Cov tshuaj tiv thaiv kab mob muaj nyob hauv kev thaiv cov qe ua tsaug rau cov tshuaj sib txawv uas yuav ua rau ntawm hypotalamic-pituitary axis, lub paj hlwb ntawm kev tswj ntawm zes qe menyuam, lawv tus kheej ntawm keeb kwm ntawm ntau yam tshuaj hormones tso tawm ntawm lub voj voog ovulatory. Qhov kev nqis tes no yog thim rov qab sai li sai tau thaum cov ntsiav tshuaj raug tso tseg, tsis hais nws siv sijhawm ntev npaum cas. Txawm li cas los xij, qee zaum peb pom "laziness" thaum ua haujlwm ntawm hypotalamo-pituitary axis thiab ovaries rov pib dua (1). Qhov tshwm sim no txawv ntawm cov poj niam, tsis hais txog lub sijhawm noj tshuaj npaum cas. Qee tus yuav rov ua ovulation sai li sai tau tom qab siv lub ntsiav tshuaj, thaum nyob hauv lwm tus, nws yuav siv ob peb lub hlis rau kev rov pib dua ntawm lub voj voog ib txwm nrog ovulation.

Yav dhau los, qee tus kws kho mob poj niam pom zoo tos 2 lossis 3 lub hlis tom qab siv tshuaj ntsiav kom thiaj li tau txais ovulation thiab lub tsev menyuam zoo dua. Txawm li cas los xij, cov sijhawm no tsis tau tsim kho mob. Tsis muaj txoj kev tshawb fawb tuaj yeem qhia pom qhov nce ntawm qhov txawv txav lossis kev nchuav menyuam, lossis ntau yam kev xeeb tub hauv cov poj niam uas cev xeeb tub thaum cov tshuaj raug tso tseg (2). Nws yog vim li ntawd pom zoo kom tsum tsis txhob noj cov tshuaj los ntawm lub sijhawm koj xav xeeb tub. Ib yam nkaus, nws tsis yog kws kho mob hais kom noj "so" thaum noj cov tshuaj txhawm rau txhawm rau khaws kev muaj menyuam.

Nws tshwm sim tias cov ntsiav tshuaj, uas ua rau cov cai tsim los ntawm kev tso ntshav tawm (los ntawm kev poob qis hauv cov tshuaj hormones thaum kawg ntawm pob), tau npog qhov ncauj tsis zoo ntawm ovulation, uas. yuav rov tshwm sim thaum koj tso tseg cov tshuaj. Qhov tshwm sim feem ntau yog hyperprolactinemia, polycystic ovary syndrome (PCOS), anorexia nervosa lossis ua zes qe menyuam ntxov tsis tiav (3).

Ib qho kev txhawj xeeb loj ntawm cov poj niam txog cov ntsiav tshuaj yog nws muaj peev xwm ua rau muaj menyuam hauv plab, tshwj xeeb tshaj yog tias nws tau noj tas li ntau xyoo. Txawm li cas los xij, kev ua haujlwm tshawb fawb tseem txaus siab rau qhov kev kawm.

Ib txoj kev tshawb fawb (4) tau ua nyob rau hauv lub hauv paus ntawm Euras-OC (European program rau kev saib xyuas nquag ntawm kev tiv thaiv qhov ncauj) thiab koom nrog 60 tus poj niam noj tshuaj tiv thaiv qhov ncauj pom tias lub hlis tom qab siv tshuaj, 000 % ntawm lawv cev xeeb tub. Daim duab no cuam tshuam nrog kev muaj menyuam hauv ntiaj teb, nws zoo li ua pov thawj tias ntsiav tshuaj tsis cuam tshuam rau kev muaj menyuam thiab muaj feem yuav xeeb tub. Txoj kev tshawb fawb no tseem qhia tias lub sijhawm noj cov tshuaj kuj tseem tsis muaj kev cuam tshuam rau txoj hauv kev muaj menyuam hauv plab: 21% ntawm cov poj niam uas noj tshuaj tsawg dua ob xyoos los cev xeeb tub hauv ib xyoos, piv rau 79,3% ntawm cov poj niam uas tau siv nws rau ntau tshaj ob xyoos.

Yog tias tsis muaj kev ncua sijhawm ntawm kev siv tshuaj ntsiav thiab pib ntawm kev sim xeeb tub, txawm li cas los xij nws tau pom zoo kom tham nrog koj tus kws kho mob poj niam, tus kws kho mob tshwj xeeb lossis tus kws yug menyuam ua ntej tso tseg cov tshuaj. rau kev sib tham tswv yim ua ntej Qhov kev sab laj no, pom zoo los ntawm Haute Autorité de Santé (5), suav nrog:

• kev nug ntawm kev kho mob, phais, keeb kwm ntawm cev xeeb tub
• kuaj mob
• kuaj lub ncauj tsev menyuam dysplasia yog tias nws muaj hnub nyoog ntau dua 2 txog 3 xyoos
• kev sim hauv chaw kuaj ntshav: pab pawg ntshav, tshawb nrhiav tsis sib xws agglutinins, serology rau toxoplasmosis thiab rubella, thiab muaj peev xwm tshuaj xyuas HIV, kab mob siab C, B, mob syphilis
• folic acid ntxiv (vitamin B9)
• txhaj tshuaj tiv thaiv kab mob rubella, hnoos qeev, yog tias lawv tsis hloov kho tshiab
• tiv thaiv kev pheej hmoo ntawm kev ua neej nyob: haus luam yeeb, haus cawv thiab siv yeeb tshuaj