahore he moe. Kei roto i ngā tikanga ART te kohikohi i ngā purapura ngongo mā te ejaculation, mā te taote rānei, mā ngā kai homai rānei. Ko te huarahi e kohikohihia ai ngā purapura ngongo e whakawhirinaki ana ki tō āhuatanga me ō hiahia. Kei te wātea ngā momo ART maha. Ka taea te whakanoho i ngā purapura ngongo ki roto i te kopu mā te pūnaha, he tukanga e kiia nei ko te intrauterine insemination. Ā, ka taea te whakaranu i ngā purapura ngongo me ngā hua manu i roto i te taiwhanga, ka whakanohohia ki roto i te kopu, he tukanga e kiia nei ko te in vitro fertilization. Ā, ka taea te whakauru i tētahi purapura ngongo hauora ki ia hua manu pakeke i mua i te whakanoho ki roto i te kopu. E kiia ana tenei ko te intracytoplasmic sperm injection. Ko te tino iti, kaore e taea te whakaora i ngā raruraru hua tane, ā, kaore e taea te whakamahi i ngā purapura ngongo o te tangata e pā ana ki te tīmata i te haputanga. Ki te pēnei te tū ki a koe, kei te tū tonu te wāhi ki te whānau tamariki. Ka taea e koe me tō hoa te whakaaro ki te whakamahi i ngā purapura ngongo mai i tētahi kai homai, i te tango tamariki rānei.

Kaore he uauatanga