Hauv cov poj niam noj qab nyob zoo, cov hlab ntaws nqa cov qe uas loj hlob los ntawm zes qe menyuam mus rau lub tsev menyuam. Txhawm rau tus poj niam cev xeeb tub, tsawg kawg ib ntawm cov hlab no yuav tsum qhib. Thaum muaj teeb meem tshwm sim, cov phev thiab lub qe tsis tuaj yeem sib ntsib hauv cov hlab ntaws, uas qhov chaw yug me nyuam feem ntau tshwm sim. Thaiv cov hlab pas yog qhov teeb meem hauv 40% ntawm cov poj niam tsis muaj menyuam, yog li lees paub qhov teeb meem thiab kho nws zoo yog qhov tseem ceeb heev.
Cov kauj ruam
Txoj Kev 1 ntawm 3: Kho Cov Kab Mob Hlwb Ntog
Kauj Ruam 1. Nug koj tus kws kho mob txog cov tshuaj muaj menyuam
Yog tias tsuas yog ib qho ntawm koj lub raj raug thaiv, thiab koj tsis muaj kev noj qab haus huv, koj tus kws kho mob yuav hais qhia txog cov tshuaj muaj menyuam zoo li clomiphene, Femera, Follistim, Gonal-F, Bravelle, Fertinex, Ovidrel, Novarel, Antagon, Lupron, lossis Pergonal. Ob peb ntawm cov tshuaj no (Lupron, Pergonal) kaw lub caj pas pituitary kom koj tuaj yeem tswj nws nrog tshuaj. Tej zaum lawv yuav siv ua ke nrog lwm cov tshuaj, uas ua rau koj lub caj pas pituitary tso tawm cov tshuaj hormones hauv lub cev (FSH) thiab luteinizing hormone (LH), yog li ua rau muaj peev xwm uas koj yuav ovulate thiab cev xeeb tub (siv lub raj qhib qhib).
- Nco ntsoov tias qhov kev kho mob no yuav tsis ua haujlwm yog tias ob leeg koj cov hlab ntaws raug kaw. Yog tias qhov no yog, koj yuav tsum tau pib nrog kev xaiv kho mob hnyav dua.
- Qhov feem ntau txaus ntshai ntawm kev noj tshuaj muaj menyuam yog ntau yam cev xeeb tub thiab zes qe menyuam hyperstimulation syndrome (OHSS). OHSS tshwm sim thaum koj lub zes qe menyuam puv nrog kua ntau.
Kauj Ruam 2. Xav txog kev phais laparoscopic
Yog tias koj tus kws kho mob xav tias koj yog tus neeg sib tw zoo rau kev phais, lawv yuav pom zoo kom siv lub laparoscopy kom qhib cov hlab thaiv thiab tshem tawm cov nqaij caws pliav uas twb muaj lawm. Laparoscopic phais tsis tas ua haujlwm. Kev ua tiav ntawm koj cov txheej txheem yuav nyob ntawm koj lub hnub nyoog thiab qhov ua rau thiab qhov txwv ntawm koj qhov txhaws.
- Yog tias koj lub raj thaiv zoo li muaj kev noj qab haus huv, koj muaj 20 - 40% muaj feem yuav xeeb tub tom qab phais.
- Cov txheej txheem yuav tsis mob vim tias koj yuav nyob rau hauv kev ua kom loog dav. Kev pheej hmoo ntawm kev phais laparoscopic suav nrog kev zais zis ntawm lub zais zis thiab tawv nqaij ib ncig ntawm qhov chaw phais.
- Yog tias koj muaj qee yam tshwj xeeb ntawm cov hlab ntaws uas raug kaw hu ua hydrosalpinx, uas lub raj ntim nrog kua, koj yuav tsis yog tus neeg sib tw zoo rau kev phais. Tham nrog koj cov kev xaiv nrog koj tus kws kho mob - lawv yuav pom zoo kom tshem lub raj.
- Hom kev phais no ua rau koj muaj kev pheej hmoo ntawm cev xeeb tub yav tom ntej (uas yog lub qe fertilized cog sab nraum lub tsev menyuam). Yog tias koj cev xeeb tub tom qab koj phais laparoscopy, koj tus kws kho mob yuav tsum ua raws koj qhov kev vam meej thiab saib xyuas cov cim qhia ntawm cev xeeb tub ectopic.
Kauj Ruam 3. Sib tham txog qhov ua tau salpingectomy nrog koj tus kws kho mob
Salpingectomy cuam tshuam nrog tshem tawm ib feem ntawm koj lub raj xa menyuam. Cov txheej txheem no ua tiav thaum lub raj muaj cov kua dej hu ua hydrosalpinx. Cov txheej txheem no ua tiav ua ntej kev sim ua hauv vitro fertilization (IVF).
Yog tias qhov kawg ntawm txoj hlab ntaws hauv lub cev raug thaiv vim yog hydrosalpinx, yuav ua salpingostomy. Cov txheej txheem no tsim qhov qhib hauv lub raj xa menyuam ze ntawm zes qe menyuam. Nws yog ib txwm rau cov hlab kom rov thaiv tau los ntawm cov nqaij caws pliav tom qab tus txheej txheem no
Kauj Ruam 4. Sim xaiv cov raj tubular
Yog tias koj muaj qhov txhaws uas nyob ze koj lub tsev menyuam, koj tus kws kho mob tuaj yeem pom zoo xaiv tubal cannulation - txheej txheem kho mob ua tiav los ntawm kev tso lub cannula hla lub ncauj tsev menyuam, lub tsev menyuam, thiab lub raj xa menyuam. Lub cannula tau siv los qhib qhov thaiv ntawm lub raj xa menyuam.
- Qhov no yog txheej txheem kho mob sab nrauv thiab tsis muaj kev cuam tshuam ntau dua li kev phais laparoscopic. Nws ua tiav los ntawm hysteroscopy, uas koj tus kws kho mob tso lub raj me me nrog lub koob yees duab, uas tso cai rau koj tus kws kho mob pom sab hauv koj lub tsev menyuam. Koj yuav lossis tsis xav tau tshuaj loog dav.
- Tubal cannulation tsis pom zoo yog tias koj muaj lwm yam mob xws li tuberculosis ntawm qhov chaw mos, kev phais lub plab dhau los, thiab kev puas tsuaj loj lossis caws pliav hauv koj cov hlab pas.
- Qhov muaj peev xwm txaus ntshai ntawm cov txheej txheem no suav nrog kev rhuav tshem ntawm koj lub raj xa menyuam, peritonitis (kis kab mob ntawm cov nqaij nyob ib puag ncig koj lub cev), lossis ua tsis tiav los kho koj txoj hlab raj ua haujlwm.
Kauj Ruam 5. Txav mus rau hauv vitro fertilization (IVF)
Yog tias cov kev kho mob no tsis ua haujlwm (lossis yog tias koj tus kws kho mob xav tias koj tsis yog tus neeg sib tw zoo rau cov kev kho mob no), koj tseem muaj kev xaiv rau cev xeeb tub. Qhov feem ntau ntawm cov kev xaiv no yog IVF, nyob rau hauv uas kws kho mob fertilize lub qe nrog phev sab nraum koj lub cev, tom qab ntawd ntxig qhov ua rau muaj menyuam hauv plab los yog embryos rau hauv koj lub tsev menyuam. Txoj kev no hla dhau txoj hlab ntaws, yog li txhaws tsis muaj teeb meem.
- Kev ua tiav ntawm IVF nyob ntawm ntau yam sib txawv suav nrog koj lub hnub nyoog thiab qhov ua rau koj tsis muaj menyuam. IVF kuj tseem siv sijhawm ntau thiab kim thiab tuaj yeem nyuaj rau kev xav rau cov neeg mob.
- Kev pheej hmoo ntawm IVF suav nrog ectopic cev xeeb tub, ntau yam yug menyuam, yug menyuam ntxov thiab lub cev hnyav qis, zes qe menyuam hyperstimulation syndrome, nchuav menyuam, thiab kev ntxhov siab vim lub siab, lub hlwb, thiab nyiaj txiag.
Txoj Kev 2 ntawm 3: Kev Txheeb Xyuas Thaiv Txoj hlab ntaws
Kauj Ruam 1. Nkag siab tias koj yuav tsis muaj tsos mob
Txawm hais tias qee tus poj niam uas muaj qee yam tshwj xeeb ntawm cov hlab ntog hauv plab tuaj yeem ua rau mob plab lossis tso zis ntau ntxiv, feem ntau tsis muaj tsos mob hlo li. Feem ntau, cov poj niam tsuas pom qhov teeb meem thaum lawv tawm tsam kom cev xeeb tub.
Kauj Ruam 2. Teem sijhawm nrog koj tus kws kho mob yog tias koj tsis tuaj yeem cev xeeb tub tom qab sim tau ib xyoos
Los ntawm kev saib xyuas kev noj qab haus huv, "tsis muaj menyuam" txhais tau tias koj tsis xeeb tub tom qab tsawg kawg ib xyoos ntawm kev sib deev tsis muaj kev tiv thaiv. Yog tias qhov no tshwm sim rau koj, teem sijhawm teem sijhawm nrog koj tus kws kho mob xub thawj lossis kws kho mob pojniam sai li sai tau.
- Yog tias koj muaj hnub nyoog tshaj 35 xyoos, tsis muaj poj niam cev xeeb tub, lossis tau kuaj rau kev tso qe thiab kuaj tsis zoo, tsis txhob tos ib xyoos. Teem sijhawm teem sijhawm tom qab rau lub hlis uas tsis muaj kev tiv thaiv kev sib deev.
- Nco ntsoov tias "tsis muaj menyuam" tsis zoo ib yam li "tsis muaj menyuam." Yog tias koj muaj menyuam tsis taus, koj tseem tuaj yeem muaj menyuam hauv plab, nrog lossis tsis muaj kev pab kho mob. Tsis txhob xav tias koj yuav tsis muaj peev xwm cev xeeb tub.
Kauj Ruam 3. Teem sijhawm ntsuas qhov muaj menyuam
Koj tus kws kho mob yuav pom zoo kom ua tiav kev tshuaj xyuas kev xeeb tub rau koj thiab koj tus khub. Koj tus khub yuav tsum muab cov phev ua piv txwv kom tus kws tshaj lij tuaj yeem txiav tawm qhov teeb meem nrog cov phev suav lossis txav mus los. Koj yuav muaj peev xwm xav tau ntau yam kev ntsuam xyuas kom paub tseeb tias koj muaj qib cov tshuaj hormones zoo li qub thiab tab tom ua kom zoo. Yog tias txhua qhov kev ntsuas no rov qab zoo li qub, tom qab ntawd koj tus kws kho mob yuav pom zoo tshuaj xyuas koj lub plab hlaub.
Kauj Ruam 4. Xav txog sonohysterogram
Koj tus kws kho mob yuav pom zoo kom mus kuaj tus mob sonohysterogram - txheej txheem kho mob uas cuam tshuam nrog kev siv ultrasound txhawm rau nrhiav cov pawg hauv lub tsev menyuam. Koj lub tsev menyuam thawj zaug yuav tau txhaj nrog cov dej ntsev kom tus kws kho mob tuaj yeem pom zoo dua thaum lub sijhawm kuaj ultrasound. Cov menyuam hauv plab tuaj yeem qee zaum thaiv cov hlab ntaws.
Fibroids, polyps lossis lwm pawg nyob ze cov hlab ntaws tuaj yeem ua rau txhaws
Kauj Ruam 5. Muaj hysterosalpingogram
Hysterosalpingogram (HSG) yog txheej txheem kho mob uas muaj xim tshwj xeeb tau txhaj los ntawm koj lub ncauj tsev menyuam thiab mus rau hauv koj lub plab hlaub. Xoo hluav taws xob tom qab ntawd txiav txim siab seb lub raj qhib lossis thaiv.
- Hysterosalpingograms tau ua tiav yam tsis muaj tshuaj loog, thiab koj yuav tsum tsuas yog mob me me lossis tsis xis nyob. Nws tuaj yeem pab, txawm li cas los xij, noj ibuprofen li ib teev ua ntej.
- Cov txheej txheem no feem ntau siv sijhawm 15 txog 30 feeb. Cov kev pheej hmoo muaj peev xwm suav nrog mob pelvic lossis puas rau cov cell lossis cov nqaij los ntawm kev raug hluav taws xob.
- Yog tias koj tus kws kho mob xav tias koj cov hlab ntsha raug thaiv, lawv tuaj yeem siv cov xim zas xim thaum txheej txheem. Cov roj tuaj yeem tshem tawm qhov txhaws.
Kauj Ruam 6. Nug koj tus kws kho mob yog tias siv lub tshuab raj phais
Nyob ntawm qhov txiaj ntsig ntawm koj tus sonohysterogram thiab hysterosalpingogram, koj tus kws kho mob yuav hais qhia kom siv lub tshuab raj laparoscopy - cov txheej txheem kho mob uas tau txiav tawm ze koj lub ntaws kom pom (thiab, qee qhov, tshem tawm) cov ntaub so ntswg uas thaiv cov hlab.
Feem ntau, laparoscopy yuav tsum tsuas yog ua tom qab lwm qhov kev kuaj tsis muaj menyuam tau ua tiav. Qhov no yog ib nrab vim tias nws yog txheej txheem muaj kev pheej hmoo: nws tau ua tiav hauv kev tso tshuaj loog, yog li nws nqa tag nrho cov kev pheej hmoo cuam tshuam nrog kev phais loj
Kauj Ruam 7. Tau txais kev kuaj mob
Cov txiaj ntsig ntawm cov kev ntsuas no yuav tsum txiav txim siab seb puas muaj ib lossis ob qho ntawm koj cov hlab hlab ntaws raug thaiv. Nug koj tus kws kho mob kom piav qhia qhov txwv ntawm qhov txhaws. Muaj qhov kev kuaj mob tshwj xeeb ntau li ntau tau yuav pab txiav txim siab txoj kev kho mob.
Txoj Kev 3 ntawm 3: Nkag Siab Qhov Ua Tau Ntawm Cov Kab Mob Hlwb Dov
Kauj Ruam 1. Nkag siab tias kis kab mob sib kis (STIs) tuaj yeem ua rau cov hlab ntaws raug kaw
Paub txog qhov ua rau koj cov hlab ntaws raug kaw tuaj yeem pab koj tus kws kho mob tsim txoj kev kho mob zoo. Kab mob sib kis los ntawm kev sib deev yog qee yam ua rau muaj qhov txhaws. Chlamydia, kab mob gonorrhea, thiab lwm yam kab mob STIs tuaj yeem ua rau kev txhim kho ntawm cov nqaij caws pliav uas thaiv cov hlab ntaws thiab tiv thaiv kev xeeb tub. Qhov no tuaj yeem yog teeb meem txawm hais tias koj tus kab mob STI raug kho thiab daws lawm.
Kauj Ruam 2. Paub lub luag haujlwm ntawm kab mob hauv plab hauv qhov ua rau cov hlab ntaws raug kaw
Kab mob hauv lub plab (PID) tuaj yeem tshwm sim los ntawm kev sib deev kis kab mob thiab ua rau muaj qhov txhaws. Yog tias koj muaj PID (lossis keeb kwm ntawm PID), koj muaj kev pheej hmoo nce ntxiv ntawm kev tsim cov hlab ntaws thiab cov tsis muaj menyuam.
Kauj Ruam 3. Paub txog qhov muaj peev xwm txaus ntshai cuam tshuam nrog endometriosis
Hauv cov poj niam uas muaj endometriosis, cov ntaub so ntswg loj hlob sab nraum nws qhov chaw ib txwm muaj, cog rau ntawm zes qe menyuam, cov hlab ntaws, lossis lwm yam kabmob. Yog tias koj muaj endometriosis, paub tias nws tuaj yeem ua rau cov hlab ntaws raug kaw.
Kauj Ruam 4. Paub txog lub luag haujlwm ntawm kev kis kab mob hauv tsev menyuam
Yog tias koj puas tau kis tus kab mob hauv tsev menyuam, tej zaum cuam tshuam nrog kev nchuav menyuam lossis rho menyuam, nws muaj peev xwm tias cov nqaij caws pliav tsim thiab thaiv ib lossis ob lub hlab ntaws.
Txawm hais tias tsis tshua muaj tshwm sim hauv Tebchaws Meskas, kab mob hauv plab hauv plab kuj tseem tuaj yeem ua rau cov hlab ntaws raug kaw
Kauj Ruam 5. Qhov xwm txheej ntawm cev xeeb tub yav dhau los
Ectopic cev xeeb tub yog cov uas lub qe tau cog cog cog rau hauv qhov chaw tsis raug, feem ntau yog hauv lub raj xa menyuam. Cov cev xeeb tub no tsis tuaj yeem loj hlob mus txog lub sijhawm, thiab thaum lawv tawg lossis raug tshem tawm, lawv tuaj yeem ua rau caws pliav thiab txhaws.
Kauj Ruam 6. Xav txog kev phais yav dhau los
Yog tias koj puas tau phais mob plab, koj txoj kev pheej hmoo ntawm kev tsim cov hlab ntog hauv plab yog siab dua. Kev phais mob ntawm cov hlab ntog hauv plab lawv tus kheej yog qhov tshwj xeeb.
Lub tswv yim
- Paub tias txawm tias tsis muaj dab tsi ua haujlwm los daws koj cov hlab thaiv lossis tsim kom cev xeeb tub, koj tseem muaj kev xaiv. Txiav txim siab saib mus rau kev saws me nyuam los yog kev sawv cev yog tias dhau los ua leej niam yog qhov tseem ceeb rau koj.
- Nco ntsoov tias yog tias koj tsuas muaj ib txoj hlab ntaws nkaus xwb, koj tuaj yeem cev xeeb tub yam tsis muaj kev kho mob hlo li. Txawm hais tias koj yuav tsum tau nrhiav kev kho lossis tsis yog li ntawd nyob ntawm qhov ua rau txhaws thiab kev noj qab haus huv ntawm koj lwm cov kabmob hauv lub cev. Tham nrog koj tus kws kho mob txog koj cov kev xaiv.
- Kev tsis muaj menyuam tuaj yeem ua rau muaj kev ntxhov siab thiab ntxhov siab heev, thiab nws yog qhov tseem ceeb los daws koj cov kev xav. Xav txog kev mus ntsib kws kho mob lossis koom nrog pab pawg yog tias koj xav tias nyuaj siab, thiab sim ua kom muaj kev noj qab haus huv ib txwm muaj: noj zaub mov zoo, ua haujlwm ib txwm muaj, thiab pw ntau.
