Muaj tsis taus txiv neej thiab poj niam thiab IVF rau ntshav qab zib

Tus txiv neej thiab poj niam uas mob ntshav qab zib feem ntau txom nyem ntxiv lawm tshob vim yog qhov muaj qhov tsis taus, vim tias keeb kwm yav dhau los hloov hauv lub cev. Cov hlab ntsha thiab cov hlab ntsha leeg tau cuam tshuam. Nrog rau kev dhau los ntawm cov piam thaj hauv cov txiv neej, cov phev DNA yog qhov ua tsis tau, thiab kev muaj peev xwm ntawm kev ua me nyuam ntawm cov qib molecular yuav ploj mus.

Tus txiv neej deev tau muaj cov sib txuas uas yog cov khoom kawg ntawm glycation ntau dhau. Thaum cov khoom no tsim los vim yog cov ntshav qab zib tsis txaus, cov phev DNA raug puas tsuaj thiab cov kab ke hauv lub cev muaj teeb meem. Nws kuj tseem cuam tshuam rau lub hnub nyoog thiab txoj kev ua neej ntawm tus txiv neej.

Nrog cov phev tsis zoo, qhov tsis zoo ntawm lub embryo tseem yuav tsawg. Hauv cov poj niam uas mob ntshav qab zib, kev nchuav me nyuam tshwm sim, qhov tsis sib luag ntawm lub embryo rau hauv lub tsev menyuam poob qis, cov kabmob muaj mob nyhav ntau yam, nrog rau cov kabmob oncological, feem ntau tshwm sim, qe loj hlob thiab lub cev xeeb menyuam tau cuam tshuam.

Kev mob ntshav qab zib hauv ntshav qab zib tsis yog kab lus

Qhov tseeb ntawm cov txiv neej muaj roj hauv ntshav qab zib

Ib tug txiv neej tuaj yeem ua rau mob ntxiv vim yog vim li cas yam hauv qab no:

Vasculogenic erectile kawg. Nrog cov ntshav qab zib, ntshav hloov pauv kev sib txuas, cov phab ntsa ntawm cov hlab ntsha ua tau tuab, uas ua rau kev ua txhaum ntawm cov ntshav mus rau chaw mos vim muaj microcirculation tsawg thiab txhaws cov hlab ntsha nrog atherosclerotic plaques. Hauv qhov no, kev txhim kho erection cuam tshuam, impotence tsim kho, uas ua rau kev sib deev tsis taus. Qhov no dhau los ua qhov tseem ceeb ntawm ntxiv cov menyuam yaus.
Retrograde ejaculationCov. Kev ua txhaum ntawm kev muaj siab ntawm lub vas deferens thiab lub zais zis tshwm sim nrog kev puas tsuaj rau peripheral qab haus huv hauv cov ntshav qab zib. Thiab nrog lub suab yau yau, qhov tso zis tso zis tsis tuaj yeem nkag mus hauv tus poj niam lub paum vim yog qhov nws tso tawm rau hauv lub zais zis.
Phev paug tsis zooCov. Qhov muaj tawg DNA nyob rau hauv cov phev ua rau lawv tsis tsim nyog rau kev ua kom lub qe. Cov phev tsis zoo muaj qhov qis dua nrog testosterone ntau ntau (hypogonadism). Xws li yog qhov ntxim nyiam ntawm kev xeeb tub.

Symptomatology

Kev sib txuas ntawm cov ntshav qab zib thiab txiv neej ntxiv muaj tau muaj pov thawj, yog li ntawd, nrog kev pib mob ntshav qab zib, cov tsos mob hauv qab no tsis tuaj yeem tsis quav ntsej:

nqhis dej heev, lub qhov ncauj qhuav
kev tshaib kev nqhis thiab tsis muaj qab los ntxiv,
nquag tso zis heev, tshwj xeeb tshaj yog thaum tsaus ntuj,
muaj qhov khaus nyob ntawm qhov chaw mos,
cov tsos ntawm kev sib deev, nrog rau txo qis potency,
ejection ntawm ib qho me me ntawm ejaculate.

Hauv tus txiv neej insulin-tiv thaiv, keeb kwm yav dhau los yuav txawv txav (tsis zoo), thiab muaj peev xwm xeeb tub hauv plab. Yog hais tias txawm tias ib qho hormone tsis khov, tom qab ntawd ua haujlwm ntawm tag nrho cov tshuaj hormones yuav cuam tshuam.

Nws paub tias nrog kev tswj hwm tsis tu ncua ntawm cov tshuaj insulin, kev tsim cov testosterone, uas yog lub luag haujlwm rau qhov zoo ntawm kev yug me nyuam los ntawm cov phev cell ntawm lub qe, tsawg zuj zus, txij li ntawm spermatogenesis, i.e. kev tsim thiab ib txwm loj zuj zus ntawm spermatozoa, worsens.

Muaj menyuam tsis taus, cov txiv neej mob ntshav qab zib raug kho nrog ntau txoj kev ua pov thawj, nrog rau IVF + ICSI. Thaum lub sij hawm sib txawv txoj kev kho (nrog azoospermia vim yog retrograde ejaculation), cov kab mob hlwb tau los ntawm cov zis. Tus embryologist xaiv cov phev uas muaj cov yam ntxwv zoo tshaj plaws thiab qhia nws mus rau hauv poj niam lub qe.

Thaum xaiv cov kev kho pathogenetic, kev soj ntsuam tag nrho yog thawj zaug ua. Tus andrologist pom tawm qhov ua rau, tom qab ntawd xaiv ib qho kev kho mob.

Li qub thiab puas cov phev txav

Cov kev kho mob tseem ceeb rau txiv neej ntxiv ntshav qab zib yog muab rau hauv lub rooj 1:

Vim li cas	Yuav Siv Txoj Kev
Kev Kho Mob	Kev Muaj Chiv
Ideopathic ntxiv lawm tshob (tsis paub tias yog vim li cas)	Cov haujlwm ua haujlwm micurgical, laparoscopy.	ECO / ICSI, IISM, IISD Hauv vitro fertilization (IVF) sab nraum lub cev
Endocrine ntxiv lawm tshob	Kev txuag tshwj xeeb nyob ntawm seb qib ntawm hormonal tsis txaus.	ECO / ICSI, IISM lossis IISD ICSI Txujci
Kev Txhaj Tshuaj Tsis Muaj Mob	Kev txuag ua kom zoo, phev muaj peev xwm.	IISM, ECO / ICSI. Kev Tso Dag Dag Rau Kev Kho Mob - AI (SM lossis DM)
Varicocele leeg hlab ntsha testis thiab phev qaum	Cov haujlwm ua haujlwm micurgical, laparoscopy.	IVF / ICSI lossis IMSM Varicocele
Kis tau cov kab mob	Lub pathogen yog cais thiab ib tug txheej txheem kev kho mob yog kws kho.	Tom qab kev kho mob, ob leeg koom nrog ua IMSM, lossis / thiab IVF / ICSI Cov kab mob ua rau ua rau PPP kis mob
Kev mob ntawm sab nraud thiab sab hauv qhov chaw mos	Cov tshuaj tua kab mob, zaws, kho lub cev, kho mob suab paj nruag, acupuncture.	Xwb, IISM lossis IVF / ICSI tom qab kev kho mob Orchoepididymitis rau tus txiv neej
Kev sib deev thiab / lossis ejaculatory kawg	Cov tshuaj kho mob, kho lub cev, phais mob, phais me me rau phev	ECO / ICSI Cov lus nug txog ntshav qab zib: potency, erection, libido thiab masturbation) Anejaculation thiab anorgasmia hauv ntshav qab zib)

Cov lus rau lub rooj:

ICSI (ICSI) - kev qhia txog cov phev zoo los ntawm kev txhaj tshuaj rau hauv cytoplasm ntawm lub qe. Thaum lub sij hawm tus txheej txheem, siv tshuab micromanipulators tshwj xeeb thiab lub tshuab tsom tsom.
IISM yog ib txoj hauv kev ntawm kev zes ntxias nrog tus txiv cov phev.
IISD yog ib txoj kev ntawm cov tshuaj pleev kom muaj zog nrog cov phev pub.
Cov kab mob phev hauv lub cev tiv thaiv kab mob tiv thaiv tsis tau cov ntshav qab zib yog qhov hloov pauv biochemical thiab ua haujlwm zoo hauv cov phev tom qab kis los ntawm tus pojniam ntawm qhov chaw mos, tshwj xeeb tshaj yog progesterone. Thaum mus txog thiab ncig lub qe nrog cov phev ntau heev, lawv tig nws nrog lawv tus flagella mus txog 12 teev. Kev sib hloov ceev - 4 tag nrho revolutions / min. Thaum lub qe thiab cov phev nkag los rau hauv qhov sib kis, AR - qhov tshuaj tiv thaiv acrosomal yuav tshwm sim, uas yog, cov enzymes tshwj xeeb yuav raug tso tawm tom qab cov phev txuas rau hauv daim nyias nyias ntawm lub qe. Tom qab ntawd, nrog ib daim ntawv zoo nkauj (lub npuas ua npuas ntawm lub taub hau phev), nws yuav sib koom ua ke nrog daim nyias nyias ntawm lub qe.

Hauv cov txiv neej, kev txawv txav ntawm cov kab mob genitourinary tuaj yeem yog mob plab yug, ces nws tsis tuaj yeem ua yam tsis muaj kev phais mob. Nyob rau hauv lub xub ntiag azoospermia (qhov tsis muaj phev nyob rau hauv lub cev tso tawm), tom qab kev tshawb nrhiav keeb kwm thiab kev kuaj mob me me ntawm cov noob qes thiab kuaj ntxiv, lawv sim muab cov tshuaj spermatozoa rau IMSM, IVF / ICSI. Yog tias nws tsis tuaj yeem ua kom tau phev, siv IISD.

Kev kho kab mob deev txiv neej yuav tshem tawm qhov mob ntxiv lawm tshob

Nrog rau kev txhim kho hypogonadotropic hypogonadism nyob rau hauv cov ntshav qab zib, Luliberin (GnRH), Menogon, Humegon, Chorionic Gonadotropin (hMG, hCG), FSH analogues yog tshuaj: Metrodin, Gonal-F.

Qhov xav pom tshwm sim thaum siv kev txuag kev saib xyuas ntawm tus kab mob no tsis tshwm sim tas li. Nrog concomitant hypogonadism, cryptorchidism yog Kws kho mob Cev Xeeb Tub, Chorionic gonadotropin, Profazi.

Cov tshuaj kho rau hypogonadotropic hypogonadism Cov tshuaj Profazi raws li tib neeg chorionic gonadotropin

Nrog rau hypogonadotropic / normogonadotropic hypogonadism thiab oligozoospermia, cov tshuaj tiv thaiv kab mob xav tau kev kho mob: Klostilbegit lossis Klomifen thiab Tamoxifen + cov tshuaj uas siv rau hauv kev kho mob. Yog tias hyperprolactinemia (qib siab ntawm prolactin hormone hauv cov ntshav) raug kuaj, kev kho yog nqa los ntawm dopamine receptor agonists: Bromkriptinom, Dostineksom, Noprolakom.

Cabergoline-raws li Dostinex ntsiav tshuaj

Tshuaj ntsuab rau txiv neej ntxiv lawm tshob

Cuag nplej

Yog tias cov phev qog ntshav tau qhia phev me me thiab qhov phev me me kom ua haujlwm, koj yuav tsum txhawm rau txhauv, zuaj nws hauv rab (los yog dhau ntawm cov nqaij zom) thiab sib xyaw gruel nrog zib ntab (1: 1). Noj cov khoom sib tov ib nrab ib teev ua ntej noj mov, 2 tbsp. l tsis pub dhau 1-2 hlis. Txij li sijhawm puag thaum ub, cov neeg kho mob hauv zej zog tau pom zoo haus cov kua txiv quince thaum hmo ntuj, 100 ml txhua, pib thaum lub hli hluas ua ntej lub hli puv.

Yog hais tias cov phevatozoa tsis meej kiag li, koj yuav tsum haus dej haus kom yaj los ntawm cov noob ntawm plantain thiab da dej nrog dej kub txog + 37 ° C, ntxiv rau nws txoj kev lis ntshav ntawm cov hauv paus hniav thiab nplooj ntawm plantain: 50 g yuav xav tau 1 liv ntawm cov dej npau npau. Hais lus 40 feeb thiab da dej li 25 feeb nyob rau lub caij nplooj zeeg-caij ntuj no.

Chav Kawm - 15 cov txheej txheem. Cov pob zeb ntawm lub pob ntoo (3-4 tbsp. L.) Los ntawm cov dej npau npau (0.5 l) hauv ib lub thermos thiab hais kom 4 teev. Noj 30 feeb ua ntej noj ib nrab khob 4 zaug.

Cov kua txiv niam thiab zaub ntug hauv paus rau cov sib tov

Yog tias kuaj pom tus kab mob hypoleriemia (cov phev qis-zoo) thiab kev sib deev tau txo qis rau cov keeb kwm yav dhau los ntawm ntshav qab zib, nws yuav tsum haus cov kua mummy (0.2-0.3 g) rau 25-28 hnub. Nws yog bred hauv kua txiv carrot, hiav txwv buckthorn lossis blueberry (1:20). Lawv haus thaum sawv ntxov nyob rau ntawm lub plab khoob thiab thaum tsaus ntuj. Koj tuaj yeem ntxiv lub qe qe rau cov sib tov no.

Tshuaj yej sawv yog qhov muaj txiaj ntsig tshaj ntawm cov vitamin E

Txhawm rau nce spermatogenesis thiab txhawb kev ua haujlwm ntawm zes qe menyuam, nws yog ib qhov tsim nyog los haus tshuaj yej los ntawm ib lub rose: dawb lossis paj yeeb, nrog rau los ntawm paj noob hlis (1 tbsp ntawm cov nyom ib 1 tbsp ntawm cov dej npau, tawm rau 2 teev nyob rau hauv pluab lub tsho thiab tawv).

Ramishia nyom (orthilia lossis lub npua tsev menyuam) yog ib leeg (3 tbsp) tso rau hauv lub thermos thiab muab rhaub nrog dej npau npau (0.5 l), infuse txhua hmo. Hloov cov tshuaj yej tom qab noj mov, haus dej haus 150 ml 3-4 zaug ib hnub. Cov tshuaj yej zoo li no muaj txiaj ntsig rau txiv neej thiab poj niam nrog muaj mob ntxiv tiv thaiv keeb kwm ntawm ntshav qab zib.

Borovia tsev menyuam tseem hu ua ramishia lossis ortilia.

Qhov tseeb ntawm cov poj niam ntxiv lawm tshob ntshav qab zib

Rau cov poj niam uas mob ntshav qab zib, kev tiv thaiv kab mob tsawg dua, yog li lawv muaj kev pheej hmoo kis mob lossis kis mob, nrog rau cov kab mob genitourinary, thiab pathologies ntawm cov qog mammary. Lawv feem ntau mob los ntawm kev coj khaub ncaws, dysmenorrhea, premenstrual syndrome, ncua kev coj khaub ncaws, los ntshav thiab lwm yam kev coj khaub ncaws.

Yog tias tus poj niam lub cev tiv thaiv cov tshuaj insulin, rog dhau, polycystic zes qe menyuam pib, ces qhov no dhau los ua qhov ua rau muaj menyuam yaus. Nrog cov rog nyob rau hauv cov poj niam, ovulation muaj qhov tsis taus, yog li tsis muaj kev noj zaub mov kom lub cev thiab qhov hnyav poob nws yuav nyuaj rau nws xeeb menyuam. Ntxiv rau kev noj haus zoo, koj yuav tsum tau soj ntsuam cov insulin tas li, qib hemoglobin thiab ntshav qab zib kom tswj cov cim no hauv nruab nrab.

Cov poj niam uas muaj lub cev nyhav dhau los, thiab tom qab 35 xyoo, kuj yuav muaj tus mob ntshav qab zib tom qab pib ntawm lub cev xeeb tub, vim tias cov piam thaj tsis ua haujlwm zoo. Daim foos ntshav qab zib no pib tshwm sim rau lub lim tiam 20-27-32 thiab feem ntau ua rau menyuam yaus, polyhydramnios, yug ntxov ntxov thiab yug ntawm cov menyuam loj (hnyav).

Nrog polyhydramnios, tus menyuam lub plab tuaj yeem txhim kho qhov tsis xws luag, tus menyuam tuaj yeem tuag sab hauv lub tsev menyuam tawm tsam keeb kwm yav dhau los ntawm kev mob ntshav qab zib thiab mob hlwb, nrog rau cov loj ntawm cov menyuam hauv plab.

Yog tias ntshav qab zib nce zuj zus, ces cov kev txwv hauv qab no txog kev xeeb tub yog menyuam yaus:

ntshav qab zib microangiopathies: qhov txhab ntawm cov hlab ntsha me hauv cov kabmob sib txawv,
insulin-resistant cov ntaub ntawv ntawm cov ntshav qab zib: kev kho mob insulin tsis coj qhov ua tiav cov txiaj ntsig,
muaj cov ntshav qab zib hauv ob tus txij nkawm, uas yuav kis tus kab mob mus rau tus menyuam los ntawm qub txeeg qub teg,
Rhesus tsis sib haum xeeb hauv kev sib xyaw nrog cov ntshav qab zib: kev puas tsuaj ntawm RBC cov tshuaj tiv thaiv ntawm tus kab mob Rh-positive tshwm sim. Cov tshuaj tua kab mob yog tsim los ntawm lub cev ntawm Rh-negative niam,
nquag mob ntsws rau keeb kwm ntawm ntshav qab zib,
cov menyuam yaus uas muaj kev loj hlob tsis zoo thiab rov yug tus menyuam tuag dua.

Npaj cev xeeb tub rau ntshav qab zib

Yuav kom tshem tawm txoj kev loj hlob ntawm kev muaj menyuam muaj peev xwm nyob rau hauv muaj ntshav qab zib mellitus, kom xeeb tub tau zoo, ua tim thiab muaj menyuam ua ntej npaj kev xeeb tub, koj yuav tsum sab laj nrog kws kho mob-kws kho mob poj niam, tus kws kho mob hlwb, tus kws kho mob nephrologist, neurologist, kws kho plawv thiab kws kho qhov muag thiab tau tshuaj xyuas txhua tus. Mob ntshav qab zib mellitus tuaj yeem ua rau muaj teeb meem thiab lwm txoj kev xav tsis zoo los yog teeb meem uas cuam tshuam rau lub neej ntawm poj niam thiab tus menyuam hauv plab.

Saib xyuas ntshav qabzib thiab tsim kho kom ntshav qab zib ua rau nws muaj peev xwm xeeb tus menyuam hauv plab thiab yug menyuam

Txawm hais tias muaj kev sib cav ntawm cov kws kho mob txog qhov tseeb tias kev xeeb tub tsis sib haum nrog cov ntshav qab zib, ntau tus neeg muaj lub siab ntseeg tias, nrog kev npaj tsim nyog, tus pojniam yuav muaj peev xwm xeeb menyuam thiab yug menyuam.

Ntxiv nrog rau kev tshuaj ntsuam xyuas thiab kev kho mob kom tau txais txiaj ntsig ntshav qab zib tag nrho, cov poj niam soj ntsuam lawv cov ntshav qabzib tas mus li, teeb tsa cov phiaj xwm rau kev tawm dag zog, kev noj zaub mov zoo thiab kev kho tshuaj insulin, thiab kev qhia kev npaj cev xeeb tub hauv tsev kawm ntawv. Cov vis dis aus muaj cov lus qhia txog kev npaj xeeb tub rau cov ntshav qab zib.

Nws yog ib qho tseem ceeb kom paub. Nrog rau kev xeeb tub tsis tau tsim nyog, cov poj niam muaj ntshav qab zib tsis txaus thiab lub cev ntas tsis xwm yeem kawm paub txog kev xeeb tub thaum 2-3 lub hlis. Cov nyiaj them rau mob ntshav qab zib tsis zoo tuaj yeem cuam tshuam tus me nyuam hauv plab. Nws yuav ua rau muaj teeb meem, vim tias ua ntej 7 lub lim tiam tag nrho cov kab mob hauv nruab nrog, lub hauv nruab nrab ntawm cov hlab ntaws, lub pob ntseg hnov lus thiab lub qhov muag tau tsim nyob rau hauv lub cev, txhais ceg nce, lub plawv dhia.

Nrog rau kev nce qib hauv cov piam thaj hauv leej niam cov ntshav, tsis yog tsuas pub ua rau txoj kev loj hlob ntawm tus me nyuam tuaj yeem nyuaj, tab sis cov teeb meem vascular ntshav qab zib tseem nce ntxiv. Ib tug poj niam tuaj yeem mob mob ntshav qab zib retinopathy, raum puas, gestosis nrog ntshav siab, edema, exacerbations ntawm pyelonephritis.

Nws cov protein nrhiav hauv cov zis. Nrog gestosis, dab noj hnub tuaj yeem tshwm sim: kev huam yws mus txog qhov tsis nco qab. Yog li, nws yog ib qho tseem ceeb uas yuav tau soj qab xyuas cov qib suab thaj thiab ua kom nws ib txwm nyob.

Cov ntshav qab zib tswj nrog glucometer

Ua ntej npaj kev xeeb tub, suav nrog IVF, cov poj niam yuav tsum ua lawv cov metabolism hauv plhaws. Qhov no yuav pab kom tsis txhob nchuav menyuam, muaj kev txhim kho hauv plab, txawv txav ntawm qhov tshwm sim hauv niam, suav nrog dab noj haus. Thaum lub sijhawm kuaj xyuas, ntsuas ntawm glycosylated hemoglobin yog qhov tseem ceeb.

Nws qhia txog qhov ua tiav ntawm kev them nyiaj rau cov metabolism carbohydrate ntau dua 2 lub hlis dhau los. Kev kuaj mob ntawm lub raum tau kuaj, ib qho ECG ua, ntshav yuav pub rau kev tshawb xyuas biochemical. Tom qab ntawv, IVF raws tu qauv tau kos yog tias, hauv 1-1.5 xyoo, kev kho tus poj niam ua rau muaj menyuam tsis taus.

Nws yog ib qho tseem ceeb kom paub. Nrog ntshav qab zib hom 1, IVF ua rau tiv thaiv keeb kwm ntawm kev txhaj tshuaj insulin. Siv cov tshuaj insulin luv luv lossis ntev hauv kev siv tshuaj, ua raws li kev noj zaub mov zoo thiab qib ua kom lub cev ua kom muaj txiaj ntsig rau kev noj haus cov metabolism.

Txhawm rau txhim kho tus menyuam kom raug, cov zaub mov yuav tsum muaj hlau, iodine (200 mcg), folic acid (400 mcg) thiab lwm yam vitamins.

Kev tshuaj ntsuam tshwj xeeb

Tus kws kho mob poj niam muab kev kho mob tsim nyog rau kev kuaj mob ntawm cov kab mob ntawm cov genitourinary plab hnyuv siab raum. Tus kws kho qhov muag tau kuaj xyuas cov nyiaj siab thiab, yog tias tsim nyog, ua cov duab laser photocoagulation. Tus kws kho plawv soj ntsuam lub xeev ntawm cov hlab plawv, tshwj xeeb tshaj yog muaj ntshav qab zib, uas kav ntev dua 10 xyoo.

Nws yog ib qho tseem ceeb los soj ntsuam thiab sab laj tus kws kho paj hlwb. Qhov tshwm sim ntau tshaj plaws hauv kev mob ntshav qab zib yog ntshav siab. Yog li, nws yuav tsum tswj hwm los ntawm ntsuas hauv qhov chaw zaum, pw thiab, yog tias xav tau, sawv ntsug.

Hauv chav kuaj, thaum npaj kev cev xeeb tub, lawv kuaj:

urinalysis microalbuminuria,
kev tsom xam dav dav ntawm cov zis thiab raws li Nechiporenko,
kuaj ntshav biochemical rau qhov muaj tag nrho cov roj (cholesterol), bilirubin, tag nrho cov protein, creatinine, triglycerides, ALT, AST,
HbA1c thiab Reberg kev sim,
cov thyroid ultrasound.

Tom qab 2 lub hlis them nyiaj mob ntshav qab zib, cov kws kho mob tshwj xeeb raug tso cai npaj lub cev xeeb tub, suav nrog nqa tawm IVF.

IVF twg twg yog cov twg

Ib qho ntawm theem tseem ceeb ntawm kev pabcuam IVF yog MTR - kev txhawb nqa ntawm superovulation. Thaum nkag mus hauv kev ua raws ntawm MTR qhov kev pab cuam, tus poj niam yog qhov sib txuas ntxiv nrog cov tshuaj.

Lawv ntxias cov hauv paus hauv kev loj hlob hauv ob lub zes qe menyuam los ua qe qe thiab ntau li ntau tau. Ntxiv rau, lwm yam kev ntxias yog ua kom tiav qhov kev yug me nyuam.

ua ovarian puncture,
embryo hloov lwm lub tsev
kev pab thaum ntxov cev xeeb tub noj tshuaj.

Cov ntawv IVF yog:

Ntev. Kev tsim cov gonadotropins los ntawm lub caj pas pituitary yog txhaws, pib txij li 21 hnub ntawm lub voj voog dhau los, nrog txhua hnub subcutaneous txhaj ntawm gonadotropin-tso cov tshuaj hormone agonists. Tsis tas li ntawd, nyob rau 1-3 hnub ntawm kev coj khaub ncaws, poj niam ua txiv ntawm zes qe menyuam kev loj hlob nthuav qhia: LH thiab FSH npaj. Puncture tau nqa tawm hauv 13-15 Hnub ntawm lub voj voog.
Luv. Gonadotropin-tso cov tshuaj hormones agonists raug muab rau hnub 1-2 ntawm lub sijhawm coj khaub ncaws. Qhov txheej txheem luv luv no txawv ntawm qhov ntev. Cov lus qhia ntawm FSH / LH npaj pib hnub tom ntej. Cov txheej txheem no tau sau tseg rau cov poj niam uas muaj ntawm zes qe menyuam cia thiab kev kwv yees teb ntawm zes qe menyuam mus rau kev ua kom mob, thiab yog tias tsis muaj kev pheej hmoo ntawm kev tsim OHSS - mob ntawm zes qe menyuam hyperstimulation.
Nrog kev muaj gonadotropin-tso cov tshuaj tiv thaiv kev tiv thaiv kev tiv thaiv kev tiv thaiv kab mob, tshuaj yog tias cov hauv paus ua ntej nce mus txog 14 hli thiab raws li muaj kev sib zog me ntsis thaum muab tshuaj rau FSH ntawm 4-5 hnub ntawm kev coj khaub ncaws.
Ntuj, i.e. yuav luag tsis tas siv cov tshuaj hormonal rau cov poj niam uas tau contraindicated hauv kev cuam tshuam hormonal. Nrog kev ywj pheej kom loj hlob ntawm lub qe, lawv tsuas yog saib seb lub hauv paus loj hlob zoo li cas. Tom qab ntawv hno txhawm rau nqa tawm ntawm ib qho chaw neeg xwb.
Cryoprotocol siv cryopreserved embryos. Hauv qhov no, kev npaj ntawm lub uterine mucosa yog yuav tsum tau. Yog li hais tias qhov kev cog hniav ntawm embryos tau muaj kev vam meej. Rau qhov no, endometrium tau npaj siv cov neeg sawv cev hormonal. Yog tias ua tau, coj lub ntuj cryoprotocol. Thaum cov hlab ntaws uas nyuam qhuav hlob tuaj, lawv pauv mus rau ntawm lub qhov ncauj ntawm poj niam. Cev xeeb tub tau txais kev txhawb nqa los ntawm cov tshuaj hormones rau lwm 2 hlis.

IVF raws tu qauv piv txwv

Rau txhua tus poj niam, nyob ntawm qhov xwm txheej, tus kws kho mob reproductologist xaiv qhov kev pabcuam tus kheej. Nws yuav siv mus rau hauv tus account cov yam ntxwv ntawm lub cev thiab kev noj qab haus huv ntawm nkawm niam txiv thiab kev paub dhau los nrog IVF kev sim. Qee zaum, cov txheej txheem Japanese, Shanghai, lossis Canadian tus qauv siv.

Lub hlwb ua rau muaj menyuam yaus hauv ntshav qab zib

Muaj menyuam hauv cov ntshav qab zib hauv cov poj niam yog vim cov lus hais qhia hauv hormonal hloov hauv lub cev. Ntxiv nrog rau qhov kev tsis txaus siab ntawm cov dej metabolism, ua pob khaus heev ntawm daim tawv nqaij, cov hlab ntsha puas ntsoog hauv cov menyuam ntxhais, kev hloov zuj zus hauv lub cev ntawm qhov chaw mos. Mob ntshav qab zib kuj tseem yuav ua kom muaj kev pheej hmoo ntawm kev tsim cov kev mob hauv qab no.

Cov kev hloov hauv cov ntaub so ntswg uas tiv thaiv lub qe qe menyuam los txuas rau ntawm endometrium.
Kev mob plab rau me nyuam hauv plab tuag.
Txij Nkawm rho menyuam.
Kev mob hnyav ovulation uas ua rau tus poj niam tsis muaj peev xwm xeeb tub.

Txoj kev loj hlob ntawm kev muaj peev xwm ntxiv nyob rau hauv cov ntshav qab zib tsis-insulin-tiv thaiv ntshav qab zib tau piav qhia los ntawm qhov tseeb tias muaj zog cov tshuaj tiv thaiv insulin nws tus kheej ntau dhau los yog qhov kev tsis txaus siab hormonal. Nws pib txuas cov xov xwm ntawm cov tshuaj tiv thaiv hormonal tsis txaus uas cuam tshuam rau tus poj niam muaj peev xwm muaj menyuam.

Txawm hais tias nws tsis yooj yim cev xeeb tub thaum pib ntawm kev txhim kho mob ntshav qab zib mellitus, nws yog qhov teeb meem kom xeeb menyuam. Rov qab rau hauv 50s, ib lub hlis twg ntawm tag nrho cov cev xeeb tub hauv ntshav qab zib tiav hauv kev nchuav menyuam. Tam sim no, cov qib no tau poob qis rau 2-5% rau cov poj niam muaj ntshav qab zib. Hauv theem phiaj xwm, ib tug poj niam yuav tsum txhawb glycated hemoglobin tsis pub dhau 6.5%.

Ntxiv lawm tshob nyob rau hauv cov ntshav qab zib nyob rau hauv cov txiv neej yog provoked los ntawm cov yam.

Kev ua txhaum ntawm cov rog metabolism, atherosclerosis. Kev tso tawm ntawm cov roj av plaques ntawm cov phab ntsa ntawm cov hlab ntsha ua rau muaj kev puas tsuaj rau hauv cov ntshav ntawm cov noob qes, txo qis ntawm cov phev thiab cov qib ntawm cov tshuaj hormones testosterone.
Vasculogenous kawg. Mob ntshav qab zib mellitus ua rau muaj kev hloov pauv hauv cov ntshav coagulation, uas ua rau muaj kev cuam tshuam ntawm cov txheej txheem microcirculation. Nrog kev ua txhaum ntawm kev ua kom tau erection, kev sib daj sib deev ua tsis tiav.
Kev puas tsuaj rau peripheral qab haus huv. Tus txheej txheem no ua rau cov sib pauv retrograde ejaculation, thaum cov noob tsis mus sab nraud, tab sis kis mus rau lub zais zis.
Muaj kev cuam tshuam tsis zoo nyob rau hauv cov dej ua kua seminal. Hypogonadism pab txhawb rau qhov txheej txheem no. Hauv cov txiv neej mob ntshav qab zib, cov naj npawb ntawm cov phev noj qab nyob zoo lub hlwb raug txo kom tsawg.

Kev kuaj ntshav yuav pab txiav txim qhov tseeb ua rau txiv neej muaj menyuam. Yog tias xav tias cov tshuaj insulin tsis kam, qhov kev kuaj ntshav insulin qhia tau.

Nws yog ib qho tseem ceeb kom nkag siab tias insulin yog qhov keeb kwm nyob rau hauv lub cev ntawm txhua tus neeg. Cov neeg mob ntshav qab zib muaj qee cov tshuaj tiv thaiv nws. Tawm tsam cov keeb kwm yav dhau los no, ntau yam tshuaj hormonal tshwm sim hauv tus neeg mob lub cev.

SD ua kom muaj PCOS.

Saib xyuas! Cov keeb kwm keeb kwm keeb kwm ntawm neeg los cuam tshuam rau lub cev hloov. Kev ua txhaum thiab qhov txawv ntawm qhov ntsuas ntawm ib qho ntawm cov yeeb tshuaj ua rau qhov tsis txaus ntseeg.

Qhov tsis muaj peev xwm ua kom cev xeeb tub ua rau muaj qhov tshwm sim ntau ntxiv ntawm cov kev ntxhov siab ntxhov siab, nce ntxiv kev npau taws, lossis kev nyuaj siab. Muaj kev kub ntxhov ntxiv ntawm qhov teeb meem ntxiv lawm tshob ua rau muaj kev tsis sib haum xeeb nyob rau hauv ob peb, uas zuj zus kev sib raug zoo ntawm tus txij nkawm thiab qhov zoo ntawm lub neej kev sib deev.

Cov teeb meem nyuaj dua yog tias tus txiv neej muaj qhov tsis muaj zog erection thiab cov cim ntawm impotence. Txhawm rau tshem tawm cov teeb meem, nws pom zoo kom ua tiav kev kho mob ntawm impotence hauv ntshav qab zib mellitus hom 2 lossis hom 1. Kev ntxhov siab hauv tsev neeg lub neej ua rau ob qho tib si ib qho tsis ruaj khov ntawm cov ntshav qab zib mellitus thiab hormonal tsis txaus, uas txuas ntxiv ua rau muaj kev tsis zoo.

Hauv cov xwm txheej zoo li no, nws raug pom zoo, ntxiv rau txoj kev kho uas tau kho rau kev kho ntshav qab zib, kom yauv mus rau kev kho mob hlwb. Rov qab ua kom lub cev pw tsaug zog zoo, noj zaub mov zoo, so kom txaus thiab muaj lub luag haujlwm zoo hauv tsev neeg tuaj yeem tsis muaj qhov tseem ceeb rau rov qab los pw ua ke thiab kev xeeb tub ntawm menyuam dua li cov tshuaj.

Therologist los ntawm cov yeeb yaj kiab hauv tsab xov xwm no yuav tham txog cov nyhuv ntawm ntshav qab zib ntawm kev ua haujlwm.

Cov hauv paus ntsiab lus ntawm kev kho

Kev kho mob ntxiv lawm tshob rau ntshav qab zib yuav tsum tau saib xyuas los ntawm ib tus kws tshaj lij.

Cov lus qhia rau cov kev rov ua kom xeeb tub mus raws li tau hais hauv qab no:

tswj kev tswj lub cev qhov hnyav, ib pawg ntawm cov phaus ntxiv thaum lub sijhawm kev kho mob tsis tuaj yeem lees txais,
kev soj ntsuam kev noj zaub mov kom tsis tu ncua, tswj hwm cov zaub mov noj txhua hnub, suav cov khob cij, cov ntshav qab zib thiab cov ntshav qab zib yuav tsum tsis pub,
tswj thiab ua tib zoo xaiv ntawm kev muab koob tshuaj insulin,
tswj hemoglobin concentration hauv cov ntshav.

Qhov zoo tshaj plaws rau kev kho mob ntshav qab zib tau xaiv ib tus zuj zus rau txhua tus neeg mob, nyob ntawm qhov xav tau ntawm lub cev. Tsis txhob noj tshuaj rau yus tus kheej, thiab sim xaiv cov tshuaj zoo tshaj plaws ntawm insulin koj tus kheej - koj yuav tsum tsis txhob. Kev ua zoo li no tuaj yeem tsim kev puas tsuaj rau tus neeg mob.

Qhov laj thawj rau qhov xwm txheej hauv tsev neeg.

Daim vis dis aus hauv tsab xov xwm no yuav qhia cov neeg nyeem txog yam ntxwv ntawm kev kho.

Cov txiaj ntsig zoo ntawm kev kho kom zoo yog txiav txim siab ntiag tug tom qab kuaj xyuas tus neeg mob thiab tau txais cov ntaub ntawv kuaj. Ob tus kws tshaj lij, kws kho mob poj niam thiab kws kho mob endocrinologist, yuav tsum koom nrog kev kho mob ntxiv lawm tshob hauv ntshav qab zib.

Cov kev pom zoo kev kho mob tuaj yeem nthuav tawm raws li hauv qab no:

tshuaj insulin
txais tos ntawm immunomodulators,
siv tshuaj kho, cov kev tawm tsam ntawm uas txiav txim siab ntiag tug,
kev siv lub cev
kev kho qhov mob tsom rau kev kho kom rov qab zoo li qub.

Lub ntsiab lus ntawm txheej txheem IVF

Lub qe yog qhov chaw yug nrog cov phev nyob sab nraud lub cev ntawm tus poj niam thiab tom qab ntawd cov embryo uas tsim tau pauv mus rau lub tsev menyuam. Nrog kev cog lus vam meej thiab kev txhim kho ntxiv ntawm lub cev, tus menyuam yug los yuav tsis txawv ntawm kev loj hlob los ntawm menyuam yaus xeeb menyuam hauv txheej txheem sib deev ib txwm muaj.

Ntawm cov ntshav qab zib, nws tsis yog contraindicated ua IVF, thiab nyob rau hauv cov ntshav qab zib decompensated, nws raug pom zoo tias nws yuav tsum tau nqa tawm, txij li nws tuaj yeem cuam tshuam lub peev xwm cev xeeb tub nrog kev sib deev ib txwm tsis muaj kev xeeb tub rau 1-1.5 xyoo lossis ntau dua. Tau kawg, koj yuav tsum txheeb xyuas qhov ua rau muaj kev ua tsis taus haujlwm ntxiv.

Yog tias tus poj niam muaj qhov teeb meem ntawm txoj hlab qe menyuam los yog lawv tuaj yeem tsis tuaj yeem, yog tias tus txiv neej tsis tshua muaj menyuam, muaj kev tiv thaiv kab mob: muaj cov tshuaj tiv thaiv rau cov qe phev, tom qab ntawd siv cov cuab yeej siv me nyuam. Hauv qhov no, nws yog ib qhov tsim nyog los tswj cov qib ntawm cov piam thaj hauv cov ntshav thiab glycated hemoglobin.

Cov txheej txheem IVF

Yog li hais tias cov txij nkawm muaj txoj hauv kev xeeb tub hauv menyuam yaus siv IVF thiab yug menyuam hauv lub cev muaj kev noj qab haus huv, lawv tau ua tib zoo kuaj thiab tshuaj kho cov tshuaj tua kabmob. Thaum txhawb lub zes qe menyuam nrog cov tshuaj hormones, ob peb lub qe paub tab.

Cov theem ntawm kev txhawb nqa ntawm superovulation yog tswj los ntawm ultrasound. Nws yog ib qho tseem ceeb kom noj cov qe ua ntej lawv tawm lub zes qe menyuam (tsis yog nyuam qhuav pib thiab tom qab tsis tau). Hauv qhov chaw sab nraud, lawv tau muab tshem tawm nrog cannula, uas tau muab tso rau hauv qhov chaw mos nyob rau hauv kev tswj hwm ultrasound thiab coj mus.

Cov kauj ruam tom ntej yog kom tau txais lub cev muaj zog thiab muaj peev xwm cov phev los ntawm ejaculate, testis lossis epididymis. Tom qab ntawd muab ib lub qe thiab cov phev - txog 100,000 pcs. Tab sis tsuas yog ib tus nkag mus rau sab hauv lub qe, lwm tus yuav tsis tuaj yeem yug tus xov tooj ntawm tes vim qhov tshwm sim ntawm qhov kev tiv thaiv tiv thaiv.

Kev Tswj ntawm Loj Hlob Qe

Ntawm cov theem tom ntej, cov kws tshwj xeeb soj ntsuam kev loj hlob ntawm lub qe qe, thiab thaum lub embryo yog tsim tom qab 3-4 hnub, cov embryo lossis ob peb lub embryos (txog 3) yog hloov mus rau lub tsev menyuam nrog lub raj mis tshwj xeeb. Nws qhia txog ntawm lub paum thiab lub ncauj tsev menyuam mus rau hauv lub tsev menyuam kab noj hniav.

Kev kuaj cev xeeb tub yog nqa tawm 14 hnub tom qab hloov mus rau hauv embryo: qib ntawm tib neeg chorionic gonadotropin (hCG) tau txiav txim siab. Qhov ntsuas tsis raug ntawm cov tshuaj hormones hauv cov ntshav (1000-2000 mU / ml) paub meej tias cev xeeb tub, uas tseem tuaj yeem lees paub ultrasound yog tias muaj qe lub qe hauv plab hauv tsev menyuam ntawm 21-22 hnub tom qab hloov pauv.

Hloov chaw ntawm lub embryo mus rau hauv lub tsev menyuam kab noj hniav

Tom qab qhov txheej txheem xa cov pob txha caj qaum mus rau hauv lub tsev me nyuam, tus poj niam nyob hauv txaj 30-60 feeb, tom qab ntawd nws raug tso cai tawm hauv lub tsev faib khoom. Nws raug pom zoo tias ib tus ntawm nws cov neeg txheeb ze nrog nws thiab nqa nws lub tsheb mus hauv tsev.

Hauv tsev, poj niam yuav tsum ua raws li cov cai hauv qab no:

saib kev pw lub txaj - 1-2 hnub,
tsis suav nrog kev tawm tsam lub cev thiab hlwb-kev xav,
kev tawm rooj sab nraud yuav tsum nyob ntsiag to thiab luv,
tsis txhob khoov hnyav thiab tsis nyom nyom,
Tsis txhob muab tshuaj txhuam lossis overcool,
tsis txhob sib deev

Cov FAQ

Nyob zoo. Yuav kho tus mob ntxiv lawm tom qab rho me nyuam hauv ntshav qab zib li cas?

kev kho tshuaj hormone los kho cov keeb kwm keeb kwm yav dhau los hauv ntshav qab zib, txhawm rau lub cev ntas thiab ua haujlwm ntawm endocrine plab hnyuv siab raum,
cov tshuaj tua kab mob, lwm cov tshuaj kho mob los ntawm tus kws kho mob, kho lub cev rau kev kho mob ntawm cov kab mob genitourinary tom qab rho me nyuam tawm,
kev phais mob thiab kev kho kom zoo rau endometritis, mob qog, nti, txhaws ntawm txoj hlab qe ntshav, polycystic ovary syndrome,
suturing ntawm lub caj dab uterine kom nws cais nws qhib,
pab txhawb kev tsim ua tub ntxhais yees: IVF / ICSI, kev ua kom cev xeeb tub.
Nws yog ib qho tseem ceeb kom paub. Tom qab kev rho menyuam tawm, ua rau mob lossis ua kom mob siab rau ntawm cov kab mob ntawm txoj hlab ntsha hauv nruab nrog cev tuaj yeem tshwm sim, uas ua rau nchuav menyuam thaum lub sijhawm cev xeeb tub tom ntej, qhov chaw tsis meej thiab sib cais ntawm tus poj niam - qhov chaw menyuam yaus thiab nws qhov kev ua kom puas, ua kom puas ntawm daim nyias nyias. Txhua yam no xav tau kev kho mob ntev thiab hnyav ua ntej npaj koj lub cev xeeb tub tom ntej.

Kev rho menyuam tawm nrog xaus thiab o

Nyob zoo. Yog tias muaj kev rho me me, vim li cas kuv thiaj tsis tuaj yeem xeeb menyuam tau ntev?

Tus me nyuam tau nqus los ntawm lub tshuab nqus tsev, tab sis ib qho me me ntawm nws kuj yuav nyob hauv cov kab noj hniav hauv lub cev. Tom qab ntawd cov kab mob pib, thiab cov ntshav nrog tshuaj lom toxins uas zais cov nqaij necrotic. Tib lub sijhawm, nrog txoj kev rho me nyuam tawm kom meej, ib qho kev tsis txaus tshuaj hormonal tshwm sim, ua rau mob ntshav qab zib ntau dua.

Raws li qhov tshwm sim, kev muaj peev xwm txo tsawg dua thaum muaj kev tsis zoo hauv kev ua haujlwm ntawm txhua yam muaj sia. Kev sojntsuam ntawm cov cuab yeej siv feem ntau ua rau phab ntsa ntawm lub tsev menyuam, uas ua rau muaj qhov tsim ntawm nti thiab cov nplaum, qhov tshwm sim ntawm endometriosis thiab o. Pib los ntawm kev tshuaj xyuas thiab kho mob ntawm lub cev.

Nqus mini-rho menyuam ua rau ntxiv lawm tshob

Nyob zoo. Kev rho menyuam hauv tsev kho mob yog suav tias muaj kev nyab xeeb tshaj plaws rau ntshav qab zib, tab sis kuv tau los ntshav, thiab tam sim no kuv tsis tuaj yeem xeeb tub tau ntev. Vim li cas?

Mifepristone tshuaj rau rho menyuam

Nyob zoo. Nrog kev rho menyuam, los ntshav yuav pib. Txawm tias muaj kev kho mob kho mob thaum cev xeeb tub, yog tias ib daig ntawm cov me nyuam hauv plab nyob. Tom qab ntawd kev tu yog qhov tsim nyog - kev phais mob.

Mifegin, Mifolian, Mifeprex lossis Pencrofton feem ntau yog siv. Cov tshuaj steroids hluavtaws, antiprogestogens thaiv qhov kev txiav txim ntawm poj niam txiv neej hormone progesterone thiab nce kev cog lus ntawm lub tsev me nyuam. Tom qab ntawd kev rho tus kheej tshwm sim nrog kev tso tawm lub qe. Ib qho me me ntawm cov me nyuam hauv plab ua rau muaj kev o, thiab nrog kev kis tus kab mob, mob plab hnyuv tuaj yeem tuaj yeem loj hlob, uas xaus nrog tu siab heev.

Yog tias kev fab tshuaj rau cov tshuaj tshwm sim, tom qab ntawd tus kheej rho menyuam tawm yuav tsis tshwm sim, thiab cov menyuam yaus yug tau tuaj yeem muaj qhov ua tsis zoo. Peb xav kom koj tau kuaj mob thiab tau txais kev kho mob uas tsim nyog, nrog rau kev saib xyuas cov ntshav qab zib muaj xwm txheej.

Nyob zoo. Txhawm rau zam kom tsis txhob muaj teeb meem tom qab rho me nyuam tawm, kuv yuav ua li cas?

Nyob zoo. Yuav pib nrog, kev tshuaj xyuas ntawm cov xwm txheej ntawm cov kabmob genitourinary los ntawm tus kws kho mob poj niam. Tej zaum koj tus kws kho mob yuav sau cov tshuaj hormonal los tiv thaiv endocrine cuam tshuam thiab o. Tom qab rho me nyuam tawm, tsis txhob overcool thiab tsis overheat: tsis txhob mus saunas thiab pas dej, tsis txhob da dej kub los yog da dej hauv qhib dej rau 15-20 hnub.

Tsis txhob haus luam yeeb lossis haus dej cawv. Saib xyuas lub cev qhov kub, qhov hnyav, thiab kev tso tawm ntawm lub paum. Yog tias qhov kub thiab tawm mus, tuaj ntsib kws kho mob tam sim ntawd. Tsis txhob sib deev nyob rau hauv ib hlis, tom qab ntawd siv tshuaj tiv thaiv hauv zos.

Nyob zoo. Dab tsi yog thawj thiab ntxiv lawm tshob? Nws puas tuaj yeem mob ntshav qab zib?

Nyob zoo. Yog tias kev muaj me nyuam yuav raug ua txhaum thiab tsis muaj menyuam hauv plab, qhov no yog qhov ntxiv lawm tshob ntawm qib 1.

lub qau txhim kho los yog lawv feem ntau tsis meej: tsis muaj lub zes qe menyuam lossis lawv tsis muaj kev loj hlob, pathological fallopian leeg,
teeb meem tshwm sim thaum muaj kev sib deev vim yog qhov qog ntawm lub tsev me nyuam thiab lub ncauj tsev menyuam,
ovulation ntxhov siab vim kev cuam tshuam los ntawm cov tshuaj hormones,
muaj cov kabmob uas kis los ntawm kev sib deev,
cov kab mob ntawm chaw mos tshwm sim: polyps ntawm lub ncauj tsev menyuam, uterine fibroids, ncauj tsev menyuam pob txha, endometriosis,
pathologies tshwm sim hauv kev ua haujlwm ntawm lub nruab zog: tshuaj tiv thaiv kab mob rau cov phev raug tsim tawm,
conception tsis tshwm sim hauv qe qe: lawv dhau los tsis tuaj yeem vim kev txawv txav hauv cov qauv ntawm cov qauv qoos.

Nrog kev muaj peev xwm ntawm qib 1 degree, IVF + ICSI tuaj yeem siv tau. Cov ua rau ntxiv lawm tshob ntawm qeb 2 yuav yog:

rho menyuam tawm thiab nchuav menyuam, yug me nyuam nyuaj, cev xeeb tub ectopic,
polycystic thiab ntawm zes qe menyuam muaj kev cuam tshuam, uterine fibroids,
endometriosis qhov chaw mos thiab sab nraud,
thaum ntxov lawm
malfunctioning cov tshuaj hormones,
cov kab mob gynecological, cov mob sib kis thiab cov thyroid,
Kev noj tsis txaus, tshwj xeeb tshaj yog muaj ntshav qab zib, rog rog,
ntse poob ceeb thawj vim kev noj haus tsis tu ncua rau ntshav qab zib,
kev ntxhov siab hauv lub siab, kev ntxhov siab thiab kev mob nkees ntev.

Nyob zoo. Koj tuaj yeem muab cov lus qhia dab tsi rau hauv kev kho tus txiv neej ntxiv lawm?

Cov cwj pwm tsis zoo hauv cov ntshav qab zib thiab rog dhau cuam tshuam testosterone synthesis

Nyob zoo. Sim ua kom muaj kev sib deev tsawg kawg ib zaug txhua 3-4 hnub. Txiav kev haus luam yeeb - nicotine nce oxidative kev nyuaj siab thiab ua rau ROS ntau dhau. Cov dej cawv ua rau hypogonadism thiab subfertility.

Kev ntxhov siab txo testosterone thiab phev suav hauv qhov ejaculate. Ua luam dej cov pob tw yuav tsum tau hloov nrog lub ntsej muag xoob ntau dua kom cov noob qes tsis txhob sov dhau thiab ua kom cov leeg phev tsis sib haum. Koj yuav tsum tsis txhob mus xyuas chaw da dej kub, chav sov, chav dej thiab da dej kub. Kev qoj ib ce yuav tsum raug txo qis.

Khoom noj khoom haus rau ntshav qab zib yuav tsum muaj kuab, nws yuav tsum tsis txhob nce lub cev hnyav. Tshaj dhau qhov hnyav pab ua rau qhov kev hloov pauv ntawm qhov tseeb ntawm testosterone rau estrogen. Thiab leptin - cov roj ntsha ntawm cov rog tuaj yeem ua ke nrog cov tshuaj hormones testosterone thiab LH.

Nyob zoo. Cov kab mob dab tsi tuaj yeem ua rau muaj kev cuam tshuam tiv thaiv tus mob ntshav qab zib mellitus? Ua tsaug rau koj

Ntxiv lawm tshob muaj peev xwm tshwm sim nrog rau cov yam:

tshuaj tiv thaiv kev ua haujlwm tsis zoo,
kev tsis zoo ntawm lub cev ntawm txoj hlab raum: cryptorchidism, monorchism, hypospadias, epispadias - ib feem los yog ua tiav ntawm cov phab ntsa sab nraud ntawm urethra, thiab lwm yam.
cov kab mob tiv thaiv: mob ntshav qab zib, thiab tiv thaiv nws cov keeb kwm yav dhau los ntawm tuberculosis, mob ntshav siab ntawm daim siab, mob raum tsis ua haujlwm, mob qog + orchitis,
tom qab kev phais mob uas tshem tawm txoj hnyuv pob txha caj qaum, hydrocele, urethral nruj thiab zais zis,
hauv kev kho kev kho mob: hluav taws xob, tshuaj tua kab mob thiab tshuaj tua kab mob, kev siv tshuaj tiv thaiv kab mob thiab tshuaj tua kab mob, tshuaj, thiab lwm yam,
kev sib deev thiab ejaculatory cuam tshuam, obstructive azoospermia, necrosoospermia,
cov ntaub ntawv endocrine: hyper-normo- thiab gonadotropic hypogonadism, hyperprolactinemia, testosterone-tsis zoo lub xeev,
chromosomal pathology,
cawv thiab haus luam yeeb uas phem
ntev sib cuag nrog cov teeb meem tshuaj: organic thiab inorganic,
raug rau ionizing hluav taws xob,
ua haujlwm hauv cov chav nrog qhov kub lossis tsis kub.

Nrog mob neuropathy uas mob ntshav qab zib, ib tus txiv neej tuaj yeem mob erectile kawg, ua txhaum ntawm ejaculation. Nrog angiopathy - cov hlab ntsha cuam tshuam, uas tseem tuaj yeem tiv thaiv kev xav. Nrog rau kev txo qis hauv testosterone ntau lawm thiab kev rog, aromatase, ib qho enzyme hauv adipose nqaij, pib ua, uas ua rau kev hloov pauv ntawm testosterone rau estradiol, poj niam poj niam.

Yog li no, hypogonadism kev loj hlob thiab cov phev zoo tsawg dua. Hauv cov ntshav qab zib, cov phev DNA puas. Thaum npaj kev cev xeeb tub, txiv neej yuav tsum tau tshuaj xyuas thiab ua qhov kev ntsuam xyuas ntxaws ntawm phev. Yog hais tias cov phev yog qhov zoo, ces kev xeeb tub yuav tshwm sim.

Nws yog qhov zoo tshaj ntawm cov phev uas txiav txim siab tus txiv neej muaj peev xwm yug menyuam.

Qhov tseeb thiab sijhawm kho mob ntxiv lawm tshob hauv ntshav qab zib vim kis kab mob sib kis thiab mob ua rau kev tsim txoj kev muaj yeej ntawm tus menyuam nyob hauv tus txiv neej thiab tus poj niam muaj qhov zoo thiab pom zoo thaum lub sijhawm sib deev lossis thaum IVF + ICSI, IISM lossis IISD.