বন্ধ্যত্ব দূরীকরননে মহিলাদের ডিম্বাশয় উদ্দীপ্ত করা বা টিউব টেস্টের আগে চিকিৎসা শুরুর আগে পুরুষ সংগীর বীর্য বিশ্লেষন অপরিহার্য :
প্রাচীনকাল থেকে অধ্যাবধি মেয়েদের এককভাবে বন্ধ্যাত্বের জন্য দায়ী করা হলেও পুরুষের শুক্রানুর দরকার ভ্রুন তৈরির নিমিত্তে ।
আজ আমরা জানবো পুরুষের বীর্য সম্বন্ধে গুরুত্বপূর্ন তথ্য –
পুরুষালী দৈহিক গঠন . শারীরিক ও মানষিকভাবে মিলনে
স্বক্ষোমোতা এবং বীর্যপাতই বাবা হবার নিশ্চয়তা দেয় না –
বীর্য এর আয়তন( semen volume )
সুস্থ্য শুক্রানুর সংখ্যা বা count ( পর্যাপ্ততা ) . শুক্রানুর জিবোনাষোক্তি (Vitality ) নড়নচড়নের (motility ) ধরন .
.শুক্রানুর . স্বাভাবিক .গঠন .
উন্মুক্ত চলাচল পথ
.ইনফেকশন —–ইত্যাদির উপর নির্ভর করে পুরুষের বাঁচা বাচ্চা হওয়ার ক্ষমতা ।
* সুতরাং .ভালো ল্যাবে বীর্য পরীক্ষা করা আবশ্যক ।
* পরীক্ষার আগে কিছু নিয়ম পুরুষকে মেনে চলতে হবে ।
নিয়মগুলো হচ্ছে –
# টেস্ট এর আগে ২(মতান্তরে ৩) থেকে ৫ দিন সহবাস থেকে বিরত থাকতে হবে Abstinence from coitus ).
# হস্তমৈথুন (masterbstion)করা যাবেনা উক্ত 2/3 থেকে ৫ দিন ।
# ল্যাবে একটি আলাদা রুমে বীর্য সংগ্রহ হস্তমৈথুন করতে হবে হস্তমৈথুন এর সহায়তায়
#কন্টেনারে পুরো বীর্য করতে হবে সংগ্রহ
# ননটোক্সিক কনডমেও সংগ্রহ করা যায় ।
# হস্তমৈথুন এর মাধ্যোমে বীর্য সংগ্রহ করতে না পারলে স্ত্রী সহবাসে বিরতি (coittus interruptus ) এনে পুরো বীর্য সংগ্রহ যায়
# ল্যাবে সংগ্রহ সম্ভব না হলে কোন বাড়ি বা হোটেলে সংগ্রহ করে ৩০ মিনিটের মধ্যে ল্যাবে পৌছাতে হবে সংগৃহিত বীর্য ।
যাঁরা উপরোক্ত পন্থায় বীর্যপাতে সক্ষম নন তাঁদের এলেত্রোএজকূলতোর বা prostate massage করে বীর্য নেওয়া যায় টেস্ট এর জন্য ।
ল্যাবের রিপোর্ট ডাক্তাকে দেখবেন ।
পরবর্তী চিকিৎসা দু জনের রিপোট অনুযায়ী হবে ইনশাল্লাহ ।
ডাঃ নুরজাহান বেগম
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