Koj puas muaj teeb meem xeeb tub thiab? Cia peb tham txog Kev Tsis Muaj Me Nyuam ntawm Txiv Neej!

Yog tias koj thiab koj tus khub tab tom yuav muaj menyuam, tab sis qhov kev npau suav ntawd tseem tsis tau muaj tseeb, nws yog ib qho ib txwm muaj kev tu siab thiab kev nyuaj siab. Thaum lub sijhawm zoo li no, ntau tus neeg xav tias qhov teeb meem nyob rau hauv tes ntawm tus poj niam. Tab sis qhov tseeb, qhov muaj menyuam ntawm tus khub txiv neej kuj tseem ceeb ib yam thaum nws los txog rau kev xeeb tub. Hnub no peb yuav tham txog qhov mob no hu ua "Txiv Neej Tsis Muaj Menyuam".

Koj puas paub tias txiv neej tsis muaj menyuam yog dab tsi?

Hais yooj yim xwb, Kev Tsis Muaj Me Nyuam ntawm Txiv Neej yog qhov uas tus txiv neej txo qis lossis poob nws lub peev xwm xeeb tub vim muaj teeb meem nrog nws lub cev xeeb tub. Yog tias koj tau sib deev tsis tu ncua ntau tshaj ib xyoos yam tsis tau siv ib hom kev npaj tsev neeg, thiab koj tus khub tseem tsis tau xeeb tub, koj yuav tsum xav txog qhov xwm txheej no.

Qhov no yog ib yam dab tsi uas tsis yog tsuas yog cuam tshuam rau ib tug ntxhais xwb, tab sis kuj cuam tshuam rau ib tug txiv neej thiab. Ntau zaus, muaj ib txhia neeg tsis xav tham txog qhov no. Tab sis qhov no yog ib qho mob nkeeg, tsis yog ib yam dab tsi uas yuav tsum txaj muag.

Qhov teeb meem no muaj ntau npaum li cas? Vim li cas kev cob qhia menyuam qee zaum thiaj nyuaj?

Muaj li ntawm 186 lab tus tib neeg thoob ntiaj teb uas raug kev txom nyem los ntawm kev tsis muaj menyuam. Thiab pom tau tias kwv yees li ib nrab ntawm cov teeb meem no yog los ntawm cov yam ntxwv ntawm txiv neej . Qee qhov kev tshawb fawb qhia tau tias cov txiv neej tsis muaj menyuam cuam tshuam rau ntawm 10% thiab 15% ntawm cov txiv neej uas sim xeeb tub.

Kev xeeb tub tsis yooj yim. Tib neeg yog ib hom tsiaj uas tsis muaj menyuam. Txawm tias yog ob niam txiv hluas noj qab nyob zoo thiab sib deev tsis muaj kev cuam tshuam los xij, muaj 20-25% feem pua ​​​​​​ntawm kev xeeb tub txhua hli.

Xav seb, muaj pes tsawg yam uas yuav tsum ua kom zoo rau ib tug me nyuam loj hlob:

• Lub cev txiv neej xav tau tsim cov phev noj qab haus huv , thiab lub cev poj niam xav tau tsim cov qe noj qab haus huv .
• Tus poj niam cov hlab qe menyuam yuav tsum qhib thiab tsis txhob qhib kom cov phev thiaj li mus txog lub qe.
• Thaum cov phev ntsib lub qe, nws yuav tsum muaj peev xwm "fertilize" nws .
• Lub qe uas tau chiv xeeb tub, lossis lub qe menyuam, uas tsim los ntawm txoj kev no yuav tsum tau cog rau hauv lub tsev menyuam kom zoo.

Yuav kom cev xeeb tub mus txog lub sijhawm puv (39-40 lub lis piam thiab 6 hnub), tus menyuam hauv plab yuav tsum noj qab nyob zoo. Tsis tas li ntawd, qhov chaw muaj cov tshuaj hormones hauv tus poj niam lub cev yuav tsum txaus rau tus menyuam hauv plab kom loj hlob. Yog tias muaj ib qho ntawm cov yam no raug cuam tshuam, kev tsis muaj menyuam tuaj yeem tshwm sim.

Koj paub li cas yog tias muaj teeb meem nrog cov phev? Qhov cuam tshuam rau lub hlwb yog dab tsi?

Cov tsos mob tseem ceeb ntawm cov txiv neej tsis muaj menyuam yog qhov tsis muaj peev xwm ua txiv tau menyuam . Txawm li cas los xij, qhov no tuaj yeem muaj ntau yam kev cuam tshuam rau lub hlwb thiab kev xav. Piv txwv li:

• Kev nyuaj siab.
• Qhov kev xav ntawm kev poob ib yam dab tsi '(Kev poob)'.
• Kev tu siab.
• Muaj kev xav tias tsis txaus.
• Qhov kev xav ntawm kev ua tsis tiav.

Yog tias koj lossis koj tus khub muaj cov kev xav no, nws yuav yog ib lub tswv yim zoo los tham nrog tus kws pab tswv yim lossis tus kws kho mob hlwb.

Qee zaum, cov txiv neej txoj kev tsis muaj menyuam tuaj yeem cuam tshuam nrog kev txo qis ntawm cov tshuaj hormone testosterone los ntawm cov noob qes. Hauv qhov no, cov tsos mob xws li qaug zog, kev ua haujlwm tsis zoo ntawm kev sib deev, kev nyuaj siab, qhov hnyav nce, thiab tsis xav ua dab tsi li. Yog tias qhov no yog qhov teeb meem, nws yog ib qho tseem ceeb uas yuav tsum mus ntsib kws kho mob urologist lossis kws kho mob endocrinologist uas tshwj xeeb hauv kev tsis muaj menyuam rau cov txiv neej.

Dab tsi yog cov ua rau txiv neej tsis muaj menyuam?

Muaj ntau yam teeb meem ntawm lub cev thiab ib puag ncig uas ua rau cov txiv neej tsis muaj menyuam. Ib txhia ntawm lawv yog:

• Teeb meem ntawm cov phev: Cov phev tsis zoo li qub, cov phev tsawg dua (Oligospermia), tsis muaj phev nyob hauv cov phev (Azoospermia).
• Cov kab mob caj ces: Piv txwv li, Klinefelter syndrome thiab myotonic dystrophy.
• Qee yam mob: Mob ntshav qab zib mellitus, qee yam kab mob autoimmune uas tawm tsam cov phev, cystic fibrosis.
• Cov kab mob: Epididymitis (kev kis kab mob ntawm lub raj uas txuas cov noob qes), orchitis (kev kis kab mob ntawm cov noob qes), thiab cov kab mob sib kis los ntawm kev sib deev (STIs) xws li gonorrhea lossis HIV.
• Kev o ntawm cov leeg ntshav hauv cov noob qes (Varicoceles) .
• Kev kho mob qog noj ntshav: Chemotherapy, radiotherapy, lossis phais tshem cov noob qes (Orchiectomy).
• Kev raug mob ntawm lub noob qes .
• Cov teeb meem hormonal cuam tshuam rau hypothalamus lossis pituitary qog .

Leej twg muaj kev pheej hmoo tshaj plaws?

Txhua tus txiv neej tuaj yeem muaj menyuam tsis taus, tab sis koj yuav muaj kev pheej hmoo ntau dua rau cov laj thawj hauv qab no:

• Yog tias koj lub cev hnyav (BMI) ntau dua 25 (hnyav dhau/ rog dhau).
• Yog koj muaj hnub nyoog 40 xyoo lossis laus dua.
• Yog tias koj tau raug tshuaj lom los ntawm kev siv tshuaj tua kab mob.
• Yog tias koj tau raug cov tshuaj lom ib puag ncig xws li cov hlau lead, calcium, tshuaj tua kab, lossis mercury.
• Yog koj haus luam yeeb, siv tshuaj marijuana, lossis haus cawv.
• Yog tias koj noj qee yam tshuaj xws li flutamide, spironolactone, thiab bicalutamide.
• Kev raug ntau zaus rau tej yam uas ua rau lub noob qes kub ntxiv, xws li chav sauna lossis chav dej kub. Kev siv lub rooj zaum muaj log kuj tseem tuaj yeem ua rau lub noob qes kub ntxiv.
• Yog tias muaj keeb kwm ntawm cov noob qes tsis nqis thaum yug los.
• Yog tias tus mob 'varicoceles' uas tau hais los saum toj no tau muaj ua ntej lawm.
• Yog tias koj noj testosterone ua kev kho rau cov testosterone qis.
• Yog koj noj cov tshuaj anabolic-androgenic steroids (AAS) lossis cov tshuaj hormones los tsim cov leeg nqaij.

Cov phev zoo li cas?

Cov phev yog cov kua dawb mus rau xim grey uas tawm ntawm tus qau thaum lub sijhawm ejaculation. Cov phev muaj cov phev, cov kua uas pab cov phev rov qab mus rau hauv qhov chaw mos, thiab cov protein, cov vitamins, thiab cov minerals uas pub rau cov phev.

Feem ntau, cov phev yuav tuab thiab nplaum . Yog tias muaj cov phev uas ntws los yog dej, nws yuav qhia tau tias muaj cov phev tsawg. Qhov no kuj tuaj yeem ua rau cov txiv neej tsis muaj menyuam.

Yuav kuaj mob li cas rau cov txiv neej uas muaj menyuam tsis taus? Yuav kuaj li cas?

Koj tus kws kho mob tsev neeg (Primary Care Physician - PCP) tuaj yeem kuaj mob txog kev tsis muaj menyuam ntawm cov txiv neej. Los yog nws tuaj yeem xa koj mus rau tus kws kho mob urologist lossis tus kws kho mob endocrinologist uas tshwj xeeb hauv kev kho mob tsis muaj menyuam ntawm cov txiv neej.

Tus kws kho mob yuav kuaj xyuas lub cev kom paub seb puas muaj teeb meem dab tsi uas yuav cuam tshuam rau koj txoj kev noj qab haus huv thiab kev xeeb tub. Lawv kuj tseem yuav nug koj thiab koj tus khub txog koj tus cwj pwm sib deev thiab keeb kwm kev noj qab haus huv. Piv txwv li:

• Koj tau sim ua kom koj tus khub cev xeeb tub ntev npaum li cas lawm?
• Koj puas tau muaj ib tug khub cev xeeb tub ua ntej?
• Koj puas tau muaj tus kab mob sib kis los ntawm kev sib deev (STI) dua li? Yog tias muaj, nws yog dab tsi thiab thaum twg?
• Koj puas tau txais kev kho mob rau nws?
• Koj puas tau siv cov tshuaj tiv thaiv kev xeeb tub (tshuaj tiv thaiv kev xeeb tub)? Yog tias siv, siv dab tsi thiab thaum twg?
• Puas muaj ib tug ntawm koj cov txheeb ze uas raug kev txom nyem los ntawm kev tsis muaj menyuam ntawm cov txiv neej?
• Koj puas haus luam yeeb, haus cawv, lossis lwm yam tshuaj yeeb?
• Cov tshuaj twg siv tau?

Yog tias kev kuaj lub cev thiab keeb kwm kev noj qab haus huv tsis qhia meej tias muaj laj thawj dab tsi, tus kws kho mob yuav xaj kom kuaj ntxiv.

Cov kev ntsuam xyuas tseem ceeb yog dab tsi?

Kev kuaj cov noob qes yog ib qho ntawm cov kev kuaj tseem ceeb uas siv los kuaj xyuas seb cov txiv neej puas muaj menyuam tsis taus. Hauv qhov no, yuav muab ib qho qauv ntawm koj cov noob qes kuaj hauv chav kuaj mob kom paub tseeb tias cov noob qes ntau npaum li cas thiab zoo npaum li cas.

Nco ntsoov, qhov no yog ib qho kev kuaj mob tseem ceeb heev. Nws yog qhov uas tuaj yeem kuaj pom ntau yam teeb meem nrog cov phev.

Tseem muaj lwm yam kev xeem thiab. Ntawm lawv yog:

• Kev ntsuam xyuas duab:Qhov no yuav suav nrog kev kuaj mob uas tsis yog kev phais xws li ultrasound lossis magnetic resonance imaging (MRI), lossis kev kuaj mob xws li venogram.
• Kev kuaj ntshav: Cov no tuaj yeem ntsuas koj cov tshuaj hormones thiab nrhiav qhov tsis zoo hauv koj cov noob caj noob ces lossis chromosomes.
• Kev kuaj zis: Qhov no pab nrhiav cov yam xws li kev kis kab mob los ntawm kev sib deev (STIs) thiab ntshav qab zib.
• Kev kuaj mob noob qes: Hauv qhov kev kuaj no , tus kws kho mob yuav muab ib qho me me ntawm cov nqaij ntawm noob qes los saib seb noob qes tsim cov phev zoo npaum li cas.

Puas muaj kev kho rau qhov mob no? Nws yog dab tsi?

Yog, qhov xov xwm zoo yog tias muaj ntau yam kev kho mob uas siv tau los kho lossis tswj cov txiv neej txoj kev tsis muaj menyuam . Qhov ua rau muaj qhov teeb meem yuav txiav txim siab seb txoj kev kho mob twg zoo rau koj.

Kev hloov pauv hauv txoj kev ua neej

Kev hloov pauv qee yam hauv lub neej yuav pab tau kom cov phev tsim tau zoo dua:

• Koj tswj tau qhov hnyav kom noj qab nyob zoo .
• Noj ntau txiv hmab txiv ntoo thiab zaub.
• Ua ib qho kev tawm dag zog tsis tu ncua xws li kev taug kev, kev khiav qeeb qeeb, kev caij tsheb kauj vab, kev seev cev, lossis kev tsa hnyav.
• Kev tswj kev ntxhov siab.
• Tsum tsis txhob haus luam yeeb, haus cawv thiab siv lwm yam tshuaj yeeb .
• Tsis txhob siv cov roj nplua nyeem thaum lub sijhawm sib deev.

Cov tshuaj kho mob

Yog tias koj cov tshuaj hormones siab lossis qis, koj yuav tsum tau noj tshuaj hormones los kho lawv. Koj kuj tseem yuav tsum tsis txhob noj qee yam tshuaj lossis hloov mus rau lwm yam tshuaj. Piv txwv li:

• Cov tshuaj tiv thaiv kev ntxhov siab tricyclic.
• Cov tshuaj calcium channel blockers.
• Cov tshuaj tiv thaiv androgens.

Kev phais mob

Qee zaum, kev phais yuav tsum tau ua:

• Kev thim rov qab phais vasectomy: Yog tias koj tau phais vasectomy ua ntej kom tsis txhob muaj menyuam, koj tuaj yeem thim rov qab thiab rov qab muaj peev xwm xeeb tub tau.
• Vasoepididymostomy: Qhov kev phais no tshem tawm qhov txhaws hauv epididymis, ib lub raj uas cov phev loj hlob.
• Kev rho cov phev: Tus kws kho mob yuav siv cov biopsy thiab tau cov phev los ntawm noob qes lossis epididymis.
• Kev phais mob varicocelectomy: Varicocele yog cov ntshav txhaws hauv cov leeg ntawm lub noob qes. Qhov no tuaj yeem cuam tshuam tsis zoo rau qhov zoo ntawm cov phev. Kev phais mob no tshem tawm cov leeg. Qee zaum, nws tuaj yeem ua rau muaj feem ntau ntawm kev xeeb tub.

Kev Pab Txhawb Kev Tsim Me Nyuam (ART)

Hauv cov txheej txheem no, ib lub qe raug coj los ntawm koj tus khub lub zes qe menyuam thiab muab sib xyaw nrog koj cov phev hauv chav kuaj mob.

• Kev txhaj tshuaj phev hauv lub qe (ICSI): Hauv qhov no, tus kws kho mob txhaj ib tug phev ncaj qha rau hauv ib lub qe.
• Kev siv tshuaj chiv menyuam hauv vitro (IVF): Hauv txoj kev kho mob no, koj tus kws kho mob txhaj tshuaj rau koj tus khub nrog cov tshuaj ua kom muaj menyuam. Qhov no ua rau ntau lub qe loj hlob hauv nws lub zes qe menyuam. Thaum cov qe npaj txhij, tus kws kho mob khaws cov qe thiab muab lawv rau cov phev hauv chav kuaj mob. Tom qab cov phev ua rau lub qe ua kom muaj menyuam, lub qe uas tau ua kom muaj menyuam (embryo) raug cog rau hauv lub tsev menyuam.

Cov txiv neej txoj kev tsis muaj menyuam puas yuav zoo dua nws tus kheej ? Puas tiv thaiv tau?

Feem ntau, cov txiv neej txoj kev tsis muaj menyuam yuav tsum tau kev kho mob . Nws tsis yog ib qho kev txawj ntse los tos kom nws zoo dua nws tus kheej .

Tsis tas li ntawd xwb, ua tej yam yuav pab txo tau qhov kev pheej hmoo ntawm kev tsis muaj menyuam ntawm cov txiv neej:

• Tsis txhob haus luam yeeb, haus dej cawv, thiab cov tshuaj uas yuav tau yam tsis tas yuav muaj daim ntawv yuav tshuaj.
• Txwv kev raug cov tshuaj lom neeg txaus ntshai.
• Tau txhaj tshuaj tiv thaiv kab mob uas tuaj yeem cuam tshuam rau koj txoj kev muaj menyuam.
• Tsis txhob cia cov noob qes raug cua sov ntau dhau rau lub sijhawm ntev.
• Tsis txhob noj cov khoom noj uas muaj roj ntau thiab tswj koj qhov hnyav kom noj qab nyob zoo.

Yog tias koj muaj mob qog noj ntshav, nrog koj tus kws kho mob tham txog kev khaws cov noob qes ua ntej pib kho.

Koj ua neej li cas thaum muaj teeb meem tsis muaj menyuam? Koj lub siab lub ntsws yuav ua li cas thiaj muaj zog?

Kev tsis muaj menyuam ntawm cov txiv neej tsis yooj yim. Muaj ntau tus neeg tsis xis nyob tham txog qhov no nrog lawv tus khub lossis kws kho mob. Ua siab zoo rau koj tus kheej thiab koj tus khub . Nws yuav pab tau yog mus ntsib kws kho mob lossis koom nrog pab pawg txhawb nqa los daws koj txoj kev xav. Nco ntsoov, koj tsis nyob ib leeg.

Cov teeb meem ntawm kev noj mov thiab haus dej yog dab tsi? Dab tsi zoo?

Raws li qee qhov kev tshawb fawb, cov khoom noj thiab dej haus no tuaj yeem cuam tshuam rau qhov zoo ntawm cov phev:

• Cov nqaij ua tiav lawm.
• Khoom qab zib.
• Taum pauv `(Taum pauv)`.
• Cov khoom noj mis nyuj (raws li qee qhov kev tshawb fawb).
• Cov ntses hauv kaus poom.
• Dej qab zib thiab lwm yam dej haus uas muaj suab thaj ntau.
• Cawv.
• Kas fes.

Kev noj zaub mov kom sib npaug zoo li no yuav pab tau koj:

• Txiv hmab txiv ntoo thiab zaub tshiab.
• Txiv hmab txiv ntoo qhuav.
• Cov noob taum.
• Cov ntses nyias nyias.
• Mis nyuj uas tsis muaj roj ntau.

Thaum twg kuv yuav tsum mus ntsib kws kho mob? Kuv yuav tsum nug cov lus nug twg?

Yog koj thiab koj tus khub tau sim ib xyoos lawm thiab tsis tau xeeb tub, mus ntsib kws kho mob.Tsis tas li ntawd xwb, yog tias koj muaj kev nyuaj siab, tu siab, lossis tsis txaus, tsis txhob yig mus ntsib kws kho mob.

Thaum koj mus ntsib kws kho mob, koj tuaj yeem nug cov lus nug zoo li no:

• Dab tsi ua rau txiv neej tsis muaj menyuam?
• Puas yog kuv tus khub yuav tsum tau kuaj thiab?
• Kev kho mob zoo tshaj plaws rau kuv yog dab tsi?
• Qhov feem pua ​​ntawm kev kho mob uas koj pom zoo kom ua tiav yog dab tsi?
• Puas muaj tej yam tshwm sim ntawm kev kho mob ntawd?
• Puas muaj lwm yam tsos mob lossis teeb meem uas kuv yuav tsum paub txog?
• Cov tshuaj twg uas ua rau cov txiv neej tsis muaj menyuam?
• Kuv puas yuav tsum mus ntsib kws kho mob urologist lossis kws kho mob endocrinologist?
• Koj puas tuaj yeem pom zoo ib tus kws kho mob lossis pab pawg txhawb nqa?

Kuv yuav paub li cas yog tias kuv cov phev nyob rau hauv qhov zoo?

Txoj kev zoo tshaj plaws los paub tseeb tias koj cov phev noj qab haus huv zoo li cas yog mus kuaj cov phev ntawm chaw kuaj mob txog kev xeeb tub lossis chaw kuaj mob .

Kuj tseem muaj cov kev kuaj xyuas cov noob qes hauv tsev uas siv OTC. Txawm li cas los xij, cov no tsis raug li kev kuaj hauv chaw kuaj mob, thiab tej zaum yuav tsis zoo. Nco ntsoov, tsis muaj cov cim qhia tseeb tias koj cov noob qes noj qab nyob zoo yog tsis muaj kev kuaj.

Thaum kawg, tej yam yuav tsum nco ntsoov (Cov Lus Coj Mus Tsev)

Kev tsis muaj menyuam ntawm cov txiv neej yog ib qho kev cov nyom. Txawm li cas los xij, qhov no tsis tau txhais hais tias koj yuav tsis muaj peev xwm muaj menyuam tiag tiag . Ua tsaug rau thev naus laus zis niaj hnub no, ntau tus khub niam txiv muaj peev xwm xeeb tub tau menyuam tiag tiag.

Yog tias koj tus khub tsis tau xeeb tub tom qab sim tau ib xyoos lawm, nrog kws kho mob tham. Kev hloov pauv hauv lub neej tuaj yeem pab tiv thaiv kev xeeb tub tsis tau, thiab kev phais thiab lwm yam kev kho mob tuaj yeem kho qhov ua rau muaj menyuam. Tsis txhob tso tseg kev cia siab!

Txiv neej tsis muaj menyuam, tsis muaj menyuam, noob qes, tsis muaj menyuam, kev noj qab haus huv ntawm kev yug me nyuam, muaj menyuam, kev kho mob