Azoospermia, lossis tsis muaj phev hauv phev, tuaj yeem ua rau xeeb menyuam zoo li tsis yooj yim rau koj thiab koj tus khub. Hmoov zoo, muaj kev kho mob uas tuaj yeem ua rau cev xeeb tub yog qhov ua tau. Thawj kauj ruam txhawm rau txhim kho tus mob yog txiav txim siab tias nws yog vim muaj qhov ua rau cuam tshuam lossis tsis cuam tshuam. Kev ua kom tsis muaj zog azoospermia raug kho phais, thaum tsis muaj kev cuam tshuam azoospermia feem ntau yog kho nrog kev kho tshuaj. Yog tias kev sim kho tsis ua tiav, koj tseem tuaj yeem muaj peev xwm phev tau muab rho tawm rau hauv vitro fertilization. Rau koj txoj hauv kev kom ua tiav zoo tshaj plaws, xaiv tus kws paub txog kab mob urologist uas tshwj xeeb hauv kev muaj menyuam yaus thiab kev phais me me.
Cov kauj ruam
Txoj Kev 1 ntawm 3: Txiav Txim Qhov Ua Rau
Kauj Ruam 1. Tshawb xyuas seb koj puas muaj qhov ua tsis taus lossis tsis muaj kev cuam tshuam azoospermia
Thawj kauj ruam los kho tus mob azoospermia yog mus ntsib kws kho mob urologist lossis tus kws tshaj lij yug menyuam. Lawv tuaj yeem pab koj nrhiav seb koj tus mob puas muaj teeb meem lossis tsis cuam tshuam. Ob hom azoospermia tuaj yeem kho tau yooj yim, tab sis kev xaiv kho mob sib txawv dav:
- Obstructive azoospermia, nyob rau hauv uas muaj qhov txhaws hauv txoj hlab menyuam, tuaj yeem raug kho phais. IVF kuj tseem yog qhov kev xaiv.
- Azoospermia tsis muaj kev cuam tshuam tuaj yeem cuam tshuam nrog kev tsis txaus hormonal thiab kho nrog qhov ncauj lossis txhaj tshuaj hormones. Yog tias cov tshuaj hormones tsis raug liam, lub hauv paus yuav tsum tau kuaj thiab kho.
- Lwm qhov ua rau tsis muaj kev cuam tshuam azoospermia suav nrog kev txawv txav hauv caj ces (xws li Y tshem tawm cov chromosome), cov hlab ntsha loj dua (varicocele), tshuaj noj tshuaj, tshuaj kho mob, thiab siv tshuaj ua si.
Kauj Ruam 2. Mus kuaj ntshav txhawm rau txheeb xyuas qhov ua rau
Txhawm rau kho azoospermia, koj tus kws kho mob yuav tsum nkag siab tias dab tsi ua rau koj mob, yog li lawv tuaj yeem kho qhov teeb meem hauv qab. Ib qho piv txwv ntshav tuaj yeem txiav txim siab seb puas muaj caj ces lossis cov tshuaj hormones rau koj li azoospermia.
Kauj Ruam 3. Muaj ob txoj kev kuaj phev
Kom koj tus kws kho mob urologist lossis kws tshaj lij yug menyuam txheeb xyuas ob qhov piv txwv ntawm ob lub sijhawm sib txawv. Cov kev ntsuam xyuas no yuav txiav txim siab tus naj npawb ntawm cov muaj peev xwm, cov phev txav tau tus qauv muaj.
- Cov kev ntsuam xyuas yuav pab txiav tawm lwm yam teeb meem, xws li cov phev tsis muaj peev xwm lossis cov phev qis (suav nrog qhov tsis muaj phev, uas tshwm sim hauv azoospermia).
- Kuaj ob qho piv txwv yuav pab txheeb xyuas koj lub cev qhov txawv txav.
Kauj Ruam 4. Tau txais ultrasound, MRI, lossis CT scan
Txhawm rau txhawm rau txhawm rau txheeb xyuas azoospermia, koj tus kws kho mob yuav tsum tau siv qee cov duab ntawm koj sab hauv. Lawv yuav kuaj tus kabmob ultrasound, MRI, lossis CT scan ntawm koj lub cev ua haujlwm thiab saib seb puas muaj qhov txawv txav. Tsis tas yuav txhawj xeeb, vim cov no yog txhua yam yooj yim, tsis muaj txheej txheem mob uas yuav pab koj tus kws kho mob tuaj kho qhov zoo tshaj plaws.
Hom kev ntsuas duab yuav nyob ntawm koj tus kws tshwj xeeb nyiam thiab koj li kev pov hwm kev pov hwm. Txhawm rau txheeb xyuas koj qhov kev pov hwm, tiv tauj koj tus neeg tuav pov hwm thiab nug yog tias txheej txheem puas tau them lossis yog nws xav tau kev pom zoo ua ntej
Kauj Ruam 5. Tham nrog koj keeb kwm kev kho mob nrog koj tus kws kho mob
Qhib thiab ncaj ncees nrog koj tus kws kho mob. Lawv xav muab kev saib xyuas zoo tshaj rau koj! Qhia rau lawv paub txog cov tshuaj, txawm tias dhau ntawm lub txee, koj noj tas li, txog txhua yam tshuaj lom zem uas koj siv, txawm tias koj puas tau kis tus kab mob sib deev, thiab seb koj puas tau txais tshuaj kho mob lossis kho hluav taws xob.
Yog tias koj muaj cystic fibrosis, nug seb koj puas yuav muaj qhov cuam tshuam los ntawm kev yug menyuam uas cuam tshuam rau txoj kev ua me nyuam. Nyob ib ncig ntawm 95% ntawm cov txiv neej nrog cystic fibrosis muaj lub cev tsis tu ncua ntawm cov menyuam yaus
Txoj Kev 2 ntawm 3: Kho Mob Obstructive thiab Nonobstructive Azoospermia
Kauj Ruam 1. Tsis txhob noj tshuaj lossis siv tshuaj ua si
Yog tias koj noj tshuaj uas cuam tshuam nrog kev tsim cov phev, nug koj tus kws kho mob kom pab koj nrhiav lwm txoj hauv kev. Yog tias koj noj tshuaj ua si, sim tsis txhob siv lawv. Thaum kev siv tshuaj tua hluav taws xob thiab hluav taws xob tuaj yeem cuam tshuam nrog cov phev tsim tawm, cov kab ke kev ua haujlwm feem ntau rov zoo li ntawm ob txog peb hlis tom qab kho.
- Tsis txhob tsum noj tshuaj raws li tsis tham nrog koj tus kws kho mob ua ntej.
- Kom koj cov phev tshuaj dua ib ncig peb lub hlis tom qab hloov tshuaj, tso tseg kev siv tshuaj, lossis ua kom tiav cov tshuaj chemo lossis kho hluav taws xob.
Kauj Ruam 2. Kho qhov phais kom raug
Yog tias koj tus kws kho mob taug qab qhov txhaws, muaj feem ntau uas nws tuaj yeem kho kho phais yam tsis muaj teeb meem. Nyob ntawm qhov thaiv qhov chaw, koj tus kws kho mob urologist tuaj yeem ua ib qho ntawm ob txoj hauv kev:
- Kev phais me me, uas cuam tshuam nrog kev phais me me uas tau siv los kho cov ntu uas txuas cov noob qes mus rau qhov seem ntawm kev ua me nyuam.
- Kev phais endoscopic, uas cuam tshuam nrog lub raj me me, hloov pauv tau siv los kho lub qhov zis thiab tso zis.
Kauj Ruam 3. Siv cov tshuaj hormones los kho tus mob azoospermia
Hormone thiab kuaj ntshav tuaj yeem kuaj pom qhov tsis txaus ntawm cov tshuaj uas yuav tiv thaiv kev tsim cov phev. Koj tus kws kho mob tshwj xeeb yuav sau tshuaj rau qhov ncauj lossis txhaj tshuaj tiv thaiv kab mob. Cov teeb meem cuam tshuam nrog cov tshuaj tsis txaus hauv lub cev muaj qhov rov zoo dua, thiab cev xeeb tub feem ntau tuaj yeem ua tau.
Kauj Ruam 4. Nug koj tus kws kho mob tshwj xeeb yog tias lawv pom zoo kho tus mob varicocelectomy
Varicoceles, lossis cov leeg loj nyob rau ntawm daim tawv nqaij, tuaj yeem ua rau tsis muaj kev cuam tshuam azoospermia. Nug koj tus kws kho mob urologist yog tias lawv pom zoo varicocelectomy, uas yog txheej txheem uas tuaj yeem kho cov hlab ntsha muaj teeb meem.
Cov phev suav nce nyob rau hauv kwv yees li 40% ntawm cov txiv neej uas tau hloov pauv varicocelectomy
Kauj Ruam 5. Nug seb phev rov qab los yog koj qhov kev xaiv zoo tshaj plaws
Koj tseem tuaj yeem sim nrhiav cov phev yog tias kev phais lossis kev kho tshuaj hormonal tsis ua tiav lossis tsis xaiv. Ua ntej yuav rov qab los, koj yuav siv cov tshuaj hormones los pab koj lub cev tsim cov phev ntau dua. Tom qab ob peb lub hlis, koj tus kws tshaj lij kev yug menyuam yuav rho cov phev los ntawm cov noob qes los siv rau hauv vitro fertilization.
Txoj Kev 3 ntawm 3: Nrhiav Tus Kws Kho Hniav
Kauj Ruam 1. Tau txais kev xa los ntawm koj tus kws kho mob lossis tus tuav pov hwm
Lo lus ntawm qhov ncauj yog txoj hauv kev zoo los taug qab tus kws kho mob lossis kws tshaj lij. Nug koj tus kws saib xyuas mob thawj zaug kom xa koj mus rau tus kws kho mob muaj koob npe hauv koj cheeb tsam. Koj tseem tuaj yeem hu rau koj lub tuam txhab pov hwm thiab kom lawv muab koj cov npe ntawm cov kws kho mob urologist hauv koj lub network.
Thaum nws yuav yog lub ncauj lus tseem ceeb, koj tseem tuaj yeem nug cov phooj ywg lossis cov neeg hauv tsev kom pom zoo rau tus kws kho mob urologist
Kauj Ruam 2. Siv lub koom haum urological koom nrog tshawb nrhiav
Cov rooj sib tham hauv tebchaws thiab cov koom haum feem ntau muab cov cuab yeej tshawb fawb yooj yim uas tuaj yeem pab koj taug qab tus kws kho mob urologist hauv koj cheeb tsam. Piv txwv li, koj tuaj yeem mus ntsib nplooj ntawv "Nrhiav Tus Kws Kho Mob Urologist" ntawm American Association Urological Association lub vev xaib. Lawv cov cuab yeej tshawb nrhiav tso cai rau koj nkag mus rau koj tus lej zip thiab lim cov txiaj ntsig los ntawm qhov deb thiab tshwj xeeb.
Hauv qhov tshwj xeeb tso rau hauv cov ntawv qhia zaub mov, koj yuav xaiv "fertility" txhawm rau nrhiav tus kws kho mob urologist hauv nroog tsim nyog
Kauj Ruam 3. Nrhiav tus kws kho mob urologist uas paub txog kev muaj menyuam tsis taus thiab kev phais me me
Tshawb nrhiav lub vev xaib ntawm cov kws kho mob muaj peev xwm tus kheej kev coj ua, lossis saib lawv cov npe hauv tsev kho mob lossis tsev kho mob uas lawv xyaum. Sim taug qab cov kws kho mob urologist uas tshwj xeeb hauv txiv neej muaj menyuam tsis taus thiab leej twg ua cov txheej txheem kev phais me me.
Koj tseem tuaj yeem hu lawv tus kheej kev coj ua lossis tsev kho mob thiab nug txog lawv kev paub dhau los. Nug, "Muaj pes tsawg microsurgeries ua tus kws kho urologist ua haujlwm ib xyoos? Lawv puas muaj kev paub kho azoospermia thiab lwm yam teeb meem ntxiv lawm ntxiv?”
Kauj Ruam 4. Txheeb xyuas lawv cov kev paub dhau los thiab daim ntawv pov thawj
Nkag mus rau yav tom ntej urologists rau hauv lub tshuab tshawb nrhiav kom pom cov neeg mob cov ntawv ceeb toom thiab tshuaj xyuas. Koj tseem tuaj yeem tiv toj rau koj lub chaw ua haujlwm lag luam zoo dua lossis chav lag luam kom paub seb lawv puas muaj keeb kwm ntawm kev lag luam tsis zoo.
Kev tshuaj xyuas online tsis yog lub hom phiaj thiab tso cai ib txwm, yog li coj lawv nrog cov ntsev ntsev
Kauj Ruam 5. Txheeb xyuas lawv cov kev sib tham
Koj yuav twv yuav raug hu xav tau tus kws kho mob lub txaj pw ua ntej kos npe rau kev saib xyuas mus sij hawm ntev. Hu xov tooj mus rau tus kws paub txog mob ntshav qab zib lub chaw haujlwm thiab nug seb koj puas tuaj yeem tham nrog kws kho mob. Xaiv ib tus uas siv sijhawm los tham nrog koj txog koj tus mob, sib tham tau meej, thiab tsis txhob sim maj lossis tso koj tseg.
