Kho mob ntxiv lawm tshob: 9 Cov lus yuav nug koj tus kws kho mob

Zoo Siab

• Dab tsi yog thawj kab kev kho mob kom muaj menyuam yaus?
• Muaj kev cuam tshuam li cas rau kev muaj mob hauv lub cev ua ntej xeeb tub?
• Cov txiv neej vs poj niam fertility kev kho mob
• Qhov cuab yeej pabcuam kev ua haujlwm zoo li cas ua haujlwm?
• Thaum phais yog siv hauv kev kho me nyuam?
• Kev phom sij rau niam txiv thiab tus me nyuam yog dab tsi?
• Qhov uas yuav muaj ntau tus menyuam?
• Dab tsi yog qhov ua tiav tau zoo ntawm cov khoom siv kho mob?
• Lub sijhawm ntev npaum li cas ntawm kev kho mob rau kev xeeb tub mus ua haujlwm?
• Nqa Nyiaj

Thaum cev xeeb tub tuaj yeem zoo li lub tshau rau qee leej neeg, rau lwm tus nws yuav yog ib qho kev ntxhov siab tshaj plaws ntawm lawv lub neej. Koj tuaj yeem muaj cov txheeb ze zoo nug yog tias koj tuaj yeem hnov ​​cov sijhawm sibtham hauv moos, cov phooj ywg muaj menyuam yaus, thiab yaum kom tau txais thiab muaj menyuam hauv plab dua li koj txoj kev xav.

Txawm hais tias muaj 25 feem pua ​​ntawm ib qho kev coj khaub ncaws uas poj niam yuav xeeb tub yog tias nws muaj 20 xyoo lossis 30s, nws tsis yooj yim rau qee qhov. Thiab rau cov poj niam thiab tus txiv neej, txoj kev pheej hmoo ntawm kev xeeb tub ib txwm muaj tsawg zuj zus nrog lub hnub nyoog.

Yog tias koj thiab koj tus khub muaj teeb meem txog kev muaj taus menyuam, nws yog ib qho tseem ceeb kom paub qee yam txog kev kho mob txawv kom koj thiaj li yuav siv tau ntau tshaj plaws ntawm koj lub sijhawm mus ntsib koj tus kws kho mob.

Siv cov lus nug hauv qab no yog cov lus taw qhia coj koj nrog koj. Koj tus kws kho mob tuaj yeem muab cov lus qhia zoo tshaj plaws raws li koj tus neeg muaj tshwm sim.

Dab tsi yog thawj kab kev kho mob kom muaj menyuam yaus?

Hnov lo lus "ntxiv lawm tshob" yuav ua tau kev puas tsuaj rau ntau nkawm niam txiv. Tab sis xov xwm zoo yog tias kev kho mob ua ntej ua rau nws pom tias koj yuav tuaj yeem cev xeeb tub (lossis nyob) nrog kev cuam tshuam, nyob ntawm koj qhov xwm txheej tshwj xeeb.

Cov tshuaj kho mob feem ntau yog kho thib ib yog tias koj tus kws kho mob txheeb xyuas koj tias muaj kev tsis taus. Cov tshuaj no tau tsim los pab txhawb qhov muaj peev xwm xeeb menyuam thiab cev xeeb tub.

Lawv tuaj yeem hloov hauv kev hloov chaw hloov tshuaj los mus txhawb lub zes qe menyuam hauv cov poj niam, lossis cov tshuaj los kho erectile kawg ntawm tus txiv neej.

Cov kws kho mob tseem tuaj yeem sau ntawv muab tshuaj los txhawm rau kom koj muaj feem yuav xeeb tub thaum koj xeeb tub, nyob ntawm koj cov laj thawj rau kev nchuav yav tas los.

Ib qho ntxiv, koj tus kws kho mob yuav pom zoo hloov pauv kev ua neej rau ob tus khub, xws li noj zaub mov zoo, txwv kev haus cawv, lossis txiav luam yeeb.

Muaj kev cuam tshuam li cas rau kev muaj mob hauv lub cev ua ntej xeeb tub?

Txawm hais tias nws yog qhov tseeb tias kev muaj peev xwm ua me nyuam muaj peev xwm ploj zuj zus nrog lub hnub nyoog, qee zaum qhov no tau ua nrog rau kev mob nkeeg uas yuav tshwm sim thaum koj laus dua. Piv txwv, cov mob qog hauv cov poj niam tuaj yeem cuam tshuam rau kev muaj menyuam. Cov kab mob sib kis, mob qog noj ntshav, thiab khoom noj tsis zoo muaj peev xwm ua rau tus txiv neej thiab poj niam yuav rov ua me nyuam.

Tsis tas li, haus dej cawv, haus luam yeeb, thiab qee yam tshuaj tuaj yeem cuam tshuam nrog kev muaj me nyuam. Kuaj xyuas seb koj daim ntawv teev npe tshuaj noj - nrog rau koj tus khub - puas siv tau nrog kev sim xeeb tub (TTC, zoo li koj tau pom nws sau luv hauv kev sib tham).

Qhov tsim nyog, koj thiab koj tus khub yuav xav kom muaj kev noj qab nyob zoo ua ntej conception. Qhov no tsis yog tsuas yog pab ua kom muaj feem ntau ntawm cev xeeb tub xwb, tab sis niam txiv txoj kev noj qab haus huv kuj cuam tshuam ncaj qha menyuam txoj kev noj qab haus huv.

Kev tshuaj xyuas 2019 ntawm cov kev tshawb fawb tau txiav txim siab tias kev haus cawv los ntawm cov txiv neej txawm tias 6 lub hlis ua ntej kev xeeb tub tuaj yeem ua rau muaj kev pheej hmoo ntawm kev mob qog nqaij hlav hauv menyuam. Cov kws tshawb fawb tau pom zoo tias cov poj niam tsum haus ib xyoo ua ntej TTC.

Koj tus kws kho mob yuav muab cov lus qhia tshwj xeeb los pab koj kom tau txais kev noj qab haus huv zoo tshaj plaws thaum kuaj mob.

Cov txiv neej vs poj niam fertility kev kho mob

Qee lub sij hawm cov poj niam ntxhov siab lawv yog qhov ua rau muaj menyuam nyob hauv plab, nws tsis tuaj yeem paub yog tias tsis muaj kev kuaj mob rau ob leeg. Tus kws kho mob tuaj yeem txiav txim siab tias tus txiv neej lossis poj niam ntxiv lawm tshob (los yog ob qho tib si) yog qhov ua kom koj xeeb tub.

Muaj phev tsawg los yog tsis muaj peev xwm tau txais los yog kho ib qho erection thaum lub sij hawm com yuav cuam tshuam kev muaj peev xwm hauv tus txiv neej. Muaj qee kis, kev siv tshuaj erectile kawg yuav pab tau. Muaj phev tsawg los yog tsis zoo txhais tau tias tsis tau muaj menyuam hauv plab yuav tshwm sim, tab sis nws yuav ua rau nws nyuaj lossis nws yuav siv sijhawm ntev dua.

Cov poj niam muaj teeb meem me nyuam tuaj yeem coj kev nplij siab hauv qhov tseeb tias muaj ntau txoj kev xaiv los pab rau ovulation nyuaj, uas yog ib qho kev ua txhaum ntawm cov teeb meem poj niam ntxiv lawm.

Qee tus poj niam tsuas yog xav tau kev txhawb nqa nrog ovulating, lossis ovulating tsis tu ncua. Koj tus kws kho mob kuj tseem yuav sau cov tshuaj hormones ntau, xws li cov tshuaj estrogen, los pab tsim kev tawm tsam ov.

Lwm cov tshuaj muaj zog ntxiv los ntawm txoj kev txhaj tshuaj, ib qho txheej txheem hu ua kev tswj xyuas ntawm zes qe menyuam hyperstimulation (COH).

Cov no tuaj yeem kho nrog-hauv vitro fertilization (IVF). Tus txheej txheem no suav cov qe phev nrog lub qe hauv chav sim. Thaum cov txheej txheem ua tiav tiav, cov qe yuav pauv mus rau koj lub tsev menyuam thaum tso ovulation.

IVF yog qhov kev daws teeb meem zoo rau qee cov khub niam txiv, tab sis nws tuaj yeem zoo li ncav cuag rau lwm tus vim tias nws tuaj yeem ua tus nqi kim.

Txoj kev tshiab dua thiab pheej yig dua rau IVF yog hu ua INVOcell (IVC). Qhov no qhia "ob IVF thiab IVC tsim blastocysts zoo tib yam rau kev hloov ua rau muaj cov txiaj ntsig zoo sib xws nyob."

Qhov sib txawv tseem ceeb ntawm ob cov txheej txheem yog tias nrog IVC, qhov chaw mos yog siv los ua tus txheej txheem rau tus blastocyst (tus menyuam yav tom ntej) rau 5-hnub ua ntej hloov mus rau hauv lub tsev menyuam. Cov txheej txheem cuam tshuam nrog cov tshuaj muaj tshuaj tsawg dua IVF, yog li nws tus nqi qis dua tag nrho.

Qhov cuab yeej pabcuam kev ua haujlwm zoo li cas ua haujlwm?

Thaum cov khub niam txiv uas TTC ua kom pom kev muaj txiaj ntsig zoo, lawv feem ntau tsuas yog xav txog tshuaj thiab IVF, tab sis muaj lwm yam kev xaiv muaj.

Cov cuab yeej pab muaj me tub me nyuam (ART) yog lub npe rau cov kev kho mob xeeb tub uas muaj ntau cov txheej txheem thiab txheej txheem ntau dua. Qhov no suav nrog IVF. ART tseem suav nrog kev tso tshuaj rau menyuam (IUI), ib txheej txheem uas cov phev raug txhaj ncaj qha rau hauv lub tsev menyuam tuaj yeem pab tso qe.

Tus thib peb-pab ART yog lwm txoj kev xaiv uas cov niam txiv xaiv yuav muaj qe, embryo, lossis phev pub dawb. Qhov kev txiav txim siab kom tau txais lub qe pub, phev lossis embryo tuaj yeem yog qhov kev xav dhau los, thiab koj tus kws kho mob tuaj yeem coj koj los ntawm qhov zoo thiab qhov pom ntawm qhov kev daws teebmeem no.

Lub ntsiab sib txawv ntawm ART thiab COH yog tias kev xeeb tub tshwm sim nrog kev pab ntawm qhov chaw kuaj mob nrog ART. COH pub rau kev xeeb tub hauv lub cev yam tsis tas yuav mus ntsib kws kho mob chaw haujlwm.

Thaum phais yog siv hauv kev kho me nyuam?

Koj tus kws kho mob yuav pom zoo kom muaj kev phais mob yog tias lawv pom teeb meem nrog koj cov khoom hauv nruab nrog cev. Kev phais qee zaum siv los kho txhaws los yog txhaws rau txoj hlab qe ntshav kom cov qe tuaj yeem ua tiav thiab tso tau chiv.

Kev phais menyuam pojniam yuav muaj peev xwm pab kho:

• nti rau hauv kev ua me nyuam
• uterine fibroids
• endometriosis
• polyps

Hauv cov txiv neej, kev xaiv phais yuav raug siv los kho cov leeg ntshav, hu ua varicoceles, hauv cov noob qes uas tuaj yeem ua rau muaj kev cuam tshuam ntawm qee tus txiv neej (txawm hais tias ntau tus txiv neej muaj tus mob no tsis muaj teeb meem nrog kev muaj me nyuam).

Txog ntawm tus txiv neej ua mob varicoceles hauv lawv lub neej. Lawv tshwm sim hauv 35 feem pua ​​ntawm cov txiv neej muaj mob ntxiv thaum ntxov.

Xyoo 2012 kev tshuaj xyuas no qhia tias kev hloov kho cov pob txha caj dab txhim kho tsis tau lwm qhov ntxiv lawm tshob - tab sis cov kws tshawb nrhiav tau taw qhia tias yuav tsum muaj kev tshawb fawb ntxiv uas qhia txog kev yug menyuam lossis muaj menyuam hauv lub cev xeeb tub raws li lub hom phiaj xav tau.

Kev phais qee zaum kuj siv los pab qhib cov hlab uas hloov phev rau chaw mos.

Kev phom sij rau niam txiv thiab tus me nyuam yog dab tsi?

Thaum uas feem ntau cov txheej txheem kev kho mob muaj qee qhov kev pheej hmoo, thev naus laus zis tau hloov zuj zus dhau los ua ntau txoj kev kho mob tam sim no pom tias muaj kev nyab xeeb rau cov niam txiv thiab menyuam-rau-yuav.

Kev phais mob tuaj yeem cuam tshuam nrog kev pheej hmoo, xws li kis tus mob, thiab phais pob txha mos hauv cov poj niam tuaj yeem ua rau muaj kev pheej hmoo rau mob cev xeeb tub (qhov xwm txheej loj uas lub qe thiab yug menyuam tom qab ntawm koj lub tsev menyuam).

Nug koj tus kws kho mob raws li cov lus nug ntau npaum li koj xav tau kom koj paub txog thiab xis nyob rau qhov muaj pheej hmoo ua ntej pib kho.

Cov kws tshawb fawb yeej sim txiav txim seb cov kev kho mob xeeb menyuam puas yuav tsim kev puas tsuaj rau menyuam mos kev noj qab haus huv thaum lawv yug los. Ib qho kev txiav txim hais tias menyuam yug tom qab uas hloov pauv khov khov lawm yuav muaj feem yuav kis tau tus kabmob kheesxaws thaum yau. Txawm li cas los xij, qhov no tsuas siv rau cov khov hloov chaw hloov cev, tsis yog rau cov menyuam yug tom qab IVF lossis lwm yam kev kho mob.

Lwm yam kev phom sij tuaj yeem ua rau tus menyuam, qhov chaw yug me nyuam nyob hauv qis. Raws li a, muaj kuj tseem muaj ntau dua kev yug ua ntej yug thaum ART siv rau kev muaj me nyuam. Kev yug ntxov ntxov tshwm sim thaum koj tus menyuam yug ntxov dua 37 lub limtiam. Qhov kev pheej hmoo no tseem muaj ntau dua yog tias koj tab tom nqa ntau tus menyuam.

Qhov uas yuav muaj ntau tus menyuam?

Kev kho mob ART yuav tsim tawm ntau yam cev xeeb tub ib zaug. Txawm hais tias cov xwm txheej zoo li no poob qis, cov kws tshawb nrhiav kwv yees tias xyoo 2011 kwv yees li 35 feem pua ​​ntawm kev yug menyuam ntxaib thiab 77 feem pua ​​ntawm cov neeg xoom lossis cov neeg muaj feem ntau dua nyob hauv Tebchaws Meskas yog los ntawm kev xeeb tub los ntawm kev kho mob yug menyuam.

Cov kws kho mob tuaj yeem tam sim no txo ​​qhov no los ntawm kev txwv cov xov tooj ntawm lub cev uas hloov mus rau lub tsev menyuam nyob rau ib zaug.

Dab tsi yog qhov ua tiav tau zoo ntawm cov khoom siv kho mob?

Raws li American Society for tshuaj ntxiv deev, ntawm 85 thiab 90 feem pua ​​ntawm cov mob ntxiv lawm tshob yog qhov kho tau. Nov yog txais tos cov xov xwm rau ntau tsev neeg uas nrhiav kom hla dhau kev phom sij hauv tebchaws Meskas. Tab sis ib sab ntawm lub hnub nyoog thiab kev noj qab haus huv, qhov ua tiav cov txiaj ntsig kuj nyob ntawm hom kev kho mob koj xaiv.

Piv txwv, IUI tuaj yeem muaj 20 feem pua ​​ua tiav lub cev xeeb tub piv rau 50 feem pua ​​kev ua tiav los ntawm kev pub nyiaj embryo. Koj tus kws kho mob tuaj yeem pab tswv yim zoo rau koj tus kheej kom muaj feem ua tiav raws cov kev kho mob sib txawv.

Lub sijhawm ntev npaum li cas ntawm kev kho mob rau kev xeeb tub mus ua haujlwm?

Hmoov tsis, tsis muaj cov lus teb ncaj qha ntawm no. Qee cov khub niam txiv muaj kev vam meej rau thawj lub hlis lawv tau txais kev pab kho mob, hos lwm tus sim rau xyoo. Cov txheej txheem ntawm cov kev kho mob xeeb tub tuaj yeem ua haujlwm ntev thiab nkees, uas tuaj yeem ua rau muaj kev ntxhov siab ntau dua yog tias koj tau sim xeeb tub.

Txhawm rau pab koj xaiv cov kev kho mob zoo tshaj plaws uas koj ua tau, koj tus kws kho mob yuav tshuaj xyuas koj keeb kwm kev noj qab haus huv thiab xyuas seb puas muaj teeb meem ntawm kev ua me nyuam hauv koj thiab koj tus khub.

COH yuav raug sim ua ntej ART, nyob ntawm qhov tshwm sim ntawm koj tus kws kho mob tshawb pom. Txawm hais tias siv tshuaj tua kab mob HIV los sim, nws tuaj yeem siv ntau qhov kev sim ua ntej muaj menyuam. Txog ntawm cov no, cov no tau ua ib hlis ib zaug, raws li poj niam ovulates tsuas yog ib zaug hauv 28-hnub lub sijhawm ntawm qhov nruab nrab.

Kev xaiv cov tshuaj kho kom tsis muaj tub ki tsis yog ib txoj haujlwm yooj yim, tab sis koj tus kws kho mob tuaj yeem pab koj txiav txim siab txoj kev yog rau cov txiaj ntsig zoo tshaj plaws tau.

Nqa Nyiaj

Rau cov khub niam txiv uas sim xeeb menyuam, qhov zeem muag yog qhov zoo rau kev muaj cev xeeb tub thiab muaj kev txaus siab rau kev ua niam ua txiv.

Txog li 9 ntawm 10 tus neeg uas suav hais tias yog cov me nyuam yaus muaj peev xwm pab tau nrog kev kho mob rau kev xeeb tub tsis taus. Txawm hais tias qee qhov kev kho mob yuav raug nqi ntau thiab muaj kev ntxhov siab, thiab muaj qee qhov pheej hmoo, nws tseem tsim nyog sib tham nrog koj tus kws kho mob txog kev ua haujlwm zoo tshaj plaws.

Kev pab kho mob tau hloov zuj zus, thiab nws yog ib lub sijhawm zoo tshaj plaws hauv keeb kwm kom tau txais kev pab cuam hauv txoj kev xav kom xeeb tub.