Kev npaj cev xeeb tub yog lub sijhawm tseem ceeb hauv lub neej ntawm txhua tus khub niam txiv. Lawm, lub sijhawm no nws yog ib qho tsim nyog yuav tsum tau mus rau qee qhov kev ntsuam xyuas, sab laj nrog kws kho mob thiab dhau qee qhov kev xeem. Feem ntau, cov txiv neej raug qhia kom kuaj cov phev. Tau kawg, cov neeg sawv cev ntawm kev sib deev muaj zog txaus siab rau cov lus nug ntxiv. Tus spermogram qhia li cas? Yuav ua li cas npaj kom raug rau qhov kev xeem? Yuav ua li cas deviations ua tau thiab yuav ua li cas nyob rau hauv xws li mob? Cov lus teb rau cov lus nug no yuav txaus siab rau ntau tus nyeem.
Kev ntsuas ntsuas
Ua ntej txiav txim siab seb qhov spermogram qhia tau li cas, nws tsim nyog kawm txog cov lus qhia tseem ceeb rau kev sim.
- Kev tshawb fawb tau sau tseg thaum npaj cev xeeb tub.
- Yog tias vim li cas los yog lwm qhov, hauv 1-2 xyoos ntawm kev sib deev lub neej yam tsis muaj kev tiv thaiv, nkawm niam txiv tsis muaj menyuam, ob tus khub raug tshuaj ntsuam xyuas.
- Indication rau spermogram yogtxiv neej infertility tshwm sim los ntawm hormonal ntshawv siab, kis kab mob, qhov chaw mos raug mob, varicocele thiab lwm yam pathologies.
- Kev tshawb fawb qee zaum tau ua thaum kuaj kev tiv thaiv, nrog rau saib xyuas cov chav kawm thiab kev ua tau zoo ntawm kev kho tus kab mob tshwj xeeb.
- txiv neej yuav tsum tau mus kuaj hauv kev npaj rau hauv vitro fertilization ntawm qe
Yuav npaj li cas rau kev kawm?
Yuav kom kev tsom xam ntawm ejaculation kom muab cov txiaj ntsig tau tseeb, koj yuav tsum tau npaj rau txheej txheem. Piv txwv li, 3-7 hnub ua ntej qhov txheej txheem, koj yuav tsum tsis txhob muaj kev sib deev. Yam tsawg kawg 3 lub lis piam ua ntej qhov kev sim, koj yuav tsum tsis txhob noj tshuaj thiab noj tshuaj ntxiv (yog tias kev kho tsis tau, koj yuav tsum qhia tus kws kho mob txog txhua yam tshuaj noj).
Tsis muaj teeb meem koj yuav tsum mus rau sauna lossis da dej, da dej kub ua ntej kev xeem. Nws tseem tsim nyog tso tseg kev haus luam yeeb, haus cawv lossis tshuaj yeeb, txo qis kev ua haujlwm ntawm lub cev. Lawm, tom qab dhau cov qauv, tus neeg mob tuaj yeem rov qab mus rau lawv txoj kev ua neej li qub.
Kev sim ua li cas?
Cov phev kuaj tau txais ib txwm muaj thaum lub sijhawm ua kom tiav. Qhov zoo tshaj plaws, cov qauv yuav tsum tau nqa ncaj qha rau hauv tsev kho mob. Cov ejaculate tau sau rau hauv lub khob tshwj xeeb tsis muaj menyuam, uas yuav tsum raug xa mus rau chav kuaj sai li sai tau. Qee zaum cov txiv neej tuaj yeem ua cov txheej txheem hauv tsev. Qee zaum, cov phev tuaj yeem nqa los ntawm hnab looj tes. Tab sisNws yog ib qho tsim nyog nco ntsoov tias cov khoom siv biomaterial yuav tsum raug xa mus rau chav kuaj sai li sai tau (hauv ob peb teev), txwv tsis pub cov txiaj ntsig kev ntsuas yuav tsis ntseeg tau.
Tus spermogram qhia li cas? Lub cev muaj zog ntawm cov phev
Muaj ntau yam uas cov qauv ejaculation raug txiav txim. Yuav pib nrog, tus neeg pab kuaj ua tib zoo kawm thiab sau cov khoom ntawm lub cev:
- Tus phev. Qhov ntim ntawm ejaculate ib txwm yog 2-5 ml (qhov txo qis hauv daim duab no qee zaum qhia txog cov txheej txheem inflammatory).
- Cov phev xim twg yuav tsum yog? Dawb, nrog ib tug heev faint grey los yog daj tint (discoloration yuav qhia purulent o, prostate lesions).
- Hydrogen Performance index (pH) ntawm phev yog ib txwm 7.2 (qhov no yog ib qho chaw nruab nrab). Kev txo qis, qhov tsim ntawm ib puag ncig acidic yuav qhia tau tias muaj cov txheej txheem inflammatory hauv cov qog ntshav.
- Viscosity thiab liquefaction ntawm phev yog lwm qhov taw qhia tseem ceeb. Yog tias cov phev tseem ua kua rau ib teev tom qab ejaculation, qhov no suav hais tias yog ib txwm muaj (tsuas yog nyob rau hauv qhov chaw ntub dej, cov kua dej ib puag ncig tsis muaj phev txav mus).
Kev kuaj kab mob microscopic ntawm phev
Tom ntej no, koj yuav tsum ntsuas lwm yam tseem ceeb ntawm ejaculation, uas tsuas yog ua tau nrog kev pab ntawm cov khoom siv kho qhov muag:
- Ua ntej tshaj plaws, koj yuav tsum txiav txim siab tus phev hauv ejaculation. Feem ntau, 1 ml ntawm cov phev yuav tsum muaj tsawg kawg yog 20 lab cov kab mob. Yog qhov ntsuas noHauv qab no, qhov no tuaj yeem ua rau muaj menyuam tsis taus (txawm tias qhov no tsis txhais tau hais tias tus txiv neej tsis muaj peev xwm ua rau muaj menyuam).
- Ib yam tseem ceeb tshaj plaws yog phev motility, vim hais tias kom fertilize lub qe, lawv yuav tsum tau txav.
- Qee zaum thaum kuaj, tus kws kho mob pom cov qe ntshav dawb hauv cov phev. Feem ntau, 1 ml ntawm ejaculate yuav tsum tsis pub ntau tshaj 1 lab cov qe ntshav dawb. Kev nce hauv lawv tus lej qhia tias muaj cov txheej txheem inflammatory.
- Tus nqi ntawm cov hnoos qeev hauv cov phev kuj tau kwv yees (qhov ntim ntau dhau ntawm cov mucous pawg cuam tshuam cov phev motility thiab feem ntau qhia tias muaj teeb meem nrog lub caj pas prostate).
- Nquag, erythrocytes tsis nyob hauv tib neeg cov phev. Lawv lub xub ntiag yuav qhia tau tias muaj ntau yam pathologies, suav nrog cov qog nqaij hlav.
Nqe spermogram thiab nws cov yam ntxwv
Qee zaum, kev tshawb fawb dav dav tau ua kom tau txais cov ntaub ntawv ntau tshaj plaws. Ntxiv rau cov txheej txheem saum toj no, hauv chav kuaj nws kuj tau kawm:
- Sperm morphology (nyob rau hauv lub tshuab kuaj kab mob, tus kws kho mob tshwj xeeb txiav txim siab seb lub cev thiab cov qauv ntawm cov phev puas zoo li qub; tus naj npawb ntawm cov kab mob txawv txav yuav tsum tsis pub tshaj 50%).
- Sperm viability yog lwm yam tseem ceeb. Nws ntseeg tau hais tias rau fertilization, cov phev yuav tsum nyob twj ywm nyob rau hauv nws lub ntuj ib puag ncig yam tsawg kawg ib hnub.
- Lub xub ntiag ntawm lub npe hu ua cov tshuaj tiv thaiv kab mob phev hauv cov qauv. Cov no yog cov protein molecules tshwj xeeb, uaslos yog rau lwm yam laj thawj, lawv pib tsim los ntawm cov txiv neej lub cev tiv thaiv kab mob. Cov tshuaj tiv thaiv kab mob tua cov kab mob ntawm cov spermatozoa, rhuav tshem cov kab mob thiab ua rau kev loj hlob ntawm infertility.
Thaum twg koj yuav tsum tsis txhob coj cov phev?
Txhawm rau txhawm rau txheeb xyuas cov ejaculation kom paub meej raws li qhov ua tau, koj yuav tsum ua raws li cov cai npaj saum toj no. Tsis tas li ntawd, muaj cov xwm txheej uas qhov kev tshawb fawb no tsis ua tiav:
- tom qab noj tshuaj, tom qab siv tshuaj tua kab mob;
- tom qab haus cawv;
- at elevated body temperature;
- rau cov kab mob sib kis, suav nrog mob khaub thuas;
- after prostate massage;
- thaum lub sijhawm muaj mob hnyav zuj zus.
muaj peev xwm ua txhaum cai
Tam sim no koj paub dab tsi tus spermogram qhia. Tab sis thaum lub sij hawm kuaj sim, qee qhov sib txawv kuj tuaj yeem pom:
- oligospermia - ib qho mob tshwm sim los ntawm kev txo qis ntawm cov spermatozoa;
- azoospermia - tsis muaj phev hauv ejaculation;
- asthenozoospermia - muaj cov spermatozoa txaus nyob hauv cov qauv, tab sis lawv txoj kev txav mus tau tsawg heev;
- tetradospermia - hauv ejaculation muaj cov phev ntau nrog cov qauv tsis zoo;
- neurospermia - cov phev tuag tau pom nyob rau hauv cov qauv thaum tshawb fawb.
Nws tsim nyog nkag siab tias tsuas yog tus kws kho mob tuaj yeem txhais cov txiaj ntsig ntawm cov spermogram. Ua li ntawd, nyob rau hauvFeem ntau, kev xeeb tub tuaj yeem kho nrog txoj kev kho kom raug.