Koj puas xav kom muaj menyuam, tab sis koj tu siab vim tias txoj kev npau suav ntawd tseem tsis tau muaj tseeb? Tej zaum koj thiab koj tus khub tau ntsib kws kho mob txog qhov no thiab tham txog ntau yam kev kho mob. Thaum tham li ntawd, tej zaum koj tau hnov lo lus IUI. Yog li, hnub no peb yuav tham txog kev kho mob IUI no, uas yuav zoo li nyuaj me ntsis rau ntau tus, hauv txoj kev yooj yim heev , hauv txoj kev uas koj tuaj yeem nkag siab.
Hauv lwm lo lus, IUI yog dab tsi?
Lub ntsiab lus tag nrho ntawm IUI yog Intrauterine Insemination . Hauv Sinhala, nws txhais tau tias ntxig cov phev rau hauv lub tsev menyuam . Qhov no yog kev kho mob kom muaj menyuam uas yog pawg ntawm Artificial Insemination.
Xav txog seb, thaum ib tug me nyuam xeeb tub raws li qub, cov phev txiv neej yuav tsum taug kev ntev heev. Nws yuav tsum nkag mus rau hauv qhov chaw mos, hla lub qhov ncauj tsev menyuam, hla lub tsev menyuam thiab mus txog rau cov raj Fallopian. Txoj kev taug kev no nyuaj heev uas tsuas muaj ob peb tug phev xwb, kwv yees li 5%, uas nkag mus rau hauv qhov chaw mos thiaj mus txog rau lub tsev menyuam. Nyob ntawd, lawv sib xyaw nrog lub qe uas tawm los ntawm lub zes qe menyuam ntawm tus poj niam thiab raug chiv xeeb tub.
Qhov uas tshwm sim hauv txoj kev IUI yog tias txoj kev taug kev ntev no ua rau cov phev yooj yim dua. Yog hais kom meej, nws zoo li muab ib txoj kev luv luv rau cov phev.
Hauv txoj kev no, cov qauv phev los ntawm tus txiv neej raug ntxuav hauv chav kuaj mob siv txoj kev tshwj xeeb ("ntxuav phev") los xaiv tsuas yog cov phev noj qab haus huv tshaj plaws, ua luam dej zoo tshaj plaws, thiab zoo tshaj plaws. Tom qab ntawd, cov phev xaiv no raug ntxig ncaj qha rau hauv koj lub tsev menyuam siv lub raj nyias hu ua catheter. Qhov no txo qhov deb thiab lub sijhawm uas cov phev siv los mus ncig, ua rau muaj feem ntau dua los ntsib thiab ua rau lub qe sib xyaw, uas txhais tau tias koj muaj feem ntau dua los cev xeeb tub.
Kev kho mob IUI zoo tshaj plaws rau leej twg?
Feem ntau IUI yog thawj txoj kev kho mob uas cov kws kho mob sim ua ntej siv cov kev kho mob kim dua thiab nyuaj dua xws li IVF. Qhov no ua tau los ntawm kev siv koj tus khub cov noob qes lossis cov noob qes pub dawb. Muaj ntau yam laj thawj uas koj yuav xav txog IUI.
| Vim li cas thiaj nrhiav kev kho mob | Ib qho lus piav qhia yooj yim |
|---|---|
| Teeb meem ntawm lub caj dab | Yog tias cov hnoos qeev ntawm lub tsev menyuam tuab dhau lawm, nws yuav nyuaj rau cov phev ua luam dej hla. IUI zam qhov teeb meem no vim tias cov phev raug muab tso ncaj qha rau hauv lub tsev menyuam. |
| Cov noob qes tsawg | Qhov no yog ib qho kev daws teeb meem zoo rau cov teeb meem xws li cov phev tsawg, kev txav tsis zoo (ua luam dej), thiab cov teeb meem ntawm tus khub, vim tias tsuas yog xaiv cov phev zoo tshaj plaws thaum lub sijhawm IUI. |
| Siv Cov Phev Pub Dawb | Yog tias tus khub tsis tsim cov phev los yog lawv cov phev tsis zoo heev, cov phev ntawm tus neeg pub tuaj yeem siv tau. Txoj kev no siv tau rau cov poj niam uas tsis tau yuav txiv lossis cov poj niam uas nyiam poj niam txiv neej sib deev. |
| Teeb meem nrog ejaculation lossis erection | IUI siv tau yog tias tus khub muaj teeb meem ejaculation lossis tswj tau erection thaum sib deev. |
| Kev Ua Xua ntawm Cov Phev | Qhov no tsis tshua muaj. Ib txhia poj niam yuav ua xua rau cov protein hauv lawv tus khub cov phev. Cov protein no raug tshem tawm thaum lub sijhawm IUI vim tias cov phev raug ntxuav. |
| Kev Tsis Muaj Me Nyuam Tsis Paub Tseeb | Qee zaum, txawm tias muaj ntau yam kev kuaj mob los xij, tsis tuaj yeem nrhiav tau ib qho laj thawj tshwj xeeb rau kev ncua sijhawm xeeb tub. Hauv cov xwm txheej zoo li no, IUI kuj raug sim. |
Cov txheej txheem IUI tshwm sim li cas?
Cov txheej txheem IUI txij thaum pib mus txog thaum xaus feem ntau siv sijhawm li 4 lub lis piam, uas yog ntev npaum li koj lub voj voog ib hlis ib zaug. Muaj ob peb kauj ruam tseem ceeb.
Kauj Ruam 1: Kev Npaj thiab Lub Sijhawm Ovulation
Nws yog ib qho tseem ceeb heev rau kev vam meej ntawm kev kho mob no kom ntes tau lub sijhawm tseeb ntawm kev tso qe . Ntawd yog, lub sijhawm thaum lub qe tawm ntawm lub zes qe menyuam. Muaj ntau txoj hauv kev los nrhiav qhov no:
- Cov khoom siv kwv yees hnub nyoog qe: Cov khoom siv no, uas siv tau hauv tsev, siv tau los txiav txim siab lub sijhawm kwv yees hnub nyoog qe los ntawm kev ntsuas qib ntawm Luteinizing Hormone (LH) hauv cov zis.
- Kev kuaj ntshav thiab kev soj ntsuam: Koj tus kws kho mob yuav ua kev kuaj ntshav los xyuas cov tshuaj hormones LH thiab kev kuaj ultrasound transvaginal los xyuas seb puas muaj qe menyuam.
- Cov Tshuaj thiab Kev Txhaj Tshuaj: Qee zaum, koj tus kws kho mob yuav muab tshuaj rau koj noj (kwv yees li 5 hnub) lossis txhaj tshuaj (txog li 2 lub lis piam) los pab koj tso ntau dua ib lub qe. Qee zaum, kev txhaj tshuaj hu ua hCG (human Chorionic Gonadotropin) yuav raug muab los pab koj tso qe thaum lub sijhawm zoo.
Kauj Ruam 2: Npaj cov qauv phev
Thaum hnub ua IUI, yuav muaj ib daim qauv phev tshiab los ntawm koj tus khub. Qee zaum, yuav siv tau ib daim qauv uas twb tau sau thiab khov lawm. Daim qauv no ces yuav raug siv los ntxuav phev kom cais cov phev zoo tshaj plaws xwb.
Kauj Ruam 3: Kev tso noob qes
Nws yooj yim heev thiab tsuas siv ob peb feeb xwb. Thaum koj pw saum lub rooj kuaj mob, tus kws kho mob yuav muab ib lub speculum ntxig rau hauv koj lub qhov chaw mos, zoo ib yam li Pap smear. Tom qab ntawd, ib lub raj nyias nyias (catheter) yuav raug muab hla koj lub qhov ncauj tsev menyuam thiab mus rau hauv koj lub tsev menyuam, qhov chaw uas cov qauv phev uas tau npaj tseg lawm yuav raug ntxig rau hauv lub tsev menyuam.
Tom qab no, koj yuav raug hais kom pw li ntawm 15-30 feeb. Tom qab ntawd, koj tuaj yeem mus tsev li qub. Koj tuaj yeem kuaj seb koj puas cev xeeb tub ob lub lis piam tom qab kev kho mob no.
Qhov txawv ntawm IUI thiab IVF yog dab tsi?
Muaj ib qho uas ntau tus neeg tsis meej pem txog yog ob txoj kev kho mob hu ua IUI thiab IVF. Cov no yog ob txoj kev kho mob sib txawv kiag li.
| Qhov tseem ceeb | Kev txhaj tshuaj rau hauv plab (IUI) | Kev Ua Kom Muaj Me Nyuam Hauv Vitro (IVF) |
|---|---|---|
| Qhov chaw ntawm fertilization | Sab hauv lub cev(Hauv lub raj mis) | Sab nraum lub cev (hauv chav kuaj mob) |
| Kev nyuaj siab | Tsawg dua, yooj yim dua | Ntau dhau lawm, nyuaj dhau lawm |
| Tus nqi | Tsawg heev | Siab heev |
| Tus nqi ua tiav (ib lub voj voog) | Tsawg heev | Siab dua |
Cov kev pheej hmoo thiab cov teebmeem ntawm IUI yog dab tsi?
IUI yog ib txoj kev kho mob uas muaj kev pheej hmoo tsawg heev piv rau kev kho mob zoo li IVF, tab sis muaj qee qhov kev pheej hmoo me me.
- Muaj menyuam ntxaib lossis ntau tus menyuam: Yog tias koj noj tshuaj kho mob kom muaj menyuam, ntau dua ib lub qe yuav raug tso tawm, ua rau muaj feem yuav muaj menyuam ntxaib lossis peb tug menyuam.
- Kev kis kab mob: Tsis tshua muaj.
- Los ntshav me me: Tej zaum koj yuav muaj qee qhov los ntshav ntawm qhov chaw mos rau ib lossis ob hnub tom qab kev kho mob.
- Kab mob zes qe menyuam ntau dhau (OHSS): Qhov no kuj tsis tshua muaj. Nws tshwm sim thaum cov zes qe menyuam ua rau cov tshuaj uas tau muab los pab kom cov qe menyuam tawm, ua rau lawv o thiab mob.
Yog tias koj muaj cov tsos mob xws li mob plab hnyav heev, xeev siab thiab ntuav, ua pa nyuaj, hnyav nce sai sai, lossis kiv taub hau tom qab kho mob, hu rau koj tus kws kho mob tam sim ntawd. Cov no yuav yog cov cim qhia ntawm OHSS.
Qhov no ua tau zoo npaum li cas?
Kev vam meej ntawm kev kho mob IUI nyob ntawm ntau yam, qhov tseem ceeb tshaj plaws yog tus poj niam lub hnub nyoog thiab qhov ua rau nws tsis muaj menyuam .
Feem ntau, thaum IUI ua tiav nrog tshuaj, lub sijhawm yuav xeeb tub hauv ib lub voj voog kho mob yog li ntawm 20%.Qhov no yog tib qho feem pua ntawm kev vam meej ib yam li kev xeeb tub ib txwm muaj. Qhov ntawd txhais tau tias IUI tsuas yog coj koj txoj hauv kev rov qab mus rau qhov qub.
Qhov kev vam meej no hloov pauv raws li hnub nyoog:
- Muaj hnub nyoog 20-30: Kwv yees li 17.6%
- Muaj hnub nyoog 31-35: Kwv yees li 13.3%
- Muaj hnub nyoog 39-40: Kwv yees li 10.6%
- Muaj hnub nyoog tshaj 40 xyoo: kwv yees li 5.4%
Feem ntau cov kws kho mob pom zoo kom sim li 3 lub voj voog IUI ua ntej mus rau IVF. Txawm li cas los xij, yog tias koj muaj hnub nyoog tshaj 40 xyoo, lossis muaj cov mob xws li cov hlab ntaws puas lossis endometriosis, koj tus kws kho mob yuav pom zoo kom mus ncaj qha rau IVF.
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 xeeb tub tuaj yeem sim ua thawj kauj ruam.
- Qhov kev vam meej ntawm qhov no nyob ntawm koj lub hnub nyoog thiab qhov ua rau muaj menyuam tsis taus.
- Nrhiav lub sijhawm zoo rau kev ovulate yog qhov tseem ceeb rau kev vam meej ntawm kev kho mob.
- IUI yog ib qho txheej txheem sib txawv, yooj yim dua li IVF.
- Txoj kev taug kev no yuav nyuaj me ntsis rau koj lub siab. Yog li ntawd, xav tias dawb tham txog koj cov lus nug, kev ntshai, thiab kev txhawj xeeb nrog koj tus kws kho mob. Nws yuav pab koj xaiv txoj kev kho mob uas zoo tshaj plaws rau koj.
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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