Thaum npaj yuav yug menyuam, koj yuav tsum sab laj nrog kws kho mob tshwj xeeb. Nws yuav sau ntau yam kev kuaj mob uas tsim nyog thiab qhia rau koj paub tias yuav tsum xeem dab tsi thaum npaj cev xeeb tub. Ib qho tseem ceeb ntawm kev soj ntsuam yog kuaj cov tshuaj hormones thaum npaj cev xeeb tub. Lawv feem ntau raug muab tshuaj rau cov poj niam uas cev xeeb tub nrog qhov tshwm sim tsis zoo, cov neeg mob uas muaj kev coj khaub ncaws tsis zoo, nrog rau cov neeg muaj hnub nyoog tshaj 35 xyoos. Kev ntsuam xyuas cov tshuaj hormones thaum npaj cev xeeb tub yog muab rau cov poj niam uas muaj cov tsos mob ntawm hyperandrogenism, qee yam ntawm pob txuv, nce plaub hau thiab rog. Tsis tas li ntawd, cov kev ntsuam xyuas no tau qhia rau cov niam txiv uas tsis xeeb menyuam ntau tshaj ib xyoos.
Cov tshuaj hormones hauv qab no tau koom nrog hauv kev ua tiav kev xeeb tub, yug menyuam thiab yug menyuam noj qab haus huv:
- YProgesterone. Cov tshuaj no muab tag nrho cov xwm txheej tsim nyog rau kev xeeb tub. Nyob rau hauv cov ntaub ntawv ntawm ib tug deficiency nyob rau hauv lub cev ntawm progesterone, nchuav menyuam tshwm sim, kuj yog vim li noua rau infertility. Kev kuaj rau cov tshuaj no yuav tsum tau ua nyob rau hnub 19-21 ntawm lub voj voog.
- Testosterone. Ntau tus twb paub tias qhov no yog txiv neej cov tshuaj hormones. Cov ntsiab lus siab ntawm testosterone nyob rau hauv poj niam lub cev ua rau ovulation tsis zoo, thiab kuj provokes ib tug nchuav menyuam.
-
Yuav ua li cas kuaj tau thaum npaj cev xeeb tub Y Prolactin. Nws cuam tshuam rau kev tsim cov tshuaj hormones xws li follicle-stimulating, uas, nyob rau hauv lem, cuam tshuam qhov tsim ntawm estrogen, thiab kuj yog lub luag hauj lwm rau kev loj hlob ntawm lub qe nyob rau hauv lub zes qe menyuam. Kev ntsuam xyuas cov tshuaj hormones thaum npaj cev xeeb tub yuav tsum tau noj nyob rau hnub thib peb mus rau xya hnub ntawm lub voj voog.
- Luteinizing hormone. Nws yog lub luag hauj lwm rau maturation ntawm lub qe thiab nws ovulation. Tsis tas li ntawd, nws tsim progesterone. Kev kuaj ntshav rau cov tshuaj hormones no kuj raug coj los ntawm peb mus rau xya hnub ntawm lub voj voog.
- YEstradiol. Cov tshuaj no npaj lub tsev menyuam rau kev xeeb tub thiab kev xeeb tub yav tom ntej.
- DEA sulfate yog txiv neej cov tshuaj hormones. Nws cov nyiaj ntau ntxiv hauv tus poj niam lub cev ua rau muaj menyuam tsis taus thiab ua haujlwm ntawm zes qe menyuam.
Kev kuaj cov tshuaj hormones thaum npaj cev xeeb tub yuav tsum tau noj thaum sawv ntxov plab. Cov lus nug ntawm daim ntawv teev cov kev ntsuam xyuas ntxiv yog tus kheej nkaus xwb. Tus kws kho mob gynecologist yuav pab koj teb nws. Nws yuav qhia rau koj tias lwm yam kev kuaj yuav ua li cas thaum npaj cev xeeb tub, ntxiv rau cov tshuaj hormonal. Cov no yuav suav nrog cov hauv qab no:
-
mus kuaj thaum npaj cev xeeb tub kuaj ntshav (kev kuaj dav dav yuav pab txheeb xyuas ntau yam teeb meem kev noj qab haus huv uas twb muaj lawm, thiabbiochemical - txhawm rau txheeb xyuas cov haujlwm ntawm lub cev tseem ceeb), rau cov piam thaj (kom paub qhov kev pheej hmoo ntawm ntshav qab zib), rau hom ntshav ntawm leej niam expectant, nrog rau Rh yam (kom tsis suav qhov tshwm sim ntawm Rh tsis sib haum);
- urinalysis (los txheeb xyuas cov teeb meem hauv lub raum);
- kab lis kev cai kab mob kab mob (pab ntsuam xyuas microflora ntawm qhov chaw mos);
- kuaj kab mob - txhawm rau tshem tawm kev pheej hmoo ntawm tus menyuam mos uas muaj kab mob hauv lub cev lossis qhov tsis xws luag.
Tsis tas li ntawd, nws yuav tsum tau mus kuaj ultrasound ntawm cov kabmob uas nyob hauv thaj chaw pelvic (ua los ntsuas kev noj qab haus huv ntawm lub plab hnyuv siab raum, nrog rau kev tiv thaiv cov teeb meem tshwm sim thaum yug menyuam).
