Muaj ovulation, tab sis cev xeeb tub tsis tshwm sim: ua rau, tsim nyog kuaj mob, kho
Muaj ovulation, tab sis cev xeeb tub tsis tshwm sim: ua rau, tsim nyog kuaj mob, kho
Anonim

Cov khub niam txiv feem ntau nyiam sim ua niam txiv lub luag haujlwm. Txawm li cas los xij, tsis yog txhua tus tswj kom xeeb tub thawj zaug. Txawm hais tias tus poj niam ovulates tsis yog ib qho kev lees paub ntawm kev xeeb tub. Koj yuav tsum nrhiav qhov twg ntawm qhov teeb meem? Tsis muaj dab tsi yuav txhawj txog hauv qhov teeb meem no. Yog hais tias muaj ovulation, tab sis cev xeeb tub tsis tshwm sim, cov laj thawj yuav muab zais tsis tau tsuas yog nyob rau hauv physiological teeb meem nyob rau hauv lub cev. Feem ntau lawv yog kev puas siab puas ntsws nyob rau hauv qhov xwm txheej.

Kev kuaj pom ovulation

Ovulation yog lub sijhawm thaum lub qe loj hlob tawm ntawm zes qe menyuam, uas yog qhov kev lees paub ntawm lub cev kev npaj rau kev xeeb tub yav tom ntej.

Tom qab yug me nyuam, ib tug ntxhais lub cev muaj ntau tshaj li ib lab qe. Txhua tus ntawm lawv muaj nws lub plhaub los yog follicle. Cov qe nyob rau hauv lawv mus txog rau thaum puberty.cov ntxhais. Ces lawv tos lawv lub sij hawm tawm mus. Coob leej ntau tus tsis paub tab thiab tuag. Thaum lub sijhawm ua haujlwm ntawm kev ua me nyuam hauv lub cev ntawm tus poj niam, tsuas yog 400-500 mature thiab npaj rau ovulation qe nyob.

Ovulation tshwm sim nyob ib ncig ntawm 14th hnub ntawm kev coj khaub ncaws. Lub cev xeeb tub ntev npaum li cas tom qab nws? Nws kav ob peb feeb xwb. Txawm li cas los xij, lub qe tso tawm los ntawm follicle tuaj yeem fertilized hauv ib hnub. Yog hais tias lub sij hawm no nws "sib ntsib" phev, conception yuav tshwm sim. Tom qab ntawd lub cell mus rau hauv cov hlab ntsha thiab txuas nws tus kheej mus rau phab ntsa ntawm lub tsev menyuam. Nov yog qhov pib xeeb tub. Thaum lub qe fertilized tsis tuaj yeem, vim qee yam, nkag mus rau hauv lub tsev menyuam, tom qab ib ntus kev coj khaub ncaws tshwm sim, thiab lub cell nws tus kheej tawm hauv lub cev.

Ib lo lus nug tseem ceeb rau ntau tus yog seb cev xeeb tub puas tuaj yeem tshwm sim ua ntej ovulation. Yog tias kev sib deev tshwm sim ua ntej lub qe tawm hauv lub follicle, qhov muaj feem ntawm cev xeeb tub tsis suav nrog. Txawm li cas los xij, conception tshwm sim tom qab. Lub xub ntiag ntawm ib puag ncig alkaline nyob rau hauv qhov chaw mos muaj txiaj ntsig zoo rau kev khaws cov spermatozoa hauv nws. Lawv tos tau lub qe tso.

yuav ua li cas los txiav txim hnub ntawm ovulation
yuav ua li cas los txiav txim hnub ntawm ovulation

Teeb meem xeeb

Ua ntej koj nrhiav kev pab los ntawm cov kws kho mob tshwj xeeb, koj yuav tsum paub tseeb tias tsis muaj teeb meem nrog ovulation. Muaj ntau ntau txoj hauv kev los txiav txim seb lub qe puas loj tuaj:

  1. Tsim qhov nkhaus basal. Cov txheej txheem yog ua raws li kev ntsuas txhua hnub ntawm qhov quavdhau ntau lub voj voog. Thaum lub sij hawm tso tawm ntawm lub qe, nyob rau hauv lub cuam tshuam ntawm cov tshuaj hormones ntawm daim duab, qhov kub thiab txias yuav nce mus rau lub ncov nqi.
  2. Mloog koj lub siab. Raws li hnub ntawm ovulation mus txog, qhov tshwm sim ntawm qhov chaw mos hloov. Lawv ua pob tshab thiab nyob rau tib lub sijhawm viscous. Ntau tus poj niam muaj qhov tsis xis nyob hauv plab plab, o ntawm lub mis.
  3. Siv cov ntawv xeem tshwj xeeb. Lawv raug muag hauv khw muag tshuaj thiab yog qhov zoo rau kev txiav txim siab hnub ntawm ovulation tom tsev.
  4. Saib xyuas nrog ultrasound. Qhov no yog qhov kev xaiv txhim khu kev qha tshaj plaws rau kev txheeb xyuas hnub tso tawm ntawm lub qe loj los ntawm lub hauv paus.

Nws yuav tsum nkag siab tias kwv yees li 2-3 lub voj voog ib xyoos twg hauv ib tus poj niam noj qab haus huv tiag tiag tuaj yeem ua rau anovulatory. Nrog hnub nyoog, lawv cov lej nce.

Thaum cov txheej txheem teev tseg tau pom tias muaj ovulation, tab sis cev xeeb tub tsis tshwm sim, koj tuaj yeem pib nrhiav qhov ua txhaum cai. Lawv tuaj yeem yog poj niam thiab txiv neej.

Gynecological kab mob

Rau poj niam tsis muaj menyuam tuaj yeem ua rau tsis muaj menyuam thawj zaug. Qhov tsis muaj kev thov rau lub cev xeeb tub provokes xws li kev ua txhaum cai.

Txawm li cas los xij, feem ntau nws tsis xeeb tub tom qab ovulation thaum muaj teeb meem kev noj qab haus huv hauv qab no:

  1. Kab mob lossis polycystic zes qe menyuam. Nyob rau hauv cov ntaub ntawv no, cov txheej txheem ntawm maturation ntawm lub follicle yog cuam tshuam.
  2. Obstruction ntawm cov hlab ntsha fallopian. Raws li qhov tshwm sim ntawm cov txheej txheem nplaum, cov spermatozoa thiab qe tsis tuaj yeem nkag mus rau hauv tsev menyuam los ntawm lawv.
  3. Congenital lossis kis tau cov kab mob ntawm lub cev xeeb tub (bicornuate uterus, polyps, endometriosis, fibroids).
  4. Kev kis mob ntawm lub tsev menyuam vim kev rho menyuam, nchuav menyuam lossis ectopic cev xeeb tub.

Raws li kev coj khaub ncaws thiab ovulation nws tus kheej mus ntxiv yam tsis muaj kev cuam tshuam, lub cev ntawm leej niam leej niam xav tau kev sib npaug hormonal ib txwm. Piv txwv li, raws li qhov tshwm sim ntawm estrogen deficiency, lub follicle yuav tsis tawg. Vim tsis muaj progesterone nyob rau hauv tus nqi tsim nyog, lub fetus qe yuav tsis muaj peev xwm mus nce foothold nyob rau hauv lub uterine kab noj hniav. Kev ua tsis tiav ntawm cov tshuaj hormonal feem ntau tshwm sim vim muaj kev mob ntshav qab zib tsis tu ncua lossis kev ntxhov siab tsis tu ncua.

kab mob gynecological
kab mob gynecological

Kev mob ntawm endocrine system

Yog tias muaj ovulation, tab sis cev xeeb tub tsis tshwm sim, tej zaum qhov laj thawj ntawm nws qhov tsis tuaj yeem yuav tsum tau nrhiav hauv cov kab mob endocrine. Nws yog nws lub luag haujlwm rau kev tsim cov tshuaj hormones tsim nyog rau kev xeeb tub thiab kev loj hlob ntawm fetus.

Cov kab mob hauv qab no muaj qhov cuam tshuam tsis zoo rau kev ua me nyuam:

  1. Hypothyroidism. Tus kab mob yog tus yam ntxwv los ntawm ib tug ntev latent chav kawm. Nws yog qhov txaus ntshai tshwj xeeb rau cov kab mob loj hlob, vim nws ua rau qeeb ntawm kev loj hlob ntawm cov kab mob.
  2. kab mob goiter. Qhov no pathology cuam tshuam tsis zoo rau kev coj khaub ncaws, raws li qhov tshwm sim, txo qis txoj hauv kev muaj kev vam meej. Nws kuj tuaj yeem hloov mus ua mob qog noj ntshav yog tias tsis kho.
  3. Hyperthyroidism. Nws provokes ib qho kev tso tawm ntau ntxiv ntawm cov tshuaj hormones rau hauv lub cev, uas cuam tshuam tag nrho kev coj khaub ncaws. Hauv cov poj niam uas zoo sib xwskuaj pom tias muaj lub sijhawm ntev dhau los lossis ua rau lub cev tsis muaj zog.
kab mob ntawm endocrine system
kab mob ntawm endocrine system

Immunological teeb meem

Cov khub niam txiv noj qab haus huv puas tuaj yeem xeeb menyuam tom qab ovulation? Nws tsis tuaj yeem teb lo lus nug no unambiguously. Qhov tsis muaj kab mob tsis yog ib qho kev lav phib xaub ntawm kev xav tau zoo, piv txwv li, vim kev tiv thaiv kab mob tsis sib haum ntawm cov neeg koom tes.

Hauv qhov no, tus poj niam lub cev pom cov phev ua cov protein txawv teb chaws. Nws pib tsim cov tshuaj tiv thaiv, uas ua rau kev xav tsis tau. Spermatozoa tsis tuaj yeem kov yeej qhov teeb meem tseem ceeb - lub ncauj tsev menyuam. Nws yog nws uas muaj cov tshuaj tiv thaiv kab mob rau cov spermatozoa, vim tias lawv tuag.

Kev xeeb tub thib ob yuav tsis tshwm sim yog tias leej niam thiab tus menyuam hauv plab yog Rh-tsis sib haum xeeb tom qab thawj qhov kev xeeb tub. Cov poj niam uas muaj Rh ntshav tsis zoo yog qhov txaus ntshai. Tej zaum nws yuav tshwm sim txawm tias tom qab inducing ovulation, cev xeeb tub tsis tshwm sim.

Psychological factor

Ntau tus khub niam txiv, tom qab dhau los ntawm ntau tus kws tshaj lij thiab kuaj, tseem tsis pom qhov laj thawj vim li cas ovulation yog, tab sis cev xeeb tub tsis tshwm sim. Raws li txoj cai, nyob rau hauv cov ntaub ntawv no, puas siab puas ntsws infertility yog pom. Tej zaum yuav muaj ntau qhov laj thawj rau qhov tshwm sim:

  • pregnancy mania;
  • tsis npaj los xeeb los ntawm kev xav ntawm lub hlwb;
  • Ntshai tsam yuav los;
  • Ntshai muaj tus me nyuam tsis zoo;
  • kev txhawj xeeb txog kev hloov pauv;
  • tsis kam hloov txoj kev ua neej nyob.

Ntxiv rau, ntau tus poj niam raug cuam tshuam los ntawm kev sim cev xeeb tub yav dhau los. Nyob rau hauv cov xwm txheej no, koj yuav tsum nrhiav kev pab los ntawm tus kws kho mob hlwb uas yuav pab ob niam txiv daws teeb meem.

Qee gynecologists muab lawv cov neeg mob kom tsis txhob nyob rau hnub uas tso cov qe ntawm lub hauv paus. Hnub twg tom qab ovulation tshwm sim thaum cev xeeb tub? Feem ntau tag nrho cov txheej txheem yuav siv sij hawm qhov chaw nyob rau hauv ib hnub. Txawm li cas los xij, kev sib raug zoo 2-3 hnub ua ntej ovulation ua rau muaj feem yuav xeeb tub. Qhov tseeb yog tias spermatozoa tuaj yeem nyob hauv poj niam lub cev rau ob peb hnub. Yog li ntawd, koj tsis tuaj yeem tos rau qhov pib ntawm ovulation. Cov phev yuav ua haujlwm ntxiv rau ob peb hnub ntxiv, kev xav yuav los.

puas siab puas ntsws infertility
puas siab puas ntsws infertility

Txiv neej qhov teeb meem

Tsim kom paub qhov teeb meem yog vim li cas ovulation, tab sis cev xeeb tub tsis tshwm sim, ntau tus poj niam liam lawv tus kheej. Txawm li cas los xij, niaj hnub no txiv neej infertility yog kuaj tsis tsawg dua li poj niam infertility. Yog li ntawd, nyob rau hauv tus txheej txheem ntawm kev xeeb tub, nws yog ib qho tsim nyog yuav tsum tau kuaj xyuas kev noj qab haus huv ntawm tus khub.

Txiv neej infertility tuaj yeem tshwm sim los ntawm:

  1. Congenital malformations thiab kab mob ntawm qhov chaw mos (cryptorchidism, tsis muaj ib los yog ob lub noob qes).
  2. Hormonal imbalance vim qog, cystic formations.
  3. Kev noj tshuaj steroids.
  4. urological thiab andrological ailments ntawm ib lub sijhawm ntev (prostatitis, testicular varicose veins).
  5. Hloov kab mob sib kiskab mob (gonorrhea, syphilis, chlamydia, mumps).

Lwm yam ua rau txiv neej muaj menyuam yog cov phev tsis zoo. Cov khoom siv caj ces yuav tsum muaj tus lej txaus ntawm cov spermatozoa muaj peev xwm fertilizing lub qe.

kev soj ntsuam phev
kev soj ntsuam phev

Lwm yam yog vim li cas

Yog hais tias cev xeeb tub tsis tshwm sim thaum lub sij hawm ovulation, lub cev xeeb tub tsis muaj peev xwm yog vim muaj ntau yam ua rau.

Ib qho ntawm cov laj thawj cuam tshuam rau cov txheej txheem no yog lub cev hnyav dhau. Lawv tuaj yeem ua rau muaj kev ua txhaum ntawm kev coj khaub ncaws, vim li ntawd, yuav muaj kev ua tsis tiav hauv ovulation. Yog li ntawd, nyob rau theem ntawm kev npaj cev xeeb tub, cov kws kho mob pom zoo kom cov poj niam nyiam kev tawm dag zog nruab nrab (hiking, yoga gymnastics). Cov txiv neej, ntawm qhov tod tes, yuav tsum tawm dag zog. Kev tawm dag zog tsis tu ncua pab txhawb cov phev ntau lawm.

Kev noj tshuaj sib xyaw ntawm qhov ncauj tiv thaiv kev xav tsis zoo. Thaum cov neeg koom tes txiav txim siab tias lawv npaj txhij rau cov menyuam yaus, tus poj niam tsis txhob noj cov tshuaj tiv thaiv qhov ncauj. Tab sis cev xeeb tub tsis tshwm sim, tab sis ovulation yog. Qhov tseeb yog tias cov tshuaj no inhibit qhov kev loj hlob ntawm follicle thiab maturation ntawm lub qe.

Qee zaum, cev xeeb tub tsis tshwm sim vim yog siv tshuaj mus ntev. Peb tab tom tham txog analgesics, antidepressants, tshuaj tua kab mob. Txawm tias ib txwm "ascorbic" tuaj yeem ua rau txo qis hauv qhov ntim ntawm ncauj tsev menyuam, yog tias noj ntau ntau. Yog tsis txaus, ciaj siaspermatozoa txo qis, fertilization tsis tshwm sim.

Cov cwj pwm tsis zoo muaj qhov cuam tshuam tsis zoo rau kev ua haujlwm ntawm tag nrho cov kab mob, suav nrog cov kab mob hauv lub cev. Yog li ntawd, ob peb lub hlis ua ntej xeeb tub, cov kws kho mob qhia kom tsis txhob haus luam yeeb thiab haus dej cawv kom tsis txhob qaug cawv. Txawm tias me me ntawm cov dej cawv nyob rau theem pib tuaj yeem ua rau nchuav menyuam lossis kev tsis txaus ntseeg hauv kev loj hlob ntawm tus menyuam hauv plab.

Lub hnub nyoog ntawm cov neeg koom tes kuj cuam tshuam rau qhov muaj peev xwm ntawm kev xeeb tub. Kev xeeb tub tshwm sim tom qab ovulation, thaum ob niam txiv noj qab nyob zoo. Txawm li cas los xij, tom qab 35-40 xyoo, poj niam lub cev pib tsim cov tshuaj hormones tsawg dua, thiab cov txiv neej cov khoom siv caj ces tsis zoo tom qab 50 xyoo. Cov neeg haus luam yeeb thiab haus dej haus cawv thiab muaj mob ntev yuav xeeb tub sai dua.

Cov txheej txheem ntawm cov phev maturation yog li ob lub hlis. Yog li ntawd, nws yog ib qho tsim nyog rau cov niam txiv yav tom ntej kom pib saib xyuas cov khoom noj txhua hnub ua ntej. Mono-diets deplete lub cev, thiab cov txheej txheem overeating txo qhov muaj feem ntawm cev xeeb tub. Cov tshuaj tua kab mob, cov khoom noj ceev thiab lwm yam khoom muaj teeb meem muaj cov tshuaj hormones uas cuam tshuam rau kev ua tiav. Txhawm rau kom nws muaj peev xwm, koj yuav tsum noj kom raug thiab sib npaug.

Txoj kev kuaj mob

Muaj pes tsawg hnub tom qab ovulation cev xeeb tub tshwm sim, gynecologist ntawm lub sij hawm yuav tsum qhia kom meej. Tib tus kws tshaj lij yuav tsum raug hu rau hauv rooj plaub ntawm kev sim ua tsis tiav ntawm kev xeeb tub. Tus kws kho mob, yog tias xav tias muaj menyuam tsis muaj menyuam, tau sau ntawv tshuaj ntsuam xyuas. Nws suav nrog kev kuaj mob ntawm qib hormonal,microflora ntawm qhov chaw mos rau dysbacteriosis thiab muaj kab mob, ultrasound ntawm lub plab hnyuv siab raum. Tsis tas li ntawd, koj yuav tsum tau sab laj nrog cov kws kho mob nqaim, piv txwv li, tus kws kho mob endocrinologist.

Txoj kev kuaj mob rau txiv neej kuj yuav tsum tau ua. Cov neeg sawv cev ntawm kev sib deev muaj zog dhau qhov spermogram. Nws tso cai rau koj los ntsuas cov spermatozoa raws li cov hauv qab no tsis:

  • quantity;
  • mobility;
  • Yejaculate viscosity;
  • sijhawm liquefaction;
  • acidity;
  • hom thiab tus lej ntawm cov hlwb tsis paub qab hau.

Raws li nws cov txiaj ntsig, kev sim tshuaj hormones, khawb rau cov nroj tsuag lossis kab mob qee zaum kuj tau sau tseg.

kev ntsuam xyuas ntawm ib khub niam txiv
kev ntsuam xyuas ntawm ib khub niam txiv

kho qhov teeb meem

Txawm hais tias cev xeeb tub tshwm sim rau hnub ntawm ovulation, tus poj niam tuaj yeem nkag siab tsuas yog tom qab kuaj hCG lossis siv cov qauv cev xeeb tub. Txawm li cas los xij, tsis yog ib txwm sim ua kom xeeb tub xaus nrog qhov txiaj ntsig zoo.

Yog tias, raws li cov txiaj ntsig ntawm kev kuaj xyuas, kuaj pom cov kab mob inflammatory lossis kab mob hauv cov poj niam, tus kws kho mob poj niam-gynecologist tau koom nrog hauv lawv txoj kev kho. Nws lub peev xwm muaj xws li endometriosis, ob qho tib si ntawm cov hlab ntsha hauv plab, kev yaig ntawm lub ncauj tsev menyuam. Nrog hormonal txawv txav, yuav tsum tau kev pab los ntawm gynecologist-endocrinologist. Andrologist koom nrog kev kho mob thiab kev sab laj ntawm cov txiv neej. Kev kho yog xaiv ib tus zuj zus thiab nyob ntawm qhov sib txawv ntawm cov spermogram.

Ib txoj hauv kev zoo tshaj plaws ntawm fertilization tau lees paub tias yog kev tsim cov khoom tsim tawm. Nws koom nrog kev qhia txog kev ua tiav txiv neej phev mus rau hauv lub tsev menyuam kab noj hniav los ntawm catheter. Cov txheej txheem zoo sib xws tam sim no tau siv los kho qee hom kev xeeb tub.

artificial insemination
artificial insemination

Thaum tsis muaj dab tsi txhawj txog?

Yog tias koj muaj ovulated thiab cev xeeb tub tsis tshwm sim, tsis txhob xav tias muaj menyuam tsis taus tam sim. Qhov tsis muaj qhov ntxim nyiam ntawm ob lub strips ntawm qhov kev xeem tuaj yeem yog vim tsis muaj teeb meem. Ntawm lawv nws yog tsim nyog highlight:

  • Kev tsis sib haum xeeb ntawm kev tiv thaiv kev sib deev thiab poj niam lub sijhawm fertility;
  • kev sim poob rau lub voj voog anovulatory;
  • nyob rau ob peb lub hlis dhau los, ib tug poj niam lossis ib tug txiv neej tau mob, uas ua rau txo qis kev tiv thaiv;
  • kev ua tsis tiav theem pib tshwm sim ntawm ib theem nyuaj ntawm kev xav.

Thaum lub cev tsis muaj zog los ntawm lwm yam, fertilization yuav tsis tshwm sim. Yog tias ob tus neeg koom tes, raws li cov txiaj ntsig ntawm kev ntsuam xyuas, noj qab nyob zoo, tsis txhob poob siab. Zoo dua sim lub voj voog tom ntej. Nws yog ib nqi sau cia hais tias los ntawm ib tug kho mob saib, infertility feem ntau yog to taub raws li ib tug mob uas cev xeeb tub tsis tshwm sim nyob rau hauv 12 lub hlis.

Pom zoo: