Kev thau me nyuam ntau zaus: 5 qhov tseem ceeb (thiab kuaj kom ua)

Zoo Siab

• 1. Kev hloov ntawm caj ces
• 2. Kev Ua Phem Rau Lub Neej
• 3. Endocrine lossis metabolic hloov
• 4. Tshuaj Mob Qhov Muag Pom
• 5. Kev tiv thaiv kab mob

Kev rho menyuam rov qab los txhais tau tias yog kev tshwm sim ntawm peb lossis ntau dua kev cuam tshuam nrog kev cuam tshuam ntawm cev xeeb tub ua ntej 22 lub lim tiam ntawm cev xeeb tub, uas nws qhov kev pheej hmoo tshwm sim muaj ntau dua nyob rau thawj lub hlis ntawm cev xeeb tub thiab nce nrog hnub nyoog nce.

Muaj ntau qhov laj thawj uas yuav tshwm sim los ntawm qhov tshwm sim ntawm qhov tshwm sim ntawm kev txiav txim siab tsis tuaj yeem, yog li ntawd, kev txheeb xyuas ntawm nkawm niam txiv yuav tsum tau ua, kev kuaj mob poj niam thiab caj ces yuav tsum tau ua, thiab kev txheeb xyuas ntawm tsev neeg thiab cov keeb kwm kho mob yuav tsum tau ua, txhawm rau kom nkag siab qhov twg yog hauv paus ntawm qhov teeb meem.

Qhov tshwm sim ntawm kev rho menyuam tawm yog qhov tshwm sim, uas tuaj yeem ua rau cov tsos mob ntawm kev nyuaj siab thiab ntxhov siab thiab, yog li ntawd, cov poj niam uas muaj kev cuam tshuam los ntawm kev rho menyuam tawm, yuav tsum tau nrog tus kws kho mob hlwb ua ke.

Qee qhov nquag muaj ua rau txo qis dua kev txhaum yog:

1. Kev hloov ntawm caj ces

Kev mob plab hauv plab me nyuam yog cov teeb meem ua kom menyuam poob ua ntej 10 lub lim tiam ntawm cev xeeb tub thiab qhov ntxim nyiam ntawm lawv tshwm sim muaj ntau ntxiv nrog niam hnub nyoog. Feem ntau cov kev ua yuam kev yog trisomy, polyploidy thiab monosomy ntawm X chromosome.

Kev ntsuam xyuas cytogenetic yuav tsum ua ntawm cov khoom uas siv los ua lub koob thib peb. Yog tias qhov kev kuaj pom no qhia txog lub cev tsis zoo, karyotype yuav tsum raug soj ntsuam siv cov qhov txhaws ntawm ob qho tib si ntawm ob niam txiv.

2. Kev Ua Phem Rau Lub Neej

Cov kev ua tsis ncaj ncees hauv tsev menyuam, xws li Mullerian malformations, fibroids, polyps thiab uterine synechia, kuj tuaj yeem cuam tshuam nrog kev rho menyuam tawm. Kawm paub yuav ua li cas paub qhov kev hloov pauv ntawm lub tsev menyuam.

Txhua tus poj niam uas muaj kev cuam tshuam txog kev rho menyuam tawm yuav tsum tau kuaj xyuas lub plab ntawm lub plab, siv pelvic ultrasound nrog 2D lossis 3D transvaginal catheter thiab hysterosalpingography, uas tuaj yeem ua ntxiv nrog kev mob qog nqaij hlav.

3. Endocrine lossis metabolic hloov

Qee qhov endocrine lossis metabolic hloov uas tej zaum yuav ua kom rov muaj menyuam poob qis yog:

• Ntshav Qab Zib:Muaj qee kis, cov pojniam uas tsis mob ntshav qab zib tau ua rau muaj kev pheej hmoo ntawm tus menyuam poob thiab qhov ua tsis tiav. Txawm li cas los xij, yog tias cov ntshav qab zib mellitus tau tswj tau zoo, nws tsis suav tias yog kev pheej hmoo rau kev rho menyuam;
• Lub qog ua hauj lwm tsis zoo: Xws li tus mob ntshav qab zib, cov poj niam muaj kev cuam tshuam cov tsis ua haujlwm nrog lub qog tseem muaj qhov kev pheej hmoo ntau ntxiv los ntawm kev nchuav menyuam;
• Hloov pauv ntawm prolactin: Prolactin yog yam tshuaj ntawm qhov tseem ceeb rau kev tsim kho endometrial. Yog li, yog tias qhov tshuaj no ntau dhau lossis qis dhau, qhov kev pheej hmoo coj menyuam yaus kuj nce;
• Polycystic zes qe menyuam mob: Polycystic ovary syndrome tau cuam tshuam nrog kev pheej hmoo ntawm kev muaj menyuam yaus kev rho menyuam, tab sis nws tseem tsis tau paub meej tias tus txheej txheem twg yog koom nrog. Kawm paub yuav ua li cas paub thiab kho lub polycystic ovary;
• Kev pham: Kev pham yog txuam nrog kev nce ntxiv ntawm qhov pheej hmoo tshwm sim ntawm cev xeeb tub hauv thawj lub hlis;
• Luteal theem hloov pauv thiab progesterone tsis txaus: Lub cev ua haujlwm corpus luteum yog qhov tseem ceeb rau kev cog lus zoo thiab rau kev saib xyuas kev xeeb tub hauv nws lub ntsej muag thaum pib, vim nws txoj haujlwm tseem ceeb hauv kev tsim cov progesterone. Yog li, qhov hloov pauv ntawm cov tshuaj hormones no tuaj yeem ua rau tus menyuam tsis ua haujlwm zoo.

Tshawb nrhiav qhov mob ua mob caj dab yog dab tsi thiab nws txheeb li cas rau kev xeeb tub.

4. Tshuaj Mob Qhov Muag Pom

Thrombophilia yog cov kab mob uas ua rau muaj ntshav txhaws thiab uas yuav ua rau muaj ntshav txhaws thiab ua rau mob thrombosis, uas tuaj yeem tiv thaiv kom tsis txhob muaj qhov uas txhab nyob rau hauv lub tsev menyuam lossis ua rau rho menyuam tawm. Feem ntau, thrombophilia tsis tau kuaj pom nyob hauv kev kuaj ntshav dog dig.

Kawm paub yuav ua li cas nrog thrombophilia hauv cev xeeb tub.

5. Kev tiv thaiv kab mob

Thaum cev xeeb tub, lub embryo yog suav tias yog lub cev txawv teb chaws los ntawm leej niam lub cev, uas txawv caj ces. Rau qhov no, niam cev tiv thaiv kab mob tau hloov kho kom tsis kam lees lub embryo. Txawm li cas los xij, hauv qee kis, qhov no tsis tshwm sim, uas ua rau nchuav menyuam lossis muaj menyuam nyuaj.

Muaj ib qho kev xeem hu ua khaub lig-ntais ntawv, uas tshawb nrhiav cov tawm ntawm cov tshuaj tiv thaiv tiv thaiv leej txiv cov ntshav hauv leej niam cov ntshav. Txhawm rau kom ua tiav qhov kev soj ntsuam no, cov ntshav mus kuaj los ntawm leej txiv thiab leej niam thiab, hauv chav kuaj, kuaj ntshav ntsuas ntawm ob qho, txhawm rau txhawm rau kuaj pom muaj cov tshuaj tiv thaiv.

Ib qho ntxiv, kev haus cawv thiab haus luam yeeb kuj tseem tuaj yeem cuam tshuam txog kev rho menyuam tawm, vim tias lawv cuam tshuam tsis zoo thaum cev xeeb tub

Txawm hais tias feem ntau, cov laj thawj ntawm kev rov rho menyuam tawm tuaj yeem txiav txim tau, muaj qee yam xwm txheej uas tseem tsis tau piav qhia.