Ntxiv lawm tshob

Ntxiv lawm tshob txhais tau tias koj tsis tuaj yeem xeeb tub (xeeb tub).

Muaj ob hom ntxiv lawm tshob:

• Thawj txoj kev muaj menyuam yaus yog hais txog cov khub niam txiv uas tsis tau xeeb tub tom qab tsawg kawg 1 xyoos kev sib deev uas tsis siv kev tswj tsis pub muaj menyuam.
• Kev muaj mob hauv tsev neeg thib ob yog hais txog cov khub niam txiv uas tau xeeb tub tsawg kawg ib zaug, tab sis tam sim no tsis tuaj yeem.

Ntau yam ntawm lub cev thiab lub siab tuaj yeem ua rau ntxiv lawm tshob. Nws yuav yog vim teeb meem hauv tus poj niam, txiv neej, lossis ob qho tib si.

PHEM Kev ua haujlwm

Tus poj niam ntxiv lawm tshob yuav tshwm sim thaum:

• Lub qe chiv xeeb lossis lub qe tsis muaj sia nyob thaum nws muab tso rau ntawm ob sab ntawm lub tsev menyuam (lub tsev menyuam).
• Lub qe qe tsis txuas rau hauv ob sab phlu ntawm lub tsev menyuam.
• Cov qe tsis txav ntawm lub zes qe menyuam mus rau lub tsev menyuam.
• Zes qe menyuam muaj teeb meem los ua qe.

Tus poj niam ntxiv lawm tshob los ntawm:

• Cov mob autoimmune, xws li mob antiphospholipid syndrome (APS)
• Kev muaj mob thaum yug los ua teeb meem rau yug tus me nyuam
• Mob cancer lossis qog
• Clotting mob
• Mob ntshav qab zib
• Haus cawv ntau dhau
• Tawm kev tawm ntau dhau
• Noj tsis zoo lossis noj zaub mov tsis zoo
• Kev Loj Hlob (xws li fibroids lossis polyps) hauv tsev me nyuam thiab ncauj tsev menyuam
• Cov tshuaj kho mob xws li kev siv tshuaj kho mob
• Hormone tsis txaus
• Raug rog lossis rog dhau
• Muaj hnub nyoog laus dua
• Cov hlwv ntawm zes qe menyuam thiab polycystic ovary syndrome (PCOS)
• Pelvic mob ua rau muaj nqaij ntuag lossis o ntawm txoj hlab qe ntshav (hydrosalpinx) lossis mob hu ua pelvic inflammatory (PID)
• Caws pliav los ntawm kev kis kab mob sib deev, phais plab lossis endometriosis
• Haus Yeeb
• Kev phais mob kom tsis txhob muaj menyuam (tubal ligation) lossis tsis ua haujlwm ntawm tubal ligation reversal (reanastomosis)
• Mob qog noj ntshav

MALE NTUJ YEEM

Txiv neej ntxiv lawm tshob tej zaum yuav yog vim:

• Tsawg tus naj npawb ntawm cov phev
• Kev thaiv uas tiv thaiv cov phev los ntawm qhov tawm
• Kev ua tsis zoo hauv cov phev

Txiv neej mob ntxiv lawm yuav tshwm sim los ntawm:

• Kev yug los ua neeg tsis huv
• Cov kev kho mob cancer, suav nrog kev kho tshuaj thiab hluav taws xob
• Raug rau cov cua sov siab rau lub caij nyoog ntev
• Kev haus cawv ntau, yeeb tshuaj xas, lossis luam yeeb
• Hormone tsis txaus
• Cuam meem txom
• Kab mob
• Cov tshuaj noj xws li cimetidine, spironolactone, thiab nitrofurantoin
• Kev pham
• Muaj hnub nyoog laus dua
• Retrograde ejaculation
• Caws los ntawm kev kis kab mob sib deev (STIs), raug mob, lossis phais
• Haus Yeeb
• Toxins nyob rau hauv ib puag ncig
• Vasectomy lossis tsis ua hauj lwm ntawm vasectomy reversal
• Keeb kwm ntawm testicular kis mob los ntawm mob qog

Cov khub noj qab nyob zoo uas muaj hnub nyoog qis dua 30 xyoo uas tau sib deev tsis tu ncua yuav muaj txog 20% ​​ib hlis twg uas yuav muaj menyuam hauv lub hlis.

Ib tug poj niam yog qhov muaj peev xwm tshaj nyob hauv nws 20s thaum ntxov. Txoj kev pheej hmoo uas tus poj niam tuaj yeem cev xeeb tub tau poob tom qab hnub nyoog 35 (thiab tshwj xeeb tshaj yog tom qab hnub nyoog 40). Lub hnub nyoog thaum muaj me nyuam pib poob qis nws txawv ntawm tus poj niam mus rau poj niam.

Cov teeb meem menyuam yaus muaj menyuam yaus thiab tus menyuam nchuav menyuam nce ntxiv tom qab 35 xyoo. Tam sim no muaj cov kev xaiv rau thaum ntxov khaws cov qe thiab khaws cia rau cov poj niam hauv lawv 20. Qhov no yuav pab kom ua tiav lub cev xeeb tub yog tias kev yug menyuam tau qeeb txog tom qab hnub nyoog 35. Qhov no yog qhov kev xaiv kim tshaj. Txawm li cas los xij, cov poj niam uas paub tias lawv yuav tsum tau ncua sij hawm yug menyuam yuav xav txog nws.

Kev txiav txim siab thaum twg thiaj li tau txais kev kho mob rau menyuam yaus nyob ntawm koj lub hnub nyoog. Cov chaw saib xyuas kev noj qab haus huv qhia tias cov poj niam hnub nyoog qis dua 30 sim cev xeeb tub ntawm lawv tus kheej li 1 xyoos ua ntej mus kuaj.

Cov poj niam tshaj 35 xyoo yuav tsum tau cev xeeb tub hauv 6 lub hlis. Yog tias nws tsis tshwm sim nyob rau lub sijhawm ntawd, lawv yuav tsum tham nrog lawv tus kws khomob.

Kev kuaj mob ntxiv lawm yuav muaj keeb kwm kho mob thiab kuaj mob rau ob leeg.

Kev yuav kuaj ntshav thiab ntsuam xyuas yog feem ntau xav tau. Hauv cov poj niam, cov no yuav suav nrog:

• Kev kuaj ntshav los soj ntsuam cov qib hormone, nrog rau progesterone thiab follicle stimulating hormone (FSH)
• Cov cuab yeej kuaj ntshav tso zis nyob hauv tsev
• Kev ntsuas qhov ntsuas ntawm lub cev kub txhua tag kis sawv ntxov kom pom tias lub zes qe menyuam tawm qe
• FSH thiab kev sib tw clomid sib tw
• Antimullerian hormone tshuaj xyuas (AMH)
• Hysterosalpingography (HSG)
• Pelvic ultrasound
• Laparoscopy
• Kev ntsuas cov thyroid muaj nuj nqi

Kev kuaj mob hauv cov txiv neej yuav muaj:

• Kev ntsuas phev
• Kev kuaj ntawm cov noob qes thiab noov
• Ultrasound ntawm tus txiv neej qau (qee zaum ua)
• Kev kuaj ntshav los kuaj cov qib theem
• Kev lim pob me me (tsis tshua muaj ua)

Kev kho yog nyob ntawm qhov ua rau muaj menyuam yaus. Tej zaum nws yuav koom nrog:

• Kev kawm ntawv thiab kev pab sab laj txog qhov xwm txheej
• Cov khoom siv tshuaj tua kab mob xws li tshuaj tiv thaiv kab mob rau cov leeg (IUI) thiab hauv cov tshuaj tua kab mob hauv vitro (IVF)
• Tshuaj kho mob kho tus mob thiab txhaws mob
• Cov tshuaj uas pab kev loj hlob thiab tso qe tawm hauv zes qe menyuam

Cov khub niam txiv muaj peev xwm nce qhov feem ntau ntawm cev xeeb tub txhua lub hlis los ntawm kev sib deev tsawg kawg txhua 2 hnub ua ntej thiab thaum ov ov.

Ovulation tshwm sim li 2 lub lis piam ua ntej hnub tom ntej coj khaub ncaws (ntu) pib. Yog li, yog tias tus poj niam tau txais nws lub sijhawm txhua 28 hnub txij nkawm yuav tsum muaj kev sib deev tsawg kawg txhua 2 hnub nyob nruab nrab ntawm 10 thiab 18 hnub tom qab nws lub sijhawm pib.

Muaj kev sib deev ua ntej ov ov tshwm sim yog pab tshwj xeeb.

• Cov phev tuaj yeem nyob hauv tus poj niam lub cev tau li 2 hnub.
• Txawm li cas los xij, tus poj niam lub qe menyuam tuaj yeem tsuas muaj cov phev yug los ntawm cov phev hauv 12 txog 24 teev tom qab nws tso tawm.

Cov poj niam uas muaj rog lossis rog dhau lawm yuav ua rau lawv muaj feem ntau ua kom cev xeeb tub los ntawm kev rov qab noj qab haus huv.

Coob tus neeg pom tias nws muaj txiaj ntsig los koom nrog cov pab pawg txhawb nqa rau cov neeg uas muaj kev txhawj xeeb zoo sib xws. Koj tuaj yeem nug koj tus kws khomob kom qhia cov pab hauv ib cheeb tsam.

Xws li ntau li 1 ntawm 5 khub niam txiv tau txheeb xyuas tias muaj tus mob ntxiv lawm tshob ua pojniam cev xeeb tub yam tsis muaj kev kho mob.

Feem ntau cov niam txiv uas muaj menyuam muaj menyuam hauv plab tuaj yeem cev xeeb tub tom qab kho tas.

Hu rau koj tus kws khomob yog koj tsis tuaj yeem cev xeeb tub.

Tiv Thaiv Kab Mob STIs, xws li gonorrhea thiab mob chlamydia, tuaj yeem txo koj txoj kev pheej hmoo ua mob ntxiv.

Tswj kev noj zaub mov zoo, lub cev nyhav, thiab kev ua neej zoo yuav ua rau koj muaj feem cev xeeb tub thiab cev xeeb tub muaj zog.

Zam kev siv cov roj nplua nyeem thaum sib deev yuav pab txhim kho phev.

Cev tsis taus; Cev tsis taus

• Pelvic laparoscopy
• Poj niam deev aub
• Txiv neej deev aatomy
• Thawj zaug ntxiv lawm tshob
• Cov phev

Barak S, Gordon Baker HW. Cov chaw kho mob tau saib xyuas tus txiv neej ntxiv lawm tshob. Hauv: Jameson JL, De Groot LJ, de Kretser DM, li al, eds. Endocrinology: Cov Neeg Loj thiab PediatricCov. 7 tus ed. Philadelphia, PA: Elsevier Saunders; 2016: cha 141.

Broekmans FJ, Fauser BCJM. Tus poj niam ntxiv lawm tshob: tshuaj ntsuam thiab tswj. Hauv: Jameson JL, De Groot LJ, de Kretser DM, li al, eds. Endocrinology: Cov Neeg Loj thiab PediatricCov. 7 tus ed. Philadelphia, PA: Elsevier Saunders; 2016: chap 132.

Catherino WH. Cov deev deev endocrinology thiab ntxiv lawm tshob.Hauv: Goldman L, Schafer AI, eds. Goldman-Cecil TshuajCov. 26th ed. Philadelphia, PA: Elsevier; 2020: cha 223.

Lobo RA. Ntxiv lawm tshob: etiology, tshuaj xyuas kev luj xyuas, kev tswj hwm, soj ntsuam. Hauv: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. Saib Hluag Tshaj Lij HlawvCov. 7 tus ed. Philadelphia, PA: Elsevier; 2017: cha 42.

Xyaum Pab Pawg ntawm Asmeskas Lub Koom Haum rau Tshuaj Noj Txuas Ntxiv. Kev kuaj mob ntawm tus poj niam uas tsis tshua muaj menyuam: cov tswv yim hauv pawg. Chiv SterilCov. Xyoo 2015; 103 (6): e44-e50. PMID: 25936238 www.ncbi.nlm.nih.gov/pubmed/25936238.

Xyaum Pab Pawg ntawm Asmeskas Kev Noj Qab Haus Huv rau Tshuaj Txuas Ntxiv. Kev kuaj mob ntawm tus txiv neej uas tsis tuaj yeem: cov tswv yim hauv pawg. Chiv SterilCov. Xyoo 2015; 103 (3): e18-e25. PMID: 25597249 www.ncbi.nlm.nih.gov/pubmed/25597249.