Peb yuav tham txog kev tsis muaj menyuam ntawm cov menyuam li cas?

Koj thiab koj tus txiv puas yuav muaj menyuam? Tab sis txawm tias nej siv zog npaum li cas los xij, tsis muaj kev tswj xeeb tub, thiab txawm tias nyob ua ke tas li, txoj kev npau suav ntawd tseem tsis tau muaj tseeb? Kuv paub tias qhov no yog ib qho teeb meem rhiab heev. Cov no yog lub sijhawm nyuaj heev nrog kev tu siab, kev ntxhov siab, thiab teeb meem uas los ntawm zej zog. Tab sis koj tsis nyob ib leeg. Qhov no yog ib qho xwm txheej uas ntau tus neeg ntsib. Hnub no, peb yuav tham txog poj niam tsis muaj menyuam. Tsis txhob txhawj, peb yuav tham txog txhua yam yooj yim thiab meej.

Qhov kev tsis muaj menyuam no yog dab tsi?

Hais yooj yim xwb, kev tsis muaj menyuam yog ib qho mob. Nws txhais tau tias koj tsis tuaj yeem xeeb tub tau. Cov kws kho mob kuaj mob no raws li cov hauv qab no:

• Yog tias koj hnub nyoog qis dua 35 xyoos: Yog tias koj tau sim ib xyoos yam tsis muaj kev tswj xeeb tub, tau sib deev tsis tu ncua, thiab tsis tau xeeb tub.
• Yog tias koj muaj hnub nyoog tshaj 35 xyoo: Yog tias koj tau sim rau 6 lub hlis thiab tseem tsis tau xeeb tub.

Qee zaum, tus kws kho mob tuaj yeem kuaj pom qhov mob no ua ntej yog tias koj muaj lwm yam mob.

Puas muaj hom kev tsis muaj menyuam?

Yog, muaj ob hom feem ntau.

1. Kev Tsis Muaj Me Nyuam Thawj Zaug: Qhov no txhais tau tias koj yeej tsis tau cev xeeb tub ua ntej thiab koj tsis tau xeeb tub tom qab sim ua li ntawd rau lub sijhawm (ib xyoos lossis 6 lub hlis).

2. Kev Tsis Muaj Me Nyuam Thib Ob: Qhov no txhais tau tias koj tau yug tau tsawg kawg ib tug menyuam yav dhau los, thiab tom qab ntawd thaum koj sim xeeb tub dua, nws tsis ua tiav.

Xav txog qhov teeb meem no feem ntau tshwm sim, kwv yees li 10% ntawm cov poj niam hauv ntiaj teb ntsib qhov teeb meem no. Qhov kev pheej hmoo no nce ntxiv me ntsis thaum muaj hnub nyoog.

Dab tsi ua rau cov poj niam tsis muaj menyuam?

Muaj ntau yam ua rau qhov no. Qee zaum nws nyuaj rau nrhiav qhov ua rau tseeb. Peb hu nws tias '(Kev Tsis Muaj Me Nyuam Tsis Paub Piav Qhia)'. Cia peb saib seb cov laj thawj tseem ceeb yog dab tsi.

1. Teeb meem nrog lub tsev menyuam

Lub tsev menyuam yog qhov chaw uas tus menyuam loj hlob, yog li ntawd yog tias muaj teeb meem nyob ntawd, nws tuaj yeem ua rau koj tsis xeeb tub.

• Cov Fibroids ntawm Uterine:Cov no yog ib hom kev loj hlob uas tsis yog mob qog noj ntshav. Tsis yog txhua qhov kev loj hlob yog teeb meem, tab sis nyob ntawm seb lawv nyob qhov twg thiab loj npaum li cas, lawv tuaj yeem cuam tshuam rau kev xeeb tub.
• Polyps: Cov qog me me uas tsim rau ntawm phab ntsa tsev menyuam.
• Cov kab nplaum: Cov nqaij caws pliav uas qee zaum tsim nyob rau hauv lub tsev menyuam tom qab kev phais xws li D&C. Cov no tuaj yeem ua rau nws nyuaj rau lub embryo cog rau hauv lub tsev menyuam.

2. Teeb Meem Nrog Cov Hlab Ntsws

Ib lub qe mus los ntawm lub zes qe menyuam mus rau lub tsev menyuam los ntawm txoj hlab qe menyuam. Cov phev thiab qe sib ntsib hauv txoj hlab no. Yog tias cov hlab no raug thaiv, qhov no yuav tsis tshwm sim.

• Kab mob Pelvic Inflammatory Disease (PID): Qhov no yog qhov ua rau cov hlab ntaws fallopian raug thaiv. Nws tuaj yeem tshwm sim los ntawm cov kab mob sib kis los ntawm kev sib deev xws li Chlamydia thiab Gonorrhea uas tsis tau kho.
• Endometriosis: Hais yooj yim xwb, cov nqaij uas yuav tsum nyob hauv lub tsev menyuam loj hlob sab nraud lub tsev menyuam, nyob rau hauv cov chaw xws li cov raj fallopian thiab ovaries. Qhov no tuaj yeem ua rau muaj kev thaiv thiab kev nplaum.

3. Teeb Meem Nrog Kev Tso Qoob Loo

Yuav kom cev xeeb tub tau, yuav tsum tso qe tawm ntawm lub zes qe menyuam txhua hli. Cov txheej txheem no hu ua "Ovulation." Yog tias qhov no tsis tshwm sim kom raug, koj yuav tsis cev xeeb tub tau.

• Kev Tsis Sib Npaug ntawm Cov Tshuaj Hormones: PCOS (Polycystic Ovary Syndrome) yog ib qho piv txwv zoo ntawm qhov no. Hauv qhov mob no, kev tsis sib npaug ntawm cov tshuaj hormones ua rau cov zes qe tsis loj hlob thiab tso qe kom raug.
• Teeb meem thyroid: Cov tshuaj thyroid hormone tsawg dhau los yog ntau dhau cuam tshuam ncaj qha rau kev tso qe.
• Tej yam xws li kev ntxhov siab ntau dhau, kev noj zaub mov tsis zoo, thiab kev tawm dag zog ntau dhau kuj tuaj yeem cuam tshuam rau qhov no.

4. Teeb meem nrog kev suav qe thiab qhov zoo

Ib tug poj niam yug los muaj pes tsawg lub qe uas nws yuav tsum tau siv rau nws lub neej tag nrho. Thaum nws laus zuj zus, cov qe no (cov qe hauv lub pas dej) yuav txo qis, thiab qhov zoo ntawm cov qe uas tseem tshuav kuj txo qis.

• Qee zaum, cov qe menyuam uas khaws cia yuav tas ua ntej lub sijhawm tas hli (ua ntej hnub nyoog 40 xyoo). Qhov no hu ua '(Primary Ovarian Insufficiency - POI)'.
• Thaum muaj hnub nyoog ntau zuj zus, qhov uas yuav muaj teeb meem ntawm cov chromosomal abnormalities hauv cov qe yuav nce ntxiv. Cov qe zoo li no yuav tsis loj hlob mus ua ib tug menyuam hauv plab uas noj qab nyob zoo.

Cov yam ua rau muaj kev tsis muaj menyuam yog dab tsi?

Txawm hais tias muaj qee yam uas peb tswj tsis tau los xij, kuj muaj qee yam uas peb hloov tau. Nws yog ib qho tseem ceeb uas yuav tsum paub txog cov yam txaus ntshai no.

Kuv yuav paub li cas yog tias kuv muaj teeb meem ntxiv lawm?

Qhov no tsis yog ib yam dab tsi uas koj tuaj yeem txiav txim siab ntawm koj tus kheej. Koj yuav tsum tau mus ntsib kws kho mob rau qhov no. Thaum koj mus ntsib kws kho mob, nws yuav nug koj ob peb lo lus nug.

• Txog koj lub voj voog ntawm kev coj khaub ncaws (nws ntev npaum li cas, los ntshav ntau npaum li cas, mob)
• Txog kev xeeb tub yav dhau los lossis kev poob menyuam
• Txog qhov mob plab
• Txog cov kua tawm ntawm qhov chaw mos uas tsis zoo li qub
• Txog kev phais mob yav dhau los
• Txog seb koj puas muaj kab mob sib kis los ntawm kev sib deev

Tom qab ntawd, tus kws kho mob yuav kuaj koj thiab, yog tias tsim nyog, xa koj mus kuaj ntxiv.

Cov kev ntsuam xyuas no yog dab tsi?

• Kev Kuaj Lub Cev thiab Lub Pelvic: Kev kuaj dav dav thawj zaug uas tus kws kho mob yuav ua.
• Kev Ntsuas Ultrasound: Kev ntsuas lub plab lossis kev ntsuas ultrasound transvaginal siv tau los xyuas qhov xwm txheej ntawm lub tsev menyuam thiab zes qe menyuam (cysts, cov tsos mob PCOS).
• Kev Kuaj Ntshav: Qhov no pab kom tau txais lub tswv yim ntawm koj cov tshuaj hormones (thyroid hormones, reproductive hormones) thiab ovarian reserve.
• Kev kuaj HSG (Hysterosalpingogram): Qhov no yog kev kuaj X-ray. Ib qho kua tshwj xeeb raug txhaj rau hauv lub tsev menyuam thiab siv los saib seb nws puas txav mus los ntawm cov raj fallopian. Qhov no tuaj yeem pab txiav txim siab seb cov raj puas raug thaiv lossis tsis raug.
• Laparoscopy: Hauv qhov no, ib lub koob yees duab me me raug ntxig rau hauv lub plab kom kuaj xyuas lub tsev menyuam, cov hlab ntaws qe menyuam, thiab zes qe menyuam los ntawm sab nraud. Qhov no tseem ceeb heev rau kev kuaj mob xws li endometriosis.

Tseem muaj lwm yam kev kuaj tshwj xeeb xws li '(Hysteroscopy)' thiab '(Saline Sonohysterogram)'. Koj tus kws kho mob yuav txiav txim siab seb koj xav tau kev kuaj twg.

Cov kev kho mob yog dab tsi?

Qhov xov xwm zoo yog tias muaj kev kho mob zoo rau ntau yam ua rau tsis muaj menyuam. Kev kho mob nyob ntawm seb qhov ua rau koj muaj teeb meem li cas.

1. Tshuaj Kho Kom Muaj Me Nyuam: Cov teeb meem hormones, xws li kev muaj me nyuam, tuaj yeem kho tau nrog cov tshuaj. Muaj cov tshuaj uas muab los pab cov qe loj hlob thiab txhawb kom cov qe tawm.

2. Kev Phais Mob: Cov cysts hauv tsev menyuam, polyps, fallopian tube blockages, thiab endometriosis tuaj yeem raug tshem tawm thiab kho los ntawm kev phais mob.

3. Cov tshuaj tua kab mob: Yog tias muaj kev kis kab mob hauv lub cev yug me nyuam, cov no yog muab los kho nws.

4. Cov Txuj Ci Pab Txhawb Kev Yug Me Nyuam (ART):

• IUI (Intrauterine Insemination): Hauv qhov no, tus txiv cov noob qes raug npaj tshwj xeeb thiab ntxig ncaj qha rau hauv tus poj niam lub tsev menyuam siv lub cannula rau tib hnub uas nws ovulates.
• IVF (In Vitro Fertilization): Txoj kev 'test tube' uas peb txhua tus paub. Nws yog kev sib xyaw cov qe thiab cov phev sab nraum lub cev hauv chav kuaj, thiab tom qab ntawd muab cov qe menyuam rov qab rau hauv lub tsev menyuam.

Koj tus kws kho mob yuav txiav txim siab seb cov kev kho mob twg zoo tshaj plaws rau koj thiab koj tus txiv thiab piav qhia rau koj.

Kuv ua tau dab tsi los tiv thaiv kev tsis muaj menyuam?

Peb tsis tuaj yeem tiv thaiv qee yam ua rau muaj teeb meem no, xws li kev xeeb tub los ntawm noob caj noob ces, tab sis peb tuaj yeem txo peb qhov kev pheej hmoo los ntawm kev hloov pauv peb txoj kev ua neej.

• Tswj koj qhov hnyav kom noj qab nyob zoo: Nws yog ib qho tseem ceeb heev uas yuav tsum tswj koj qhov hnyav kom noj qab nyob zoo rau koj qhov siab.
• Tsis txhob haus luam yeeb thiab haus dej cawv: Ob qho no ua rau muaj kev tsis taus menyuam.
• Noj zaub mov kom sib npaug: Noj zaub, txiv hmab txiv ntoo, thiab zaub ntsuab ntau dua.
• Txo kev ntxhov siab: Sim ua tej yam xws li yoga thiab kev xav.
• Xyaum kev sib deev kom muaj kev nyab xeeb: Tiv thaiv koj tus kheej ntawm cov kab mob sib kis los ntawm kev sib deev.
• Mus kuaj mob tsis tu ncua: Tshwj xeeb tshaj yog tom qab koj pib muaj kev sib deev, mus ntsib kws kho mob poj niam tsawg kawg ib xyoos ib zaug tuaj yeem pab txheeb xyuas cov teeb meem uas yuav tshwm sim thaum ntxov.