Koj twb muaj ib tug me nyuam ntxim hlub thiab ntxim hlub lawm. Tab sis tam sim no koj thiab koj tus txiv txoj kev npau suav yog ntxiv ib tug me nyuam rau hauv tsev neeg. Tab sis puas lig dhau lawm los cev xeeb tub lub sijhawm no yooj yim li koj tau ua nrog koj tus menyuam thawj zaug? Koj tau sim ua ntau lub hlis tab sis tseem tsis tau muaj xov xwm zoo txog tus menyuam? Qhov no yog ib yam dab tsi uas ntau tus neeg xav. Koj tsis nyob ib leeg. Hnub no peb yuav tham txog ib lub ncauj lus uas ntau tus neeg tsis xav tham txog, tab sis nws tseem ceeb heev. Qhov ntawd yog kev tsis muaj menyuam thib ob.
Qhov tseeb yog qhov tsis muaj menyuam thib ob?
Tsuas yog hais tias, kev tsis muaj menyuam thib ob yog thaum koj muaj ib lossis ntau tus menyuam feem ntau, tsis muaj kev kho mob ua ntej, xws li IVF, thiab tom qab ntawd tsis tuaj yeem xeeb tub lwm tus menyuam lossis nqa qhov kev xeeb tub ntawd mus rau lub sijhawm.
Feem ntau cov kws kho mob xav tias muaj tus mob no thaum ob niam txiv tau sim muaj menyuam tau rau lub hlis lossis ib xyoos tab sis tsis tau muaj menyuam.
Piv txwv li, yog tias koj hnub nyoog qis dua 35 xyoo thiab tau sib deev tsis tu ncua rau ib xyoos yam tsis tau siv kev tswj kom tsis txhob muaj menyuam thiab tseem tsis tau xeeb tub, nws yog qhov zoo tshaj plaws los tham nrog kws kho mob. Yog tias koj hnub nyoog tshaj 35 xyoo thiab tau sim rau 6 lub hlis thiab tseem tsis tau xeeb tub, nws yog qhov zoo tshaj plaws los nrhiav kev pab tswv yim.
Vim li cas qhov no thiaj tshwm sim? Cia peb tham txog cov laj thawj uas feem ntau tshwm sim
Nws nyuaj rau nrhiav ib qho laj thawj rau qhov no. Qee zaum qhov laj thawj yog los ntawm tus poj niam, qee zaum los ntawm tus txiv. Lwm lub sijhawm, nws yuav yog kev sib xyaw ua ke ntawm cov teeb meem me me ntawm ob sab. Qee zaum, nws yuav tsis pom qhov laj thawj.
Nov yog qee qhov laj thawj tseem ceeb uas cuam tshuam rau qhov xwm txheej no:
- Hnub Nyoog: Koj thiab koj tus txiv ob leeg laus dua li thaum koj muaj koj thawj tus menyuam. Kev xeeb tub yuav poob qis thaum koj laus zuj zus.
- Kev hloov pauv ntawm qhov zoo ntawm cov phev lossis qe: Qhov zoo thiab qhov ntau ntawm cov phev lossis qe yuav hloov pauv raws sijhawm.
- Tej yam teeb meem los ntawm kev cev xeeb tub yav dhau los: Tej zaum yuav muaj qee qhov kev hloov pauv hauv lub tsev menyuam, xws li thaum cev xeeb tub yav dhau los, lossis tej zaum yuav phais cesarean (C-section).
- Cov Kev Cuam Tshuam ntawm Kev Phais: Cov kev cuam tshuam kuj tseem tuaj yeem tshwm sim los ntawm lwm yam kev phais uas ua rau ntawm lub plab lossis thaj chaw pelvic.
- Qhov hnyav nce: Yog tias koj hnyav nce ntau tom qab koj muaj koj thawj tus menyuam, nws tuaj yeem cuam tshuam rau koj cov tshuaj hormones thiab txo koj txoj kev muaj menyuam.
- Lwm yam kab mob lossis tshuaj: Tej zaum yuav yog cov mob tshiab, xws li ntshav qab zib lossis teeb meem thyroid, lossis cov tshuaj noj rau lawv.
- Cov kab mob sib kis los ntawm kev sib deev (STIs):Cov kab mob uas tsis kho tuaj yeem ua rau puas tsuaj rau qee qhov ntawm lub cev, xws li cov raj fallopian.
- Kev hloov pauv hauv lub neej: Tej yam xws li kev haus luam yeeb thiab kev haus cawv ntau dhau cuam tshuam ncaj qha rau kev muaj menyuam.
Cov laj thawj tshwj xeeb twg uas cuam tshuam rau cov poj niam?
Los ntawm qhov kev xav ntawm cov poj niam, muaj ntau yam ua rau qhov no.
Qhov ntau thiab zoo ntawm cov qe
Thaum peb yug los, peb muaj qee cov qe hauv peb lub cev. Cov qe tshiab tsis tau tsim tawm. Thaum peb mus txog peb lub hnub nyoog 30 xyoo, cov qe tsawg zuj zus, thiab cov qe seem yuav muaj teeb meem chromosomal ntau dua. Qhov no txo qhov muaj peev xwm tsim cov qe zoo.
Teeb meem nrog lub tsev menyuam lossis cov hlab ntaws
- Kev kis kab mob: Cov kab mob xws li Chlamydia, Gonorrhea, lossis Pelvic Inflammatory Disease (PID) uas tsis tau kho kom zoo yav dhau los tuaj yeem thaiv cov raj fallopian. Yog tias txoj kev ntawm lub qe mus rau lub tsev menyuam raug thaiv, kev xeeb tub yuav tsis tshwm sim.
- Kev caws pliav los ntawm kev phais: Yog tias cov nqaij caws pliav tau tsim rau ntawm phab ntsa ntawm lub tsev menyuam vim yog D&C yav dhau los (dilation thiab curettage) lossis cesarean section, nws yuav tiv thaiv tus menyuam hauv plab los ntawm kev cog rau hauv.
- Cov qog nqaij hlav hauv tsev menyuam: Cov qog nqaij hlav hauv tsev menyuam lossis cov qog nqaij hlav hauv tsev menyuam, uas tuaj yeem cuam tshuam rau kev xeeb tub, nyob ntawm qhov chaw ntawm lub tsev menyuam.
Lwm yam mob nkeeg
- PCOS (Polycystic Ovary Syndrome): Qhov no yog qhov tsis sib npaug ntawm cov tshuaj hormones. Qhov no ua rau muaj hnub nyoog tsis xwm yeem thiab ovulation. Yog tias qe tsis tawm, ces yuav tsis muaj peev xwm xeeb tub.
- Endometriosis: Qhov no yog thaum cov nqaij uas yuav tsum loj hlob hauv lub tsev menyuam loj hlob sab nraud lub tsev menyuam, xws li ntawm cov zes qe menyuam. Qhov no kuj tseem tuaj yeem cuam tshuam rau kev muaj menyuam.
- Txoj Kev Ua Neej: Tej yam xws li qhov hnyav nce ntau dhau, haus luam yeeb thiab haus cawv cuam tshuam ncaj qha rau kev tso qe thiab kev tso qe.
Cov laj thawj tshwj xeeb uas cuam tshuam rau cov txiv neej yog dab tsi?
Qhov teeb meem no cuam tshuam rau cov poj niam thiab cov txiv neej. Nov yog qee qhov laj thawj uas yuav cuam tshuam rau cov txiv neej.
Txo cov tshuaj hormone testosterone
Testosterone yog ib yam tshuaj hormones uas tseem ceeb rau kev tsim cov phev. Kev laus, kev raug mob rau cov noob qes, ntshav qab zib, kab mob thyroid, thiab kev ntxhov siab ntau tuaj yeem ua rau cov tshuaj hormones no qis. Mob no hu ua "Hypogonadism".
Varicocele ntawm testicular
Qhov no tshwm sim thaum cov leeg ntshav (cov hlab ntsha) nyob ib puag ncig cov noob qes o thiab loj zuj zus. Qhov no tuaj yeem ua rau qhov kub ntawm cov noob qes nce ntxiv, uas tuaj yeem cuam tshuam rau kev tsim cov phev thiab qhov zoo. Qhov no yog ib qho ua rau cov txiv neej tsis muaj menyuam.
Teeb meem ntawm cov phev
- Kev poob qis ntawm cov phev zoo: Tom qab muaj hnub nyoog 40 xyoo, cov phev zoo pib poob qis me ntsis.
- Cov noob phev tsawg: Yog tias cov noob phev tsawg dua 15 lab ib milliliter ntawm cov noob phev, nws suav tias qis. Cov kws kho mob kuj hu qhov no tias "Oligospermia".
Lwm yam laj thawj
- Teeb Meem Prostate: Kev tshem tawm ntawm cov qog prostate vim yog prostate loj lossis mob qog noj ntshav tuaj yeem cuam tshuam rau cov txheej txheem ejaculation.
- Qee cov tshuaj: Qee cov tshuaj noj rau ntshav siab, kab mob fungal, thiab mob qog noj ntshav tuaj yeem cuam tshuam rau kev tsim cov phev.
- Tej yam uas cuam tshuam txog kev ua neej thiab ib puag ncig: Qhov hnyav nce ntau dhau, kev raug tshuaj lom neeg xws li tshuaj tua kab, thiab kev raug kub heev (piv txwv li, da dej kub ntev, hnav khaub ncaws nruj) kuj tuaj yeem ua rau muaj qhov teeb meem no.
Yog koj muaj kev ua xyem xyav txog qhov no, koj yuav ua li cas?
Yog koj lossis koj tus txiv muaj kev txhawj xeeb txog qhov no, qhov zoo tshaj plaws uas yuav tsum ua yog tsis txhob ntshai . Tom ntej no, mus ntsib kws kho mob uas tsim nyog. Tus kws kho mob endocrinologist lossis tus kws kho mob urologist yog qhov zoo tshaj plaws.
Nws yog ib qho tseem ceeb heev uas yuav tsum nrhiav kev pab kho mob sai sai, vim tias qhov teeb meem sai dua, qhov ntawd yuav muaj ntau txoj kev kho mob.
Tus kws kho mob yuav nug nej ob leeg txog nej keeb kwm kev noj qab haus huv, nej txoj kev ua neej, thiab nej lub voj voog ntawm kev coj khaub ncaws. Tom qab ntawd, nws mam li txiav txim siab seb yuav tsum kuaj dab tsi.
| Cov kev ntsuam xyuas uas feem ntau ua | Yuav tsum xav li cas los ntawm nws? |
|---|---|
| Kev Tshuaj Xyuas Cov Phev | Tshawb xyuas qhov loj, kev txav mus los, thiab cov duab ntawm tus txiv cov phev. |
| Kev Ntsuas Ntshav | Kuaj xyuas ob tus khub cov tshuaj hormones (piv txwv li thyroid, prolactin) thiab ovarian reserve (AMH). |
| Kev Ntsuas Ultrasound Transvaginal | Saib xyuas tus poj niam lub tsev menyuam, zes qe menyuam, thiab cov txheej txheem ntawm kev loj hlob ntawm qe. |
| Kev kuaj mob Hysterosalpingogram (HSG) | Qhov no yog kev kuaj X-ray kom pom cov duab ntawm tus poj niam lub tsev menyuam thiab seb nws cov hlab qe menyuam puas raug thaiv. |
Cov kev kho mob rau qhov no yog dab tsi?
Qhov xov xwm zoo yog tias muaj ntau yam kev kho mob zoo rau kev tsis muaj menyuam thib ob. Thaum twg koj pom qhov ua rau koj muaj teeb meem lawm, koj tus kws kho mob yuav pom zoo rau txoj kev kho mob uas tsim nyog tshaj plaws rau koj.
- Tshuaj: Rau cov poj niam uas tsis tau qe, cov tshuaj xws li Clomiphene lossis Letrozole raug muab los tswj kev qe.
- IUI (Intrauterine Insemination): Qhov no yog xaiv cov phev zoo tshaj plaws los ntawm tus txiv cov phev thiab muab nws ntxig ncaj qha rau hauv lub tsev menyuam ntawm tus poj niam los ntawm ib lub raj tshwj xeeb rau hnub uas cov phev yuav tawm los. Qhov no ua rau muaj feem ntau dua uas cov phev yuav ntsib lub qe.
- IVF (In Vitro Fertilization): Qhov no yog ib qho txheej txheem nyuaj me ntsis. Hauv qhov no, tus poj niam lub qe raug rho tawm ntawm nws lub cev, ua ke nrog tus txiv lub phev hauv chav kuaj mob kom tsim tau ib lub embryo. Lub embryo noj qab haus huv ces muab rov qab rau hauv lub tsev menyuam.
- Kev Phais Mob: Yog tias muaj cov fibroids, polyps, lossis cov nqaij caws pliav hauv lub tsev menyuam, lawv tuaj yeem raug tshem tawm los ntawm kev phais mob. Varicocele rau cov txiv neej kuj tuaj yeem kho tau zoo nrog kev phais mob.
Koj ua li cas thiaj li kov yeej tau qhov kev ntxhov siab uas los nrog qhov no?
Qhov no tej zaum yog qhov nyuaj tshaj plaws. Muaj ib tug menyuam, koj yuav xav tias tsis muaj leej twg nkag siab txog kev tu siab, kev npau taws, thiab kev tsis muaj zog uas koj xav thaum koj tsa tsis tau ib tug menyuam thib ob.
Qee zaum, cov txheeb ze thiab cov phooj ywg yuav hais tej yam zoo li, "Tsuas muaj ib tug me nyuam xwb, txaus lawm." Lawv yuav tsis txhais hais tias nws muaj lub siab phem, tab sis nws tsis ua rau qhov mob uas koj hnov tsawg dua.
Nws yog ib qho tseem ceeb heev uas koj thiab koj tus txiv yuav tsum txhawb nqa ib leeg rau lub sijhawm no. Qhov no tsis yog koj qhov teeb meem xwb, nws yog koj ob leeg qhov teeb meem. Mloog ib leeg. Tham txog yam koj xav txog.
Qhov no yog ib txoj kev taug kev uas yuav tsum tau maj mam ua. Nws yuav siv sijhawm rau kev kho mob kom ua tiav. Nws yog ib qho tseem ceeb kom muaj lub siab tawv thaum lub sijhawm ntawd. Yog tias tsim nyog, nrhiav kev qhia los ntawm tus kws kho mob hlwb kuj tuaj yeem pab tau zoo heev.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kev tsis muaj menyuam thib ob yog ib qho mob uas pom ntau heev. Koj tsis yog tib tug uas ntsib qhov no.
- Muaj ntau yam ua rau qhov no. Nws tuaj yeem yog teeb meem rau tus poj niam, tus txiv neej, lossis ob leeg. Hnub nyoog yog ib qho tseem ceeb ntawm no.
- Yog tias koj tau sim ib xyoos yog tias koj hnub nyoog qis dua 35 xyoos, lossis rau 6 lub hlis yog tias koj hnub nyoog tshaj 35 xyoos, thiab tseem tsis tau xeeb tub, mus ntsib kws kho mob.
- Niaj hnub nim no muaj kev kho mob zoo heev rau tus mob no, yog li ntawd tsis txhob tso tseg kev cia siab.
- Nws yog ib qho tseem ceeb uas yuav tsum muaj lub siab tawv thaum lub sijhawm no. Ua kom koj txoj kev sib raug zoo nrog koj tus khub muaj zog. Nrhiav kev pab tswv yim yog tias tsim nyog.
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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