"Peb cev tsis tau"Yuav ua li cas yog kuv cev tsis tau?

2024 Tus sau: Priscilla Miln | [email protected]. Kawg hloov kho: 2024-02-18 01:33

Hmoov tsis zoo, nyob rau xyoo tas los no, kev muaj menyuam tsis muaj menyuam ua rau ntau tus poj niam muaj kev zoo siab ntawm niam. Nws yog nrog kev thov: "Peb tsis tuaj yeem xeeb tub, pab!" Feem ntau cov neeg mob ntawm Lub Tsev Kho Mob Kev Kho Mob Rov Qab mus rau cov kws kho mob tshwj xeeb. Tau kawg, txhua leej txhua tus paub tias tus nqi ntawm cov kev pabcuam no yog ntau pua txhiab tus, thiab feem ntau kaum tawm txhiab daus las, ntau tus tab tom nrhiav lwm txoj hauv kev uas yooj yim dua rau cov tib neeg.

Qhov tseem ceeb ua rau muaj menyuam tsis taus

Raws li cov kws tshaj lij, cov kab mob ntawm cov poj niam cev xeeb tub yog los liam rau kev tsis muaj menyuam ntawm ob niam txiv hauv 70% ntawm cov xwm txheej. Muaj ntau ntau yam uas ua rau muaj menyuam tsis taus. Nyob rau tib lub sijhawm, thaum tus txij nkawm hais rau tus kws kho mob: "Peb tsis tuaj yeem xeeb tub," tus kws kho mob tau hais kom ob leeg koom nrog kev kuaj mob. Yog tias tus poj niam tseem "raug liam" rau qhov tsis muaj menyuam, tus kws kho mob yuav txiav txim siab qhov ua rau pathology thiab kuaj xyuas kom raug. Thaum pibinfertility yog tsis yooj yim sua thiab thawj cev xeeb tub, thiab nyob rau hauv lub thib ob - muaj teeb meem nrog rau cov conceptions tom ntej. Cov kws kho mob txheeb xyuas cov laj thawj tseem ceeb vim li cas tus poj niam cev xeeb tub:

• Pathological qauv ntawm qhov chaw mos poj niam lub cev. Hauv qhov no, kev sib txawv ntawm cov qauv hauv tsev menyuam feem ntau pom tau (nws tuaj yeem yog me me, khoov, bicornuate).

• Hormonal hloov vim muaj ntau yam kab mob endocrine.

• Cov txheej txheem mob ntawm qhov chaw mos (tshwj xeeb yog cov mob ntev). Raws li qhov tshwm sim ntawm cov teeb meem no, adhesions feem ntau tsim, ua rau muaj kev cuam tshuam ntawm cov hlab ntsha hauv plab, uas tiv thaiv kev xeeb tub.

• Cov kab mob yav dhau los uas cuam tshuam rau kev ua haujlwm thiab cov qauv ntawm cov poj niam cev xeeb tub.

Nyob rau xyoo tas los no, cov poj niam coob zuj zus nyiam txoj haujlwm ua niam ua txiv, thiab nws yog qhov tseeb vim tias muaj hnub nyoog ntawm leej niam muaj peev xwm muaj ntau yam teeb meem nrog kev xeeb tub. Yog li, hla lub hnub nyoog me nyuam yaus, feem ntau ntau tus poj niam tuaj yeem xeeb tub tsuas yog nrog kev pab ntawm cov txuj ci dag. Qhov kev pheej hmoo ntawm cev xeeb tub tom qab 30 yog poob sai heev, yog li cov kws kho mob tsis pom zoo kom ncua kev yug menyuam rau ntev heev. Nrog rau kev xeeb tub thib ob, cov haujlwm hauv qab no tuaj yeem ua tiav:

• Hormone therapy uas normalizes thiab stabilizes endocrine system.

• Tshem tawm cov adhesions hauv cov hlab ntshav los ntawm kev phais.

• Ua Eco.

Txoj kev ua kom cev xeeb tub

Hnub no, muaj ntau txoj hauv kev ntawm kev tsim cov khoom tsim tawm. Ib qho ntawm feem nrov thiab pheej yig yog intrauterine insemination. Ntau tus poj niam mus ntsib kws kho mob nrog cov lus: "Kuv xav kom cev xeeb tub sai li sai tau." Nyob rau tib lub sijhawm, lawv tsis nkag siab tias cov txheej txheem zoo li no yuav siv sijhawm ntau heev thiab tsis muab 100% lav ntawm qhov txiaj ntsig zoo los ntawm thawj qhov kev sim. Dab tsi yog qhov tseem ceeb ntawm intrauterine insemination? Txoj kev fertilization no yog ua raws li kev qhia tshwj xeeb uas npaj cov phev ntawm tus txij nkawm lossis tus neeg pub dawb (yog tias muaj menyuam tsis taus ntawm tus txiv) mus rau hauv tsev menyuam. Tom qab cov txheej txheem no, conception pib yuav luag ib txwm. Nyob rau hauv cov ntaub ntawv no, spermatozoa nkag los ntawm uterine kab noj hniav mus rau hauv cov hlab, qhov twg lub qe yog fertilized. Thaum muaj kev sib deev ib txwm muaj, cov hnoos qeev hauv lub ncauj tsev menyuam tuaj yeem tiv thaiv kev xeeb tub, vim tias cov phev tuaj yeem nres ntawm theem no. Txhawm rau ua kom muaj qhov tshwm sim ntawm fertilization, phev yog txhaj kom tob li sai tau mus rau hauv lub uterine kab noj hniav (ze rau cov hlab ntsha). Raws li txoj cai, intrauterine insemination yog siv nyob rau hauv feem ntau ntawm cov neeg mob ntawm dag insemination. Cov txheej txheem no tsis kim heev, yog li nws muaj rau yuav luag txhua tus poj niam.

Indications rau intrauterine insemination

Cov lus qhia hauv qab no muaj rau cov txheej txheem no:

• Tsis txaus lossis tsis muaj phev suav hauv tus txiv neej.

• Muaj peev xwm kis tau tus kab mob txaus ntshaikab mob keeb kwm.

• Infertility.

• Ejaculatory-sexual problems.

• Poj niam tsis muaj khub.

• Vaginismus thiab cervical factor.

Efficiency

Txawm hais tias muaj qib siab ntawm kev loj hlob ntawm cov tshuaj tua kab mob, qhov ua tau zoo ntawm cov txheej txheem ntawm kev tsim cov khoom tsim tawm no yog li ntawm 5 txog 35%. Yuav ua li cas xeeb tub li no? Raws li kev txheeb cais, nws tsuas yog 15%. Nyob rau tib lub sijhawm, kev siv tshuaj tua kabmob qhia tau zoo tshaj plaws thaum ua cov txheej txheem hauv cov poj niam hluas. Nrog rau hnub nyoog, qhov yuav tshwm sim ntawm conception txo, vim yog deterioration nyob rau hauv lub qe zoo. Nyob rau hauv cov xwm txheej uas 4-6 fertilization tau sim, thiab cev xeeb tub tsis tshwm sim, cov kws kho mob pom zoo kom tig mus rau hauv vitro fertilization (IVF).

ZIPT thiab Khoom Plig Methods

Cov khub niam txiv uas tau dhau los ua ntau txoj hauv kev ntawm kev tsim cov qog nqaij hlav, tab sis tsis tau txais txiaj ntsig zoo, tig mus rau qhov chaw kho mob nrog qhov kev thov no: "Peb tsis tuaj yeem xeeb tub, pab peb txhua txoj hauv kev." Hauv qhov no, cov kws kho mob tshwj xeeb tuaj yeem pom zoo ob txoj hauv kev intratubation ntawm fertilization:

1. Zygote hloov chaw (ZYFT), nyob rau hauv uas ib tug fertilized cell yog nkag mus rau hauv lub fallopian hlab.

2. Gamete hloov chaw (Gift), thaum qe (ib lossis ntau dua) sib xyaw nrog phev thiab txhaj rau hauv cov hlab ntsha.

Thaum cov txheej txheem no, txhua qhov haujlwm yog tswj los ntawm ultrasound lossis laparoscopy. Muaj ob txoj hauv kev los qhia cov khoom siv noob. Nrog ultrasound ntawm lub qe los yog zygotemuab tso rau ntawm lub ncauj tsev menyuam, thiab thaum lub sij hawm laparoscopy - los ntawm sab ntawm lub plab phab ntsa.

Indications rau ZIFT thiab khoom plig

Cov kev hloov pauv no ntawm kev siv tshuaj tua kabmob yog siv rau kev xeeb tub, ua rau tsis tuaj yeem tsim, nrog rau endometriosis. ZIFT thiab GIFT muaj txiaj ntsig zoo nrog patency zoo ntawm cov hlab ntsha fallopian. Qhov tshwm sim loj tshaj plaws ntawm kev xav tshwm sim nrog kev qhia txog zygote (ZIFT). Qhov nruab nrab qhov tshwm sim yog 30%. Yog tias ob peb, tom qab cov txheej txheem zoo li no, rov tig mus rau tus kws kho mob nrog cov lus nug: "Peb tsis tuaj yeem xeeb tub, peb yuav ua li cas?", Cov kws tshaj lij pom zoo kom tig mus rau hauv vitro fertilization.

IVF Cov txiaj ntsig

Yuav xeeb tub li cas? Los ntawm cov neeg mob, tsuas yog cov qe noj qab haus huv ntawm tus poj niam thiab phev ntawm tus txiv (tus neeg pub dawb) yuav tsum tau. Thaum lub sijhawm txheej txheem no (tom qab kev kho tshwj xeeb ntawm cov khoom siv noob) lawv tau muab sib xyaw rau hauv lub khob tshwj xeeb iav ntawm qhov kub ntawm 37 ° C. Tom qab tau txais cov embryos (2-4 daim), cov khoom siv tau zoo tshaj plaws raug xaiv thiab, siv cov catheter tshwj xeeb, lawv tau txhaj rau hauv lub tsev menyuam. Cov fertilized cell seem yog khov. Ib lub lis piam tom qab tus txheej txheem, kuaj cev xeeb tub tiav.

Tus txheej txheem Eco tag nrho suav nrog cov kauj ruam hauv qab no:

• Ovarian hyperstimulation kom tau ntau lub hauv paus.
• khoom sau thiab qe qe.
• Loj hlob embryos hauv vitro rau 2-5 hnub.
• Kev taw qhia rau hauv lub tsev menyuam ntawm ob pebembryo.
• Kev tswj cev xeeb tub rau 10-12 lub lis piam.

Indications rau fertilization hauv vitro

Txoj kev no ntawm kev tsim cov tshuaj tua kab mob yog siv rau ob leeg poj niam thiab txiv neej infertility. Nws kuj raug sau tseg rau cov poj niam uas muaj tubal obstruction thiab nyob rau hauv rooj plaub thaum lwm txoj kev ntawm kev kho mob tsis tau coj ib yam dab tsi tshwm sim. IVF kev vam meej yog siab heev (30-50%). Qhov kawg tshwm sim yog kev khib loj ntawm qhov ua rau muaj menyuam tsis taus, tus poj niam lub hnub nyoog, lub cev hnyav. Nyob rau tib lub sijhawm, ntawm qhov kev thov ntawm cov niam txiv, cov kws tshaj lij tuaj yeem qhia txog lub embryo ntawm ib tug poj niam los txiv neej rau hauv lub tsev menyuam kab noj hniav (kom tiv thaiv tau cov kab mob tshwm sim).

Pills kom cev xeeb tub

Txawm hais tias feem ntau cov tshuaj uas kws kho mob gynecologist tau sau tseg tsis coj cov txiaj ntsig xav tau, ntau tus poj niam ntseeg tias nrog kev pab los ntawm qee yam txuj ci tseem ceeb lawv tuaj yeem xeeb menyuam sai. Ntau tus poj niam tig mus rau cov kws tshaj lij ncaj qha: lawv hais tias, muab tshuaj rau kuv cev xeeb tub …

Txawm li cas los xij, txawm tias tus kws kho mob paub txog yuav tsis muab 100% lav ntawm cov khoom lag luam muaj txiaj ntsig zoo. Nyob rau tib lub sijhawm, tus nqi ntawm cov tshuaj no yog siab heev, thiab qhov tshwm sim ntawm kev xeeb tub yog qhov tsawg heev. Nws yuav luag tsis tuaj yeem teb cov lus nug ntawm yuav siv sijhawm ntev npaum li cas kom cev xeeb tub tom qab noj tshuaj tshwj xeeb. Txawm hais tias cov kev kho mob zoo li no tuaj yeem ua rau muaj feem ntau ntawm kev xeeb tub (tshwj xeeb tshaj yog ua ke nrog lwm hom kev kho mob fertility).

Tag nrho cov nyiaj no muab faib ua 3pab pawg tseem ceeb:

1. FSH (cov tshuaj follicle-stimulating) thiab LH (luteinizing hormone) uas txhawb ovulation. Cov no suav nrog cov tshuaj xws li Puregon, Klostilbegit, Menogon.

2. HCG (tib neeg chorionic gonadotropin) kev npaj uas pab lub follicle loj tso tawm lub qe. Cov no suav nrog: Pregnil, Profazi, Horagon, Gonakor.

3. Cov tshuaj muaj progesterone. Lawv npaj cov endometrium (lub puab txheej ntawm lub tsev menyuam) kom ruaj ntseg zygote (embryo) nyob rau hauv nws thiab pab cov kabmob ntawm fetus. Cov no suav nrog cov tshuaj hauv qab no: Duphaston, Utrozhestan.

Kev siv tag nrho cov tshuaj saum toj no tsuas yog tso cai raws li kws kho mob tau sau tseg.

Yuav ua li cas thiaj xeeb tub tsis siv tshuaj

Ntau tus poj niam, tom qab ob peb qhov kev sim ua tsis tiav, tseem tswj kom cev xeeb tub ntawm lawv tus kheej ua tsaug rau kev saib xyuas lawv lub voj voog txhua hli thiab kos duab ntsuas kub. Qee cov ntxhais hluas tsis paub lawv lub cev thiab lub cev ntawm lub cev xeeb tub zoo. Yog li, los ntawm lawv koj tuaj yeem hnov lo lus nug: "Kuv puas tuaj yeem xeeb tub hnub ua ntej kuv lub sijhawm?" Yog, qhov no tshwm sim, tab sis tsis tshua muaj heev (nrog rau kev sib txawv ntawm kev ua haujlwm ntawm kev ua me nyuam). Paub txog cov yam ntxwv ntawm poj niam lub cev, koj tuaj yeem xaiv lub sijhawm zoo tshaj plaws rau kev xeeb tub, uas feem ntau ua rau muaj feem yuav xeeb tub ntau zaus. Fertilization ntawm lub qe tshwm sim nyob rau nruj me ntsis cov hnub ntawm kev coj khaub ncaws. Lawv hu ua ovulation. Yog li ntawd, lub sijhawm zoo tshaj plaws rau xeeb menyuam yogtsuas yog 1-3 hnub. Qee tus kws tshaj lij hais tias txawm tias tus poj niam noj qab nyob zoo, 2-3 lub voj voog ib xyoos tuaj yeem ua rau tsis muaj menyuam (tsis muaj ovulation).

Thaum pib lub voj voog ntawm tus poj niam noj qab haus huv, lub qe pib loj hlob thiab loj hlob sai hauv zes qe menyuam. Hauv nruab nrab (kwv yees li 14 hnub tom qab pib ua poj niam cev xeeb tub), ovulation tshwm sim, thaum lub sij hawm lub qe tawm ntawm zes qe menyuam thiab taug kev los ntawm txoj hlab pas mus rau lub tsev menyuam. Nyob ntawd nws ntsib cov phev. Raws li qhov tshwm sim ntawm fertilization, ib tug me nyuam xeeb tub. Lub qe fertilized, hu ua zygote, txav los ntawm lub raj mus rau hauv lub uterine kab noj hniav, qhov twg nws yog "cog" rau hauv nws txheej sab hauv (endometrium). Qhov tshwm sim ntawm kev xeeb tub thaum lub sijhawm ovulation yog siab heev, yog li tus poj niam uas xav cev xeeb tub yuav tsum tsis tu ncua ntsuas nws qhov kub thiab txias thaum sawv ntxov. Nquag, nws qhov kev ua tau zoo hauv thawj theem ntawm lub voj voog yog qis dua 37 ° C. Qhov nce ntawm 0.4 ° C thiab siab dua qhia tias ovulation tau tshwm sim. Thiab twb 1-2 hnub ua ntej kev coj khaub ncaws, muaj qhov txo qis hauv basal kub. Thaum daim duab zoo li ib tug monotonous nkhaus nrog me ntsis hloov nyob rau hauv 36.9 ° C, ovulation tsis tshwm sim, thiab yog li ntawd lub feem ntau ntawm conception yog heev me me.

Poj niam me me tricks

Muaj lwm txoj hauv kev kom xeeb tub. Cov hauj lwm thaum sib deev kuj ua rau muaj feem ntawm kev xeeb tub. Yog tias tus poj niam xav xeeb tub, nws yuav tsum xaiv cov haujlwm uas qhov nkag mus ntawm qhov chaw mos yog qhov siab tshaj plaws. Txoj hauj lwm uas tus khub lub duav tau tsa yog suav tias yog qhov zoo tshaj plaws. Hauv qhov no, cov phev nce mus sai duauterus, uas tso cai rau ntau tus spermatozoa nkag mus rau hauv nws qhov tob. Tsis tas li ntawd, koj yuav tsum tsis txhob ntxuav tam sim ntawd kom huv si tom qab kev sib deev, vim feem ntau ntawm cov txiv neej cov kab mob tsuas yog ntws tawm ntawm lub ncauj tsev menyuam thiab ntxuav tawm nrog dej. Qee cov poj niam so rau douching nrog baking soda, uas txo cov acidity ntawm cov hnoos qeev. Yog li, spermatozoa muaj feem ntau dua ntawm kev nkag mus rau lub tsev menyuam. Txoj kev no yog ua 20-25 feeb ua ntej kev sib deev.

Yuav ua li cas cev xeeb tub (peb txoj kev)

Ntau tus poj niam uas tsis xav tig mus rau kev siv tshuaj tua kab mob lossis tsis muaj nyiaj rau cov txheej txheem, tig mus rau pej xeem zaub mov. Ua ntej koom nrog kev noj tshuaj rau tus kheej, koj yuav tsum sab laj nrog kws kho mob kom paub meej, vim tias kev siv ntau yam tshuaj kho neeg feem ntau ua rau tus poj niam tsis zoo. Feem ntau, cov zaub mov txawv tshuaj pab nrog kev kuaj mob ntawm kev xeeb tub thib ob. Nrog rau qhov tseem ceeb, hmoov tsis, cov txheej txheem zoo li no qhia tau tias tsis tshua muaj tshwm sim. Alder yog suav hais tias zoo heev hauv kev kho mob ntawm infertility. Hauv qab no yog cov zaub mov txawv nrog cov khoom xyaw no.

Infusion ntawm alder cag

Cov khoom xyaw no tuaj yeem yuav ntawm lub tsev muag tshuaj. Lub hauv paus yog hauv av hauv kas fes grinder mus rau hmoov. Nyob rau hauv ib lub thermos tsaug zog 3 tbsp. spoons ntawm raw cov ntaub ntawv thiab ncuav nws nrog 1 liter ntawm boiling dej. Lub infusion yuav tsum nyob rau hauv ib lub xeev kaw rau tsawg kawg 10 teev. Cov kua dej txias yog lim thiab siv rau douching. Cov txheej txheem no yog qhov zoo tshaj plaws ua ntej mus pw. Ib chav kho mob- 3 lub lis piam. Tom qab 7 hnub so, kev kho mob tuaj yeem rov ua dua. Nyob rau hauv lub xub ntiag ntawm cov txheej txheem nplaum, mus txog 5-6 chav kawm yuav xav tau. Nrog cov txheej txheem no, koj tuaj yeem ua rau muaj feem yuav xeeb tub. Douche kev kho mob hnub yog contraindicated rau intimate kev sib raug zoo.

Alder Powder

Ntau tus poj niam uas yws tias: "Kuv tsis tuaj yeem xeeb tub tau ntev, qhia kuv cov tshuaj kho neeg zoo", tsis nkag siab tias kev noj tshuaj ntawm tus kheej tsis tuaj yeem lav tau 100% tshwm sim. Rau cov neeg uas tseem xav sim cov zaub mov txawv tshuaj, peb tuaj yeem pom zoo kom noj alder hmoov sab hauv. Vim nws cov khoom muaj zog tiv thaiv kab mob, cov khoom ntuj no muaj txiaj ntsig zoo rau tag nrho kev noj qab haus huv ntawm tus poj niam. Noj cov hmoov raws li nram no: ntxiv 1 teaspoon ntawm alder thiab 2 tbsp rau ib khob ntawm boiled dej sov. diav ntawm zib mu. Tom qab sib tov tag nrho, cov ntsiab lus yog qaug dej qaug cawv hauv me me sips. Cov tshuaj no tau noj ob zaug hauv ib hnub (ntawm lub plab khoob thaum sawv ntxov thiab thaum mus pw). Nyob rau tib lub sijhawm, ib tus yuav tsum tsis txhob hnov qab tias qhov txiaj ntsig zoo tshaj plaws tuaj yeem ua tiav nrog txoj kev kho mob ntawm kev xeeb tub. Ua li no, ntxiv rau kev noj cov hmoov, nws yog ib qho tsim nyog yuav tsum tau douche raws li txoj kev tau piav qhia saum toj no.

Cia cov vitamins kom cev xeeb tub

Txhua tus kws tshaj lij hauv cov tshuaj tua kabmob hais tias qhov tshwm sim ntawm kev yug menyuam nce ntau zaus vim kev txhim kho ntawm cov xwm txheej ntawm tus niam yav tom ntej lub cev. Txhawm rau txhawb kev xeeb tub (lub peev xwm los tsim ib txwmoffspring) muab ib tug tag nrho complex ntawm cov vitamins. Lawv ua kom lub suab tag nrho ntawm tag nrho cov kev ua me nyuam thiab txhim kho kev noj qab haus huv tag nrho ntawm tus neeg mob. Feem ntau, lawv kuj tau qhia rau txiv neej.

Vitamins kom cev xeeb tub:

• E yog lub ntuj tsim los rau kev ua haujlwm ntawm lub cev xeeb tub. Txhua tus poj niam uas npaj los ua ib leej niam yuav tsum suav cov khoom noj uas muaj cov tocopherol ntau tshaj plaws hauv nws cov khoom noj. Cov no muaj xws li: taub dag pulp, berries thiab hiav txwv buckthorn kua txiv. Yog hais tias tus nqi ntawm cov khoom no nyob rau hauv kev noj haus yog tsawg, nws yog tsim nyog los noj cov vitamin E, uas yog muag nyob rau hauv ib lub khw muag tshuaj. Raws li txoj cai, lawv haus peb zaug ib hnub. Txawm tias tom qab xeeb tub, cov kws kho mob pom zoo kom siv nws ntxiv.

• B9 (folic acid) - pom muaj nyob rau hauv zaub (caij nplooj ntoos hlav, dos ntsuab, broccoli, peas, asparagus, taum) thiab zaub ntsuab (parsley, spinach). Nws muaj nyob rau hauv citrus txiv hmab txiv ntoo, txiv duaj, walnuts, cod thiab nyuj siab, tsev cheese, caviar, thiab cheese. Cov vitamin no yog qhov yuav tsum tau ua ua ntej kom muaj kev vam meej, yog li ntawd, yog tias nws tsis txaus, lub khw muag tshuaj folic acid yuav tsum tau noj.

• Vitamins A, B2, B1, C, D kuj tseem ceeb rau kev txhawb nqa thiab ua kom lub cev ua haujlwm zoo.

Nws nyuaj hais tias qhov kev xeeb tub yuav ua li cas tom qab siv cov hau kev saum toj no los tiv thaiv kev xeeb tub, tab sis tsuas yog cov uas coj kev sib ntaus sib tua tawm tsam qhov teeb meem no yuav muaj peev xwm yeej thiab yug tau noj qab nyob zoo tus menyuam. Txoj kev yuav mastered los ntawm ib tug taug kev. Hmoov zoo thiab noj qab nyob zoo!