Nug Tus Kws Tshaj Lij: Thaum Twg Ntsib Tus Kws Paub Txog Cov Qoj Ib ce

Zoo Siab

• 1. Tus kws tshaj lij pojniam xeeb ntxwv ua dab tsi?
• 2. Kuv yuav tau xeeb menyuam ntev npaum li cas ua ntej mus ntsib tus kws khomob?
• 3. Dab tsi yog thawj kauj ruam uas tus kws tshaj lij tsis muaj peev xwm yuav ua yog tias muaj qee tus neeg tsis tuaj yeem?
• 4.Cov kev ntsuam xyuas dab tsi thiaj li muaj peev xwm ua kom tus kws kho mob muaj peev xwm, thiab txhais tau li cas?
• 5. Yam kev ua neej dab tsi cuam tshuam rau kuv txoj kev muaj me nyuam, thiab puas muaj dab tsi uas kuv tuaj yeem ua kom kuv txoj kev xeeb tub?
• 6. Kuv cov kev kho mob yog tias kuv tsis tuaj yeem xeeb tub li cas?
• 7. Yuav ua li cas muaj kev vam meej yog kev kho mob fertility?
• 8. Tus kws tshaj lij fab xeeb tub tuaj yeem pab kuv nrhiav kev pab txhawb kev xav?
• 9. Puas muaj kev pab cuam los pab nyiaj rau kev kho mob tsis taus?

1. Tus kws tshaj lij pojniam xeeb ntxwv ua dab tsi?

Tus kws tshaj lij me nyuam yug yog OB-GYN nrog kev txawj ntse ntawm kev ua me nyuam endocrinology thiab ntxiv lawm tshob. Cov kws paub meej txog kev xeeb tub txhawb nqa tib neeg los ntawm txhua txoj kev ua haujlwm ntawm kev ua me nyuam. Qhov no suav nrog kev kho mob ntxiv lawm tshob, cov kab mob caj ces uas tuaj yeem cuam tshuam cov menyuam yav tom ntej, kev tiv thaiv kev muaj menyuam, thiab cov teeb meem ntawm lub tsev menyuam. Lawv kuj pab nrog ovulation teeb meem zoo li amenorrhea, polycystic ovarian syndrome, thiab endometriosis.

2. Kuv yuav tau xeeb menyuam ntev npaum li cas ua ntej mus ntsib tus kws khomob?

Qhov no nyob ntawm koj txhawj xeeb npaum li cas thiab cov ntaub ntawv koj tab tom nrhiav rau. Coob tus pojniam yuav nrhiav kev tshuaj ntsuam xyuas tus pojniam tsis taus zoo uantej lawv yuav xeeb menyuam, lossis yog lawv xav npaj lawv lub neej yav tomntej.

Yog tias koj tsis tau txiav txim siab xeeb tub, mus ntsib tus kws paub kev xeeb menyuam hauv lub sijhawm 12 lub hlis yog tias koj hnub nyoog qis dua 35. Yog tias koj muaj hnub nyoog 35 lossis tshaj rod saud, saib ib tomqab rau lub hlis.

3. Dab tsi yog thawj kauj ruam uas tus kws tshaj lij tsis muaj peev xwm yuav ua yog tias muaj qee tus neeg tsis tuaj yeem?

Feem ntau, cov kws tshaj lij rau kev muaj taus me nyuam yuav pib los ntawm kev txheeb xyuas koj cov keeb kwm kho mob tiav. Lawv kuj tseem yuav xav xyuas txhua yam kev sim ua ntej lossis kev khomob uas koj tau txais.

Raws li thawj kauj ruam, koj yuav tau tsim ua koj cov hom phiaj yog dab tsi rau kev nrhiav kev saib xyuas xeeb tub. Piv txwv li, qee tus neeg xav ua kom muaj kev tiv thaiv sai li sai tau, thaum lwm tus cia siab tias yuav zam kev cuam tshuam kev kho mob. Lwm lub hom phiaj kuj muaj xws li kuaj keeb kwm ntawm embryos lossis kev xeeb tub yug menyuam.

4.Cov kev ntsuam xyuas dab tsi thiaj li muaj peev xwm ua kom tus kws kho mob muaj peev xwm, thiab txhais tau li cas?

Tus kws kho mob txog kev muaj me nyuam feem ntau yuav ua tag nrho cov chaw ntsuas kom paub qhov ua rau muaj tus ntxiv lawm tshob thiab ntsuas koj lub peev xwm ntawm kev muaj me nyuam. Koj tus kws khomob yuav kuaj tus kabmob hormone hnub peb ntawm kev coj khaub ncaws. Cov no suav nrog kev loj hlob hauv cov follicle-stimulating hormone, luteinizing hormone, thiab kev sim tshuaj tiv thaiv Mullerian cov tshuaj hormones. Cov txiaj ntsig yuav txiav txim siab qhov muaj peev xwm ntawm cov qe hauv koj cov zes qe menyuam. Lub transvaginal ultrasound tuaj yeem suav cov hauv paus antral me me hauv lub zes qe menyuam. Ua ke, cov kev sim no tuaj yeem kwv yees seb koj lub qe puas zoo, zoo, lossis tsawg dua.

Koj tus kws kho mob tshwj xeeb kuj tseem tuaj yeem kuaj xyuas cov endocrine rau kev ua haujlwm ntawm cov thyroid lossis cov kev ua haujlwm ntawm prolactin. Cov xwm txheej no tuaj yeem cuam tshuam txoj kev ua me nyuam rov qab. Txheeb xyuas cov leeg ntawm txoj hlab qe menyuam thiab lub tsev menyuam, koj tus kws kho mob yuav xaj xoo hluav taws xob tshwj xeeb hu ua hysterosalpingogram. Qhov kuaj pom no yog txiav txim siab yog tias koj txoj hlab qe menyuam qhib thiab noj qab nyob zoo. Nws tseem yuav qhia teeb meem rau koj lub tsev menyuam, xws li polyps, fibroids, caws pliav nqaij, los yog septum (phab ntsa) uas yuav cuam tshuam rau cov qog ib puag ncig lossis kev loj hlob ntawm ib lub cev.

Lwm qhov kev tshawb fawb los kuaj xyuas lub tsev menyuam muaj xws li ua cov muaj ntsev ua muaj mob sonography, hysteroscopy hauv chaw ua haujlwm, lossis kuaj qog nqaij hlav endometrial. Kev ntsuas phev tej zaum yuav raug ntsuas los txiav txim yog tias kev suav, qhov muaj zog, thiab cov phev tshwm sim yog dab tsi. Kev kuaj mob ua ntej yog tseem muaj los kuaj ntsuas cov kab mob kis thiab kab mob txawv txav.

5. Yam kev ua neej dab tsi cuam tshuam rau kuv txoj kev muaj me nyuam, thiab puas muaj dab tsi uas kuv tuaj yeem ua kom kuv txoj kev xeeb tub?

Ntau yam kev ua neej nyob rau cuam tshuam fertility. Noj qab nyob zoo tuaj yeem txhim kho kev xeeb tub, txhim kho kev muaj peev xwm ua tiav kev kho mob, thiab tswj kev xeeb tub. Qhov no suav nrog kev noj zaub mov kom zoo thiab zam kev ua zaub mov noj. Muaj cov ntaub ntawv qhia tias qhov poob phaus ua rau cov txiaj ntsig kho kev muaj txiaj ntsig zoo dua. Rau cov poj niam nrog gluten rhiab lossis lactose rhiab, kev zam yuav pab tau.

Noj cov vitamins uas xeeb tub, txwv tsis pub muaj caffeine, thiab zam kev haus luam yeeb, tshuaj ua si, thiab dej cawv. Koj kuj tseem yuav tau txais txiaj ntsig los ntawm cov vitamin D ntxiv. Qhov no yog vim tias cov vitamin D tsis txaus yuav muaj cov kev ua tsis zoo hauv cov keeb kwm kev ua haujlwm (IVF) lossis ua rau nchuav menyuam.

Kev ua hauj lwm qoj ib ce kuj yog qhov zoo rau kev noj qab haus huv thiab txo kev ntxhov siab. Yoga, ua kom pom thiab nco qab zoo, thiab kev txhawb zog siab thiab txhawb nqa kuj tuaj yeem muaj txiaj ntsig.

6. Kuv cov kev kho mob yog tias kuv tsis tuaj yeem xeeb tub li cas?

Muaj ntau cov kev xaiv rau kev kho mob ntxiv lawm tshob. Koj tus kws kho mob tuaj yeem sau tshuaj ovulation stimulation tshuaj xws li clomiphene citrate thiab letrozole. Lwm txoj kev kho mob suav nrog kev saib xyuas kev loj hlob nrog cov ntshav ua haujlwm thiab lub zog, ovulation triggering nrog hCG (tib neeg chorionic gonadotropin), thiab kev tso ntshav mus kuaj. Cov kev kho mob ntau ntxiv suav nrog kev siv tshuaj IVF, txhaj tshuaj sib kis, thiab npaj mus tshuaj ntsuam ntawm tus kab menyuam.

Txoj kev xaiv uas koj thiab koj tus kws kho mob xaiv yog nyob ntawm lub sijhawm thiab qhov ua rau muaj menyuam yaus thiab lub hom phiaj ntawm kev kho mob. Koj tus kws paub hauj lwm zoo yuav pab koj txiav txim seb qhov twg yog qhov zoo rau koj txhawm rau ua tiav qhov txiaj ntsig zoo tshaj plaws.

7. Yuav ua li cas muaj kev vam meej yog kev kho mob fertility?

Kev kho mob caj dab yog qhov ua tiav, tab sis qhov tshwm sim nyob ntawm ntau yam. Ob yam tseem ceeb tshaj plaws yog tus poj niam lub hnub nyoog thiab ua kom muaj me nyuam.

Lawm, kev pab ntxiv kom muaj kev ua tiav tau zoo dua. Ovulation stimulation nrog intrauterine insemination kev kho mob tuaj yeem muaj kev vam meej ntawm 5 mus rau 10 feem pua ​​ntawm ib puag ncig hauv kev paub tsis tshua muaj menyuam. Qhov no tuaj yeem nce mus txog 18 feem pua ​​ntawm cov neeg uas muaj qhov mob ovulation lossis thaum tus neeg pub cov phev raug siv thiab tsis muaj lwm tus pojniam teebmeem. Feem ntau, IVF tuaj yeem muaj cov nqi yug ntawm 45 mus rau 60 feem pua. Qhov no tuaj yeem nce qib kev yug tus menyuam nyob mus txog 70 feem pua ​​yog tias cov qe hloov pauv zoo.

8. Tus kws tshaj lij fab xeeb tub tuaj yeem pab kuv nrhiav kev pab txhawb kev xav?

Yog lawm, tus kws tshaj lij pabcuam kev muaj peev xwm thiab lawv pab pawg tuaj yeem muab kev txhawb zog siab. Koj lub chaw xeeb tub yuav muaj kev pab nyob ntawm thaj chaw, ib yam li lub hlwb pab lossis pab pawg txhawb. Lawv tseem tuaj yeem xa koj mus rau cov kws pab tswv yim, pab pawg txhawb nqa, kws qhia kev noj qab haus huv thiab mindfulness, thiab kws tshaj lij mob hlwb.

9. Puas muaj kev pab cuam los pab nyiaj rau kev kho mob tsis taus?

Txoj kev kho mob hauv tsev siab tuaj yeem yog qhov kim, thiab nyiaj txiag tau yuav ua tau yooj yim thiab nyuaj. Tus kws paub hauj lwm zoo (fertility) yuav ua rau koj ua hauj lwm ze nrog lawv tus tswj kev pab nyiaj. Tus neeg no tuaj yeem pab koj kawm txog kev pov hwm kev tuav pov hwm thiab cov nqi tsim nyog tawm-hnab tshos.

Koj tuaj yeem sib tham cov tswv yim kho mob nrog koj tus kws kho mob uas tej zaum yuav txo nqi. Koj lub tsev muag tshuaj kuj tseem yuav muaj cov kev pab cuam uas muab tshuaj muaj tshuaj nrog txo tus nqi, nrog rau ntau cov kev pabcuam thib peb. Sib tham txog cov kev xaiv no nrog koj tus kws kho mob yog tias tus nqi kho yog ib yam twg ua rau koj txhawj xeeb.

Alison Zimon yog tus sib koom ua haujlwm thiab ua ke tus thawj coj ntawm CCRM Boston. Nws yog board-certified nyob rau hauv kev ua me nyuam endocrinology thiab ntxiv lawm tshob, thiab hauv obstetrics thiab gynecology. Ntxiv rau nws txoj haujlwm ntawm CCRM Boston, Dr. Zimon yog tus kws qhia saib xyuas mob hauv Lub Tsev Haujlwm Saib Xyuas Kev Khomob, Gynecology, thiab Chaw Zes Menyuam ntawm Harvard Medical School thiab yog tus kws khomob hauv OB / GYN ntawm Beth Israel Deaconess Center thiab Newton Wellesley Tsev Khomob hauv Massachusetts.