Vim li cas nws nyuaj rau cov poj niam cev xeeb tub kom cev xeeb tub

Vim li cas nws nyuaj rau cov poj niam cev xeeb tub kom cev xeeb tub

Infertility yog lus ntawm lub phaj. Qhov hnyav nce, nrog rau nws - kev pheej hmoo ntawm ntau yam kab mob, tab sis kev xav tau dhau los ua nyuaj.

Muaj ntau ntau zaj dab neeg hais tias cov ntxhais yuav tsum poob ntau heev thiaj li yuav xeeb tub. Hauv kev sim ua ib leej niam, lawv poob 20, 30, txawm 70 kilos. Feem ntau, cov ntxhais zoo li no kuj raug kev txom nyem los ntawm PCOS - polycystic zes qe menyuam syndrome, uas ua rau lub tswv yim nyuaj, thiab txawm tias nyuaj rau qhov poob phaus. Thiab cov kws kho mob hais tias: yog, nws nyuaj heev rau cov poj niam rog rog kom cev xeeb tub. Cov zaub mov cuam tshuam rau peb lub cev ntau dua li ntau tus neeg xav.

Obstetrician-gynecologist, tus kws kho mob tshwj xeeb hauv tsev kho mob REMEDI

"Nyob rau hauv peb lub sij hawm, tus naj npawb ntawm cov poj niam nrog nce lub cev qhov hnyav - BMI tau nce, tshwj xeeb tshaj yog cov hluas. Qhov no yog vim qhov peculiarities ntawm kev noj mov thiab kev ua neej. Cov poj niam rog rog ntau dua rau cov teeb meem kev noj qab haus huv: kab mob plawv, kab mob ntawm cov musculoskeletal, ntshav qab zib mellitus. Cov txiaj ntsig tsis zoo ntawm qhov hnyav tshaj ntawm kev ua me nyuam muaj nuj nqi kuj tau raug pov thawj. “

Vicious vajvoog

Raws li tus kws kho mob, cov poj niam rog rog tsim endocrine infertility. Qhov no yog manifested los ntawm tsis tshua muaj ovulations los yog lawv ua tsis tiav - anovulation. Tsis tas li ntawd, feem ntau cov poj niam rog rog muaj kev coj khaub ncaws irregularities.

"Qhov no yog vim qhov tseeb tias cov ntaub so ntswg adipose koom nrog kev tswj hwm ntawm kev sib deev cov tshuaj hormones hauv lub cev. Hauv cov poj niam rog, muaj qhov txo qis hauv globulin uas khi txiv neej cov tshuaj hormones - androgens. Qhov no ua rau muaj kev nce hauv cov dawb feem ntawm androgens hauv cov ntshav, thiab vim li ntawd, ntau dhau ntawm androgens hauv cov ntaub so ntswg adipose hloov mus rau estrogens - poj niam txiv neej cov tshuaj hormones," piav qhia tus kws kho mob.

Estrogens, nyob rau hauv lem, txhawb kev tsim ntawm luteinizing hormone (LH) nyob rau hauv lub caj pas pituitary. Cov tshuaj no yog lub luag haujlwm rau kev tswj ovulation thiab kev coj khaub ncaws. Thaum LH qib nce, qhov tsis txaus ntawm cov tshuaj hormones tsim, uas ua rau kev coj khaub ncaws tsis zoo, follicular maturation, thiab ovulation. Nws yog ib qho nyuaj heev kom cev xeeb tub hauv qhov no. Ntxiv mus, qhov kev ntxhov siab vim tsis muaj txiaj ntsig rau kev xeeb tub, cov ntxhais feem ntau pib txeeb - thiab lub voj voog kaw.

Anna Kutasova hais ntxiv tias "Cov poj niam rog rog feem ntau txhim kho cov metabolism hauv carbohydrate tsis zoo, hyperinsulinemia thiab insulin tsis kam," hais ntxiv Anna Kutasova.

poob phaus es tsis txhob kho

Yuav kom nkag siab yog tias cov poj niam rog dhau, koj yuav tsum xam koj lub cev qhov ntsuas. Txhawm rau ua qhov no, koj yuav tsum ntsuas koj tus kheej thiab ntsuas koj qhov siab.

Cov poj niam raug pom zoo los ntsuas qhov siab thiab qhov hnyav nrog kev suav ntawm BMI raws li tus qauv: BMI (kg / m2) = lub cev hnyav hauv kilograms / qhov siab hauv meters squared - txhawm rau txheeb xyuas qhov hnyav lossis rog (BMI ntau dua lossis sib npaug rau 25 - rog dhau, BMI ntau dua lossis sib npaug 30 - rog).

Piv txwv li:

Yuag: 75 kg

Qhov siab: 168 see

BMI = 75 / (1,68 * 1,68) = 26,57 (qhov hnyav)

Raws li WHO, qhov kev pheej hmoo ntawm cov teeb meem kev noj qab haus huv ntawm cov menyuam yaus ncaj qha nyob ntawm qib ntawm kev rog / rog:

  • rog rog (25–29,9) - muaj kev pheej hmoo ntxiv;

  • thawj qib rog rog (30–34,9) - muaj kev pheej hmoo siab;

  • rog rog ntawm qib thib ob (34,9–39,9) - muaj kev pheej hmoo siab heev;

  • Kev rog rog ntawm qib peb (ntau tshaj 40) yog ib qho kev pheej hmoo siab heev.

Kev kho tsis muaj menyuam, IVF - tag nrho cov no yuav tsis ua haujlwm. Thiab dua vim qhov hnyav.

"Nws tau raug pov thawj tias kev rog dhau yog qhov muaj feem cuam tshuam uas txo cov txiaj ntsig ntawm cov kev kho mob fertility siv cov cuab yeej pab kev laus (ART). Yog li ntawd, thaum npaj cev xeeb tub, cov poj niam yuav tsum tau kuaj xyuas, "piav peb tus kws tshaj lij.

Thiab yog tias koj poob phaus? Nws hloov tawm tias kev poob phaus los ntawm 5% nce qhov tshwm sim ntawm ovulatory cycles. Qhov ntawd yog, qhov muaj feem uas tus poj niam yuav xeeb tau nws tus kheej, tsis muaj kev cuam tshuam kev kho mob, twb tau nce lawm. Tsis tas li ntawd, yog hais tias tus niam expectant tsis rog, qhov kev pheej hmoo ntawm cov teeb meem thaum cev xeeb tub yuav txo tau heev.

Los ntawm txoj kev

Ib qho kev sib cav hauv kev pom zoo ntawm qhov hnyav ntawm cov niam yog tias lawv cov menyuam yug los loj dua. Tab sis qhov ntawd tsis yog ib txwm zoo. Tom qab tag nrho, kev rog tuaj yeem loj hlob hauv menyuam yaus, thiab qhov no twb tsis muaj dab tsi zoo. Tsis tas li ntawd, yug me nyuam loj yog qhov nyuaj dua.

Tab sis ntau zaus tshaj li qhov kev yug me nyuam loj, kev yug ntxov ntxov tshwm sim hauv cov niam rog. Cov menyuam mos yug ntxov ntxov, nrog qhov hnyav, lawv yuav tsum tau saib xyuas hauv kev saib xyuas hnyav. Thiab qhov no kuj tsis zoo.  

Sau ntawv cia Ncua