Muaj ntau ntau yam rau poj niam ntxiv lawm tshob, ntawm lawv:
• tsis tuaj yeem tso tawm (tso tawm ntawm ovum ntawm lub zes qe menyuam);
• ua txhaum ntawm qhov tso ntawm lub qe los ntawm txoj hlab plawv (poob lub caij nplooj zeeg), vim tias nws tsis muaj peev xwm mus ntsib cov phev cell;
• txhoj puab heev ntawm tus poj niam lub ncauj tsev menyuam ntawm tus poj niam lub cev ntawm tus phev;
• ua txhaum ntawm txheej txheem ntawm implantation ntawm fertilized qe rau hauv phab ntsa ntawm uterus.
Hormonal tsis txaus
Tus kabmob ntawm tus kabmob yog ib feem peb ntawm txhua tus pojniam ntxiv lawm tshob. Feem ntau qhov teebmeem no tshwm sim los ntawm kev tsim cov tshuaj hormones ob leeg - qhov ua kom tsis muaj zog (FGP thiab luteinizing (LH)) uas tswj cov kev coj khaub ncaws thiab cov txheej txheem ntawm ovulation.Hormonal tsis txaus ntseeg yuav ua rau pom tseeb ntawm cov teeb meem hypothalamic uas tswj cov tshuaj hormones, lossis pituitary caj pas rau lawv tso Hauv cov keeb kwm ntawm hormonal keeb kwm, cov poj niam uas tau muab cov tshuaj hormone hloov kho lossis lwm yam tshuaj siv rau cov kab mob ntxiv, piv txwv li, clomif Cov tib neeg chorionic gonadotropin yeeb tshuaj (hCG) kuj siv los tsim kom muaj kev sib mos, uas ua rau ovulation hauv ntau tshaj 90% ntawm cov neeg, tab sis rau cov tsis paub tias yog vim li cas.
Pathology ntawm ovulation
Muaj ntau ntau yam ua rau ua rau muaj kev ua qoob rau ntawm cov poj niam. Cov no suav nrog:
• muaj kev nyuab siab heev;
• hnyav ntau dua (piv txwv, anorexia);
• rog;
• Cawv thiab siv yeeb tshuaj.
Tsis tas li ntawd, lub hlwb qe hauv cov poj niam vim raug kev puas tsuaj ntawm pojniam thaum lub sijhawm phais (piv txwv li, tshem tawm cov hlwv tawm), hluav taws xob puas tsuaj (tom qab radiotherapy), los yog los ntawm menopause - physiological los yog ntxov ntxov. Yog tias tus neeg mob tsis tuaj yeem tsim nws lub qe, txoj kev tsuas yog siv los ntawm kev siv cov kev pab cuam me nyuam yaus.
Pathology ntawm lub cev thiab lub ncauj tsev menyuam
Implantation ntawm fertilized qe nyob rau hauv qhov mucous membrane ntawm lub tsev menyuam tau hampered los ntawm muaj cov ntshav ntawm myoma - ib benign nqaij ntawm lub npag npoo ntawm phab ntsa uterine. Qaub ncaug tuaj yeem ua rau thiab anomalies los ntawm ncauj tsev menyuam (ncauj tsev menyuam). Hauv qee kis, qee qhov hnoos qeev tsis tau sau nyob rau hauv tsev menyuam qhov ncauj, hauv lwm tus - nws nce viscosity; thiab ob qho tib si nyuab heev rau txoj kev tso cai ntawm cov poj niam txiv neej cov qe ntshav nrog lub tsev menyuam roj hmab. Hauv kev txiav txim siab rau qhov chaw yug me nyuam, lub qe yuav tsum txav mus los ntawm lub uterine raj ntawm lub uterine kab noj hniav.
Tiv thaiv cov hlab ntaws lub plab tuaj yeem tsim muaj ntau yam:
• yug me nyuam tsis zoo;
• Adhesion thiab caws qis tom qab phais;
• kis kab mob xws li salpingitis thiab tom qab kis tas;
• Cov kab mob kis tau los ntawm kev sib deev, ib qho Ɵtopic hauv keeb kwm;
• endometritis;
• mob kabmob ntawm kabmob pelvic.
Qhov feem ntau ua rau kev puas tsuaj rau cov hlab ntaws yog qhov o ntawm plab hnyuv pelvic - kab mob kis ntawm qe menyuam, cov hlab ntaws thiab lub tsev menyuam, uas yuav ua rau mob qeeb lossis mob ntev. Qhov feem ntau cov neeg sawv cev ntawm tus kab mob no yog cov kab mob Chlamydia trachomatis. Restoration ntawm patency ntawm lub plab roj hmab yog ua nrog kev pab los ntawm microcurgical yees los yog laser phais. Yog hais tias ib tug poj niam tsis tuaj yeem cev xeeb tub hauv ib lub sijhawm twg, kev kuaj mob thiab kuaj kev kuaj mob yog ua kom kuaj tau qhov ua tsis tau ntxiv.
Kev sim tshuaj rau ntawm ovulation
Txoj kev yooj yim tshaj plaws thiab tseeb ntawm kev pom kev tuaj yeem yog siv cov kev kuaj tshwj xeeb uas txiav txim siab nce qib ntawm luteinizing hormone nyob rau hauv cov zis ua ntej ovulation. Qhov kev kuaj no yog ua txhua hnub pib 2-3 hnub ua ntej nruab nrab ntawm kev coj khaub ncaws.
Ultrasound xeem
Ultrasound scanning yog siv los txiav txim seb qhov xwm txheej ntawm lub zes qe menyuam, nrog rau kev saib xyuas cov kev hloov hauv lub zes qe menyuam ua ntej ovulation.