Tej zaum koj thiab koj tus poj niam tau sim xeeb tub tau ib ntus lawm. Thaum koj cia siab tias txhua yam yuav mus zoo, koj tus kws kho mob hais tias koj cov phev tsis muaj phev . Hnov cov lus ntawd ua rau koj xav li cas? Nws yog ib qho ib txwm muaj uas yuav xav tias ntxhov siab, mob siab, lossis zoo li koj lub ntiaj teb tab tom tawg. Tab sis thov, tsis txhob ntshai. Koj tsis nyob ib leeg. Cia peb tham txog qhov mob no hu ua Azoospermia kom raug, yooj yim, thiab muaj kev khuv leej.
Azoospermia yog dab tsi tiag?
Hais yooj yim xwb, Azoospermia yog ib qho mob uas koj cov phev tsis muaj ntau npaum li cas ntawm cov phev. Muaj ntau tus neeg tsis meej pem: koj tseem tuaj yeem ejaculate tau li qub, tab sis qhov teeb meem yog tias cov kua dej tsis muaj cov phev uas tsim nyog rau kev xeeb tub.
Xav txog nws zoo li kua txiv hmab txiv ntoo - txawm tias nws muaj dej thiab qab zib los xij, nws tsis muaj cov txiv hmab txiv ntoo tiag tiag. Yog li ntawd nws yog; koj muaj phev, tab sis nws tsis muaj cov noob qes. Qhov no kuj tseem hu ua "tsis muaj noob qes."
Tus mob no cuam tshuam rau kwv yees li 1% ntawm cov txiv neej, txhais tau tias nws tsis yog qhov tsawg li koj xav. Ib txhia txiv neej yug los nrog nws, thaum rau lwm tus, nws tshwm sim thaum hluas lossis laus. Qhov tseem ceeb tshaj plaws uas yuav tsum nco ntsoov yog tias muaj tus mob no tsis tau txhais hais tias koj yuav tsis muaj peev xwm ua ib leej txiv.
Muaj 3 hom mob no tseem ceeb
Cov kws kho mob faib Azoospermia ua peb hom loj. Kev nkag siab txog qhov ua rau muaj qhov no ua rau kev kho mob yooj yim dua. Cia peb los saib peb hom no.
| Hom Azoospermia | Hauv cov lus yooj yim ... | Lwm lub npe |
|---|---|---|
| Azoospermia tom qab noob qes | Cov phev tsim tawm hauv cov noob qes, tab sis muaj qhov txhaws qhov twg ntawm txoj kev. Nws zoo li kev sib tsoo tsheb uas ua rau cov tsheb tsis tuaj yeem mus tom ntej. | Kev Txhaws Azoospermia |
| Kev kuaj mob Azoospermia ntawm noob qes | Qhov teeb meem nyob hauv cov noob qes lawv tus kheej. Cov phev tsim tawm tsawg heev lossis tsis tsim tawm kiag li. Nws zoo li lub Hoobkas uas tsis ua haujlwm. | Azoospermia uas tsis thaiv |
| Kev kuaj mob Azoospermia ua ntej lub noob qes | Cov noob qes noj qab nyob zoo, thiab tsis muaj qhov thaiv. Txawm li cas los xij, cov teeb liab hormone los ntawm lub hlwb tsis mus txog cov noob qes kom raug. Nws zoo li lub Hoobkas tsis tau txais nws cov lus txib. | Azoospermia uas tsis thaiv |
Dab tsi yog cov ua rau Azoospermia?
Muaj ntau yam ua rau muaj tus mob no. Cia peb muab faib ua ob pawg tseem ceeb uas tau hais los saum toj no.
1. Kev thaiv hauv lub cev thauj cov phev (Obstructive Azoospermia)
Qhov no yog qhov ua rau feem ntau, pom muaj li ntawm 40% ntawm cov neeg mob. Txawm hais tias cov phev tsim tawm hauv cov noob qes , nws tsis tuaj yeem tawm mus.
- Kev Raug Mob/Kev Raug Mob : Cov xwm txheej cuam tshuam rau lub noob qes lossis thaj chaw ib puag ncig.
- Cov kab mob: Cov kab mob hauv txoj hlab qe menyuam, xws li Epididymitis .
- Kev phais mob yav dhau los: Kev phais mob hauv lub duav uas yuav ua rau cov hlab ntsha puas.
- Vasectomy: Ib txoj kev phais mob uas cov phev raug thaiv kom tswj tau kev yug me nyuam.
- Kev Tawm Tsam Rov Qab: Thaum cov phev tawm rov qab mus rau hauv lub zais zis es tsis tawm los ntawm tus qau.
- Cov yam ntxwv caj ces: Cov mob xws li Cystic Fibrosis, uas yuav ua rau tsis muaj lossis thaiv cov phev txij thaum yug los.
2. Teeb meem nrog kev tsim cov phev (Non-obstructive Azoospermia)
Qhov no tshwm sim thaum muaj teeb meem nrog "lub Hoobkas" tsim cov phev lossis "kev tswj hwm" xa cov cim tsim nyog.
- Cov mob caj ces: Xws li Klinefelter's syndrome lossis Y chromosome deletion.
- Kev tsis sib npaug ntawm cov tshuaj hormones: Cov teeb meem xws li cov qib Testosterone qis.
- Varicocele: Cov leeg ntshav loj hlob hauv lub scrotum, uas tuaj yeem ua rau qhov kub ntawm testicular nce thiab cuam tshuam kev tsim phev.
- Kev Kho Mob Cancer: Kev siv tshuaj tua kab mob los yog chemotherapy tuaj yeem ua rau cov hlwb uas ua rau cov phev tsim tawm puas tsuaj.
- Qee cov tshuaj: Qee cov tshuaj muaj cov kev mob tshwm sim uas tuaj yeem txo cov phev ntau lawm.
- Cov kab mob noob qes: Cov mob xws li orchitis , uas tuaj yeem tshwm sim los ntawm cov kab mob xws li mob qog.
- Tej yam uas ua rau lub neej muaj teeb meem: Haus dej cawv lossis siv yeeb tshuaj ntau dhau, lossis ua rau cov noob qes kub dhau (piv txwv li, da dej kub ntau zaus, siv chav sauna).
Kuv yuav paub li cas yog tias kuv muaj qhov no?
Feem ntau, cov txiv neej tsuas pom qhov no tom qab sim xeeb tub tab sis tsis tau. Feem ntau, tsis muaj lwm yam tsos mob tshwm sim.
Txawm li cas los xij, qee zaum, cov tsos mob ntsig txog qhov ua rau muaj qhov teeb meem no yuav tshwm sim:
- Yog tias nws yog teeb meem hormonal, koj yuav pom tias muaj kev xav tsis zoo txog kev sib deev.
- Yog tias nws yog kev kis kab mob, koj yuav hnov mob pob lossis mob hauv cov noob qes.
Qhov tseem ceeb tshaj plaws yog qhov no: yog tias koj thiab koj tus khub tau sim xeeb tub tsis tu ncua li ib xyoos yam tsis muaj kev tswj xeeb tub thiab tsis tau ua tiav, sab laj nrog kws kho mob tam sim ntawd.
Cov kev kuaj uas koj tus kws kho mob yuav ua
Thaum koj mus ntsib kws kho mob tshwj xeeb, lawv yuav ua ntau qhov kev kuaj mob kom nrhiav tau qhov ua rau.
1. Kev Tshuaj Xyuas Cov Phev: Qhov no yog qhov kev kuaj thawj zaug thiab tseem ceeb tshaj plaws. Ib qho qauv ntawm koj cov phev raug kuaj hauv qab lub tshuab microscope kom pom tias puas muaj phev, ntau npaum li cas, thiab lawv txav mus li cas. Txhawm rau kom paub tseeb tias Azoospermia, qhov kev kuaj no yuav tsum tau ua tsawg kawg yog ob zaug kom paub tseeb tias tsis muaj phev rau ob qho tib si.
2. Keeb Kwm Kho Mob thiab Kev Kuaj Mob Lub Cev:Koj tus kws kho mob yuav tham txog koj keeb kwm kev mob nkeeg, kev phais mob yav dhau los, cov tshuaj kho mob tam sim no, thiab keeb kwm kev noj qab haus huv hauv tsev neeg. Lawv kuj tseem yuav kuaj xyuas lub cev kom zoo rau koj lub noob qes.
3. Kev Kuaj Ntshav: Cov no yog ua los xyuas koj cov tshuaj hormones, tshwj xeeb yog koj cov (Testosterone) thiab (FSH) .
4. Kev Kuaj Gene: Qhov no yuav raug pom zoo yog tias koj tus kws kho mob xav tias muaj tej yam caj ces uas ua rau koj mob.
5. Kev Ntsuas Ultrasound: Cov no pab koj tus kws kho mob txheeb xyuas txhua qhov kev thaiv hauv cov raj lossis teeb meem xws li (Varicocele) .
6. Kev Ntsuas MRI: Qhov no yuav raug txiav txim yog tias koj tus kws kho mob xav tias muaj teeb meem nrog (pituitary gland) hauv koj lub hlwb, uas tswj koj cov tshuaj hormones.
Tsis txhob poob siab - muaj kev kho mob!
Qhov xov xwm zoo tshaj plaws yog tias Azoospermia feem ntau tuaj yeem kho tau nyob ntawm seb qhov ua rau muaj qhov teeb meem no yog dab tsi. Kauj ruam tseem ceeb tshaj plaws yog txheeb xyuas qhov ua rau muaj qhov teeb meem no kom meej.
| Ua rau | Kev Kho Mob | Piav Qhia Yooj Yim |
|---|---|---|
| Kev thaiv hauv cov hlab ntsha | Kev kho qhov txhaws ntawm kev phais | Ib yam li kev tshem tawm qhov kev thaiv kev kom tsheb khiav tau dua, qhov kev phais no kho txoj kev rau cov phev tawm. |
| Kev tsis sib npaug ntawm cov tshuaj hormones | Kev kho mob Hormone (tshuaj los yog tshuaj txhaj) | Muab cov tshuaj hormones tsim nyog rau lub cev los ntawm sab nraud los txhawb kev tsim cov phev dua ib zaug ntxiv. |
| Teeb meem tsim cov phev (tsis yog thaiv) | Cov txheej txheem rho cov phev tawm | Siv ib rab koob me me los rho cov phev tawm ntawm cov noob qes. Cov phev no ces siv tau nrog IVF (In Vitro Fertilization) lossis ICSI los pab koj tus khub xeeb tub. |
Rau koj txoj kev kaj siab lug...
Nws yog ib qho ib txwm muaj uas yuav tu siab, npau taws, lossis tsis muaj kev cia siab tom qab tau txais qhov kev kuaj mob no. Txawm li cas los xij, thov paub tias koj tsis tas yuav taug txoj kev no ib leeg xwb.
- Tham nrog koj tus khub: Qhib siab qhia koj tej kev xav. Kev sib ntsib ua ke ua ib pab neeg yog ib qho tseem ceeb heev.
- Ntseeg koj tus kws kho mob: Nug cov lus nug, teb txhua yam kev tsis ntseeg uas koj muaj, thiab xyuas kom koj nkag siab tag nrho koj cov kev xaiv kho mob.
- Tsis txhob tso tseg kev cia siab: Cov thev naus laus zis kho mob niaj hnub no tau nce qib ntau heev. Niaj hnub no, ntau tus txiv neej uas muaj Azoospermia tau ua tiav los ua txiv.
Kev kuaj pom tias muaj Azoospermia tsis yog qhov kawg ntawm koj txoj kev npau suav ntawm kev ua ib leej txiv. Nws tsuas yog qhov pib ntawm tshooj tshiab uas koj nrhiav kev daws teeb meem tshiab nrog kev pab los ntawm Nirogi Lanka.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Azoospermia txhais tau tias tsis muaj phev nyob hauv koj cov phev; nws tsis tau txhais hais tias koj tsis tuaj yeem ejaculate.
- Feem ntau nws yog tshwm sim los ntawm kev thaiv hauv txoj kev yug me nyuam lossis teeb meem nrog kev tsim cov phev / kev tswj hwm cov tshuaj hormones.
- Yuav kom paub tseeb tias mob li cas, nws yog ib qho tseem ceeb uas yuav tsum tau mus ntsib kws kho mob tshwj xeeb thiab kuaj cov noob qes nrog rau lwm yam kev kuaj mob uas tsim nyog.
- Nyob ntawm seb ua rau muaj teeb meem dab tsi, muaj cov kev kho mob zoo xws li phais, kho tshuaj hormones, lossis cov txheej txheem siab heev xws li IVF/ICSI.
- Tsis txhob poob siab. Koom tes nrog koj tus khub thiab koj pab neeg kho mob kom nrhiav tau txoj hauv kev zoo tshaj plaws rau pem hauv ntej. Koj txoj kev npau suav ntawm kev ua txiv tseem nyob ze.
Azoospermia, tsis muaj phev, teeb meem txog kev muaj menyuam, kev tsis muaj menyuam ntawm cov txiv neej, kev tshuaj xyuas phev, IVF, ICSI
