Tej zaum koj thiab koj tus khub yuav tos ntsoov yuav ntxiv ib tug qhua me me tshiab rau hauv koj tsev neeg nrog kev cia siab loj heev. Tab sis thaum txoj kev npau suav ntawd tsis muaj tseeb tom qab ntau lub hlis, tej zaum txawm tias ib xyoos ntawm kev sim, nws nyuaj rau hais tawm qhov kev tu siab, kev ntxhov siab, thiab kev kho siab uas koj xav? Qhov no ua rau muaj kev nyuaj siab ntxiv nrog cov lus nug los ntawm cov neeg nyob ib puag ncig koj. Tab sis tsis txhob xav tias koj tab tom ntsib qhov no ib leeg. Hnub no peb tab tom tham txog qhov teeb meem no uas ntau tus neeg khaws cia hauv lawv lub siab, uas yog, kev tsis muaj menyuam. Cia peb tham txog nws qhib siab thiab meej.
Hauv lus yooj yim, kev tsis muaj menyuam yog dab tsi?
Kev tsis muaj menyuam yog qhov tsis muaj peev xwm xeeb tub vim muaj teeb meem hauv koj lub cev xeeb tub. Nws tuaj yeem cuam tshuam rau leej twg. Feem ntau, nws tsis yog los ntawm ib yam, tab sis los ntawm ntau yam.
Xav txog nws, cev xeeb tub yog ib qho txheej txheem zoo kawg nkaus, muaj ntau kauj ruam. Nws zoo li ib txoj saw, yog tias ib qho txuas tawg, tag nrho cov saw tawg.
- Ua ntej, koj lub hlwb yuav tsum tsim cov tshuaj hormones uas tswj kev ua haujlwm ntawm koj lub zes qe menyuam.
- Qhov thib ob, cov tshuaj hormones no yuav tsum ua rau lub qe loj hlob hauv ib qho ntawm koj lub zes qe menyuam.
- Tom ntej no, lub qe uas loj hlob lawm yuav tsum tau tso tawm ntawm lub zes qe menyuam. Peb hu qhov no ua qe menyuam .
- Tom qab ntawd, lub qe yuav tsum tau ntes los ntawm lub raj Fallopian.
- Lub sijhawm ntawd, cov phev txiv neej yuav tsum nkag mus rau hauv lub tsev menyuam los ntawm qhov chaw mos, mus rau hauv lub raj fallopian, thiab mus txog lub qe.
- Nyob ntawd, cov phev yuav tsum sib koom ua ke nrog lub qe thiab ua rau nws chiv, tsim ib lub embryo .
- Thaum kawg, lub qe fertilized yuav tsum taug kev mus rau hauv lub raj fallopian thiab cog rau hauv phab ntsa ntawm lub tsev menyuam.
Yog tias ib qho ntawm cov kauj ruam no tsis ua tiav kom raug, kev xeeb tub yuav tsis tshwm sim.
Feem ntau, cov kws kho mob kuaj mob infertility los ntawm:
- Yog tias koj hnub nyoog qis dua 35 xyoo thiab tsis tau xeeb tub tom qab ib xyoos (12 lub hlis) ntawm kev sib deev tsis tu ncua yam tsis muaj kev tswj kom yug menyuam.
- Yog tias koj muaj hnub nyoog 35 xyoo lossis laus dua thiab tau sim ua li ntawm 6 lub hlis yam tsis tau xeeb tub.
Tus mob no muaj ntau dua li koj xav hauv zej zog. Yog li ntawd, tsis txhob txaj muag lossis nyob ib leeg, xav tias qhov no tsuas yog koj qhov teeb meem xwb. Qhov xov xwm zoo yog tias niaj hnub no muaj cov kev kho mob zoo heev rau qhov no.
Cov hom mob tsis muaj menyuam tseem ceeb yog dab tsi?
Kev tsis muaj menyuam muaj peb hom loj. Yuav kom nkag siab qhov no meej, saib daim ntawv hauv qab no.
| Hom kev tsis muaj menyuam | Piav qhia yooj yim |
|---|---|
| Kev Tsis Muaj Me Nyuam Thawj Zaug | Tsis tau xeeb tub dua li thiab tsis tau xeeb tub txawm tias tau sim ib ntus (ib xyoos yog tias hnub nyoog qis dua 35, rau lub hlis yog tias hnub nyoog tshaj 35) nyob ntawm hnub nyoog. |
| Kev Tsis Muaj Me Nyuam Thib Ob | Tau muaj tsawg kawg ib zaug cev xeeb tub tau zoo ua ntej thiab tsis tuaj yeem cev xeeb tub tau dua. |
| Kev Tsis Muaj Me Nyuam Tsis Paub Tseeb | Txawm hais tias muaj ntau yam kev kuaj mob tsim nyog los xij, tseem nrhiav tsis tau ib qho laj thawj tshwj xeeb rau qhov tsis xeeb tub. |
Dab tsi ua rau muaj menyuam tsis taus?
Feem ntau tsis muaj ib lo lus teb yooj yim rau qhov no. Qee zaum nws tuaj yeem yog teeb meem ntawm poj niam, qee zaum nws tuaj yeem yog teeb meem ntawm txiv neej. Lwm lub sijhawm, nws tuaj yeem yog kev sib xyaw ua ke ntawm ob qho tib si. Nov yog qhov kev tshawb fawb tau qhia:
- Hauv 33% ntawm cov rooj plaub, qhov ua rau muaj feem cuam tshuam nrog tus poj niam .
- Hauv 33% ntawm cov rooj plaub, qhov ua rau muaj feem cuam tshuam nrog tus txiv neej .
- Cov neeg mob uas tseem tshuav 33% yog raug kev txom nyem los ntawm ob qho tib si lossis los ntawm cov laj thawj tsis paub .
Cov yam ntxwv pheej hmoo feem ntau
Qee yam kev coj ua hauv lub neej thiab tej yam kev mob nkeeg yuav cuam tshuam rau kev muaj menyuam.
- Hnub nyoog: Kev muaj menyuam poob qis sai sai, tshwj xeeb tshaj yog rau cov poj niam uas muaj hnub nyoog 30 xyoo lossis 40 xyoo. Rau cov txiv neej, qhov cuam tshuam yuav nce ntxiv tom qab hnub nyoog 50 xyoo.
- Haus luam yeeb thiab siv yeeb tshuaj/cawv: Cov no ua rau cov phev thiab qe puas tsuaj ncaj qha.
- Rog dhau los yog rog tsis txaus: Qhov hnyav ntawm lub cev tsis zoo cuam tshuam rau qhov sib npaug ntawm cov tshuaj hormones.
- Kev Noj Tsis Zoo: Cov mob xws li '(Anorexia nervosa)' thiab '(Bulimia)'.
- Kev tawm dag zog ntau dhau:Kev tawm dag zog ntau dhau kuj tseem tuaj yeem cuam tshuam rau cov tshuaj hormones.
- Kev raug tshuaj lom neeg ib puag ncig: Cov khoom xws li tshuaj tua kab, tshuaj lom neeg, thiab lwm yam.
- Kev Nyuaj Siab: Kev ntxhov siab mus sij hawm ntev kuj tau pom tias cuam tshuam rau kev muaj menyuam.
- Cov kab mob sib kis los ntawm kev sib deev (STIs): Cov kab mob uas tsis kho tuaj yeem ua rau lub cev muaj menyuam puas tsuaj.
- Kev Kho Mob Cancer: Kev kho mob hluav taws xob los yog chemotherapy.
Cov laj thawj tshwj xeeb rau cov poj niam
Qhov ua rau poj niam tsis muaj menyuam yog teeb meem nrog kev tso qe . Qhov no txhais tau tias qe tsis loj hlob lossis tso tawm kom raug. Tsis tas li ntawd, cov no tuaj yeem cuam tshuam rau:
- Endometriosis: Cov nqaij uas yuav tsum loj hlob hauv lub tsev menyuam loj hlob sab nraud lub tsev menyuam (hauv cov chaw xws li zes qe menyuam thiab cov raj fallopian).
- Polycystic ovary syndrome (PCOS): Ib qho kev tsis sib npaug ntawm cov tshuaj hormones uas ua rau muaj cov cysts me me hauv cov zes qe menyuam thiab cov qe tsis xwm yeem.
- Cov hlab ntaws qe raug thaiv: Cov hlab ntaws qe raug thaiv, vim muaj kev kis kab mob (piv txwv li, Kab mob Pelvic Inflammatory Disease - PID) lossis phais, tiv thaiv cov qe thiab phev kom tsis txhob sib ntsib.
- Teeb meem ntawm lub tsev menyuam: Cov fibroids lossis polyps ntawm lub tsev menyuam lossis teeb meem txij thaum yug los nrog rau cov duab ntawm lub tsev menyuam.
- Lwm yam mob: Cov mob xws li kab mob thyroid, ntshav qab zib, kab mob raum, thiab cov mob autoimmune.
- Qe tsis zoo: Qe tsis zoo thaum nws laus zuj zus.
Cov laj thawj tshwj xeeb rau cov txiv neej
Qhov ua rau cov txiv neej tsis muaj menyuam yog teeb meem ntawm cov phev . Cov no suav nrog:
- Cov phev tsawg.
- Kev txav ntawm cov phev tsis zoo.
- Cov qauv ntawm cov phev tsis zoo li qub.
Ntxiv rau qhov no, cov laj thawj hauv qab no kuj tseem yuav koom nrog:
- Teeb meem ntawm cov noob qes: Varicocele, raug mob rau cov noob qes, lossis cov noob qes tsis nqis los.
- Kev raug kub hnyiab: Hnav khaub ncaws hauv qab nruj heev, da dej kub ntau zaus, ua haujlwm nrog lub laptop ntawm koj lub hauv caug, thiab lwm yam.
- Teeb meem Hormonal: Testosterone qis.
- Cov kab mob caj ces: Cov mob caj ces xws li '(Klinefelter syndrome)'.
- Kev thaiv ntawm cov hlab ntsha ejaculate.
- Kev ua haujlwm tsis zoo ntawm erectile lossis teeb meem ejaculation.
- Kev siv cov tshuaj xws li anabolic steroids tsis raug.
Yuav kuaj mob li cas thiaj paub tias tsis muaj menyuam? Cov kev kuaj mob yog dab tsi?
Thaum koj thiab koj tus khub mus ntsib kws kho mob, nws yuav nug koj txog koj keeb kwm kev noj qab haus huv, kev sib deev, thiab kev ua neej. Tom qab ntawd, lawv yuav xaj ntau qhov kev kuaj mob kom nrhiav tau qhov ua rau. Nej ob leeg yuav tsum tau kuaj mob no.
| Hom kev xeem | Rau leej twg? | Qhov kev sim no ua dab tsi? |
|---|---|---|
| Kev Ntsuas Ntshav | Rau ob leeg | Txhawm rau kuaj xyuas cov tshuaj hormones (ovulation rau cov poj niam, testosterone rau cov txiv neej), kev ua haujlwm ntawm thyroid, thiab lwm yam teeb meem kev noj qab haus huv. |
| Kev Ntsuas Ultrasound Transvaginal | Rau cov poj niam | Txhawm rau kuaj xyuas qhov xwm txheej ntawm lub tsev menyuam thiab zes qe menyuam, cov qog (fibroids, polyps), PCOS xwm txheej, thiab lwm yam. |
| Kev Tshuaj Xyuas Cov Phev | Rau cov txiv neej | Yuav kuaj xyuas seb muaj pes tsawg tus phev, kev txav mus los, thiab cov duab. Qhov no yog ib qho kev kuaj tseem ceeb heev. |
| Kev kuaj mob Hysterosalpingogram (HSG) | Rau cov poj niam | Ib yam khoom tshwj xeeb raug muab tso rau hauv lub tsev menyuam thiab thaij duab X-ray kom pom seb cov raj fallopian puas raug thaiv. |
| Laparoscopy | Rau cov poj niam | Ib lub koob yees duab raug ntxig los ntawm ib qho kev phais me me kom pom tseeb, kuaj mob, thiab kho tau cov mob xws li endometriosis thiab teeb meem ntawm cov hlab ntaws. |
| Kev Siv Ultrasound Rau Lub Qhov Ncauj | Rau cov txiv neej | Txhawm rau kuaj xyuas seb puas muaj cov leeg ntshav (varicoceles) lossis lwm yam teeb meem ntawm cov qauv hauv cov noob qes. |
Muaj kev kho mob dab tsi?
Tom qab txheeb xyuas qhov ua rau, koj tus kws kho mob yuav pom zoo rau kev kho mob uas zoo tshaj plaws rau nej ob leeg, suav nrog koj lub hnub nyoog, qhov ua rau koj tsis muaj menyuam, thiab koj tau sim ntev npaum li cas.
Kev kho mob rau cov poj niam
- Tshuaj: Cov tshuaj pab kom muaj menyuam tau muab los pab kom cov qe tawm thiab ua rau muaj ib lossis ntau lub qe noj qab haus huv.
- Kev Phais Mob: Kev phais mob yog ua los qhib cov hlab ntsha fallopian yog tias lawv raug thaiv, tshem tawm cov fibroids uterine, lossis kho endometriosis.
- Kev hloov pauv hauv lub neej: Tswj qhov hnyav kom noj qab nyob zoo, noj zaub mov kom sib npaug, thiab tsis txhob haus luam yeeb.
Kev kho mob rau cov txiv neej
- Tshuaj: Muab tshuaj los kho cov tshuaj hormones lossis kho qhov tsis ua haujlwm ntawm kev sib deev.
- Kev Phais Mob: Kev phais mob yog ua los tshem tawm cov kev thaiv hauv cov hlab ntsha hauv lub noob qes lossis kho cov leeg ntshav hauv cov noob qes (Varicocele).
- Kev hloov pauv hauv lub neej: tsum tsis txhob haus luam yeeb thiab haus cawv, tsis txhob hnav khaub ncaws hauv qab nruj, noj zaub mov zoo.
Kev Pab Txhawb Kev Tsim Me Nyuam (ART)
Muaj tej lub sij hawm, yog tias cov kev kho mob saum toj no tsis ua tau zoo los yog qhov teeb meem nyuaj dua, cov kws kho mob yuav siv cov cuab yeej pab txhawb kev yug me nyuam. Qee txoj kev tseem ceeb yog:
- Kev txhaj tshuaj rau hauv lub tsev menyuam (IUI): Hauv qhov no, cov noob qes ntawm tus txiv neej raug npaj tshwj xeeb thiab muab tso rau hauv lub tsev menyuam ntawm tus poj niam los ntawm ib lub raj me me thaum lub sijhawm tso qe. Qhov no ua rau nws yooj yim dua rau cov noob qes mus txog lub qe.
- Kev Siv Tshuaj Yug Me Nyuam Hauv Vitro (IVF): Qhov no feem ntau hu ua "kev siv tshuaj yug me nyuam hauv vitro." Hauv txoj kev no, cov qe ntawm tus poj niam raug tshem tawm ntawm nws lub cev, muab cov noob qes ntawm tus txiv neej sib xyaw ua ke hauv chav kuaj, thiab ib lossis ntau lub qe menyuam noj qab haus huv raug muab cog rov qab rau hauv lub tsev menyuam.
- Kev Txhaj Tshuaj Rau Hauv Lub Cev Phev (ICSI):Qhov no yog ib txoj kev kho mob tshwj xeeb uas ua thaum lub sijhawm IVF. Yog tias cov phev txav tsis zoo lossis tus naj npawb tsawg heev, yuav xaiv ib tug phev noj qab haus huv thiab txhaj ncaj qha rau hauv lub qe.
Txawm hais tias cov kev kho mob no yuav zoo li nyuaj me ntsis los xij, tsis txhob txhawj. Koj tus kws kho mob yuav piav qhia txhua yam rau koj kom meej. Cov txheej txheem no tau pab ntau pua txhiab tus khub niam txiv thoob plaws ntiaj teb kom muaj peev xwm yug menyuam.
Thaum twg koj yuav tsum mus ntsib kws kho mob?
Qhov no yog ib lo lus nug tseem ceeb heev. Kev thov kev pab thaum lub sijhawm zoo yuav ua rau muaj feem ntau dua rau kev vam meej.
- Yog tias koj hnub nyoog qis dua 35 xyoos: Yog tias koj tau sim ua ntu zus rau ib xyoos yam tsis muaj kev tswj kom tsis txhob muaj menyuam thiab tsis tau xeeb tub, mus ntsib kws kho mob.
- Yog koj muaj hnub nyoog ntawm 35 thiab 39 xyoo: Nrhiav kev pab kho mob tom qab 6 lub hlis sim.
- Yog tias koj muaj hnub nyoog 40 xyoo lossis laus dua: Nws yog ib qho tseem ceeb uas yuav tsum nrhiav kev pab kho mob sai li sai tau, txawm tias koj tau sim tsawg dua 6 lub hlis los xij, vim tias kev xeeb tub yuav poob qis sai sai nrog hnub nyoog.
- Yog tias koj lossis koj tus khub muaj teeb meem kev noj qab haus huv uas paub lawm: piv txwv li, kev coj khaub ncaws tsis tu ncua, endometriosis, kev kis kab mob hauv lub plab yav dhau los, mus ntsib kws kho mob tam sim ntawd kom tau txais lus qhia.
Kev tsis muaj menyuam yog ib txoj kev taug kev nyuaj heev, ob qho tib si lub cev thiab lub hlwb. Nws yog ib qho tseem ceeb heev uas koj thiab koj tus khub yuav tsum ua haujlwm ua ke hauv txoj kev taug kev no nrog kev txhawb nqa thiab kev nkag siab. Tsis txhob yig mus nrhiav kev pab tswv yim txog kev puas siab puas ntsws yog tias tsim nyog.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kev tsis muaj menyuam tsis yog koj qhov txhaum. Nws yog ib qho mob uas cuam tshuam rau cov poj niam, cov txiv neej, lossis ob leeg.
- Koj tsis yog tib leeg xwb. Muaj ntau lab tus khub niam txiv thoob plaws ntiaj teb ntsib qhov teeb meem no. Yog li ntawd, tsis txhob txaj muag lossis zais qhov teeb meem.
- Nws yog ib qho tseem ceeb heev uas yuav tsum nrhiav kev pab kho mob raws sijhawm. Yog koj ncua sijhawm ntev npaum li cas, kev kho mob yuav tsis zoo npaum li ntawd.
- Niaj hnub nim no, muaj ntau txoj kev kho mob zoo heev rau kev tsis muaj menyuam (tshuaj, phais, IUI, IVF).
- Koj tuaj yeem txhim kho koj txoj kev muaj menyuam los ntawm kev ua raws li txoj kev ua neej noj qab haus huv (kev noj zaub mov zoo, kev tawm dag zog, thiab tsis txhob haus luam yeeb thiab haus cawv).
- Txoj kev taug kev no ua rau lub siab qaug zog heev. Ib leeg txhawb nqa ib leeg, tham qhia txog koj txoj kev xav, thiab nrhiav kev pab tswv yim los ntawm cov kws tshaj lij yog tias tsim nyog.
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