1. Kho koj qhov hnyav
Npaum li cas koj hnyav tsis tseem ceeb hauv qhov teeb meem ntawm cev xeeb tub. Yog tias koj lub cev hnyav rau lub cev tsawg tshaj 19 xyoo - koj yuav tsum xav txog kev ntxiv me ntsis ntxiv. Qhov hnyav los yog tsis siv khoom noj yuav ua rau tsis muaj hormonal txaus, nrog rau cov amenorrhea. Yog tias koj lub cev hnyav hnyav, koj yuav muaj teeb meem nrog koj cov qoob loo thiab, thaum kawg, nyuaj rau kev xeeb tub. Yog tias koj lub cev qhov hnyav ntawm lub cev yog qhov siab tshaj 25, ces ua ntej koj npaj yuav cev xeeb tub, koj yuav tsum xav txog txoj kev noj haus thiab ua si. Cov poj niam uas rog lossis rog feem ntau raug kev txom nyem los ntawm kev ua txhaum ntawm ovulation. Qhov no yog vim kev tsis haum metabolism hauv hormones. Estrogens yog tsim nyob rau hauv cov ntaub so ntswg thiab cov pob txha ntawm ib tug poj niam uas muaj peev xwm ua tau kom muaj zog hauv cov ntshav. Ua kom zus tau cov tshuaj estrogen cuam tshuam rau lub sij hawm ntawm lub voj voog thiab suppresses ovulation. Kev rog thiab rog feem ntau sib koom tes nrog tus kab mob - ib qho mob ntawm cov poj niam ntawm tus mob polycystic.
2. Xav txog koj lub hnub nyoog
Qhov no tsis txhais tau hais tias yog koj muaj hnub nyoog tshaj 35, koj yuav tsum hnov qab txog kev xeeb tub. On qhov tsis tooj! Koj yuav tsum lees txais koj tus kheej ntawm koj lub hnub nyoog, thiab tsis thov ntawm lub cev ntawm qhov tsis tsim nyog. Txhua tus poj niam, yog tias nws noj qab nyob zoo thiab muaj lub voj voog, nws muaj peev xwm cev xeeb tub thiab yug me nyuam thaum twg los tau. Tab sis rau txhua lub hnub nyoog muaj lawv tus kheej cov yeeb yam, lawv cov kev xav tau thiab cov kev xav mus rau cov teeb meem ntawm lub tswv yim. Nqa koj tus kheej lub hnub nyoog thiab ua raws li qhov no. Dr. Gillian Lockwood, tus sau zaj nkauj "Fertility for Dummies", qhia tias hnub nyoog tshaj "muaj hnub nyoog" yog hnub nyoog 20 thiab 30 xyoo. Nws yog tsim nyog nco tias peb txhua tus tau yug los nrog cov neeg tawg rog uas tsis paub tab lossis cov hauv paus hauv cov zes qe menyuam. Txawm li cas los xij, tsuas yog ib feem me me xwb. Qhov no yog qhov kev txiav txim siab "ntawm zes qe menyuam". Tus menyuam mos liab hauv lub cev muaj 1 los 2 lab follicular oocytes. Tus poj niam laus muaj 400,000 leej. Tom qab 35 xyoo, nws muaj qhov tseeb txo qis ntawm cov "qe" ua haujlwm. Thaum koj muaj hnub nyoog li cas thaum muaj peev xwm ntawm fertilization txo los ntawm xyoo mus rau xyoo, koj tsuas yog yuav tsum coj mus rau qhov no thiab ua nws txoj cai. Nws zoo dua, yog tias koj yuav tau txais kev pab los ntawm ib tus kws kho mob tshwj xeeb - yuav ua ib qho kev tshawb fawb, sau ib qho kev kho, ua raws li kev nce qib ntawm lub voj voog. Qee zaum tom qab 35 xyoo ntawm kev xeeb tub tsis muaj kev cuam tshuam ntawm cov kws kho mob yog qhov nyuaj kawg.
3. Ua tibzoo ntsuas lub sijhawm koj ovulation
Ib qho ntawm qhov nrov tshaj plaws, tab sis feem ntau txoj hauv kev kom cev xeeb tub yog los xam lub sij hawm rau cov ovulation thiab kho rau nws. Qhov loj tshaj plaws yog los txiav txim siab qhov ntev thiab tus naj npawb ntawm cov hnub nyoog fertile. Nws tseem ceeb, tshwj xeeb, los saib xyuas koj lub cev. Nov yog qee cov cim qhia ntawm ovulation tuaj yeem huaj vam coob tshaj qhov uas cev xeeb tub:
- Hloov lub cev kub. Thaum cov qoob loo, nws feem ntau nce mus rau 37 0 C thiab ntev li ob peb hnub.
- Hloov cov kev sib luag thiab cov xim ntawm cov kev xaiv. Thaum cov qe menyuam, cov kua qaub zoo li cov qe dawb dawb tsis muaj xim thiab tsw. Qhov no txhais tau hais tias cov hnub zoo tshaj plaws rau lub tswv yim tau los.
- Cov qog ntawm cov qog nqaij. Ntau tus poj niam muaj qhov mob hauv lub hauv siab thaum lub sij hawm yug. Lub txiv mis yog qhov tshwj xeeb tshaj yog.
- Kos cov kab mob hauv lub plab mog. Qee lub sij hawm txawm tias los ntshav. Qhov no yog qhov tshwm sim ntawm kev sib tw ntawm lub follicle thaum lub sij hawm ovulation. Qhov mob tsis muaj zog thiab dhau los ntawm ib hnub lossis ob. Nws tsis yog tsawg uas cov poj niam tsis hnov qhov mob ntawm no.
4. Rhuav tshem cov cwj pwm phem
Yog tias koj mob siab tiag tiag txog kev ua niam ua txiv - koj yuav tsis tau ua thaum lub sij hawm sim cev xeeb tub thiab haus luam yeeb thiab tsim cawv. Nco ntsoov tias yog tias koj tau coj tsis zoo ua ntej, ces nruab nrab ntawm lawv thiab koj cev xeeb tub yuav tsum dhau li ib xyoos. Tsuas yog nyob rau hauv txoj kev no koj tuaj yeem lees tias koj npaj txhij muab yug me nyuam noj qab nyob zoo. Cawv thiab nicotine suppress qhov kev ua deev (ob leeg poj niam thiab txiv neej). Kab tias yog vim li cas koj thiaj tsis tau xeeb tub.
5. Tshem tawm cov kab mob
Hormonal ntshawv siab yog cov kab mob uas ua rau tsis tuaj yeem tawm ntawm ovulation los yog cov khoom tawg, thaum cov "khoob" hauv paus tuaj. Nws kho nrog tshuaj hormone-based. Tab sis xaiv txoj kev kho mob no tsuas yog tus kws kho mob tom qab qhov kev kuaj mob tsim nyog.
Hyperprolactinemia yog ib qho concentration ntawm prolactin nyob rau hauv cov ntshav. Prolactin yog ib yam tshuaj uas tau ua los ntawm lub caj pas pituitary. Nws cov qib high school yuav qhia tau qog ntawm pituitary lossis thyroid. Physiologically, lub luag hauj lwm ntawm no hormone yog nyob rau hauv cov khoom noj thiab tso kua mis ntawm cov mis nyuj rau cov poj niam cev xeeb tub thiab lactating. Hauv cov poj niam uas tsis xeeb tub, ib qib siab ntawm prolactin tuaj yeem ua rau kev tsis haum ntawm ovulation. Prolactin kuj tseem muaj kev tso zis rau ntawm progesterone rau cov poj niam thiab ua rau lawv cov kev ua zoo dua.
Qhov mob ntawm tus kabmob hnoos hawbpob (polycystic ovaries) - yog qhov ntau cov txiv neej hormones (androgens, testosterone) nyob rau hauv cov zes qe menyuam. Qhov teeb meem no tuaj yeem tshwm sim los ntawm kev muaj cov kab mob insulin ntxiv, uas ua rau muaj kev nce ntxiv hauv kev ua tiav ntawm androgens hauv cov zes qe menyuam. Ntxiv cov txiv neej cov tshuaj hormones hauv zes qe menyuam ua rau cov neeg tuag taus thiab tsim muaj cov hlwv. Txij lub sij hawm, zes qe menyuam muaj feem rau hauv lub cev thiab muaj cov kab mob ntau heev ntawm lub plawv. Li no lub npe ntawm tus kab mob yog polycystic yug syndrome. Muaj qee zaum muaj teeb meem nyob rau hauv daim ntawv ntawm cov poj niam tsis tshua muaj menyuam yaus lossis theem siab me ntsis.
Cov kab mob ntawm lub luteal theem yog ib qho kev kho raws hauv lub cev daj, uas tsim tawm tsawg tus progesterone. Progesterone nyob rau theem ob ntawm lub voj voog yog lub luag hauj lwm rau txoj kev npaj ntawm qhov kev tsim tshuaj ntawm endometrium rau implantation ntawm lub embryo. Yog hais tias lub cev daj ua cov progesterone txaus, lub uterus tsis npaj kom tau txais lub embryo thiab thaum pib me nyuam me.
Kab mob ntawm cov thyroid caj pas . Kev noj qab haus huv tsis txaus los yog tshaj tawm ntawm cov thyroid hormones ua rau lub cev muaj zog hormonal, nrog rau ntau zaus disappearance ntawm ovulation.
Anatomic ua rau - ntawm lawv yog, nrog lwm tus: uterine underdevelopment, uterine septum, yug me nyuam yug nyob rau hauv tsim ntawm uterine tubes (obstruction).
Endometriosis - suav nrog lub implantation ntawm ib feem ntawm lub tsev menyuam (endometrium) rau ntawm phab ntsa hauv plab. Thaum lub sij hawm coj khaub ncaws, qhov kawg ntawm cov kabmob endometrium exfoliates thiab kis tau los ntawm txoj hlab ntaws thiab lub cev. Nyob rau hauv ib tug poj niam muaj kev noj qab haus huv, nws yuav tsum tau muab pov tseg tam sim ntawd, txawm li cas los xij, vim kev tiv thaiv kab mob ntawm immunological, endometrium nkag hauv cov ntshav. Vim li ntawd, muaj cov nti, hlwv thiab adhesions.
Cov kab mob ntawm lub cev - ib tug poj niam tsim tawm cov tshuaj tiv thaiv cov phev, thiab nws lub cev txav lawv. Nws kuj ua rau tus poj niam ua xua rau qee cov ntaub so ntswg, tom qab tsim lub tsho me nyuam. Tus poj niam lub cev reacts nyob rau hauv ib txoj kev uas blocks lub tsim ntawm placenta, uas nyob rau hauv tig tig lub embryo. Yog li ntawd, kev xeeb tub raug cuam tshuam.
Feem ntau ntawm lub zes qe menyuam . Qee tus poj niam tab tom tham txog ntxov ntxov (ua ntej 35 xyoo) kev poob qab ntawm thawj cov hauv paus. Qhov no tej zaum yuav yog vim muaj kev tiv thaiv antitumor, lub cev tiv thaiv kab mob ntawm lub zes qe menyuam, kev mob caj ces.
O ntawm mob pelvic plab hnyuv ntxaum - tuaj yeem ua rau lub plawv plab zis: uterine tubes, zes qe menyuam, lub tsev menyuam thiab lub tsev menyuam, qhov chaw mos. Tus mob o tuaj yeem ua rau kis tau los tiv thaiv kev xeeb tub. Qhov tsim nyog ntawm cov kab mob xws li yuav ua tau rau cov leeg hauv plab los yog hauv tsev menyuam, uas tiv thaiv lub qe los ntawm kev sib tham nrog tus khub phev. Qhov no kuj tuaj yeem ua rau kev tsim tawm ntawm cov kabmob hauv lub uterine kab noj hniav uas cuam tshuam nrog embryo implantation. Yog hais tias qhov spikes tau tsim nyob rau saum npoo ntawm ovary - ovulation yog tsis yooj yim sua, vim hais tias lub qe tsis dhau los ntawm ib tug tuab txheej ntawm adhesion. Ib qho ua rau mob ntawm qhov chaw mos plab thiab adhesions yog cov kab mob xws li chlamydia thiab gonorrhea.
Myoma - tuaj yeem ua rau endometrium, uas ua rau nws nyuaj rau implantation ntawm lub embryo. Myoma tuaj yeem thaiv cov hlab ntaws, hloov qhov chaw ntawm lub ncauj tsev menyuam, uas ua rau nws tsis muaj phev rau lub qe.
Cov nyhuv ntawm ib co yeeb tshuaj ntawm fertility - qee cov tshuaj yuav ua rau ib ntus los yog ntxiv lawm tshob. Antidepressants, hormones, analgesics, aspirin - tag nrho cov no yuav ua rau reversible ib ntus ntxiv lawm tshob. Feem ntau nws ploj tom qab siv tshuaj lawm. Kev siv hluav taws xob thiab cov tshuaj antitumor irreversibly ua rau lub hauv paus qis qe menyuam, ua rau mob ntxiv lawm.
6. Saib xyuas khoom noj
Cov kws tshawb fawb ntawm Harvard School of Public Health tau ntev ntev tias cov khoom noj muaj feem xyuam rau kev yug me nyuam. Kuv yuav tsum zam dab tsi? Ua ntej tshaj, cov khoom noj ceev, french fries thiab hamburgers. Nws yog ib qho tsim nyog yuav tau noj ib hom kab mob multivitamin - qhov no ua rau kom cev xeeb tub muaj zog ntxiv. Koj cov khoom noj yuav tsum muaj cov avocado, zaub qhwv, almonds, qos yaj ywm qab zib, noob hnav, noob paj noob hlis thiab txiv pos nphuab. Nws yog tsim nyog xav txog kev muab cov kasfes. Yog hais tias koj tsis tuaj yeem muab nws ua kom tiav, ces tsawg kawg tsis txhob haus ntau tshaj ob khob ib hnub.
7. Ib ce muaj zog tsis tu ncua
Xyaum tswj cov qib ntawm cov tshuaj hormones thiab txo kev ntxhov siab. Koj yuav tsum tsis txhob ua haujlwm - ua kom rov qab tuaj yeem ua haujlwm. Kev ntsuas - tsis pub ntev tshaj 15 teev hauv ib lub lim tiam, txwv tsis pub koj tuaj yeem ua rau koj tus kheej. Kev txhim kho kom sov yog qhov tseem ceeb rau txoj kev kawm tau zoo. Qhov no tseem ceeb heev! Kev pom kev "koob tshuaj" ntawm kev qoj ib ce - tsis pub tshaj ib nrab ib hnub twg. Nws yog qhov zoo tshaj los ua aerobics, nws kuj tseem ceeb heev rau kev ua luam dej thiab khiav thaum sawv ntxov.
8. Coj ib qho kev sim rau cov kab mob sib kis los ntawm kev sib deev
Qee cov kab mob yog asymptomatic. Tej zaum koj yuav mob, tab sis tsis tas ua qhov kev ntsuam xyuas txhua zaus, koj yuav tsis pom. Yog li, nws tseem ceeb heev uas yuav tau ua kev kuaj mob rau chlamydia, piv txwv li. Yog tias tsis kho, nws tuaj yeem ua rau mob ntxiv lawm. Lwm cov kab mob uas yog lub luag hauj lwm rau fertility yog gonorrhea.
9. Sim daws kev ntxhov siab
Cov theem siab ntawm kev ntxhov siab cuam tshuam rau cov poj niam txiv neej. Cov kws tshawb fawb hauv Oxford University tau qhia tias cov poj niam uas tsis xeeb tub muaj feem ntau ntawm kev nyuab siab dua (cortisol) dua li cov poj niam uas tswj kev ua niam ua txiv. Kev nyuab siab ua rau muaj feem ntawm fertilization qis dua 12%. Cov kws kho mob qhia tsis txhob xav txog qhov teeb meem nrog cev xeeb tub kom mob siab thiab so kom txaus.
10. Tsis txhob ua zoo li ib tug txiv neej.
Ib tug American anthropologist, xibfwb Elizabeth Kashden luam tawm txoj kev tshawb fawb pom tau hais tias cov poj niam thiab cov poj niam uas tsis tshua muaj siab thiab hloov cov poj niam tab tom hloov lawv cov qib. Kev nyuab siab ntawm kev ua haujlwm thiab sib ntaus sib luag rau kev vaj huam sib luag nrog txiv neej pab rau qhov txo cov tshuaj no. Ua ntej, theem ntawm testosterone thiab cov tshuaj hormones uas muaj cov kev nyuab siab, kev sib tw thiab kev sib raug zoo dua. Yog tias koj tsis tuaj yeem cev xeeb tub - cov neeg pawg sab laj nyiam cov tswv yim tshwj xeeb: qeeb zog thiab tshem tawm cov ceg ntawm cov roj.