Koj thiab koj tus khub puas tau cia siab tias yuav muaj menyuam ntev lawm? Tej zaum koj twb tau mus ntsib kws kho mob thiab ua qhov kev kuaj mob tsim nyog lawm. Lub sijhawm ntawd, koj tus kws kho mob yuav tau qhia koj txog kev kho mob hu ua "IUI". Yog li, ntau tus neeg xav paub me ntsis thiab ntshai me ntsis thaum lawv hnov lub npe no. Yog li hnub no, cia peb tham yooj yim thiab ua phooj ywg txog IUI yog dab tsi, nws yog dab tsi, nws ua li cas, nws haum rau leej twg, thiab seb nws puas ua tiav.
IUI yog dab tsi? Cia peb nkag siab yooj yim.
IUI yog ib txoj kev kho mob kom tsis txhob muaj menyuam hu ua kev tso noob qes. Nws yog kev muab cov noob qes ntawm tus txiv neej tso rau hauv lub tsev menyuam ntawm tus poj niam.
Tam sim no cia peb saib seb feem ntau cev xeeb tub li cas. Tom qab cov phev nkag mus rau hauv qhov chaw mos thaum sib deev, ntau lab tus phev yuav tsum taug kev ntev dhau ntawm lub qhov ncauj tsev menyuam, hla lub tsev menyuam, thiab mus rau hauv cov raj fallopian. Xav txog seb txoj kev taug kev no nyuaj npaum li cas, thiab tsuas yog kwv yees li 5% ntawm cov phev uas nkag mus rau hauv qhov chaw mos mus rau hauv lub tsev menyuam. Thaum lub qe tawm ntawm lub zes qe menyuam, nws tos hauv cov raj fallopian. Kev xeeb tub tshwm sim thaum ib tus phev uas tau taug kev ntev ntawd koom nrog lub qe.
Tab sis hauv kev kho mob IUI, txoj kev taug kev no luv heev.
Hais yooj yim xwb, IUI zoo li tsim ib txoj "kev luv luv" rau cov phev kom mus txog lawv qhov chaw.
Hauv txoj kev no, cov qauv phev raug coj los ntawm koj tus txiv thiab "ntxuav" hauv chav kuaj. Txawm hais tias qhov no hu ua "ntxuav," nws tsuas yog cais cov phev zoo tshaj plaws, noj qab haus huv tshaj plaws, thiab ceev tshaj plaws ntawm cov ejaculate. Cov phev xaiv no ces raug ntxig ncaj qha rau hauv koj lub tsev menyuam siv lub raj nyias (catheter). Qhov no txo qhov deb thiab lub sijhawm uas nws siv rau phev mus txog lub qe hauv cov raj fallopian. Qhov no ua rau muaj feem yuav xeeb tub ntau dua.
Feem ntau, cov kws kho mob pom zoo kom sim kho IUI ua ntej mus rau kev kho mob kim dua thiab nyuaj dua xws li IVF.
Hauv cov xwm txheej twg uas kev kho mob IUI raug pom zoo?
Muaj ntau yam ua rau muaj menyuam tsis taus. IUI yog ib qho kev daws teeb meem zoo rau qee qhov laj thawj no. Cia peb saib seb qhov twg kev kho mob IUI pab tau zoo tshaj plaws.
| Mob / Ua rau | IUI pab tau li cas? |
|---|---|
| Teeb meem ntawm lub caj dab | Yog tias cov hnoos qeev ntawm lub tsev menyuam tuab, nws yuav nyuaj rau cov phev mus txog saum toj. Hauv IUI, qhov teeb meem no raug zam vim tias cov phev hla lub tsev menyuam thiab mus ncaj qha rau hauv lub tsev menyuam. |
| Cov noob qes tsawg lossis lwm yam tsis zoo | Yog tias koj tus txiv cov noob qes tsawg, tsis muaj zog, qeeb, lossis muaj teeb meem zoo li cas, IUI tuaj yeem pab tau. Txoj kev no tsuas yog xaiv cov noob qes zoo tshaj plaws thiab xa mus rau lub tsev menyuam, uas ua rau muaj feem ntau dua rau kev ua tiav. |
| Kev Siv Cov Phev Pub Dawb | Yog tias tus txiv muaj teeb meem tsim cov phev los yog siv cov phev pub dawb rau lwm yam laj thawj, IUI yog txoj kev zoo tshaj plaws. |
| Teeb meem nrog ejaculation lossis arousal | Yog tias koj tus txiv muaj teeb meem nrog kev arousal lossis ejaculation thaum sib deev, IUI tuaj yeem ua tau los ntawm kev tau txais cov qauv phev. |
| Kev Ua Xua ntawm Cov Phev | Qhov no tsis tshua muaj. Tej zaum ib txhia poj niam yuav ua xua rau cov protein hauv lawv tus txiv cov phev. Thaum lub sijhawm IUI, cov phev raug "ntxuav" kom tshem tawm cov protein uas ua xua. |
| Kev Tsis Muaj Me Nyuam Tsis Paub Tseeb | Qee zaum, txawm tias muaj ntau yam kev kuaj mob los xij, tseem nrhiav tsis tau ib qho laj thawj tshwj xeeb rau qhov kev ncua sijhawm xeeb tub. Hauv cov xwm txheej zoo li no, kev kho mob IUI tseem tuaj yeem ua tiav. |
Cov xwm txheej uas kev kho mob IUI tsis ua tiav
Txawm li cas los xij, IUI tsis ua haujlwm rau txhua tus. Tshwj xeeb tshaj yogYog tias cov hlab qe menyuam raug thaiv, yog tias muaj cov mob hnyav xws li endometriosis, lossis yog tias tus txiv muaj teeb meem loj heev nrog nws cov phev, IUI yuav tsis ua tiav. Hauv cov xwm txheej zoo li no, koj yuav tsum tau siv kev kho mob zoo li IVF.
Qhov txawv ntawm IUI thiab IVF yog dab tsi?
Muaj coob tus neeg tsis nkag siab qhov txawv ntawm IUI thiab IVF. Cov no yog ob txoj kev kho mob sib txawv kiag li.
| Feature | Kev txhaj tshuaj rau hauv plab (IUI) | Kev Ua Kom Muaj Me Nyuam Hauv Vitro (IVF) |
|---|---|---|
| Qhov twg fertilization tshwm sim | Tshwm sim hauv lub cev (hauv lub raj fallopian). | Tshwm sim sab nraum lub cev (hauv chav kuaj mob). |
| Txheej Txheem | Cov noob qes uas raug xaiv lawm raug muab tso rau hauv lub tsev menyuam. Lub qe thiab cov noob qes sib koom ua ke raws li ntuj tsim. | Cov qe thiab cov phev raug coj tawm ntawm lub cev, ib lub embryo raug tsim nyob rau hauv chav kuaj mob, thiab nws raug muab rov qab rau hauv lub tsev menyuam. |
| Kev nyuaj siab thiab mob | Tsis nyuaj heev. Tsis mob ntau. | Nws nyuaj dua. Yuav tsum tau phais me me kom tau cov qe rov qab. |
| Tus nqi | Tsis ntau tshaj li IVF. | Ntau tshaj li IUI. |
Yuav ua li cas cov txheej txheem kho mob IUI ua haujlwm
Txij thaum pib mus txog thaum xaus, cov txheej txheem IUI feem ntau siv sijhawm plaub lub lis piam, uas yog ntev npaum li koj lub voj voog txhua hli. Muaj peb kauj ruam tseem ceeb rau nws.
1. Nrhiav Kev Qog Qog
Yuav kom IUI ua tiav, cov phev yuav tsum tau muab tso rau hauv lub tsev menyuam thaum lub sijhawm tseeb . Uas yog, thaum lub sijhawm tseeb uas ib lub qe tawm. Muaj ntau txoj hauv kev los nrhiav lub sijhawm tseeb no.
- Cov Khoom Siv Kwv Yees Kev Tso Qoob Loo: Cov khoom siv no, muaj nyob rau ntawm cov khw muag tshuaj, siv tau los txiav txim siab lub sijhawm kwv yees ntawm kev tso qe los ntawm kev ntsuas qib ntawm Luteinizing Hormone (LH) hauv cov zis.
- Kev kuaj xyuas: Tus kws kho mob yuav ua qhov kev kuaj ultrasound transvaginal kom pom tias cov qe loj hlob li cas hauv cov zes qe menyuam thiab txiav txim siab hnub zoo tshaj plaws rau kev tso qe.
- Cov Tshuaj: Qee zaum cov tshuaj noj (piv txwv li Clomiphene citrate) lossis cov tshuaj txhaj xws li hCG (human Chorionic Gonadotropin) raug muab los txhawb kom cov qe tawm. Qhov no yuav ua rau ntau tshaj ib lub qe tawm.
IUI ua tiav ntawm 24 thiab 36 teev tom qab kuaj pom ovulation.
2. Npaj cov qauv phev
Thaum hnub ua IUI, yuav muab ib daim qauv phev tshiab los ntawm koj tus khub. Nws raug xa mus rau chav kuaj thiab, raws li tau hais ua ntej, "ntxuav" kom tsim tau cov phev zoo.
3. Kev tso noob qes
Cov kauj ruam no yooj yim heev thiab tsuas siv ob peb feeb xwb.
- Koj yuav raug yuam kom pw saum txaj kuaj mob.
- Tus kws kho mob muab ib lub speculum ntxig rau hauv qhov chaw mos, ib yam li thaum ua qhov kev kuaj Pap.
- Tom qab ntawd, ib lub raj nyias nyias thiab yoog tau (catheter) raug xa mus rau hauv lub tsev menyuam.
- Thaum kawg, cov qauv phev uas tau npaj lawm raug txhaj rau hauv lub tsev menyuam los ntawm lub raj no.
Tom qab no, lawv yuav hais kom koj pw li ntawm 15-30 feeb. Qee zaum, lawv yuav muab tshuaj uas muaj cov tshuaj hormone progesterone rau koj kom lub tsev menyuam ruaj khov, uas ua rau muaj feem ntau dua rau kev cog rau hauv lub tsev menyuam.
Yuav muaj dab tsi tshwm sim tom qab kho mob? Puas mob heev?
Rau cov neeg feem coob, kev kho mob IUI tsis mob heev . Tsis tas yuav siv tshuaj loog. Txawm li cas los xij, koj yuav hnov mob nraub qaum me ntsis thaum lub sijhawm thiab rau lub sijhawm luv luv tom qab, mob plab me ntsis hauv qab plab , zoo ib yam li koj lub sijhawm. Koj kuj tseem yuav hnov mob me ntsis rau ib lossis ob hnub. Qhov no yog qhov ib txwm muaj.
Tom qab kho mob tas, koj tuaj yeem ua koj tej dej num li qub. Tsis tas yuav so tshwj xeeb. Koj tuaj yeem kuaj seb koj puas cev xeeb tub li ob lub lis piam tom qab IUI.
Puas muaj kev pheej hmoo nrog kev kho mob IUI?
IUI yog ib txoj kev kho mob uas muaj kev pheej hmoo tsawg dua li kev kho mob zoo li IVF, tab sis muaj qee qhov kev pheej hmoo me me.
- Yug ntau tus menyuam: Kev noj tshuaj los txhawb kom cov qe tawm tuaj yeem ua rau ntau tshaj ib lub qe tawm, ua rau muaj feem yuav muaj menyuam ntxaib lossis menyuam peb leeg.
- Kev kis kab mob: Qhov no yog ib qho tshwm sim tsawg heev.
- Kab Mob Qog Qog Qog (OHSS): Qhov no kuj tsis tshua muaj. Yog tias noj tshuaj ovulation ntau ntxiv, cov zes qe menyuam yuav o thiab mob.
Kev kho mob IUI zoo npaum li cas?
Qhov no yog lo lus nug loj tshaj plaws uas txhua tus muaj. Kev vam meej ntawm kev kho mob IUI nyob ntawm ntau yam . Koj lub hnub nyoog, qhov ua rau koj tsis muaj menyuam, thiab seb koj puas noj tshuaj ovulation induction los tsis noj, txhua yam puav leej muaj feem cuam tshuam.
Feem ntau, yog tias koj ua IUI kev kho mob nrog cov tshuaj ovulation induction, koj txoj kev muaj feem yuav xeeb tub yog li ntawm 20% . Qhov no zoo ib yam li txoj kev muaj feem ntawm ob niam txiv noj qab nyob zoo ib txwm xeeb tub ntuj. Qhov no txhais tau tias IUI tsuas yog coj koj txoj kev muaj feem rov qab mus rau qhov qub.
Kev vam meej ntawm IUI hloov pauv li cas nrog hnub nyoog:
| Pawg hnub nyoog | Qhov nruab nrab ntawm cev xeeb tub los ntawm ib lub voj voog IUI |
|---|---|
| 20 - 30 xyoo | ~ 17.6% |
| 31 - 35 xyoo | ~ 13.3% |
| 36 - 38 xyoo | ~ 13.4% |
| Muaj hnub nyoog 39 - 40 xyoo | ~ 10.6% |
| Muaj hnub nyoog tshaj 40 xyoo | ~ 5.4% |
Yog koj muaj hnub nyoog tshaj 40 xyoo, koj tus kws kho mob yuav pom zoo kom ua IUI ib zaug xwb thiab mus ncaj qha rau IVF, vim tias qhov feem pua ntawm kev vam meej yog qis.
Qhov tseem ceeb tshaj plaws yog tsis txhob ntshai yog tias thawj zaug IUI tsis ua haujlwm. Feem ntau, cov kws kho mob pom zoo kom sim tsawg kawg 3 IUI cycles kom ua tiav qhov tshwm sim zoo.
Kuv yuav tsum hu rau kws kho mob thaum twg?
Yog tias koj noj tshuaj kom ua rau ovulation, hu rau koj tus kws kho mob tam sim ntawd yog tias koj muaj cov tsos mob hauv qab no:
- Mob plab qis lossis mob plab heev
- Xeev siab thiab ntuav
- Ua pa nyuaj
- Qhov hnyav nce sai sai
- Kiv taub hau los yog qhov muag xiav
Cov txheej txheem kho mob IUI tuaj yeem ua rau muaj kev ntxhov siab heev. Nws yog ib qho ib txwm muaj kev poob siab, tu siab, thiab ntxhov siab. Yog tias koj xav li no, tham nrog koj tus khub, tsev neeg, lossis kws kho mob txog qhov no.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- IUI yog ib txoj kev kho mob yooj yim, pheej yig, thiab muaj kev pheej hmoo tsawg uas ntau tus neeg uas muaj teeb meem tsis muaj menyuam tuaj yeem sim ua thawj kauj ruam.
- Qhov kev kho mob no zoo li cas nyob ntawm koj lub hnub nyoog thiab qhov ua rau muaj menyuam tsis taus.
- IUI thiab IVF yog ob txoj kev kho mob sib txawv kiag li. Nws yog ib qho tseem ceeb uas yuav tsum tham nrog koj tus kws kho mob seb txoj kev twg zoo tshaj plaws rau koj.
- Nws yog ib qho tseem ceeb heev uas yuav tsum muaj lub siab tawv thiab muaj kev txhawb nqa los ntawm koj tus khub thaum lub sijhawm kho mob. Tsis txhob poob siab yog tias koj thawj zaug sim ua tsis tiav.
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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