Secondary Infertility: Nws Txhais Tau Li Cas thiab Koj tuaj yeem Ua Dab Tsi

Zoo Siab

• Dab tsi yog theem nrab ntxiv lawm tshob?
• Dab tsi ua rau muaj me nyuam lwm yam ntxiv?
• Ovulation mob
• Cov teeb meem nrog lub tsev menyuam lossis txoj hlab qe menyuam
• C-seem kev caws pliav
• Kab mob
• Autoimmune ntshawv siab
• Lub hnub nyoog
• Cov tsis paub meej lub ntsiab
• Kev kho mob ntawm kev muaj menyuam hauv theem nrab
• Cov Tshuaj Kho Mob
• Kev phais mob
• Advanced deev tshuab (ART)
• Cov lus qhia rau kev tiv thaiv nrog kev mob ntxiv theem ob
• Cov nqa mus

Yog tias koj nyob ntawm no, koj tuaj yeem tshawb nrhiav cov lus teb, kev txhawb nqa, kev cia siab, thiab kev coj ua yuav ua li cas mus tom ntej nrog ntxiv lawm tshob tom qab xeeb menyuam ib zaug ua ntej. Qhov tseeb yog, tsis yog koj ib leeg - los ntawm nws.

Saib ntawm kev muaj menyuam yaus nyob hauv kev dav dav, qhov kwv yees ntawm cov pojniam hauv Tebchaws Meskas muaj teeb meem kev xeeb menyuam lossis nyob cev xeeb tub. Thiab kev muaj menyuam hauv nruab nrab - thaum qhov kev nyuaj no tshwm sim tom qab ib lossis ntau qhov kev xeeb menyuam muaj txiaj ntsig - feem ntau ua rau tib neeg tsis muaj kev tiv thaiv.

Peb nkag siab hais tias muaj menyuam hauv tsev kawm ntawv theem ob tuaj yeem coj ntau yam kev nyuaj siab xws li tu siab, tag kev cia siab, tsis meej pem, ntxhov siab, thiab txawm tias txhaum - ntawm lwm tus. Txawm hais tias koj tau txheeb pom tias muaj mob ntxiv theem ob, lossis tab tom tshawb nrhiav teeb meem thaum xeeb menyuam dua, qhov no yog ib qho chaw muaj kev kawm paub ntxiv txog nws.

Dab tsi yog theem nrab ntxiv lawm tshob?

Nws muaj ob hom kev muaj mob ntxiv: thawj thiab theem siab. Thawj tus me nyuam tuaj yeem piav qhia tias tsis tuaj yeem cev xeeb tub, feem ntau tom qab sim 1 xyoo - lossis 6 hlis, yog hnub nyoog 35 lossis tshaj saud.

Cov neeg uas muaj me nyuam thib ob ntxiv lawm, muaj qhov teeb meem xeeb thaum tom qab xeeb tub tau zoo tsawg kawg ib zaug ua ntej.

Ib yam li thawj tus menyuam ntxiv lawm tshob tuaj yeem tshwm sim vim qhov teeb meem ntawm qhov taw tes hauv ntuj - thiab qee qhov nyuaj - cov txheej txheem yuav tsum tau ua kom cev xeeb tub. Koj lub peev xwm xeeb tub tuaj yeem hloov pauv txawm tias tom qab yug tus menyuam tas los. (Thiab koj tus khub pauv tau nrog lub sijhawm zoo tib yam - ntau ntxiv ntawm qhov ntawd hauv ib pliag.)

Ib qho teeb meem yuav tshwm sim nrog ib lossis ob peb ntawm cov theem hauv qab no:

1. ov ov (lub qe tso tawm)
2. fertilization ntawm lub qe nrog phev
3. taug kev ntawm qhov chaw yug qe rau lub tsev menyuam
4. implantation ntawm lub qe chiv xeeb menyuam nyob rau hauv lub tsev menyuam

Tam sim no, muaj cov kab mob ntev ntev thiab cov kab mob - nrog rau kev cuam tshuam ntawm "ntxiv lawm tshob" cuam tshuam - uas tuaj yeem tsim teeb meem. Tab sis ua ntej peb tham txog lawv, nws yog qhov tseem ceeb kom paub tias ob tus poj niam thiab tus txiv neej tuaj yeem pab txhawb rau ntxiv lawm tshob.

Kab lus no hais txog poj niam, tab sis kuj muaj ob tus poj niam thiab txiv neej qhov sib txuam ntawm cov khub niam txiv muaj menyuam yaus hauv plab. Thiab hauv 8 feem pua ​​ntawm cov neeg mob, nws yog tus txiv neej qhov ntawm ib leeg.

Dab tsi ua rau muaj me nyuam lwm yam ntxiv?

Thaum tus thawj thiab lwm yam ntxiv lawm feem ntau sib xws tib yam. Qhov tseem ceeb tshaj plaws uas yuav tsum paub yog, feem ntau ntawm cov neeg mob, ntxiv lawm tshob yog tsis yog tim kojCov. Peb paub tias qhov no tsis ua kom yooj yim rau kev daws, tab sis nws tuaj yeem pab koj xav tias muaj hwj chim ntau los nrhiav cov pov thawj pom kev daws teeb meem uas tuaj yeem pab koj muaj peev xwm xeeb tub.

Ntawm no yog qee qhov teeb meem uas tshwm sim feem ntau ntawm cov menyuam muaj peev xwm feem ntau, uas feem ntau cuam tshuam txog kev muaj menyuam hauv theem nrab, ib yam nkaus.

Ovulation mob

Feem ntau ntawm poj niam mob ntxiv yog muaj ovulation ntshawv siab. Qhov tseeb, 40 feem pua ​​ntawm cov poj niam uas muaj me nyuam tsis tuaj yeem sib deev tau xwm yeem. Cov teeb meem ntawm ovulating tuaj yeem tshwm sim los ntawm ntau yam mob thiab lwm yam, xws li:

• polycystic zes qe menyuam mob (PCOS)
• thawj lub zes qe menyuam tsis txaus (POI)
• txig qe ntau lawm cuam tshuam txog kev laus
• lub qog lossis lwm yam endocrine cuam tshuam rau kev loj hlob hormone
• tej yam hauv lub neej, xws li hnyav, khoom noj khoom haus, thiab cawv lossis siv tshuaj yeeb

Ib qho ntawm cov teeb meem feem ntau ua rau poj niam muaj menyuam yog PCOS, uas ua rau cov zes qe menyuam lossis cov qog ua kua muaj ntau cov tshuaj hormones uas tiv thaiv cov zes qe menyuam tawm qe. Nws kuj tseem tuaj yeem ua rau cov hlwv loj tuaj yeem txhim kho ntawm lub zes qe menyuam uas yuav txuas ntxiv cuam tshuam nrog ovulation.

Qhov xwm zoo yog tias muaj kev kho mob zoo rau PCOS. Qhov tseeb, kev kho mob nrog tshuaj noj (ntau dua ntawm cov hauv qab no) tej zaum yuav ua rau cov poj niam cev xeeb tub muaj kev vam meej nce mus txog ntawm cov poj niam nrog PCOS.

Cov teeb meem nrog lub tsev menyuam lossis txoj hlab qe menyuam

Cov teeb meem hauv vaj tse tuaj yeem cuam tshuam koj lub peev xwm cev xeeb tub. Piv txwv li, yog tias muaj qhov txhaws hauv cov hlab qe, phev thiab qe tej zaum yuav tsis tuaj yeem sib ntsib tau. Lub tsev menyuam kuj yuav tuaj yeem ua kom muaj kev teeb tsa lossis lub cev tsis ua haujlwm uas tiv thaiv kev cog hniav.

Nov yog qee qhov kev mob tshwj xeeb uas cuam tshuam rau txoj hlab qe menyuam lossis lub tsev menyuam.

• endometriosis
• uterine fibroids lossis polyps
• uterine scarring
• kev txawv txav hauv cov duab ntawm tus menyuam, xws li unicornuate uterus

Endometriosis yog ib qho tseem ceeb kom hu tawm, vim tias nws cuam tshuam txog li 10 feem pua ​​ntawm cov poj niam.

Ntxiv rau, qhov no ntawm endometriosis thiab ntxiv lawm tshob qhia txoj kev sib raug zoo - 25 rau 50 feem pua ​​ntawm cov poj niam uas muaj mob ntxiv muaj endometriosis.

Muaj mob ntxiv zaum ob vim yog endometriosis tuaj yeem ua rau tom qab phais mob lossis phais menyuam, thaum cov leeg hlwb muaj peev xwm ua tsis tiav thiab cov tsos mob pib lossis nce ntxiv.

C-seem kev caws pliav

Yog tias koj tau phais plab menyuam nrog lub cev xeeb tub dhau los, nws muaj peev xwm yuav muaj qhov caws pliav nyob rau hauv lub tsev menyuam, hu ua isthmocele. Tus mob (isthmocele) tuaj yeem ua rau mob tuaj rau hauv tsev menyuam uas cuam tshuam rau kev cog hniav.

Cov ntsiab lus piav qhia li cas isthmocele tuaj yeem kho tau zoo los txhawb qhov kev ua kom tau zoo. Hauv qhov no, tus poj niam ua tiav xeeb ntawm hauv vitro fertilization (IVF) tom qab isthmocele raug daws nrog kev phais mob.

Kab mob

Cov kab mob - nrog rau kev sib kis los ntawm kev sib deev - tuaj yeem ua rau mob pelvic inflammatory. Qhov no tuaj yeem ua rau muaj kev txaij thiab txhaws ntawm txoj hlab qe menyuam. Kab mob papillomavirus (HPV) rau tib neeg (thiab nws cov kev kho mob) kuj tseem tuaj yeem cuam tshuam cov ncauj tsev menyuam thiab ua rau muaj menyuam poob qis.

Cov xov xwm zoo: Qhov kev kho tus mob sai sai, kev muaj peev xwm tsawg dua yuav raug cuam tshuam.

Autoimmune ntshawv siab

Txoj kev sib raug zoo ntawm autoimmune cuam tshuam thiab ntxiv lawm tshob tsis tau to taub tag nrho. Feem ntau, qhov kho mob autoimmune ua rau lub cev tawm tsam cov ntaub so ntswg zoo. Qhov no tuaj yeem koom nrog cov ntaub so me nyuam, ib yam nkaus.

Cov kab mob autoimmune xws li Hashimoto's, mob pob txha caj qaum, thiab mob pob txha caj dab yuav cuam tshuam nrog kev muaj menyuam los ntawm kev ua rau mob rau hauv lub tsev menyuam thiab lub plab. Thiab, cov tshuaj kho tau cov mob no yuav pab tau zoo ib yam.

Lub hnub nyoog

Peb paub tias qhov no yog qhov ncauj lus nyav, tab sis hmoov tsis, tsis muaj txoj hauv kev nyob ib puag ncig. Science hais tias muaj hnub nyoog puas ua si lub luag haujlwm hauv kev muaj peev xwm. Lub hnub nyoog txheeb ze no ua qhov kev xav raug qhov tseem ceeb hauv qib ntxiv lawm tshob piv rau thawj zaug ntxiv lawm tshob. Hauv txoj kev tshawb no, cov hnub nyoog nruab nrab ntawm cov khub niam txiv muaj ntau dua ntawm cov uas muaj menyuam hauv theem nrab.

Kev ua roj ntsha, kev muaj taus me nyuam muaj hnub nyoog laus dua 20 rau cov poj niam thiab pib poob thaum hnub nyoog 30 - nrog qhov txo qis thaum hnub nyoog 40. Qhov no tsis yog hais tias kev xeeb tub muaj kev vam meej tsis tau tshwm sim ntawm kev paub tab ntau tshaj niam hnub nyoog. Nws tsuas yog siv sijhawm ntev lossis nyuaj dua.

Cov tsis paub meej lub ntsiab

Nws yog cov lus teb uas tsis muaj ib tus poj niam xav hnov, tab sis qee zaus (thiab tu siab tshaj plaws) cov kws kho mob tsis tuaj yeem nrhiav pom qhov laj thawj ntawm qhov muaj peev xwm ntxiv theem ob. Tom qab cov roj teeb ntawm kev sim, kev kho thiab ntau yam "sim," peb paub tias nws yuav yooj yim poob tag kev cia siab.

Tab sis thov nco ntsoov tias koj lub cev tuaj yeem hloov pauv, kev kho mob tshiab tuaj yeem tshwm sim, thiab lub neej yav tom ntej tuaj yeem tuav txhua yam uas koj cia siab. Yog li ua haujlwm nrog koj tus kws kho mob kom tsis tawm lub pob zeb uas tsis muaj qhov tsis zoo rau koj txoj kev xeeb tub.

Kev kho mob ntawm kev muaj menyuam hauv theem nrab

Yog tias koj yav dhau los xeeb yooj yim, qhov no txhua yam yuav zoo li ntshai heev thiab tsis paub - thiab nyuaj. Tab sis kev kho mob rau kev muaj me nyuam ua ntej pib nrog paub qhov ua rau. Yog li, koj tus kws kho mob yuav pom zoo kom qee qhov kev sim. Cov kev ntsuas no yuav muaj:

• kev kuaj ntshav los saib ntawm koj qib cev xeeb tub
• ovulation kev kuaj
• pelvic exam
• Xoo hluav taws xob los saib koj txoj hlab qe ntshav
• transvaginal ultrasound
• lwm txoj kev kuaj kom pom koj lub tsev me thiab ncauj tsev menyuam

Yog tias koj qhov kev tshuaj ntsuam rov qab los yam tsis muaj chij liab, koj tus kws kho mob yuav hais qhia kom saib mus rau hauv qhov kev kuaj mob rau txiv neej muaj menyuam. (Thov txim, poj niam: Nws yog qhov tseeb ntawm lub neej uas peb tau tso rau hauv lub tshuab tsom kab ntsig ua ntej.)

Thaum koj paub qhov ua rau, koj tus kws kho mob tuaj yeem tsim kho phiaj xwm los ua kom koj txoj kev xeeb tub tsis zoo ntxiv. Nov yog qee qhov kev kho mob rau kev muaj peev xwm ua rau me nyuam hauv cov poj niam.

Cov Tshuaj Kho Mob

Cov tshuaj siv feem ntau yog siv los ua kom muaj cov tshuaj hormones. Lwm lub sijhawm, tshuaj tiv thaiv kev muaj menyuam muaj zog yog qhov pom zoo los pab txhawb lub zes qe menyuam.

Vim tias PCOS yog qhov ua rau muaj menyuam yaus muaj peev xwm dhau los, nws tsim nyog hais tias kev kho mob yuav koom nrog cov tshuaj los pab txhawb lub zes qe menyuam ntxiv rau kev cuam tshuam txog kev ua neej, xws li nce mus rau qhov muaj ceeb thawj yog tias koj tus kws kho mob txiav txim siab nyhav.

Kev phais mob

Muaj qee kis, koj yuav tau phais. Muaj ntau ntau txoj kev phais mob zoo uas tuaj yeem kho teeb meem xws li uterine fibroids, uterine scarring, lossis advanced endometriosis. Ntau yam ntawm cov txheej txheem no tau ua tsawg minteally tsis tus.

Hysteroscopy yog siv los kuaj thiab kho cov leeg ntawm lub tsev menyuam, xws li polyps thiab endometriosis. Laparoscopy yog ib txoj hauv kev los pab kuaj mob ntxiv thaum muaj lwm yam kev ntsuas tsis ua tiav thiab tuaj yeem siv nrog hysteroscopy yog cov kev kho mob zoo.

Cov kev phais muaj suab txaus ntshai, tab sis raug qhia hais tias muaj kev phais mob rau koj tus kheej ntxiv yog qhov zoo nkauj txhawb nqa cov xov xwm.

Advanced deev tshuab (ART)

Kev xeeb tub uas muaj kev vam meej tej zaum yuav siv tau daim duab. Ob ntawm feem ntau yog cov intrauterine insemination (IUI) thiab IVF.

Nrog IUI, cov phev khaws thiab tom qab ntawd tso rau hauv lub tsev menyuam thaum lub sijhawm ntawm ovulation. Hauv IVF, tus poj niam lub qe khaws cia li zoo li cov phev. Hauv chav kuaj, lub qe muaj chiv mob nrog cov phev uas lawv loj hlob mus ua embryos. Tom qab ntawd, ib qho embryo (lossis ntau dua ib qho) raug cog rau hauv poj niam lub tsev menyuam.

Cov hau kev no tuaj yeem muaj kev cia siab. Kev tsom pom tias 284,385 ART ncig mus ncig hauv Tebchaws Asmeskas xyoo 2017 tau ua rau 68,908 muaj menyuam nyob thiab 78,052 cov menyuam mos yug los (muaj, txhais tau tias ntau ntau!). Tus ntawd yog 24 feem pua ​​tus lej ua tiav.

Cov lus qhia rau kev tiv thaiv nrog kev mob ntxiv theem ob

Ntsuas nrog kev muaj tub ki theem nrab tuaj yeem tawv. Xaus cov kws kho mob tas li, kev kuaj mob, txheej txheem, thiab tshuaj noj. Cov hmo tsis pw. Lub sijhawm thiab lub zog ntawm koj tus me. Kev txhaum ua xav tau lwm qhov kev xeeb menyuam thaum muaj ntau tus poj niam tab tom tawm tsam muaj qhov ntawd. Kev ntxhov siab ntawm koj thiab koj tus hlub. Tu siab thaum uas koj tau caw kom koj tuaj lwm tus me nyuam da dej - thiab txhaum rau txawm tias xav li ntawd.

Daim ntawv teev tsis muaj hnub xaus. Yog li ntawm no yog ob peb lub tswv yim los pab koj tiv taus.

• Zam tsis txhob liam koj tus kheej lossis koj tus hlub. Feem ntau, theem nrab tsis yog los ntawm txhua yam koj lossis koj tus khub tau ua. Nyob nrog koj tus kws kho mob tham txog koj qhov teeb meem tam sim no thiab cov pov thawj uas muaj pov thawj kom kov yeej nws.

• Nyob qhov zoo. Tshawb nrhiav cov dab neeg ua tiav - muaj ntau heev nyob rau ntawd. Saib hauv koj lub network ntiag tug lossis pab pawg nrhiav kom pom lwm tus poj niam uas muaj kev paub zoo sib xws nrog kev muaj menyuam hauv plab. Txuas nrog lawv thiab qhia koj cov dab neeg. Kawm dab tsi uas lawv tau ua, kws kho mob lawv tau ua haujlwm nrog, thiab dab tsi pab lawv cev xeeb tub kom ua tiav.

• Txuas nrog koj tus khub. Qhov kev ntxhov siab ntawm kev muaj menyuam hauv plab tuaj yeem tsim kev puas tsuaj txawm tias qhov kev sib raug zoo tshaj plaws. Siv sijhawm los txuas nrog koj tus khub. Tham txog koj cov kev xav, tawm suab koj cov kev txhawj xeeb, thiab ua haujlwm ua ke nrog lub phiaj xwm mus tom ntej txoj kev xav mus raws li. Koj yuav muaj zog rau taug txoj kev no nyuaj yog tias koj tab tom ua ke.

• Tsom ntsoov rau yam koj tuaj yeem tswj tau. Muaj ntau yam ntawm koj kev tswjhwm kom txhim kho koj li kev xeeb tub. Ib tug ntawm yog kev saib xyuas tug kheej. Koom tes nrog tswj hwm koj cov kev ntxhov siab, ua lub neej noj qab nyob zoo tshaj plaws, thiab nrhiav cov kev daws teeb meem tshiab uas yuav pab koj xeeb tub. Nqa cov tswv yim tshiab thiab cov lus qhia rau koj tus kws kho mob rau kev sib tham.

• Nrhiav koj cov nyiaj them yug. Txhua tus neeg uas hla dhau qhov muaj menyuam yaus xav tau ib txoj kev txhawb nqa khov. Cia siab rau cov uas koj ntseeg siab, thiab yeej ib txwm tham nrog koj tus kws kho mob yog tias koj tab tom hnov ​​cov tsos mob ntawm kev kho mob kev nyuaj siab, xws li kev cia siab thiab tag kev cia siab.

Cov nqa mus

Muaj mob ntxiv hauv nruab nrab tuaj yeem ua rau lub cev thiab mob siab rau ib tus neeg, suav nrog koj, koj tus khub, thiab cov neeg hlub. Nws yog ib qho tseem ceeb nrog kws kho mob tham txog txhua ntawm koj qhov kev txhawj xeeb, kev tawm tsam, thiab lub hom phiaj.

Txoj kev no, koj tuaj yeem coj mus rau cov kev pabcuam uas tuaj yeem pab koj taug koj txoj kev mus rau kev xeeb tub dua. Nyob ruaj khov (nws TSIS ua li cas rau kev quaj, ib yam nkaus), Ntseeg hauv koj cov koom tes sib pab, saib txog cov dab neeg ua tau zoo, thiab yeej tsis ploj tag kev cia siab.