Peb txhua tus paub qhov teeb meem no thaum peb lub siab nyiam tsis sib haum nrog peb lub peev xwm. Nrog rau qhov no nws yog ib qho yooj yim rau reconcile, yog hais tias nws yog ib lo lus nug ntawm cov khoom khoom. Tab sis thaum nws tuaj cuag procreation, teeb meem nrog conception ua tob puas siab puas ntsws raug mob, thiab kev mob ntawm "infertility" lub suab zoo li ib kab lus. Feem ntau, cov txiv neej thiab poj niam raug kev txom nyem ntawm qib 2. Dab tsi yog tom qab cov lus no? Dab tsi yog infertility? Yog infertility 2 degrees ntawm kev kho mob?
Kev faib tawm ntawm kev ntxiv ntshav
Cov kws kho mob faib cov me nyuam yaus ua ntej thiab theem siab, meej thiab txheeb ze. Tshuaj txau 1 degree (thawj) txhais tau hais tias ib tug txiv neej lossis poj niam tsis tau muaj peev xwm xeeb tub, ua neej nrog kev sib deev nrog cov neeg sib txawv. Hais txog kev loj hlob ntawm 2 degrees (theem nrab) tau hais, thaum poj niam lub neej tsawg kawg thaum muaj kev xeeb tub (nws tsis muaj teebmeem yog tias nws tsis tau yug los tsis tau), thiab tus txiv neej yuav tsawg kawg thaum nws xeeb tub. Tib lub sijhawm, lawv muaj teebmeem nrog kev xeebntxwv. Contrary to thoob plaws lub tswv yim ntawm lub tswvyim ntawm "infertility 3 (4 thiab lwm tus) degree" nyob rau hauv cov tshuaj tsis muaj nyob.
Tus mob ntawm "meej ntxiv lawm tshob" yog ua rau tus neeg mob muaj congenital los yog nrhiav pathologies incompatible nrog conception, piv txwv li, hla qhov chaw mos plab hnyuv siab raum. Nrog cov txheeb ze ntxiv, qhov ua rau muaj teeb meem nrog lub tswv yim dag nyob rau hauv cov kab mob ntawm qhov kev ua me nyuam, los yog nyob rau hauv infertility ntawm tus khub.
Dab tsi ua rau ntxiv lawm tshob?
Qhov feem ntau ua rau infertility 2 degrees, ob leeg poj niam thiab txiv neej, yog hormonal ntshawv siab. Nyob rau tib lub sijhawm, txheej txheem ntawm kev loj hlob ntawm cov kev sib deev hlwb yog cuam tshuam, tsis zoo rau kev xeeb tub thiab kev xeeb tub, kev hloov tshwm sim nyob rau hauv lub plawv hauv tsev me nyuam. Mob qaum thiab cov thyroid kuj sib cuam tshuam, los sis tsis zoo, ua rau nws ua haujlwm: ob leeg hyper- thiab hypothyroidism ntawm thyroid caj pas ua rau hormonal tsis ua hauj lwm.
Nyob rau hauv cov poj niam, secondary infertility feem ntau tshwm sim tom qab rho me nyuam thiab tus txha nqaj hlau. Kev ua tiav kev xeeb tub ntawm feem ntau yog ua rau kev loj hlob ntawm cov kab mob inflammatory ntawm lub tsev menyuam thiab nws cov appendages, nrog rau endometriosis thiab, kawg, infertility.
Lwm yam kev ua rau poj niam cev xeeb tub ntawm qib 2 yuav yog:
- poob rau hauv fertility vim muaj hnub nyoog (tom qab 30 xyoo);
- ectopic cev xeeb tub thiab qis qis;
- obstruction ntawm cov hlab ntaws;
- uterine myoma;
- cov tshuaj yug mob ntsws;
- dhau los ua haujlwm loj;
- thaum ntxov menopause, malnutrition ntawm zes qe menyuam;
- autoimmune kab mob;
- kev nyuaj siab thiab kev tsis txaus siab.
Mob ntxiv ntshav qab 2 degrees ntawm cov txiv neej tshwm sim rau cov hauv qab no:
- kev mob nkeeg thiab kab mob (nrog rau kev kis mob) ntawm qhov chaw mos plab;
- tshuaj lom neeg los yog raug tawg;
- noj cov tshuaj (tshuaj tua kab mob, tshuaj hormones);
- tus cwj pwm phem (haus luam yeeb, cawv, tshuaj);
- teeb meem ua hauj lwm rau cov neeg mob, txom nyem puag ncig;
- kev hloov tsis tau zoo, kev tsis zoo;
- kev nyuaj siab, kev nyuaj siab.
Secondary infertility - yuav kho li cas?
Ua ntej pib kev kho mob ntawm kev ntxiv tom qab infertility, nws yog ib qhov tsim nyog los tsim kev muaj peev xwm ntawm tus kab mob. Ua li no, ob tus txij nkawm yuav tau xeem thiab mus kuaj mob. Thaum tau txais cov ntaub ntawv hais txog qhov kev mob ntawm tus keeb kwm yav dhau hormonal thiab qhov kev ua haujlwm ntawm cov neeg mob, tus kws kho mob muab kev kho tus kheej. Ob tus txij nkawm raug nquahu kom niaj hnub noj zaub mov, ua haujlwm thiab so, tsis txhob muaj kev ntxhov siab ntawm kev nyuaj siab, tso tseg cov cwj pwm phem. Nrog hormonal infertility tus kws kho mob yuav sau tawm tshwj xeeb npaj rau normalizing hormonal keeb kwm.
Nrog rau cov qhabnias ntawm cov tshuaj tua kabmob (spermogram), kev ua xua rau cov pojniam, kev ua rau cov menyuam plab plawv mus rau lub cev (qhov qhia txog cov phev ncaj qha rau hauv tsev menyuam), IVF, ICSI. Thiab mob loj heev ntawm cov kab mob thiab cov qe menyuam yaus, cov kws kho mob tau siv cov kev pabcuam pub dawb.