Hauv cov poj niam muaj kev noj qab haus huv, oviducts thauj cov qe paub tab, uas los ntawm zes qe menyuam, mus rau lub tsev menyuam. Txhawm rau kom cev xeeb tub, tsawg kawg ib qho oviduct yuav tsum qhib. Yog tias muaj qhov txhaws, phev thiab qe tsis tuaj yeem sib ntsib hauv oviduct, qhov uas feem ntau fertilization tshwm sim. Oviduct obstruction tau ntsib los ntawm 40% ntawm cov poj niam uas tsis muaj menyuam. Yog li ntawd, txhaws ntawm oviduct yuav tsum tau kuaj thiab kho kom zoo.
Kauj ruam
Txoj Kev 1 ntawm 3: Yeej Oviduct Blockage
Kauj Ruam 1. Tham nrog koj tus kws kho mob txog cov tshuaj muaj menyuam
Yog tias qhov txhaws tshwm sim tsuas yog ib qho oviduct thiab tsis muaj lwm yam teeb meem kev noj qab haus huv, tus kws kho mob tuaj yeem pom zoo cov tshuaj muaj menyuam, xws li "Clomid", "Serophene", "Femera", "Follistim", "Gonal-F", "Bravelle", "Fertinex", "Ovidrel", "Novarel", "Antagon", "Lupron", "Pergonal", thiab lwm yam. Cov tshuaj muaj menyuam hauv plab ua rau lub caj pas pituitary tso tawm cov tshuaj hormones hauv lub cev (FSH) thiab luteinizing hormone (LH) yog li ua rau muaj kev pheej hmoo ntawm ovulation thiab cev xeeb tub (ntawm qhov tsis muaj qhov thaiv qhov oviduct).
- Txoj kev no siv tsis tau yog tias qhov txhaws tshwm sim hauv ob qho oviducts. Thaiv nyob rau hauv ob qho tib si oviducts yuav tsum tau kho nrog txoj kev nruj dua.
- Feem ntau txaus ntshai ntawm kev noj tshuaj muaj menyuam muaj ntau yam cev xeeb tub thiab zes qe menyuam hyperstimulation syndrome (OHSS). OHSS tshwm sim thaum lub zes qe menyuam puv nrog kua ntau.
Kauj Ruam 2. Tham nrog koj tus kws kho mob txog kev phais laparoscopic
Yog tias, raws li kws kho mob hais, koj tus mob yuav tsum tau kho nrog kev phais, phais phais laparoscopic tuaj yeem pom zoo kom tshem tawm cov nqaij caws pliav thiab txhaws hauv lub cev. Txawm li cas los xij, kev phais laparoscopic tsis yog ib txwm ua tiav, nyob ntawm qhov ua rau thiab qhov hnyav ntawm qhov ua rau lub cev ntas thiab hnub nyoog ntawm tus neeg mob.
- Yog tias qhov oviduct thaiv tau zoo nyob, tom qab phais, muaj 20-40% txoj hauv kev xeeb tub.
- Laparoscopic phais tsis mob vim tias nws tau ua nyob rau hauv kev tso tshuaj loog dav. Qhov txaus ntshai ntawm kev phais laparoscopic suav nrog kev zais zis ntawm lub zais zis thiab ua rau tawv nqaij tawv nqaij hauv thaj chaw phais.
- Laparoscopic phais tsis tuaj yeem siv rau hydrosalpinx hom oviduct blockage (muaj cov kua dej ntau hauv cov oviduct). Tham nrog koj tus kws kho mob txog lwm txoj kev kho mob.
- Laparoscopic phais ua rau muaj kev pheej hmoo ntawm kev xeeb tub ectopic. Yog tias tus neeg mob cev xeeb tub tom qab kev phais laparoscopic, tus kws kho mob tuaj yeem saib xyuas qhov kev nce qib ntawm cev xeeb tub kom ze rau saib cov cim ntawm cev xeeb tub ectopic.
Kauj Ruam 3. Tham nrog koj tus kws kho mob txog kev phais salpingectomy
Hauv kev phais salpingectomy, tus kws kho mob tshem tawm ib feem ntawm oviduct. Qhov haujlwm no yog ua kom kov yeej qhov thaiv ntawm oviduct ntawm hom hydrosalpinx. Kev ua haujlwm no feem ntau tau ua ua ntej sim hauv vitro fertilization.
Kev phais salpingostomy yog ua yog tias qhov taub ntawm oviduct raug thaiv vim yog hydrosalpinx. Hauv kev phais salpingostomy, tus kws kho mob ua rau qhib ib feem ntawm oviduct uas ze rau ntawm zes qe menyuam. Txawm li cas los xij, cov oviducts tuaj yeem raug thaiv dua vim cov nqaij caws pliav uas tsim tom qab phais salpingostomy. Ref>
Kauj Ruam 4. Tham nrog koj tus kws kho mob txog qhov txheej txheem xaiv oviduct cannulation
Yog tias qhov txhaws tshwm sim hauv ib feem ntawm oviduct ze rau ntawm lub tsev menyuam, koj tus kws kho mob yuav pom zoo xaiv txheej txheem oviduct cannulation. Hauv cov txheej txheem no, qhov txhaws ntawm oviduct raug tshem tawm nrog lub cannula, uas tau tso los ntawm lub ncauj tsev menyuam, lub tsev menyuam, thiab mus txog rau qhov oviduct.
- Cov txheej txheem no tuaj yeem ua tiav ntawm tus neeg mob sab nrauv thiab nrog lossis tsis muaj tshuaj loog raws li nws yog tus txheej txheem me tshaj plaws, tsis zoo li kev phais laparoscopic.
- Cov txheej txheem no tsis tuaj yeem ua tiav yog tias muaj lwm yam mob, xws li tuberculosis ntawm qhov chaw mos, tau phais phais oviduct, thiab cov nqaij caws pliav lossis ua rau lub cev puas tsuaj loj.
- Cov kev pheej hmoo ntawm cov txheej txheem no suav nrog kev rhuav lub oviduct, peritonitis (kis kab mob ntawm cov nqaij nyob ib puag ncig lub cev), thiab oviduct tsis ua haujlwm ntxiv lawm.
Kauj Ruam 5. Tham nrog koj tus kws kho mob txog kev vitro fertilization
Yog tias ntau txoj hauv kev saum toj no tsis ua haujlwm lossis tsis tuaj yeem ua kom kov yeej qhov thaiv ntawm oviduct uas koj tab tom ntsib, cev xeeb tub tuaj yeem sim ua lwm txoj hauv kev, ib qho yog hauv vitro fertilization (IVF). Hauv txheej txheem IVF, lub qe yog fertilized los ntawm cov phev sab nraum tus neeg mob lub cev, tom qab ntawd ua rau cov embryo tso rau hauv tus neeg mob lub tsev menyuam. Txoj hauv kev no tsis xav tau cov oviducts yog li txhaws ntawm oviducts tsis tiv thaiv kev xeeb tub uas tsim los ntawm txoj kev no.
- Kev ua tiav ntawm IVF cov txheej txheem cuam tshuam los ntawm ntau yam, xws li tus neeg mob lub hnub nyoog thiab ua rau muaj menyuam tsis taus. Txoj kev IVF siv sijhawm thiab nyiaj txiag ntau.
- Qhov txaus ntshai ntawm IVF suav nrog cev xeeb tub ectopic, cev xeeb tub ntau yam, yug ntxov ntxov, yug me nyuam hnyav, OHSS, nchuav menyuam, thiab muaj kev ntxhov siab vim lub siab, lub hlwb, thiab nyiaj txiag.
Txoj Kev 2 ntawm 3: Txheeb Xyuas Oviduct Blockage
Kauj Ruam 1. Oviduct obstruction yuav tsis ua rau muaj tsos mob tshwm sim
Txawm hais tias qee qhov xwm txheej ntawm qee yam ntawm cov hlab ntshav txhaws ua rau mob plab lossis tso zis ntau ntxiv, feem ntau ntawm cov hlab ntaws tsis ua rau muaj tsos mob thiab feem ntau tsuas yog kuaj pom thaum tus neeg mob tab tom xeeb tub.
Kauj Ruam 2. Tham nrog kws kho mob yog tias cev xeeb tub tsis tshwm sim tom qab ib xyoos ntawm kev sim
Hauv kev kho mob, ib tus neeg tau hais tias "tsis muaj menyuam" yog tias nws tsis xeeb tub tom qab sib deev tas li thiab tsis muaj kev tiv thaiv kab mob tsawg kawg ib xyoos. Yog tias koj tau ntsib tus mob no, sab laj nrog kws kho mob lossis kws kho hniav sai li sai tau.
- Yog tias koj muaj hnub nyoog tshaj 35 xyoos, tsis txhob tos txog ib xyoos. Tham nrog kws kho mob yog tias cev xeeb tub tsis tshwm sim tom qab rau lub hlis ntawm kev sib deev tsis tu ncua thiab tsis muaj kev tiv thaiv kab mob.
- "Infertility" tsis zoo ib yam li "tsis muaj menyuam". Hauv cov xwm txheej ntawm kev muaj menyuam tsis taus, cev xeeb tub tseem tuaj yeem tshwm sim, nrog lossis tsis muaj kev pab kho mob. Tsis txhob xav tias nws tsis yooj yim rau koj cev xeeb tub.
Kauj Ruam 3. Muaj kev kuaj menyuam
Koj tus kws kho mob yuav pom zoo kom koj thiab koj tus khub koom nrog kev kuaj mob tiav. Kev kuaj cov phev los ntawm cov koom tes yuav tsum tau tshuaj xyuas kom ntseeg tau tias cov phev suav thiab kev txav mus los. Koj yuav tsum tau mus kuaj ntau yam kom paub tseeb tias koj cov qib hormone thiab koj lub cev cov txheej txheem ovulation yog qhov ib txwm muaj. Yog tias cov txiaj ntsig ntawm txhua qhov kev ntsuas yog ib txwm muaj, tus kws kho mob yuav pom zoo kom kuaj oviduct.
Kauj Ruam 4. Tham nrog koj tus kws kho mob txog tus txheej txheem sonohysterogram
Koj tus kws kho mob yuav pom zoo kom ua tus txheej txheem sonohysterogram. Hauv txoj kev no, tus kws kho mob siv ultrasound txhawm rau txheeb xyuas qhov loj hauv lub tsev menyuam. Qhov hnyav hauv lub tsev menyuam qee zaum tuaj yeem ua rau oviduct los ua thaiv.
Kauj Ruam 5. Ua cov txheej txheem hysterosalpingogram
Hauv cov txheej txheem hysterosalpingogram (HSG), tus kws kho mob txhaj tshuaj tshwj xeeb rau hauv qhov oviduct, hla lub ncauj tsev menyuam. Tom ntej no, X-ray kuaj xyuas kom pom tias qhov oviduct raug thaiv los yog tsis.
- Cov txheej txheem hysterosalpingogram yog ua yam tsis muaj tshuaj loog. Hysterosalpingogram ua rau tsuas yog mob me me lossis mob me me, uas tuaj yeem daws tau los ntawm kev noj ibuprofen ib teev ua ntej txheej txheem.
- Cov txheej txheem hysterosalpingogram feem ntau siv sijhawm 15-30 feeb. Cov kev pheej hmoo ntawm cov txheej txheem no suav nrog tus kab mob pelvic thiab cov cell lossis cov nqaij puas tsuaj los ntawm kev kis hluav taws xob.
- Yog tias koj tus kws kho mob xav tias muaj kab mob hauv lub cev ovid, hysterosalpingogram tuaj yeem ua nrog cov xim zas xim, vim tias qee zaum cov roj tuaj yeem tshem tawm qhov txhaws hauv oviduct.
Kauj Ruam 6. Tham nrog koj tus kws kho mob txog txoj kev phais laparoscopic
Nyob ntawm qhov txiaj ntsig ntawm sonohysterogram thiab hysterosalpingogram, koj tus kws kho mob yuav pom zoo kom koj ua tus txheej txheem laparoscopic. Hauv cov txheej txheem no, tus kws kho mob ua rau lub qhov txhab ze ntawm lub plab lub plab kom pom thiab, qee qhov, tshem tawm cov ntaub so ntswg uas tab tom thaiv lub oviduct.
Cov txheej txheem laparoscopic feem ntau pom zoo tsuas yog tom qab lwm qhov kev xeem tsis muaj menyuam tau ua vim tias cov txheej txheem no muaj kev pheej hmoo ntau dua; Laparoscopy tau ua nyob rau hauv kev tso tshuaj loog dav thiab yog li muaj kev pheej hmoo tib yam li kev phais loj
Kauj Ruam 7. Tham nrog kws kho mob kom paub tseeb tias kuaj mob
Cov txiaj ntsig ntawm kev ntsuas ntau yam saum toj no tuaj yeem siv los txiav txim siab seb qhov txhaws tshwm sim hauv ib lossis ob qho oviducts. Tham nrog koj tus kws kho mob txog qhov hnyav ntawm kev thaiv cov hlab qe menyuam. Kev kuaj mob tshwj xeeb yog qhov tseem ceeb heev los txiav txim siab txoj kev kho kom raug.
Txoj Kev 3 ntawm 3: Kawm Qhov Ua Rau Oviduct Blockage
Kauj Ruam 1. Cov Kab Mob Sib Kis (STIs) tuaj yeem ua rau lub cev tsis tuaj
Paub txog qhov ua rau txhaws ntawm oviduct pab kws kho mob txiav txim siab txoj kev kho kom tsim nyog. STIs yog ib qho uas tshwm sim ntau tshaj uas ua rau oviduct txhaws. Chlamydia, kab mob gonorrhea, thiab lwm yam kab mob STI tuaj yeem ua rau cov nqaij caws pliav tsim, uas tuaj yeem txhaws cov qe menyuam thiab tiv thaiv kev xeeb tub. Cov nqaij caws pliav tuaj yeem nyob, txawm tias tom qab tus kab mob STI raug kho kom txog thaum nws zoo lawm.
Kauj Ruam 2. Kawm seb vim li cas tus kab mob hauv plab (PID) tuaj yeem ua rau oviduct txhaws
PID tuaj yeem tshwm sim los ntawm STIs ntxiv rau ua rau txhaws ntawm cov oviducts. Cov neeg mob uas tau muaj lossis tam sim no ntsib PID muaj kev pheej hmoo ntawm kev ua kom tsis muaj menyuam thiab tsis muaj menyuam.
Kauj Ruam 3. Kawm paub ntau yam txaus ntshai uas tuaj yeem tshwm sim los ntawm endometriosis
Cov neeg mob endometriosis ntsib kev loj hlob ntawm cov nqaij mos sab nraum nws qhov chaw ib txwm muaj, piv txwv li txuas nrog lub zes qe menyuam, oviducts, lossis lwm yam kabmob hauv lub cev. Hauv lwm lo lus, endometriosis tuaj yeem ua rau txhaws ntawm oviducts.
Kauj Ruam 4. Kawm paub qhov txaus ntshai uas tuaj yeem ua rau muaj menyuam hauv plab
Yog tias tus neeg mob tau kis tus kabmob hauv tsev menyuam, vim nchuav menyuam lossis rho menyuam tawm, cov nqaij caws pliav tuaj yeem tsim thiab thaiv ib lossis ob qho tib si oviducts.
Txawm hais tias tsis tshua muaj neeg nyob hauv Tebchaws Meskas, kab mob hauv plab hauv plab kuj tseem tuaj yeem ua rau muaj menyuam hauv plab
Kauj Ruam 5. Kawm paub txog qhov txaus ntshai uas cev xeeb tub ectopic tuaj yeem tsim tau
Kev xeeb tub ectopic tshwm sim thaum lub qe fertilized txuas mus rau qhov chaw tsis raug, xws li oviduct. Ectopic cev xeeb tub tsis tuaj yeem loj hlob ib txwm. Thaum lub cev xeeb tub ectopic ruptures lossis raug tshem tawm, cov nqaij caws pliav tuaj yeem tsim thiab ua rau txhaws ntawm oviduct.
Kauj Ruam 6. Qee qhov kev phais mob dhau los kuj tuaj yeem ua rau oviduct txhaws
Kev phais plab, tshwj xeeb yog phais ntawm oviducts, ua rau muaj kev pheej hmoo ntawm oviduct txhaws.
Lub tswv yim
- Txawm hais tias qhov oviduct blockage tsis tuaj yeem tshem tawm lossis cev xeeb tub tsis tau, muaj lwm txoj hauv kev. Koj tuaj yeem saws lossis saws tus menyuam tu yog koj xav ua niam.
- Yog tias qhov txhaws tshwm sim hauv tsuas yog ib qho oviduct, tus neeg mob tseem tuaj yeem cev xeeb tub yam tsis muaj txoj hauv kev kho. Ua rau txhaws ntawm oviduct thiab lwm yam kev noj qab haus huv ntawm cov kabmob hauv nruab nrog cev cuam tshuam rau qee yam kev kho mob xav tau los tsis ua. Tham nrog kws kho mob.
- Ntxiv lawm tshob yuav ua rau muaj kev nyuab siab heev. Nws yog qhov zoo uas qhov kev mob hlwb no kov yeej. Tham nrog tus kws kho mob lossis koom nrog pab pawg yog tias koj xav tias nyuaj siab. Ib qho ntxiv, kuj tseem siv lub neej noj qab haus huv: noj zaub mov zoo, ua haujlwm tsis tu ncua, thiab tsaug zog txaus.
