Tshuaj rau kev kho kom rov qab los ntawm kev ua menyuam yaus.
Cov tshuaj no yog siv los pab rau cov menyuam yaus, uas yuav tsum tshwm sim txog ib hlis ib zaug rau cov poj niam ua ntej yuav ntuav. Ovulation yog cov tswj cov tshuaj hormones hu ua gonadotropins. Lawv tau ua nyob rau hauv lub qog pwm plab (lub caj pas ncaj nraim hauv lub hlwb). Gonadotropin yog ib yam tshuaj uas ua rau cov qog nqaij hlav qog (zes rau cov poj niam thiab cov noob qes).
Clomiphene
Ua rau hauv daim ntawv ntawm cov ntsiav tshuaj, Clomifene siv txoj kev thaiv cov hlab ntaws - "kev tawm tswv yim" rau lub caj pas pituitary. Vim li ntawd, lub caj pas pituitary tawm cov tshuaj hormones ntxiv rau ntau dua li ib txwm. Gonadotropin ntxiv yog tso rau hauv cov hlab ntsha thiab ua rau cov qe menyuam yaus, uas, raws li nws vam tias, yuav ua rau cov qoob loo.
Gonadotropin-tso cov tshuaj hormones
Yog tias clomiphene tsis ua hauj lwm, ces tus neeg mob yuav tau sau cov tshuaj uas muaj gonadotropin hormones los yog gonadotropin tso cov tshuaj hormones. Lawv ua rau ovulation ua ntej qhov pib ntawm insemination thiab IVF. Cov tshuaj no kuj tuaj yeem txhim kho fertility (fertility) rau cov txiv neej.
Metformin
Cov tshuaj no feem ntau siv los kho ntshav qab zib. Tab sis qee zaum metformin muaj rau cov poj niam uas muaj tus mob polycystic, yog tias lawv tsis pab cuam clomiphene. Qee cov kev tshawb nrhiav hais tias metformin tuaj yeem pab txhawb ntxiv rau hauv cov poj niam uas muaj poj niam nrog tus poj niam syndrome, feem ntau ntxiv rau kev noj cov tshuaj clomiphene.
Phais txoj hauv kev kho mob.
Phais txoj hauv kev kho mob yuav siv thaum ua kom muaj qhov mob ntxiv lawm thiab qhov kev lag luam yuav pab tau. Cov no ua rau ntxiv lawm tshob txog ntawm no:
Teeb meem hauv raj plab raj.
Kev phais yuav pab tau ib co poj niam uas muaj infertility tshwm sim los ntawm teeb meem plab liab. Piv txwv, thaum lawv raug thaiv los yog muaj cov ntaiv los ntawm ib qho mob dhau los, kab mob los yog lwm yam teeb meem. Qee cov poj niam uas tau muaj cov "yeeb nkab caj dab" sterilization tuaj yeem rov qab tau lawv lub cev txoj kev qoj ib ce.
Endometriosis.
Kev phais yuav pab txhawb qhov pib ntawm cev xeeb tub rau cov poj niam uas muaj qhov kev ntsuas endometriosis.
Polycystic Syndrome Syndrome.
Cov kev ua tshwj xeeb ntawm tus zes qe menyuam kuj yuav haum rau qee cov poj niam uas muaj tus mob polycystic. Cov txheej txheem qee lub npe hu ua diathermy lossis "drilling" ntawm lub zes qe menyuam. Qhov no, qhov tseeb, kev lag luam los ua kom qee yam ntawm cov hauv paus (me me hlwv) uas tsim tawm hauv cov zes qe menyuam. Qhov no feem ntau ua tiav thaum lwm txoj kev kho mob tsis ua haujlwm.
Fibromioma.
Yog tias tsis muaj lwm yam piav qhia txog koj ntxiv lawm, qee zaus kev lag luam yuav tshem tawm cov fibroid. Tab sis seb tus myoma yog qhov tseeb ua rau ntxiv lawm tshob thiab, yog li ntawd, seb nws yuav tsum tau muab tshem tawm - yog qhov tseem tsis meej.
Intrauterine insemination nrog phev ntawm tus txiv los yog pub.
Insemination yog ib txoj hauv kev yooj yim uas cov phev hlwb muab tso rau hauv tus poj niam lub tsev menyuam, thiab fertilization yuav siv qhov chaw muaj. Nws tuaj yeem muab sijhawm rau cov pojniam. Nws yog ib qho tsim nyog yuav tau muaj cov hlab ntaws qoob loo zoo rau kev muab tshuaj. Cov tshuaj noj kuj tseem tuaj yeem ua ntej ua ntej kom nce tau. Spermatozoa tuaj yeem noj tau los ntawm tus txiv los yog tus neeg pub ntshav.
Vitro Fertilization (IVF).
Nyob rau hauv vitro fertilization yog ib tug txhais tau tias ntawm fertilization sab nraum lub cev. Lub ntsiab lus "extracorporeal" txhais tau hais tias "hauv iav" (hauv ib lub chaw kuaj mob lossis hauv lub raj tshuaj). IVF yog siv rau cov poj niam uas nws cov infertility yog tshwm sim los ntawm blockage ntawm lub plab hlaub ntog, los yog qhov ua kom tsis muaj ntxiv lawm tshob yog inexplicable. IVF yog siv cov tshuaj noj los ua kom cov "fertility" ntawm lub zes qe menyuam. Thaum cov qe yog tsim, nrog kev lag luam me me nws yog qhov tsim nyog yuav tau txais lawv. Txhua lub qe ces yog tov nrog cov phev thiab muab tso rau ob peb hnub hauv txoj kev sim. Embryos tsim raws li ib tug tshwm sim, ces muab tso nyob rau hauv lub tsev menyuam ntawm tus poj niam. Muaj ntau lub embryos tau txawm khov ntxiv rau IVF ntxiv ntawm ib hnub tom qab (yog tias thawj zaug tau ua tsis tiav).
Qhov yuav muaj kev vam meej nrog IVF.
Koj yuav muaj kev vam meej nrog IVF tuaj yeem siab dua yog tias koj muaj hnub nyoog 39 xyoo, koj cev xeeb tub dhau los, thiab koj muaj lub cev qis dua ntawm 19 thiab 30 (piv txwv li, tsis muaj qhov nyhav tshaj). Lwm yam khoom uas yuav txo tau txoj hmoo ntawm IVF qhov muaj xws li cawv, ntau caffeine, haus luam yeeb (rau ob leeg neeg koom tes).
Intrermellular phev txhaj tshuaj.
Los ntawm cov txheej txheem no, ib tus neeg spermatozoa yog txhaj rau hauv lub qe. Nws bypasses tej yam ntuj tsim uas ua rau tiv thaiv tsis tau fertilization. Intracellular injection kuj tseem siv tau thaum koj tus khub muaj tsawg npaum li cov phev hauv cov phev.
Pub dawb ntawm qe.
Nws suav tias kev yoojyim ntawm tus pub dawb zes qe menyuam nrog kev pab los ntawm cov tshuaj, nrog rau cov khoom qoob. Tom ntej, lub qe yog tov thiab fertilized nrog phev, raws li nyob rau hauv IVF. Tom qab 2-3 hnub embryos raug muab tso rau hauv lub tsev menyuam.
Qib pub dawb yog ib qho kev xaiv rau cov poj niam uas:
- Tsis txhob muaj qe menyuam lossis ua tsis tau qe
- Kev txom nyem los ntawm cov kab mob uas zes qe menyuam tsis ua haujlwm (piv txwv, Turner's syndrome)
- Muaj ib txoj kev pheej hmoo siab ntawm kis kab mob caj ces rau tus me nyuam. Nws kuj yog siv nyob rau hauv qee cov kev tsis qhia txog IVF.
Cov lus nug ntawm yuav ua li cas kho poj niam ntxiv lawm, txhawj tib neeg nyob ib ncig ntawm lub ntiaj teb no ntev. Tab sis txawm tias muaj ntau txoj hau kev, cov tshuaj tau tsim los pab cov poj niam, tab sis qhov tseem ceeb tshaj plaws hauv qhov no yog tsis poob kev cia siab. Thiab sib ntaus rau koj txoj kev zoo siab. Thiab nws yuav tsis cia koj tos.