Tej zaum koj thiab koj tus poj niam tau sim muaj menyuam tau ib ntus lawm. Thaum koj xav tias txhua yam mus zoo, tus kws kho mob hais rau koj tias tsis muaj phev nyob hauv koj cov phev. Koj xav li cas thaum koj hnov cov lus no? Nws yog ib qho ib txwm muaj uas koj xav tias koj lub ntiaj teb tab tom tawg thiab tu siab heev. Tab sis tsis txhob txhawj. Koj tsis nyob ib leeg. Cia peb tham txog qhov mob no hu ua Azoospermia hauv txoj kev yooj yim, yooj yim, thiab tus phooj ywg.
Azoospermia yog dab tsi tiag?
Hais yooj yim xwb, Azoospermia yog thaum tus txiv neej cov phev tsis muaj cov phev ntsuas tau. Qhov no yog qhov xwm txheej tsis meej pem rau ntau tus neeg. Tej zaum cov phev tawm li qub, tab sis qhov teeb meem yog tias cov phev tsis muaj cov phev uas xav tau los ua menyuam.
Xav txog nws zoo li kua txiv hmab txiv ntoo. Txawm hais tias nws muaj dej thiab qab zib los xij, nws tsis muaj tej daim txiv hmab txiv ntoo nyob hauv. Ib yam li ntawd, txawm hais tias muaj phev, nws yuav tsis muaj cov noob qes nyob hauv. Qhov no kuj hu ua "tsis muaj noob qes suav."
Tus mob no cuam tshuam rau kwv yees li 1% ntawm cov txiv neej. Qhov ntawd txhais tau tias nws tsis yog qhov tsawg heev. Ib txhia txiv neej yug los nrog nws, thaum lwm tus muaj nws thaum lawv tseem hluas lossis tom qab hauv lub neej. Qhov tseem ceeb yog tias muaj tus mob no tsis tau txhais hais tias koj yuav tsis muaj peev xwm ua ib leej txiv.
Muaj 3 txoj hauv kev tseem ceeb uas qhov xwm txheej no tuaj yeem tshwm sim.
Cov kws kho mob faib cov mob Azoospermia no ua peb hom loj. Thaum nkag siab qhov ua rau muaj qhov teeb meem no lawm, ces yuav yooj yim dua los kho. Cia peb saib seb peb hom ntawd yog dab tsi.
| Hom Azoospermia | Hais yooj yim xwb... | Lwm lub npe rau qhov no |
|---|---|---|
| Azoospermia tom qab noob qes | Cov noob qes tsim tawm los ntawm cov noob qes, tab sis muaj ib qho thaiv qhov twg ntawm txoj kev rau cov noob qes tawm los. Nws zoo li cov tsheb daig hauv tsheb. | Kev Txhaws Azoospermia |
| Kev kuaj mob Azoospermia ntawm noob qes | Qhov teeb meem nyob rau hauv lub noob qes lawv tus kheej. Cov phev me me heev uas tsim tawm, lossis tsis muaj li. Zoo li lub Hoobkas tsis ua haujlwm. | Azoospermia uas tsis thaiv |
| Kev kuaj mob Azoospermia ua ntej lub noob qes | Cov noob qes zoo, thiab tsis muaj dab tsi thaiv txoj kev ntawm cov phev. Tab sis cov tshuaj hormones los ntawm lub hlwb kom ua rau cov phev tsis tuaj txog zoo. Zoo li lub Hoobkas tsis tau txais qhov kev txiav txim. | Azoospermia uas tsis thaiv |
Dab tsi yog cov ua rau Azoospermia?
Muaj ntau yam ua rau muaj tus mob no. Cia peb muab cov laj thawj no faib ua ob pawg uas peb tau tham ua ntej.
1. Kev Txhaws Tsis Muaj Peev Xwm
Qhov no yog qhov ua rau feem ntau, pom muaj li ntawm 40% ntawm cov txiv neej uas muaj Azoospermia. Thaum cov phev tsim tawm hauv lub noob qes , lawv tsis tuaj yeem tawm los.
- Kev Raug Mob : Kev raug mob rau lub noob qes lossis thaj chaw ib puag ncig.
- Kev kis kab mob: Kev kis kab mob cuam tshuam nrog cov noob qes, piv txwv li '( Epididymitis )'.
- Kev phais mob yav dhau los: Kev phais mob hauv thaj chaw pelvic tuaj yeem ua rau cov hlab ntsha puas tsuaj.
- Vasectomy: Qhov no yog kev thaiv cov vas deferens ua ib txoj kev npaj tsev neeg.
- Kev Tawm Tsam Rov Qab: Cov phev tawm rov qab mus rau lub zais zis es tsis yog tawm ntawm tus qau.
- Cov ua rau muaj caj ces: Cov mob caj ces xws li Cystic Fibrosis tuaj yeem ua rau txoj hlab qe menyuam tsis tuaj lossis raug thaiv thaum yug los.
2. Teeb meem nrog kev tsim cov phev (Non-obstructive Azoospermia)
Qhov no yog teeb meem nrog "lub Hoobkas" uas tsim cov phev, lossis "kev tswj hwm" uas muab nws cov teeb liab.
- Cov mob caj ces: Cov mob xws li '(Klinefelter's syndrome)' lossis '(Y chromosome deletion)' ntawm Y chromosome.
- Kev tsis sib haum xeeb ntawm cov tshuaj hormones:Cov teeb meem hormone xws li cov testosterone qis.
- Kab mob Varicocele: Kev o ntawm cov leeg ntshav hauv cov noob qes. Qhov no tuaj yeem ua rau qhov kub ntawm cov noob qes nce siab thiab cuam tshuam rau kev tsim cov phev.
- Kev kho mob qog noj ntshav: Kev siv tshuaj tua kab mob los yog tshuaj kho mob qog noj ntshav tuaj yeem ua rau cov qe ntshav uas tsim cov noob qes puas tsuaj.
- Qee cov tshuaj: Qee cov tshuaj tuaj yeem ua rau cov phev tsim tsawg dua vim yog qhov tshwm sim sab.
- Cov kab mob cuam tshuam rau cov noob qes: Orchitis, ib qho mob uas tshwm sim los ntawm kab mob xws li mob qog.
- Txoj Kev Ua Neej: Haus dej cawv lossis siv yeeb tshuaj ntau dhau, raug cua sov ntau dhau rau cov noob qes (piv txwv li da dej kub ntau zaus, siv chav sauna).
Kuv yuav paub li cas yog tias kuv muaj tus mob no?
Feem ntau tus mob no pom tom qab sim muaj menyuam thiab nws tsis ua haujlwm. Feem ntau, tsis muaj lwm yam tsos mob.
Tab sis qee zaum, cov tsos mob ntsig txog qhov ua rau muaj teeb meem tuaj yeem pom.
- Yog tias nws yog teeb meem hormonal, ces muaj kev txo qis ntawm kev ntshaw kev sib deev.
- Yog tias muaj kev kis kab mob, pob lossis mob hauv cov noob qes.
Qhov tseem ceeb tshaj plaws yog, yog tias koj thiab koj tus poj niam tau sib deev tsis tu ncua li ib xyoos yam tsis tau tswj kev yug menyuam thiab tsis tau xeeb tub, mus ntsib kws kho mob tam sim ntawd.
Cov kev ntsuam xyuas uas tus kws kho mob ua
Thaum koj mus ntsib kws kho mob, nws yuav ua ntau qhov kev kuaj mob kom paub qhov ua rau.
1. Kev Tshuaj Xyuas Cov Phev: Qhov no yog qhov kev kuaj yooj yim thiab tseem ceeb tshaj plaws. Hauv qhov no, ib qho qauv ntawm koj cov phev raug coj mus kuaj hauv qab lub tshuab microscope kom pom tias puas muaj phev, muaj pes tsawg tus, thiab lawv txav mus li cas. Txhawm rau kom paub tseeb tias azoospermia, koj yuav tsum ua qhov kev kuaj no tsawg kawg yog ob zaug , thiab xyuas kom meej tias tsis muaj phev ob zaug.
2. Keeb kwm mob thiab kev kuaj lub cev: Tus kws kho mob yuav nug koj txog cov kab mob yav dhau los, kev phais, cov tshuaj uas koj noj, thiab seb puas muaj leej twg hauv koj tsev neeg tau muaj teeb meem zoo sib xws. Nws kuj tseem yuav kuaj koj lub noob qes.
3. Kev kuaj ntshav: Xyuas seb lub cev cov tshuaj hormones ntau npaum li cas, tshwj xeeb yog cov tshuaj hormones hu ua `(Testosterone)` thiab `(FSH)`.
4. Kev Kuaj Mob Genetic: Qhov kev kuaj no yog ua yog tias muaj kev xav tias muaj teeb meem los ntawm noob caj ces.
5. Kev Siv Ultrasound: Xyuas seb puas muaj kev thaiv dab tsi hauv noob qes lossis txoj hlab qe menyuam, xws li varicocele.
6. Kev kuaj MRI: Qhov no ua tau yog tias muaj kev tsis ntseeg txog lub qog pituitary hauv lub hlwb, uas tswj cov tshuaj hormones.
Tsis txhob txhawj... muaj kev kho mob!
Qhov xov xwm zoo yog tias Azoospermia tuaj yeem kho tau nyob ntawm seb ua rau muaj li cas. Nws yog ib qho tseem ceeb uas yuav tsum nrhiav qhov ua rau tseeb ua ntej.
| Vim li cas | Kev Kho Mob | Ib qho lus piav qhia yooj yim |
|---|---|---|
| Kev thaiv ntawm cov noob qes hauv lub qe | Kev phais tshem tawm qhov txhaws | Ib yam li tshem tawm qhov thaiv kev thiab cia cov tsheb hla mus, nws yog hais txog kev tshem txoj kev rau cov phev hla mus. |
| Kev tsis sib npaug ntawm cov tshuaj hormones | Kev kho mob hormone (tshuaj ntsiav los yog tshuaj txhaj) | Thaum muab cov tshuaj hormones tsim nyog los ntawm sab nraud rau lub cev, cov phev tsim tawm rov qab los. |
| Teeb meem nrog kev tsim cov phev (tsis kho tau) | Cov Txheej Txheem Rov Qab Tau Cov Phev | Cov noob qes raug sau ncaj qha los ntawm cov noob qes siv ib rab koob me me. Cov noob qes no ces siv tau los ua kom tus poj niam xeeb tub los ntawm cov txheej txheem xws li IVF (in vitro fertilization) lossis ICSI . |
Kev nplij siab rau koj lub siab ...
Nws yog ib qho ib txwm muaj ntau yam kev xav, suav nrog kev tu siab, kev npau taws, thiab kev poob siab, thaum koj tau txais kev kuaj mob zoo li no. Tab sis koj tsis tas yuav hla txoj kev no ib leeg.
- Tham nrog koj tus poj niam: Qhia rau nws paub koj xav li cas. Nws yog ib qho tseem ceeb heev uas nej ob leeg yuav tsum ntsib qhov no ua ke.
- Ntseeg tus kws kho mob: Nug nws cov lus nug. Tshem tawm tag nrho koj cov kev tsis ntseeg. Nkag siab txog cov kev kho mob kom zoo.
- Tsis txhob tso tseg kev cia siab:Niaj hnub nim no kev kho mob thev naus laus zis tau nce qib heev. Muaj ntau tus txiv neej uas muaj azoospermia muaj lub sijhawm los ua txiv niaj hnub no.
Azoospermia tsis yog qhov kawg ntawm koj txoj kev npau suav ntawm kev ua ib leej txiv. Nws tuaj yeem yog qhov pib ntawm kev taug kev tshiab, kev taug kev nrhiav cov kev daws teeb meem tshiab.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Azoospermia yog qhov tsis muaj phev nyob hauv cov phev. Nws tsis yog qhov tsis muaj phev.
- Qhov no yog tshwm sim los ntawm kev thaiv txoj kev phev, lossis teeb meem nrog kev tsim phev lossis cov tshuaj hormones.
- Yuav kom paub tseeb tias koj muaj mob dab tsi, koj yuav tsum mus ntsib kws kho mob thiab kuaj xyuas koj cov phev.
- Nyob ntawm seb ua rau muaj teeb meem dab tsi, muaj cov kev kho mob siab heev xws li phais, kev kho tshuaj hormones, lossis IVF/ICSI.
- Tsis txhob poob siab rau qhov kev kuaj mob no. Ua haujlwm nrog koj tus poj niam thiab kws kho mob kom nrhiav tau qhov kev daws teeb meem zoo tshaj plaws. Tseem muaj kev cia siab rau kev ua ib leej txiv.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus