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ANALISA SPERMA

Dr. Lydia Tendean MRepro. SpAnd.

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PENGERTIAN SPERMA

Sperma

adalah suatu zat

 setengah air yang !eluar melalui

uretra pria de"asa#

terdiri dari dua $agianplasma sperma %

spermatozoa

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&'MP'SISI % &EADAAN (ISI& SPERMA

 Plasma sperma dihasil!an oleh

epididimis# du!tus de)erens#

 *esi!a seminalis# !elen+ar prostat#!el. ,o"per % Littre

 Spermatozoa dihasil!an oleh

a!ti)itas tu$ulus semini)erus

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S-S-NAN &'MP'NEN SPERMA

 

PR'SENTASE

esi!a seminalis / 0 12 3 *olume sperma

Prostat / 0 42 3 *olume sperma#

Epididimis# ampula du!tus de)erens

% spermatozoa / 1 5 62 3 *olume sperma 

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'L-ME

esi!a seminalis / 4 5 4#7 mlProstat# epididimis# ampula du!.de)erens

% spermatozoa / 0 2#7 ml

&elen+ar ,o"per % Littre / 0 2#4 ml

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8AGIAN 9 (RA&SI : SPERMA

6.(ra!si Pra e+a!ulasi / non spermatozoa

4. (ra!si I / $erasal dari se!resi

  *esi!. semin. mengandung spermatozoa

;.(ra!si II / se!resi prostat

mengandung spermatozoa

<.(ra!si III / spermatozoa non motil

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 A$stinensia ; 5 7 hari

 Sampel ti$a = 6 +am

 Suhu dipertahan!an 42 5 <2 2 ,

 

PESIAPAN > ANALISA SPERMA >

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 ,ara pengam$ilan / mastur$asi ? onani

 Sperma harus leng!ap

tertampung dalam gelas ? plasti!mulut le$ar yang tida! to!si!

 &ontainer di$eri la$el $erupa/

  nama# umur# tanggal %"a!tu pengam$ilan

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STANDART PEMERI&SAAN SPERMA

> ANALISA SPERMA >

 

6.&oagulasi sperma

4.Li!ue)a!si sperma

;.@arna sperma

7. olume sperma

. is!ositas sperma1. pB sperma

C. 8au sperma

 Pemeri!saan Ma!ros!opis

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Pemeri!saan Mi!ros!opis

6.Penilaian !onsentrasi spermatozoa

4. Penilaian motilitas spermatozoa

;. Penilaian mor)ologi spermatozoa

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NILAI N'RMAL SPERMAT''A

olume / 4 ml

pB / 1#4

&onsentrasi spermatozoa / 42 +uta?ml

Fumlah total spermatozoa / <2 +uta ? e+a!ulat

Motilitas / Grade a 47 3 atau

  Grade a $ 723

Mor)ologi / 72 3italitas / 17 3

Leu!osit / H 6 +uta ? ml

9 @B'# 4224 :

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 Nilai Normal Spermatozoa

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Pemeriksaan spermatozoa untuk

mengetahui jumlah spermatozoa

 perlapangan pandang atau

 secara keseluruhan

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Konsentrasi

spermatozoa : !" juta#ml

$umlah totalspermatozoa :

%& juta # ejakulat

$umlah spermatozoa $umlah spermatozoa

perlapangan pandang keseluruhan

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16

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,ara penghitungan spermatozoa dengan !amar hitung

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Pemeriksaan spermatozoa

untuk mengetahui

pergerakan spermatozoa

 perlapangan pandang

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a. Gera!an epat % ma+u lurus

$. Gera!an lam$at % sulit ma+u lurus

. Tida! $ergera! ma+ud. Tida! $ergera!

Motilitas / Grade a 47 3 atau  Grade a $ 723

italitas / 17 3

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Motilitas Spermatozoa

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 &epala /

 8entu! !epala ? !elainan u!uran

meliputi !epala $esar# !eil#$er$entu! lon+ong 9 tapering :

$er$entu! $uah peer 9 pyri)orm :#

amor) atau a$normalitas a!rosom

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 &elaina leher % e!or 

8agian leher mem$eng!a!#ireguler 

sperma tida! $ere!or#

e!or $eng!o!# pende!# ganda#

Sisa sitoplasma

Mor)ologi / 72 3

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Morfologi Spermatozoa

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 Aglutinasi sperma

Sperma motil saling mele!at satu

Dengan yang lain !epala !epala#

!epala e!or# e!or e!or 

 

Sel 8undar Sel muda 9 immature germ cells :

% le!osit

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Spermatozoa normal

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  N N

N

&eterangan gam$ar /

N / spermatozoa normal

  spermatozoa normal

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ariasi 8entu!

E!or % &epalaspermatozoa

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Kelainan Kepala ' Akrosom

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