Shahwada spermocytogram waa mid ka mid ah baaritaanada muhiimka ah ee sahaminta bacriminta ragga. Qayb muhiim ah oo ka mid ah qiimaynta shahwada, waxa ay ka kooban tahay in la eego mikroskoob hoos yimaada qaab-dhismeedka 3da qaybood ee shahwada ka kooban yahay: madaxa, qaybta dhexe iyo calanka.

Shahwada shahwada waa baaritaan loogu talagalay in lagu falanqeeyo qaab-dhismeedka shahwada, mid ka mid ah halbeegyada shahwada ee la bartay iyada oo qayb ka ah baaritaanka bacriminta. Waxay u ogolaataa in la qeexo boqolkiiba foomamka caadiga ah, taas oo ah in la yiraahdo spermatozoa ee qaab-dhismeedka caadiga ah, xogta saadaasha muhiimka ah ee lagu qeexayo fursadaha bacriminta. in vivo (uur dabiici ah) iyo in vivo. Sidaa darteed shahwada spermocytogram-ku waa mid ka mid ah waxyaabaha ugu muhiimsan ee lagu hagayo maaraynta lammaanaha ee bacrinta, bacrinta fayo-dhowrka caadiga ah (IVF) ama muditaanka shahwada oo la isku duro (ICSI)

Shahwada shahwada waxaa lagu sameeyaa muunad shahwo ah oo ka timid ninka. Si loo helo natiijooyin la isku halayn karo, ururinta shahwada waa in lagu sameeyaa shuruudo adag:

• waxay arkeen muddo ka fogaansho galmo ah 2 ilaa 7 maalmood, marka loo eego talooyinka WHO ee 2010 (1);
• Haddii ay dhacdo qandho, dawooyin, raajo, qalliin, ururinta dib ayaa loo dhigi doonaa sababtoo ah dhacdooyinkani waxay si ku meel gaar ah u bedeli karaan shahwada.

Ururinta waxay ka dhacdaa shaybaadhka. Qol gaar ah oo go'doon ah, ka dib markii si taxadar leh loo dhaqo gacmaha iyo muraayadaha, ninku wuxuu ku ururiyaa shahwadiisa dhalo nadiif ah, ka dib siigeysiga.

Ka dib shahwadu waxay ku riddaa foorno heerkulkeedu yahay 37 ° C ilaa 30 daqiiqo, ka dib waxaa la falanqeynayaa cabbirada shahwada ee kala duwan: xoojinta shahwada, dhaqdhaqaaqooda, firfircoonidooda iyo qaab-dhismeedkooda.

Halbeeggan u dambeeya, ama shahwada spermocytogram, waa heerka ugu dheer uguna adag ee shahwada. Marka la eego mikroskoobkii X1000, ee smears go'an iyo kuwa wasakhaysan, bayolojigu waxa uu daraaseeyaa qaybaha kala duwan ee shahwada si uu u aqoonsado wixii aan caadi ahayn:

• aan caadi ahayn ee madaxa;
• cilladaha qaybta dhexe;
• cilladaha calanka, ama qaybta ugu weyn.

Akhrintan, bayoolojigu wuxuu markaa qeexi doonaa boqolkiiba morphologically spermatozoa ama spermatozoa aan caadi ahayn, iyo sidoo kale dhacdooyinka aan caadiga ahayn ee la arkay. 

Shahwada shahwada waxaa la sameeyaa iyadoo qayb ka ah shahwada ( falanqaynta shahwada), baaritaan si habaysan loogu qoray ragga inta lagu jiro baaritaanka bacriminta ee lammaanaha kala tashanaya dhibaatooyinka uurka.

Labo qaybood ayaa u jira natiijada shahwada: kala saarista David oo la beddelay (2), Faransiis, iyo kala soocida Kruger, caalami ah, oo ay ku talisay Ururka Caafimaadka Adduunka (WHO). Kala soocidda la isticmaalo ayaa lagu tilmaami doonaa natiijooyinka.

Labada nidaam ayaa taxaya dhammaan cilladaha aan caadiga ahayn ee laga helay ugu yaraan 100 spermatozoa, laakiin leh nidaam ka duwan:

• Kala soocidda Kruger tilmaamayaa 4 nooc oo cillado ah sida ay u kala muhiimsan yihiin: cilladaha ku saabsan gunta (qayb ku taal madaxa hore), kuwa madaxa, kuwa qaybta dhexe iyo kuwa calanka. Kaliya waxay ku qaadanaysaa hal anomaly mid ka mid ah 4-ta fasal in shahwada spermatozoon loo kala saaro "qaab aan caadi ahayn";
• Kala saarista David ee wax laga beddelay aqoonsada 7 anomalies ee madaxa (dheeraaday, dhuuban, microcephalic, macrocephalic, madax badan, soo bandhigaya akrosome aan caadi ahayn ama maqan, soo bandhigaya saldhig aan caadi ahayn), 3 anomalies ee qaybta dhexe (joogitaanka hadhaaga cytoplasmic, xiidmaha yar, angulated) iyo 5 anomalies flagellum (maqan, gooyay, cabbir aan joogto ahayn, duuban iyo kuwo badan) oo ku jira miis labanlaab ah.

Heerarka qaababka caadiga ah sidoo kale way ku kala duwan yihiin labada qaybood. Marka loo eego kala-soocidda Kruger, morphology-ga shahwada ayaa la sheegay in ay caadi tahay marka la eego joogitaanka ugu yaraan 4% shahwada caadiga ah, marka loo eego 15% marka loo eego kala soocidda David ee la beddelay. Hoosta, waxaan ka hadalnaa teratospermia (ama teratozoospermia), cillad aan caadi ahayn ee shahwada taasoo yareyn karta fursadaha uurka.

Si kastaba ha ahaatee, shahwada aan caadiga ahayn waxay had iyo jeer u baahan tahay hubin labaad 3 bilood (muddada wareegga shahwada waa 74 maalmood), sababtoo ah arrimo badan (cadaadiska, caabuqa, iwm.) ayaa si ku-meel-gaar ah u beddeli kara cabbirada shahwada.

Haddii ay dhacdo teratozoospermia la xaqiijiyay, IVF-ICSI (bacriminta in vitro oo leh cirbadeynta intracytoplasmic) ayaa la siin karaa lamaanaha. Farsamadan AMP waxa ay ka kooban tahay in hal shahwo la isku duro, oo hore loo doortay lana diyaariyey, si toos ah cytobalaasamka oocyte-ka qaan-gaadhka ah.