Xeem rau ntxiv lawm tshob

Teeb meem nrog conceiving ib tug me nyuam niaj hnub no, muaj ntau ntau khub niam txiv. Kws txawj pom zoo kom koj pib kuaj ntxiv lawm tshob tom qab ib xyoos ntawm hai tau npaj siab. Txawm li cas los, muaj ntau yam teeb meem yuav raug kuaj txawm nyob rau hauv qhov kev npaj theem ntawm tus me nyuam, uas yog ua ntau nrov. Qhov no yuav pab txuag lub sij hawm thiab hassle.

Ntxiv lawm tshob mob uas muaj xws li ib tug thawj zaug daim ntawv teev cov kev tshawb, xav tias nyob rau hauv lub khub, yog tias cov kev tiv thaiv kev sib deev uas cev xeeb tub tsis tau tshwm sim thaum lub sij hawm lub xyoo. Ntxiv mus, nws yuav tsum tau muab sau tseg hais tias nrog lub hnub nyoog, lub sij hawm no yog txo. Cov poj niam tom qab 35 yuav tsum saib ib tug kws kho mob tom qab rau lub hlis.

Tsis tu ncua nrog txiv neej pw txhais tau tias com 3 lub sij hawm ib lub lim tiam, txhua txhua hnub, tob los ntawm 8 rau 18 hnub voj voog, nyob rau hauv nws cov txheej txheem ntev. Ntau heev hu yog txhob, txij li thaum lawv tsis tau phev zoo.

Ib tug daim ntawv ntsuam xyuas nyob rau hauv ntxiv lawm tshob nyob rau hauv ob txoj kev. Tus thawj yog cov gradual cais tawm ntawm qhov ua tau ua. Qhov thib ob lub tswv yim yuav xyuas tag nrho cov cai yam. Phased xaiv tej yam nyiaj, thiab lub xeem - lub sij hawm.

Qhov teeb meem yog tias ib tug nrhiav kom tau yog vim li cas tsis cais hauv lub xub ntiag ntawm lwm tus. Nyob rau hauv 30% ntawm cov neeg muaj muaj teeb meem nyob rau hauv ob qho tib si tus txiv neej thiab poj niam.

Yog li ntawd, soj ntsuam kuaj rau ntxiv lawm tshob muaj xws li cov nram qab no kev tshawb fawb:

• kev ntsuam xyuas rau kev sib deev kis cov kab mob;
• phev thiab ti-xeem;
• Ntsuas ntawm lub kub ntsuas;
• Ultrasound thiab follicle;
• hormonal xeem;
• xyuas khi patency;
• postcoital xeem;
• hysteroscopy;
• laparoscopy.

Tus thawj ob lub ntsiab lus siv tau rau ob qho tib si txij nkawm, thiab tus so - tsuas yog ib tug poj niam. Qhov tseeb tiag mas, tag nrho cov ntawm cov kev tshawb fawb yuav tau ua kom tiav nyob rau hauv ib tug ob peb lub hlis, tab sis nyob rau hauv kev xyaum, tej zaum nws yuav siv sij hawm xyoo. Thaum koj tseem tsis tau zoo heev spermogramme cov txiv neej ntxiv tsa:

• hormonal xeem (estradiol, FSH, testosterone, LH, prolactin);
• TRUS;
• Qoob loo rau muaj prostate kua txiv.

Kuaj ntxiv lawm tshob yuav tsum muaj xws li kev ntsuam xyuas rau kev sib deev kis kab mob. Niaj hnub no, feem ntau siv rau qhov no PCR. Qhov no yog ib tug heev rhiab txoj kev mus ntes txawm ntau DNA nyob rau hauv cov kev npaj.

Tas yuav tsum tau mus soj ntsuam rau cytomegalovirus, herpes, HPV, chlamydia, trihomanady, gonokkoki. Nws tseem yog tsim nyog los ua cov qoob loo nrog antibiogram rau mycoplasma, ureaplasma thiab pathogens. Kev kho mob soj ntsuam thiab kev strokes, dhau lawm, yuav tsum tau mus los ntawm. Cov poj niam tsis cuam tshuam nrog ib tug colposcopy thiab tsom xam ntawm txawv txav hlwb.

O ntawm lub tsev me nyuam system tsis yog tsuas yog detrimental rau cov muaj peev xwm xeeb tub ib tug me nyuam, tab sis kuj yuav ua rau nws tau. Nyob rau hauv no deteriorates qhov zoo tshaj ntawm lub tsev me nyuam hnoos qeev, endometrial, phev raug ua txhaum ntawm zes qe menyuam muaj nuj nqi thiab tus ntoo khaub lig hlab.

Phev yog ib qho tseem ceeb nyob rau hauv lub daim ntawv ntsuam xyuas ntawm cov txiv neej. Nws tso cai rau koj kom paub tias cov feem pua ntawm cov me me phev, lawv tej ntaub ntawv thiab lawv cov concentration. Cov nuj nqis yog tshuam cuam tshuam rau fertilizing muaj peev xwm ntawm cov phev. Ti-xeem qhia tus xov tooj ntawm cov phev hlwb coated nrog tshuaj.

Tus poj niam yog txaus rau yam tsawg kawg 3 lub hlis los ntsuas qhov quav kub. Qhov no yuav pab tau kom soj ntsuam cov kev ua ntawm nws zes qe menyuam, ovulation thiab sim los teev cia ib co ntawm cov xav tias cov pathology. Nyob rau hauv lub thib ob ib nrab voj voog qhov kub thiab txias yuav tsum sawv rau 0.4 degrees.

Ultrasound yuav ntes ntau cov kab mob ntawm lub tsev me nyuam thiab zes qe menyuam, tiv thaiv kom conception. Follikulometriya pab kom khiav ntawm oocyte maturation thiab paub meej tias ovulation.

Hysteroscopy yog saib los ntawm sab hauv lub uterine kab noj hniav. Txoj kev tshawb no qhia ntau yam ntawm nws cov pathology (polyps, adhesions, septum). Laparoscopy xyuas lub pelvic kabmob sab nraum, tus ntoo khaub lig-xyuas cov kav dej. Qhov no manipulation yuav ua tau phais. Qhov no tuskheej endometriosis, adhesions, hlwv.

Nyob rau hauv Feem ntau, thawj tus ntoo khaub lig yeeb nkab yog soj ntsuam los ntawm txoj kev GHA. Lub tsev menyuam yog tswvcuab tov thiab X-ray los yog ultrasound. Yog hais tias lub yam khoom uas yog poured rau hauv lub plab kab noj hniav, cov kav dej traversed.

Thaum postokoitalnom xeem poj niam thaum lub sij hawm ovulation tom qab nrog txiv neej pw los rau hauv lub tsev kho mob. Nws yuav siv sij hawm lub ncauj tsev menyuam hnoos qeev thiab txiav txim tus xov tooj ntawm cov phev nyob rau hauv nws. Yog li xyuas seb lawv yuav tau txais mus rau hauv lub tsev me nyuam los ntawm qhov chaw mos.

Cov tshuaj hormones tas muab rau lub hnub ntawm lub voj voog. Nws yog zoo dua nyob rau hauv view ntawm lub ntsuas ntawm qhov quav kub thiab ntev ntawm tus neeg voj voog. Nws yog tsim nyog los paub qhov theem ntawm prolactin, progesterone, LH, estradiol, FSH, testosterone, DHEA-S, cortisol. Nws tseem yog hu mus xyuas cov thyroid hormones thiab TSH.

Yog li ntawd, kev soj ntsuam kuaj rau ntxiv lawm tshob yog pom zoo rau cov txij nkawm, ua unsuccessfully xeeb tub rau ib lub xyoo. Zoo cia li mus ua qhov tsim nyog kev tshawb nrhiav ob yam li ib qho teeb meem ib tug tsis txwv rau lwm yam. Yog hais tias koj xaiv ib tug phased kev xaiv, koj yuav tsum xub xyuas tus txiv neej, vim hais tias nws yog yooj yim.