Ib qhov chaw kho mob tseem ceeb hauv kev kuaj mob ntawm kev xeeb tub yog tus nqi ntawm cov tshuaj tiv thaiv kab mob (ASAT) hauv cov poj niam thiab txiv neej. Feem ntau, lawv yuav tsum tsis txhob muaj nyob rau hauv cov khoom lom ntawm ob leeg poj niam txiv neej, los yog nyob rau hauv nws nyob rau hauv ib tug me me concentration. Yog tias lawv qib siab, ces qhov tshwm sim ntawm cev xeeb tub nyob rau hauv ib txoj kev ntuj yog tsawg. Tam sim no, hauv vitro fertilization yog suav tias yog txoj kev kho mob zoo tshaj plaws.
Txoj kev xav
Hauv tshuaj, lo lus "antisperm antibodies" yog hais txog cov tshuaj ntawm cov protein. Lawv yog tsim los ntawm tib neeg lub cev tiv thaiv kab mob. Lawv tuaj yeem pom hauv spermatozoa, ntshav ntshav, qog nqaij hlav hauv tsev menyuam, cov qog ntshav ntshav. Hauv ib feem peb ntawm cov neeg mob uas muaj menyuam tsis taus, cov tshuaj no raug kuaj pom. Nws kuj tshwm sim tias lawv pom nyob rau hauv cov neeg noj qab haus huv,tab sis qhov no tsis tshua muaj heev.
Qhov muaj cov tshuaj tiv thaiv kab mob hauv cov txiv neej yog qhov tseem ceeb hauv kev kho mob. Qhov no tau piav qhia los ntawm qhov tseeb tias lawv muaj nyob rau hauv ejaculation yog pov thawj ntawm infertility ntawm ib qho kev tiv thaiv kab mob. Yog tias cov tshuaj tua kab mob antisperm pom nyob rau hauv cov poj niam, nws yog txoj cai los tham txog kev tsis sib haum xeeb ntawm cov neeg koom tes. Nyob rau hauv txoj cai, nws tsis yog li ntawd tseem ceeb nyob rau hauv lub cev ntawm ib tug neeg ntawm kev sib deev ntawm cov proteins uas tshwm sim. Tib txoj haujlwm ntawm cov tshuaj tiv thaiv kab mob phev yog txhawm rau rhuav tshem cov spermatozoa, uas tiv thaiv kev xeeb tub hauv txoj hauv kev.
Ua rau pom poj niam
Hauv tib neeg lub cev, ASAT yog cov tshuaj lom neeg lom neeg uas yog cov khoom sib txuas ntawm cov ntaub so ntswg ua kua. Cov txheej txheem ntawm lawv cov tsim pib tsuas yog yog tias muaj cov neeg txawv teb chaws nkag mus rau hauv cov hlab ntsha.
Nws yog ib txwm hais txog kev tiv thaiv kab mob tsis sib haum xeeb ntawm cov neeg koom tes yog tias tus poj niam lub cev tsis lees paub cov khoom ntawm cov kua dej ntawm tus txiv neej. Yog hais tias lawv nkag mus rau hauv cov hlab ntsha los ntawm cov mucous daim nyias nyias, qhov tsim ntawm antisperm antibodies pib.
Lawv qhov tsos kuj tau yooj yim los ntawm cov kab mob ntawm cov kab mob ntawm cov poj niam cev xeeb tub. Cov txheej txheem ntawm ACAT tsim nyob rau hauv cov ntaub ntawv no yog raws li nram no: thaum lub sij hawm lub zog, cov spermatozoa nkag mus rau lub hom phiaj ntawm o, qhov twg lub hlwb ntawm lub cev tiv thaiv system sim ua kom puas cov kab mob. Yog li ntawd, lawv kuj raug ntaus thiab ua tsis tau raws li lawv lub hom phiaj.
Ua rau cov tshuaj tiv thaiv kab mob hauv lub ncauj tsev menyuam thiab cov ntshav hauv cov poj niam:
- Kev ua txhaum ntawm kev ncaj ncees ntawm cov mucous membrane.
- Ntau ntxiv ntawm leukocytes hauv tus khub cov kua dej seminal.
- Kev muaj nyob hauv ejaculation ntawm spermatozoa uas cuam tshuam nrog cov tshuaj tiv thaiv.
- Qhov tshwm sim ntawm cauterization ntawm ncauj tsev menyuam yaig.
- Ntau cov spermatozoa "laus" hauv ejaculate, uas yog suav tias yog ib qho mob pathological.
- Kev nkag mus ntawm cov kua dej tawm mus rau hauv lub peritoneum. Qhov no yuav yog qhov tshwm sim ntawm qhov tsis raug hauv vitro fertilization.
- Kev nkag mus ntawm cov phev mus rau hauv txoj hnyuv. Qhov xwm txheej zoo sib xws tuaj yeem tshwm sim thaum qhov ncauj lossis qhov quav deev.
- Yog tias muaj kev sim xeeb tub los ntawm kev siv tshuaj tua kab mob yav dhau los. Hauv qhov no, cov tshuaj tiv thaiv kab mob hauv cov hnoos qeev thiab cov ntshav tuaj yeem raug tsim vim raug mob tau txais thaum lub sij hawm sau ntawm oocytes (qe). Lawv kuj feem ntau tsim tawm tsam keeb kwm yav dhau los ntawm kev tshaj tawm hormonal surge.
Cov khoom phev uas tau raug rhuav tshem yog engulfed los ntawm macrophage hlwb. Cov tom kawg tawg lawv mus rau hauv cov khoom me tshaj plaws. Qee cov khoom me me no tsim cov tshuaj tua kab mob antigens rau saum npoo ntawm cov hlwb macrophage dhau sijhawm. Qhov tom kawg sai lossis tom qab nkag mus rau hauv cov hlab ntsha thiab lymphatic. Yog li ntawd, cov txheej txheem ntawm kev tsim cov tshuaj tua kab mob antisperm pib. Lawv kis thoob plaws hauv lub cev los ntawm cov ntaub so ntswg ua kua, tom qab ntawd lawv nkag mus rau hauv cov mucous daim nyias nyias nyob rau hauv kev tshawb fawb ntawm txawv teb chaws antigens. Yog tias spermatozoa ntsib lawv txoj kev, ASAT tam sim ntawdpib tawm tsam lawv.
Yog li, yog tias cov tshuaj muaj protein ntau tau tshwm sim hauv cov ntshav, cov mucous ntawm cov poj niam hauv nruab nrog cev los ua ib hom kev thaiv. Es tsis txhob pab cov phev mus txog lub qe, nws tiv thaiv tus txheej txheem no.
Nws kuj tshwm sim tias qib ASAT hauv cov khoom siv roj ntsha ntawm tus poj niam tau nce, tab sis tib lub sijhawm cev xeeb tub tau tshwm sim. Hauv qhov no, kev saib xyuas tas li ntawm niam expectant los ntawm kws kho mob yog tsim nyog. Qhov no yog vim qhov tseeb tias cov tshuaj tiv thaiv kab mob phev tuaj yeem cuam tshuam tsis zoo rau kev ua haujlwm ntawm tus menyuam hauv plab.
Yog vim li cas rau tus txiv neej
ASAT pib tsim rau cov tub ntxhais hluas thaum muaj hnub nyoog laus. Oddly txaus, tab sis ib tus kheej spermatozoa tuaj yeem suav hais tias txawv teb chaws hauv txiv neej lub cev. Feem ntau, lawv yuav tsum tsis txhob nkag mus rau hauv cov ntshav cov khoom, txij li cov antigens ntawm cov kua dej seminal yog tam sim ntawd puas los ntawm kev tiv thaiv system. Hauv cov txiv neej noj qab haus huv, spermatozoa nyob rau hauv ib lub xeev cais. Tab sis nyob rau hauv qhov cuam tshuam ntawm qhov tsis zoo, cov kab mob lom ntawm cov hlab ntsha thiab vas deferens tau tawg.
Yog cov txiv neej muaj siab ntau ntawm cov tshuaj tiv thaiv kab mob hauv cov ntshav thiab cov phev, cov laj thawj yuav yog:
- kab mob sib kis.
- Nyob ntawm lub lumen ntawm vas deferens.
- Kev raug mob pelvic tseem ceeb.
- Malignant neoplasms.
- Kev phais mob hauv plab kab noj hniavlos yog lub cev ntawm lub cev xeeb tub.
- Undescended testis rau hauv scrotum (congenital).
Spermatozoa nkag mus rau hauv cov hlab ntsha yog pom los ntawm lub cev tiv thaiv kab mob li txawv teb chaws hlwb. Lub cev tiv thaiv pib tawm tsam lawv, vim tias lawv raug rhuav tshem. Lub xub ntiag ntawm cov tshuaj tiv thaiv kab mob hauv cov phev thiab cov ntshav txo qis qhov tshwm sim ntawm qe fertilization kom tsawg. Thaum lawv pom nyob rau hauv biomaterial, nws yog kev cai los tham txog kev tiv thaiv kab mob infertility.
Views
3 chav kawm ntawm cov tshuaj tua kab mob tuaj yeem tsim hauv tib neeg lub cev:
- IgA.
- IgG.
- IgM.
thawj 2 hom ASAT yog qhov tseem ceeb hauv kev kho mob. Hauv cov kua dej hauv lub cev, cov tshuaj tiv thaiv kab mob IgA tshwm sim, raws li txoj cai, vim muaj kev ua txhaum ntawm cov kab mob lom. Cov txheej txheem rov qab yuav siv sij hawm ntau lub lis piam. Tom qab ua tiav kev kho mob, qhov concentration ntawm cov tshuaj protein ntawm cov chav kawm IgA txo qis. Qhov kev puas tsuaj ntawm hom ASAT no yog hloov pauv cov yam ntxwv ntawm spermatozoa.
Cov tshuaj Protein ntawm chav kawm IgG pab txhawb kom nce qib ntawm leukocytes hauv cov kua dej hauv lub cev, txo qis hauv nws cov kua qaub thiab txo qis hauv nws lub sijhawm liquefaction, uas tiv thaiv cov txheej txheem ntawm fertilization ntawm qe.
ASAT diagnostics
Yog tias koj ntsib teeb meem nrog kev xeeb tub, koj yuav tsum sab laj nrog kws kho mob uas yuav xub sau tshuaj rau kev tshawb fawb biomaterial ntawm ob tus neeg koom tes los txiav txim siab cov tshuaj tiv thaiv kab mob.
muajNtau txoj hauv kev los kuaj ASAT hauv lub cev:
- Shuvarsky test.
- Kev kuaj ntshav rau cov tshuaj tiv thaiv kab mob los ntawm ELISA.
- Kurzrock-Miller test.
- MAR test.
Shuvarsky xeem (lwm lub npe rau txoj kev kawm - postcoital test) qhia txog qib ntawm kev tiv thaiv kab mob sib raug zoo ntawm cov neeg koom tes. Cov khoom siv tshuaj lom neeg yog cov hnoos qeev ntawm tus poj niam, coj mus rau hauv nruab nrab ntawm lub sijhawm ovulation, thiab cov phev txiv neej, uas tau noj tom qab ob peb hnub ntawm abstinence (kwv yees li 5-6).
Lawv muab tso rau ntawm lub khob swb thiab sib tov. Tom qab ntawd, nrog kev pab los ntawm lub tshuab tsom iav, lawv saib xyuas seb qhov kev tuag ntawm spermatozoa tshwm sim. Lub sijhawm ntawm kev kawm yog 2 teev. Nws yog suav tias yog ib txwm yog tias ntau tshaj ib nrab ntawm cov spermatozoa nkag mus rau hauv ib qho kev poob ntawm lub ncauj tsev menyuam. Qhov no txhais tau hais tias tsis muaj cov tshuaj tiv thaiv kab mob hauv tus poj niam biomaterial. Yog hais tias feem ntau ntawm cov spermatozoa tuag, thiab tus so ua tsis tshua muaj mobile, qhov kev ntsuam xyuas Shuvarsky suav hais tias zoo. Hauv qhov no, peb tab tom tham txog kev tiv thaiv kab mob tsis sib haum xeeb ntawm cov neeg koom tes.
Yog tias kuaj pom qhov txawv txav thaum lub sijhawm kuaj Shuvarsky, cov ntshav tau ntxiv rau cov tshuaj tiv thaiv kab mob. Nws lub sijhawm ua tiav yog li 4 hnub. Ib qho kev qhia rau kev kuaj ntshav rau cov tshuaj tiv thaiv kab mob hauv cov poj niam kuj yog ntau xyoo ntawm kev sim cev xeeb tub tsis ua tiav. Rau cov txiv neej, kev tsom xam yog muab tshuaj nyob rau hauv lub xub ntiag ntawm pathological kev hloov pauv nyob rau hauv cov txheej txheem ntawm spermogram.
Yuav kom cov txiaj ntsig ntawm kev tshuaj ntsuam xyuas kom ntseeg tau raws li qhov ua tau, nws yog qhov yuav tsum tau cais tawmyam uas yuav distort lawv. Txhawm rau ua qhov no, koj yuav tsum ua raws li cov cai hauv qab no:
- ua ntej noj mov kawg thiab xa khoom ntawm biomaterial, tsawg kawg 8 teev yuav tsum dhau;
- 15 feeb ua ntej kuaj ntshav, koj yuav tsum muab koj tus kheej nrog kev thaj yeeb ntawm lub cev thiab lub siab;
- Kev haus luam yeeb yuav tsum raug tshem tawm hauv 12 teev;
- tsum tsum tsis txhob noj tshuaj ob peb hnub (yog tias qhov no ua tsis tau rau kev noj qab haus huv, nws yog ib qho tseem ceeb qhia rau koj tus kws kho mob);
- yog tus neeg mob yog menyuam yaus hnub nyoog qis dua 5 xyoos, 30 feeb ua ntej kuaj, koj yuav tsum muab nws cov dej rhaub hauv ntim 150-200 ml ntau li ntau tau.
Qhov ntsuas ntawm cov qauv ntawm cov tshuaj tiv thaiv kab mob yog tsawg dua 60 units / l. Thaum qhov tshwm sim ntau dua li tus nqi no, nws suav tias yog qhov zoo. Yog tias nws tsis ntseeg siab (qhov ntsuas yog 60 units / l), cov kev tshawb fawb ntxiv tau qhia.
Kurzrock-Miller xeem - ib qho kev xeem, raws li cov txiaj ntsig uas nws muaj peev xwm txiav txim siab seb tus neeg koom tes twg yog qhov ua rau lub koomhaum tsis muaj menyuam. Ib tug poj niam siv cov hnoos qeev nyob rau hauv nruab nrab ntawm ovulation, ib tug txiv neej siv phev tom qab ob peb hnub ntawm abstinence.
Kev xeem tuaj yeem ua tiav hauv ib txoj hauv qab no:
- Ncaj nraim. Cov ntaub ntawv lom neeg sib xyaw ua ke thiab cov phev motility raug soj ntsuam raws li kev sib cuag nrog lub ncauj tsev menyuam.
- Cross. Cov neeg koom nrog cov khoom siv biomaterial tau ua ke nrog cov qauv pub dawb coj los ntawm cov neeg muaj menyuam.
Kev xaiv cov txiaj ntsig tshawb fawb:
- zoo. Txhais tau hais tias thaum sib cuag nrog mucusspermatozoa tsis poob mus, uas yog, conception yog ua tau lawm.
- Nyob zoo. Thaum txoj kev tshawb no, qee qhov spermatozoa khaws cia motility, thaum lwm qhov tsis ua. Kev xav hauv qhov no yuav tshwm sim, tab sis tom qab kev kho mob.
- tsis zoo. Txhais tau hais tias spermatozoa tsis tuaj yeem nkag mus rau hauv cov hnoos qeev. Hauv qhov no, nws yog ib txwm hais txog kev xeeb tub.
Yog hais tias, thaum lub sij hawm crossover test, cov spermatozoa ntawm cov kev kawm nkag mus rau hauv cov hnoos qeev ntawm tus pub, vim li cas rau lub union tsis muaj menyuam yog ib tug poj niam. Yog tias cov kua dej tawm txawv teb chaws yooj yim nkag mus rau tus neeg mob tus qauv, tus txiv neej suav tias yog infertile.
MAR-test rau cov tshuaj tua kab mob tua kab mob yog kev tshawb fawb dav. Nws tso cai rau koj los txiav txim siab txog qib ntawm tus txiv neej lub peev xwm los yug menyuam. Tom qab noj cov khoom siv biomaterial, cov phev raug ntsuas los ntawm cov paib sab nraud. Nws yuav tsum yog dawb thiab cia rau hauv lub teeb. Yog hais tias nws yog opaque, qhov no yuav qhia tau hais tias muaj tus kab mob pathology. Tsis tas li ntawd, ejaculation yuav tsum muaj pH tsawg kawg yog 7.2.
Tom qab ntawd cov qauv biomaterial tau muab tso rau hauv lub tshuab tsom. Nrog nws cov kev pab, tus naj npawb, morphology thiab qib ntawm phev motility raug soj ntsuam. Nws kuj tseem tuaj yeem taug qab qhov kev hloov pauv ntawm cov kua dej zoo li lub sijhawm, txhawm rau txheeb xyuas qhov muaj cov kab mob hauv nws.
Lub ntsiab ntawm mar-test rau antisperm antibodies yog sib tov cov biomaterial nrog cov khoom tshwj xeeb. Nws qhov txawv feature yog tias nws tsuas tuaj yeem nkag mus rau hauv cov kua dej seminal, cov hlwb uas cuam tshuam nrogtshuaj tiv thaiv.
Thaum lub sijhawm kawm, qib ntawm IgA thiab IgG raug kuaj pom. Qhov tshwm sim yog qhia raws li feem pua. Yog tias cov phev uas cuam tshuam nrog cov tshuaj tiv thaiv tsis tshaj 10%, txoj hauv kev xeeb tub ib txwm muaj siab. Tam sim no, WHO tsis tau txhais cov cim qhia tshwj xeeb ntawm tus qauv. Tab sis nws ntseeg tau tias 50% ntawm cov tshuaj tiv thaiv kab mob spermatozoa cuam tshuam rau kev xeeb tub. Qhov ntsuas no siab dua, qhov muaj peev xwm xeeb tub tau qis dua.
kev kho mob zoo
Yog tias ib tus neeg koom tes muaj cov tshuaj tiv thaiv kab mob me me, kev kho tshuaj thiab siv hnab looj tes rau 6 lub hlis yog qhia.
Nws raug tso cai kom muaj kev sib deev yam tsis muaj kev cuam tshuam rau txoj kev tiv thaiv kev tiv thaiv, tab sis tsuas yog hnub yug. Qhov yuav tsum tau siv cov hnab looj tes yog piav qhia los ntawm qhov tseeb tias cov phev tsawg nkag rau hauv tus poj niam lub cev, qhov ntau ntawm ASAT yuav txo qis.
Tam sim no, ntau cov tshuaj tiv thaiv kab mob tua kab mob tau tsim kho. Qhov nrov tshaj plaws suav nrog cov kauj ruam hauv qab no:
- Droppers. Raws li txoj cai, Rheosorbilac thiab Glutargin raug tswj hwm ib leeg. Hoob kawm - 3 hnub.
- Kev txhaj tshuaj. Tam sim ntawd tom qab kawm tiav ntawm cov tshuaj droppers, cov hauv qab no yog txhaj intramuscularly: tib neeg immunoglobulin (tsuas yog 3 zaug, txhua hnub), Diprospan (ib zaug), Erbisol (10 hnub).
- theem ob ntawm kev txhaj tshuaj. Peb zaug ib hnub lawv qhia "Galavit".
Txhua lub sijhawm khoTus neeg mob kuj yuav tsum tau noj Claritin.
Nws yog ib qho tseem ceeb kom nkag siab tias txhua yam tshuaj yuav tsum tau muab los ntawm tus kws kho mob, lawv cov koob tshuaj kuj suav nrog tus kheej raws li cov txiaj ntsig ntawm txhua qhov kev tshawb fawb thiab suav nrog cov yam ntxwv ntawm cov kab mob hauv txhua tus neeg.
Txoj kev ua neeg
Kev kho tsis zoo yuav tsum tsis txhob suav tias yog tib txoj hauv kev kom tshem tau tus kab mob. Kev siv cov zaub mov txawv tsis txwv, tab sis koj yuav tsum xub tau txais kev tso cai los ntawm koj tus kws kho mob. Qhov no yog vim qhov tseeb tias cov nroj tsuag tshuaj tuaj yeem ua rau tsis muaj zog ntawm cov tshuaj uas tau sau tseg.
Qhov zoo tshaj plaws hauv kev kho mob tiv thaiv kab mob tsis muaj menyuam yog cov zaub mov hauv qab no:
- Noj ib pinch ntawm liab geranium, ncuav 200 ml ntawm boiling dej tshaj nws. Cia nws brew rau 10 feeb. Tom qab lub sijhawm teev tseg, cov tshuaj tuaj yeem noj tau 30 feeb tom qab ua tiav cov pluas noj - ib tablespoon rau txiv neej thiab poj niam.
- Noj 2 tbsp. l. goose cinquefoil. Ncuav cov nroj tsuag nrog 400 ml ntawm boiling dej. Insist rau 1 teev. txhais tau tias siv rau ntawm lub plab khoob txhua hnub.
- Npaj 2 tbsp. l. calendula thiab 1 tbsp. l. chamomile. Sib tov lub Cheebtsam, ncuav lawv nrog 200 ml ntawm boiling dej. Infuse rau tsawg kawg 12 teev. Tom qab ntawd cov tshuaj yuav tsum tau lim thiab douched.
- Sib tov tincture ntawm calendula thiab propolis extract (cawv) hauv qhov sib piv ntawm 1: 1. Tom qab ntawd 1 tbsp. l. cov khoom uas tshwm sim yuav tsum tau diluted nyob rau hauv boiled dej sov. Cov tshuaj no kuj yog npaj rau douching.
Kev siv cov lus saum toj noCov tshuaj yuav txo cov concentration ntawm cov tshuaj tiv thaiv kab mob hauv cov khoom siv lom neeg ntawm ob tus neeg koom tes.
lo lus no hais txog kev tsim cov cuab yeej cuab tam. Nws cov ntsiab lus yog raws li nram no: ib tug txiv neej siv phev, tom qab uas nws yog pauv mus rau tus poj niam ncaj qha mus rau hauv lub tsev menyuam, uas yog, tsis muaj kev sib deev. Ob tus khub thiab cov qauv pub dawb tuaj yeem cog tau.
Ntxiv rau qhov muaj cov tshuaj tiv thaiv kab mob siab hauv lub cev, cov kab mob hauv qab no thiab cov xwm txheej yog qhov qhia txog kev siv tshuaj tua kab mob:
- Erectile dysfunction.
- Malignant neoplasms hauv txiv neej.
- Kev ua kom phev qis.
- Kev tsim cov noov txawv txav hauv tus txiv neej.
- High viscosity hauv plasma phev.
- Vaginismus hauv poj niam.
- Kev tsis haum rau cov phev.
- No ovulation.
Cov txheej txheem yuav tsis ua yog tias tus poj niam tau kuaj pom tias muaj kev cuam tshuam ntawm cov hlab ntsha hauv lub cev. Tsis tas li ntawd, contraindications rau cov neeg ntawm no poj niam txiv neej yog: kab mob oncological, kis pathologies ntawm lub plab hnyuv siab raum, fibroids, polyps. Tom qab tau txais cov txiaj ntsig ntawm tag nrho cov kev tshawb fawb (kev kuaj ntshav, spermogram, ultrasound), qhov teeb meem ntawm kev tawm tswv yim ntawm kev sib deev yog txiav txim siab.
Cov txheej txheem yog ua raws li cov hauv qab no algorithm:
- Ovulation stimulation (yog tias tsim nyog).
- Saib nws qhov pib.
- laj kab los ntawm tus txiv neejbiomaterial, nws qhov kev npaj.
- Qhia cov phev nrog lub catheter rau hauv lub tsev me nyuam los ntawm lub tsev me nyuam kwj dej.
Raws li kev txheeb cais, qhov ua tiav yog 12%. Nws raug tso cai ua cov txheej txheem ntawm intrauterine insemination mus txog 4 zaug. Yog tias txhua qhov kev sim ua tsis tiav, cov kws kho mob pom zoo kom ua rau hauv vitro fertilization.
ECO
Yog tias kev tshuaj xyuas rau cov tshuaj tiv thaiv kab mob tua kab mob tau qhia txog qib siab, feem ntau cov kws tshaj lij qhia cov neeg mob kom tig mus rau txoj kev no.
In vitro fertilization yog ib qho kev siv tshuaj tua kab mob, cov ntsiab lus ntawm cov khoom siv hauv qab no: biomaterial (qe thiab phev) yog muab los ntawm cov neeg koom tes, tom qab ntawd cov qauv muab tso rau hauv ib qho chaw tshwj xeeb uas lawv tau ua ke. Tom qab ntawd cov oocyte fertilized txav mus rau hauv lub uterine kab noj hniav, qhov twg cov txheej txheem ntawm kev xeeb tub pib.
Nyob li ntawm 45% ntawm cov neeg mob, thawj qhov kev sim ua tiav. Nws yog ib qho tseem ceeb kom nkag siab tias muaj ntau yam uas cuam tshuam rau kev ua haujlwm. Rau ntau tus niam txiv tsis muaj menyuam, IVF yog tib txoj hauv kev los ua niam txiv, tab sis tsis tas yuav xeeb tub tom qab thawj zaug. Qhov no yog ib txoj kev nyuaj thiab ntev. Raws li kev xyaum qhia, tom qab sim zaum ob, cev xeeb tub tshwm sim feem ntau.
Nyob hauv kaw
Anti-sperm antibodies yog cov tshuaj protein uas tsim los ntawm lub cev tiv thaiv kab mob. Feem ntau, lawv yuav tsum tsis txhob kuaj pom, lossis lawv tuaj yeem ua taumuaj nyob rau hauv biomaterial, tab sis nyob rau hauv me me. Yog tias lawv qib tau nce ntxiv, nws yog ib txwm hais txog kev tiv thaiv kev xeeb tub. Txhawm rau txiav txim siab txog kev kho mob, tus kws kho mob tau xa mus rau ob tus neeg koom tes rau kev kuaj mob dav dav. Raws li nws cov txiaj ntsig, nws paub meej tias leej twg ntawm lawv tsis muaj menyuam. Hauv cov xwm txheej hnyav, kev kho mob tsis zoo. Hauv cov xwm txheej zoo li no, rau ntau khub niam txiv, IVF yog tib txoj hauv kev los ua niam txiv.
