{"id":6689,"date":"2020-06-28T11:25:11","date_gmt":"2020-06-28T11:25:11","guid":{"rendered":"http:\/\/medimall.gr\/ayxiste-ti-gonimotita-sas-andras\/"},"modified":"2022-10-14T10:30:46","modified_gmt":"2022-10-14T07:30:46","slug":"cresteti-fertilitatea-barbat","status":"publish","type":"page","link":"https:\/\/medimall.gr\/ro\/cresteti-fertilitatea-barbat\/","title":{"rendered":"CRE\u0218TE\u021aI FERTILITATEA &#8211; B\u0102RBAT"},"content":{"rendered":"<p>[vc_row full_width=&#8221;stretch_row_content_no_spaces&#8221;][vc_column]\n\t\t\t<!-- START \u0391\u03a5\u039e\u0397\u03a3\u03a4\u0395 \u03a4\u0397 \u0393\u039f\u039d\u0399\u039c\u039f\u03a4\u0397\u03a4\u0391 \u0391\u039d\u0394\u03a1\u0391\u03a3 REVOLUTION SLIDER 6.7.41 --><p class=\"rs-p-wp-fix\"><\/p>\n\t\t\t<rs-module-wrap id=\"rev_slider_49_1_wrapper\" data-source=\"gallery\" style=\"visibility:hidden;background:transparent;padding:0;margin:0px auto;margin-top:0;margin-bottom:0;\">\n\t\t\t\t<rs-module id=\"rev_slider_49_1\" style=\"\" data-version=\"6.7.41\">\n\t\t\t\t\t<rs-slides style=\"overflow: hidden; position: absolute;\">\n\t\t\t\t\t\t<rs-slide style=\"position: absolute;\" data-key=\"rs-336\" data-title=\"Slide\" data-anim=\"ms:1000;r:0;\" data-in=\"o:0;\" data-out=\"a:false;\">\n\t\t\t\t\t\t\t<img src=\"\/\/medimall.gr\/wp-content\/plugins\/revslider\/sr6\/assets\/assets\/dummy.png\" alt=\"medimall.gr\" title=\"How Patient Consumerism Impacts Today\u2019s Radiology Practice\" width=\"2560\" height=\"1446\" class=\"rev-slidebg tp-rs-img rs-lazyload\" data-lazyload=\"\/\/medimall.gr\/wp-content\/uploads\/2020\/09\/How-Patient-Consumerism-Impacts-Today\u2019s-Radiology-Practice-1-scaled.jpg\" data-bg=\"p:right top;\" data-no-retina>\n<!--\n\t\t\t\t\t\t\t--><rs-layer\n\t\t\t\t\t\t\t\tid=\"slider-49-slide-336-layer-0\" \n\t\t\t\t\t\t\t\tdata-type=\"shape\"\n\t\t\t\t\t\t\t\tdata-rsp_ch=\"on\"\n\t\t\t\t\t\t\t\tdata-xy=\"xo:0,0,0,69px;y:b;yo:0,0,0,-4px;\"\n\t\t\t\t\t\t\t\tdata-text=\"w:normal;\"\n\t\t\t\t\t\t\t\tdata-dim=\"w:810px,810px,810px,409px;h:200px,200px,200px,110px;\"\n\t\t\t\t\t\t\t\tdata-frame_999=\"o:0;st:w;\"\n\t\t\t\t\t\t\t\tstyle=\"z-index:8;background-color:#3f4041;\"\n\t\t\t\t\t\t\t> \n\t\t\t\t\t\t\t<\/rs-layer><!--\n\n\t\t\t\t\t\t\t--><rs-layer\n\t\t\t\t\t\t\t\tid=\"slider-49-slide-336-layer-1\" \n\t\t\t\t\t\t\t\tdata-type=\"text\"\n\t\t\t\t\t\t\t\tdata-rsp_ch=\"on\"\n\t\t\t\t\t\t\t\tdata-xy=\"xo:31px,31px,31px,82px;yo:675px,675px,675px,334px;\"\n\t\t\t\t\t\t\t\tdata-text=\"w:normal;s:60,60,60,20;l:70,70,70,22;fw:100;\"\n\t\t\t\t\t\t\t\tdata-frame_999=\"o:0;st:w;\"\n\t\t\t\t\t\t\t\tstyle=\"z-index:10;font-family:'Roboto';\"\n\t\t\t\t\t\t\t>FERTILITATEA B\u0102RBATULUI \n\t\t\t\t\t\t\t<\/rs-layer><!--\n\n\t\t\t\t\t\t\t--><rs-layer\n\t\t\t\t\t\t\t\tid=\"slider-49-slide-336-layer-2\" \n\t\t\t\t\t\t\t\tdata-type=\"text\"\n\t\t\t\t\t\t\t\tdata-rsp_ch=\"on\"\n\t\t\t\t\t\t\t\tdata-xy=\"xo:33px,33px,33px,84px;yo:749px,749px,749px,369px;\"\n\t\t\t\t\t\t\t\tdata-text=\"w:normal;s:30,30,30,14;l:30,30,30,14;\"\n\t\t\t\t\t\t\t\tdata-dim=\"w:auto,auto,auto,354px;\"\n\t\t\t\t\t\t\t\tdata-frame_999=\"o:0;st:w;\"\n\t\t\t\t\t\t\t\tstyle=\"z-index:9;font-family:'Roboto';\"\n\t\t\t\t\t\t\t>Care sunt metode de investigare \n\t\t\t\t\t\t\t<\/rs-layer><!--\n\n\t\t\t\t\t\t\t--><rs-layer\n\t\t\t\t\t\t\t\tid=\"slider-49-slide-336-layer-3\" \n\t\t\t\t\t\t\t\tdata-type=\"text\"\n\t\t\t\t\t\t\t\tdata-rsp_ch=\"on\"\n\t\t\t\t\t\t\t\tdata-xy=\"xo:30px,30px,30px,83px;yo:634px,634px,634px,300px;\"\n\t\t\t\t\t\t\t\tdata-text=\"w:normal;s:36,36,36,24;l:40,40,40,29;fw:300;\"\n\t\t\t\t\t\t\t\tdata-frame_999=\"o:0;st:w;\"\n\t\t\t\t\t\t\t\tstyle=\"z-index:11;font-family:'Roboto';\"\n\t\t\t\t\t\t\t>INVESTIGAREA \n\t\t\t\t\t\t\t<\/rs-layer><!--\n-->\t\t\t\t\t<\/rs-slide>\n\t\t\t\t\t<\/rs-slides>\n\t\t\t\t<\/rs-module>\n\t\t\t\t<script>\n\t\t\t\t\tsetREVStartSize({c: 'rev_slider_49_1',rl:[1240,1240,1240,480],el:[800,800,800,400],gw:[1650,1650,1650,480],gh:[800,800,800,400],type:'standard',justify:'',layout:'fullwidth',mh:\"0\"});if (window.RS_MODULES!==undefined && window.RS_MODULES.modules!==undefined && window.RS_MODULES.modules[\"revslider491\"]!==undefined) {window.RS_MODULES.modules[\"revslider491\"].once = false;window.revapi49 = undefined;if (window.RS_MODULES.checkMinimal!==undefined) window.RS_MODULES.checkMinimal()}\n\t\t\t\t<\/script>\n\t\t\t<\/rs-module-wrap>\n\t\t\t<!-- END REVOLUTION SLIDER -->\n[\/vc_column][\/vc_row][vc_row css=&#8221;.vc_custom_1590985110193{margin-top: 50px !important;}&#8221;][vc_column][vc_custom_heading text=&#8221;1. SPERMOGRAMA \u015eI SPERMOCULTURA&#8221; font_container=&#8221;tag:h2|font_size:36px|text_align:left|color:%23181818|line_height:42PX&#8221; google_fonts=&#8221;font_family:Roboto%3A100%2C100italic%2C300%2C300italic%2Cregular%2Citalic%2C500%2C500italic%2C700%2C700italic%2C900%2C900italic|font_style:300%20light%20regular%3A300%3Anormal&#8221; css=&#8221;.vc_custom_1612444018329{margin-bottom: 20px !important;}&#8221;][vc_row_inner][vc_column_inner width=&#8221;1\/2&#8243;][vc_column_text css=&#8221;.vc_custom_1612444266970{padding-bottom: 0px !important;}&#8221;]<span style=\"font-size: 18px; line-height: 24px; color: #181818;\">Partenerul masculine va trebui s\u0103 dea o prob\u0103 de sperm\u0103 pentru efectuarea spermogramei. Pentru corectitudinea spermogramei, proba va trebui s\u0103 fie recoltat\u0103 dup\u0103 o abstinen\u0163\u0103 sexual\u0103 de 3-4 zile, neincluz\u00e2nd ziua ultimului contact \u015fi ziua recolt\u0103rii spermei. Trebuie s\u0103 existe o excitare corect\u0103 \u00eenainte de recoltare, de aceea de multe ori este necesar\u0103 \u0219i participarea partenerei, dac\u0103 dore\u015fte. \u00cenainte de colectarea spermei este necesar\u0103 sp\u0103larea corect\u0103 a zonei genitale \u015fi a m\u00e2inilor. La ejaculare, care are loc prin masturbare, sperma este colectat\u0103 \u00eentr-un recipient steril pe care pute\u0163i s\u0103-l cump\u0103ra\u0163i de la farmacie (asem\u0103n\u0103tor celui \u00een care se recolteaz\u0103 urina pentru analiz\u0103) sau s\u0103-l primi\u0163i de la laboratorul unde va avea loc examinarea spermei.<\/span><\/p>\n<p><span style=\"font-size: 18px;\">Colectarea spermei poate s\u0103 se efectueze \u00een spa\u0163iul special amenajat de care dispun,de obicei,toate laboratoarele sau la domiciliu. Dac\u0103 colectarea se efectuaz\u0103 la domiciliu, transportul spermei la laborator necesit\u0103 aten\u0163ie deosebit\u0103, a\u015fa \u00eenc\u00e2t sperma s\u0103 fie transportat\u0103 la temperatura corpului. Acest lucru se realizeaz\u0103 \u0163in\u00e2nd recipientul \u00een contact cu corpul pe durata transportului sau \u00eempachet\u00e2nd recipientul \u00een vat\u0103 \u015fi folie de aluminiu la exterior.<\/span>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=&#8221;1\/2&#8243;][vc_column_text css=&#8221;.vc_custom_1612444429584{padding-bottom: 20px !important;}&#8221;]<span style=\"font-size: 18px;\">Desigur, nu va trebui s\u0103 treac\u0103 mai mult de o or\u0103 din momentul recolt\u0103rii spermei p\u00e2n\u0103 c\u00e2nd aceasta va fi predat\u0103 laboratorului. \u00cen cazul \u00een care spermocultura va ar\u0103ta existen\u0163a unui microb \u00een sperm\u0103, este necesar\u0103 administrarea antibioticelor adecvate, care sunt alese conform antibiogramei ce \u00eenso\u0163e\u015fte spermocultura pozitiva la microbul respectiv.<\/span><\/p>\n<p><span style=\"font-size: 18px;\">\u00cen ceea ce prive\u015fte valorile parametrilor spermei, dac\u0103 ele sunt sub valorile normale, spermograma va trebui repetat\u0103 la un interval de cel pu\u0163in 15 zile de la precedenta. \u00cen cazul \u00een care \u015fi a doua spermogram\u0103 arat\u0103 c\u0103 parametrii spermei sunt sub valorile normale (care sunt stabilite de Organiza\u0163ia Mondial\u0103 a S\u0103n\u0103t\u0103\u0163ii) sperma este caracterizat\u0103 patologic\u0103 \u015fi se propune continuarea controlului \u00een func\u0163ie de patologie. Analizele suplimentare la care va trebui s\u0103 fie supus b\u0103rbatul sunt urm\u0103toarele:<\/span><\/p>\n<ul>\n<li>examinare de c\u0103tre specialist urolog \u2013 androlog<\/li>\n<li>doppler scrotal<\/li>\n<li>analize hormonale<\/li>\n<li>analize pentru fibroza chistic\u0103<\/li>\n<li>fragmentarea AND-ului spermatozoizilor.<\/li>\n<\/ul>\n<p>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_row full_width=&#8221;stretch_row&#8221; css=&#8221;.vc_custom_1588586189673{background-position: center !important;background-repeat: no-repeat !important;background-size: cover !important;}&#8221;][vc_column css=&#8221;.vc_custom_1589367021959{padding-top: 50px !important;padding-right: 50px !important;padding-left: 50px !important;background-color: #555657 !important;}&#8221; el_class=&#8221;orangeline3&#8243;][vc_custom_heading text=&#8221;2. EXAMINAREA DE C\u0102TRE SPECIALISTUL UROLOG-ANDROLOG&#8221; font_container=&#8221;tag:h2|font_size:36px|text_align:left|color:%23dd9933|line_height:42PX&#8221; google_fonts=&#8221;font_family:Roboto%3A100%2C100italic%2C300%2C300italic%2Cregular%2Citalic%2C500%2C500italic%2C700%2C700italic%2C900%2C900italic|font_style:300%20light%20regular%3A300%3Anormal&#8221; css=&#8221;.vc_custom_1612444460909{margin-bottom: 20px !important;}&#8221;][vc_column_text]<span style=\"font-size: 18px; color: #ffffff;\">Examinarea clinic\u0103 de c\u0103tre medicul specialist andrology-urolog se realizeaz\u0103 pentru identificarea st\u0103rilor patologice ce ar putea conduce la o spermodiagram\u0103 patologic\u0103, cum sunt hipoplaziile\/atrofiile testiculelor sau criptorhismul (testiculul necobor\u00e2t), etc.<\/span>[\/vc_column_text][vc_row_inner][vc_column_inner width=&#8221;1\/2&#8243;][vc_custom_heading text=&#8221;3. DOPPLER SCROTAL&#8221; font_container=&#8221;tag:h2|font_size:30px|text_align:left|color:%23dd9933|line_height:36PX&#8221; google_fonts=&#8221;font_family:Roboto%3A100%2C100italic%2C300%2C300italic%2Cregular%2Citalic%2C500%2C500italic%2C700%2C700italic%2C900%2C900italic|font_style:300%20light%20regular%3A300%3Anormal&#8221; css=&#8221;.vc_custom_1612444638951{margin-bottom: 20px !important;}&#8221;][vc_column_text]<span style=\"font-size: 18px; color: #ffffff;\">Este o analiz\u0103 neinvaziv\u0103 folosit\u0103 pentru estimarea testiculelor, epididimului \u015fi fluxului sanguin \u00een testicule. Nu este necesar\u0103 preg\u0103tire special\u0103 pentru aceast\u0103 analiz\u0103 iar dup\u0103 ecografie pute\u0163i s\u0103 v\u0103 continua\u0163i activit\u0103\u0163ile zilnice f\u0103r\u0103 nici o restric\u0163ie. \u00cen cazul unei descoperiri patologice, ve\u0163i fi informat de medic, despre indica\u021bii suplimentare \u0219i op\u0163iuni individuale adecvate pe care le propune pentru dumneavoastr\u0103.<\/span>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=&#8221;1\/2&#8243;][vc_custom_heading text=&#8221;4. ANALIZE HORMONALE&#8221; font_container=&#8221;tag:h2|font_size:30px|text_align:left|color:%23dd9933|line_height:36PX&#8221; google_fonts=&#8221;font_family:Roboto%3A100%2C100italic%2C300%2C300italic%2Cregular%2Citalic%2C500%2C500italic%2C700%2C700italic%2C900%2C900italic|font_style:300%20light%20regular%3A300%3Anormal&#8221; css=&#8221;.vc_custom_1612445593005{margin-bottom: 20px !important;}&#8221;][vc_column_text]<span style=\"font-size: 18px; color: #ffffff;\">\u00cen cazul examin\u0103rii infertilit\u0103\u0163ii masculine, se m\u0103soar\u0103 nivelurile anumitor hormoni care influen\u0163eaz\u0103 direct sau indirect producerea de spermatozoizi. Hormonii principali care trebuie s\u0103 fie investiga\u0163i sunt testosteronul, FSH, LH, prolactina, TSH, E2 \u015fi cortizolul.<\/span><\/p>\n<p><span style=\"font-size: 18px; color: #ffffff;\">Investigarea profilului hormonal al b\u0103rbatului este important\u0103 c\u00e2nd nu exist\u0103 alt motiv vizibil, cum ar fi varicocelul, cancerul testicular, ocluzia a canalelor de transport a spermei, etc, care s\u0103 explice num\u0103rul redus de spermatozoizi. M\u0103rimea redus\u0103 a testiculelor sau caracteristicile sexuale secundare b\u0103rb\u0103te\u015fti insuficient dezvoltate (m\u0103rimea penisului, p\u0103rul pubian, masa muscular\u0103 redus\u0103, lipsa p\u0103rului corporal, etc) necesit\u0103, de asemenea investigare hormonal\u0103.<\/span>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_row css=&#8221;.vc_custom_1590947636221{margin-top: 30px !important;}&#8221;][vc_column][vc_custom_heading text=&#8221;5. FRAGMENTAREA ADN-ULUI SPERMATOZOIZILOR&#8221; font_container=&#8221;tag:h2|font_size:30px|text_align:left|color:%23181818|line_height:36PX&#8221; google_fonts=&#8221;font_family:Roboto%3A100%2C100italic%2C300%2C300italic%2Cregular%2Citalic%2C500%2C500italic%2C700%2C700italic%2C900%2C900italic|font_style:300%20light%20regular%3A300%3Anormal&#8221; css=&#8221;.vc_custom_1612445677394{margin-bottom: 20px !important;}&#8221;][vc_column_text css=&#8221;.vc_custom_1612445709289{margin-bottom: 10px !important;}&#8221;]<span style=\"font-size: 18px;\">Fragmentarea ADN-ului spermatozoizilor constituie una dintre cauzele infertilit\u0103\u0163ii masculine. Parametrii simpli ai spermogramei, concentra\u0163ia, densitatea, morfologia nu pot pune \u00een eviden\u0163\u0103 fragmentarea AND-ului. Mai mult, probe cu parametrii normali, este foarte posibil s\u0103 prezinte procente \u00eenalte de fragmentare. Gradul \u00eenalt de fragmentare a ADN-ului poate constitui un factor de pierdere a sarcinii, \u00eenc\u00e2t s\u0103 nu fie important tratamentul de fertilitate urmat de partener\u0103.\u00a0Multe studii au ar\u0103tat c\u0103 nivelurile crescute de fragmentare a ADN-ului sunt asociate cu procente reduse de sarcini \u015fi na\u015fteri, cu embrioane de proast\u0103 calitate \u015fi sporirea avorturilor.<\/span>[\/vc_column_text][\/vc_column][\/vc_row][vc_row css=&#8221;.vc_custom_1593346792564{margin-top: 30px !important;margin-bottom: 50px !important;}&#8221;][vc_column width=&#8221;1\/2&#8243; css=&#8221;.vc_custom_1593346272320{padding-top: 20px !important;}&#8221;][vc_column_text css=&#8221;.vc_custom_1612446034648{margin-bottom: 10px !important;}&#8221;]<span style=\"font-size: 18px;\">Procentele \u00eenalte de segmentare a ADN-ului \u00een sperm\u0103 pot s\u0103 fie provocate de urm\u0103torii factori:<\/span><\/p>\n<ul>\n<li>infec\u0163ii<\/li>\n<li>fumat<\/li>\n<li>expunere la poluan\u0163i de mediu<\/li>\n<li>profesiunea exercitat\u0103 (ex. \u015foferii)<\/li>\n<li>v\u00e2rsta \u00eenaintat\u0103<\/li>\n<li>alimenta\u0163ia incorect\u0103 \u015fi obezitatea<\/li>\n<li>cre\u015fterea temperaturii testiculelor (ex. de calculatoare portabile)<\/li>\n<li>uz de stupefiante<\/li>\n<li>temperatura \u00eenalt\u0103<\/li>\n<li>varicocelul<\/li>\n<li>cancerul \u015fi tratamentele sale.<\/li>\n<\/ul>\n<p><span style=\"font-size: 18px;\">Pentru analiz\u0103 este necesar\u0103 o mic\u0103 cantitate de sperm\u0103. \u00cen urma prelucr\u0103rii adecvate \u00een laborator, sunt decela\u0163i spermatozoizii cu ADN-ul fragmentat care au o morfologie diferit\u0103 fa\u0163\u0103 de cei cu ADN-ul intact. Rezulatele analizei sunt exprimate ca DNA Fragmentation Index + %DFI (procentul spermatizoizilor cu ADN fragmentat).<\/span><\/p>\n<p><span style=\"font-size: 18px;\">\u00cen func\u0163ie de procentul acestora, se disting urm\u0103toarele categorii:<\/span><\/p>\n<ul>\n<li>&lt; 15%DFI -fertilitate poten\u0163ial\u0103 \u00eenalt\u0103<\/li>\n<li>&gt; 15%DFI p\u00e2n\u0103 la &lt; 30%DFI-fertilitate poten\u0163ial\u0103 bun\u0103<\/li>\n<li>&gt;30%DFI-fertilitate poten\u0163ial\u0103 sc\u0103zut\u0103<\/li>\n<\/ul>\n<p>[\/vc_column_text][\/vc_column][vc_column width=&#8221;1\/2&#8243;][vc_row_inner][vc_column_inner css=&#8221;.vc_custom_1593346268542{margin-top: 0px !important;margin-bottom: 40px !important;padding-top: 20px !important;padding-right: 30px !important;padding-bottom: 30px !important;padding-left: 30px !important;}&#8221;][vc_column_text css=&#8221;.vc_custom_1612446180475{margin-bottom: 10px !important;}&#8221;]<span style=\"font-size: 18px;\">Rezultatul este fiziologic atunci c\u00e2nd indicele de fragmentare sau segmentare DFI (%) \u00een sperm\u0103 este sub 30%. Sarcini normale pot rezulta la cuplurile \u00een care b\u0103rbatul are un procent \u00eenalt de fragmentare ADN \u00een sperm\u0103, av\u00e2nd \u00eens\u0103 posibilitate redus\u0103 de sarcin\u0103 \u015fi risc sporit de avort.<\/span><\/p>\n<p><span style=\"font-size: 18px;\">Exist\u0103 tratament \u00eempotriva fragment\u0103rii ADN-ului din sperm\u0103?<\/span><\/p>\n<p><span style=\"font-size: 18px;\">O serie de obiceiuri \u201ebune\u201d poate s\u0103 contribuie semnificativ la sporirea fertilit\u0103\u0163ii dac\u0103 sunt adoptate de b\u0103rba\u0163ii cu fertilitate redus\u0103, a\u015fa \u00eenc\u00e2t s\u0103 limiteze fragment\u0103rea ADN-ului spermei. Acestea sunt urm\u0103toarele:<\/span><\/p>\n<ul>\n<li>\u00eentreruperea fumatului<\/li>\n<li>alimenta\u0163ie bogat\u0103 \u00een antioxidan\u0163i, dat fiind c\u0103 principalul vinovat de segmentarea ADN-ului este stresul oxidativ<\/li>\n<li>evitarea unor medicamente<\/li>\n<li>control pentru depistarea unor infec\u0163ii ale aparatului urinar<\/li>\n<li>alimenta\u0163ie s\u0103n\u0103toas\u0103<\/li>\n<li>informa\u0163ii medicale privind vitaminele \u015fi suplimentele antioxidante.<\/li>\n<\/ul>\n<p>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_row full_width=&#8221;stretch_row&#8221; css=&#8221;.vc_custom_1588586189673{background-position: center !important;background-repeat: no-repeat !important;background-size: cover !important;}&#8221;][vc_column css=&#8221;.vc_custom_1589367021959{padding-top: 50px !important;padding-right: 50px !important;padding-left: 50px !important;background-color: #555657 !important;}&#8221; el_class=&#8221;orangeline3&#8243;][vc_custom_heading text=&#8221;6. DIAGNOSTICUL MOLECULAR AL CLAMIDOZEI (PCR), UREOPLASMOZEI, MICOPLASMOZEI&#8221; font_container=&#8221;tag:h2|font_size:36px|text_align:left|color:%23dd9933|line_height:42PX&#8221; google_fonts=&#8221;font_family:Roboto%3A100%2C100italic%2C300%2C300italic%2Cregular%2Citalic%2C500%2C500italic%2C700%2C700italic%2C900%2C900italic|font_style:300%20light%20regular%3A300%3Anormal&#8221; css=&#8221;.vc_custom_1612446205838{margin-bottom: 20px !important;}&#8221;][vc_column_text]<span style=\"font-size: 18px; color: #ffffff;\">Clamidozele, ureoplasmozele \u015fi micoplasmozele sunt cele mai comune maladii transmisibile pe cale sexual\u0103. Clamidozele, produse de genul Chlamydia trichomatis, sunt cele mai obi\u015fnuite maladii transmisibile pe cale sexual\u0103. Mycoplasma hominis, care este implicat\u0103 \u00een producerea micoplasmozelor, \u015fi Ureoplasma urealyticum, \u00een ureoplasmoze, sunt bacterii frecvent decelate pe organele genitale ale femeii, care se transmit prin contact sexal. Existen\u0163a acestora poate mic\u0219ora fertilitatea, iar prezen\u0163a acestora poate fi constatat\u0103 prin spermocultura.<\/span>[\/vc_column_text][vc_custom_heading text=&#8221;7. ANALIZA CARIOTIPULUI \u00ceN S\u00c2NGE&#8221; font_container=&#8221;tag:h2|font_size:30px|text_align:left|color:%23dd9933|line_height:36PX&#8221; google_fonts=&#8221;font_family:Roboto%3A100%2C100italic%2C300%2C300italic%2Cregular%2Citalic%2C500%2C500italic%2C700%2C700italic%2C900%2C900italic|font_style:300%20light%20regular%3A300%3Anormal&#8221; css=&#8221;.vc_custom_1612446249824{margin-bottom: 20px !important;}&#8221;][vc_row_inner][vc_column_inner width=&#8221;1\/2&#8243;][vc_column_text]<span style=\"font-size: 18px; color: #ffffff;\"><span style=\"line-height: 24px;\">\u0103. <\/span>Persoane cu:<\/span><\/p>\n<ul>\n<li><span style=\"color: #ffffff;\"><em>anomalii cromozomiale<\/em><\/span><\/li>\n<li><span style=\"color: #ffffff;\"><em>retard mintal de cauz\u0103 necunoscut\u0103<\/em><\/span><\/li>\n<li><span style=\"color: #ffffff;\"><em>avorturi multiple \u015fi deces neonatal<\/em><\/span><\/li>\n<li><span style=\"color: #ffffff;\"><em>amenoree primar\u0103 sau secundar\u0103<\/em><\/span><\/li>\n<li><span style=\"color: #ffffff;\"><em>menopauz\u0103 precoce<\/em><\/span><\/li>\n<li><span style=\"color: #ffffff;\"><em>anomalii de sperm\u0103 (azoospermia, oligospermia)<\/em><\/span><\/li>\n<li><span style=\"color: #ffffff;\"><em>fenotip clinic nefiziologic (dezvoltare corporal\u0103 \u00eent\u00e2rziat\u0103 sau excesiv\u0103, dismorfie, retard mintal).<\/em><\/span><\/li>\n<\/ul>\n<p>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=&#8221;1\/2&#8243;][vc_column_text]<span style=\"font-size: 18px; color: #ffffff;\"><span style=\"line-height: 24px;\">b. <\/span>Cupluri cu:<\/span><\/p>\n<ul>\n<li><span style=\"color: #ffffff;\"><em>infertilitate de cauz\u0103 necunoscut\u0103 (imposibilitatea de a concepe \u00een mod natural sau prin metode de reproducere asistat\u0103)<\/em><\/span><\/li>\n<li><span style=\"color: #ffffff;\"><em>avorturi multiple sau istoric de deces neonatal de cauz\u0103 necunoscut\u0103<\/em><\/span><\/li>\n<li><span style=\"color: #ffffff;\"><em>copil cu anomalie cromozomial\u0103 diagnosticat\u0103 anomalie cromozomial\u0103 diagnosticat\u0103 de natur\u0103 structural\u0103 \u00een cariotipul lichidului amniotic al embrionului.<\/em><\/span><\/li>\n<\/ul>\n<p>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_custom_heading text=&#8221;8. ANALIZE PENTRU FIBROZA CHISTIC\u0102&#8221; font_container=&#8221;tag:h2|font_size:30px|text_align:left|color:%23dd9933|line_height:36PX&#8221; google_fonts=&#8221;font_family:Roboto%3A100%2C100italic%2C300%2C300italic%2Cregular%2Citalic%2C500%2C500italic%2C700%2C700italic%2C900%2C900italic|font_style:300%20light%20regular%3A300%3Anormal&#8221; css=&#8221;.vc_custom_1612446592306{margin-bottom: 20px !important;}&#8221;][vc_row_inner][vc_column_inner width=&#8221;1\/2&#8243;][vc_column_text]<span style=\"font-size: 18px; color: #ffffff;\">Fibroza chistic\u0103 este a doua maladie genetic\u0103 \u00een ordinea frecven\u0163ei \u00een Grecia, dup\u0103 thalasemie \u015fi prima la rasa caucazian\u0103. Maladia se datoreaz\u0103 muta\u0163iilor genei CFTR (cystic fibrosis transmembrane conductance regulator) \u015fi se transmite prin caracter recesiv. Acest lucru \u00eenseamn\u0103 c\u0103 purt\u0103torii genei mutante sunt perfect s\u0103n\u0103to\u015fi, \u00eens\u0103 au posibilitate 50% de a transfera gena mutant\u0103 descenden\u0163ilor lor.<\/span><br \/>\n<span style=\"font-size: 18px; color: #ffffff;\">Maladia are o gam\u0103 larg\u0103 de simptome, at\u00e2t ca gravitate c\u00e2t \u015fi ca organe incluse (aparat respirator, digestiv \u015fi alte sisteme). Acest lucru \u00eenseamn\u0103 c\u0103 exist\u0103 varia\u0163ii ale genei CFTR considerate forme u\u015foare \u015fi nu conduc la fenotipul patologic caracteristic al bolii, \u00eens\u0103 se asociaz\u0103 cu hipersensibilitatea sistemului respirator (ex. infec\u0163ii frecvente ale aparatului respirator). Mai mult, b\u0103rba\u0163ii care sufer\u0103 de fibroza chistic\u0103 sunt sterili, iar \u00een procent de 20- 40% sunt purt\u0103torii unei singure gene CFTR patologice \u015fi deci considera\u0163i clinic s\u0103n\u0103to\u015fi.<\/span>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=&#8221;1\/2&#8243;][vc_column_text css=&#8221;.vc_custom_1612446797281{margin-bottom: 10px !important;}&#8221;]<span style=\"font-size: 18px; color: #ffffff;\">\u00cen prezent \u00een \u0163ara noastr\u0103 la identificarea maladiei trebuie s\u0103 fie supuse toate grupele de risc precum \u015fi toate cuplurile ce doresc s\u0103 fac\u0103 un copil, \u00een cadrul controlului prenatal. \u00cen ultimul caz controlul poate s\u0103 \u00eenceap\u0103 mai \u00eent\u00e2i de la mam\u0103, pentru a se constata dac\u0103 este purt\u0103toare a unei muta\u0163ii de fibroz\u0103 chistic\u0103. Dac\u0103 mama va fi g\u0103sit\u0103 purt\u0103toare a unei asemenea muta\u0163ii, atunci se impune s\u0103 fie controlat \u015fi tat\u0103l, cu o examinare am\u0103nun\u0163it\u0103 a muta\u0163iilor, \u00eentruc\u00e2t riscul na\u015fterii unui copil bolnav este mult sporit. Trebuie s\u0103 men\u0163ion\u0103m faptul c\u0103 cuplurile cu probleme de infertilitate masculin\u0103 necesit\u0103 s\u0103 fie supuse unui control al muta\u0163iilor genetice asociate cu fibroza chistic\u0103, astfel un num\u0103r semnificativ de b\u0103rba\u0163i cu azoospermie de tip obstructiv supu\u015fi tehnicilor de fertilizare micro, sunt purt\u0103tori ai unor muta\u0163ii ale genei CFTR.<\/span>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_row css=&#8221;.vc_custom_1589359538343{margin-bottom: 60px !important;}&#8221;][vc_column width=&#8221;1\/6&#8243;][\/vc_column][vc_column width=&#8221;2\/3&#8243;][vc_custom_heading text=&#8221;ABONARE LA MEDIMALL&#8221; font_container=&#8221;tag:h2|font_size:36px|text_align:center|color:%23181818&#8243; google_fonts=&#8221;font_family:Roboto%3A100%2C100italic%2C300%2C300italic%2Cregular%2Citalic%2C500%2C500italic%2C700%2C700italic%2C900%2C900italic|font_style:300%20light%20regular%3A300%3Anormal&#8221; css=&#8221;.vc_custom_1612446813154{margin-top: 55px !important;margin-bottom: 0px !important;}&#8221;][vc_custom_heading text=&#8221;NEWSLETTER&#8221; font_container=&#8221;tag:h2|font_size:45px|text_align:center|color:%23181818|line_height:50px&#8221; google_fonts=&#8221;font_family:Roboto%3A100%2C100italic%2C300%2C300italic%2Cregular%2Citalic%2C500%2C500italic%2C700%2C700italic%2C900%2C900italic|font_style:300%20light%20regular%3A300%3Anormal&#8221; css=&#8221;.vc_custom_1590986744191{margin-bottom: 10px !important;}&#8221;][vc_column_text]<\/p>\n<p style=\"text-align: center;\"><span style=\"color: #808080;\">Abona\u021bi-v\u0103 la Newsletter pentru a fi informa\u021bi cu articole interesante, dar \u0219i cu cele mai recente evolu\u021bii \u00een domeniul s\u0103n\u0103t\u0103\u021bii \u0219i fertilit\u0103\u021bii<\/span><\/p>\n<p>[\/vc_column_text][vc_column_text]<div class='_form_17'><\/div><script type='text\/javascript' src='https:\/\/medimall57257.activehosted.com\/f\/embed.php?static=0&id=17&6AB70C4292981&nostyles=0&preview=0'><\/script>[\/vc_column_text][\/vc_column][vc_column width=&#8221;1\/6&#8243;][\/vc_column][\/vc_row]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>[vc_row full_width=&#8221;stretch_row_content_no_spaces&#8221;][vc_column][\/vc_column][\/vc_row][vc_row css=&#8221;.vc_custom_1590985110193{margin-top: 50px !important;}&#8221;][vc_column][vc_custom_heading text=&#8221;1. SPERMOGRAMA \u015eI SPERMOCULTURA&#8221; font_container=&#8221;tag:h2|font_size:36px|text_align:left|color:%23181818|line_height:42PX&#8221; google_fonts=&#8221;font_family:Roboto%3A100%2C100italic%2C300%2C300italic%2Cregular%2Citalic%2C500%2C500italic%2C700%2C700italic%2C900%2C900italic|font_style:300%20light%20regular%3A300%3Anormal&#8221; css=&#8221;.vc_custom_1612444018329{margin-bottom: 20px !important;}&#8221;][vc_row_inner][vc_column_inner width=&#8221;1\/2&#8243;][vc_column_text css=&#8221;.vc_custom_1612444266970{padding-bottom: 0px !important;}&#8221;]Partenerul masculine va trebui s\u0103 dea o prob\u0103 de sperm\u0103 pentru efectuarea spermogramei. Pentru corectitudinea spermogramei, proba va trebui s\u0103 fie recoltat\u0103 dup\u0103 o abstinen\u0163\u0103 sexual\u0103 de 3-4 zile, neincluz\u00e2nd ziua ultimului contact \u015fi ziua recolt\u0103rii spermei. Trebuie [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v19.7 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>CRE\u0218TE\u021aI FERTILITATEA - B\u0102RBAT - Medimall IVF Clinic<\/title>\n<meta name=\"description\" content=\"CRE\u0218TE\u021aI FERTILITATEA - B\u0102RBAT - Medimall IVF Clinic\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/medimall.gr\/ro\/cresteti-fertilitatea-barbat\/\" \/>\n<meta property=\"og:locale\" content=\"ro_RO\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"CRE\u0218TE\u021aI FERTILITATEA - B\u0102RBAT - Medimall IVF Clinic\" \/>\n<meta property=\"og:description\" content=\"CRE\u0218TE\u021aI FERTILITATEA - B\u0102RBAT - Medimall IVF Clinic\" \/>\n<meta property=\"og:url\" content=\"https:\/\/medimall.gr\/ro\/cresteti-fertilitatea-barbat\/\" \/>\n<meta property=\"og:site_name\" content=\"Medimall IVF Clinic\" \/>\n<meta property=\"article:modified_time\" content=\"2022-10-14T07:30:46+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/medimall.gr\/wp-content\/uploads\/2020\/03\/1.-egg-donation-Large.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1620\" \/>\n\t<meta property=\"og:image:height\" content=\"1080\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/medimall.gr\/ro\/cresteti-fertilitatea-barbat\/\",\"url\":\"https:\/\/medimall.gr\/ro\/cresteti-fertilitatea-barbat\/\",\"name\":\"CRE\u0218TE\u021aI FERTILITATEA - B\u0102RBAT - Medimall IVF Clinic\",\"isPartOf\":{\"@id\":\"https:\/\/medimall.gr\/el\/#website\"},\"datePublished\":\"2020-06-28T11:25:11+00:00\",\"dateModified\":\"2022-10-14T07:30:46+00:00\",\"description\":\"CRE\u0218TE\u021aI FERTILITATEA - B\u0102RBAT - Medimall IVF Clinic\",\"breadcrumb\":{\"@id\":\"https:\/\/medimall.gr\/ro\/cresteti-fertilitatea-barbat\/#breadcrumb\"},\"inLanguage\":\"ro-RO\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/medimall.gr\/ro\/cresteti-fertilitatea-barbat\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/medimall.gr\/ro\/cresteti-fertilitatea-barbat\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/medimall.gr\/ro\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"CRE\u0218TE\u021aI FERTILITATEA &#8211; 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